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Sample records for hospital outpost comprehensive

  1. [Text Comprehensibility of Hospital Report Cards].

    Science.gov (United States)

    Sander, U; Kolb, B; Christoph, C; Emmert, M

    2016-12-01

    Objectives: Recently, the number of hospital report cards that compare quality of hospitals and present information from German quality reports has greatly increased. Objectives of this study were to a) identify suitable methods for measuring the readability and comprehensibility of hospital report cards, b) to obtain reliable information on the comprehensibility of texts for laymen, c) to give recommendations for improvements and d) to recommend public health actions. Methods: The readability and comprehensibility of the texts were tested with a) a computer-aided evaluation of formal text characteristics (readability indices Flesch (German formula) and 1. Wiener Sachtextformel formula), b) an expert-based heuristic analysis of readability and comprehensibility of texts (counting technical terms and analysis of text simplicity as well as brevity and conciseness using the Hamburg intelligibility model) and c) a survey of subjects about the comprehensibility of individual technical terms, the assessment of the comprehensibility of the presentations and the subjects' decisions in favour of one of the 5 presented clinics due to the better quality of data. In addition, the correlation between the results of the text analysis with the results from the survey of subjects was tested. Results: The assessment of texts with the computer-aided evaluations showed poor comprehensibility values. The assessment of text simplicity using the Hamburg intelligibility model showed poor comprehensibility values (-0.3). On average, 6.8% of the words used were technical terms. A review of 10 technical terms revealed that in all cases only a minority of respondents (from 4.4% to 39.1%) exactly knew what was meant by each of them. Most subjects (62.4%) also believed that unclear terms worsened their understanding of the information offered. The correlation analysis showed that presentations with a lower frequency of technical terms and better values for the text simplicity were better

  2. Laundry Study for a Lunar Outpost

    Science.gov (United States)

    Ewert, Michael; Jeng, Frank

    2009-01-01

    In support of the Constellation Program, which will return humans to the moon and establish an Outpost, NASA has conducted an analysis of crew clothing and laundry options. Single-use or "disposable" clothing has been used from Apollo until International Space Station (ISS) missions, meaning that clothes were worn for the whole mission or thrown away when they became too dirty to wear any longer. This is justified for short duration missions; however, as the Constellation mission will last much longer and each individual Outpost mission is expected to last up to 180 days, mission goals and launch penalties for mass and volume may lead to a different conclusion. Furthermore, the habitat atmosphere pressure and therefore oxygen volume percentage will be different from ISS or Shuttle. Almost daily EVA sorties will be a norm during Outpost exploration missions. All of these factors will have impacts on selection of crew clothing and laundry options for Outpost missions. Mass and volume estimates for disposable crew clothing have been shown as a major penalty in long-duration manned space exploration missions in previous analyses. Assuming disposable clothing like ISS, Equivalent System Mass (ESM) of crew clothing and hygiene towels was estimated to be 11,000 kg or about 11% of total life support system ESM for a 10-year Lunar Outpost mission with 4 crew members. Ways to reduce this clothing penalty, which are discussed in this paper, include: a) Reduce clothing supply rate through using clothes made of advanced fabrics; b) Reduce daily usage rate by extending its use duration before disposing; and c) Use laundry and reusable clothing. The report summarizes recent research efforts in advanced clothing, proposed clothing supply rates for Exploration missions, results of a trade-off study between disposable clothing and laundry, and conclusions and suggestions for Constellation Program clothing.

  3. Comprehensive Outpatient Rehabilitation Program: Hospital-Based Stroke Outpatient Rehabilitation.

    Science.gov (United States)

    Rice, Danielle; Janzen, Shannon; McIntyre, Amanda; Vermeer, Julianne; Britt, Eileen; Teasell, Robert

    2016-05-01

    Few studies have considered the effectiveness of outpatient rehabilitation programs for stroke patients. The objective of this study was to assess the effectiveness of a hospital-based interdisciplinary outpatient stroke rehabilitation program with respect to physical functioning, mobility, and balance. The Comprehensive Outpatient Rehabilitation Program provides a hospital-based interdisciplinary approach to stroke rehabilitation in Southwestern Ontario. Outcome measures from physiotherapy and occupational therapy sessions were available at intake and discharge from the program. A series of paired sample t-tests were performed to assess patient changes between time points for each outcome measure. A total of 271 patients met the inclusion criteria for analysis (56.1% male; mean age = 62.9 ± 13.9 years). Significant improvements were found between admission and discharge for the Functional Independence Measure, grip strength, Chedoke-McMaster Stroke Assessment, two-minute walk test, maximum walk test, Timed Up and Go, Berg Balance Scale, and one-legged stance (P rehabilitation program was effective at improving the physical functioning, mobility, and balance of individuals after a stroke. A hospital-based, stroke-specific rehabilitation program should be considered when patients continue to experience deficits after inpatient rehabilitation. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  4. Interior design of the lunar outpost

    Science.gov (United States)

    Kennedy, Kriss J.

    1990-01-01

    This paper is part of an ongoing study on the interior design of a lunar outpost habitat facility. The concept presented represents the work done up to and including August 1989. This concept is part of NASA's ongoing effort to explore alternative options for planet surface systems habitation. Results of a volume analog study to determine the required pressurized volume are presented along with an internal layout of the habitat facility. The concept presented in this paper is a constructible lunar habitat that provides a living and working environment for a crew of 12. It is a 16-m diameter spherical pneumatic structure which contains 2145 cubic meters of volume. Five levels of living and working areas make up the 742 sq m of floor space. A 2-m vertical circulation shaft at the center allows for transfer of crew and equipment.

  5. Interior design of the lunar outpost

    Science.gov (United States)

    Kennedy, Kriss J.

    1990-01-01

    This paper is part of an ongoing study on the interior design of a lunar outpost habitat facility. The concept presented represents the work done up to and including August 1989. This concept is part of NASA's ongoing effort to explore alternative options for planet surface systems habitation. Results of a volume analog study to determine the required pressurized volume are presented along with an internal layout of the habitat facility. The concept presented in this paper is a constructible lunar habitat that provides a living and working environment for a crew of 12. It is a 16-m diameter spherical pneumatic structure which contains 2145 cubic meters of volume. Five levels of living and working areas make up the 742 sq m of floor space. A 2-m vertical circulation shaft at the center allows for transfer of crew and equipment.

  6. Comprehensive therapeutic effect of the stroke rehabilitation unit in a medium-sized comprehensive community hospital

    Institute of Scientific and Technical Information of China (English)

    Xiaohua Fu; Hong Wang; Jia Sun; Haiyan Sun; Qingyang Song; Yi Liu; Hong Li

    2006-01-01

    BACKGROUND: Acute stroke unit (stroke care unit) is developing in some domestic large-sized hospitals, but most stroke patients need stroke rehabilitation unit therapy, so setting stroke rehabilitation unit in medium-sized comprehensive community hospital (secondary hospital), where medical facility is relatively insufficient, is a new pathway to satisfy stroke patients.OBJECTIVE: To observe the comprehensive effect of developing stroke rehabilitation unit based on the facility of secondary hospital and its feasibility.DESIGN: Non-randomized concurrent controlled observation.SETTING: Department of Neurology, Beijing Longfu Hospital.PARTICIPANTS: Totally 264 stroke reconvalescents who suffered stroke for 7 days and received treatment in the Department of Neurology, Beijing Longfu Hospital during June 2003 to June 2005 were involved in the study. All the involved patients were confirmed by CT or MRI. The patients were scored by using Modified Edinbergh-Scandinavia stroke scale (SSS) > 16 points. Written informed consents were obtained from all the patients. The patients were assigned into 2 groups according to the willing of patients and their relatives: ①treatment group, in which, there were 134 patients, 76 males and 58 females, aged 43 to 74 years;cerebral infarction was found in 116 cases and cerebral hemorrhage in 18 cases;② control group, in which,there were 130 patients, 66 males and 64 females, aged 45 to 77 years, cerebral infarction was found in 115 cases and cerebral hemorrhage in 15 cases. There were significant differences in baseline data of the patients between two groups. METHODS: A same basic treatment was conducted in the patients of the two groups. ① Patients in the treatment group admitted to stroke rehabilitation unit and received comprehensive rehabilitation treatment.The rehabilitation flow-sheet: randomization-letting the patients of treatment group go into the unit-making comprehensive assessment in the initial stage-making therapy

  7. Transforming hospital board meetings: guidelines for comprehensive change.

    Science.gov (United States)

    Gautam, Kanak

    2005-01-01

    Does the following remind you of a hospital board meeting you attended recently? The meeting starts late, the PowerPoint presentation on hospital operations is too detailed to understand, 20 minutes are spent discussing parking, one or two trustees do all the talking, others check their PDAs or scribble on the agenda, and you try to keep your mouth shut while yawning. Hospital board meetings are often described as ritualized, unfocused, rambling, mindless, and inconclusive. Experts agree that board meetings in many hospitals are dysfunctional and need restructuring (Knecht 2001; Perrine 2003; Orlikoff and Totten 2002). Recently, St. Joseph Hospital in Orange, California, employed consultants and invested much effort in making its board meetings productive (Perrine). More such endeavors are needed for better hospital governance. In the last 5 years, several books and articles have focused on reforming board meetings. In this article I draw on them to discuss key problems of board meetings and how to make the meetings more effective.

  8. Lunar Outpost Life Support Trade Studies

    Science.gov (United States)

    Lange, Kevin E.; Anderson, Molly S.; Ewert, Michael K.; Barta, Daniel J.

    2008-01-01

    Engineering trade-off studies of life support system architecture and technology options were conducted for potential lunar surface mission scenarios within NASA's Constellation Program. The scenarios investigated are based largely on results of the NASA Lunar Architecture Team (LAT) Phase II study. In particular, the possibility of Hosted Sortie missions, the high cost of power during eclipse periods, and the potential to reduce life support consumables through scavenging, in-situ resources, and alternative EVA technologies were all examined. These trade studies were performed within the Systems Integration, Modeling and Analysis (SIMA) element of NASA's Exploration Life Support (ELS) technology development project. The tools and methodology used in the study are described briefly, followed by a discussion of mission scenarios, life support technology options and results presented in terms of equivalent system mass for various regenerative life support technologies and architectures. Three classes of repeated or extended lunar surface missions were investigated in this study along with several life support resource scenarios for each mission class. Individual mission durations of 14 days, 90 days and 180 days were considered with 10 missions assumed for each at a rate of 2 missions per year. The 14-day missions represent a class of Hosted Sortie missions where a pre-deployed and potentially mobile habitat provides life support for multiple crews at one or more locations. The 90-day and 180-day missions represent lunar outpost expeditions with a larger fixed habitat. The 180-day missions assume continuous human presence and must provide life support through eclipse periods of up to 122 hours while the 90-day missions are planned for best-case periods of nearly continuous sunlight. This paper investigates system optimization within the assumptions of each scenario and addresses how the scenario selected drives the life support system to different designs

  9. First MARS Outpost: Development Considerations and Concepts

    Science.gov (United States)

    Bell, L.

    2002-01-01

    The Sasakawa International Center for Space Architecture (SICSA) is undertaking a multi-year research and design study that is exploring near and long-term commercial space development opportunities. The central goal of this activity is to conceptualize a scenario of sequential, integrated private enterprise initiatives that can carry humankind forward to Mars. This presentation highlights planning considerations and design concepts for establishing a first settlement on Mars. The outpost would support surface missions lasting up to about 500 days and would serve as the initial stage of a larger and continuously operational development which would utilize Mars resources to be less reliant on materials from Earth. Key elements of this first stage mission development sequence include a new heavy-lift Earth-to-orbit launch vehicle; a plasma- drive Mars transit vehicle; habitat modules for crews in transit to and from Mars; "hard" and "inflatable" surface habitats and laboratories; a mobile power unit; a spacecraft to assist orbital assembly; and vehicles to lift crews off the Mars surface and land them safely back on Earth from LEO. SICSA's space development approach differs in fundamental ways from conventional NASA-sponsored initiatives. First, virtually all baseline planning assumptions are influenced by the private sector-driven nature of an approach that aims to avoid all possible reliance upon government financing, agendas and schedules. In this regard, any involvements with NASA or the space agencies of other countries would be premised upon mutual public-corporate partnership benefits rather than upon federal contract awards, management and control. Another potential difference relates to program philosophy. Unlike Apollo Program "sprint" missions which culminated with footprints and flagpoles on the Moon, the aim is to realize sustainable and continuing planetary exploration and development progress. This goal can be advanced through approaches that

  10. Virtual subject innovation platform: a new operational pattern for comprehensive hospital.

    Science.gov (United States)

    Xu, Huan; Liu, Yuxiu; Su, Yi; Zhou, Linming; Yang, Guobin; Yi, Xueming

    2012-08-01

    This is a study that describes the prevalence and patterns of constructing virtual subject in hospital in China. It is a high risk for hospital to invest greatly for innovation of hospital disciplines, so we want to establish some new comprehensive platforms which based on some informational systems that involve diseases treatment, medical research, diseases recoveries, prevent diseases and medicine developments. But the virtual subject platform could afford a superior chance for cooperation between interior and exterior medical organizations. This article discusses the subject's structure, the construction's principles, cooperation advantages and clarifies that the platform could boost the efficiency of hospital to do some medical research.

  11. A Comprehensive Evaluation System for Military Hospitals' Response Capability to Bio-terrorism.

    Science.gov (United States)

    Wang, Hui; Jiang, Nan; Shao, Sicong; Zheng, Tao; Sun, Jianzhong

    2015-05-01

    The objective of this study is to establish a comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. Literature research and Delphi method were utilized to establish the comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. Questionnaires were designed and used to survey the status quo of 134 military hospitals' response capability to bio-terrorism. Survey indicated that factor analysis method was suitable to for analyzing the comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. The constructed evaluation system was consisted of five first-class and 16 second-class indexes. Among them, medical response factor was considered as the most important factor with weight coefficient of 0.660, followed in turn by the emergency management factor with weight coefficient of 0.109, emergency management consciousness factor with weight coefficient of 0.093, hardware support factor with weight coefficient of 0.078, and improvement factor with weight coefficient of 0.059. The constructed comprehensive assessment model and system are scientific and practical.

  12. Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates.

    Science.gov (United States)

    Alshabanat, Abdulmajeed; Otterstatter, Michael C; Sin, Don D; Road, Jeremy; Rempel, Carmen; Burns, Jane; van Eeden, Stephan F; FitzGerald, J M

    2017-01-01

    COPD accounts for the highest rate of hospital admissions among major chronic diseases. COPD hospitalizations are associated with impaired quality of life, high health care utilization, and poor prognosis and result in an economic and a social burden that is both substantial and increasing. The aim of this study is to determine the efficacy of a comprehensive case management program (CCMP) in reducing length of stay (LOS) and risk of hospital admissions and readmissions in patients with COPD. We retrospectively compared outcomes across five large hospitals in Vancouver, BC, Canada, following the implementation of a systems approach to the management of COPD patients who were identified in the hospital and followed up in the community for 90 days. We compared numbers, rates, and intervals of readmission and LOS during 2 years of active program delivery compared to 1 year prior to program implementation. A total of 1,564 patients with a clinical diagnosis of COPD were identified from 2,719 hospital admissions during the 3 years of study. The disease management program reduced COPD-related hospitalizations by 30% and hospitalizations for all causes by 13.6%. Similarly, the rate of readmission for all causes showed a significant decline, with hazard ratios (HRs) of 0.55 (year 1) and 0.51 (year 2) of intervention (Pmanagement program for COPD patients, including education, case management, and follow-up, was associated with significant reduction in hospital admissions and LOS.

  13. Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates

    Science.gov (United States)

    Alshabanat, Abdulmajeed; Otterstatter, Michael C; Sin, Don D; Road, Jeremy; Rempel, Carmen; Burns, Jane; van Eeden, Stephan F; FitzGerald, JM

    2017-01-01

    Background COPD accounts for the highest rate of hospital admissions among major chronic diseases. COPD hospitalizations are associated with impaired quality of life, high health care utilization, and poor prognosis and result in an economic and a social burden that is both substantial and increasing. Aim The aim of this study is to determine the efficacy of a comprehensive case management program (CCMP) in reducing length of stay (LOS) and risk of hospital admissions and readmissions in patients with COPD. Materials and methodology We retrospectively compared outcomes across five large hospitals in Vancouver, BC, Canada, following the implementation of a systems approach to the management of COPD patients who were identified in the hospital and followed up in the community for 90 days. We compared numbers, rates, and intervals of readmission and LOS during 2 years of active program delivery compared to 1 year prior to program implementation. Results A total of 1,564 patients with a clinical diagnosis of COPD were identified from 2,719 hospital admissions during the 3 years of study. The disease management program reduced COPD-related hospitalizations by 30% and hospitalizations for all causes by 13.6%. Similarly, the rate of readmission for all causes showed a significant decline, with hazard ratios (HRs) of 0.55 (year 1) and 0.51 (year 2) of intervention (Pmanagement program for COPD patients, including education, case management, and follow-up, was associated with significant reduction in hospital admissions and LOS.

  14. [Comprehensive geriatric assessment in hospitalized patients aged 80 years and more].

    Science.gov (United States)

    Klich-Raczka, Alicja; Dubiel, Marzena; Sulicka, Joanna; Zyczkowska, Jolanta; Pitucha, Melania

    2006-01-01

    Comprehensive geriatric assessment during hospitalization, taking into account the specificity of geriatric patients could be used both in acute and long-term care. We analyzed 63 patients aged at least 80 years, born on odd days and hospitalized at the Department of Internal Medicine and Geriatrics, University Hospital, Kraków. We examined patients using Geriatric Assessment Chart which consisted of Barthel Index (used to determinate motor activity), MMSE, GDS (Geriatric Depression Scale), abbreviated Tinetti Test, Waterlow Index (used to determine the risk of pressure sore development), delirium risk factors scale, and social evaluation. The data were analyzed according to sex, marital status, level of mood, and residence status (free living or institutionalized). The mean age of 47 women and 16 men was 85.0 +/- 4.34 years. Dementia was been found in 60% of examined patients. Depression (usually mild) was encountered in 55.4%. Motor activity was moderately to severely impaired in the entire group, with high level of risk of falls and development of pressure sores. Thirteen per cent of the patients have been admitted with already developed ulcers. The results suggest the need for the comprehensive geriatric assessment both in hospitalized patients and in post-hospital phase of care.

  15. [On the comprehensibility of German hospital quality reports: systematic evaluation and need for action].

    Science.gov (United States)

    Friedemann, J; Schubert, H-J; Schwappach, D

    2009-01-01

    This paper focuses on the current resolutions for quality reports of German hospitals as released in 2007 as well as on comprehensibility of these reports for patients. It is meant to analyse the textual information given by these quality reports. Its main objective was to attain a reliable assessment of their comprehensibility for patients on the basis of objective measuring methods. A further goal was to qualify eventual differences between large and small or private and public hospital operators. On the basis of the attained results conclusions on the appropriateness of the current legal situation and the existing criteria for quality reports were to be drawn. The textual system part of 200 German hospital reports was analysed as published in the Internet (latest download 28th May, 2007). The selection took place by means of a controlled sample. The sample structure essentially corresponds to the German hospital system structure in terms of bed numbers and its ratio of public and private operators. The analysis measured all formal text patterns as well as technical terms by means of a computer-aided device. The readability index for each text was calculated according to all known readability formulas for the German language. German hospital quality reports are readable only for those patients who dispose of above-average communicative skills. The analysed reports contain more than 10% technical terms while 17% of the chosen words and 60% of all sentences are too long. 10% of all sentences are too complex and 25% comprise more than three technical terms. To understand these texts at least an entrance qualification for higher education is required in accordance to readability indices. The texts' degree of complexity is comparable to that of philosophical papers. Most textual information given by German hospital quality reports is proven to be unreadable and incomprehensible for most patients. There are no fundamental differences concerning hospital size and

  16. Development of a comprehensive hospital-based elder abuse intervention: an initial systematic scoping review.

    Directory of Open Access Journals (Sweden)

    Janice Du Mont

    Full Text Available Elder abuse, a universal human rights problem, is associated with many negative consequences. In most jurisdictions, however, there are no comprehensive hospital-based interventions for elder abuse that address the totality of needs of abused older adults: psychological, physical, legal, and social. As the first step towards the development of such an intervention, we undertook a systematic scoping review.Our primary objective was to systematically extract and synthesize actionable and applicable recommendations for components of a multidisciplinary intersectoral hospital-based elder abuse intervention. A secondary objective was to summarize the characteristics of the responses reviewed, including methods of development and validation.The grey and scholarly literatures were systematically searched, with two independent reviewers conducting the title, abstract and full text screening. Documents were considered eligible for inclusion if they: 1 addressed a response (e.g., an intervention to elder abuse, 2 contained recommendations for responding to abused older adults with potential relevance to a multidisciplinary and intersectoral hospital-based elder abuse intervention; and 3 were available in English.The extracted recommendations for care were collated, coded, categorized into themes, and further reviewed for relevancy to a comprehensive hospital-based response. Characteristics of the responses were summarized using descriptive statistics.649 recommendations were extracted from 68 distinct elder abuse responses, 149 of which were deemed relevant and were categorized into 5 themes: Initial contact; Capacity and consent; Interview with older adult, caregiver, collateral contacts, and/or suspected abuser;physical/forensic, mental, psychosocial, and environmental/functional; and care plan. Only 6 responses had been evaluated, suggesting a significant gap between development and implementation of recommendations.To address the lack of evidence to

  17. Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates

    Directory of Open Access Journals (Sweden)

    Alshabanat A

    2017-03-01

    Full Text Available Abdulmajeed Alshabanat,1 Michael C Otterstatter,2,3 Don D Sin,4,5 Jeremy Road,5,6 Carmen Rempel,6 Jane Burns,6 Stephan F van Eeden,4,5 JM FitzGerald5–7 On behalf of the COPD Transition Team Program 1Department of Experimental Medicine, University of British Columbia, 2British Columbia Centre for Disease Control, 3School of Population and Public Health, 4Department of Medicine, Centre for Heart Lung Innovation, St Paul’s Hospital, 5Division of Respirology, Department of Medicine, 6Department of Medicine, Faculty of Medicine, Institute for Heart and Lung Health, University of British Columbia, 7Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Institute, Vancouver, BC, Canada Background: COPD accounts for the highest rate of hospital admissions among major chronic diseases. COPD hospitalizations are associated with impaired quality of life, high health care utilization, and poor prognosis and result in an economic and a social burden that is both substantial and increasing.Aim: The aim of this study is to determine the efficacy of a comprehensive case management program (CCMP in reducing length of stay (LOS and risk of hospital admissions and readmissions in patients with COPD.Materials and methodology: We retrospectively compared outcomes across five large hospitals in Vancouver, BC, Canada, following the implementation of a systems approach to the management of COPD patients who were identified in the hospital and followed up in the community for 90 days. We compared numbers, rates, and intervals of readmission and LOS during 2 years of active program delivery compared to 1 year prior to program implementation.Results: A total of 1,564 patients with a clinical diagnosis of COPD were identified from 2,719 hospital admissions during the 3 years of study. The disease management program reduced COPD-related hospitalizations by 30% and hospitalizations for all causes by 13.6%. Similarly, the rate of readmission for all

  18. An initial lunar outpost based on deployable inflatable structures

    Science.gov (United States)

    Nozette, Stewart

    1990-01-01

    The Great Exploration Plan (GEP) has been proposed as an alternative approach for achieving the Space Exploration Initiative (SEI) objectives stated by President Bush on 20 Jul. 1989. The GEP is an evolutionary, end-to-end approach for the establishment bases on the Moon and Mars. The GEP deviates from most other proposed SEI architectures by its extensive use of inflatable structures and by its emphasis on Earth-based assembly and test of all components. The following presentation focuses on the design, development and implementation of an inflatable/deployable Lunar outpost as part of the GEP. Programmatic and technical issues associated with this concept are also addressed.

  19. Comprehensive Geriatric Assessment and Transitional Care in Acutely Hospitalized Patients The Transitional Care Bridge Randomized Clinical Trial

    NARCIS (Netherlands)

    Buurman, Bianca M.; Parlevliet, Juliette L.; Allore, Heather G.; Blok, Willem; van Deelen, Bob A. J.; van Charante, Eric P. Moll; de Haan, Rob J.; de Rooij, Sophia E.

    2016-01-01

    IMPORTANCE Older adults acutely hospitalized are at risk of disability. Trials on comprehensive geriatric assessment (CGA) and transitional care present inconsistent results. OBJECTIVE To test whether an intervention of systematic CGA, followed by the transitional care bridge program, improved activ

  20. Development of a new software for comprehensive management and traceability of hospital radiopharmacies.

    Science.gov (United States)

    Gómez Perales, Jesús Luis

    2013-10-01

    A database software application for comprehensive management and traceability of hospital radiopharmacies has been developed and implemented. This software is a customizable shareware called Radiolab, which provides an immediate and complete traceability of all preparations, controls and radiopharmaceuticals, as well as a great help in the management of reports, orders, stock and radioactive waste. Available by now in five languages (English, Spanish, French, Portuguese and Italian) this software and its manual can be downloaded from the Internet at www.radiopharmacy.net. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  1. Health literacy and English language comprehension among elderly inpatients at an urban safety-net hospital.

    Science.gov (United States)

    Cordasco, Kristina M; Asch, Steven M; Franco, Idalid; Mangione, Carol M

    2009-01-01

    To evaluate the relationship between health literacy and age in chronically-ill inpatients at a safety-net hospital. We recruited 399 English- and Spanish-speaking inpatients being evaluated or treated for Congestive Heart Failure or Coronary Artery Disease at a large, urban safety-net teaching hospital in Southern California. Participants were interviewed to ascertain education, English comprehension, and in-home language use. Health literacy was assessed using The Test of Functional Health Literacy in Adults (TOFHLA). We compared by age (aged 65 or more, 51 to 64 years of age, and less than age 50) levels of health literacy, educational attainment, English comprehension, and language use. Prevalence of inadequate health literacy significantly increased with increasing age (87.2% in > or = 65, 48.9% for 51-64, and 26.3% in or = 65, 6.5% for 51-64, and 1.5% in or = 65, 9.0% for 51-64, and 0.8% in or = 65, 43.5% for 51-64, and 35.8% in language at home (82.3% in > or = 65, 70.2% for 51-64, and 62.2% in development and implementation of low-literacy educational materials, programs, and services.

  2. International benchmarking of specialty hospitals. A series of case studies on comprehensive cancer centres

    Directory of Open Access Journals (Sweden)

    van Lent Wineke AM

    2010-08-01

    Full Text Available Abstract Background Benchmarking is one of the methods used in business that is applied to hospitals to improve the management of their operations. International comparison between hospitals can explain performance differences. As there is a trend towards specialization of hospitals, this study examines the benchmarking process and the success factors of benchmarking in international specialized cancer centres. Methods Three independent international benchmarking studies on operations management in cancer centres were conducted. The first study included three comprehensive cancer centres (CCC, three chemotherapy day units (CDU were involved in the second study and four radiotherapy departments were included in the final study. Per multiple case study a research protocol was used to structure the benchmarking process. After reviewing the multiple case studies, the resulting description was used to study the research objectives. Results We adapted and evaluated existing benchmarking processes through formalizing stakeholder involvement and verifying the comparability of the partners. We also devised a framework to structure the indicators to produce a coherent indicator set and better improvement suggestions. Evaluating the feasibility of benchmarking as a tool to improve hospital processes led to mixed results. Case study 1 resulted in general recommendations for the organizations involved. In case study 2, the combination of benchmarking and lean management led in one CDU to a 24% increase in bed utilization and a 12% increase in productivity. Three radiotherapy departments of case study 3, were considering implementing the recommendations. Additionally, success factors, such as a well-defined and small project scope, partner selection based on clear criteria, stakeholder involvement, simple and well-structured indicators, analysis of both the process and its results and, adapt the identified better working methods to the own setting, were found

  3. Information presentation features and comprehensibility of hospital report cards: design analysis and online survey among users.

    Science.gov (United States)

    Sander, Uwe; Emmert, Martin; Dickel, Jochen; Meszmer, Nina; Kolb, Benjamin

    2015-03-16

    Improving the transparency of information about the quality of health care providers is one way to improve health care quality. It is assumed that Internet information steers patients toward better-performing health care providers and will motivate providers to improve quality. However, the effect of public reporting on hospital quality is still small. One of the reasons is that users find it difficult to understand the formats in which information is presented. We analyzed the presentation of risk-adjusted mortality rate (RAMR) for coronary angiography in the 10 most commonly used German public report cards to analyze the impact of information presentation features on their comprehensibility. We wanted to determine which information presentation features were utilized, were preferred by users, led to better comprehension, and had similar effects to those reported in evidence-based recommendations described in the literature. The study consisted of 5 steps: (1) identification of best-practice evidence about the presentation of information on hospital report cards; (2) selection of a single risk-adjusted quality indicator; (3) selection of a sample of designs adopted by German public report cards; (4) identification of the information presentation elements used in public reporting initiatives in Germany; and (5) an online panel completed an online questionnaire that was conducted to determine if respondents were able to identify the hospital with the lowest RAMR and if respondents' hospital choices were associated with particular information design elements. Evidence-based recommendations were made relating to the following information presentation features relevant to report cards: evaluative table with symbols, tables without symbols, bar charts, bar charts without symbols, bar charts with symbols, symbols, evaluative word labels, highlighting, order of providers, high values to indicate good performance, explicit statements of whether high or low values indicate

  4. Improving infant sleep safety through a comprehensive hospital-based program.

    Science.gov (United States)

    Goodstein, Michael H; Bell, Theodore; Krugman, Scott D

    2015-03-01

    We evaluated a comprehensive hospital-based infant safe sleep education program on parental education and safe sleep behaviors in the home using a cross-sectional survey of new parents at hospital discharge (HD) and 4-month follow-up (F/U). Knowledge and practices of infant safe sleep were compared to the National Infant Sleep Position Study benchmark. There were 1092 HD and 490 F/U surveys. Supine sleep knowledge was 99.8% at HD; 94.8% of families planned to always use this position. At F/U, 97.3% retained supine knowledge, and 84.9% maintained this position exclusively (P < .01). Knowledge of crib as safest surface was 99.8% at HD and 99.5% F/U. Use in the parents' room fell to 91.9% (HD) and 68.2% (F/U). Compared to the National Infant Sleep Position Study, the F/U group was more likely to use supine positioning and a bassinette or crib. Reinforcing the infant sleep safety message through intensive hospital-based education improves parental compliance with sudden infant death syndrome risk reduction guidelines.

  5. Information Presentation Features and Comprehensibility of Hospital Report Cards: Design Analysis and Online Survey Among Users

    Science.gov (United States)

    2015-01-01

    Background Improving the transparency of information about the quality of health care providers is one way to improve health care quality. It is assumed that Internet information steers patients toward better-performing health care providers and will motivate providers to improve quality. However, the effect of public reporting on hospital quality is still small. One of the reasons is that users find it difficult to understand the formats in which information is presented. Objective We analyzed the presentation of risk-adjusted mortality rate (RAMR) for coronary angiography in the 10 most commonly used German public report cards to analyze the impact of information presentation features on their comprehensibility. We wanted to determine which information presentation features were utilized, were preferred by users, led to better comprehension, and had similar effects to those reported in evidence-based recommendations described in the literature. Methods The study consisted of 5 steps: (1) identification of best-practice evidence about the presentation of information on hospital report cards; (2) selection of a single risk-adjusted quality indicator; (3) selection of a sample of designs adopted by German public report cards; (4) identification of the information presentation elements used in public reporting initiatives in Germany; and (5) an online panel completed an online questionnaire that was conducted to determine if respondents were able to identify the hospital with the lowest RAMR and if respondents’ hospital choices were associated with particular information design elements. Results Evidence-based recommendations were made relating to the following information presentation features relevant to report cards: evaluative table with symbols, tables without symbols, bar charts, bar charts without symbols, bar charts with symbols, symbols, evaluative word labels, highlighting, order of providers, high values to indicate good performance, explicit statements

  6. A comprehensive palliative care center implementation in S.B. Ulus State Hospital

    Directory of Open Access Journals (Sweden)

    Ayla Kabalak

    2012-06-01

    Every people wants to best care and to die painless in their end-stage of life. This is a human right. Therefore, end-of-life care is considered an indicator of health quality all over the world. The ultimate goal of palliative care is to relieve the suffering of patients and their families by the comprehensive assessment and treatment of physical, psychosocial, and spiritual symptoms experienced by patients. After the patient\\s death, palliative care focuses primarily on bereavement of the family. T.C. Ministry of Health to find a solution of this important issue as a first step, the preparations for the establishment of palliative care centers and units, training of health personnel started. S.B. Ulus State Hospital as a team we have set out to open a comprehensive palliative care center. Our goal is to contribute on take place of palliative care organization in health system and to the spread across the country. [J Contemp Med 2012; 2(2.000: 122-126

  7. Axiomatic Design of a Framework for the Comprehensive Optimization of Patient Flows in Hospitals

    Directory of Open Access Journals (Sweden)

    Gabriele Arcidiacono

    2017-01-01

    Full Text Available Lean Management and Six Sigma are nowadays applied not only to the manufacturing industry but also to service industry and public administration. The manifold variables affecting the Health Care system minimize the effect of a narrow Lean intervention. Therefore, this paper aims to discuss a comprehensive, system-based approach to achieve a factual holistic optimization of patient flows. This paper debates the efficacy of Lean principles applied to the optimization of patient flows and related activities, structures, and resources, developing a theoretical framework based on the principles of the Axiomatic Design. The demand for patient-oriented and efficient health services leads to use these methodologies to improve hospital processes. In the framework, patients with similar characteristics are clustered in families to achieve homogeneous flows through the value stream. An optimization checklist is outlined as the result of the mapping between Functional Requirements and Design Parameters, with the right sequence of the steps to optimize the patient flow according to the principles of Axiomatic Design. The Axiomatic Design-based top-down implementation of Health Care evidence, according to Lean principles, results in a holistic optimization of hospital patient flows, by reducing the complexity of the system.

  8. Providing Oxygen for the Crew of a Lunar Outpost

    Science.gov (United States)

    Ewert, Michael K.; Jeng, Frank; Conger, Bruce; Anderson, Molly S.

    2009-01-01

    Oxygen (O2) is obviously essential for human space missions, but it is important to examine all the different ways it will be used and the potential sources that it may come from. This effort will lead to storage and delivery requirements and help to determine the optimum architecture from an overall systems engineering point of view. Accounting for all the oxygen in a Lunar Outpost mission includes meeting the metabolic needs of the crew while in the surface Habitat, leakage through the Habitat or Pressurized Rover walls, recharge of the space suit backpack and emergency situations. Current plans indicate that both primary and secondary O2 bottles for the space suit will be filled to a pressure of 20.7 MPa (3000 psia). Other uses of O2 require much lower pressure. Sources of O2 at a Lunar Outpost include compressed or liquefied O2 brought along specifically for life support, scavenged O2 from the Lander propulsion system, recovered O2 from waste water or exhaled carbon dioxide and O2 mined from the moon itself. Previously, eight technology options were investigated to provide the high pressure space suit O2. High pressure O2 storage was treated as the baseline technology and compared to the other seven. The other seven were cryogenic storage followed by high pressure vaporization, scavenging liquid oxygen (LOX) from Lander followed by vaporization, LOX delivery followed by sorption compression, low pressure water electrolysis followed by mechanical compression, high pressure water electrolysis, sharing a high pressure electrolyzer with a regenerative fuel cell power system, and making use of In- Situ Resource Utilization (ISRU). This system-level analysis was conducted by comparing equivalent system mass of the eight technologies in open and closed loop life support architectures. The most promising high pressure O2 generation technologies were recommended for development. Updates and an expansion of the earlier study have been made and the results are reported in

  9. Use of a Lunar Outpost for Developing Space Settlement Technologies

    Science.gov (United States)

    Purves, Lloyd R.

    2008-01-01

    The type of polar lunar outpost being considered in the NASA Vision for Space Exploration (VSE) can effectively support the development of technologies that will not only significantly enhance lunar exploration, but also enable long term crewed space missions, including space settlement. The critical technologies are: artificial gravity, radiation protection, Closed Ecological Life Support Systems (CELSS) and In-Situ Resource Utilization (ISRU). These enhance lunar exploration by extending the time an astronaut can remain on the moon and reducing the need for supplies from Earth, and they seem required for space settlement. A polar lunar outpost provides a location to perform the research and testing required to develop these technologies, as well as to determine if there are viable countermeasures that can reduce the need for Earth-surface-equivalent gravity and radiation protection on long human space missions. The types of spinning space vehicles or stations envisioned to provide artificial gravity can be implemented and tested on the lunar surface, where they can create any level of effective gravity above the 1/6 Earth gravity that naturally exists on the lunar surface. Likewise, varying degrees of radiation protection can provide a natural radiation environment on the lunar surface less than or equal to 1/2 that of open space at 1 AU. Lunar ISRU has the potential of providing most of the material needed for radiation protection, the centrifuge that provides artificial gravity; and the atmosphere, water and soil for a CELSS. Lunar ISRU both saves the cost of transporting these materials from Earth and helps define the requirements for ISRU on other planetary bodies. Biosphere II provides a reference point for estimating what is required for an initial habitat with a CELSS. Previous studies provide initial estimates of what would be required to provide such a lunar habitat with the gravity and radiation environment of the Earth s surface. While much preparatory

  10. Automation of Health Management, Troubleshooting and Recovery in Lunar Outpost Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA's Lunar and other future extraterrestrial outposts will be built for long duration missions that are likely to experience significant number of faults and...

  11. Nuclear power systems for the First Lunar Outpost

    Science.gov (United States)

    Mason, Lee S.; Cataldo, Robert L.

    1993-01-01

    A recent study effort at NASA has developed a preliminary reference mission description for a human return to the Moon by the end of this decade. The First Lunar Outpost (FLO) would provide the framework for establishing a permanent human presence on the Moon and a necessary step toward eventual piloted trips to Mars. The primary objectives of FLO are to sustain a crew of four on the lunar surface for 45 days during which local roving, surface science, and demonstration-level resource extraction would be accomplished. Power systems capable of meeting the diverse requirements of FLO are a significant engineering challenge. Power requirements range from 10's of watts for small science packages to 10's of kilowatts for the crew habitat. The guidelines imposed on power systems include that they be lightweight, easily deployable, and cost efficient. Nuclear systems such as radioisotope thermoelectric generators (RTGs), dynamic isotope power systems (DIPS), and small reactor power systems offer distinct advantages over solar and electrochemical alternatives. Concepts for modular RTGs and DIPS, and deployable reactor systems relevant to the FLO mission and its evolution are described and compared.

  12. Creating Methane from Plastics: Recycling at a Lunar Outpost

    Science.gov (United States)

    Captain, Janine; Santiago, Eddie; Wheeler, Ray; Strayer, RIchard; Garland, Jay; Parrish, Clyde

    2010-01-01

    The high cost of re-supply from Earth demands resources to be utilized to the fullest extent for exploration missions. Recycling is a key technology that maximizes the available resources by converting waste products into useful commodities. One example of this is to convert crew member waste such as plastic packaging, food scraps, and human waste, into fuel. The ability to refuel on the lunar surface would reduce the vehicle mass during launch and provide excess payload capability. The goal of this project is to determine the feasibility of recycling waste into methane on the lunar outpost by performing engineering assessments and lab demonstrations of the technology. The first goal of the project was to determine how recycling could influence lunar exploration. Table I shows an estimation of the typical dried waste stream generated each day for a crew of four. Packaging waste accounts for nearly 86% of the dry waste stream and is a significant source of carbon on the lunar surface. This is important because methane (CH4) can be used as fuel and no other source of carbon is available on the lunar surface. With the initial assessment indicating there is sufficient resources in the waste stream to provide refueling capabilities, the project was designed to examine the conversion of plastics into methane.

  13. Acute Respiratory Infections In Underfives : Experience At Comprehensive Rural Health Services Project Hospital. Ballabgarh

    Directory of Open Access Journals (Sweden)

    Reddaiah V.P

    1995-01-01

    Full Text Available Research Question: What are the symptoms and signs with which under-fives with acute respiratory infections are admitted to a rural hospital? Objectives: i To analyse the symptoms, signs and diagnosis of Acute Respiratory Infections in under-fives. ii To compare the experience with WHO guidelines. Design: Retrospective analysis of under-five patients admitted with ARI. Setting: Comprehensive Rural Health Services Project Hospital, Ballabgarh. Participants; Under-fives admitted with ARI. Outcome: Signs, symptoms, diagnosis of ARI. Statistical Analysis: Descriptive analysis of findings. Results: 73.6% admitted were males, 63.2% were infants. The most commonly complained symptoms at the time of admission were fever (69.6%, Cough (63.2%, breathlessness (61.6% inability to feed (19.2 and diarrhoea (19.2%. 76.0% had crepitations, 26.4% had chest in drawing, 23.2% had ronchi, and 14.4%had respiratory distress. Only 33.3% had respiratory rate more than 60 per minute among children less than 2 months old, 56.9% had respiratory rate more than 50 per minute among children 2-12 month old. 54.3% had respiratory rate more than 40 per minute among 12 months to 5 years of age. 76% had pneumonias. The case fatality rate (CFR was 12.8% and most of the deaths occurred within 24 hours of arrival. The C.F.R was more in females and among young infants. Conclusion: Fever should be included in the lead symptoms of ARI along with cough and breathlessness. There is a need for looking at Respiratory rate for recognition of Pneumonias.

  14. A comprehensive database of Duchenne and Becker muscular dystrophy patients in Children's Hospital of Fudan University

    Directory of Open Access Journals (Sweden)

    Xi-hua LI

    2015-05-01

    Full Text Available Background China is one of the countries that have the largest number of patients suffering from Duchenne and Becker muscular dystrophy (DMD/BMD. Although the building of international DMD/BMD databases has laid a foundation for clinical drug development and clinical trials, it has not yet been carried out in China. In this study, a modified registry form of Remudy was applied to 229 DMD/BMD patients in order to establish a comprehensive database, which will lay the groundwork for international cooperation.  Methods A total of 229 DMD/BMD patients diagnosed by genetic testing or muscle biopsy admitted in Children's Hospital of Fudan University (CHFU during the period of August 2011 to December 2013 were enrolled in this study. The data included sex, age, age at diagnosis, geographic distribution of patients, DMD gene mutation types, family history, walking capability, cardiac and respiratory function, steroid treatment and rehabilitation intervention.  Results There were 194 DMD and 35 BMD male patients who were diagnosed at the age of 0-18 years, and among them, most patients were diagnosed at the age of > 3-4 (16.59%, 38/229 and > 7-8 (14.85%, 34/229 years. Exon deletion was the most frequent genetic mutations for DMD/BMD [65.46% (127/194 and 74.29% (26/35], respectively. Patients with a family history accounted for 23.14% (53/229. The rate of DMD registrants losing walking capability was 17.53% (34/194, and all the BMD registrants were able to walk. Cardiac functions were examined in 46.29% (106/229 DMD/BMD boys and respiratory functions were examined in 17.90% (41/229 DMD/BMD boys. The proportion of DMD patients receiving prednisone with dosage of 0.75 mg/(kg·d was 26.29% (51/194.  Conclusions This database describes in detail the genotype, clinical manifestation, diagnosis and treatment and rehabilitation status of 229 DMD/BMD patients in China. The database not only provides comprehensive information for DMD/BMD patient management

  15. Effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay, and charges to patients.

    Science.gov (United States)

    Allen, Beverlin

    2013-05-01

    The burden of pressure ulcers will intensify because of a rapidly increasing elderly population. The aim of this study was to examine the effects of a comprehensive, interdisciplinary nutritional protocol on pressure ulcer wound healing, length of hospital stays, and charges for pressure ulcer management. The pre/post quasi-experimental design study comprised of 100 patients (50 patients in each group) 60 years or older with pressure ulcer. Research questions were analyzed using descriptive statistics, frequencies, chi-square tests, and t tests. Study findings indicate that the intervention was effective in improving pressure ulcer wound healing, decreasing both hospital length of stay (LOS) for treatment of pressure ulcer and total hospital LOS, while showing no significant additional charges for treatment of pressure ulcers. The older adults are at the highest risk of developing pressure ulcers that result in prolonged hospitalization, high health care costs, increased mortality, and decreased quality of life.

  16. COMPREHENSIVE STUDY OF ILEOSTOMY AT A TERTIARY CARE MEDICAL COLLEGE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Hanuman Singh

    2016-02-01

    Full Text Available BACKGROUND We are working at a tertiary care medical college hospital (Geetanjali Medical College Udaipur (Rajasthan India. Conducted a comprehensive study of ileostomy, its varied indications, types, post-operative morbidity and eventual closure of ileostomy. We also analyse all the different aetiopathologies and all surgical aspects associated with ileostomy. METHODS A total of 30 patients undergoing ileostomy for various causes were studied retrospective over a period of 2 yrs. Stomal and non-stomal related complications were analysed. Reversal of stoma usually performed after 8 weeks and complications of reversal were also recorded. RESULTS Typhoid perforation 9 cases (30% was the most common pathology, followed by blunt trauma abdomen 6 cases (20%, malignancy of colon/rectum 4 cases (13.33%, intestinal obstruction with perforated gangrenous ileum 3 cases (10%, perforated tubercular ileum 3 cases (10%, fulminating necrotic colitis 3 cases (10% and mesenteric vascular thrombosis with gangrenous ileum 2 cases (6.66% were observed. Wound sepsis, excessive effluent, skin excoriation, fluid and electrolyte imbalance and chest complication were the commonest; there were 2 cases (6.66% of minor anastomotic leak, 1 case (3.33% major leak with faecal fistula formation that healed over a period of time. One case (3.33% had a sequential surgical complication as fulminant septicemia, ARDS and multi-organ dysfunction, eventually succumbed in ICU on 30th day. CONCLUSION Ileostomy in various surgical situations has proved to be a life-saving act for the patients and a face saving measure for the surgeon; however, one has to accept the eventual morbidity that continues until an ileostomy closure accomplished.

  17. International benchmarking of specialty hospitals. A series of case studies on comprehensive cancer centres

    NARCIS (Netherlands)

    van Lent, W.A.M.; de Beer, Relinde; van Harten, Willem H.

    2010-01-01

    Background Benchmarking is one of the methods used in business that is applied to hospitals to improve the management of their operations. International comparison between hospitals can explain performance differences. As there is a trend towards specialization of hospitals, this study examines the

  18. International benchmarking of specialty hospitals. A series of case studies on comprehensive cancer centres

    NARCIS (Netherlands)

    Lent, van Wineke A.M.; Beer, de Relinde; Harten, van Wim H.

    2010-01-01

    Background Benchmarking is one of the methods used in business that is applied to hospitals to improve the management of their operations. International comparison between hospitals can explain performance differences. As there is a trend towards specialization of hospitals, this study examines the

  19. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay

    Science.gov (United States)

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael

    2012-01-01

    Background Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Methods Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. Results A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40–65 years and older than 65 years. Conclusions The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI. PMID:22337557

  20. International benchmarking of specialty hospitals. A series of case studies on comprehensive cancer centres

    OpenAIRE

    van Lent Wineke AM; de Beer Relinde D; van Harten Wim H

    2010-01-01

    Abstract Background Benchmarking is one of the methods used in business that is applied to hospitals to improve the management of their operations. International comparison between hospitals can explain performance differences. As there is a trend towards specialization of hospitals, this study examines the benchmarking process and the success factors of benchmarking in international specialized cancer centres. Methods Three independent international benchmarking studies on operations managem...

  1. Adverse drug events in older hospitalized patients: results and reliability of a comprehensive and structured identification strategy.

    Directory of Open Access Journals (Sweden)

    Joanna E Klopotowska

    Full Text Available BACKGROUND: Older patients are at high risk for experiencing Adverse Drug Events (ADEs during hospitalization. To be able to reduce ADEs in these vulnerable patients, hospitals first need to measure the occurrence of ADEs, especially those that are preventable. However, data on preventable ADEs (pADEs occurring during hospitalization in older patients are scarce, and no 'gold standard' for the identification of ADEs exists. METHODOLOGY: The study was conducted in three hospitals in the Netherlands in 2007. ADEs were retrospectively identified by a team of experts using a comprehensive and structured patient chart review (PCR combined with a trigger-tool as an aid. This ADE identification strategy was applied to a cohort of 250 older hospitalized patients. To estimate the intra- and inter-rater reliabilities, Cohen's kappa values were calculated. PRINCIPAL FINDINGS: In total, 118 ADEs were detected which occurred in 62 patients. This ADE yield was 1.1 to 2.7 times higher in comparison to other ADE studies in older hospitalized patients. Of the 118 ADEs, 83 (70.3% were pADEs; 51 pADEs (43.2% of all ADEs identified caused serious patient harm. Patient harm caused by ADEs resulted in various events. The overall intra-rater agreement of the developed strategy was substantial (κ = 0.74; the overall inter-rater agreement was only fair (κ = 0.24. CONCLUSIONS/SIGNIFICANCE: The ADE identification strategy provided a detailed insight into the scope of ADEs occurring in older hospitalized patients, and showed that the majority of (serious ADEs can be prevented. Several strategy related aspects, as well as setting/study specific aspects, may have contributed to the results gained. These aspects should be considered whenever ADE measurements need to be conducted. The results regarding pADEs can be used to design tailored interventions to effectively reduce harm caused by medication errors. Improvement of the inter-rater reliability of a PCR remains

  2. The impact of the Cyprus comprehensive smoking ban on air quality and economic business of hospitality venues

    Directory of Open Access Journals (Sweden)

    Christophi Costas A

    2013-01-01

    Full Text Available Abstract Background Several countries, including Cyprus, have passed smoke-free legislations in recent years. The goal of this study was to assess the indoor levels of particulate matter in hospitality venues in Cyprus before and after the implementation of the law on 1/1/2010, evaluate the role of enforcement, and examine the legislation’s effect on revenue and employment. Methods Several hospitality venues (n = 35 were sampled between April 2007 and January 2008, and 21 of those were re-sampled after the introduction of the smoking ban, between March and May 2010. Data on enforcement was provided by the Cyprus Police whereas data on revenue and employment within the hospitality industry of Cyprus were obtained from the Cyprus Statistical Service; comparisons were made between the corresponding figures before and after the implementation of the law. Results The median level of PM2.5 associated with secondhand smoking was 161 μg/m3 pre-ban and dropped to 3 μg/m3 post-ban (98% decrease, p  Conclusion Smoke free legislations, when enforced, are highly effective in improving the air quality and reducing the levels of indoor PM2.5. Strict enforcement plays a key role in the successful implementation of smoking bans. Even in nations with high smoking prevalence comprehensive smoking laws can be effectively implemented and have no negative effect on accommodation, food, and beverage services.

  3. Adverse Drug Events in Older Hospitalized Patients: Results and Reliability of a Comprehensive and Structured Identification Strategy

    Science.gov (United States)

    Klopotowska, Joanna E.; Wierenga, Peter C.; Stuijt, Clementine C. M.; Arisz, Lambertus; Dijkgraaf, Marcel G. W.; Kuks, Paul F. M.; Asscheman, Henk; de Rooij, Sophia E.; Lie-A-Huen, Loraine; Smorenburg, Susanne M.

    2013-01-01

    Background Older patients are at high risk for experiencing Adverse Drug Events (ADEs) during hospitalization. To be able to reduce ADEs in these vulnerable patients, hospitals first need to measure the occurrence of ADEs, especially those that are preventable. However, data on preventable ADEs (pADEs) occurring during hospitalization in older patients are scarce, and no ‘gold standard’ for the identification of ADEs exists. Methodology The study was conducted in three hospitals in the Netherlands in 2007. ADEs were retrospectively identified by a team of experts using a comprehensive and structured patient chart review (PCR) combined with a trigger-tool as an aid. This ADE identification strategy was applied to a cohort of 250 older hospitalized patients. To estimate the intra- and inter-rater reliabilities, Cohen’s kappa values were calculated. Principal Findings In total, 118 ADEs were detected which occurred in 62 patients. This ADE yield was 1.1 to 2.7 times higher in comparison to other ADE studies in older hospitalized patients. Of the 118 ADEs, 83 (70.3%) were pADEs; 51 pADEs (43.2% of all ADEs identified) caused serious patient harm. Patient harm caused by ADEs resulted in various events. The overall intra-rater agreement of the developed strategy was substantial (κ = 0.74); the overall inter-rater agreement was only fair (κ = 0.24). Conclusions/Significance The ADE identification strategy provided a detailed insight into the scope of ADEs occurring in older hospitalized patients, and showed that the majority of (serious) ADEs can be prevented. Several strategy related aspects, as well as setting/study specific aspects, may have contributed to the results gained. These aspects should be considered whenever ADE measurements need to be conducted. The results regarding pADEs can be used to design tailored interventions to effectively reduce harm caused by medication errors. Improvement of the inter-rater reliability of a PCR remains

  4. Predicting the Incremental Hospital Cost of Adverse Events Among Medicare Beneficiaries in the Comprehensive Joint Replacement Program During Fiscal Year 2014.

    Science.gov (United States)

    Culler, Steven D; Jevsevar, David S; McGuire, Kevin J; Shea, Kevin G; Little, Kenneth M; Schlosser, Michael J

    2017-06-01

    The Medicare program's Comprehensive Care for Joint Replacement (CJR) payment model places hospitals at financial risk for the treatment cost of Medicare beneficiaries (MBs) undergoing lower extremity joint replacement (LEJR). This study uses Medicare Provider Analysis and Review File and identified 674,777 MBs with LEJR procedure during fiscal year 2014. Adverse events (death, acute myocardial infarction, pneumonia, sepsis or shock, surgical site bleeding, pulmonary embolism, mechanical complications, and periprosthetic joint infection) were studied. Multivariable regressions were modeled to estimate the incremental hospital cost of treating each adverse event. The risk-adjusted estimated hospital cost of treating adverse events varied from a high of $29,061 (MBs experiencing hip fracture and joint infection) to a low of $6308 (MBs without hip fracture that experienced pulmonary embolism). Avoidance of adverse events in the LEJR hospitalization will play an important role in managing episode hospital costs in the Comprehensive Care for Joint Replacement program. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Integration of healthcare and financial information: Evaluation in a public hospital using a comprehensive approach.

    Science.gov (United States)

    Escobar-Pérez, Bernabé; Escobar-Rodríguez, Tomás; Bartual-Sopena, Lourdes

    2016-12-01

    Public healthcare organisations are moving towards the use of new technologies to automate and improve their internal processes in order to increase the effectiveness and efficiency of their use of resources. The aim of this research is to tackle the systematic evaluation of an experience of integrating information in a healthcare organisation, paying attention to the implications that this entails. The results show that the integration of the information in the hospital results in higher levels of quality. This study contributes a vision of interrelated work, in which tasks are shared and aims are jointly established.

  6. COMPREHENSIVE STUDY OF HYDATID DISEASE OF LIVER AND MANAGEMENT AT PERIPHERAL TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Karunaharan Thomas

    2017-04-01

    Full Text Available BACKGROUND Hydatid Disease (HD is a zoonotic disease caused by the larvae of Echinococcosis granulosus, now become a rare clinical entity in teaching medical college hospitals. This is due to the public education about the disease, mode of spread and treatment available. The aim of the study is to review the epidemiology, clinical presentation, diagnostic methods available, organs affected and treatment available in the tertiary hospitals and outcome. MATERIALS AND METHODS Data Collection- Patients with upper right abdominal pain with radiological and ultrasound findings are included in the study. About twenty patients are taken for this study. Medical managements, surgical procedure done and outcomes are recorded, tabulated and analysed. Research Design- Prospective Study, Research Setting- KAPV Govt. Medical College and Mahatma Gandhi Memorial Govt. Hospital, Trichy, Tamilnadu. Duration- 7 yrs. (2009 to 2016 Sample Size- Twenty. Inclusion CriteriaPatients between 12 to 70 years of age of both sexes. Patient having right upper abdomen or epigastric pain with positive radiological and ultrasound findings. Patient willing to participate in the study. Exclusion Criteria- Patients more than 70 years not willing to participate in the study patients absconded in between the management. RESULTS Liver is a commonest solid organ affected by the hydatid disease. Most of the diagnosis are made accidentally when the patients are investigated for some other diseases. The commonest clinical presentation is right abdominal or epigastric pain with hepatomegaly. The average age group is 45 years. X-ray abdomen, ultrasound abdomen are the most useful investigations. Asymptomatic uncomplicated small cyst less than 5 cms are managed with medical treatment. Symptomatic large cysts are submitted for surgical intervention. CONCLUSION The main source of income in majority of rural population is agriculture and sheep and cattle grazing. WHO is working towards the

  7. Franz Josef Land: extreme northern outpost for Arctic fishes.

    Science.gov (United States)

    Chernova, Natalia V; Friedlander, Alan M; Turchik, Alan; Sala, Enric

    2014-01-01

    The remote Franz Josef Land (FJL) Archipelago is the most northerly land in Eurasia and its fish fauna, particularly in nearshore habitats, has been poorly studied. An interdisciplinary expedition to FJL in summer 2013 used scuba, seines, and plankton nets to comprehensively study the nearshore fish fauna of the archipelago. We present some of the first underwater images for many of these species in their natural habitats. In addition, deep water drop cameras were deployed between 32 and 392 m to document the fish fauna and their associated habitats at deeper depths. Due to its high latitude (79°-82°N), extensive ice cover, and low water temperatures (littoral zone of Kuhn Island, 17 fish species are now known from FJL's nearshore waters. Species endemic to the Arctic accounted for 75% of the nearshore species observed, followed by species with wider ranges. A total of 43 species from 15 families are known from FJL with the majority of the records from offshore trawl surveys between 110 and 620 m. Resident species have mainly high Arctic distributions, while transient species visit the archipelago to feed (e.g., Greenland shark), and others are brought by currents as larvae and later migrate to spawn grounds in the south (e.g., Atlantic cod Gadus morhua, Capelin Mallotus villosus, Beaked redfish Sebastes mentella). Another species group includes warmer-water fishes that are rare waifs (e.g., Glacier lanternfish Benthosema glaciale, White barracudina Arctozenus rissoi). The rapid warming of the Arctic will likely result in significant changes to the entire ecosystem and this study therefore serves as an important baseline for the nearshore fish assemblages in this unique and fragile region.

  8. In-situ Resource Utilization (ISRU) to Support the Lunar Outpost and the Rationale for Precursor Missions

    Science.gov (United States)

    Simon, Thomas M.

    2008-01-01

    One of the ways that the Constellation Program can differ from Apollo is to employ a live-off-the-land or In-Situ Resource Utilization (ISRU) supported architecture. The options considered over the past decades for using indigenous materials have varied considerably in terms of what resources to attempt to acquire, how much to acquire, and what the motivations are to acquiring these resources. The latest NASA concepts for supporting the lunar outpost have considered many of these plans and compared these options to customers requirements and desires. Depending on the architecture employed, ISRU technologies can make a significant contribution towards a sustainable and affordable lunar outpost. While extensive ground testing will reduce some mission risk, one or more flight demonstrations prior to the first crew's arrival will build confidence and increase the chance that outpost architects will include ISRU as part of the early outpost architecture. This presentation includes some of the options for using ISRU that are under consideration for the lunar outpost, the precursor missions that would support these applications, and a notional timeline to allow the lessons learned from the precursor missions to support outpost hardware designs.

  9. Franz Josef Land: extreme northern outpost for Arctic fishes

    Directory of Open Access Journals (Sweden)

    Natalia V. Chernova

    2014-12-01

    Full Text Available The remote Franz Josef Land (FJL Archipelago is the most northerly land in Eurasia and its fish fauna, particularly in nearshore habitats, has been poorly studied. An interdisciplinary expedition to FJL in summer 2013 used scuba, seines, and plankton nets to comprehensively study the nearshore fish fauna of the archipelago. We present some of the first underwater images for many of these species in their natural habitats. In addition, deep water drop cameras were deployed between 32 and 392 m to document the fish fauna and their associated habitats at deeper depths. Due to its high latitude (79°–82°N, extensive ice cover, and low water temperatures (<0 °C much of the year, the fish diversity at FJL is low compared to other areas of the Barents Sea. Sixteen species of fishes from seven families were documented on the expedition, including two species previously unknown to the region. One Greenland shark, Somniosus microcephalus (Somniosidae, ca. 2 m in length, was recorded by drop camera near Hayes Island at 211 m, and Esipov’s pout, Gymnelus esipovi (Zoarcidae, was collected at Wilton Island at 15 m in a kelp forest. Including the tape-body pout, Gymnelus taeniatus, described earlier from the sub-littoral zone of Kuhn Island, 17 fish species are now known from FJL’s nearshore waters. Species endemic to the Arctic accounted for 75% of the nearshore species observed, followed by species with wider ranges. A total of 43 species from 15 families are known from FJL with the majority of the records from offshore trawl surveys between 110 and 620 m. Resident species have mainly high Arctic distributions, while transient species visit the archipelago to feed (e.g., Greenland shark, and others are brought by currents as larvae and later migrate to spawn grounds in the south (e.g., Atlantic cod Gadus morhua, Capelin Mallotus villosus, Beaked redfish Sebastes mentella. Another species group includes warmer-water fishes that are rare waifs (e

  10. Comprehensive computerized medical imaging at Victoria General Hospital: final implementation plan

    Science.gov (United States)

    Fisher, Paul D.; Brauer, Gerhard W.; Nosil, Josip; Scobie, Duncan L.; Clark, R. P.; Ritchie, Gordon W.; Weigl, Wilhelm J.

    1990-08-01

    A plan for the installation and implementation of a comprehensive computer-based system for the management and communication of digital radiographic images and diagnostic information is described. The paper is based on the authors' experience with, and evaluation of, prototype equipment and systems over the past 5 years. The final configuration will be realized in 1992 at the completion of a 3-phase installation plan. The system will address the clinical, data management, and administrative needs of the different types of users within the department, as well as the requirement to distribute radiographic information and images to locations outside of the department. In order to be considered successful, the system described herein will need to bring about a 90% reduction in both paper- and film-based communication of images and information. The British Columbia Ministry of Health is funding this phase of the project in order to obtain information on which to base decisions regarding installation of similar systems at other sites within the Province and predict with some confidence the cost effectiveness of such decisions.

  11. Clinical research participation among adolescent and young adults at an NCI-designated Comprehensive Cancer Center and affiliated pediatric hospital.

    Science.gov (United States)

    Sanford, Stacy D; Beaumont, Jennifer L; Snyder, Mallory A; Reichek, Jennifer; Salsman, John M

    2017-05-01

    Minimal clinical trial participation among adolescents and young adults (AYAs) with cancer limits scientific progress and ultimately their clinical care and outcomes. These analyses examine the current state of AYA clinical research participation at a Midwestern comprehensive cancer center and affiliated pediatric hospital to advise program development and increase availability of trials and AYA participation. Enrollment is examined across all diagnoses, the entire AYA age spectrum (15-39), and both cancer therapeutic and supportive care protocols. his study was a retrospective review of electronic medical records via existing databases and registries for all AYAs. Data were collected for AYAs seen by an oncologist at the adult outpatient cancer center or at the pediatric hospital between the years 2010 and 2014. Descriptive statistics and logistic regression analyses were conducted to characterize this sample. In the pediatric setting, 42.3% of AYAs were enrolled in a study compared to 11.2% in the adult setting. Regression analyses in the pediatric setting revealed that AYAs with private insurance or Caucasian race were more likely to participate. Within the adult setting, ethnicity, race, insurance, and diagnosis were associated with study participation; 54.8% of study enrollments were for cancer therapeutic and 43.4% for supportive care studies. These results are comparable to previously published data and support the need for new local and national AYA initiatives to increase the availability of and enrollment in therapeutic clinical trials. The same is true for supportive care studies which play a crucial role in improving quality of life.

  12. The impact of the Cyprus comprehensive smoking ban on air quality and economic business of hospitality venues.

    Science.gov (United States)

    Christophi, Costas A; Paisi, Martha; Pampaka, Despina; Kehagias, Martha; Vardavas, Constantine; Connolly, Gregory N

    2013-01-27

    Several countries, including Cyprus, have passed smoke-free legislations in recent years. The goal of this study was to assess the indoor levels of particulate matter in hospitality venues in Cyprus before and after the implementation of the law on 1/1/2010, evaluate the role of enforcement, and examine the legislation's effect on revenue and employment. Several hospitality venues (n = 35) were sampled between April 2007 and January 2008, and 21 of those were re-sampled after the introduction of the smoking ban, between March and May 2010. Data on enforcement was provided by the Cyprus Police whereas data on revenue and employment within the hospitality industry of Cyprus were obtained from the Cyprus Statistical Service; comparisons were made between the corresponding figures before and after the implementation of the law. The median level of PM2.5 associated with secondhand smoking was 161 μg/m3 pre-ban and dropped to 3 μg/m3 post-ban (98% decrease, p restaurant revenue by 6.4%; employment increased that same year by 7.2% and 1.0%, respectively. Smoke free legislations, when enforced, are highly effective in improving the air quality and reducing the levels of indoor PM2.5. Strict enforcement plays a key role in the successful implementation of smoking bans. Even in nations with high smoking prevalence comprehensive smoking laws can be effectively implemented and have no negative effect on accommodation, food, and beverage services.

  13. The impact of the Cyprus comprehensive smoking ban on air quality and economic business of hospitality venues

    Science.gov (United States)

    2013-01-01

    Background Several countries, including Cyprus, have passed smoke-free legislations in recent years. The goal of this study was to assess the indoor levels of particulate matter in hospitality venues in Cyprus before and after the implementation of the law on 1/1/2010, evaluate the role of enforcement, and examine the legislation’s effect on revenue and employment. Methods Several hospitality venues (n = 35) were sampled between April 2007 and January 2008, and 21 of those were re-sampled after the introduction of the smoking ban, between March and May 2010. Data on enforcement was provided by the Cyprus Police whereas data on revenue and employment within the hospitality industry of Cyprus were obtained from the Cyprus Statistical Service; comparisons were made between the corresponding figures before and after the implementation of the law. Results The median level of PM2.5 associated with secondhand smoking was 161 μg/m3 pre-ban and dropped to 3 μg/m3 post-ban (98% decrease, p hotel turnover rate increased by 4.1% and the restaurant revenue by 6.4%; employment increased that same year by 7.2% and 1.0%, respectively. Conclusion Smoke free legislations, when enforced, are highly effective in improving the air quality and reducing the levels of indoor PM2.5. Strict enforcement plays a key role in the successful implementation of smoking bans. Even in nations with high smoking prevalence comprehensive smoking laws can be effectively implemented and have no negative effect on accommodation, food, and beverage services. PMID:23351838

  14. Blue Ocean Strategy of Current Hospital Expansion: Health Service Clique of Comprehensive Hospitals Annexing Primary Hospitals%大型综合医院面向基层的集团化蓝海战略探讨

    Institute of Scientific and Technical Information of China (English)

    范靖; 徐幻; 胡新勇

    2012-01-01

    To explore the methods and strategies of the large-scale comprehensive hospitals and primary hospitals jointly set up hospital group. Methods Citing the ideology of the "Blue Ocean Strategy", according to the needs of patients, according to residents' demand, altering large-scale comprehensive hospital expansion orient from their own size expansion to regional grass-roots development mode, to format the regional hospital group, and to open up the "Blue Ocean7' of the health market. Results The united management in health service, education, and researching could fill the flaws of each, lead health resources fully utilized, and make patients seek treatment conveniently. The novels manage method, basing on the warrant of service quality, was likely to improve the service efficiency and the patient's satisfaction. Conclusions "Blue Ocean Strategy", for health market, could effectively guide large hospitals convert perspective, to create a unique, efficient group management mode, help them dominate in the competition of the market.%目的 探索大型综合医院与基层医院联合组建医院集团的方法与策略.方法 引入"蓝海战略"思想,根据患者需求,将大型综合医院扩张方向从自身规模扩张向区域基层方向发展,组建区域医院集团,开拓医疗市场的"蓝海".结果 区域医疗集团内统一管理,医疗、教学、科研等优势互补;集团化充分利用医疗资源,方便患者就近诊治,在保证医疗质量的同时,能够提高医疗效率和患者满的意度.结论 医疗市场 "蓝海战略"能够有效引导大型医院转换视角,创建独特、高效的集团化管理模式,使其在市场竞争中占据主动.

  15. 基于TOPSIS和综合指数法的某医院综合效益评价研究%Application of TOPSIS and Comprehensive Index in Hospital Comprehensive Benefit Evaluation

    Institute of Scientific and Technical Information of China (English)

    汪强祥; 毛坤剑

    2016-01-01

    Objective To make a comprehensive benefit evaluation of a hospital, and provide scientific foundation for making strategic decisions.Methods 23 indexes, representing resource distribution, work efficiency, quality and economic evaluation were selected. TOPSIS and comprehensive index was applied in comprehensive benefit evaluation of hospital.Results The comprehensive benefit showed a rising trend during 2007-2013. The lowest comprehensive benefit was in 2010, and the most was in 2013. Among 6 hospitals, the comprehensive index of a hospital was the lowest, and the dimensions of resource distribution and work efficiency were at a distinct disadvantage.Conclusions With application in comprehensive benefit evaluation of multi-indexes, TOPSIS and comprehensive index could objectively evaluate the benefit level and find out the cause, which to some extent was of important utility to improve the hospital management.%目的:通过对A医院综合效益的评价,为医院决策者的管理工作提供参考依据。方法选取反映医院资源配置、工作效率、工作质量和经济评价等方面23项指标,采用TOPSIS和综合指数法对医院综合效益进行纵向评价和横向比较。结果2007年-2013年期间,A医院综合效益水平总体上呈现增长趋势,2010年综合效益水平最低,2013年综合效益水平最高。在6家医院比较中,A医院综合评价指数最低,且在资源配置指标和工作效率指标等两个维度上处于明显劣势。结论运用两种或以上方法对反映综合效益的多项指标进行评价,能较为客观反映不同时期医院综合效益的水平,对进一步提高医院的管理水平具有实用价值。

  16. Incidence, Causes, and Outcomes of Out-of-Hospital Cardiac Arrest in Children A Comprehensive, Prospective, Population-Based Study in the Netherlands

    NARCIS (Netherlands)

    Bardai, Abdennasser; Berdowski, Jocelyn; van der Werf, Christian; Ceelen, Manon; van Langen, Irene M.; Tijssen, Jan G. P.; Wilde, Arthur A. M.; Koster, Rudolph W.; Tan, Hanno L.; Blom, Marieke T.

    2011-01-01

    Objectives This study sought to determine comprehensively the incidence of pediatric out-of-hospital cardiac arrest (OHCA) and its contribution to total pediatric mortality, the causes of pediatric OHCA, and the outcome of resuscitation of pediatric OHCA patients. Background There is a paucity of

  17. Incidence, Causes, and Outcomes of Out-of-Hospital Cardiac Arrest in Children A Comprehensive, Prospective, Population-Based Study in the Netherlands

    NARCIS (Netherlands)

    A. Bardai; J. Berdowski; C. van der Werf; M.T. Blom; M. Ceelen; I.M. van Langen; J.G.P. Tijssen; A.A.M. Wilde; R.W. Koster; H.L. Tan

    2011-01-01

    Objectives This study sought to determine comprehensively the incidence of pediatric out-of-hospital cardiac arrest (OHCA) and its contribution to total pediatric mortality, the causes of pediatric OHCA, and the outcome of resuscitation of pediatric OHCA patients. Background There is a paucity of co

  18. Country Outposts

    Science.gov (United States)

    McCollum, Sean

    2010-01-01

    Being an LGBT youth in America has never been a Gay Pride Parade, no matter the community setting. But most rural schools prove an especially unhappy and dispiriting place for kids whose sexuality or gender expression does not fit within community expectations. Those are the findings of researchers for the Gay, Lesbian and Straight Education…

  19. Country Outposts

    Science.gov (United States)

    McCollum, Sean

    2010-01-01

    Being an LGBT youth in America has never been a Gay Pride Parade, no matter the community setting. But most rural schools prove an especially unhappy and dispiriting place for kids whose sexuality or gender expression does not fit within community expectations. Those are the findings of researchers for the Gay, Lesbian and Straight Education…

  20. Hospitals

    Data.gov (United States)

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

  1. 公立医院全面预算管理理念研究%The study on comprehensive budget management in public hospital

    Institute of Scientific and Technical Information of China (English)

    陈丽曼

    2015-01-01

    Comprehensive budget management has a great significance for public hospital to achieve long-term strategic planning, arrange income and expense actively and steadily and improve the operating level effectively. Besides, to define the connotation and conception of comprehensive budget management in public hospital is an important theoretical basis to improve the operation mechanism of comprehensive budget management and build an architecture of comprehensive budget management. The paper puts forward some suggestions on implementing the comprehensive budget management in public hospitals through analyzing the policy implication of the comprehensive budget management in public hospitals.%全面预算管理对公立医院实现长期战略规划目标、积极稳妥安排收支以及有效提高运营水平等具有重要意义。明确公立医院全面预算管理的概念和内涵,是完善公立医院全面预算管理运行机制设计、搭建公立医院全面预算管理体系架构的重要理论基础。本文通过解析公立医院全面预算管理的政策内涵,结合全面预算管理模式在公立医院的应用要点,提出在公立医院贯彻全面预算管理理念的建议。

  2. Resource Utilization and Site Selection for a Self-Sufficient Martian Outpost

    Science.gov (United States)

    Barker, Donald; Chamitoff, Gregory; James, George

    1998-04-01

    As a planet with striking similarities to Earth, Mars is an important focus for scientific research aimed at understanding the processes of planetary evolution and the formation of our solar system. Fortunately, Mars is also a planet with abundant natural resources, including assessible materials that can be used to support human life and to sustain a self-sufficient martian outpost. Resources required include water, breathable air, food, shelter, energy, and fuel. Through a mission design based on in situ resource development, we can establish a permanent outpost on Mars beginning with the first manned mission. This paper examines the potential for supporting the first manned mission with the objective of achieving self-sufficiency through well-understood resource development and a program of rigorous scientific research aimed at extending that capability. We examine the potential for initially extracting critical resources from the martian environment, and discuss the scientific investigations required to identify additional resources in the atmosphere, on the surface, and within the subsurface. We also discuss our current state of knowledge of Mars, technical considerations of resource utilization, and using unmanned missions' data for selecting an optimal site. The primary goal of achieving self-sufficiency on Mars would accelerate the development of human colonization beyond Earth, while providing a robust and permanent martian base from which humans can explore and conduct long-term research on planetary evolution, the solar system, and life itself.

  3. Integrated Bio-ISRU and Life Support Systems at the Lunar Outpost: Concept and Preliminary Results

    Science.gov (United States)

    Brown, I. I.; Garrison, D. H.; Allen, C. C.; Pickering, K.; Sarkisova, S. A.; Galindo, C., Jr.; Pan, D.; Foraker, E.; Mckay, D. S.

    2009-01-01

    We continue the development of our concept of a biotechnological loop for in-situ resource extraction along with propellant and food production at a future lunar outpost, based on the cultivation of litholytic cyanobacteria (LCB) with lunar regolith (LR) in a geobioreactor energized by sunlight. Our preliminary studies have shown that phototropic cultivation of LCB with simulants of LR in a low-mineralized medium supplemented with CO2 leads to rock dissolution (bioweathering) with the resulting accumulation of Fe, Mg and Al in cyanobacterial cells and in the medium. LCB cultivated with LR simulants produces more O2 than the same organisms cultivated in a high-mineralized medium. The loss of rock mass after bioweathering with LCB suggests the release of O from regolith. Further studies of chemical pathways of released O are required. The bioweathering process is limited by the availability of CO2, N, and P. Since lunar regolith is mainly composed of O, Si, Ca, Al and Mg, we propose to use organic waste to supply a geobioreactor with C, N and P. The recycling of organic waste, including urine, through a geobioreactor will allow for efficient element extraction as well as oxygen and biomass production. The most critical conclusion is that a biological life support system tied to a geobioreactor might be more efficient for supporting an extraterrestrial outpost than a closed environmental system.

  4. The comprehensive health care orientation process indicators explain hospital organisation's attractiveness: a Bayesian analysis of newly hired nurse and physician survey data.

    Science.gov (United States)

    Peltokoski, Jaana; Vehviläinen-Julkunen, Katri; Pitkäaho, Taina; Mikkonen, Santtu; Miettinen, Merja

    2015-10-01

    To examine the relationship of a comprehensive health care orientation process with a hospital's attractiveness. Little is known about indicators of the employee orientation process that most likely explain a hospital organisation's attractiveness. Empirical data collected from registered nurses (n = 145) and physicians (n = 37) working in two specialised hospital districts. A Naive Bayes Classification was applied to examine the comprehensive orientation process indicators that predict hospital's attractiveness. The model was composed of five orientation process indicators: the contribution of the orientation process to nurses' and physicians' intention to stay; the defined responsibilities of the orientation process; interaction between newcomer and colleagues; responsibilities that are adapted for tasks; and newcomers' baseline knowledge assessment that should be done before the orientation phase. The Naive Bayes Classification was used to explore employee orientation process and related indicators. The model constructed provides insight that can be used in designing and implementing the orientation process to promote the hospital organisation's attractiveness. Managers should focus on developing fluently organised orientation practices based on the indicators that predict the hospital's attractiveness. For the purpose of personalised orientation, employees' baseline knowledge and competence level should be assessed before the orientation phase. © 2014 John Wiley & Sons Ltd.

  5. hospital

    African Journals Online (AJOL)

    Pattern of congenital orthopaedic malformations in an African teaching hospital ... malformation in this environment while congenital hip dislocation (CDH) is rare when .... malformations of radial dysplasia and other congenital malformations.

  6. Interplanetary outpost the human and technological challenges of exploring the outer planets

    CERN Document Server

    Seedhouse, Erik

    2012-01-01

    Water has been discovered on the Saturnian moon, Enceladus, and on Jupiter's moons, Europa, Ganymede, and Callisto. Where there is water, could there be life? Could this tantalizing possibility result in a manned mission to the outer planets? But how will such a mission be designed, what propulsion system will be used, and what hazards will the crewmembers face? Interplanetary Outpost describes step by step how the mission architecture will evolve, how crews will be selected and trained, and what the mission will entail from launch to landing. It addresses the effects that exteneded duration, radiation, communication, and isolation will have on the human body, and how not only performance but behavior might be affected.

  7. Micro-Power Sources Enabling Robotic Outpost Based Deep Space Exploration

    Science.gov (United States)

    West, W. C.; Whitacre, J. F.; Ratnakumar, B. V.; Brandon, E. J.; Studor, G. F.

    2001-01-01

    Robotic outpost based exploration represents a fundamental shift in mission design from conventional, single spacecraft missions towards a distributed risk approach with many miniaturized semi-autonomous robots and sensors. This approach can facilitate wide-area sampling and exploration, and may consist of a web of orbiters, landers, or penetrators. To meet the mass and volume constraints of deep space missions such as the Europa Ocean Science Station, the distributed units must be fully miniaturized to fully leverage the wide-area exploration approach. However, presently there is a dearth of available options for powering these miniaturized sensors and robots. This group is currently examining miniaturized, solid state batteries as candidates to meet the demand of applications requiring low power, mass, and volume micro-power sources. These applications may include powering microsensors, battery-backing rad-hard CMOS memory and providing momentary chip back-up power. Additional information is contained in the original extended abstract.

  8. Fast track NTR systems assessment for NASA's first lunar outpost scenario

    Science.gov (United States)

    Borowski, Stanley K.; Alexander, Stephen W.

    1994-10-01

    Integrated systems and mission study results are presented which quantify the rationale and benefits for developing and using nuclear thermal rocket (NTR) technology for returning humans to the moon in the early 2000's. At present, the Exploration Program Office (ExPO) is considering chemical propulsion for its 'First Lunar Outpost' (FLO) mission, and NTR propulsion for the more demanding Mars missions to follow. The use of an NTR-based lunar transfer stage, capable of evolving to Mars mission applications, could result in an accelerated schedule, reduced cost approach to moon/Mars exploration. Lunar mission applications would also provide valuable operational experience and serve as a 'proving ground' for NTR engine and stage technologies. In terms of performance benefits, studies indicate that an expendable NTR stage powered by two 50 klbf engines can deliver approximately 96 metric tons (t) to trans-lunar injection (TLI) conditions for an initial mass in low earth orbit (IMLEO) of approximately 199 t compared to 250 t for a cryogenic chemical TLI stage. The NTR stage liquid hydrogen (LH2) tank has a 10 m diameter, 14.8 m length, and 68 t LH2 capacity. The NTR utilizes a 'graphite' fuel form consisting of coated UC2 particles in a graphite substrate, and has a specific impulse capability of approximately 870 s, and an engine thrust-to-weight ratio of approximately 4.8. The NTR stage and its piloted FLO lander has a total length of approximately 38 m and can be launched by a single Saturn V-derived heavy lift launch vehicle (HLLV) in the 200 to 250 t-class range. The paper summarizes NASA's First Lunar Outpost scenario, describes characteristics for representative engine/stage configurations, and examines the impact on engine selection and vehicle design resulting from a consideration of alternative NTR fuel forms and lunar mission profiles.

  9. Research on comprehensive satisfaction evaluation for public hospitals%公立医院满意度的综合测评研究

    Institute of Scientific and Technical Information of China (English)

    马晓峰

    2009-01-01

    阐述了公立医院满意度综合测评的重要性,设计了公立医院满意度综合测评的路径及研究方案,综合了政府主管部门、医院行政管理人员、医护等技术人员、病人或体检人员、社区普通民众5方面的评价,运用模糊综合评价法,构建了公立医院满意度的综合测评模型,并结合具体案例,对该测评模型展开应用研究.%Description of the importance of satisfaction evaluation for public hospitals,and design of the path and study methodology for such an evaluation.This evaluation pools the comments from government regulators,hospital management,hospital staff of doctors,nurses and technicians,patients or physical examination takers,and community residents at large.By means of fuzzy comprehensive evaluation,it built a comprehensive evaluation model for public hospital satisfaction,and carried out applied studies for such a model.

  10. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

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

  11. Preliminary Exploration on the Mode of Comprehensive Budget Management in Public Hospitals%公立医院全面预算管理模式探析

    Institute of Scientific and Technical Information of China (English)

    王舜娟; 李春

    2012-01-01

    随着全面预算管理在企业广泛的应用并取得一定成效的同时,医院作为公立性非营利机构为适应医改的需要和医院自身运营的需要,也在逐步探讨将全面预算管理引进医院的管理中.医疗市场有其独特的运行规律,只有适合医院的预算模式才能充分发挥预算管理在医院管理中的作用.文章通过对公立医院的性质,管理方式,市场环境等方面的分析,提出医院预算管理模式的思路,框架及在预算要素中的体现.%With the comprehensive budget management widely used and some progress made in enterprises, public hospitals as the non-profit organization are gradually explored to introduce comprehensive budget management to adapt to health care reform and self-operation. Only budget mode suitable into hospital can fully develop the role of budget management in the hospitals' management own to the medical market unique operation law. Through the analysis of the nature, management methods, market environment and other aspects of public hospitals, the paper put forward the principles, framework and the embodiment of budget elements of the hospital budget management mode.

  12. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths.

    Directory of Open Access Journals (Sweden)

    Jeantine M de Feijter

    Full Text Available BACKGROUND: Incident reporting systems (IRS are used to identify medical errors in order to learn from mistakes and improve patient safety in hospitals. However, IRS contain only a small fraction of occurring incidents. A more comprehensive overview of medical error in hospitals may be obtained by combining information from multiple sources. The WHO has developed the International Classification for Patient Safety (ICPS in order to enable comparison of incident reports from different sources and institutions. METHODS: The aim of this paper was to provide a more comprehensive overview of medical error in hospitals using a combination of different information sources. Incident reports collected from IRS, patient complaints and retrospective chart review in an academic acute care hospital were classified using the ICPS. The main outcome measures were distribution of incidents over the thirteen categories of the ICPS classifier "Incident type", described as odds ratios (OR and proportional similarity indices (PSI. RESULTS: A total of 1012 incidents resulted in 1282 classified items. Large differences between data from IRS and patient complaints (PSI = 0.32 and from IRS and retrospective chart review (PSI = 0.31 were mainly attributable to behaviour (OR = 6.08, clinical administration (OR = 5.14, clinical process (OR = 6.73 and resources (OR = 2.06. CONCLUSIONS: IRS do not capture all incidents in hospitals and should be combined with complementary information about diagnostic error and delayed treatment from patient complaints and retrospective chart review. Since incidents that are not recorded in IRS do not lead to remedial and preventive action in response to IRS reports, healthcare centres that have access to different incident detection methods should harness information from all sources to improve patient safety.

  13. Automation of a Versatile Crane (the LSMS) for Lunar Outpost Construction, Maintenance and Inspection

    Science.gov (United States)

    Doggett, William R.; Roithmayr, Carlos M.; Dorsey, John T.; Jones, Thomas C.; Shen, Haijun; Seywald, Hans; King, Bruce D.; Mikulas, Martin M., Jr.

    2009-01-01

    Devices for lifting, translating and precisely placing payloads are critical for efficient Earth-based construction operations. Both recent and past studies have demonstrated that devices with similar functionality will be needed to support lunar outpost operations. Although several designs have been developed for Earth based applications, these devices lack unique design characteristics necessary for transport to and use on the harsh lunar surface. These design characteristics include: a) lightweight components, b) compact packaging for launch, c) automated deployment, d) simple in-field reconfiguration and repair, and e) support for tele-operated or automated operations. Also, because the cost to transport mass to the lunar surface is very high, the number of devices that can be dedicated to surface operations will be limited. Thus, in contrast to Earth-based construction, where many single-purpose devices dominate a construction site, a lunar outpost will require a limited number of versatile devices that provide operational benefit from initial construction through sustained operations. The first generation test-bed of a new high performance device, the Lunar Surface Manipulation System (LSMS) has been designed, built and field tested. The LSMS has many unique features resulting in a mass efficient solution to payload handling on the lunar surface. Typically, the LSMS device mass is estimated at approximately 3% of the mass of the heaviest payload lifted at the tip, or 1.8 % of the mass of the heaviest mass lifted at the elbow or mid-span of the boom for a high performance variant incorporating advanced structural components. Initial operational capabilities of the LSMS were successfully demonstrated during field tests at Moses Lake, Washington using a tele-operated approach. Joint angle sensors have been developed for the LSMS to improve operator situational awareness. These same sensors provide the necessary information to support fully automated operations

  14. Life support systems analysis and technical trades for a lunar outpost

    Science.gov (United States)

    Ferrall, J. F.; Ganapathi, G. B.; Rohatgi, N. K.; Seshan, P. K.

    1994-01-01

    The NASA/JPL life support systems analysis (LISSA) software tool was used to perform life support system analysis and technology trades for a Lunar Outpost. The life support system was modeled using a chemical process simulation program on a steady-state, one-person, daily basis. Inputs to the LiSSA model include metabolic balance load data, hygiene load data, technology selection, process operational assumptions and mission parameter assumptions. A baseline set of technologies has been used against which comparisons have been made by running twenty-two cases with technology substitutions. System, subsystem, and technology weights and powers are compared for a crew of 4 and missions of 90 and 600 days. By assigning a weight value to power, equivalent system weights are compared. Several less-developed technologies show potential advantages over the baseline. Solid waste treatment technologies show weight and power disadvantages but one could have benefits associated with the reduction of hazardous wastes and very long missions. Technology development towards reducing the weight of resupplies and lighter materials of construction was recommended. It was also recommended that as technologies are funded for development, contractors should be required to generate and report data useful for quantitative technology comparisons.

  15. The Cross in An Outpost of Progress%迷雾中的十字架

    Institute of Scientific and Technical Information of China (English)

    尚睿; 朱亚青

    2011-01-01

    在基督教文化中,耶稣以其在十字架上的殉难实现对人类的拯救。因此,十字架成为救赎的象征、盼望的象征、转变的象征。约瑟夫·康拉德小说《文明前哨》中出现的十字架不仅推动小说情节发展,也使得小说人物与十字架存在某种隐喻关联,更具有人的文化生存与自我救赎意义。%Ever since Jesus was martyred on the cross to realize his salvation of the mankind in Christian culture, the cross has become a symbol of redemption, of longing and of transformation. As an image in the novel An Outpost of Progress by Joseph Conrad, the cross not only advances the plot of the story, but generates some metaphorical association with the figures in the story, which adds to the cross the meanings of man' s cultural existence and self- redemption.

  16. Effects of Comprehensive Stroke Care Capabilities on In-Hospital Mortality of Patients with Ischemic and Hemorrhagic Stroke: J-ASPECT Study

    Science.gov (United States)

    Iihara, Koji; Nishimura, Kunihiro; Kada, Akiko; Nakagawara, Jyoji; Ogasawara, Kuniaki; Ono, Junichi; Shiokawa, Yoshiaki; Aruga, Toru; Miyachi, Shigeru; Nagata, Izumi; Toyoda, Kazunori; Matsuda, Shinya; Miyamoto, Yoshihiro; Suzuki, Akifumi; Ishikawa, Koichi B.; Kataoka, Hiroharu; Nakamura, Fumiaki; Kamitani, Satoru

    2014-01-01

    Background The effectiveness of comprehensive stroke center (CSC) capabilities on stroke mortality remains uncertain. We performed a nationwide study to examine whether CSC capabilities influenced in-hospital mortality of patients with ischemic and hemorrhagic stroke. Methods and Results Of the 1,369 certified training institutions in Japan, 749 hospitals responded to a questionnaire survey regarding CSC capabilities that queried the availability of personnel, diagnostic techniques, specific expertise, infrastructure, and educational components recommended for CSCs. Among the institutions that responded, data on patients hospitalized for stroke between April 1, 2010 and March 31, 2011 were obtained from the Japanese Diagnosis Procedure Combination database. In-hospital mortality was analyzed using hierarchical logistic regression analysis adjusted for age, sex, level of consciousness on admission, comorbidities, and the number of fulfilled CSC items in each component and in total. Data from 265 institutions and 53,170 emergency-hospitalized patients were analyzed. Mortality rates were 7.8% for patients with ischemic stroke, 16.8% for patients with intracerebral hemorrhage (ICH), and 28.1% for patients with subarachnoid hemorrhage (SAH). Mortality adjusted for age, sex, and level of consciousness was significantly correlated with personnel, infrastructural, educational, and total CSC scores in patients with ischemic stroke. Mortality was significantly correlated with diagnostic, educational, and total CSC scores in patients with ICH and with specific expertise, infrastructural, educational, and total CSC scores in patients with SAH. Conclusions CSC capabilities were associated with reduced in-hospital mortality rates, and relevant aspects of care were found to be dependent on stroke type. PMID:24828409

  17. Effects of comprehensive stroke care capabilities on in-hospital mortality of patients with ischemic and hemorrhagic stroke: J-ASPECT study.

    Directory of Open Access Journals (Sweden)

    Koji Iihara

    Full Text Available BACKGROUND: The effectiveness of comprehensive stroke center (CSC capabilities on stroke mortality remains uncertain. We performed a nationwide study to examine whether CSC capabilities influenced in-hospital mortality of patients with ischemic and hemorrhagic stroke. METHODS AND RESULTS: Of the 1,369 certified training institutions in Japan, 749 hospitals responded to a questionnaire survey regarding CSC capabilities that queried the availability of personnel, diagnostic techniques, specific expertise, infrastructure, and educational components recommended for CSCs. Among the institutions that responded, data on patients hospitalized for stroke between April 1, 2010 and March 31, 2011 were obtained from the Japanese Diagnosis Procedure Combination database. In-hospital mortality was analyzed using hierarchical logistic regression analysis adjusted for age, sex, level of consciousness on admission, comorbidities, and the number of fulfilled CSC items in each component and in total. Data from 265 institutions and 53,170 emergency-hospitalized patients were analyzed. Mortality rates were 7.8% for patients with ischemic stroke, 16.8% for patients with intracerebral hemorrhage (ICH, and 28.1% for patients with subarachnoid hemorrhage (SAH. Mortality adjusted for age, sex, and level of consciousness was significantly correlated with personnel, infrastructural, educational, and total CSC scores in patients with ischemic stroke. Mortality was significantly correlated with diagnostic, educational, and total CSC scores in patients with ICH and with specific expertise, infrastructural, educational, and total CSC scores in patients with SAH. CONCLUSIONS: CSC capabilities were associated with reduced in-hospital mortality rates, and relevant aspects of care were found to be dependent on stroke type.

  18. A historical-archaeological investigation of an Anglo-Boer War British outpost in the Kruger National Park

    Directory of Open Access Journals (Sweden)

    Anton C. Van Vollenhoven

    1998-02-01

    Full Text Available During the Anglo-Boer War (1899-1902 a voluntary British military unit called Steinaecker's Horse, operated in the Lowveld and Swaziland. The commander of the unit, colonel Ludwig von Steinaecker, was an important historical figure in this area. The unit established a number of outposts in an area today known as the Kruger National Park. One of these outposts was archaeologically investigated in order to recover any remains that may be associated with this unit and to form some idea of their lifestyle. Although no historical information on this particular outpost was found, the archaeological excavations revealed some interesting evidence. The disturbance of the site and the number of visible cultural material, indicated that it was used in recent times. The large refuse middens show that a reasonably large number of people occupied the site. Most of the artifacts found can be linked to the diet and articles of everyday use of the inhabitants. The conclusion is that the site was probably occupied by both a garrison of the Steinaecker's Horse military unit and some troops of the Native Police unit. Based on the distribution of different types of artifacts on the site a social differ- entiation between the members of these two units is assumed.

  19. Evolution of the concept of avoidable hospitalization through the selections of causes and codes: evidence from a comprehensive review.

    NARCIS (Netherlands)

    Pelone, F.; Basso, D.; Lilli, S.; Belvis, A.G. de; Rosano, A.; Zee, J. van der; Ricciardi, W.

    2010-01-01

    Background: Ambulatory care sensitive conditions (ACSCs) are diseases where the provision of primary health care (PHC) interventions may affect the severity of the disease and prevent hospitalization. This study aimed at exploring changes of different definitions and classification of ACSCs and the

  20. Effect of in-hospital comprehensive geriatric assessment (CGA in older people with hip fracture. The protocol of the Trondheim Hip Fracture Trial

    Directory of Open Access Journals (Sweden)

    Taraldsen Kristin

    2011-04-01

    Full Text Available Abstract Background Hip fractures in older people are associated with high morbidity, mortality, disability and reduction in quality of life. Traditionally people with hip fracture are cared for in orthopaedic departments without additional geriatric assessment. However, studies of postoperative rehabilitation indicate improved efficiency of multidisciplinary geriatric rehabilitation as compared to traditional care. This randomized controlled trial (RCT aims to investigate whether an additional comprehensive geriatric assessment of hip fracture patients in a special orthogeriatric unit during the acute in-hospital phase may improve outcomes as compared to treatment as usual in an orthopaedic unit. Methods/design The intervention of interest, a comprehensive geriatric assessment is compared with traditional care in an orthopaedic ward. The study includes 401 home-dwelling older persons >70 years of age, previously able to walk 10 meters and now treated for hip fracture at St. Olav Hospital, Trondheim, Norway. The participants are enrolled and randomised during the stay in the Emergency Department. Primary outcome measure is mobility measured by the Short Physical Performance Battery (SPPB at 4 months after surgery. Secondary outcomes measured at 1, 4 and 12 months postoperatively are place of residence, activities of daily living, balance and gait, falls and fear of falling, quality of life and depressive symptoms, as well as use of health care resources and survival. Discussion We believe that the design of the study, the randomisation procedure and outcome measurements will be of sufficient strength and quality to evaluate the impact of comprehensive geriatric assessment on mobility and other relevant outcomes in hip fracture patients. Trials registration ClinicalTrials.gov, NCT00667914

  1. Development and Implementation of a Comprehensive Risk Management Program at the USAF Academy Hospital, USAF Academy, Colorado

    Science.gov (United States)

    1980-04-01

    not Present on X 9A. None. 9. Instructions per infection control admission. ( nosocomiall otoord.: include wound infections . 3. Other complications. X I...4.1 percent to infections ; (9) 3.1 percent to loss of personal property; (10) 32.1 percent to all other causes combined 4 2 In another recent article... infections . (6) Laparoscopies. (7) All procedures related to obstetrics and gynecology.3 Probably the most detailed data on hospital-based medically related

  2. Fast Track lunar NTR systems assessment for NASA's first lunar outpost and its evolvability to Mars

    Science.gov (United States)

    Borowski, Stanley K.; Alexander, Stephen W.

    1995-10-01

    Integrated systems and missions studies are presented for an evolutionary lunar-to-Mars space transportation system (STS) based on nuclear thermal rocket (NTR) technology. A 'standardized' set of engine and stage components are identified and used in a 'building block' fashion to configure a variety of piloted and cargo, lunar and Mars vehicles. The reference NTR characteristics include a thrust of 50 thousand pounds force (klbf), specific impulse (I(sub sp)) of 900 seconds, and an engine thrust-to-weight ratio of 4. 3. For the National Aeronautics and Space Administrations (NASA) First Lunar Outpost (FLO) mission, and expendable NTR stage powered by two such engines can deliver approximately 96 metric tonnes (t) to trans-lunar injection (TLI) conditions for an initial mass in low Earth orbit (IMLEO) of approximately 198 t compared to 250 t for a cryogenic chemical system. The stage liquid hydrogen (LH2) tank has a diameter, length, and capacity of 10 m, 14.5 m and 66 t, respectively. By extending the stage length and LH2 capacity to approximately 20 m and 96 t, a single launch Mars cargo vehicle could deliver to an elliptical Mars parking orbit a 63 t Mars excursion vehicle (MEV) with a 45 t surface payload. Three 50 klbf engines and the two standardized LH2 tanks developed for the lunar and Mars cargo vehicles are used to configure the vehicles supporting piloted Mars missions as early as 2010. The 'modular' NTR vehicle approach forms the basis for an efficient STS able to handle the needs of a wide spectrum of lunar and Mars missions.

  3. Multi-physics design and analyses of long life reactors for lunar outposts

    Science.gov (United States)

    Schriener, Timothy M.

    Future human exploration of the solar system is likely to include establishing permanent outposts on the surface of the Moon. These outposts will require reliable sources of electrical power in the range of 10's to 100's of kWe to support exploration and resource utilization activities. This need is best met using nuclear reactor power systems which can operate steadily throughout the long ˜27.3 day lunar rotational period, irrespective of location. Nuclear power systems can potentially open up the entire lunar surface for future exploration and development. Desirable features of nuclear power systems for the lunar surface include passive operation, the avoidance of single point failures in reactor cooling and the integrated power system, moderate operating temperatures to enable the use of conventional materials with proven irradiation experience, utilization of the lunar regolith for radiation shielding and as a supplemental neutron reflector, and safe post-operation decay heat removal and storage for potential retrieval. In addition, it is desirable for the reactor to have a long operational life. Only a limited number of space nuclear reactor concepts have previously been developed for the lunar environment, and these designs possess only a few of these desirable design and operation features. The objective of this research is therefore to perform design and analyses of long operational life lunar reactors and power systems which incorporate the desirable features listed above. A long reactor operational life could be achieved either by increasing the amount of highly enriched uranium (HEU) fuel in the core or by improving the neutron economy in the reactor through reducing neutron leakage and parasitic absorption. The amount of fuel in surface power reactors is constrained by the launch safety requirements. These include ensuring that the bare reactor core remains safely subcritical when submerged in water or wet sand and flooded with seawater in the unlikely

  4. Impact of HIV comprehensive care and treatment on serostatus disclosure among Cameroonian patients in rural district hospitals.

    Directory of Open Access Journals (Sweden)

    Marie Suzan-Monti

    Full Text Available This work aimed to analyze the rate of disclosure to relatives and friends over time and to identify factors affecting disclosure among seropositive adults initiating antiretroviral therapy (ART in rural district hospitals in the context of decentralized, integrated HIV care and task-shifting to nurses in Cameroon. Stratall was a 24-month, randomized, open-label trial comparing the effectiveness of clinical monitoring alone with laboratory plus clinical monitoring on treatment outcomes. It enrolled 459 HIV-infected ART-naive adults in 9 rural district hospitals in Cameroon. Participants in both groups were sometimes visited by nurses instead of physicians. Patients with complete data both at enrolment (M0 and at least at one follow-up visit were included in the present analysis. A mixed Poisson regression was used to estimate predictors of the evolution of disclosure index over 24 months (M24.The study population included 385 patients, accounting for 1733 face-to-face interviews at follow-up visits from M0 to M24. The median [IQR] number of categories of relatives and friends to whom patients had disclosed was 2 [1]-[3] and 3 [2]-[5] at M0 and M24 (p-trend<0.001, respectively. After multiple adjustments, factors associated with disclosure to a higher number of categories of relatives and friends were as follows: having revealed one's status to one's main partner, time on ART, HIV diagnosis during hospitalization, knowledge on ART and positive ratio of follow-up nurse-led to physician-led visits measuring task-shifting. ART delivered in the context of decentralized, integrated HIV care including task-shifting was associated with increased HIV serological status disclosure.

  5. Highways and outposts: economic development and health threats in the central Brazilian Amazon region

    Directory of Open Access Journals (Sweden)

    Damacena Giseli N

    2010-06-01

    economic and demographic growth increases the risk of AIDS transmission and violence. Highways connect secluded localities and may threaten local populations. This region has been undergoing rapid localized development booms, thus creating outposts of rapid and temporary migration, which may introduce health risks to remote areas.

  6. Rapid detection of Acinetobacter baumannii and molecular epidemiology of carbapenem-resistant A.baumannii in two comprehensive hospitals of Beijing, China

    Directory of Open Access Journals (Sweden)

    Puyuan eLi

    2015-09-01

    Full Text Available Acinetobacter baumannii is an important opportunistic pathogen associated with a variety of nosocomial infections. A rapid and sensitive molecular detection in clinical isolates is quite needed for the appropriate therapy and outbreak control of A. baumannii. Group 2 carbapenems have been considered the agents of choice for the treatment of multiple drug resistant A. baumannii. But the prevalence of carbapenem-resistant A. baumannii (CRAB has been steadily increasing in recent years. Here, we developed a loop-mediated isothermal amplification (LAMP assay for the rapid detection of A. baumannii in clinical samples by using high-specificity primers of the blaOXA-51 gene. Then we investigated the OXA-carbapenemases molecular epidemiology of A. baumannii isolates in 2 comprehensive hospitals in Beijing. The results showed that the LAMP assay could detect target DNA within 60 min at 65°C. The detection limit was 50 pg/μl, which was about 10-fold greater than that of PCR. Furthermore, this method could distinguish A. baumannii from the homologous A. nosocomialis and A. pittii. A total of 228 positive isolates were identified by this LAMP-based method for A. baumannii from 335 ICU patients with clinically suspected multi-resistant infections in 2 hospitals in Beijing. The rates of CRAB are on the rise and are slowly becoming a routine phenotype for A. baumannii. Among the CRABs, 92.3% harbored both the blaOXA-23 and blaOXA-51 genes. Thirty-three pulsotypes were identified by pulsed-field gel electrophoresis, and the majority belonged to clone C. In conclusion, the LAMP method developed for detecting A. baumannii was faster and simpler than conventional PCR and has great potential for both point-of-care testing and basic research. We further demonstrated a high distribution of class D carbapenemase-encoding genes, mainly OXA-23, which presents an emerging threat in hospitals in China.

  7. Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review.

    Science.gov (United States)

    Davis, Kermit G; Kotowski, Susan E

    2015-08-01

    The aim of this study was to determine the prevalence of musculoskeletal pain and reported injuries for nurses and nursing aides. Nurses and nursing aides suffer from work-related pain and musculoskeletal disorders (MSDs). Although there have been a plethora of studies on MSDs, an overall understanding of the prevalence of MSDs and pain can lead to better prioritization of research needs with respect to the health care industry. A total of 132 articles on prevalence of MSD pain and injuries were included in the review. All articles were published in peer-reviewed English-speaking journals and subjected to a quality review. Reported prevalence of MSD pain for nurses and nursing aides was highest in the low back, followed by shoulders and neck. However, the majority of the studies have been concentrated on 12-month pain in the low back and predominantly in hospitals. Few researchers have investigated pain in the upper and lower extremities (less than 27% of the studies). Even fewer researchers have evaluated reported injuries or even subjective lost-time injuries (less than 15% of the studies). MSD pain in the nursing profession has been widely investigated worldwide, with a major focus on low-back pain. Given new directions in health care, such as patients who live longer with more chronic diseases, bariatric patients, early mobility requirements, and those who want to be at home during sickness, higher prevalence levels may shift to different populations--home health care workers, long-term care workers, and physical therapists--as well as shift to different body regions, such as shoulders and upper extremities. © 2015, Human Factors and Ergonomics Society.

  8. Hospital-based comprehensive cardiac rehabilitation versus usual care among patients with congestive heart failure, ischemic heart disease, or high risk of ischemic heart disease: 12-month results of a randomized clinical trial

    DEFF Research Database (Denmark)

    Zwisler, Ann-Dorthe Olsen; Soja, Anne Merete Boas; Rasmussen, Søren

    2008-01-01

    BACKGROUND: Current guidelines broadly recommend comprehensive cardiac rehabilitation (CCR), although evidence for this is still limited. We investigated the 12-month effect of hospital-based CCR versus usual care (UC) for a broadly defined group of cardiac patients within the modern therapeutic ...

  9. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay: experience through 2010

    Science.gov (United States)

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Bianco, Eduardo; Hyland, Andrew; Cummings, K Michael; Glantz, Stanton A

    2015-01-01

    Background Comprehensive smoke-free laws have been followed by drops in hospitalisations for acute myocardial infarction (AMI), including in a study with 2 years follow-up for such a law in Uruguay. Methods Multiple linear and negative binomial regressions for AMI admissions (ICD-10 code 121) from 37 hospitals for 2 years before and 4 years after Uruguay implemented a 100% nationwide smoke-free law. Results Based on 11 135 cases, there was a significant drop of −30.9 AMI admissions/month (95% CI −49.8 to −11.8, p=0.002) following implementation of the smoke-free law. The effect of the law did not increase or decrease over time following implementation (p=0.234). This drop represented a 17% drop in AMI admissions following the law (IRR=0.829, 95% CI 0.743 to 0.925, p=0.001). Conclusions Adding two more years of follow-up data confirmed that Uruguay’s smoke-free law was followed by a substantial and sustained reduction in AMI hospitalisations. PMID:25324157

  10. Health Promotion Influencing Factors of Nurses in Comprehensive Hospitals%综合性医院护士健康促进及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    李晓敏; 彭保艳; 刘莹; 杜玉凤; 孙王乐贤; 郝常来

    2015-01-01

    Objective To assessment the health promoting lifestyle level of clinical nurses in comprehen-sive hospitals, and analyze the influencing factors of demographic characteristics.Methods 360 clinical nurses from three comprehensive hospitals were selected by using the method of convenience sampling to fill out the general information questionnaire and Health Promoting Lifestyle Scale ( Profile-II, HPLP-II) .Results The standard-ized score of health promotion behavior is(110.84 ±19.79).the highest score of each dimension is interpersonal relationship dimension, the lowest score of each dimension is exercise dimension, 82.2%of the nurses′lifestyle are unhealthy, different gender, age, length of service of nurses health promoting lifestyle scores were different, the difference was statistically significant (P<0.05).Conclusion Clinical nurses'health promoting lifestyle is poor. Hospital nursing administration should further to find out the effect of other factors of nurses in a healthy lifestyle, to carry out health promotion activities, to promote the clinical nurses to develop a healthy lifestyle, ensure employees'physical and mental health, so as to improve the quality of nursing.%目的:了解综合性医院护士的健康促进生活方式水平,探讨其人口学特征对健康促进生活方式的影响。方法采用一般资料问卷和健康促进生活方式量表( Health-promoting Lifestyles Profile-Ⅱ,HPLP-Ⅱ),运用抽样的方法,对3所综合医院360名护士进行问卷调查。结果护士健康促进生活方式得分为(110.84±19.79)分,各维度中得分最高的是人际关系维度,得分最低的是运动锻炼维度,82.2%的护士生活方式处于良好以下,为不健康,需要改进。不同性别、年龄、工龄的护士健康促进生活方式得分进行比较,差异有统计学意义( P<0.05)。结论临床护士健康促进生活方式欠佳,医院护理管理者应找出护

  11. Building components for an outpost on the Lunar soil by means of a novel 3D printing technology

    Science.gov (United States)

    Cesaretti, Giovanni; Dini, Enrico; De Kestelier, Xavier; Colla, Valentina; Pambaguian, Laurent

    2014-01-01

    3D-printing technologies are receiving an always increasing attention in architecture, due to their potential use for direct construction of buildings and other complex structures, also of considerable dimensions, with virtually any shape. Some of these technologies rely on an agglomeration process of inert materials, e.g. sand, through a special binding liquid and this capability is of interest for the space community for its potential application to space exploration. In fact, it opens the possibility for exploiting in-situ resources for the construction of buildings in harsh spatial environments. The paper presents the results of a study aimed at assessing the concept of 3D printing technology for building habitats on the Moon using lunar soil, also called regolith. A particular patented 3D-printing technology - D-shape - has been applied, which is, among the existing rapid prototyping systems, the closest to achieving full scale construction of buildings and the physical and chemical characteristics of lunar regolith and terrestrial regolith simulants have been assessed with respect to the working principles of such technology. A novel lunar regolith simulant has also been developed, which almost exactly reproduces the characteristics of the JSC-1A simulant produced in the US. Moreover, tests in air and in vacuum have been performed to demonstrate the occurrence of the reticulation reaction with the regolith simulant. The vacuum tests also showed that evaporation or freezing of the binding liquid can be prevented through a proper injection method. The general requirements of a Moon outpost have been specified, and a preliminary design of the habitat has been developed. Based on such design, a section of the outpost wall has been selected and manufactured at full scale using the D-shape printer and regolith simulant. Test pieces have also been manufactured and their mechanical properties have been assessed.

  12. Discuss on the Influencing Factors of the Implementing Comprehensive Budget Management in Public Hospitals%公立医院实施全面预算管理的影响因素探讨

    Institute of Scientific and Technical Information of China (English)

    林云肖; 方霞波

    2013-01-01

    Comprehensive budget management has important significances in controlling public hospital operating costs, refining strategic objectives and optimizing work performance appraisals. In the process of comprehensive budget management, implementation effects of some public hospitals are not ideal. The major reasons are unsound corporate governance structure, inadequate implementation and imperfect evaluation index. Through the analyzing these important influencing factors and proposing the corresponding measures, the comprehensive budget management was smoothly carried out in public hospitals, which finally improved the management level of hospital.%全面预算管理对控制公立医院经营成本、细化公立医院战略目标、完善公立医院考核标准具有非常重要的意义。在全面预算管理过程中,部分公立医院执行的效果并不理想,究其原因,主要是当前公立医院法人治理结构不健全、预算执行不到位、考核指标不完善。通过分析这些关键影响因素并提出相应的措施,促使全面预算管理能在公立医院顺利实施,最终提升医院的经营管理水平。

  13. [Designing and Operating a Comprehensive Mental Health Management System to Support Faculty at a University That Contains a Medical School and University Hospital].

    Science.gov (United States)

    Kawanishi, Chiaki

    2016-01-01

    In Japan, healthcare professionals and healthcare workers typically practice a culture of self-assessment when it comes to managing their own health. Even where this background leads to instances of mental health disorders or other serious problems within a given organization, such cases are customarily addressed by the psychiatrists or psychiatric departments of the facilities affected. Organized occupational mental health initiatives for professionals and workers within the healthcare system are extremely rare across Japan, and there is little recognition of the need for such initiatives even among those most directly affected. The author has some experience designing and operating a comprehensive health management system to support students and faculty at a university in the Tokyo Metropolitan Area that contains a medical school and university hospital. At this university, various mental health-related problems were routinely being allowed to develop into serious cases, while the fundamental reforms required by the health management center and the mental health management scheme organized through the center had come to represent a challenge for the entire university. From this initial situation, we undertook several successive initiatives, including raising the number of staff in the health management center and its affiliated organizations, revising and drafting new health management rules and regulations, launching an employment support and management system, implementing screenings to identify people with mental ill-health, revamping and expanding a counselling response system, instituting regular collaboration meetings with academic affairs staff, and launching educational and awareness-raising activities. This resulted in the possibility of intervention in all cases of mental health crisis, such as suicidal ideation. We counted more than 2,400 consultations (cumulative total number; more than half of consultations was from the medical school, postgraduate

  14. 综合医院新入院职工的心理分析%Analysis of psychological tests on newly employed staff in a Chinese comprehensive hospital

    Institute of Scientific and Technical Information of China (English)

    洪兰; 林颖娜; 王芳; 李涛; 黄艳影; 汪卫东

    2012-01-01

    目的 本文以中国中医科学院广安门医院新入职的298名员工为对象,对其明尼苏达多项人格测验量表(MMPI)检查结果进行回顾性分析,以期了解中国综合医院新入职工的心理状态.方法 采用SPSS 11.5统计软件,对相关数据进行频数分布描述性统计分析.结果 MMPI检测大部分因子均分均在中国正常人常模标准之内,表现为个性平和内敛,对自己有信心,乐观、独立,性情温和亲切,自然得体,理智客观,有一定的自控自律能力,对身体不适的怀疑猜忌少,信任他人,性格较为成熟,能够维持较好的人际关系,对于外来的压力能够自我调适,不会造成严重的心理问题;平静稳定;信任他人,务实.但是基本量表中校正因子K分为60.4,大于中国T分常模1个标准差以上;在气质类型进行统计比较,外向-内向因子T分小于中国T分常模1个标准差以上;测验防卫因子T分大于中国T分常模1个标准差以上.结论 大多数新入职工在测试过程中存在着有意或无意的装好和讨好的倾向,虽然并没有影响到整体量表的信度效度.总之,MMPI仍是一个综合全面,比较适合做入职前的心理检查量表.%Objective This study targeted on 298 newly employed staff in Guang'anmen Hospital,China Academy of Chinese Medical Sciences,who had finished the Minnesota Multiphasic Personality Inventory (MMPI).A retrospective study has been approached to investigate the mental states of the new employers in the Chinese comprehensive hospital.Methods SPSS statistics software 11.5 was used to do descriptive statistical analysis.Results Scores of all factors show no difference compared to the various norm groups studied.Most of the new employers represent calm and gentle personalities.They are confident,optimistic,independent,gentle,kind,decent,rational and objective,have self-control and self-discipline,barely have no doubt about their physical health,trust others; they are

  15. 基于ANP综合分析法的医院建筑节能风险研究%The comprehensive analysis of hospital EEB risk based AHP

    Institute of Scientific and Technical Information of China (English)

    郭利芳

    2016-01-01

    In this paper, in order to solve the hospital building energy conservation issues, implied the energy management contract projects and AHP comprehensive analysis to study the relationships between a number of complex risk factors that the project evaluation involved, established the index system of projects with three indicators of risk factors evaluation, transferred the relationship among the indexes in the network layer to be fully reflected. On the basis of the theory of ANP level model, used the MATLAB software to calculate the ultimate super-ultra-matrix and matrix, finally obtained the three indicators of risk assessment and re-analyze the results of the sort. The example showed that risk assessment of building energy efficiency projects at a low risk level, affirmed the validity of energy-saving programs.%本文针对医院建筑节能问题,采用合同能源管理模式和综合分析的网络层次分析法来研究项目评价所涉及的相互关系比较复杂的众多风险因素,建立含有三级指标的项目风险评价因素指标体系,使各指标之间的传递关系在网络层中得以充分体现.在ANP理论的基础上构建层次模型,利用MATLAB软件计算超矩阵和极限超矩阵,最终得到风险评价三级指标的权重并分析其排序结果.实例结果表明,建筑节能项目的风险评价处于低风险水平,肯定了节能方案的正确性.

  16. Nosocomial infection in comprehensive ICU in grass-roots hospitals: factors analysis and prevention and control measures%基层医院综合ICU医院感染因素分析与预防控制对策

    Institute of Scientific and Technical Information of China (English)

    袁引芳

    2011-01-01

    OBJECTIVE To explore and evaluate the risk factors of comprehensive ICU hospital infection for strengthening the standardized management of nosocomial infection in comprehensive ICU. METHODS According to nosocomial infection management of relevant reviews, the main risk factors of comprehensive ICU hospital infection were analyzed by clinical investigations and hierarchy process of administration. RESULTS By strengthening the awareness of medical staff in nosocomial infection control, reasonably using the antibiotics and enhancing the hand-washing compliance of medical staff and the management of ICU, the nosocomial infection rate in ICU was lowered. CONCLUSION Comprehensive ICU hospital infection is related to multiple factors , but it can be effectively prevented and controlled via comprehensive and effective management countermeasures for nosocomial infection.%目的 探讨分析造成基层医院综合ICU医院感染的因素,为加强综合ICU医院感染管理提出规范化建议.方法 根据医院感染管理相关文献,采用临床调查和管理层分析法,明确造成综合ICU医院感染主要因素.结果 通过增加医务人员医院感染控制意识,合理使用抗菌药物,提高医务人员洗手依从性,加强综合ICU管理,可以降低ICU的医院感染率.结论 综合ICU医院感染与多种因素有关,但只要合理而全面实施有效的医院感染管理对策,可以使之得到有效预防与控制.

  17. Exploration of Hospital Comprehensive Budget Management Based on the Strategy Orientation%基于战略导向的医院全面预算管理探讨

    Institute of Scientific and Technical Information of China (English)

    郑大喜; 戴小喆

    2013-01-01

    There are many problems in budget management of public hospitals,such as attaching litde importance to budget management,the imperfect system of budget munagement,lack of clear strategic objectives.Establishing comprehensive budget management system is proposed in the new hospital financial system.As a quantitative tool for supporting hospital strategy,the comprehensive budget management can improve the efficiency and effectiveness of hospital funds.This paper introduces the experience of the organization and implementation in a certain large hospital's comprehensive budget management based on the strategy orientation,including budget preparation,approval,issued,analysis and assessment.%目前,公立医院预算管理存在意识淡薄、制度不健全、缺乏明确的战略目标等问题.新《医院财务制度》提出医院要建立全面预算管理制度,作为支撑医院战略的量化工具,全面预算管理可以提高医院资金的使用效率和效益.本文介绍了武汉某大型医院战略导向的全面预算管理,就全面预算管理的组织与实施进行了探讨,总结了预算编制、审批、下达、分析和考核的经验.

  18. Study on Existing Issues in the Execution of Hospital Comprehensive Budget Management%医院全面预算管理执行中存在问题的探讨

    Institute of Scientific and Technical Information of China (English)

    阮崧

    2016-01-01

    全面预算管理有助于现代企事业单位实现财务管理规范化,建立健全内部机制,随着我国新医改的制度的全面推行,全面预算管理执行在医院的日常管理中的地位越来越重要,其功能以及影响力正在日益增强。该文就当前医院全面预算管理执行中的问题展开了探讨,并提出了措施和对策。%The comprehensive budget management helps the modern business units realize the standardization of financial management and establish and improve the inner mechanism, with the comprehensive promotion of new medical reform sys-tem in China, the comprehensive budget management execution plays a more and more important role in the hospital daily management, and its function and influence are increasingly enhanced. The paper studies some issues in the execution of hospital comprehensive budget management at present and puts forwards some measures and strategies.

  19. 综合医院分级护理服务体系的构建%Establishment of Grading Nursing Service System of Comprehensive Hospitals

    Institute of Scientific and Technical Information of China (English)

    魏畅; 王建荣; 张黎明; 冯志英; 郭俊艳

    2011-01-01

    目的 构建综合医院的分级护理服务体系.方法 对200名不同护理等级住院患者的护理需求进行调查和分析,按照主次因素分析法的原则,建立了基于患者需求的分级护理服务内容框架.依据护理服务内容框架设计咨询调查表,采用专家咨询法,对22名护理专家进行两轮次的咨询调查,确定分级护理服务体系.结果 构建的分级护理服务体系包括21项一级护理服务项目,10项二、三级护理服务项目以及每个项目的 最少执行频次和执行人员最低资质.结论 建立的分级护理服务体系,明确了分级护理服务内容、标准以及执行人员资质,为临床护士提供了可参照的依据,有利于提高分级护理质量.%Objective To establish a grading nursing service system of in comprehensive hospitals. Methods Through investigation and analysis to the nursing requirements from 200 inpatients in different nursing grades, the frame of grading nursing service was established based on the patients' demands according to the principle of “analytical primary and secondary factors process”. On this basis, by using “Delphi method”, 22 nursing experts were consulted for two rounds to make professional standards of grading nursing. Results The established service system included 21 basic service items of first grade nursing and 10 items of second and third grade nursing service,with the least frequency in each item and the bottom qualification line to performers in each item. Conclusion The establishment of grading nursing service system presents definite contents of grading nursing,service standard and qualification of performers,and provides the executive standard to clinic nurses and improves the quality of grading nursing.

  20. Pebble Bed Reactor Power Systems for Lunar Outposts: Long Operation Life and End-of Life Storage

    Science.gov (United States)

    El-Genk, Mohamed S.; Schriener, Timothy M.

    2010-09-01

    The Pellet Bed Reactor(PeBR) and power system for supporting future lunar outposts offer many desirable design, operation and safety features and address post operation storage of spent nuclear fuel. In addition to its long, full power operation life of 66 year, the PeBR is launched without fuel and loaded after placement below grade on the lunar surface with spherical fuel pellets, designed to fully contain fission products. The fuel pellets(~1.0 cm dia.) are launched separately in subcritical canisters. The post-operation PeBR is stored below grade for > 300 year to allow the radioactivity in the spent fuel to decay to a sufficiently low level. The PeBR power system, designed for avoidance of single point failures in reactor cooling and energy conversion, nominally generates ~100 kWe at a thermal efficiency of ~ 21%. In addition to the sectored reactor core, it uses three Closed Brayton Cycle loops with centrifugal flow turbo-machines for energy conversion and He-Xe(40 g/mol) binary gas mixture working fluid and reactor coolant.

  1. 医院感染护理综合干预管理模式效果研究%A study on the effect of comprehensive nursing intervention in hospital infection control

    Institute of Scientific and Technical Information of China (English)

    付燕; 周玉荣; 崔化英

    2015-01-01

    Objective:To explore the effect of comprehensive nursing intervention in hospital infection control in the general hospitals at the level of grade III. Methods:The patients who were hospitalized in a certain general hospital from January 2011 to December 2013 were selected and the comprehensive nursing intervention model was implemented,the effect of prevention and control of hospital infection was observed within the three years. Results:The test scores of theory of nurses increased year by year within the three years ( P<0. 05,P<0. 01);The qualification rate of disinfection,sterilization,awareness of hand hygiene knowledge and hand hygiene increased year by year within the three years (P<0. 05);the comparison of hospital infection rate was significantly different within the three years (P<0. 05). Conclusion:The comprehensive nursing intervention model is one of the effective methods in reducing the hospital infection.%目的:探讨三级综合性医院中加强护理人员医院感染综合干预对医院感染防控效果. 方法:选取自2011年1月~2013年12月在某三级综合医院住院的患者,实施一会一员三组织医院感染预防控制综合干预管理模式,观察逐年预防控制医院感染的效果并进行逐年对比. 结果:三年护理人员理论考试成绩逐年上升(P<0. 05,P<0. 01). 消毒器械监测合格率、灭菌效果监测合格率、手卫生知识知晓率、手卫生合格率均逐年上升,差异有统计学意义(P<0. 05). 三年医院感染率比较差异有统计学意义(P<0. 05). 结论:在三级综合医院护理人员中实施一会一员三组织医院感染预防控制综合干预管理模式,是降低医院感染的有效方法.

  2. 对某教学医院MRI设备审计综合评价指标的探索%Discussion on Comprehensive Evaluation System of MRI Equipment Audit Index in Teaching Hospital

    Institute of Scientific and Technical Information of China (English)

    袁欣

    2014-01-01

    This paper mainly studies the establishment of Comprehensive Evaluation System of MRI Equipment Audit Index in a Teaching Hospital, to determine the weight of each index. Through the establishment of index system to solve the lack of demonstration teaching hospital audit in the introduction of large-scale equipment, provided the necessary means for scientific decision.%主要研究建立“某教学医院MRI设备审计综合评价指标体系”,确定指标体系的权重。通过建立指标体系,弥补教学医院在引进大型设备中缺乏论证审计环节这一不足,为科学决策提供必要的手段。

  3. Large Comprehensive Hospital Drug Separation of Purchasing and Supply Management Mode of Exploration%大型综合性医院药品采购与供应分离管理模式探索

    Institute of Scientific and Technical Information of China (English)

    江艳

    2016-01-01

    With the deepening reform of public large comprehensive hospital, in order to achieve the purpose of lowering the operating costs for the hospital, the hospital has drugs zero sales rate. Therefore, through the establishment of many large comprehensive hospital drug separation and supply and supply management mode, further clarify the responsibilities of each department, responsibility to the people, improve the work efficiency, increase the economic benefit and social benefit, and in combating corruption has played a very important role. And information technology of fast, accurate and flexible fea-tures, such as help contact separation of purchasing and supply of both communication not smooth flaws, and effectively op-timize drug management process, improve the efficiency of management. In this paper, the information technology in large comprehensive hospitals drug separation of purchasing and supply management mode of use as a starting point, probe into the management model in the drug management and service improvements in the quality of the meaning of existence.%随着大型综合性医院公改革的不断深化,为了实现降低医院运营成本的目的,医院实行药品零差率销售。为此,不少大型综合性医院通过建立药品采供与供应分离管理的模式,进一步明确各个部门的职责,使得责任到人,有效提高了工作效率,增加了经济效益和社会效益,并在防治腐败滋生方面起到了非常重要的作用。而信息技术的快捷、精确、灵活等特性,有助于联系采购与供应分离带来的两者沟通不顺畅的缺点,并有效优化药品管理流程,提升管理效率。为此,该研究以信息技术在大型综合性医院药品采购与供应分离管理模式中的运用为出发点,探究该管理模式在对药品管理和服务的质量的改进方面存在的意义。

  4. Elements of a sustainable, competent, and empathetic workforce to support patients with dementia during an acute hospital stay: A comprehensive literature review.

    Science.gov (United States)

    Brooke, Joanne; Ojo, Omorogieva

    2017-08-24

    Internationally, there has been a focus on the development of acute hospital workforces to support and care for people with dementia. Recommendations and initiatives to improve person-centred care in acute hospitals have included: education and training, dementia-specific roles, clinical leads, and environment changes. The aim of this literature review is to understand the elements of a sustainable, competent, and empathetic acute hospital workforce providing person-centred care for patients with dementia. The following databases were searched for literature published in English from January 1, 2006, to August 1, 2016: CINHAL, MEDLINE, PsychINFO, PubMed, and Science Direct. A thematic analysis was applied to develop a meta-synthesis of the data. A total of 12 papers with a range of methodological approaches from various countries were included. Emergent themes were as follows: understanding the current workforce, implementation and evaluation of training, and exploration of new and existing roles. An important element was the sustainability of acute hospital workforces competent in dementia care, as studies highlighted an ageing nursing population and a high turnover of staff. Dementia awareness training was sustainable, although there was a lack of consistency in the length, content, and delivery, which had a viable impact on the provision of empathetic and person-centred care. The lack of consistency of training and specialist dementia roles restricts recommendations from a robust evidence base. Copyright © 2017 John Wiley & Sons, Ltd.

  5. Research on the Application of the Comprehensive System of Hospital Man-agement%医院安全管理的综合系统应用探究

    Institute of Scientific and Technical Information of China (English)

    潘涛

    2015-01-01

    The safety management of the hospital is the important content in the hospital daily work, with the advancement of medical cause of reform, many hospitals and the safety of the hospital management and explores the integrated system. Medical technology in the process of rapid development in our country, although the new medical technology has brought a lot of help to the patient, but in the concrete implementation process there are a lot of potential safety problems, and even cause events such as doctor-patient dispute, has brought great influence to the development of the hospital. In this paper, the systematization of hospital security management related issues, and its main content is expounded, finally to explore the main measures of hospital security system operation, and some problems need attention in simple.%医院的安全管理工作是医院日常工作中的重要内容,随着医疗改革事业的不断推进,很多医院也对院内的安全管理和综合系统进行了探索。我国医疗技术在飞速发展的过程中,虽然各项新的医疗技术给患者带来了很大的帮助,但是在具体执行的过程中也存在很多安全隐患,甚至引起医患纠纷等事件,给医院的发展带来了很大的影响。本文概述了医院安全系统化管理相关问题,并对其主要内容进行阐述,最后探究医院安全保障系统运行的主要措施,并对其中需要注意的问题进行简单论述。

  6. Problems and coping strategies of the toll window cash management in comprehensive hospital%综合医院收费窗口现金管理的存在的问题及应对策略研究

    Institute of Scientific and Technical Information of China (English)

    霍晓龙

    2015-01-01

    综合医院收费窗口的现金管理是医院经营管理的重要工作,从目前医院收费窗口现金管理的现状来看,存在现金管理制度不完善、现金管理的监管缺位、现金滞留现象普遍、收费窗口过于分散、收费人员人数多且整体素质不高等问题,应通过完善制度、健全监督机制、加强现金收入及时存入银行、编制现金流量表、收费窗口规范化操作、提高现金管理人员的素质来完善医院收费窗口的现金管理工作,这从而对降低医院财务风险、提高医院财务预警能力、提高医院收支准确性、为医院提供可靠决策信息,进而促进医院的可持续发展有着重要意义。%Cash management in comprehensive hospital fees window is an important work of the hospital management, from the present situation of hospital toll window cash management, cash management system is not perfect, lack of cash management supervision, cash retention phenomenon is universal, toll window is too scattered, the number of charges and the overall quality is not high, it should improve the window of the hospital charge cash management through improveing the system, improving the supervision mechanism, strengthening the cash deposit, preparating the statement of cash flows, the toll window of standardized operation, improveing cash management personnel's quality, which provide reliable decision-making information to reduce the hospital financial risk, improve early warning capabil-ities, improve the accuracy of hospital and hospital financial payments, and it has important significance to promote the sustainable development of hospital.

  7. 综合打分法在同仁医院眼科人才考核中的应用%The application of comprehensive scoring system at the ophthalmology department of Tongren Hospital

    Institute of Scientific and Technical Information of China (English)

    杜敬毅; 韩德民

    2011-01-01

    同仁医院眼科作为国家级重点学科,在评聘分开的小环境中,总结出一套较为科学、实用、可操作性较强的重点学科专业技术人员的考核办法是管理工作的当务之急.通过在日常管理工作中总结出来的综合打分法,运用该法对重点学科的高级职称人员的各项工作实施量化考核,以此来打造公开、公平和透明的竞争环境,促进重点学科各项工作的开展,打造有竞争力的人才队伍,提高公立医院的核心竞争力.%As a national key discipline. the Ophthalmology Department of Beijing Tongren Hospital this paper points out that competition in the market of ophthalmology is about competing for the best human resource. has been seeking a method that allows it to evaluate the practicing professionals in a more scientific, functional and feasible way against its policy of separating appointment from assessment. This paper discusses the “comprehensive scoring” system that the author has developed and applied in her daily managerial experiences. At the center of comprehensive scoring are quantitative evaluation of senior employees, and open and fair competition. Comprehensive scoring system has been proved effective in streamlining the management of a national key discipline, building competitive professional teams and improving the core competence of public hospitals.

  8. A comprehensive analysis of Medicare trends in utilization and hospital economics for total knee and hip arthroplasty from 2005 to 2011.

    Science.gov (United States)

    Nwachukwu, Benedict U; McCormick, Frank; Provencher, Matthew T; Roche, Martin; Rubash, Harry E

    2015-01-01

    The purpose of this study was to determine annual Medicare utilization and hospital reimbursement rates for total knee arthroplasty (TKA) and total hip arthroplasty (THA). A PearlDiver review of the entire Medicare database was conducted: 2,040,667 TKAs and 855, 899 THAs performed between 2005 and 2011 were identified. There was a +0.05% and +1.3% year over year growth in the utilization in hospital reimbursement for TKA and THA respectively. There has only been a modest increase in joint arthroplasty utilization for Medicare beneficiaries. Supply side issues, insurance mix and possible prior over-projection may explain this finding. Reimbursement trends suggest that joint arthroplasty may not be a major cost driver for the healthcare system. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. A Study to Ascertain the Feasibility of Joint Efforts to Establish a Comprehensive Health Care Delivery System Utilizing Hill-Burton Constructed Hospital,

    Science.gov (United States)

    1978-12-15

    Closing Hospitals - Maybe Even Yours", Medical Economics (3 February 1975): 150. 3. "Senator Long Calls For Government Subsidy to Close Down, Convert...HN1 would enjoy limited • and known on- call responsibilities and vacations with adequate patient 61 coverage. In addition, other fringe benefits...Financial Manaerent (November 1975): 10-12. Holahan , John. "Foundations for Medical Care: An &Tperical Investigation of the Delivery of Health Services

  10. A comprehensive regional clinical and educational ECPR protocol decreases time to ECMO in patients with refractory out-of-hospital cardiac arrest.

    Science.gov (United States)

    Grunau, Brian; Carrier, Sarah; Bashir, Jamil; Dick, William; Harris, Luke; Boone, Robert; Kalla, Dan; Scheuermeyer, Frank; Twaites, Brian; Straight, Ron; Abel, James; McDonald, Ken; MacRedmond, Ruth; Agulnik, David; Finkler, Joe; MacLeod, Jeanne; Christenson, Jim; Cheung, Anson

    2017-08-16

    Extracorporeal membrane oxygenation within CPR (ECPR) may improve survival for refractory out-of-hospital cardiac arrest (OHCA). We developed a prehospital, emergency department (ED), and hospital-based clinical and educational protocol to improve the key variable of time-to-ECPR (TTE). In a single urban health region we involved key prehospital, clinical, and administrative stakeholders over a 2-year period, to develop a regional ECPR program with destination to a single urban tertiary care hospital. We developed clear and reproducible inclusion criteria and processes, including measures of program efficiency. We conducted seminars and teaching modules to paramedics and hospital-based clinicians including monthly simulator sessions, and performed detailed reviews of each treated case in the form of report cards. In this before-and-after study we compared patients with ECPR attempted prior to, and after, protocol implementation. The primary outcome was TTE, defined as the time of initial professional CPR to establishment of extracorporeal circulation. We compared the median TTE for patients in the two groups using the Wilcoxon signed rank test. Four patients were identified prior to the protocol and managed in an ad hoc basis; for nine patients the protocol was utilized. Overall favourable neurological outcomes among ECPR-treated patients were 27%. The median TTE was 136 minutes (IQR 98 - 196) in the pre-protocol group, and 60 minutes (IQR 49 - 81) minutes in the protocol group (p=0.0165). An organized clinical and educational protocol to initiate ECPR for patients with OHCA is feasible and significantly reduces the key benchmark of time-to-ECPR flows.

  11. Achieving the Comprehensive Budget Management by Constructing the Strategic Management Model of Modern Hospitals%创建现代医院战略管理模式实现全面预算管理

    Institute of Scientific and Technical Information of China (English)

    石美霞

    2016-01-01

    In the strategic management, the hospital budget is also regarded as the necessary component, which concerns the overall financial results, in the modern hospital, and the strategic budget management should be involved in various dai-ly links, which reflects its necessary value. Fundamentally, whether the budgets in each year are accurate or not concerns the hospital management effects within the overall scope. For budget management, we should comprehensively and deeply analyze the potential disadvantages and loopholes in the present management, and adopt the most suitable new-type budget management combined with the actual condition of modern hospitals.%在战略管理中,医院预算应被看作必要部分,预算管理关乎总体性的财务实效。在现代医院内,战略性的预算管理都应融汇于日常的各环节,显示出必要价值。从根本上看,各年度内的预算是否精准,都关系到总体范围内的医院管理成效。针对预算管理,要从全面入手,深入解析现今管理隐含的弊病及漏洞;结合现代医院的真实情况,采纳最合适的新式预算管理。

  12. Hospitals report on cancer centers.

    Science.gov (United States)

    Rees, T

    2001-01-01

    Woman's Hospital, Baton Rouge, La., is first-place winner among cancer centers. Holy Cross Hospital's Michael and Dianne Bienes Comprehensive Cancer Center, Ft. Lauderdale, Fla., is named second; and, Cardinal Health System's Ball Cancer Center, Muncie, Ind., third.

  13. Design of the Comprehensive Management Information System of Radiation Protection for Military Hospitals%军队医院辐射防护信息管理系统的设计

    Institute of Scientific and Technical Information of China (English)

    帅海涛; 潘国兵; 孙建军

    2013-01-01

    目的建立军队医院辐射防护综合管理信息系统,提高医院辐射防护综合管理水平。方法采用面向对象编程技术编写客户端脚本程序,使用ORACLE后台数据库技术创建服务器端数据表,系统建成后嵌入“军卫一号”信息系统。结果将传统的纸质记录管理模式转变为现代信息化管理模式。结论提高了部队医院辐射防护管理的工作效率和军队医院信息化建设水平。%Objective To establish the comprehensive management information system of radiation protection to enhance the comprehensive management level of radiation protection for army hospitals. Methods Using object-oriented programming technology to write the client program and using ORACLE background database technology to create the server data tables to establish the system. Then embedding the system in No.1 military medical project. Results The system has converted the traditional paper-recording management mode to the modern information management mode. Conclusion The system has improved the work efifciency of radiation protection management and enhanced the informatization construction level of army hospitals.

  14. Comprehensive Classified Management of Hospital Drug Storeroom%医院药库药品综合分类管理方法研究

    Institute of Scientific and Technical Information of China (English)

    郭薇; 黄寅; 夏培元; 彭永富

    2009-01-01

    OBJECTIVE: To ensure drug supply, improve working efficiency and the fund utilization efficiency by estab-lishing classified drug management among hospital drug storerooms that was suitable of their own drug consumption status. METHODS: In an assigned time cycle, the drugs in short supply were uniformly defined as category D drugs by hospital first order drug storeroom; except category D drugs, all the other drugs were ranked by consumption sum in descending order, with accumulative consumption sum≤60% , >60% but≤80% , and >80% defined as category A, B, and C, respectively. Category A drugs were regarded as the focus of management, category B as the second focus of management, category C underwent general management, category D drugs were regarded as the focus in purchase. RESULTS: Hospital first-order drug store-room and secondary drug storerooms classified their drugs into their own A, B, and C categories (category D was consistent) . The consumption sum of category A drugs (about 20% of drugs) accounted for 60% ; the consumption sum of category B drugs (about 20% of drugs) accounted for 20% ; and the consumption sum of category C drugs(about 60% of drugs) plus that of small quantity of category D drugs accounted for 20% . CONCLUSION: This method can ensure drug supply and help maximize ec-onomical benefits with least human, material and financial resources.%目的:在医院各药品库房间建立与自身药品销售情况相适宜的药品分类管理,以保障药品供应,提高工作效率和资金使用效率.方法:在指定时间周期内,市场紧俏药品由医院一级药品库房统一定义为D类,除D类药品外,按销售金额由大到小排序.金额累计≤60%的品种定义为A类;金额累计>60%而≤80%的品种定义为B类;金额累计>80%的品种定义为C类.A类药品是管理的重点,B类是管理的次重点,C类作为一般管理,D类药品是采购的重点对象.结果:医院一级药品库房和各二级药品库房均有

  15. Prevalence of Genes of OXA-23 Carbapenemase and AdeABC Efflux Pump Associated with Multidrug Resistance of Acinetobacter baumannii Isolates in the ICU of a Comprehensive Hospital of Northwestern China.

    Science.gov (United States)

    Jia, Wei; Li, Caiyun; Zhang, Haiyun; Li, Gang; Liu, Xiaoming; Wei, Jun

    2015-08-21

    The objective of this study was to explore the molecular epidemiology and the genetic support of clinical multidrug resistant (MDR) Acinetobacter baumannii (A. baumannii) isolates in an ICU ward of a comprehensive hospital. A total of 102 non-duplicate drug-resistant A. baumannii isolates were identified and 93 (91.1%) of them were MDR strains. Molecular analysis demonstrated that carbapenemase genes blaOXA-23 and blaOXA-51 were presented in all 93 MDR isolates (100%), but other carbapenemase genes, including blaOXA-24, blaOXA-58, blaIMP-1, blaIMP-4, blaSIM, and blaVIM genes were completely absent in all isolates. In addition, genes of AdeABC efflux system were detected in 88.2% (90/102) isolates. Interestingly, an addition to efflux pump inhibitor, reserpine could significantly enhance the susceptibility of MDR isolates to moxifloxacin, cefotaxime, and imipenem (p baumannii, and the co-expression of oxacillinase and efflux pump proteins are thus considered to be the important reason for the prevalence of this organism in the ICU of this hospital.

  16. 医院实施全面预算管理存在的问题及对策%Problems and Countermeasures of Implementing Comprehensive Budget Management in Hospitals

    Institute of Scientific and Technical Information of China (English)

    杨小龙; 高晓英

    2016-01-01

    医院预算管理是成本控制的重要内容之一。但目前,医院在预算管理上比较粗放,存在编制程序不够规范,执行监督不够有效,调控作用不够明显等问题,有必要引入全面预算管理制度,提升战略管理能力,有效组织和协调各种经济活动,科学配置医疗资源,提高成本控制水平。%Budget management is an important content of cost control in hospital. However, currently, extensive management of budget was conducted in hospitals. There are no standardized budgeting system, efficient supervision and obvious regulating effect. It is necessary to introduce a comprehensive budget management system, promote strategic management ability, organize and coordinate all kinds of economic activities effectively, allocate medical resources scientifically and improve the level of cost control.

  17. VT Hospital Site Locations

    Data.gov (United States)

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

  18. Awareness of radiation protection and dose levels of imaging procedures among medical students, radiography students, and radiology residents at an academic hospital: Results of a comprehensive survey.

    Science.gov (United States)

    Faggioni, Lorenzo; Paolicchi, Fabio; Bastiani, Luca; Guido, Davide; Caramella, Davide

    2017-01-01

    To evaluate the awareness of radiation protection issues and the knowledge of dose levels of imaging procedures among medical students, radiology residents, and radiography students at an academic hospital. A total of 159 young doctors and students (including 60 radiology residents, 56 medical students, and 43 radiography students) were issued a questionnaire consisting of 16 multiple choice questions divided into three separated sections (i.e., demographic data, awareness about radiation protection issues, and knowledge about radiation dose levels of common radiological examinations). Medical students claimed to have at least a good knowledge of radiation protection issues more frequently than radiology residents and radiography students (94.4% vs 55% and 35.7%, respectively; Pradiological procedures was significantly worse among medical students than radiology residents and radiography students (Pradiology residents as to knowledge of radiation protection issues (PRadiology residents, radiography students and medical students have a limited awareness about radiation protection, with a specific gap of knowledge concerning real radiation doses of daily radiological examinations. Both undergraduate and postgraduate teaching needs to be effectively implemented with radiation safety courses. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. [Development and Implementation of a Comprehensive Health Management System (Fit for Work and Life) for Employees of a University Hospital - A Practice Report].

    Science.gov (United States)

    Gutenbrunner, C; Egen, C; Kahl, K G; Briest, J; Tegtbur, U; Miede, J; Born, M

    2015-07-09

    Background: Due to the increase of sick leave, prolonging working life and the prediction of shortage of skilled workers in the future, health management systems are continuously gaining importance. Employees in a University Hospital are exposed to particular stress factors, which are also reflected in a higher than average amount of sick leave. Against this background, the project "Fit for Work and Life" (FWL) was developed and implemented by the Hannover Medical School (MHH). Aims: FWL aims to maintain, improve or recover the work ability of employees by offering both preventive and rehabilitative treatments. A second goal is to significantly reduce the days of sick leave. Methods: The project was jointly developed and implemented by five MHH departments and the DRV Braunschweig-Hannover (DRV BS-H) according to previously defined principles. It was scientifically evaluated by the following outcomes: average days of sick leave, work ability (WAI), quality of life (SF-36, WHOQOL), coping strategies (FERUS) and effort-reward imbalance (ERI). Results and Conclusions: So far, this project is unique in its concept. It has been successfully implemented in the organisational structures of the MHH. 376 employees have registered during the first project year. Up to now, 182 participants have completed their individual programmes. The results show that 60.4% of employees have moderate to poor WAI values. The average of the mental summary scale of the SF-36 was 44.9, indicating a high workload.

  20. Problems and solution of prevention and management of infectious diseases in comprehensive hospital%综合医院传染病防治管理工作存在的问题及解决方案

    Institute of Scientific and Technical Information of China (English)

    管利华

    2014-01-01

    Objective:To investigate the problems and solution of prevention and management of infectious diseases in comprehensive hospital.Methods:86 patients with infectious diseases were selected from 2011 to 2013 were survey analyzed. Results:A variety of infectious disease patients doped in the department of treatment patients,especially respiratory infectious disease and blood borne infectious disease basically covers each department.The infectious patients in all treatment in the day he was diagnosed only 28 cases of infectious diseases, accounted for 32.56% of all of the infectious patients;45 cases were diagnosed between 1~3 d,accounted for 52.33% of all of the infectious patients;4~7 d was diagnosed in 8 patients,accounted for 9.30% of all patients with infectious diseases;5 cases were diagnosed of over 7 dsys,accounted for 5.81% of all patients with infectious diseases.Conclusion:The comprehensive hospital doctors and patients have the potential danger of infection.The hospital should enhance the infectious disease knowledge propaganda and education,establish a sound early warning and monitoring system, strengthen early warning ability and improve the implementation of disinfection and isolation measures to strengthen comprehensive hospital of infectious disease prevention and control management.%目的:探讨综合医院传染病防治管理工作存在的问题及其解决方案。方法:2011-2013年收治传染病患者86例,进行调察分析。结果:各种传染病患者掺杂在各科室就诊的患者中,特别是呼吸道传染病与血源传染病基本上覆盖了每个科室。在全部就诊的传染病患者中当天确诊的只有28例,为全部传染病患者的32.56%;1~3 d 确诊45例,为全部传染病患者的52.33%;4~7 d确诊8例,为所有传染病患者的9.30%;7 d以上确诊5例,占所有传染病患者的5.81%。结论:综合医院内的医生和患者都存在感染的潜在隐患,医院应采取加强传

  1. EGFR mutation testing in patients with advanced non-small cell lung cancer: a comprehensive evaluation of real-world practice in an East Asian tertiary hospital.

    Directory of Open Access Journals (Sweden)

    Yoon-La Choi

    Full Text Available INTRODUCTION: Guidelines for management of non-small cell lung cancer (NSCLC strongly recommend EGFR mutation testing. These recommendations are particularly relevant in Asians that have higher EGFR mutation prevalence. This study aims to explore current testing practices, logistics of testing, types of EGFR mutation, and prevalence of EGFR mutations in patients with advanced NSCLC in a large comprehensive cancer center in Korea. METHODS: Our retrospective cohort included 1,503 NSCLC patients aged ≥18 years, with stage IIIB/IV disease, who attended the Samsung Medical Center in Seoul, Korea, from January 2007 through July 2010. Trained oncology nurses reviewed and abstracted data from electronic medical records. RESULTS: This cohort had a mean age (SD of 59.6 (11.1 years, 62.7% were males, and 52.9% never-smokers. The most common NSCLC histological types were adenocarcinoma (70.5% and squamous cell carcinoma (18.0%. Overall, 39.5% of patients were tested for EGFR mutations. The proportion of patients undergoing EGFR testing during January 2007 through July 2008, August 2008 through September 2009, and October 2009 through July 2010 were 23.3%, 38.3%, and 63.5%, respectively (P<0.001. The median time elapsed between cancer diagnoses and receiving EGFR testing results was 21 days. EGFR testing was most frequently ordered by oncologists (57.7%, pulmonologists (31.9%, and thoracic surgeons (6.6%. EGFR testing was more commonly requested for women, younger patients, stage IV disease, non-smokers, and adenocarcinoma histology. Of 586 cases successfully tested for EGFR mutations, 209 (35.7% were positive, including 118 cases with exon 19 deletions and 62 with L858R mutations. EGFR mutation positive patients were more likely to be female, never-smokers, never-drinkers and to have adenocarcinoma. CONCLUSIONS: In a large cancer center in Korea, the proportion of EGFR testing increased from 2007 through 2010. The high frequency of EGFR mutation positive

  2. 湖北省综合性三级医院男护士工作倦怠状况调查%Investigation of job burnout of male nurses in comprehensive tertiary hospitals

    Institute of Scientific and Technical Information of China (English)

    孙慧敏; 金晓晴; 朱小平; 王晓惠

    2012-01-01

    目的 了解综合性三级医院男护士工作倦怠状况及其人口学影响因素.方法 通过方便取样法,应用中文版工作倦怠量表(CMBI)及自制一般资料调查表对湖北省10家综合性三级医院的190名男护士进行调查.结果 190名男护士的倦怠检出率为50.5%(96人),其中轻度倦怠占36.8%(70人)、中度倦怠占12.6% (24人)、高度倦怠占1.1%(2人);倦怠单因素检出率中,人格解体占27.4%(52人),耗竭占25.3%(48人),成就感降低占12.6%(24人);除不同编制的男护士之间耗竭维度得分差异有统计学意义(F=5.537,P<0.05)外,其他不同人口学特征男护士之间的各倦怠维度得分差异无统计学意义(P>0.05).结论 综合性三级医院一半以上男护士存在一定程度的工作倦怠,主要表现为人格解体及耗竭;不同编制对男护士耗竭程度有影响.%Objective To investigate the job burnout situation and its demographic influencing factors of male nurses in comprehensive tertiary hospitals.Methods Convenience sample,Chinese maslach burnout inventory (CMBI) as well as self-designed questionnaire were used to investigate 190 male nurses in 10 comprehensive tertiary hospitals in Wuhan Province.Results 96 male nurses out of 190 had job burnout (50.5%),among which 70 (36.8%) had mild burnout,24 ( 12.6% ) had moderate burnout and 2 ( 1.1% ) had severe burnout.The single-factor detection rates of job burnout were 27.4% (52/190) for depersonalization,25.3% (48/190) for emotional exhaustion and 12.6% (24/190) for diminished personal accomplishment.Except the significant differences of the score for emotional exhaustion among male nurses of different authorized strength ( F=5.537,P<005),there were no significant differences of the scores for each burnout dimension among other different demographic characteristics of male nurses (P>0.05).Conclusions More than half of male nurses in comprehensive tertiary hospitals have

  3. Prevalence of Genes of OXA-23 Carbapenemase and AdeABC Efflux Pump Associated with Multidrug Resistance of Acinetobacter baumannii Isolates in the ICU of a Comprehensive Hospital of Northwestern China

    Directory of Open Access Journals (Sweden)

    Wei Jia

    2015-08-01

    Full Text Available The objective of this study was to explore the molecular epidemiology and the genetic support of clinical multidrug resistant (MDR Acinetobacter baumannii (A. baumannii isolates in an ICU ward of a comprehensive hospital. A total of 102 non-duplicate drug-resistant A. baumannii isolates were identified and 93 (91.1% of them were MDR strains. Molecular analysis demonstrated that carbapenemase genes blaOXA-23 and blaOXA-51 were presented in all 93 MDR isolates (100%, but other carbapenemase genes, including blaOXA-24, blaOXA-58, blaIMP-1, blaIMP-4, blaSIM, and blaVIM genes were completely absent in all isolates. In addition, genes of AdeABC efflux system were detected in 88.2% (90/102 isolates. Interestingly, an addition to efflux pump inhibitor, reserpine could significantly enhance the susceptibility of MDR isolates to moxifloxacin, cefotaxime, and imipenem (p < 0.01. Clonal relationship analysis further grouped these clinical drug-resistant isolates into nine clusters, and the MDR strains were mainly in clusters A, B, C, and D, which include 16, 13, 25, and 15 isolates, respectively. This study demonstrated that clinical isolates carrying carbapenemase-encoding genes blaOXA-23 and AdeABC efflux pump genes are the main prevalent MDR A. baumannii, and the co-expression of oxacillinase and efflux pump proteins are thus considered to be the important reason for the prevalence of this organism in the ICU of this hospital.

  4. 基于BPR的综合性医院围手术流程化管理研究与应用%Perioperative Flowchart Management Research and Application Based on Business Process Reengineering in Comprehensive Hospitals

    Institute of Scientific and Technical Information of China (English)

    杜晓燕; 苏颖奇; 姚勇; 顾晓峰; 吉建伟

    2011-01-01

    Based on the theory of business process reengineering (BPR)and the actual situation of the hospital, the precise and detailed perioperative flowchart management was formulated after throughly comprehensive analysis of the possible problem during the operation process and under the actual situation of the hospital, and the flowchart was demonstrated to improve the surgical operation efficiency and increase the total number of operations. Meanwhile, the bundling trained for the experienced staff was formulated, and the supervision system to track and improve the process of the flowchart was implemented continuously. The perioperative flowchart management focused on the relationship between the profession and the position, the requirements of perioperative flowchart management, the prevention of the small probability events, and right and interests among all kinds of workers.%借鉴业务流程再造管理模式,结合医院运行的实际情况,通过全面剖析,找出了原手术流程的问题,并制定描述精确的围手术流程图;同时,对员工进行"捆绑式"强化培训,制定和实施监管制度,持续跟踪和不断改进流程,使医院手术总量和手术效率明显提升.围手术流程化管理突出了各专业和岗位的匹配和联系,突出了流程各时间节点的要求、小概率事件的预防和各类人员责、权、利的统一.

  5. Effects of nursing intervention on the inpatients with post-traumatic stress disorder in the comprehensive hospital%创伤后应激障碍患者的护理干预探讨

    Institute of Scientific and Technical Information of China (English)

    罗芳; 胡锐; 李厚成

    2014-01-01

    Objective To investigate effective nursing care of inpatients with post-traumatic stress disorder in the comprehen-sive hospital .Methods In accordance with the time order of admission into the hospital , 48 confirmed cases of post-traumatic stress disorder were randomly divided into two groups , the control group and the experimental group , each consisting of 24 cases.The control patients were given routine care , while the patients in the experimental group were administered effective nursing care , in addition to routine care.Then, results of nursing case were compared between the 2 groups.Results For the patients in the experimental group , statistical significance could be noted in PCL-C scores, when comparisons were made between pre-treatment and post-treatment ( P<0.05).Statistical significance could also be noted in PCL-C scores in the patients of the control group (P<0.05).Differences in the results of PCL-C scores after nursing interventions could obviously noted , when comparisons were made between the 2 groups (P<0.05).Conclusion Effective nursing intervention in the patients with traumatic stress disorder admitted into the comprehensive hospital could obviously alleviate symptoms , therefore it was worth further clinical extension .%目的:探讨创伤后应激障碍患者的有效护理干预措施。方法经患者知情同意,将48例已经明确诊断的创伤后应激障碍患者按照患者入院时间的先后顺序分为对照组与实验组,每组24例。对照组患者入院后接受创伤患者常规护理措施,实验组患者入院后在接受常规护理的同时接受创伤后应激障碍护理干预,比较2组患者护理效果。结果2组治疗前后PCL-C评分比较差异具有统计学意义(P<0.05);2组患者护理干预后PCL-C评分比较差异具有统计学意义(P<0.05)。结论对创伤应激障碍患者进行有效的护理干预,可以明显缓解患者的症状,值得临床推广应用。

  6. La valoración geriátrica integral en el anciano frágil hospitalizado: revisión sistemática Comprehensive geriatric assessment in the frail elderly hospitalized: systematic revision

    Directory of Open Access Journals (Sweden)

    Engracia Fernández

    2013-03-01

    Full Text Available Introducción: el envejecimiento poblacional y la dependencia son términos de mucha preocupación en los países desarrollados. La atención hospitalaria al paciente anciano mediante el modelo tradicional no permite abordar todos sus problemas. La atención a este tipo de pacientes requiere de un instrumento que contemple su estado de salud físico, funcional, social y mental. Las evidencias científicas y los expertos sanitarios coinciden en que la valoración geriátrica integral (VGI es la herramienta básica y fundamental en la priorización de problemas e intervención en la atención al anciano frágil y geriátrico. Objetivo: describir y analizar los componentes de la valoración geriátrica integral en el ámbito sanitario para mejorar la detección y prevención del declive funcional en el anciano frágil hospitalizado. Método: este estudio se lleva a cabo mediante una revisión bibliográfica en las principales bases de datos: PubMed, Cochrane Library, Joanna Brings, Cinahl, Cuiden, Cuidatge, Lilacs, IME, Enfispo, en el periodo de diciembre del 2009 a enero del 2012. Conclusiones: la revisión bibliográfica demuestra la utilidad de la VGI en la atención al paciente frágil. La enfermera, como parte del equipo interdisciplinar y como gestora directa de los cuidados, requiere de formación específica para proporcionar la mejor calidad asistencial.Background: population aging and dependency are terms of great concern in developed countries. Hospital care for elderly patients using the traditional model can not address all their problems. Attention to this type of patient requires an instrument providing for their physical health status, functional, social and mental health. The scientific evidence and health experts agree that the Comprehensive Geriatric Assessment (CGA is the basic and fundamental tool in the prioritization of problems and intervention for the care of frail elderly and geriàtric patients. Objective: to describe and

  7. Investigation on Self-consistence among Employed Nurses in a Military Comprehensive Hospital%军队综合性医院聘用护士自我和谐状况调查

    Institute of Scientific and Technical Information of China (English)

    杨莉; 解芳; 马继红; 谷岩梅

    2011-01-01

    目的 探讨军队综合性医院聘用护士的自我和谐状况及其影响因素,为促进聘用护士的心理健康管理提供科学依据.方法 以便利抽样的方法选取在某军队三级甲等综合性医院工作的50名聘用护士,采用一般资料问卷及自我和谐量表进行调查.结果 (1)聘用护士的自我与经验不和谐得分低于大学生常模和实习护生,自我刻板性得分低于实习护生,差异均有统计学意义(P<0.01).(2)专业选择、自我评价的工作负荷、是否独生子女及健康状况是影响聘用护士自我和谐总分的重要因素(P<0.05或 P<0.01).(3)自诉超负荷工作者及自诉健康状况差者自我与经验不和谐得分较高(P<0.05或 P<0.01);自愿选择护理专业者、非独生子女者及自诉健康状况良好者自我灵活性得分较高(P<0.05或 P<0.01);非独生子女者的自我刻板性得分较高(P<0.01).结论 军队医院的聘用护士大多处于自我和谐状态,心理健康;是否主动选择护理专业、是否独生子女以及自我评价的工作负荷和自诉身体健康状况是影响聘用护士自我和谐的主要因素.%Objective To explore the self-consistency status and its related factors among short-period employed nurses in a comprehensive military hospital so as to provide the scientific basis for promoting psychological health management for the nurses. Methods The convenience sampling method was used to select 50 short-period employed nurses from a Grad III (Level-A) comprehensive military hospital to receive a survey using a general questionnaire and self-consistency scale. Results (1) The score of self-conflict in self consistency and congruence scale(SCCS) in all the participants were significantly lower than those preciously reported normal distribution in general population(P<0.01). The score of self-stereotype in all the participants were significantly lower than those preciously reported normal distribution in nursing students

  8. Financial planning on a comprehensive scale.

    Science.gov (United States)

    Mishra, Simita

    2013-04-01

    Hospitals and health systems that wish to explore the shift to comprehensive care management should: Assess the investments in infrastructure necessary to support comprehensive care management, Gauge the financial implications and set quality and financial goals, Monitor performance using metrics such as patient satisfaction, avoidable admissions, out-of-group referrals, and average length of stay.

  9. Discourse comprehension.

    Science.gov (United States)

    Graesser, A C; Millis, K K; Zwaan, R A

    1997-01-01

    The field of discourse processing has dissected many of the levels of representation that are constructed when individuals read or listen to connected discourse. These levels include the surface code, the propositional textbase, the referential situation model, the communication context, and the discourse genre. Discourse psychologists have developed models that specify how these levels are mentally represented and how they are dynamically built during comprehension. This chapter focuses on the meaning representations that are constructed when adults read written text, such as literary stories, technical expository text, and experimenter-generated "textoids." Recent psychological models have attempted to account for the identification of referents of referring expressions (e.g. which person in the text does she refer to), the connection of explicit text segments, the establishment of local and global coherence, and the encoding of knowledge-based inferences.

  10. 三甲综合性医院护士压力源调查分析及对策%Three comprehensive hospitals nurses pressure source investigation and analysis of baoding city and countermeasures

    Institute of Scientific and Technical Information of China (English)

    闫璐; 李佳林; 许丽萍; 杨洁; 于晓彤; 张家玮

    2015-01-01

    Objectives to understand the pressure sources, stress levels and related factors of nurses in Baoding three comprehensive hospitals..Methodsby way of applying workload scale of nurses, self-made questionnaire to survey 160 nurses of different ages, titles, and departments to investigate evaluation.Resultsthe working pressure major sources of nurses, according to their degree, are workload and time distribution, nursing major and working, patient care, working environment and resources, management and interpersonal relationships. Nurses’ pressure ource there was no signiifcant difference in all the depertment. Stress levels of nurses, which rank from light to heavy, are as follows: mild pressure 30%, moderate pressure 53.3% and severe pressure accounted for 16.7%. The factors affecting pressure source department, marriage, age and title.ConclusionIt is suggested that, to reduce the pressure of nurses, to maintain the stability of nursing professional team and to improve working efficiency and nursing quality, nursing administrators are supposed to implementscientiifc management under the consideration of working pressure sources of nurses and related influential factor.%目的:了解保定市三甲综合性医院护士压力源、压力程度及相关影响因素。方法应用护士工作量表,自制调查表以问卷调查的方式对我院160名护士进行调查测评。结果护士主要压力源低依次为:工作量及时间分配、护理专业及工作方面、病人护理方面、工作环境及资源方面、管理及人际关系方面;各科护士压力源无显著性差异;护士压力程度由轻到重依次为:轻度压力占30%,中度压力占53.3%;重度压力占16.7%;影响压力源的因素有科室、婚姻、年龄和职称。结论建议护理管理者针对护士工作压力源及相关影响因素实施科学管理,减轻护士压力,提高工作效率和护理质量。

  11. Application study on comprehensive paperless model in hospital informationization construction%全面无纸化在住院信息化建设中的应用研究

    Institute of Scientific and Technical Information of China (English)

    钟文明; 刘叶珍; 吴智娟; 石继伟; 刘晓峰; 周华

    2013-01-01

    Objective To explore constituents of paperless construction content of hospital room and paperless electronic medical record (EMR) system.Methods We carried out semi-structured EMR based on clinical pathway, solved communica-tions between EMR and different subsystem, supported mobile ward round of doctorsand nurses, realized digital signature of doc-tors and patients, satisfied patients′requirement of inquest and health education, and at last, EMR was enforced paperless stor-age and management .Results Paperless model construction of ward was a systematic engineering , and its key point was paper-less EMR.Only problems when these problem are solved, could paperless model construction of ward be possible.Conclusion Comprehensive paperless model construction of ward can make paperless medical records come true, cut down medical cost, rai-ses working efficiency, increase economic returns and social benefits.%目的探讨病房无纸化建设及无纸化电子病历建设的构成要素。方法实施基于临床路径的半结构化新型电子病历,解决电子病历系统与各子系统的通讯,支持医护移动查房,解决医患数字签名问题,满足患者查询健教需求,电子病历实施无纸化存储与管理。结果病房无纸化建设是一个系统工程,其关键是无纸化电子病历,只有解决了以上各种问题,病房全面无纸化才能成为可能。结论病房全面无纸化建设,有利于实现病历无纸化归档,降低医疗成本、提高工作效率、增加经济效益和社会效益。

  12. To Explore the Management of Nursing Service in a Physical Examination Center of Comprehensive Hospital%探索综合性医院健康体检中心护理服务管理的体会

    Institute of Scientific and Technical Information of China (English)

    席晓玲; 孙晓虹; 王淑霞

    2014-01-01

    目的:探讨综合性医院健康体检中心的护理服务管理。方法贯彻“以人为本”的服务理念,在硬件设施上体现人性化关爱、优化体检流程、提高护理人员整体素质等管理手段提升体检服务。结果健康体检护理服务的全方位和多层次表现在体检前缜密的准备,体检中的人性化护理服务,体检后准确快捷的体检报告及检后特色服务。结论体检护理服务管理成为指导流程管理的主要手段,通过加强服务理念,拓展服务项目既维护和保留了现有客户,而且吸引了潜在客户,提高了健康体检中心核心竞争能力。%Objective To explore the management of nursing service of a physical examination center in comprehensive hospital. Methods To implement the service concept of "people-oriented" and expressing the humanistic concern in the hardware facilities, optimizing medical process, improving the quality of nursing staff. Using all these ways to improve the physical examination services. Results Careful preparation before physical examination, the humanized nursing service of physical examination, accurate and fast report and some characteristic services will be shown by implementing the nursing service of physical examination. Conclusion Managing of nursing service in physical examination has become the main way of guiding process management, by strengthening the service concept, to expand services item (maintaining and retaining the existing customers), attracting the potential customers and improving the core competitive ability of healthy physical examination centre.

  13. Reading Comprehension Depends on Language Comprehension.

    Science.gov (United States)

    Perfetti, Charles A.

    A corollary of the principle that reading comprehension depends on language comprehension is that word skill plus language comprehension skill produces reading comprehension skill. This corollary points to word decoding as being the major source of differences in skilled reading. Various data supporting this claim have been collected from…

  14. Hospitals; hospitals13

    Data.gov (United States)

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

  15. Programa de tratamento integral de pacientes crônicos do Hospital de Clinicas da Universidade do Estado do Rio de Janeiro: I - Etapa diagnóstica A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase

    Directory of Open Access Journals (Sweden)

    Hésio de Albuquerque Cordeiro

    1977-03-01

    Full Text Available O estudo sobre redundância de hospitalização, baseado no conceito de dependência aos cuidados de enfermagem, evidenciou que, em 99 pacientes que permaneceram 25 ou mais dias internados, foram redundantes em algum momento da internação, representando um desperdício de 1094 leitos-dia (30,17% do total de leitos-dia consumidos por este grupo de pacientes . Estudou-se, também, um grupo de 102 pacientes com acompanhados durante uma semana, identificando-se 60 pacientes (59% com hospitalização desnecessária. Não se verificou diferenças estatisticamente significativas entre os grupos de pacientes redundantes e não redundantes em relação às variáveis sócio-demográficas estudadas. As condições que contribuíram com maior número de dias de redundância foram neoplasias, doenças do aparelho respiratório (pneumopatia complicada e doença pulmonar obstrutiva crônica, fraturas, hipertensão arterial com ou sem insuficiência cardíaca, acidente vascular cerebral e cirrose hepática. Face a magnitude do desperdício de recursos decorrentes da hospitalização desnecessária e riscos para o paciente da permanência prolongada no hospital, é recomendada a implantação de programas experimentais para tratamento domiciliar de pacientes crônicos.A study on redundant days of hospitalization based on the concept of nursing care dependence showed that among the 99 patients studied 68 demonstrated redundant days during their hospitalization of 25 or more days. This implies a wastage of 1094 bed-days. In another study a group of 102 patients and redundancy was identified in 60 patients. There was no significant statistical difference between the redundant and non-redundant patients according to the social and demographic variables studies. Five diseases were found to be more frequent among the redundant patients: respiratory diseases, fractures, arterial hypertension with or without cardiac failure, cerebral strokes and hepatic cirrhosis

  16. 综合护理干预对住院老年精神障碍患者跌倒的影响研究%Study on the effect of comprehensive nursing intervention on the fall of hospitalized elderly patients with mental disorders

    Institute of Scientific and Technical Information of China (English)

    孟曼

    2016-01-01

    目的:探讨综合护理干预与住院老年精神障碍患者跌倒发生率的关系。方法:收治精神障碍患者70例,分为试验组和对照组,试验组给予综合护理干预,对照组行常规护理,比较两组在住院期间跌倒事件的发生率。结果:试验组跌倒发生率6.67%,明显低于对照组的30.00%(P<0.05)。结论:在住院老年精神障碍患者护理中实施综合护理干预,能够有效减少跌倒事件的发生,有利于保障患者安全。%Objective:To explore the relationship between the incidence of falls in hospitalized elderly patients with mental disorders and comprehensive nursing intervention.Methods:70 patients with mental disorder were selected.They were divided into the experimental group and the control group.Patients in the experimental group were given comprehensive nursing intervention. Patients in the control group were given routine nursing care.We compared the incidence of falls in two groups during hospitalization.Results:In the experimental group,the fall incidence rate of 6.67% was significantly lower than 30% of the control group(P<0.05).Conclusion:In the nursing care for elderly patients with mental disorder in hospital,comprehensive nursing intervention can effectively reduce the incidence of falls,which was conducive to the protection of patients' safety.

  17. Hospital Compare

    Data.gov (United States)

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

  18. HCAHPS - Hospital

    Data.gov (United States)

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

  19. 综合性康复治疗对精神分裂症长期住院患者生存质量及社会功能的影响%Effect of comprehensive rehabilitation therapy on quality of life and social function of schizophrenic patients with long-term hospitalization

    Institute of Scientific and Technical Information of China (English)

    吴启姣; 肖爱祥; 黎丽燕; 谭丽芬; 李日照

    2016-01-01

    Objective To analyze the effect of comprehensive rehabilitation therapy on the quality of life and social function of schizophrenic patients with long-term hospitalization.Methods Eighty cases of schizophrenia patients were hospitalized for a long time were randomly divided into comprehensive rehabilitation group and routine rehabilitation group,patients in each group of 40 ca-ses.Patients in the two groups were treated with conventional antipsychotic drugs.Conventional rehabilitation group was treated with rou-tine rehabilitation therapy,and the comprehensive rehabilitation group was treated with comprehensive rehabilitation therapy.Results 3 and 6 months after of treatment,comprehensive rehabilitation group and conventional rehabilitation group GQOLI-74 scores than treat-ment increased significantly,the comprehensive rehabilitation group GQOLI-74 scores was higher than that of the conventional rehabili-tation group (P <0.01);After 3 months and 6 months,the SSPI scores of comprehensive rehabilitation group and conventional rehabili-tation group were significantly lower than those before treatment,the SSPI score of the comprehensive rehabilitation group was lower than that of the conventional rehabilitation group(P <0.01).Conclusion Comprehensive rehabilitation therapy can significantly improve the quality of life and social function of patients with schizophrenia in long-term hospitalization.%目的:探讨综合性康复治疗对精神分裂症长期住院患者生存质量及社会功能的影响。方法将80例精神分裂症长期住院患者随机分为两组,各40例。两组入院后均进行常规抗精神病药物治疗。对照组采用常规康复治疗,观察组采用综合性康复治疗。观察两组治疗效果。结果治疗6个月后,两组 GQOLI-74评分较治疗前增加(P <0.01),且观察组增加幅度大于对照组(P <0.01);治疗3个月和6个月,两组 SSPI 评分均较治疗前减少(P <0.01),且

  20. The Spatial Impacts of Class 3A Comprehensive Hospitals on Peripheral Residential Property Prices in Shanghai%上海市三甲医院对周边地区住房价格的空间影响效应分析

    Institute of Scientific and Technical Information of China (English)

    彭保发; 石忆邵; 单玥; 陈端吕

    2015-01-01

    选取上海市区7家三级甲等综合性医院,运用特征价格模型和多元回归分析方法,实证分析它们对周边住宅价格的空间影响效应。研究结果显示:①总体上,相比其他环境区位因素,三甲医院对周边住宅价格的影响程度较小,而建筑面积、物业管理费、学区房、轨道交通、建筑楼高、至CBD的距离等因素的影响程度较大。②三甲综合医院对周边住宅价格产生负面影响。在相同情况下,住宅离医院距离越近,则价格越低。住宅与医院的距离每缩短50 m,住宅价格平均下浮0.602%。③由于三甲综合医院区位各不相同,距离CBD远近不一,对住宅价格的影响也存在空间差异。一般来说,距离CBD越近,住宅价格受医院的负面影响也越小。%How to evaluate the impacts of urban public resources and facilities on the price of real estates has been the research topic in academic circles for a long time. Relative to the other urban public facilities such as subway stations or rail transit, large-scale parks and greenbelt, landscape water, universities or key primary and middle schools and so on, the relationship between hospital and housing prices has not caused enough atten-tion. In this article 7 Class 3A comprehensive hospitals in Shanghai urban central areas were selected, using the Hedonic price model and multiple regression analysis method, to conduct an empirical analysis of the spa-tial effect of these hospitals on residential property prices. The results show as follows:1) Generally speaking, compared to other environmental factors, the less impacts of Class 3A comprehensive hospitals were corducted on the surrounding residential property prices, and the factors such as building area, property management fees, school-nearby houses, rail transit, height of buildings, the distance to the CBD have greater influence on housing prices. 2) Class 3A comprehensive hospitals have a negative

  1. Norovirus - hospital

    Science.gov (United States)

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

  2. A randomized clinical trial of hospital-based, comprehensive cardiac rehabilitation versus usual care for patients with congestive heart failure, ischemic heart disease, or high risk of ischemic heart disease (the DANREHAB trial) - design, intervention, and population

    DEFF Research Database (Denmark)

    Zwisler, A.D.O.; Schou, O.; Soja, A.M.B.

    2005-01-01

    Background Current guidelines broadly recommend comprehensive cardiac rehabilitation (CR), although evidence for this is still limited. It is not known whether evidence from before 1995 is still valid. Study Design The DANish Cardiac REHABilitation (DANREHAB) trial was designed as a centrally ran...

  3. A randomized clinical trial of hospital-based, comprehensive cardiac rehabilitation versus usual care for patients with congestive heart failure, ischemic heart disease, or high risk of ischemic heart disease (the DANREHAB trial)--design, intervention, and population

    DEFF Research Database (Denmark)

    Zwisler, Ann-Dorthe Olsen; Soja, Anne Merete Boas; Brønnum-Hansen, Henrik

    2005-01-01

    BACKGROUND: Current guidelines broadly recommend comprehensive cardiac rehabilitation (CR), although evidence for this is still limited. It is not known whether evidence from before 1995 is still valid. STUDY DESIGN: The DANish Cardiac ReHABilitation (DANREHAB) trial was designed as a centrally r...

  4. [Sharing space/time among hospitalized patients].

    Science.gov (United States)

    Bellato, Roseney; de Carvalho, Emília Campos

    2002-01-01

    By means of a comprehensive approach and based on the theoretical framework stemming from the studies of Michel Maffesoli, we attempted to understand the sharing dimension existing among ill people during hospitalization. Through interviews and observation, we were able to apprehend that, in spite of all the standardization of hospitalization, people weave a relational web and engender a "destination community" within the hospital.

  5. Investigation of the triage model in the emergency department consists of 35 triple A comprehensive hospitals in Guangzhou city%广州市35家三甲综合医院急诊分诊模式调查研究

    Institute of Scientific and Technical Information of China (English)

    刘青艳; 王根群; 赖晓娟; 贾海娜; 李雪英; 朱慧瑜

    2014-01-01

    目的:了解广州市三甲综合医院急诊科的分诊模式,为完善广州市三甲综合医院急诊科的分诊体系提供依据。方法:通过自行设计的广州市三甲综合医院急诊分诊模式调查表,对广州市35家三甲综合医院急诊科进行调查。结果:54.3%的医院有参照卫生部的分诊指导原则统一分诊标准;74.3%的医院制定分诊流程;65.7%的医院有分诊护士准入制度;48.6%的医院对分诊质量进行评价;各大医院对急诊设施的配备欠统一。结论:我们应在卫生部公布的《急诊病人病情分级试点指导原则》的指导下,结合本地区的具体情况,借鉴国内外先进经验,进一步完善分诊体系,统一标准,为患者提供便捷、高效、安全的急诊护理服务。%Object:Study the triage model of emergency departments , and provide basis for improving this triage system of triple A comprehensive hospitals in the Guangzhou city.Method:Though filling out and analysing self-designed the questionnaire to the triage mode in emergency department of triple A comprehensive hospitals in Guangzhou city,we investigate the triage model in the emergency department consists of 35 triple A comprehensive hospitals in the Guangzhou city.Result:It shows that 54.3% of the hospitals involved setup uniform triage standards referencing to the Ministry of Health hospital triage guidelines; 74.3% of hospitals have developed triage process; 65.7% of hospital nurses attend access system; 48.6% of hospitals have performed triage quality evaluation;hospitals for emergency facilities remain Not uniform.Conclusion:It should setup a Unified standard and improve the triage system though following the direction of Guiding Principle of Grading Pilot Emergency Patients published by the Ministry of Health,combining with the specific circumstances of the region,referring to the domestic and foreign advanced experience. And provide patients with convenient

  6. Construction and Practice of Patients Comprehensive Service Platform in Hospital Based on Information Technology%基于信息技术的医院患者综合服务平台建设

    Institute of Scientific and Technical Information of China (English)

    阮海萍; 李妹霞; 陈建成

    2016-01-01

    Objective To construct a platform of customer service and supervision system with integration of reservation, reception, guidance, convenience, consultation, follow-up, complaint, monitoring, questionnaire and network public opinion supervision .Methods To achieve business integration and to redesign service process based on the information integration and fusion technology .Results The hospital customer service center has adopted the system to establish a communication and interaction platform between the hospital and patients , not on-ly having improved the availability and punctuality of various patient services but also promoted the service aware -ness and quality of hospital staff .Conclusion The system can improve the quality of hospital services and patient satisfaction , create a good public supervision environment , maintain the reputation of the hospital , enhance the hospital brand and competitiveness , and bring social and economic benefits , and thus can be promoted for more prevalent application .%目的:构建集预约、接待、导医、便民、咨询、随访、投诉、督查、问卷和网络舆情监管为一体的医院客服舆情服务系统平台。方法依托信息集成与融合技术,实现业务整合,再造服务流程。结果医院客服中心利用该系统在医院与患者之间建立沟通互动平台,不仅提高患者各类服务可及性、时效性,也提高医务人员服务意识和服务质量。结论该系统使用后实现医院客户服务闭环管理,可提升医院服务品质,提高患者满意度,为医院营造良好的舆论环境,维护医院良好声誉,提升医院品牌和竞争力,社会和经济效益显著,可推广应用。

  7. Comprehension of Discourse Markers and Reading Comprehension

    Science.gov (United States)

    Khatib, Mohamad

    2011-01-01

    According to many research findings, the presence of discourse markers (DMs) enhances readers' comprehension of the texts they read. However, there is a paucity of research on the relationship between knowledge of DMs and reading comprehension (RC) and the present study explores the relationship between them. Knowledge of DMs is measured through…

  8. What is the relationship between age and deprivation in influencing emergency hospital admissions? A model using data from a defined, comprehensive, all-age cohort in East Devon, UK

    Science.gov (United States)

    Pereira Gray, Denis; Henley, William; Chenore, Todd; Sidaway-Lee, Kate; Evans, Philip

    2017-01-01

    Objectives To clarify the relationship between social deprivation and age as two factors associated with emergency admissions to hospital. Design Emergency admissions for 12 months were analysed for patients in the NHS NEW Devon CCG. Social deprivation was measured by the Index of Multiple Deprivation (IMD). Logistic regression models estimated the separate and combined effects of social deprivation and age on the risk of emergency admissions for people aged under and over 65. Setting East Devon, UK—area of the NEW Devon CCG. Population 765 861 patients in the CCG database. Main outcome measure Emergency admission to any English hospital. Results Age (p<0.001) and social deprivation (p<0.001) were significantly associated with emergency admission to hospital, but there was a significant interaction between age and social deprivation (p<0.001). From the third quintile of age upwards, age progressively overtakes deprivation and age has a dominant effect on emergency admissions over the age of 65. The effect of age was J-shaped in all deprivation groups, increasing exponentially after age 40. For patients under 65, age and social deprivation had similar risks for emergency admissions, the differences in risk between the top and bottom quintiles of IMD and age being ∼1.5 and 0.9 percentage points. In patients over 65, age had a much greater effect on the risk of admissions than social deprivation, the differences in risk between the top and bottom quintiles of IMD and age being ∼2.8 and 18.7 percentage points. Conclusions Risk curves for all social groups have similar shapes, implying a common biological pattern for ageing in any social group. Over age 65, the biological effects of ageing outweigh the social effects of deprivation. Our model enables CCGs to anticipate and plan for emergency admissions to hospital. These findings provide a new logic for allocating resources to different populations. PMID:28196950

  9. Practice on the Disposal of Petition Letter of Medical Dispute in Large Comprehensive Hospital%大型综合性医院处置信访医疗纠纷的实践

    Institute of Scientific and Technical Information of China (English)

    王淼; 吕世伟

    2015-01-01

    本文对信访医疗纠纷的成因进行分析,探讨快速、公正、低成本地解决信访医疗纠纷的综合性处置措施,并对“彻底止诉”的方法及其原理进行论述。%The article analyzed the causes of the petition letter medical disputes , and discussed the com-prehensive disposal measures of these disputes with fast , fair, and low cost methods.The author also introduced the methods and principles of completed “only appeal”.

  10. hospital's perspective

    African Journals Online (AJOL)

    Cost effectiveness of autologous blood transfusion - A developing country hospital's ... 4Military Hospital, Lagos. Summary. An autologous blood donation program was set up at. National .... risk of infection for autologous patients was 5.06.

  11. Manual Cardiopulmonary Resuscitation Versus CPR Including a Mechanical Chest Compression Device in Out-of-Hospital Cardiac Arrest: A Comprehensive Meta-analysis From Randomized and Observational Studies.

    Science.gov (United States)

    Bonnes, Judith L; Brouwer, Marc A; Navarese, Eliano P; Verhaert, Dominique V M; Verheugt, Freek W A; Smeets, Joep L R M; de Boer, Menko-Jan

    2016-03-01

    Mechanical chest compression devices have been developed to facilitate continuous delivery of high-quality cardiopulmonary resuscitation (CPR). Despite promising hemodynamic data, evidence on clinical outcomes remains inconclusive. With the completion of 3 randomized controlled trials, we conduct a meta-analysis on the effect of in-field mechanical versus manual CPR on clinical outcomes after out-of-hospital cardiac arrest. With a systematic search (PubMed, Web of Science, EMBASE, and the Cochrane Libraries), we identified all eligible studies (randomized controlled trials and nonrandomized studies) that compared a CPR strategy including an automated mechanical chest compression device with a strategy of manual CPR only. Outcome variables were survival to hospital admission, survival to discharge, and favorable neurologic outcome. Twenty studies (n=21,363) were analyzed: 5 randomized controlled trials and 15 nonrandomized studies, pooled separately. For survival to admission, the pooled estimate of the randomized controlled trials did not indicate a difference (odds ratio 0.94; 95% confidence interval 0.84 to 1.05; P=.24) between mechanical and manual CPR. In contrast, meta-analysis of nonrandomized studies demonstrated a benefit in favor of mechanical CPR (odds ratio 1.42; 95% confidence interval 1.21 to 1.67; PCPR guidelines (2000 versus 2005) and the CPR strategy (P=.27). Survival to discharge and neurologic outcome did not differ between strategies. Although there are lower-quality, observational data that suggest that mechanical CPR used at the rescuer's discretion could improve survival to hospital admission, the cumulative high-quality randomized evidence does not support a routine strategy of mechanical CPR to improve survival or neurologic outcome. These findings are irrespective of the endorsed CPR guidelines during the study periods. Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  12. Tactics for Reading Comprehension

    Institute of Scientific and Technical Information of China (English)

    孔祥航; 张艳荣

    2003-01-01

    In recent years, reading comprehension is taking up a larger and larger part in almost every international test or domestic examination. Knowing the basic knowledge and grasping the test - taking tactics are key factors of good reading comprehension. In this thesis, I will dwell on nine commonly used tactics for reading comprehension. This will help you to deal with the problems with reading comprehension efficiently.

  13. Hospitality within hospital meals –

    DEFF Research Database (Denmark)

    Justesen, Lise; Gyimóthy, Szilvia; Mikkelsen, Bent Egberg

    2016-01-01

    Hospital meals and their role in nutritional care have been studied primarily from a life and natural science perspective. This article takes a different approach and explores the idea of hospitality inspired by Jacques Derrida’s work on the ontology of hospitality. By drawing on ethnographic...... fieldwork in a Danish hospital, hospitality practices were studied using a socio-material assemblage approach. The study showed that rethinking the meal event could change the wards into temporary “pop-up-restaurants,” transcending the hospital context and providing a scene for shifting host...... and management involved in hospital food service and in nutritional care to work more systematically with the environment for improved hospital meal experiences in the future...

  14. 云南省10家三级医院综合性ICU护士健康现状的调查%Investigation on health status of nurses in comprehensive ICU of 10 tertiary hospitals

    Institute of Scientific and Technical Information of China (English)

    马雪芩; 周梅; 吴林雄; 杨名芳; 李存莉

    2013-01-01

    [Objective] To investigate the physical and mental health status and its affecting factors among ICU nurses in Yunnan Province so as to attract the attention of supervisors, and provide evidence for developing policies by related department. [ Methods] A total of 298 nurses from 10 tertiary hospitals were selected as study subjects. Health survey brief scale SF-8 and self-designed questionnaire were adopted for survey of health status and influencing factors. [Results]The physical and mental health score of ICU nurses from 10 tertiary hospitals were 46.15 ±6.49 and 40.67 ±9.67. The main factors influencing health were service length in ICU and night shift frequency. [ Conclusion] The physical and mental health status of ICU nurses from 10 tertiary hospitals is not optimistic. The related supervisors are suggested to pay more attention to the health of nurses, to adopted coping strategy to ensure the physical and mental health of ICU nurses.%目的 探讨目前云南省重症监护病房(ICU)专科护士的身心健康现状、影响因素,从而引起相关管理者的重视,并为相关部门制定政策提供参考依据.方法 选取云南省10家三级医院综合性ICU 298名护士为研究样本,采用健康调查简短量表SF-8以及自行设计的调查问卷对其健康现状及影响因素进行调查.结果 10家三级医院综合性ICU护士生理健康状况得分46.15±6.49,心理健康状况得分40.67±9.67.影响健康的因素主要为在ICU的工作年限和值夜班频率等.结论 云南省10家三级医院ICU护士的身心健康不容乐观,建议相关管理者应高度重视到护士人群的健康,积极采取应对策略,以保障ICU护士身心的健康.

  15. Using Linear Programming Technique to Design the Plan of the Annual Equipment Procurement Budget for Comprehensive Hospital%运用线性规划技术辅助设计和制定医院设备采购预算计划

    Institute of Scientific and Technical Information of China (English)

    罗晓晨; 杨坤; 黄亮; 张从周

    2016-01-01

    本文对综合性医院医疗设备年度预算计划设计和制定中如何兼顾社会效益和经济效益提出问题和要求,并尝试通过利用线性规划数学模型的工具,辅助进行分析和决策,达到了在社会效益为先的基础下使经济效益最大化的要求。%In this paper, through the design and development of the annual budget of the comprehensive hospital medical equipment, how to take into account the problems and requirements of the social beneifts and economic beneifts, And try to analyze and make decision by using the tools of linear programming mathematical model, to achieve the maximization of economic beneifts under the social beneift.

  16. 我院对TB/HIV双重感染患者的综合管理方法%Comprehensive management methods of TB/HIV dual infection patients in our hospital

    Institute of Scientific and Technical Information of China (English)

    李阳; 邓英丽; 卢金清

    2013-01-01

    Objective To explore the methods of comprehensive management of TB/HIV dual infection patients in tuberculosis clinics.Methods The confirmed cases were managed by areas they lived.Supervision nurses were responsible for the full process supervision of outpatient treatment,which included implementation of treatment and medication administration,disinfection guidance,training family supervisors,home visiting and so on.Results Of the 16 TB/HIV dual infection patients with sputum smear positive,15 cases were cured and one died.Of the 40 TB/HIV dual infection patients with sputum smear negative,22 cases completed the chemotherapy treatment and were cured and visited clinics or received anti-virus therapy regularly.Conclusion Effective comprehensive management can help the TB/HIV dual infection patients complete the chemotherapy treatment in tuberculosis clinics.%目的 探讨TB/HIV双重感染患者在结核门诊治疗的综合管理方法.方法 确诊病例以城区为单位划片管理,督导护士负责患者门诊治疗全程督导:执行治疗方案与用药及消毒隔离指导、培训家庭督导员、访视等综合管理工作.结果 16例痰涂片阳性TB/HIV双重感染患者肺结核治愈15例,1例死亡.40例痰涂片阴性TB/HIV双重感染患者,其中22例完成化疗疗程,肺结核治愈,定期门诊复查或继续接受抗病毒治疗.56例患者在门诊接受综合管理中,未发生护理差错和护患纠纷,对护理服务表示满意.结论 有效的综合管理可使TB/HIV双重感染患者在结核门诊完成化疗疗程.

  17. Hospitality Industry

    Directory of Open Access Journals (Sweden)

    Marian Ionel

    2017-03-01

    Full Text Available Development of accommodation, as basic services offered to tourists, led to the creation of a genuine hospitality industry. Currently, the hospitality industry is no longer just the accommodation service itself but also requires an atmosphere that ensures leisure tourists in the hotel. Thus, hospitable unit manager offers its service in addition to accommodation and catering services, leisure services, treatment services, business services required.. The existence of factors such as revenue growth, increasing leisure time, the development of transport services, the emergence of new tourist attractions have caused increasing international flows of tourists, with consequent development of units hospitable, and therefore a strong hospitality industry. In Romania, after 1990, the tourism sector experienced a true expansion, both through the development of the hotel sector, but also by developing rural hospitality units.

  18. The Influenza Epidemiological Investigation of Outpatient Ward Medical Workers in the Comprehensive Hospital%综合性医院门急诊医务人员流感流行病学调查

    Institute of Scientific and Technical Information of China (English)

    陈亮; 耿庆山; 刘茂才; 陈辉; 沈冬敏

    2015-01-01

    Objective:To explore the outpatient ward medical workers influenza epidemiological situation of the general hospital and provide recommendations for medical workers to prevent influenza. Methods:The medical workers working in Guangdong general hospital from Jan 2013 to Dec 2014 were divided into flu group and non-flu group,and a questionnaire survey was sent out and the survey results were analyzed between the two groups. Results:Among the 265 medical workers working in the research, 80 people had flu (flu group) and 185 people have no flu (non-flu group). There was not significantly gender difference between the two groups (P>0.05),but the influenza occurring among different clinic areas were significantly different(P<0.05). The emergency clinic area had the highest incidence of flu, followed by ENT clinic area and the respiratory medicine clinic area. Adhere to wear masks and pay attention to the working environment sanitation significantly reduced the incidence of influenza. Conclusions:General hospital outpatient ward medical workers diagnosed influenza are more likely to occur at the emergency room,respiratory medicine and ENT clinic area.Strengthening the standardized management of these clinic areas is an important way to prevent the occurrence of influenza among medical workers in the outpatient ward. Working with masks and adhering to strengthen the disinfection of office area is the key to prevent the flu in the outpatient ward.%目的:探讨综合性医院门诊医务人员流感的流行病学状况,为医务人员预防流感提供参考。方法:将自2013年1月至2014年12月在广东省人民医院门诊工作的医务人员分为流感组和非流感组,对两组人群进行问卷调查,并对调查结果进行统计分析。结果:265名入组门急诊医务人员中发生流感者(流感组)80人,非流感组185人;两组的性别无明显差异(P>0.05);不同诊区间流感发生的例数有明显差异(P<0

  19. 广州市某三甲医院住院患者卫生系统反应性与满意度的研究%Study on health system responsiveness and satisfaction of inpatients in a class 3A comprehensive hospital in Guangzhou City

    Institute of Scientific and Technical Information of China (English)

    胡德红; 陈帝清; 黄丽娟; 吴冬玲; 胡前胜; 刘允香; 梁熙德

    2013-01-01

    目的 探讨广州市某三甲医院患者住院服务的卫生系统反应性及满意度,为医院改善医疗服务质量提供理论依据.方法 自行设计反应性及满意度调查问卷,调查广州市某三甲医院500例住院患者.结果 医院在服务的技术、硬件方面做得比较好,但在非医疗方面,如就医环境、保密性、及时性、社会支持、患者对医护人员、医疗机构的选择性、医疗收费价格和费用等方面的卫生系统反应性与满意度较低.反应性与满意度的相关关系较为密切.结论 医院应关注患者非健康服务方面的合理期望,充分尊重患者的隐私权,简化服务流程,提高服务的及时性,改善和创造温馨的就医环境,提供宗教服务与场所,尊重患者的选择权,降低医疗收费价格和费用,从而进一步提升医院服务质量的水平.反应性与满意度的相关关系较为密切,提高反应性有助于提高患者的满意度.%Objective To investigate the health system responsiveness and satisfaction of the class 3A comprehensive hospital services for inpatienls in Guangzhou City, in order to provide the theoretical basis for hospital to improve the quality of service. Methods After the questionnaire of health system responsiveness and satisfaction self designed, 500 inpatienls from a class 3A comprehensive hospital in Guangzhou City were investigated. Results Among all of factors of responsiveness and satisfaction, hospital services technology, hardware were doing better. But the non-medical aspects, including medical environment, confidentiality, social supports, medical cost, right of choice of providers had lower health system responsiveness and satisfaction. Responsiveness and satisfaction relationship were close. Conclusion The hospital should pay attention to the non medical health care with reasonable expectations of patients. In order to develop hospital services quality and achieve continuous improvement in

  20. The comprehension of nursing management for tuberculosis patients during pre-hospital care%结核病患者院前急救护理管理体会

    Institute of Scientific and Technical Information of China (English)

    罗翠波; 闫丽影; 王萌; 赵云霄

    2009-01-01

    探讨结核病患者院前急救中的护理风险管理.回顾性分析161例结核病患者院前转送过程中针对不同病情所给予的有效护理措施.除4例患者现场抢救无效死亡外,其余157例患者均安全转送至专科医院进一步救治.科学的分析患者转送风险,并在院前急救过程中给予有效的护理管理,可使患者成功得到救治与转送.%Objective To approach the nursing risk management for the tuberculosis patients during prehospital care.Methods Retrospective study the available nursing intervention to the variant conditions for 161 tuberculosis patients during prehospital transference.Results 157 cases were salty and successfully transferred to the specialized hospital except 5 cases dead on scene.Conclusions Analyzing the transference risk of the cases scientificlly and establishing a set of available nursing intervention before executing the duty can ensure the patients transferred safty and timely during prehospital care.

  1. Short-Term Impact of a Comprehensive Smoke-Free Law Following a Partial Smoke-Free Law on PM₂.₅ Concentration Levels at Hospitality Venues on the Peripheries of College Campuses.

    Science.gov (United States)

    Yu, Sol; Yang, Wonho; Lee, Kiyoung; Kim, Sungcheon; Ha, Kwonchul; Kim, Sungroul

    2015-11-02

    Tobacco-free policies on college campuses are spreading in Korea. However, the impact of the smoking ban legislation at venues on the boundary of a college campus is still limited. This study aimed to assess short-term changes in PM2.5 concentrations before and after the enactment of the smoking ban legislation to evaluate the impact. In this cross-sectional study, PM2.5 measurements (pre-ban: n = 99, post-ban: n = 64) were conducted in randomly selected billiards, pubs, and computer game rooms on the peripheries of college campuses in October 2013, prior to implementation of the smoking ban, and in May 2014, after the ban. The median (interquartile range, IQR) of the PM2.5 concentration for all venues was 31 μg/m³ (0-80 μg/m³) in the pre-ban period and 11 μg/m³ (0-36 μg/m³) in the post-ban period implying indoor PM2.5 concentration levels of the peripheries of college campuses likely decreased one year after implementation of the ban. However, the differences were not significant yet. The results support the introduction of more rigorous monitoring of SHS exposure levels toward the ultimate goal of encouraging a complete smoking ban in hospitality venues, including billiards, pubs, and computer game rooms located on the peripheries of college campuses.

  2. 早产儿医院-家庭综合模式早期干预的探讨%To Explore the Hospital Family Comprehensive Mode of Early Intervention

    Institute of Scientific and Technical Information of China (English)

    申量; 赵妍

    2015-01-01

    目的:探讨医院-家庭早期干预模式对早产儿运动及智能发育的影响。方法将我院2012年至2013年出生存活的早产儿随机分为两组,分别为干预组和对照组,干预组和对照组均给予常规婴幼儿保健。干预组的早产儿从首次门诊保健开始有计划有针对性的给予抚触,脾胃按摩,追视听训练,感知和运动训练等早期干预。并用20项婴儿神经运动检测量表和Gesell量表监测其发育情况。结果①纠正年龄1岁时,干预组早产儿发育商水平明显高于对照组,差异有显著性(P<0.05)。②干预组早产儿在适应性、大运动、语言和个人-社会能区分数分布在边缘水平和发育落后的例数和比例均较对照组早产儿低,差异有显著性(P<0.05)。结论对早产儿进行早期医院-家庭综合模式干预,对其智力和运动发育有明显促进作用。%Objective To investigate early intervention and mental development of the preterm children on the effect of the hospital-family affect patterns. Methods Children born in 2012-2013 were randomly divided into two groups, namely the intervention group and the control group, the intervention group and the control groups were given routine infant care. Preterm children in the intervention group were given to targeted massage, stomach massage, chasing audiovisual training, sports training, awareness and early intervention from their first outpatient care. And 20 infant neural motion detection and Gesell scales monitor their development situation.Results①At the age of 1 year, developmental quotient preterm children in the intervention group were significantly higher, the difference was significant (P<0.05).②Preterm children in the intervention group adaptability, large motor, language and personal-social energy region at the edge of the horizontal distribution of scores and the number and proportion of retardation cases of preterm children were lower than

  3. Investigation of humanistic caring ability in nurses from emergency department in tertiary comprehensive hospitals in Beijing%急诊护士人文关怀能力现状调查

    Institute of Scientific and Technical Information of China (English)

    刘爱辉; 周文华; 田丽源; 吴丽萍

    2016-01-01

    目的:调查医院急诊护士人文关怀能力现状,分析不同背景条件下的急诊护士人文关怀能力的差异性,为培养急诊护士关怀能力提供依据。方法:采用便利抽样法,对北京3家三级甲等医院250名急诊护士关怀能力进行问卷调查。结果:调查对象关怀能力总评分及认知维度、勇气维度、耐心维度评分,均低于国际常模最低标准。不同职称急诊护士关怀能力不同,主管护师高于护士和护师(P20年组,分别高于其他工龄组(P40岁组高于其他年龄组(P<0.05)。结论:北京3家三级甲等综合医院急诊护士人文关怀能力低于国际常模。高年资、高职称的急诊护士人文关怀能力较强。%Objective: To describe the status of humanistic caring ability of nurses in the Emergency Department, analyze the differences of the humanistic care ability in emergency nurses under different background, and provide the evidence for the training of nursing care ability. Methods: A convenience sampling method was used to investigate the humanistic caring ability of 250 nurses in 3 tertiary hospitals in Beijing. Results: The scores of the caring ability of the investigated nurses were lower than those of the norm, and the scores of cognitive dimension, courage and patience were also lower than the norm. The care ability of nurses with different titles was different. The scores of nurses in charge were higher than the ordinary nurses, and the difference was statistically signiifcant (P<0.05). The care ability of nurses in different working time groups was different. The scores of those who service more than 20 years were higher than lower working time groups, the difference was statistically significant (P<0.05). Different age groups score different. The care ability of nurses in more than 40 years old group was higher than that in other groups, and the difference was also statistically signiifcant (P<0.05). Conclusion: The

  4. The study of continuing care for disabled elderly patients after discharging from comprehensive hospital%综合性医院老年失能出院患者延续性护理服务模式研究

    Institute of Scientific and Technical Information of China (English)

    朱倩; 司琴; 许晶芳

    2016-01-01

    目的:调查延续性护理服务模式对综合性医院老年失能出院患者的影响。方法:对出院患者实施预出院评估,筛选出老年失能且带管和(或)伤口未完全愈合的患者,出院后通过责任护士电话回访、居家护理成员上门访视、搭建居家护理宣传平台等实施延续护理干预1年。结果:老年失能患者14天再入院率降低,干预1年后并发症降低。结论:综合性医院实施延续性护理服务模式可减少护理并发症的发生,降低老年失能患者的再入院率。%Objective: To explore the impact of continuing care for discharged disabled elderly patients. Method: Firstly, conduct preliminary assessment on discharged patients, and select elderly disabled patients with catheter and (or) patients with open wounds. Secondly, conduct telephonic assessment after 1 to 2 weeks of discharge, and home visit to provide patient education on catheter care and wound care, and build continuing care platform. Result: Compared with before, the readmission and complication rate reduced. Conclusion: The implementation of continuing nursing service mode in general hospitals can decrease the readmission rate of the elderly patients with disability.

  5. Investigation on distribution of occupational exposure population in a three-level comprehensive hospital%某三甲综合性医院职业暴露人群分布调查

    Institute of Scientific and Technical Information of China (English)

    王静; 陈望忠; 张永; 许统亮; 项小军

    2013-01-01

    [Objective ] To observe the distribution characteristics of occupational exposure population of blood-borne diseases, provide the scientific basis for occupational exposure protection, and offer the empirical reference to other hospitals. [ Methods] The distribution characteristics of occupational exposure population of blood-borne diseases in a hospital from 2009-2011 was analyzed with descriptive statistics, and the data were investigated by SPSS 13.0 software. [ Results] Among 170 medical workers with occupational exposure, the exposure rates of nurses and doctors were the highest, which respectively accounted for 67. 1% and 30.6% of total population, and most of them were people aged 20-29 years old. The main sources of exposure were hepatitis B and syphilis, while the constituent ratio was 36. 64% and 25.4% respectively. 4. 73% of exposure events were caused by medical waste. The risk of occupational exposure in surgical departments was high, accounting for 34. 7%. The peak season was August, September and October, which accounted for 37. 6% . 45. 5% were occurred in afternoon shift and night shift. [ Conclusion] ①In order to reduce the risk of occupational exposure, the protection education and training should be strengthened among high-risk group, to enhance the awareness of prevention. ②The reeducation about safety knowledge of exposure sources needs to be improved. ③The monitoring and management will be mainly conducted in high risk department. ④The preventive measures should be strengthened in peak season. ⑤The hospitals should rationally allocate the medical personnel, so as to reduce the fatigue operation.%目的 了解某医院血源性传染病职业暴露人群的分布特征,为职业暴露防护提供科学依据.为其他医院提供实证借鉴.方法 采用描述统计方法分析2009-2011年某医院发生血源性职业暴露的人群分布特征,数据通过SPSS 13.0软件进行处理.结果 170名职业暴露医务人员中,护理

  6. Necessity and Way of Comprehensive Improvement of Abilities and Appli-cation Ability of Librarians in the Hospital%医院图书馆馆员提高综合素质和应用能力的必要性和途径

    Institute of Scientific and Technical Information of China (English)

    甘家梅

    2016-01-01

    在现代社会发展过程中,国家倡导改变以往看病难看病贵的问题,因此医院的发展需要全面的革新,进入深化的探索阶段,这也需要医生对自己的专业素质和综合素质进行全面的审视,并且通过自我学习提升科研素质。这样,医院图书馆就会起到至关重要的作用,医院图书馆服务部质量的高低与图书馆员素质的高低有直接的关系,该文对医院图书馆员全面提高综合素质以及应用能力进行探讨。医学图书馆是医院科研机构的重要组成部分,能够让医生的指示素养得到提升,还能不断充实医院的文化内涵,在综合素质提升方面起到了不可或缺的作用。伴随着计算机信息知识的普及,当前很多高校的图书馆资源需要在信息技术的处理下进行应用。让医学文献在学习者和图书馆之间起到连接作用,那么在这种情况下对医院图书馆人员素质的提升是发展的必然选择,应该加以全面的研究和探索。伴随着科学技术的不断发展,很多医院图书馆出现了非印刷形式的资料,例如,一些视听资料、机读资料以及缩微资料等等,新资料的产生让基层图书馆藏书的结构也发生了很大的变化,各种新形势载体占据的比例越来越高,各种图像、医学影像资料的传入让不同样式信息载体越来越广泛的呈现出来,因此在传播信息方面也开辟了新的通道。在这种情况下,图书馆管理人员必须全面的提升自己对新载体,新结构的认识,这样才不至于在工作中出现迷茫不懂得情况,无从为客户服务的情况。%During the process of development in modern society, our state advocates changing the past issues of difficulty and high cost of patient treatment, therefore, the development of hospital needs the comprehensive revolution and enters a deeply exploration stage, and it also needs the doctor

  7. 综合护理干预对住院精神分裂症患者生活质量的影响%Influence of comprehensive nursing intervention on quality of life of hospitalized schizophrenics

    Institute of Scientific and Technical Information of China (English)

    董素娟; 赵金祥

    2015-01-01

    目的:探讨综合护理干预对住院精神分裂症患者生活质量的影响。方法:将100例精神分裂症患者随机分为两组,每组50例,两组患者均给予口服利培酮治疗,并予以精神科常规护理。研究组患者在此基础上联合综合护理干预,观察6个月。于干预前及干预第1个月、3个月、6个月末采用阳性与阴性症状量表、日常生活能力量表及自制服药依从性调查表对两组患者进行测评分析。结果:治疗1个月末起,两组患者阳性与阴性症状量表阳性症状因子分较治疗前有显著下降(P0.05);干预1个月末起研究组患者主动服药比率显著高于对照组(P0. 05);ratio of active taking medicine was significantly higher since the end of the 1st month (P<0. 01), while ratio of refusing to taking medicine at the end of the 1st and 6th month (P<0. 01) and ratio of passive taking medicine since the 3rd were lower (P<0. 05 or 0. 01) in research group than those in control group. Conclusions: CNI conduces to the increase of quality of life, im-provement of patient's condition and early rehabilitation of hospitalized schizophrenics.

  8. Distribution and antibacterial resistance of multidrug-resistant pathogens in tertiary grade A comprehensive hospital%某三甲综合医院多重耐药菌分布及耐药性分析

    Institute of Scientific and Technical Information of China (English)

    杨旭; 何薇; 王清; 周谭华

    2015-01-01

    Objective To investigate the characteristics of department distribution and antibacterial resistance of multidrug‐re‐sistant(MDR) pathogens in hospital ,and take specific measures for the prevention ,treatment and infection cntrol .Methods Data of 1 816 MDR isolates detected in the hospital from January to December in 2014 were analyzed retrospectively .Results Among the 1 816 MDR strains ,extended‐spectrum β lactamases(ESBLs) producing Escherichia coli ranked first(665 strains ,36 .62% ) ,fol‐lowed by methicillin‐resistant Staphylococcus aureus(387 strains ,21 .31% ) ,MDR Acinetobacter baumannii(295 strains ,16 .22% ) , MDR Pseudomonas aeruginosa(195 strains ,10 .74% ) ,carbapenem‐resistant Enterobacteriaceae(144 strains ,7 .92% ) ,ESBLs pro‐ducing Klebsiella pneumoniae(130 strains ,7 .16% ) .MDR strains were mainly distributed in general department of urology surgery (384 strains ,21 .14% ) ,burn unit(325 strains ,17 .90% ) ,intensive care unit(ICU )(266 strains ,14 .52% ) and department neurosur‐gery(110 strains ,6 .04% ) .Vancomycin and linezolid resistance were not found in methicillin‐resistant Staphylococcus aureus ;less than 2 .9% of the ESBLs producing Escherichia coli and Klebsiella pneumonia strains were resistant to carbapenems .The resistance of carbapenem‐resistant Enterobacteriaceae to amikacin ,sulfamethoxazole‐trimethoprim ,meropenem and tetracycline were relatively low (39 .6% -60 .7% ) .The resistance of MDR Acinetobacter baumannii to levofloxacin ,tetracycline ,sulfamethoxazole‐trime‐thoprim and cefoperazone‐sulbactam were relatively low (48 .9% -76 .5% ) .The resistance of MDR Pseudomonas aeruginosa to amikacin ,ceftazidime ,gentamicin and ciprofloxacin were relatively low(45 .3% -66 .7% ) .Conclusion The MDR pathogens should be monitored in high‐risk department ,preventive measures should be taken ,and antibiotics should be used according to the results of drug susceptibility tests .%目的:了解某三甲综

  9. Spectrum of Physics Comprehension

    Science.gov (United States)

    Blasiak, W.; Godlewska, M.; Rosiek, R.; Wcislo, D.

    2012-01-01

    The paper presents the results of research on the relationship between self-assessed comprehension of physics lectures and final grades of junior high school students (aged 13-15), high school students (aged 16-18) and physics students at the Pedagogical University of Cracow, Poland (aged 21). Students' declared level of comprehension was measured…

  10. Scaffolding Reading Comprehension Skills

    Science.gov (United States)

    Salem, Ashraf Atta Mohamed Safein

    2017-01-01

    The current study investigates whether English language teachers use scaffolding strategies for developing their students' reading comprehension skills or just for assessing their comprehension. It also tries to demonstrate whether teachers are aware of these strategies or they use them as a matter of habit. A questionnaire as well as structured…

  11. IMPROVING LISTENING COMPREHENSION

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    Research indicates that the factors which influence students’ listening comprehension include certain phonetic phenomena,such as weak forms, linking, elision, assimilation, rhythm and intonation. This paper puts forward some suggestions for ensuring that phonetics classes are of practical use in the development of listening comprehension.

  12. Imitation improves language comprehension.

    Science.gov (United States)

    Adank, Patti; Hagoort, Peter; Bekkering, Harold

    2010-12-01

    Humans imitate each other during social interaction. This imitative behavior streamlines social interaction and aids in learning to replicate actions. However, the effect of imitation on action comprehension is unclear. This study investigated whether vocal imitation of an unfamiliar accent improved spoken-language comprehension. Following a pretraining accent comprehension test, participants were assigned to one of six groups. The baseline group received no training, but participants in the other five groups listened to accented sentences, listened to and repeated accented sentences in their own accent, listened to and transcribed accented sentences, listened to and imitated accented sentences, or listened to and imitated accented sentences without being able to hear their own vocalizations. Posttraining measures showed that accent comprehension was most improved for participants who imitated the speaker's accent. These results show that imitation may aid in streamlining interaction by improving spoken-language comprehension under adverse listening conditions.

  13. 某三甲综合医院临床护士分配公平感现状及影响因素%Distributive justice and influencing factors of nurses in a third-A level comprehensive hospital

    Institute of Scientific and Technical Information of China (English)

    刘逸文; 刘帆; 廖燕

    2011-01-01

    Objective To explore the situation of distributive justice of nurse, snd provide scientific information for nursing human resource management. Methods Investigating 462 nurses in some third-A level general hospital with distributive justice Index 1, 2 to know the situation of distributive justice. Results 462 surveys were distributed and 457 nurses completed them, resulting in a response of 98.92% ,448 surveys was utilized. The mean score of self justice was (17.82 +4. 93), work situation justice was (16.89 ±4.23). There were statistical differences in justice among different departments [(19.42 +4.19), (17.18 ±4.21),(17.06 ±4.46), respectively,F = 3.502,P <0.05], there were statistical differences in work situation justice among different duties [(19.06 ± 3.03),(17.58 +3.68),(16.18±4.16),F=4.974,P<0.01)]. Multiple logistic regression analysis shows that department and job duty were main influencing factors (P < 0.05). Conclusions Nursers feel distribution general fair.Departments and job duty influence the sense of justice.%目的 了解临床护士的分配公平感现状,分析其影响因素为护理人力资源管理决策提供依据。方法 采用分配公平指数量对某三甲综合医院448名护士进行调查,以了解护士的公平感现状。结果 448名护士自我公平感条目评分平均(17.82±4.93)分,工作情境公平感评分平均(16.89±4.23)分。不同岗位护士在自我公平感方面的比较差异有统计学意义[(19.42 ±4.19),(17.18±4.21),(17.06±4.46)分,F=3.502,P<0.05],在工作情境公平的感知上的差异有统计学意义[(19.06±3.03),(17.58±3.68),(16.18±4.16)分,F=4.974,P<0.01)];不同科室护士在自我公平感和工作情境公平的感知方面的比较差异均有统计学意义(P<0.05)。经影响因素的多元逐步回归分析显示,科室和岗位是护士公平感的影响因素(P<0.05)。结论 护士对医院的各项分配感觉

  14. 2010年某综合医院高血压患者高脂血症影响因素分析%Analysis of the influential factors of hyperlipidemia of patients with hypertension in a comprehensive hospital in 2010

    Institute of Scientific and Technical Information of China (English)

    梅少平

    2012-01-01

    OBJECTIVE To analyze serum lipids level of the elder patients with hypertension, so as to provide evidence for prevention and treatment in patients with hypertension and hyperlipidemia. METHODS 1 217 cases of hypertension were treated in the Department of Cardiology in our hospital from January 1, 2010 to December 31, 2010, then we collected and analyzed clinical data of the elder patients with hypertension. RESULTS Univariate logistic analysis showed that body mass index, family-history, long-term heavy drinking, long-term smoking, renal dysfunction and abnormal liver function were the risk factors for hyperlipidemia of patients with hypertension, low-fat diet and taking physical exercise in every week had the protective effects on hyperlipidemia of patients with hypertension.Multivariate logistic analysis indicated that body mass index, family history and long-term heavy drinking had the risk effects on hyperlipidemia of patients with hypertension, low-fat diet and taking physical exercise in every week were protective for hyperlipidemia of patients with hypertension. CONCLUSION Proper diet, keeping our exercise and losing weight are both important for hyperlipidemia of the elder patients with hypertension, long-term heavy drinking has adverse effects on hyperlipidemia of the elder patients with hypertension.%目的 探讨高血压患者的血脂情况,旨在为高血压患者合并高血脂患者的治疗提供一定的实验数据.方法 对2010年1月1日~2010年12月31日在某院心内科住院治疗的1 217例高血压患者的临床资料进行收集并分析.结果 单因素Logistic回归分析发现:体重指数、家族史、长期大量饮酒、长期吸烟、肾功能减退及肝功能异常是高血压患者合并高脂血症的危险因素;低脂饮食及每周运动是高血压合并高脂血症的保护因素.多因素Logistic回归分析发现:体重指数、家族史及长期大量饮酒是高血压患者合并高脂血症的危险因素;

  15. Investigation on Workplace Violence of Nurses in Emergency Department of Comprehensive Hospital%综合性医院急诊科护士遭受工作场所暴力的调查

    Institute of Scientific and Technical Information of China (English)

    潘菲; 韩学美

    2011-01-01

    Objective To explore the workplace violence of emergency nurses and the influencing factors so as to provide evidence for the intervention measures. Methods From September 2009 to September 2010, 168 emergency nurses from 4 military Grade-Ⅲ Class-A hospitals were investigated with a questionnaire on the general status and workplace violence. Results Of the 166 validate questionnaires. 149 (89.8%) emergency nurses had been subjected to workplace violence. No significant difference was observed on the incidence of workplace violence in emergency nurses with different age, working experience, education background and professional titles(P>0. 05). The incidences of workplace violence from high to low were listed as follows: language hurt (86. 1%), somatic conflict (32. 5%), specific threats (20. 5%) and sexual violence(3. 0%) . The major causes for workplace violence were listed as follows: too long waiting time (67. 1%) ,unsatisfied request of patients(64. 8%) ,the risk of accident , drunk or drug abuse(58. 4%) and high medical costs(53. 4%). A series of outcomes of workplace violence were listed as follows: grievances (75. 8%),anger(66. 4%) and insecurity(47. 6% ) . Conclusion Workplace violence is common on emergency nurses which may cause serious psychological damage. The administrators should take effective measures to prevent and control workplace violence.%目的 探讨综合性医院急诊科护士遭受工作场所暴力的现状及其原因,为采取干预措施提供依据.方法 2009年9月至2010年9月采用便利抽样的方法选择北京市4所三级甲等综合性医院的168名急诊科护士作为调查对象,调查内容包括一般资料和护士遭受工作场所暴力的情况.结果 在166份有效问卷中,有149名(89 8%)护士遭受过工作场所暴力.不同年龄、工作时间、学历和职称的护士遭受工作场所暴力的发生率差异无统计学意义(P>0.05);急诊科护士遭受工作场所暴力

  16. 医联体内区级中医院医学复合型青年人才评价指标的研究%Evaluation indexes on comprehensive young talents among traditional Chinese medicine hospitals of district-level afifliated to health alliance

    Institute of Scientific and Technical Information of China (English)

    符竣杰; 吴宝苹; 何平; 马祥雪; 王洪

    2016-01-01

    目的:探究医联体内区级中医院医学复合型青年人才评价的要素。方法:采用德尔菲(Delphi)法,对15名专家进行2轮问卷咨询,根据咨询结果筛选评价核心指标,并对指标进行权重赋值。结果:初步建立医联体内区级中医院复合型青年人才评价指标体系,包括基本素质、临床业务、科研水平在内的3项一级指标及5项二级指标、18项三级指标,以及各指标权重,3项一级指标的权重分别为基本素质0.444、临床业务0.444、科研水平0.112,其中权重最大的2项三级指标分别为医德医风和创新思维。结论:基本素质、临床业务是区级中医院复合型青年人才的考核重点,科研水平仅作为辅翼,而其中医德医风以及协作能力是重中之重,说明个人修养相对于个人能力更是青年人才的重要衡量指标。本研究中所制订的指标体系,尚待实际测试应用以进一步调整和完善,以期为医联体内中医院人才建设提供思路。%Objective:To explore the evaluation elements on traditional Chinese medicine comprehensive young talents in the district hospitals affiliated to health alliance.Methods:The Delphi method was used. Two rounds of structured consultation were conducted and fifteen experts were interviewd,and the core indexes were screened based on consultation. Weight assignment on these indexes was also conducted.Results:Evaluation indexes on comprehensive young talents among traditional Chinese medicine hospitals of district-level affiliated to health alliance were preliminary developed. These indexes construted an indicator system containing three major elements covering basic quality,clinical business and level of scientific research,five secondary indexes,eighteen three-grade indicators and their weight. The weight of three major elements was 0.444 for basic quality,0.444 for clinical business and 0.112 for level of scientific research. The

  17. Hospital Inspections

    Data.gov (United States)

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

  18. Hospital Inspections

    Data.gov (United States)

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

  19. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

    This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.

  20. Teaching reading comprehension strategies

    Directory of Open Access Journals (Sweden)

    Majlinda Lika

    2017-03-01

    Full Text Available The academic debate nowadays is focused on producing an applied science of learning, aiming to teach students how to learn and be strategic in their acquisition. The aim of the study is to identify and discuss the reading comprehension instruction approach applied in the Albanian system of education. Findings from 10 classes of Albanian language and literature with students of third grade were directly observed and analyzed, in order to gather evidence based on indicators and instruments that assess the way of reading comprehension. Findings were categorized according to strategy use; the frequency of their application in different classes was counted and represented in percentages. In this paper we will try to respond to questions like: What are students' main barriers of comprehending? Does the instructional approach respond to students’ needs and level of comprehension? Are teachers prepared to teach comprehension strategies? Furthermore, examples of procedures on how to deliver instruction of comprehension strategies in natural contexts will be represented. Results from teacher practices during lessons of reading comprehension confirmed that teachers use limited teaching strategies to deliver lessons. They mainly use strategies to test comprehension; while the approach of teaching students to read independently and strategically is an unknown practice.

  1. 邯郸市综和医院妇产科医务人员心理健康状况调查%Investigation on mental health status of medical workers in departments of obstetrics and gynecology in comprehensive hospitals of Handan city

    Institute of Scientific and Technical Information of China (English)

    郭丽娟

    2012-01-01

    [Objective]To know the mental health status of medical workers in departments of obstetrics and gynecology in comprehensive hospitals, provide the references for researching the effective ways of improving their quality of life and work. [ Methods] U-sing the symptom checklist 90 (SCL-90) , 218 medical workers in departments of obstetrics and gynecology in 11 comprehensive hospitals of Handan city were investigated. [Results]The scores of somatization, compulsion, interpersonal sensitivity, anxiety, depression, hostility, horror and paranoia of medical workers in departments of obstetrics and gynecology were significantly higher than those of Chinese norm. The scores of horror and paranoia of doctors were higher than those of nurses, and the mental health level of medical workers aged 30- 40 years old was lower than that of other age groups. [ Conclusion] This paper shows that people should pay attention to the psychological pressure of the medical workers in departments of obstetrics and gynecology, especially in young medical workers.%目的 了解综和医院妇产科医务人员心理健康状况,为探索提高妇产科医务人员工作及生活质量的有效途径提供参考.方法 采用SCL-90症状自评量表对邯郸市11家二级以上综和医院妇产科医务人员218人进行调查.结果 妇产科医务人员躯体化、强迫、人际敏感、焦虑、抑郁、敌对、恐怖、偏执因子分显著高于中国常模.医生组恐怖、偏执因子分高于护理组;30 ~40岁医务人员心理健康水平低于其他年龄组.结论 妇产科医务人员,尤其是青年医务人员的心理压力应引起人们的关注.

  2. Interruptions disrupt reading comprehension.

    Science.gov (United States)

    Foroughi, Cyrus K; Werner, Nicole E; Barragán, Daniela; Boehm-Davis, Deborah A

    2015-06-01

    Previous research suggests that being interrupted while reading a text does not disrupt the later recognition or recall of information from that text. This research is used as support for Ericsson and Kintsch's (1995) long-term working memory (LT-WM) theory, which posits that disruptions while reading (e.g., interruptions) do not impair subsequent text comprehension. However, to fully comprehend a text, individuals may need to do more than recognize or recall information that has been presented in the text at a later time. Reading comprehension often requires individuals to connect and synthesize information across a text (e.g., successfully identifying complex topics such as themes and tones) and not just make a familiarity-based decision (i.e., recognition). The goal for this study was to determine whether interruptions while reading disrupt reading comprehension when the questions assessing comprehension require participants to connect and synthesize information across the passage. In Experiment 1, interruptions disrupted reading comprehension. In Experiment 2, interruptions disrupted reading comprehension but not recognition of information from the text. In Experiment 3, the addition of a 15-s time-out prior to the interruption successfully removed these negative effects. These data suggest that the time it takes to process the information needed to successfully comprehend text when reading is greater than that required for recognition. Any interference (e.g., an interruption) that occurs during the comprehension process may disrupt reading comprehension. This evidence supports the need for transient activation of information in working memory for successful text comprehension and does not support LT-WM theory. (c) 2015 APA, all rights reserved).

  3. Quotient-Comprehension Chains

    Directory of Open Access Journals (Sweden)

    Kenta Cho

    2015-11-01

    Full Text Available Quotients and comprehension are fundamental mathematical constructions that can be described via adjunctions in categorical logic. This paper reveals that quotients and comprehension are related to measurement, not only in quantum logic, but also in probabilistic and classical logic. This relation is presented by a long series of examples, some of them easy, and some also highly non-trivial (esp. for von Neumann algebras. We have not yet identified a unifying theory. Nevertheless, the paper contributes towards such a theory by introducing the new quotient-and-comprehension perspective on measurement instruments, and by describing the examples on which such a theory should be built.

  4. Usability Briefing for hospital design

    DEFF Research Database (Denmark)

    Fronczek-Munter, Aneta

    This PhD thesis is a contribution to an ongoing debate in Denmark about improving the building design processes of complex buildings, especially in relation to the current hospital developments. It provides knowledge about capturing user needs and defines the process model for usability briefing...... for hospital architecture from a user perspective. The thesis is based on comprehensive literature studies, three main case studies at hospitals,numerous expert interviews and workshops. The research results generate a better understanding of how knowledge about user needs, acquired from workshops...... participatory design, where users are seen as partners and co-creators, and where innovation and design are not done ‘for’ users, but‘with‘ or ‘by’ users. Research results from the presented hospital cases demonstrate that user-driven innovation is possible even in the hierarchic and technically advanced...

  5. Teaching English Listening Comprehension

    Institute of Scientific and Technical Information of China (English)

    霍鑫红

    2013-01-01

    This article outlines an attempt to bridge the gap between‘classroom English’and ‘ normal English’ , and to im⁃prove listening comprehension. The experiment is described and examples are given. The points need paying attention are listed.

  6. Assessment of Reading Comprehension

    Directory of Open Access Journals (Sweden)

    Madani HABIB

    2016-06-01

    Full Text Available This study attempts to shed light on the concept of assessment as an essential pedagogical practice for the improvement of the teaching-learning process. Particularly, it stresses the strategies and the techniques that should be used in assessing reading comprehension with reference to EFL classrooms. It describes the kinds of tasks that actually reveal students’ reading comprehension abilities and needs. Moreover, this paper aims to illustrate the types and the advantages of assessment for both teachers and learners. More importantly, this study tries to bring equitable evidence of how reading comprehension can be adequately assessed. The findings showed that assessment of reading comprehension is central to English language teaching as it provides teachers with essential information about students’ weaknesses, needs, obstacles, and deficits. Thus, teachers can implement the appropriate techniques and use the assessment results to amend their classroom instruction and enhance the learning abilities.

  7. 75 FR 4963 - Federal Housing Administration (FHA): Hospital Mortgage Insurance Program-Refinancing Hospital Loans

    Science.gov (United States)

    2010-01-29

    ... comprehensive health care, including outpatient and preventive care, as well as hospitalization. In the case of... following seven criteria: (i) The proposed refinancing would reduce the hospital's total operating expenses... indebtedness; (2) reasonable and customary legal, organization, title, and recording expenses, including...

  8. Metacognition in Reading Comprehension

    OpenAIRE

    Ceylan, Eda; Harputlu, Leyla

    2015-01-01

    Metacognition is defined basically as thinking about thinking. It is a significant factor that affects many activities related to language use. Reading comprehension, which is an indispensable part of daily life and language classrooms, is affected by metacognition, too. Hence, this paper aims to present an overview of the recent theoretical and empirical studies about metacognition and reading comprehension. Firstly, it provides the definitions and the importance of metacognition. Secondly, ...

  9. LISTENING COMPREHENSION: MORE THAN JUST COMPREHENSIBLE INPUT

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    In the ten years since the publication of Krashen’s theory on second language acquisition (SLA), the role of comprehensible input (CI) in the learning/acquiring of a language has received considerable attention (Krashen, 1982, 1985; Ellis, 1991, 1992; Long, 1983, 1985). As a result of these studies researchers now agree on the following points. Exposure to a language does not lead to acquisition; the personal accounts of so many language learners who have spent many years in a country or who have listened to endless hours of radio and television without being able to understand or speak the language attest to this fact.

  10. 上海崇明地区3家二级综合医院2011年5月至2012年1月抗菌药物利用分析%Analysis of the Utilization of Antibacterials in 3 Second-level Comprehensive Hospitals from Chongming Area of Shanghai during May 2011-Jan.2012

    Institute of Scientific and Technical Information of China (English)

    杨忠英; 樊洪中; 岳德永; 龚键; 倪寂; 施文琴

    2013-01-01

    OBJECTIVE:To investigate the application of antibacterials and the implementation of "No.56 Document" issued by Ministry of Health in second-level comprehensive hospitals from Chongming area of Shanghai during special rectification.METHODS:By reviewing medical history,outpatient and emergency prescriptions and bedside survey,the utilization of antibiotics were analyzed statistically in respects of consumption sum,DDDs,during early stage(May-Jul.in 2011),medium stage(Aug.-Oct.in 2011) and later stage stage (Dec.2011-Jan.2012).RESULTS:The DDDs of antibacterials was decreased to some extent in the hospitals duringthe special rectification (but that of Chongming County Third People's Hospital was increased).The administration structure was changed greatly.The prophylactic application of antibacterials in type Ⅰ incision was improved significantly.The rate of combined use of antibacterials had no significant differences although the detection rate of the microbiological specimens increased (that of Chongming branch increased from 32.28% at early stage to 24.45% after rectification; from 25.56% to 30.33% in Second People's Hospital; from 24.45% to 28.89% in Chongrning county Third People's Hospital).CONCLUSIONS:The specialrectificationis useful to promote rational use of antibacterials.However,measures should be taken to improve the management of antibacterials for therapy.%目的:了解上海崇明地区二级综合医院在专项整治过程中抗菌药物的使用及对卫生部“56号文件”的执行情况.方法:采用查阅住院病史、门/急诊处方和床边调查相结合的方法,分为专项整治初期(2011年5-7月)、整治中期(2011年8-10月)、整治后期(2011年11月-2012年1月)3组,对各个时期抗菌药物的使用金额、用药频度(DDDs)等进行统计分析.结果:整治过程中各医院抗菌药物的DDDs总体有所下降(但崇明县第三人民医院有上升趋势),用药结构变化显著,Ⅰ类切口手术预防

  11. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

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

  12. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

    A project was conducted at College of the Canyons (Valencia, California) to initiate a new 2-year hospitality program with career options in hotel or restaurant management. A mail and telephone survey of area employers in the restaurant and hotel field demonstrated a need for, interest in, and willingness to provide internships for such a program.…

  13. [Comprehensive quality indicators for measuring hospital antibiotic use

    NARCIS (Netherlands)

    Bosch, C.M.A. van den; Hulscher, M.E.J.L.; Wille, J.; Natsch, S.S.; Benthem, B.H. van; Prins, J.M.; Geerlings, S.E.

    2011-01-01

    As in other countries, the growing resistance to antimicrobial drugs is also taking place in the Netherlands; the primary cause being the total consumption of antibiotics. Given the steady decline in the discovery of new antimicrobials, better use of agents currently available is warranted.

  14. Comprehensive cardiac rehabilitation

    DEFF Research Database (Denmark)

    Kruse, Marie; Hochstrasser, Stefan; Zwisler, Ann-Dorthe O;

    2006-01-01

    OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed. METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed...... for the situation at hand. Due to challenging circumstances, the cost assessment turned out to be ex-post and top-down. RESULTS: Cost per treatment sequence is estimated to be approximately euro 976, whereas the incremental cost (compared with usual care) is approximately euro 682. The cost estimate is uncertain...... and may be as high as euro 1.877. CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective....

  15. Context and Listening Comprehension

    Institute of Scientific and Technical Information of China (English)

    Qin Yingying

    2016-01-01

    Context is very important factor that can't be ignored in speech communication. Context contributes much to understanding the meaning of words. The exact and thorough interpretation of words and utterance results from contexts. The relation is discussed between context and listening comprehension, and the functions of context are analyzed in listening. It is pointed out that the analysis of contextual clues is useful in understanding listening materials and also introduces some ways on contextual clues in listening so as to improve listening comprehension.

  16. Cognitive Correlates of Listening Comprehension

    Science.gov (United States)

    Kim, Young-Suk; Phillips, Beth

    2014-01-01

    In an effort to understand cognitive foundations of oral language comprehension (i.e., listening comprehension), we examined how inhibitory control, theory of mind, and comprehension monitoring are uniquely related to listening comprehension over and above vocabulary and age. A total of 156 children in kindergarten and first grade from…

  17. Imitation improves language comprehension

    NARCIS (Netherlands)

    Adank, P.M.; Hagoort, P.; Bekkering, H.

    2010-01-01

    Humans imitate each other during social interaction. This imitative behavior streamlines social interaction and aids in learning to replicate actions. However, the effect of imitation on action comprehension is unclear. This study investigated whether vocal imitation of an unfamiliar accent improved

  18. Painless reading comprehension

    CERN Document Server

    Jones, EdD, Darolyn "Lyn"

    2016-01-01

    Reading comprehension gets easier as students learn what kind of reader they are, discover how to keep facts in their head, and much more. Bonus Online Component: includes additional games, including Beat the Clock, a line match game, and a word scramble.

  19. COMPREHENSIVE JUNIOR COLLEGES.

    Science.gov (United States)

    NIKITAS, CHRISTUS M.; AND OTHERS

    TO MEET THE STATE'S HIGHER EDUCATION NEEDS, THE NEW HAMPSHIRE JUNIOR COLLEGE COMMISSION DEVELOPED A PLAN OF (1) GRADUAL AND SELECTIVE CONVERSION OF THE STATE'S TECHNICAL AND VOCATIONAL SCHOOLS TO COMPREHENSIVE JUNIOR COLLEGES, (2) SELECTIVE ADDITION OF 2-YEAR PROGRAMS AT THE STATE COLLEGES AND INSTITUTES, AND (3) ESTABLISHMENT OF A STATE…

  20. The relationship between doctors’ compensation justice and professional satisfaction in a grade A tertiary comprehensive hospital in shanghai%上海市某三级综合性医院医师薪酬公平感与职业满意度的关系研究

    Institute of Scientific and Technical Information of China (English)

    罗莉; 秦玮; 李洋

    2015-01-01

    Objective:To analyze the relationship between doctors’ compensation justice and professional satisfaction in a grade A tertiary comprehensive hospital in Shanghai. Methods:A stratified random sampling method was used. Four strata were formed based on doctors’ professional titles. Compensation justice and professional satisfaction data were collected by a questionnaire including basic information,compensation justice scale and professional satisfaction scores. The compensation justice scale was improved based on Niehoff&Moorman’s(1993) Distributive Justice Scale. STATA 12.0 was used for data analysis including descriptive analysis,correlation analysis and regression analysis. Results:Each item of the scale scored about three on the average. Professional satisfaction and compensation justice showed correlation. Positive correlation existed between professional satisfaction and the item“responsibility and stress”,as well as satisfaction and the item“comparison with colleague at the same position”. Conclusion:It is suggested that this grade A tertiary comprehensive hospital balance responsibility and stress and pay attention to the justice among different departments in order to promote professional satisfaction.%目的:研究探讨上海市某三级综合性医院医师薪酬公平感与职业满意度的关系。方法:采取按职称分层随机抽样方法选择样本,使用由基本信息、薪酬公平感量表、职业满意度评分三部分构成的问卷,调查该院医师薪酬公平感与职业满意度等数据。其中薪酬公平感量表部分使用改良的Niehoff&Moorman(1993)的分配公平量表。数据分析工具为STATA 12.0,分析方法包括描述性分析、相关性分析和回归分析。结果:薪酬公平感量表各条目平均得分在3分左右,职业满意度与薪酬公平感具有相关性。“从您工作所负责任和压力来说,所得薪酬是公平的”与“和承担相同工作及职务

  1. Analysis of the status and influencing factors of job burnout of ICU nurses in provincial 3A-level comprehensive hospitals in Changsha%长沙市省级综合三级甲等医院ICU护士职业倦怠现状及其影响因素分析

    Institute of Scientific and Technical Information of China (English)

    张红辉; 刘怡素; 何国平; 秦月兰; 邹灏宇

    2013-01-01

    Objective To investigate the status of ICU nurse's job burnout in provincial 3 A -level comprehensive hospitals in Changsha, and to explore its influencing factors. Method The Chinese version of Maslach Burnout Inventory ( MBI) was used to conduct a survey among 215 ICU nurses in Changsha. Results The rates of low,moderate and severe level burnout among ICU nurses in Changsha were 30. 70% ,22. 79% ,5. 58% respectively. Gender,frequency of night shift, self - assessment of family communication quality and administrative duties were the main influencing factors of job burnout. Conclusion The problem of job burnout is significant among ICU nurses in Changsha, and the female ICU nurses with poor quality of family communication, with more night shifts are the priority groups for the intervention.%目的 调查长沙市省级综合三级甲等医院ICU护士职业倦怠现状,并探讨其影响因素.方法 采用工作倦怠量表对215名ICU护士进行问卷调查.结果 护士的轻、中、重度职业倦怠的检出率分别为30.70%、22.79%、5.58%;性别、班次轮换、自评家庭交流质量和职务是ICU护士职业倦怠的影响因素.结论 长沙市省级综合三级甲等医院ICU护士的职业倦怠问题比较严重,家庭交流质量差、夜班多的女性ICU护士应为职业倦怠干预的重点对象.

  2. 某大型综合性医院感染管理影响因素的定性调查研究与对策%A qualitative research on impact factors for nosocomial infection management in a large comprehensive hospital and countermeasures

    Institute of Scientific and Technical Information of China (English)

    陈翠敏; 赵先柱; 府伟灵

    2012-01-01

    目的 获得医院感染管理影响因素的基础性资料,评价大型综合性医院感染管理现状、存在的问题并提出改进措施.方法 采用专题小组讨论和深入访谈及总结.结果 影响医院感染管理的主要因素包括组织机构设置、学科建设、专职人员层次与专业构成、制度建立与执行力、监测技术标准与预防、知识培训与收效、社会与经济效益等.结论 改进管理模式,加强管理队伍和监管,利用现代化信息技术是加强医院感染管理的对策.%OBJECTIVE To acquire the basic materjal about the impact factors of nosocomial infection management, to summarize and evaluate the current status of nosocomial infection management as well as the existing problems in a large comprehensive hospital so as to put forward the improvement countermeasures. METHODS By means of the panel discussions and in-depth interviews, the problems were summarized. RESULTS The survey indicated that the main impact factors of nosocomial infection management included the organization structure, discipline construction, professional level and professional structure, establishment and execution of system, monitoring technology standards and prevention, knowledge training and effectiveness, and social and economic benefit. CONCLUSION It is an effective way of intensifying the nosocomiai infection management to improve the management mode and strengthen the supervision of management team as well to apply the modem information technology.

  3. Re-thinking barriers to organizational change in public hospitals

    National Research Council Canada - National Science Library

    Nigel Edwards; Richard B Saltman

    2017-01-01

    Public hospitals are well known to be difficult to reform. This paper provides a comprehensive six-part analytic framework that can help policymakers and managers better shape their organizational and institutional behavior...

  4. Comprehensive Health Surveillance

    Science.gov (United States)

    2012-02-08

    February 8, 2012 on health trends, foreign health diplomacy, military and civilian health system capabilities, and biosafety and biosecurity ...information system whose database contains up-to-date and historical data on diseases and medical events (e.g., hospitalizations , ambulatory visits

  5. Comprehensive hard materials

    CERN Document Server

    2014-01-01

    Comprehensive Hard Materials deals with the production, uses and properties of the carbides, nitrides and borides of these metals and those of titanium, as well as tools of ceramics, the superhard boron nitrides and diamond and related compounds. Articles include the technologies of powder production (including their precursor materials), milling, granulation, cold and hot compaction, sintering, hot isostatic pressing, hot-pressing, injection moulding, as well as on the coating technologies for refractory metals, hard metals and hard materials. The characterization, testing, quality assurance and applications are also covered. Comprehensive Hard Materials provides meaningful insights on materials at the leading edge of technology. It aids continued research and development of these materials and as such it is a critical information resource to academics and industry professionals facing the technological challenges of the future. Hard materials operate at the leading edge of technology, and continued res...

  6. 501 reading comprehension questions

    CERN Document Server

    2014-01-01

    This updated edition offers the most extensive and varied practice for all types of questions students might face on standardized and in-class tests. With this guide, students will learn to develop expert reading strategies, understand how to read faster and with greater comprehension, overcome reading anxiety, and increase appreciation of reading for pleasure. This book's step-by-step approach provides graduated coverage that moves from the basics to more advanced reading.

  7. Comprehensive NICU Parental Education: Beyond Baby Basics.

    Science.gov (United States)

    Mosher, Sara L

    2017-01-01

    Educating NICU families during their child's hospitalization and prior to hospital discharge is an integral task for staff from the moment an infant is admitted to the unit. Staff has the responsibility of providing parents with a myriad of education regarding the intensive care environment and information concerning their child's medical condition. With first-time parents, staff teaching topics extend to also include training on how to perform basic newborn care such as diapering, bathing, feeding, and numerous other primary parenting responsibilities. True comprehensive education, however, should include information about and evidence on the significance of parental self-care in not only their own health and emotional stability but also the cognitive and behavioral development of their child prior to leaving the comfort of their NICU support network. Recommendations for this essential education are presented so NICU providers can best prepare parents for this critical responsibility.

  8. An ideal hospital.

    Science.gov (United States)

    Chandrasiri, Singithi Sidney

    2017-07-03

    Purpose The purpose of this paper is to explore a novel overarching strategy in tackling the key issues raised by the recent inquiry into bullying, harassment and discrimination in surgical practice and surgical training in Australian and New Zealand hospitals. Design/methodology/approach The approach taken is an analysis of the available evidence-based literature to inform the proposed viewpoint. The theoretical subject scope presented is a discussion of how and why the various strategies put forward in this paper should be integrated into and led from an overarching workforce engagement platform. Findings The key themes isolated from the Inquiry into Australian and New Zealand surgical practice ranged from abuse of power by those in leadership positions, gender inequity in the surgical workforce, opaque and corrupt complaints handling processes, excessive surgical trainee working hours to bystander silence secondary to a fear of reprisal. A workforce engagement perspective has elicited the potential to counter various impacts, that of clinical ineffectiveness, substandard quality and safety, inefficient medical workforce management outcomes, adverse economic implications and the operational profitability of a hospital. Generic strategies grounded in evidence-based literature were able to then be aligned with specific action areas to provide a new leadership framework for addressing these impacts. Originality/value To the author's knowledge, this is one of the first responses providing a framework on how medical managers and hospital executives can begin to lead a comprehensive and practical strategy for changing the existing culture of bullying, harassment and discrimination in surgical practice by using a staff engagement framework.

  9. Reinternação em hospital psiquiátrico: a compreensão do processo saúde/doença na vivência do cotidiano Reinternamiento en hospital psiquiátrico: la comprensión del proceso salud/enfermedad en la vivencia del cotidiano Readmission to a psychiatric hospital: the comprehension of the health/illness process through the experience of daily life

    Directory of Open Access Journals (Sweden)

    Mariana Moraes Salles

    2007-03-01

    Full Text Available Este trabalho é recorte de uma investigação que buscou identificar o cotidiano de pessoas com transtornos mentais, que sofrem reinternações psiquiátricas. Nesse percurso foi possível evidenciar que esses sujeitos expressam diversas concepções do processo saúde/doença mental e que caracterizam as formas de tratamento que se utilizam. Utilizou-se como metodologia a abordagem qualitativa fundamentada no conceito de cotidiano da autora Agnes Heller. As entrevistas de pacientes e familiares foram submetidas à análise de discurso que, entre outros resultados, revelou que essa população passou a ter novas ferramentas e possibilidades para compreender a loucura e a assistência ao doente mental.Este trabajo es recorte de una investigación que buscó identificar el cotidiano de personas con trastornos mentales, que sufren reinternamientos psiquiátricos. En este recorrido fue posible evidenciar que esos sujetos expresan diversas concepciones del proceso salud/enfermedad mental y que caracterizan las formas de tratamiento utilizados. En la metodología se utilizó el abordaje cualitativo fundamentado en el concepto de cotidiano de la autora Agnes Heller. Las entrevistas de pacientes y familiares fueron sometidas al análisis de discurso que, entre otros resultados, reveló que esa población pasó a tener nuevas herramientas y posibilidades para comprender la locura y la asistencia al enfermo mental.This study is part of a research that aimed at identifying the daily life of people with mental disruptions who are re-admitted to psychiatric hospitals. It was possible to pinpoint that these individuals express several conceptions of the health/mental illness process and that they also distinguish the kinds of treatment they go through. As far as methodology is concerned the study used the qualitative approach based on Agnes Heller's concept of daily life. The interviews with patients and their relatives were submitted to speech analysis

  10. Analysis on Application of Intravenous Infusion for 53 Diseases in Outpatient and Emergency Department of Suzhou Municipal Hospital Before and After Comprehensive InterventionΔ%综合干预前后宿州市立医院门、急诊53种疾病静脉输液应用分析Δ

    Institute of Scientific and Technical Information of China (English)

    刘洪峰; 范秀英; 孟现奇; 代玉琦

    2016-01-01

    OBJECTIVE:To probe into the effects of comprehensive intervention on application of intravenous infusion in outpatient and emergency department of Suzhou Municipal Hospital ( hereinafter referred to as “our hospital”) , so as to establish long-term mechanism of intravenous infusion of supervision by comprehensive intervention measures.METHODS:Statistical analysis was conducted on the intravenous infusion rate in outpatient and emergency department, intravenous infusion rate of antibiotics, intravenous infusion rate of 53 diseases and rational rate of prescriptions with intravenous infusion in our hospital from Jul.to Dec.2014 ( before intervention) and from Jul.to Dec.2015 ( after intervention).RESULTS: The average intravenous infusion rate in outpatient department decreased from 24.03%before intervention to 16.49%after intervention, the decreasing range was 7.54%; and in emergency department, it decreased from 65.19% before intervention to 54.64% after intervention, the decreasing range was 10.55%.Meanwhile, the average intravenous infusion rate for 53 diseases in outpatient department decreased from 22.40%before intervention to 12.66%after intervention, the decreasing range was 9.74%; and in emergency department, it decreased from 63.74% before intervention to 55.68% after intervention, the decreasing range was 8.06%.The rational rate of prescriptions with intravenous infusion in outpatient and emergency department increased from 83.00% before intervention to 95.50% after intervention, the increasing range was 12.50%.After intervention, the related indicators were significantly better than before intervention, the differences were statistically significant(P<0.05).CONCLUSIONS:Comprehensive intervention can effectively decrease intravenous infusion rate in outpatient and emergency department and improve the level of rational application of drugs.%目的:探讨综合干预对宿州市立医院(以下简称“我院”)门、急诊静脉输液使用情况

  11. The influence of comprehensive geriatric assessment on drug therapy in elderly patients

    DEFF Research Database (Denmark)

    Larsen, Michael Due; Rosholm, Jens Ulrik; Hallas, Jesper

    2014-01-01

    Comprehensive geriatric assessment of hospitalised patients implies optimising patients' medical treatment, and good coordination between hospital and general practice is essential for the quality of the drug treatment. Only a few studies have investigated the continuation of patients' medication...

  12. A New Comprehensive Short-form Health Literacy Survey Tool for Patients in General

    Directory of Open Access Journals (Sweden)

    Tuyen Van Duong, RN, MSN, PhD

    2017-03-01

    Conclusion: The comprehensive HL-SF12 was a valid and easy to use tool for assessing patients’ health literacy in the hospitals to facilitate healthcare providers in enhancing patients’ health literacy and healthcare qualities.

  13. READING COMPREHENSION RFSEARCH AND LINGUISTIC ...

    African Journals Online (AJOL)

    "At present, one can hardly speak of a coherent 'science of language'. At best ... comprehension is not a special skill, separate from listening comprehension. Horowitz & .... most important pragmatic theories of utterance interpretation. Where ...

  14. Integrating hospital and physician revenue cycle operations.

    Science.gov (United States)

    Lockett, Kevin M

    2014-03-01

    Standardized revenue cycle processes should be a key component of the coordinated care delivery strategy organizations will require to complete the transition to population health management. Integrating hospital and physician revenue cycle operations can help organizations better navigate new payment models, reduce costs, and improve value. The most comprehensive approach involves integrating patient access and registration, coding operations, and receivables management across different settings.

  15. Hospital CRM: unexplored frontier of revenue growth?

    Science.gov (United States)

    Young, Thomas

    2007-10-01

    Customer relationship management (CRM) has a less-than-stellar reputation, in large part because efforts to implement it have been piecemeal and not well funded. The technologies now exist to make CRM much more effective than it has been in the past. Many hospitals today are demonstrating a substantial ROI from implementing a comprehensive CRM program.

  16. A comprehensive French grammar

    CERN Document Server

    Price, Glanville

    2013-01-01

    Characterized by clear and accessible explanations, numerous examples and sample sentences, a new section on register and tone, and useful appendices covering topics including age and time, A Comprehensive French Grammar, Sixth Edition is an indispensable tool for advanced students of French language and literature.A revised edition of this established, bestselling French grammarIncludes a new section on register and medium and offers expanded treatment of French punctuationFeatures numerous examples and sample sentences, and useful appendices covering topics including age, time, and dimension

  17. 综合医院皮肤性病门诊梅毒 HSV-2及HIV感染流行状况分析%Investigation of syphilis, HSV-2 or HIV infection in dermatology and venerology outpatients in a comprehensive hospital

    Institute of Scientific and Technical Information of China (English)

    黎奇; 吴砚; 李玉叶; 曹应葵

    2014-01-01

    Objective To investigate the infection status and related risk factors of Syphilis, HSV-2 and HIV in the dermatology and venerology outpatients in a comprehensive hospital, which will provide basis for prevention and treatment of sexually transmitted diseases. Methods The patients in dermatology and venerology outpatients from september 2011 to september 2011, were tested with syphilis, HSV-2, HIV as well as given questionnaire. Results Syphilis, HSV-2 and HIV positive rates were 19. 0%, 31. 0% and 3. 7% respectively. The positive rates of syph-ilis and HSV-2 in female were significantly higher than in male. Syphilis, HSV-2 and HIV positive rates were ap-parently higher in attendants with non-use condoms, multiple sexual partners or low educational background. Con-clusion The promotion and popularization of knowledge of preventing Venereal diseases should be strengthened. Safe sex should be promoted, especially in female and low education background crowd.%目的:分析综合医院皮肤性病门诊就诊人群梅毒、HSV-2及HIV感染情况及相关高危因素,为性病综合防治提供依据。方法对2011年9月-2012年9月在我院皮肤性病门诊就诊人群进行梅毒、HSV-2、HIV检测,同时进行问卷调查。结果我院皮肤性病门诊就诊人群梅毒阳性率为19.0%,HSV-2阳性率为31.0%,HIV阳性率为3.7%,女性人群梅毒及HSV-2阳性率均显著高于男性,未使用安全套、多性伴、低学历者的梅毒、HSV-2、HIV阳性率显著增高。结论需加强性病防治知识的普及与教育,提倡安全性行为、重点关注女性人群及低文化人群。

  18. Comprehensive Optimization Process of Paranasal Sinus Radiography

    Energy Technology Data Exchange (ETDEWEB)

    Saarakkala, S. (Dept. of Clinical Radiology, Kuopio Univ. Hospital, Kuopio (Finland)); Nironen, K.; Hermunen, H.; Aarnio, J.; Heikkinen, J.O. (Dept. of Radiology, Etel-Savo Hospital District, Mikkeli Central Hospital, Mikkeli (Finland))

    2009-04-15

    Background: The optimization of radiological examinations is important in order to reduce unnecessary patient radiation exposure. Purpose: To perform a comprehensive optimization process for paranasal sinus radiography at Mikkeli Central Hospital (Finland). Material and Methods: Patients with suspicion of acute sinusitis were imaged with a Kodak computed radiography (CR) system (n=20) and with a Philips digital radiography (DR) system (n=30) using focus-detector distances (FDDs) of 110 cm, 150 cm, or 200 cm. Patients' radiation exposure was determined in terms of entrance surface dose and dose-area product. Furthermore, an anatomical phantom was used for the estimation of point doses inside the head. Clinical image quality was evaluated by an experienced radiologist, and physical image quality was evaluated from the digital radiography phantom. Results: Patient doses were significantly lower and image quality better with the DR system compared to the CR system. The differences in patient dose and physical image quality were small with varying FDD. Clinical image quality of the DR system was lowest with FDD of 200 cm. Further, imaging with FDD of 150 cm was technically easier for the technologist to perform than with FDD of 110 cm. Conclusion: After optimization, it was recommended that the DR system with FDD of 150 cm should always be used at Mikkeli Central Hospital. We recommend this kind of comprehensive approach in all optimization processes of radiological examinations.

  19. Metacognition and Reading Comprehension

    Institute of Scientific and Technical Information of China (English)

    Cecilia Chang

    2000-01-01

    @@ Introduction Reading is a mysterious process that has attracted attention from psychologists, reading researchers and educators alike for decades. Currently, reading is viewed as a meaningconstructing process where the reader interacts with the text by simultaneously using information from a variety of sources ranging from one's background knowledge of the content and about the world to the knowledge about the language in which the text is written (Mulling, 1994). Moreover, reading comprehension is achieved only after skillful orchestration of all the resources the reader possess when engaged in the act of reading. Among the various kinds of strategies a reader needs during the reading process are the monitoring strategies. In order to fully utilize the strategies, the reader needs to possess good metacognition. Metacognition refers to one's deliberate conscious control of one's cognition actions (Brown, 1980). Since it is crucial for success that we know what we know and what we don't know and, consequently what to do about what we know and don't know, it is not surprising to find the notion of metacognition being stressed in almost every situation of learning. Given the importance of metacognition in successful learning, the purpose of this paper is to explore the role metacognition plays in reading comprehension, and consequently, identify future research directions.

  20. Comprehensive national energy strategy

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    This Comprehensive National Energy Strategy sets forth a set of five common sense goals for national energy policy: (1) improve the efficiency of the energy system, (2) ensure against energy disruptions, (3) promote energy production and use in ways that respect health and environmental values, (4) expand future energy choices, and (5) cooperate internationally on global issues. These goals are further elaborated by a series of objectives and strategies to illustrate how the goals will be achieved. Taken together, the goals, objectives, and strategies form a blueprint for the specific programs, projects, initiatives, investments, and other actions that will be developed and undertaken by the Federal Government, with significant emphasis on the importance of the scientific and technological advancements that will allow implementation of this Comprehensive National Energy Strategy. Moreover, the statutory requirement of regular submissions of national energy policy plans ensures that this framework can be modified to reflect evolving conditions, such as better knowledge of our surroundings, changes in energy markets, and advances in technology. This Strategy, then, should be thought of as a living document. Finally, this plan benefited from the comments and suggestions of numerous individuals and organizations, both inside and outside of government. The Summary of Public Comments, located at the end of this document, describes the public participation process and summarizes the comments that were received. 8 figs.

  1. Ohio hospital PR pros collaborate on crisis communications plan.

    Science.gov (United States)

    Rees, Tom

    2002-01-01

    Two member hospitals of the Akron Regional Hospital Association (ARHA), Ohio, experienced crisis situations which severely strained their public relations resources. These events were the genesis for the development of a comprehensive plan for sharing public relations resources among 11 member hospitals. The plan details procedures for sharing help in the event of a crisis or specific hospital media event. It identifies three potential situations in which it can be implemented: internal disaster, external disaster, or a specific incident unique to one of the hospitals. No occasion has yet arisen to implement the plan.

  2. Status of hepatitis B virus infection and hepatitis B vaccine inoculation among medical staff in a comprehensive hospital in Guangzhou%综合医院医务人员乙型肝炎病毒感染及疫苗接种调查

    Institute of Scientific and Technical Information of China (English)

    林潮双; 刘静; 曹红; 王向阳; 林炳亮; 高志良

    2011-01-01

    OBJECTIVE To learn the hepatitis B infection status and the situation of vaccine inoculation among health care workers in comprehensiveness hospital. METHODS A total of 1554 health care workers (458 males and 1096 females) in a comprehensiveness hospital in Guangzhou were surveyed on the condition of vaccine inoculation and the condition of medical service profession. The serum samples were detected hepatitis B virus marker (HBsAg, HBeAg, anti-HBs, anti-HBe and anti-HBc) by ELISA in routine annum health examination. The database and statistic analyses were performed by using SAS. RESULTS The positive rate of HBsAg was 6.13 %.There is significant difference of vaccine inoculation rate in different department (P=0.008). The lowest vaccine inoculation rate was internal medicine department (39. 5%). It reached to 60% in surgery, gynaecology and obstetrics department, and 57.8% in infection department. There was significant difference of antibody gained by natural infection and by vaccine inoculation in different department and different profession. The rate of antibody gained by natural infection was the highest in infection department (88. 2%). The rate of antibody gained by vaccine inoculation was higher in gynaecology and obstetrics department (P=0.003), paediatric department (P=0. 0339). The rate of antibody gained by natural infection was higher than that gained by vaccine inoculation in technician group (P = 0. 0181); while the rate of antibody gained by vaccine inoculation was higher than that gained by natural infection in doctor group (P= 0. 000002). CONCLUSION It has correlation with the profession character and HBV infection. The probability to get HBV infection is more in infection department and in technicians. The profession protection on medical staffs against HBV infection should strengthen.%目的 了解综合医院医务人员乙型肝炎病毒感染及乙型肝炎疫苗接种情况,为加强医务人员的防预意

  3. Comprehensive nuclear materials

    CERN Document Server

    Allen, Todd; Stoller, Roger; Yamanaka, Shinsuke

    2012-01-01

    Comprehensive Nuclear Materials encapsulates a panorama of fundamental information on the vast variety of materials employed in the broad field of nuclear technology. The work addresses, in five volumes, 3,400 pages and over 120 chapter-length articles, the full panorama of historical and contemporary international research in nuclear materials, from Actinides to Zirconium alloys, from the worlds' leading scientists and engineers. It synthesizes the most pertinent research to support the selection, assessment, validation and engineering of materials in extreme nuclear environments. The work discusses the major classes of materials suitable for usage in nuclear fission, fusion reactors and high power accelerators, and for diverse functions in fuels, cladding, moderator and control materials, structural, functional, and waste materials.

  4. Comprehensive care of travelers.

    Science.gov (United States)

    Pust, R E; Peate, W F; Cordes, D H

    1986-12-01

    Travel, especially if it is international, often means major changes for the family. Family physicians should assess the epidemiologic risk and psychosocial significance of travel or relocation in light of the family's life-cycle stage and antecedent health. Using core references, which are kept current in partnership with public health agencies, family physicians are able to provide comprehensive immunization, medications, and patient education for all travel risks. Families are given medical record summaries and recommended sources of care at their destination. Eight weeks after their return patients are reassessed for newly acquired illness and helped to integrate the perspectives gained during the travel into the family's future dynamics. Taking advantage of growing travel medicine opportunities, family medicine educators should base the care of travelers and teaching of residents on defined competence priorities. Travelers' health provides a mutually rewarding model of shared care with public health consultants in the community medicine curriculum.

  5. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

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

  6. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

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

  7. Hospital-acquired pneumonia

    Science.gov (United States)

    ... tends to be more serious than other lung infections because: People in the hospital are often very sick and cannot fight off ... prevent pneumonia. Most hospitals have programs to prevent hospital-acquired infections.

  8. Structural Measures - Hospital

    Data.gov (United States)

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

  9. Going to the Hospital

    Science.gov (United States)

    ... Too Short All About Puberty Going to the Hospital KidsHealth > For Kids > Going to the Hospital Print ... you flowers, balloons, or other treats! previous continue Hospital People You'll meet lots of people in ...

  10. Understanding your hospital bill

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000881.htm Understanding your hospital bill To use the sharing features on this ... help you save money. Charges Listed on Your Hospital Bill A hospital bill will list the major ...

  11. Research in Hospitality Management

    African Journals Online (AJOL)

    Research in Hospitality Management is a peer-reviewed journal publishing papers ... to the understanding of hospitality and hospitality management in a global context. ... financial management, marketing, strategic management, economics, ...

  12. Patient survey (HCAHPS) - Hospital

    Data.gov (United States)

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

  13. Hospitalization of children with Down Syndrome

    Directory of Open Access Journals (Sweden)

    Ariel eTenenbaum

    2014-03-01

    Full Text Available Children with Down syndrome present with multiple medical problems in a higher prevalence compared with the general population, which may lead to hospitalizations. Methods: Analysis of 560 hospitalizations of 162 children aged 0-16 years with Down syndrome at Hadassah Medical Center during the years 1988-2007 compared with data on children in the general population, hospitalized at the same period. Data was collected from patient files and statistical data from the Ministry of Health. Results: Respiratory infections were the leading cause for hospitalization of children with Down syndrome. The number of hospitalizations of children with Down syndrome compared to the number of all children, who were hospitalized was surprisingly similar to their proportion in the general population. Eleven children died during their hospitalization (five heart failure, three sepsis, one respiratory tract infection and one due to complication after surgery. Nine of the eleven had a congenital heart anomaly. Conclusions: Children with Down syndrome can present with complex medical issues and we support the concept of a multidisciplinary team that has experience and knowledge to serve as a one stop shop for these individuals and their families, with timely visits in which a comprehensive evaluation is performed, problems attended to and prevention plans applied. In this way we may prevent morbidity, hospitalizations and mortality.

  14. Cultural Knowledge in News Comprehension

    DEFF Research Database (Denmark)

    Mathieu, David

    2009-01-01

    This paper presents the main lines of the design and the findings of a reception study on news comprehension. This empirical study is a comparison of the comprehension processes of Danes and French Canadians over a set of news texts from both countries. Comprehension is explored from a cultural...... perspective, through the lens of cognition and pragmatics, revealing the role played by cultural knowledge in comprehension and the underlying relationship between a text and its intended audience. It is argued that recipients ‘problematise’ the news texts, a process by which the texts answer questions...... that take their roots in the cultural knowledge of the recipients....

  15. SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access Database contains a selected set of...

  16. Comprehensive eye evaluation algorithm

    Science.gov (United States)

    Agurto, C.; Nemeth, S.; Zamora, G.; Vahtel, M.; Soliz, P.; Barriga, S.

    2016-03-01

    In recent years, several research groups have developed automatic algorithms to detect diabetic retinopathy (DR) in individuals with diabetes (DM), using digital retinal images. Studies have indicated that diabetics have 1.5 times the annual risk of developing primary open angle glaucoma (POAG) as do people without DM. Moreover, DM patients have 1.8 times the risk for age-related macular degeneration (AMD). Although numerous investigators are developing automatic DR detection algorithms, there have been few successful efforts to create an automatic algorithm that can detect other ocular diseases, such as POAG and AMD. Consequently, our aim in the current study was to develop a comprehensive eye evaluation algorithm that not only detects DR in retinal images, but also automatically identifies glaucoma suspects and AMD by integrating other personal medical information with the retinal features. The proposed system is fully automatic and provides the likelihood of each of the three eye disease. The system was evaluated in two datasets of 104 and 88 diabetic cases. For each eye, we used two non-mydriatic digital color fundus photographs (macula and optic disc centered) and, when available, information about age, duration of diabetes, cataracts, hypertension, gender, and laboratory data. Our results show that the combination of multimodal features can increase the AUC by up to 5%, 7%, and 8% in the detection of AMD, DR, and glaucoma respectively. Marked improvement was achieved when laboratory results were combined with retinal image features.

  17. The 2001 Comprehensive Review

    CERN Document Server

    Åkesson, T

    A new approach for CERN to monitor the LHC-experiments' technical and scientific progress was introduced last year: The Comprehensive Reviews. A significant fraction of the full LHCC committee is mobilized during two days to review the complete project status. This event took place for ATLAS during 2-3 of July this year. With a rather exhaustive program we presented our status in 39 talks. It was a demanding and close to impossible task for the referees to comprehend the ATLAS status by listening to this massive amount of information, but from the ATLAS point-of-view we judged it important that the referees were exposed to both the progress and the remaining problem areas. The referees were satisfied with our status; probably more so this year than last year. They judged the main critical issues to be: The schedules of the barrel toroid, the end-cap TRT, the LAr barrel and end-cap A, and the MDTs. The procurement of radiation hard electronics was also thought to be a critical issue. They were informed of ...

  18. Comprehensive facilities plan

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-09-01

    The Ernest Orlando Lawrence Berkeley National Laboratory`s Comprehensive Facilities Plan (CFP) document provides analysis and policy guidance for the effective use and orderly future development of land and capital assets at the Berkeley Lab site. The CFP directly supports Berkeley Lab`s role as a multiprogram national laboratory operated by the University of California (UC) for the Department of Energy (DOE). The CFP is revised annually on Berkeley Lab`s Facilities Planning Website. Major revisions are consistent with DOE policy and review guidance. Facilities planing is motivated by the need to develop facilities for DOE programmatic needs; to maintain, replace and rehabilitate existing obsolete facilities; to identify sites for anticipated programmatic growth; and to establish a planning framework in recognition of site amenities and the surrounding community. The CFP presents a concise expression of the policy for the future physical development of the Laboratory, based upon anticipated operational needs of research programs and the environmental setting. It is a product of the ongoing planning processes and is a dynamic information source.

  19. 综合性教学医院临床护士评判性思维的现状及其影响因素%Status of Critical Thinking of Clinical Nurses and Its Influencing Factors in Comprehensive Teaching Hospital

    Institute of Scientific and Technical Information of China (English)

    高美华

    2012-01-01

    Objective To explore the status of critical thinking of clinical nurses and its related factors in the comprehensive teaching hospital, so as to provide the evidence for improving the capacity of critical thinking of clinical nurses.Methods By stratified random sampling method, the status of critical thinking of 619 clinical nurses was surveyed and its related factors were analyzed accordingly.Results The average score of critical thinking of the clinical nurses was 27b.84 ± 29, 06.The scores of three dimensions of cognitive maturity,open-minded and to find the truth were positive.The scores in the clinical nurses of different age,nursing,nurses' education level and clinical departments were significantly different (P0.05).Age,nursing-education level,personality characterostics, work environment are clinical nurses the main factors of critical thinking.Conclusion The average score oi critical thinking in clinical nurses is at lower-middle level.Nursing managers must strengthen the cultivation of critical thinking ability of the clinical nurses.The clinical relevance of the education sectors are recommended to strengthen the education oi nurses in critical thinking during rational design of clinical continuing education and to create a work environment conducive to the development of critical thinking in an effort to improve the clinical nurses in critical thinking ability.%目的 探讨综合性教学医院临床护士评判性思维的现状及其影响因素,为提高护理人员评判性思维能力提供依据.方法 采用分层随机抽样方法对619名临床护理人员评判性思维现状进行调查,并分析其可能的影响因素.结果 临床护士评判性思维的平均得分为(275.84±29.06)分,其中认知成熟度、开放思想和寻找真相三个维度的得分为正性评判性思维.不同年龄、护龄、学历及临床科室间护士的得分差异有统计学意义(P0.05).结论 临床护士评判性思维的平均得分属于中等

  20. Impact of high quality nursing service on patient satisfaction in a second-class comprehensive hospital%优质护理服务对某二级综合医院住院患者满意度影响研究

    Institute of Scientific and Technical Information of China (English)

    肖素娟; 周彩云; 曾钰莲; 梁穗群; 李攀

    2014-01-01

    Objective To provide some references for improving the quality of nursing service investigating the impact of high quality nursing service on patient satisfaction in a second-class comprehensive hospital.Methods From May 2010,to August,2012,968 inpatients were investigated with patient satisfaction questionnaire and stratified random sampling method.Results The overall patient satisfaction 2010 to 2012 was over 90%.The scores of overall patient satisfaction and the patient satisfaction to technical service level and management level had stastical differences between different years (P < 0.05) and increased year by year.The patient satisfactions to registaiton introduction,service attitude,and nurses' operation skill were 87.82%,86.86%,and 87.82%,respectively,which were top 3 in 2010.The patient stisfactions to introduction of primary nurse,ward management,and observation of illness state(active patrol) were 52.88%,59.94%,and 64.74%,respectively,in 2010.All indexes of the patient satisfaction survey in 2012 were over 85%,with statistical differences comparing with those in 2010 (P < 0.05).Conclusions Being patient-centered,carrying out “the demonstration project of high quality nursing service”,implementing the basic nursing,improving medical environment,and strengthening the nurse-patient communication and nurses' high quality service concept are effective ways for improving patient satisfaction.%目的 调查优质护理服务对某二级综合医院住院患者满意度的影响,为提高护理服务质量提供依据.方法 以分层随机抽样的方式,采用患者满意度调查表对2010年5月至2012年8月968名住院患者进行调查.结果 2010年至2012年患者总体满意度在90%以上,不同年度患者对总体满意度、技术服务水平和管理水平满意度得分差异具有统计学意义(P<0.05),且呈逐年升高趋势;2010年患者满意度前三位是入院介绍(87.82%)、服务态度(86.86

  1. Enhancing our hospital with science and technology and taking people as basis

    Institute of Scientific and Technical Information of China (English)

    何忠正

    2004-01-01

    @@ The Drum Tower Hospital in Nanjing of Jiangsu Province is an ancient comprehensive hospital with a history of 112 years. It was founded in 1892 by the American-Canadian missionary W.E Macline. By the end of 1949, the hospital had owned 160 beds and had a staff of 242. It received 3667 inpatients and 78?@905 outpatients annually.

  2. A comprehensive hip fracture program reduces complication rates and mortality

    DEFF Research Database (Denmark)

    Pedersen, Susanne Juhl; Moltke, Finn Borgbjerg; Schousboe, B.

    2008-01-01

    OBJECTIVES: To evaluate the rate of postoperative complications, length of stay, and 1-year mortality before and after introduction of a comprehensive Multidisciplinary fast-track treatment and care program for hip fracture patients (the optimized program). DESIGN: Retrospective chart review...... with historical control. SETTING: Orthopedic ward (110 beds) at a university hospital (700 beds). PARTICIPANTS: Five hundred thirty-five consecutive patients aged 40 and older (94% >= 60) hospitalized for hip fracture between January 1, 2003, and March 3 1, 2004. Three hundred and thirty-six patients (70.3%) were...... tract infection (P mortality was 23% in the control group versus 12% in the intervention...

  3. Pragmatic Comprehension Development through Telecollaboration

    Science.gov (United States)

    Rafieyan, Vahid; Sharafi-Nejad, Maryam; Khavari, Zahra; Eng, Lin Siew; Mohamed, Abdul Rashid

    2014-01-01

    Pragmatic comprehension can be ideally developed through contact with target language speakers. This contact can be provided in English as Foreign Language contexts through telecollaboration. To test the actual effect of telecollaboration on the development of pragmatic comprehension, 30 Iranian undergraduates of English as a Foreign Language…

  4. Reading comprehension in Parkinson's disease.

    Science.gov (United States)

    Murray, Laura L; Rutledge, Stefanie

    2014-05-01

    Although individuals with Parkinson's disease (PD) self-report reading problems and experience difficulties in cognitive-linguistic functions that support discourse-level reading, prior research has primarily focused on sentence-level processing and auditory comprehension. Accordingly, the authors investigated the presence and nature of reading comprehension in PD, hypothesizing that (a) individuals with PD would display impaired accuracy and/or speed on reading comprehension tests and (b) reading performances would be correlated with cognitive test results. Eleven adults with PD and 9 age- and education-matched control participants completed tests that evaluated reading comprehension; general language and cognitive abilities; and aspects of attention, memory, and executive functioning. The PD group obtained significantly lower scores on several, but not all, reading comprehension, language, and cognitive measures. Memory, language, and disease severity were significantly correlated with reading comprehension for the PD group. Individuals in the early stages of PD without dementia or broad cognitive deficits can display reading comprehension difficulties, particularly for high- versus basic-level reading tasks. These reading difficulties are most closely related to memory, high-level language, and PD symptom severity status. The findings warrant additional research to delineate further the types and nature of reading comprehension impairments experienced by individuals with PD.

  5. Comprehension and Representation in Translation

    Institute of Scientific and Technical Information of China (English)

    徐玉萍

    2010-01-01

    Transhfion is the faithful rcpresentation in one language of the thought, content, feeling and style written in another language. It involves two processes: comprehension and representation. Correct comprehension is the base for adequate representation. Criteria for good representation lies in two points: the version should be faithful to the original, and the version should be as intelligible as possible.

  6. Principles for Classroom Comprehension Assessment.

    Science.gov (United States)

    Valencia, Sheila W.; Pearson, P. David

    1988-01-01

    Principles that should guide reading comprehension assessment include acknowledging the complexity of reading, focusing on orchestrating rather than isolating skills, regarding reading as a dynamic process, developing techniques that encourage student-teacher interactions, and using a variety of reading comprehension measures. The principles are…

  7. Comprehensive mathematics for computer scientists

    CERN Document Server

    Mazzola, Guerino; Weissmann, Jody

    2005-01-01

    This two-volume textbook Comprehensive Mathematics for the Working Computer Scientist is a self-contained comprehensive presentation of mathematics including sets, numbers, graphs, algebra, logic, grammars, machines, linear geometry, calculus, ODEs, and special themes such as neural networks, Fourier theory, wavelets, numerical.

  8. Basic Chad Arabic: Comprehension Texts.

    Science.gov (United States)

    Absi, Samir Abu; Sinaud, Andre

    This text, principally designed for use in a three-volume course on Chad Arabic, complements the pre-speech and active phases of the course in that it provides the answers to comprehension exercises students are required to complete during the course. The comprehension exercises require that students listen to an instructor or tape and write…

  9. Reading Strategies and Hypertext Comprehension

    Science.gov (United States)

    Salmeron, Ladislao, Canas, Jose J.; Kintsch, Walter; Fajardo, Immaculada

    2005-01-01

    The literature on assessing the cognitive processes involved in hypertext comprehension during the past 15 years has yielded contradictory results. In this article we explore a possible factor affecting this situation, mainly the fact that previous works did not control for the potential effects on comprehension of reading strategies in hypertext.…

  10. Hospital marketing revisited.

    Science.gov (United States)

    Costello, M M

    1987-05-01

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

  11. Indacaterol: a comprehensive review

    Directory of Open Access Journals (Sweden)

    Rossi A

    2013-07-01

    Full Text Available Andrea Rossi,1 Guido Polese2 1Pulmonary Unit, Cardiovascular and Thoracic Department, University and General Hospital, 2Pulmonary Service, Department of Rehabilitation, Verona, Italy Abstract: At present there is no cure for chronic obstructive pulmonary disease (COPD. However, some nonpharmacologic treatments, such as rehabilitation and lung volume reduction surgery, as well as pharmacologic intervention, can relieve some of the patient's symptoms and improve quality of life, while also reducing the rate of exacerbations and hospitalizations. There needs to be a paradigm shift away from the unjustified nihilistic approach to COPD towards considering it a preventable and treatable disease. After patients quit smoking and start to lead healthier lifestyles, long-acting bronchodilators, such as long-acting beta-adrenergic agents (LABA and long-acting antimuscarinic agents (LAMA, are recommended as the cornerstone of treatment for COPD, either as monotherapy or in combination. COPD is characterized by a reduced maximum expiratory flow and slow forced emptying of the lungs, which progress over time and are not completely reversible. In this condition, gas gets trapped in the lungs and pulmonary hyperinflation occurs. LABA and LAMA improve airway patency and deflate the lungs. Indacaterol is the first once-daily LABA approved for treatment of COPD, and is administered by inhalation through the Breezhaler® device. The speed of bronchodilation is similar to that with salbutamol (ie, about five minutes and longer (ie, 24 hours than that with traditional LABA, with the same 12-hour effect as salmeterol and formoterol, both of which require twice-daily administration. This is why indacaterol has been called the ‘‘ultra-LABA’’. On the one hand, the fast onset of action provides immediate relief of symptoms, and on the other, its constant 24-hour bronchodilation provides ‘‘pharmacologic stenting’’ which facilitates lung emptying, thereby

  12. Delirium in Australian Hospitals: A Prospective Study

    Directory of Open Access Journals (Sweden)

    C. Travers

    2013-01-01

    Full Text Available Objectives. Australian data regarding delirium in older hospitalized patients are limited. Hence, this study aimed to determine the prevalence and incidence of delirium among older patients admitted to Australian hospitals and assess associated outcomes. Method. A prospective observational study (n=493 of patients aged ≥70 years admitted to four Australian hospitals was undertaken. Trained research nurses completed comprehensive geriatric assessments using standardized instruments including the Confusion Assessment Method to assess for delirium. Nurses also visited the wards daily to assess for incident delirium and other adverse outcomes. Diagnoses of dementia and delirium were established through case reviews by independent physicians. Results. Overall, 9.7% of patients had delirium at admission and a further 7.6% developed delirium during the hospital stay. Dementia was the most important predictor of delirium at (OR=3.18, 95% CI: 1.65–6.14 and during the admission (OR=4.82; 95% CI: 2.19–10.62. Delirium at and during the admission predicted increased in-hospital mortality (OR=5.19, 95% CI: 1.27–21.24; OR=31.07, 95% CI: 9.30–103.78. Conclusion. These Australian data confirm that delirium is a common and serious condition among older hospital patients. Hospital clinicians should maintain a high index of suspicion for delirium in older patients.

  13. Comprehensive sequential interventional therapy for hepatocellular carcinoma

    Institute of Scientific and Technical Information of China (English)

    ZHANG Liang; FAN Wei-jun; HUANG Jin-hua; LI Chuan-xing; ZHAO Ming; WANG Li-gang; TANG Tian

    2009-01-01

    Background Since the 1980s, various approaches to interventional therapy have been developed, with the development and achievement of medical imaging technology. This study aimed to evaluate the effectiveness of comprehensive sequential interventional therapy especially personal therapeutic plan in 53 radical cure patients with hepatocellular carcinoma (HCC).Methods From January 2003 to January 2005, a total of 203 patients with HCC received sequential interventional treatment in our hospital. Fifty-three patients achieved radical cure outcomes. Those patients were treated with transcatheter arterial chemoembolization (TACE), radiofrequency ablation (RFA), percutaneous ethanol injection (PEI), or high intensity focused ultrasound (HIFU), sequentially and in combination depending on their clinical and pathological features. PET-CT was used to evaluate, assess, and guide treatment.Results Based on the imaging and serological data, all the patients had a personal therapeutic plan. The longest follow-up time was 24 months, the shortest was 6 months, and mean survival time was 16.5 months.Conclusion Comprehensive sequential interventional therapy especially personal therapeutic plan for HCC play roles in interventional treatment of HCC in middle or advanced stage.

  14. Pediatric blunt splenic trauma: a comprehensive review

    Energy Technology Data Exchange (ETDEWEB)

    Lynn, Karen N.; Werder, Gabriel M.; Callaghan, Rachel M.; Jafri, Zafar H. [William Beaumont Hospital, Department of Diagnostic Radiology, Royal Oak, MI (United States); Sullivan, Ashley N. [St. George' s University School of Medicine, Grenada, West Indies (Grenada); Bloom, David A. [William Beaumont Hospital, Department of Diagnostic Radiology, Royal Oak, MI (United States); William Beaumont Hospital, Section of Pediatric Radiology, Department of Radiology, Royal Oak, MI (United States)

    2009-09-15

    Abdominal trauma is a leading cause of death in children older than 1 year of age. The spleen is the most common organ injured following blunt abdominal trauma. Pediatric trauma patients present unique clinical challenges as compared to adults, including different mechanisms of injury, physiologic responses, and indications for operative versus nonoperative management. Splenic salvage techniques and nonoperative approaches are preferred to splenectomy in order to decrease perioperative risks, transfusion needs, duration/cost of hospitalization, and risk of overwhelming postsplenectomy infection. Early and accurate detection of splenic injury is critical in both adults and children; however, while imaging findings guide management in adults, hemodynamic stability is the primary determinant in pediatric patients. After initial diagnosis, the primary role of imaging in pediatric patients is to determine the level and duration of care. We present a comprehensive literature review regarding the mechanism of injury, imaging, management, and complications of traumatic splenic injury in pediatric patients. Multiple patients are presented with an emphasis on the American Association for the Surgery of Trauma organ injury grading system. Clinical practice guidelines from the American Pediatric Surgical Association are discussed and compared with our experience at a large community hospital, with recommendations for future practice guidelines. (orig.)

  15. Indacaterol: a comprehensive review.

    Science.gov (United States)

    Rossi, Andrea; Polese, Guido

    2013-01-01

    At present there is no cure for chronic obstructive pulmonary disease (COPD). However, some nonpharmacologic treatments, such as rehabilitation and lung volume reduction surgery, as well as pharmacologic intervention, can relieve some of the patient's symptoms and improve quality of life, while also reducing the rate of exacerbations and hospitalizations. There needs to be a paradigm shift away from the unjustified nihilistic approach to COPD towards considering it a preventable and treatable disease. After patients quit smoking and start to lead healthier lifestyles, long-acting bronchodilators, such as long-acting beta-adrenergic agents (LABA) and long-acting antimuscarinic agents (LAMA), are recommended as the cornerstone of treatment for COPD, either as monotherapy or in combination. COPD is characterized by a reduced maximum expiratory flow and slow forced emptying of the lungs, which progress over time and are not completely reversible. In this condition, gas gets trapped in the lungs and pulmonary hyperinflation occurs. LABA and LAMA improve airway patency and deflate the lungs. Indacaterol is the first once-daily LABA approved for treatment of COPD, and is administered by inhalation through the Breezhaler® device. The speed of bronchodilation is similar to that with salbutamol (ie, about five minutes) and longer (ie, 24 hours) than that with traditional LABA, with the same 12-hour effect as salmeterol and formoterol, both of which require twice-daily administration. This is why indacaterol has been called the "ultra-LABA". On the one hand, the fast onset of action provides immediate relief of symptoms, and on the other, its constant 24-hour bronchodilation provides "pharmacologic stenting" which facilitates lung emptying, thereby decreasing trapped gas and pulmonary hyperinflation. Once-daily administration of a fast and long-acting bronchodilator can improve patient adherence with therapy, which is known to be a major problem for many medical treatments

  16. Hospitable Classrooms: Biblical Hospitality and Inclusive Education

    Science.gov (United States)

    Anderson, David W.

    2011-01-01

    This paper contributes to a Christian hermeneutic of special education by suggesting the biblical concept of hospitality as a necessary characteristic of classroom and school environments in which students with disabilities and other marginalized students can be effectively incorporated into the body of the classroom. Christian hospitality, seen…

  17. Cultural Schema and Reading Comprehension

    Institute of Scientific and Technical Information of China (English)

    TanFuhong

    2004-01-01

    This paper is mainly focused on the examination of the role of cultural schema in readinghow the cultural schemacomprehension, in particular,helps or impedes reading comprehension; most important of all, the implications for teaching reading in China.

  18. Paraphrasing: An Effective Comprehension Strategy

    Science.gov (United States)

    Kletzien, Sharon B.

    2009-01-01

    Paraphrasing, somewhat different from retelling and summarizing, helps students monitor their understanding and incorporate new knowledge with what they already know about a topic. Paraphrasing helps students realize that comprehension is the goal of reading.

  19. Comprehensive Error Rate Testing (CERT)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Centers for Medicare and Medicaid Services (CMS) implemented the Comprehensive Error Rate Testing (CERT) program to measure improper payments in the Medicare...

  20. Comprehensive Benefits Evaluation of Clinical Departments in Oncology-special Hospital by Data Envelopment Analysis%应用数据包络分析方法评价肿瘤专科医院临床科室综合效益

    Institute of Scientific and Technical Information of China (English)

    喻达; 刘尚梅; 邱亭林; 赫捷

    2013-01-01

    [Purpose] To establish the evaluating indicators' system of comprehensive benefits for clinical departments in oncology-special hospital,in order to provide the reference for utilization efficiency of clinical resource and management level.[Methods] Literature analysis and experts consulting was used to assess the percentage of various costs in each department.The linear regression was applied to explore the impact of human resource/equipment material/drugs/management costs and depreciation of fixed assets on the annual income.Benefit efficiency was calculated by the Data Envelopment Analysis (DEA).[Results] Drugs costs accounted the largest proportion of the five costs.The cost recovery rates of the seven clinical departments present the phenomenon of total revenue was more than the costs,with the figure was more than 1.The cost recovery rate of Dep.F was far more than the others.The coefficient of determination was 0.972(F=203.258,P<0.001).Human costs,equipment material costs and drugs costs made up the most proportion.Dept.A and C had optimal efficiency of all the departments.Dept.G had a relatively lower benefits.Dept.D,E and F had a larger scale,but with the lowest benefits.[Conclusion] The cost of drugs should be the key point of management.Investment phenomenon of surplus or insufficient output exists in partial clinical departments.The scale of some clinical departments should be diminished and input be reduced.%[目的]建立肿瘤专科医院临床科室综合效益评价指标体系,为提升临床科室医疗资源利用效率和管理水平提供参考.[方法]应用文献研究和专家咨询的形式评估各类成本在科室所占比例.用线性回归分析人力成本、医疗成本、药品成本、管理保障成本和固定资产折旧这5类成本对总收入的影响.数据包络分析方法进行临床科室的规模效益分析.[结果]5类成本中,药品成本在各临床科室所占比重最大,各科室成本回收率均>1,说明

  1. Analysis of the newly tuberculosis and investigation the awareness on the prevention and treatment from tuberculosis patients in a comprehensive hospital of Chongqing%重庆某综合医院新发结核病及结核防治知晓度调查

    Institute of Scientific and Technical Information of China (English)

    罗虎; 祝冰晶; 周向东; 宫亮; 胡建林; 杨和平

    2014-01-01

    characteristics of 648 newly and 434 old TB patients from Sep-tember 2011 to September 2012 ,diagnostic information ,the awareness on the prevention and treantment ,drug use situation and so on .Results Among these patients ,most of them were males(60 .2% ) ,the middle age and the young were the majority (77 .8% ) , the disease areas were mainly rural ones (61 .6% ) ,and manual workers (65 .4% ) ,secondary pulmonary TB was in the majority (72 .8% ) ,40 .0% (52/130) of the patients with TB pleuritis were accompanied by pulmonary TB .TB patients usually combined with pneumonoconiosis(8 .0% ) ,diabetes(3 .6% ) ,asthma(4 .3% ) and some other fundamental diseases .The old TB patients had more prevention and treatment knowledge about TB than those newly patients (P<0 .05) .The major source of newly patients about the knowledge were mainly from their relatives and friends (30 .3% ) ,whereas the old patients from teaching of medical care (36 .9% ) .The main reasons for irregular usage of medicine came from the lack of knowledge about the course period of treatment (45 .3% ) ,and the disappearing of TB symptoms (30 .8% ) .Conclusion In the less developed rural areas ,the young and middle aged males who mainly done physical work were the majority patients .These newly patients have little prevention and treatment knowledge about TB .Comprehensive hospitals played an important role in transmission of TB knowledge .In the process of educa-tion ,we should pay special attention on the following less known but essential points :mode of transmission ,protective measures , course period of treatment ,monitoring side effect ,giving out free medicine ,and the prognosis of TB .

  2. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority.

  3. The Hospitable Meal Model

    DEFF Research Database (Denmark)

    Justesen, Lise; Overgaard, Svend Skafte

    2017-01-01

    This article presents an analytical model that aims to conceptualize how meal experiences are framed when taking into account a dynamic understanding of hospitality: the meal model is named The Hospitable Meal Model. The idea behind The Hospitable Meal Model is to present a conceptual model...... that can serve as a frame for developing hospitable meal competencies among professionals working within the area of institutional foodservices as well as a conceptual model for analysing meal experiences. The Hospitable Meal Model transcends and transforms existing meal models by presenting a more open......-ended approach towards meal experiences. The underlying purpose of The Hospitable Meal Model is to provide the basis for creating value for the individuals involved in institutional meal services. The Hospitable Meal Model was developed on the basis of an empirical study on hospital meal experiences explored...

  4. Staph infections - hospital

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000449.htm Staph infections - hospital To use the sharing features on this page, ... one person to another. Staph Infections in the Hospital Staph germs are mostly spread by skin-to- ...

  5. Hospital Compare - Archived Data

    Data.gov (United States)

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

  6. HCAHPS Hospital Survey

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Hospital Survey The intent of the HCAHPS initiative is to provide a standardized survey...

  7. General surgery at rural Tennessee hospitals: a survey of rural Tennessee hospital administrators.

    Science.gov (United States)

    Cofer, Joseph B; Petros, Tommy J; Burkholder, Hans C; Clarke, P Chris

    2011-07-01

    Rural communities face an impending surgical workforce crisis. The purpose of this study is to describe perceptions of rural Tennessee hospital administrators regarding the importance of surgical services to their hospitals. In collaboration with the Tennessee Hospital Association, we developed and administered a 13-item survey based on a recently published national survey to 80 rural Tennessee hospitals in August 2008. A total of 29 responses were received for an overall 36.3 per cent response rate. Over 44 per cent of rural surgeons were older than 50 years of age, and 27.6 per cent of hospitals reported they would lose at least one surgeon in the next 2 years. The responding hospitals reported losing 10.4 per cent of their surgical workforce in the preceding 2 years. Over 53 per cent were actively recruiting a general surgeon with an average time to recruit a surgeon of 11.8 months. Ninety-seven per cent stated that having a surgical program was very important to their financial viability with the mean and median reported revenue generated by a single general surgeon being $1.8 million and $1.4 million, respectively. Almost 11 per cent of the hospitals stated they would have to close if they lost surgical services. Although rural Tennessee hospitals face similar difficulties to national rural hospitals with regard to retaining and hiring surgeons, slightly more Tennessee hospitals (54 vs 36%) were actively attempting to recruit a general surgeon. The shortage of general surgeons is a threat to the accessibility of comprehensive hospital-based care for rural Tennesseans.

  8. Prevalence of malnutrition in a tertiary care hospital in India

    OpenAIRE

    2013-01-01

    Introduction: Malnutrition adversely affects clinical outcome of hospitalized patients. This observational prospective study was done to assess the prevalence of malnutrition and its grade among patients admitted in a mixed intensive care unit (ICU) of a tertiary care hospital in order to help devise a comprehensive nutrition program for the malnourished. Materials and Methods: A total of 500 sequential patients admitted to the ICU were screened on admission over a year period for malnutritio...

  9. Hospital information systems: experience at the fully digitized Seoul National University Bundang Hospital

    Science.gov (United States)

    Yoo, Sooyoung; Hwang, Hee

    2016-01-01

    The different levels of health information technology (IT) adoption and its integration into hospital workflow can affect the maximization of the benefits of using of health IT. We aimed at sharing our experiences and the journey to the successful adoption of health IT over 13 years at a tertiary university hospital in South Korea. The integrated system of comprehensive applications for direct care, support care, and smart care has been implemented with the latest IT and a rich user information platform, achieving the fully digitized hospital. The users experience design methodology, barcode and radio-frequency identification (RFID) technologies, smartphone and mobile technologies, and data analytics were integrated into hospital workflow. Applications for user-centered electronic medical record (EMR) and clinical decision support (CDS), closed loop medication administration (CLMA), mobile EMR and dashboard system for care coordination, clinical data warehouse (CDW) system, and patient engagement solutions were designed and developed to improve quality of care, work efficiency, and patient safety. We believe that comprehensive electronic health record systems and patient-centered smart hospital applications will go a long way in ensuring seamless patient care and experience. PMID:27651940

  10. Hospital information systems: experience at the fully digitized Seoul National University Bundang Hospital.

    Science.gov (United States)

    Yoo, Sooyoung; Hwang, Hee; Jheon, Sanghoon

    2016-08-01

    The different levels of health information technology (IT) adoption and its integration into hospital workflow can affect the maximization of the benefits of using of health IT. We aimed at sharing our experiences and the journey to the successful adoption of health IT over 13 years at a tertiary university hospital in South Korea. The integrated system of comprehensive applications for direct care, support care, and smart care has been implemented with the latest IT and a rich user information platform, achieving the fully digitized hospital. The users experience design methodology, barcode and radio-frequency identification (RFID) technologies, smartphone and mobile technologies, and data analytics were integrated into hospital workflow. Applications for user-centered electronic medical record (EMR) and clinical decision support (CDS), closed loop medication administration (CLMA), mobile EMR and dashboard system for care coordination, clinical data warehouse (CDW) system, and patient engagement solutions were designed and developed to improve quality of care, work efficiency, and patient safety. We believe that comprehensive electronic health record systems and patient-centered smart hospital applications will go a long way in ensuring seamless patient care and experience.

  11. Medicare Hospital Spending Per Patient - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — The "Medicare hospital spending per patient (Medicare Spending per Beneficiary)" measure shows whether Medicare spends more, less or about the same per Medicare...

  12. Towards the collaborative hospital

    DEFF Research Database (Denmark)

    Prætorius, Thim; Hasle, Peter; Edwards, Kasper;

    2015-01-01

    of the collaborative hospital concern the creation of an appropriate balance between standardization and local autonomy, shared purpose centred around providing the best possible care, and use of enabling structures that sustain the new ways of collaborative work. The chapter builds on the theoretical framework...... for the collaborative hospital as new organizational form which is better equipped to respond to the challenges facing modern hospitals. The collaborative hospital is an ambidextrous organization that opens for pursuing both exploration and exploitation within the same organizational structure. The basic principles...... of the collaborative organization which is used for a discussion of theoretical and empirical aspects of the collaborative hospital....

  13. Interruptions: Derrida and Hospitality

    Directory of Open Access Journals (Sweden)

    Mark W. Westmoreland

    2008-06-01

    Full Text Available Come in. Welcome. Be my guest and I will be yours. Shall we ask, in accordance with the Derridean question, "Is not hospitality an interruption of the self?" What is the relationship between the interruption and the moment one enters the host's home? Derrida calls us toward a new understanding of hospitality - as an interruption. This paper will illuminate the history of hospitality in the West as well as trace Derrida's discussions of hospitality throughout many of works. The overall goal of this project is to provide readers of Derrida with a sort of reference guide for his discussions on and deconstructive approach to hospitality.

  14. Health information management for research and quality assurance: the Comprehensive Renal Transplant Research Information System.

    Science.gov (United States)

    Famure, Olusegun; Phan, Nicholas Anh-Tuan; Kim, Sang Joseph

    2014-01-01

    The Kidney Transplant Program at the Toronto General Hospital uses numerous electronic health record platforms housing patient health information that is often not coded in a systematic manner to facilitate quality assurance and research. To address this, the comprehensive renal transplant research information system was conceived by a multidisciplinary healthcare team. Data analysis from comprehensive renal transplant research information system presented at programmatic retreats, scientific meetings, and peer-reviewed manuscripts contributes to quality improvement and knowledge in kidney transplantation.

  15. Optimising Comprehensibility in Interlingual Translation

    DEFF Research Database (Denmark)

    Nisbeth Jensen, Matilde

    2015-01-01

    . It is argued that Plain Language writing is a type of intralingual translation as it involves rewriting or translating a complex monolingual text into comprehensible language. Based on Plain Language literature, a comprehensibility framework is elaborated, which is subsequently exemplified through...... the functional text type of Patient Information Leaflet. Finally, the usefulness of applying the principles of Plain Language and intralingual translation for optimising comprehensibility in interlingual translation is discussed....... information on medication and tax information. Such texts are often written by experts and received by lay people, and, in today’s globalised world, they are often translated as well. In these functional texts, the receiver is not a mere recipient of information, but s/he needs to be able to act upon it...

  16. ELEMENTAL FORMS OF HOSPITALITY

    Directory of Open Access Journals (Sweden)

    Maximiliano Emanuel Korstanje

    2010-11-01

    Full Text Available Modern studies emphasized on the needs of researching the hospitality as relevant aspects of tourism and hospitality fields. Anyway, these approaches are inextricably intertwined to the industry of tourism and do not take seriously the anthropological and sociological roots of hospitality. In fact, the hotel seems to be a partial sphere of hospitality at all. Under this context, the present paper explores the issue of hospitality enrooted in the political and economic indo-European principle of free-transit which is associated to a much broader origin.  Starting from the premise etymologically hostel and hospital share similar origins, we follow the contributions of J Derrida to determine the elements that formed the hospitality up to date.

  17. M programming a comprehensive guide

    CERN Document Server

    Walters, Richard

    1997-01-01

    M Programming: A Comprehensive Guide is a complete update to ABCs of MUMPS. While ABCs of MUMPS was an introduction for novice and intermediate M programmers, M Programming: A Comprehensive Guide has a new section containing advanced material. This new section addresses features such as transaction processing, networking, structured system variables, and interfaces to other standards. Five new chapters have been added, covering an overview of M for readers familiar with other languages; M and the Windows environment; interaction between M and the underlying system; transaction processing; inte

  18. Analysis of Shahid Rajaee hospital administrative data on injuries resulting from car accidents in Shiraz, Iran: 2011–2014 data

    Directory of Open Access Journals (Sweden)

    Mahnaz Yadollahi

    2017-02-01

    Conclusion: Hospital administrative databases of this hospital could be used as reliable sources of information in providing epidemiologic reports of car accidents in terms of severity and outcomes. Improving the quality of recordings at hospital databases is an important initial step towards more comprehensive injury surveillance in Fars, Iran.

  19. Lean in healthcare: A comprehensive review.

    Science.gov (United States)

    D'Andreamatteo, Antonio; Ianni, Luca; Lega, Federico; Sargiacomo, Massimo

    2015-09-01

    Lean seems to be the next revolution for a better, improved, value-based healhcare. In the last 15 years Lean has been increasingly adapted and adopted in healthcare. Accordingly, Lean healthcare has been developing into a major strand of research since the early 2000s. The aim of this work is to present a comprehensive overview of the main issues highlighted by research on implementation of Lean in a complex contest such as the healthcare one. Comprehensive literature review was conducted in order to identify empirical and theoretical articles published up to September 2013. Thematic analysis was performed in order to extract and synthesis data. 243 articles were selected for analysis. Lean is best understood as a means to increase productivity. Hospital is the more explored setting, with emergency and surgery as the pioneer departments. USA appears to be the leading country for number of applications. The theoretical works have been focused mainly on barriers, challenges and success factors. Sustainability, framework for measurement and critical appraisal remain underestimated themes. Evaluations of "system wide approach" are still low in number. Even though Lean results appear to be promising, findings so far do not allow to draw a final word on its positive impacts or challenges when introduced in the healthcare sector. Scholars are called to explore further the potentiality and the weaknesses of Lean, above all as for the magnitude of investments required and for the engagement of the whole organization it represents increasingly strategic choice, whilst health professionals, managers and policy makers could and should learn from research how to play a pivotal role for a more effective implementation of lean in different health contexts. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  20. The Translation Problems of English Reading Comprehension

    Institute of Scientific and Technical Information of China (English)

    黄蓓

    2013-01-01

    In the process of learning English, reading comprehension is a very important part. Firstly, the paper analyzes the trans-lation’s role in reading comprehension. Secondly, it considers translation could enhance English reading comprehension. Thirdly, it mainly discusses the translation problem and skills of English Reading Comprehension.

  1. Hospital diversification strategy.

    Science.gov (United States)

    Eastaugh, Steven R

    2014-01-01

    To determine the impact of health system restructuring on the levels of hospital diversification and operating ratio this article analyzed 94 teaching hospitals and 94 community hospitals during the period 2008-2013. The 47 teaching hospitals are matched with 47 other teaching hospitals experiencing the same financial market position in 2008, but with different levels of preference for risk and diversification in their strategic plan. Covariates in the analysis included levels of hospital competition and the degree of local government planning (for example, highly regulated in New York, in contrast to Texas). Moreover, 47 nonteaching community hospitals are matched with 47 other community hospitals in 2008, having varying manager preferences for service-line diversification and risk. Diversification and operating ratio are modeled in a two-stage least squares (TSLS) framework as jointly dependent. Institutional diversification is found to yield better financial position, and the better operating profits provide the firm the wherewithal to diversify. Some services are in a growth phase, like bariatric weight-loss surgery and sleep disorder clinics. Hospital managers' preferences for risk/return potential were considered. An institution life cycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification, and divestiture, occasionally leading to closure or merger.

  2. Neuroimaging Evidence of Comprehension Monitoring

    Directory of Open Access Journals (Sweden)

    Linda Baker

    2014-04-01

    Full Text Available The purpose of this article is to synthesize the emerging neuroimaging literature that reveals how the brain responds when readers and listeners encounter texts that demand monitoring of their ongoing comprehension processes. Much of this research has been undertaken by cognitive scientists who do not frame their work in metacognitive terms, and therefore it is less likely to be familiar to psychologists who study metacognition in educational contexts. The important role of metacognition in the development and use of academic skills is widely recognized. Metacognition is typically defined as the awareness and control of one's own cognitive processes. In the domain of reading, the most important metacognitive skill is comprehension monitoring, the evaluation and regulation of comprehension. Readers who monitor their understanding realize when they have encountered difficulty making sense of the text, and they apply error correction procedures to attempt to resolve the difficulty. Metacognition depends on executive control skills that continue to develop into early adulthood, in parallel with the maturation of the executive control regions of the prefrontal cortex. Functional magnetic resonance imaging (fMRI and event-related potentials (ERP have been used for some time to study neural correlates of basic reading processes such as word identification, but it is only within recent years that researchers have turned to the higher-level processes of text comprehension. The article describes illustrative studies that reveal changes in neural activity when adults apply lexical, syntactic, or semantic standards to evaluate their understanding.

  3. Expectation-based syntactic comprehension.

    Science.gov (United States)

    Levy, Roger

    2008-03-01

    This paper investigates the role of resource allocation as a source of processing difficulty in human sentence comprehension. The paper proposes a simple information-theoretic characterization of processing difficulty as the work incurred by resource reallocation during parallel, incremental, probabilistic disambiguation in sentence comprehension, and demonstrates its equivalence to the theory of Hale [Hale, J. (2001). A probabilistic Earley parser as a psycholinguistic model. In Proceedings of NAACL (Vol. 2, pp. 159-166)], in which the difficulty of a word is proportional to its surprisal (its negative log-probability) in the context within which it appears. This proposal subsumes and clarifies findings that high-constraint contexts can facilitate lexical processing, and connects these findings to well-known models of parallel constraint-based comprehension. In addition, the theory leads to a number of specific predictions about the role of expectation in syntactic comprehension, including the reversal of locality-based difficulty patterns in syntactically constrained contexts, and conditions under which increased ambiguity facilitates processing. The paper examines a range of established results bearing on these predictions, and shows that they are largely consistent with the surprisal theory.

  4. Electroconvulsive Therapy: A Comprehensive Assessment

    Directory of Open Access Journals (Sweden)

    Tayfun Zeren

    2003-08-01

    Full Text Available Electroconvulsive therapy (ECT is one of the most important discoveries of psychiatric treatments. This article comprehensively assesses historical progress, mechanism of actions, practical methods, indications, side effects, complications, drug interactions of ECT and attitudes towards ECT. [Archives Medical Review Journal 2003; 12(4.000: 340-377

  5. A Comprehensive General Chemistry Demonstration

    Science.gov (United States)

    Sweeder, Ryan D.; Jeffery, Kathleen A.

    2013-01-01

    This article describes the use of a comprehensive demonstration suitable for a high school or first-year undergraduate introductory chemistry class. The demonstration involves placing a burning candle in a container adjacent to a beaker containing a basic solution with indicator. After adding a lid, the candle will extinguish and the produced…

  6. Metacomprehension during Rare Word Comprehension

    Science.gov (United States)

    Mcginnis, Debra; Saunders, Nikola N.; Burns, Ryan J.

    2007-01-01

    To examine metacomprehension during comprehension, undergraduates (n = 133) were asked to provide descriptions of how they determined the meaning of four rare words presented in short passages. Content analysis of these written descriptions revealed task-specific metacomprehension reflecting lexical, textbase, and situation model processes.…

  7. Comprehensive dictionary of electrical engineering

    CERN Document Server

    Laplante, Philip A

    1998-01-01

    The Comprehensive Dictionary of Electrical Engineering is a complete lexicon covering all the fields of electrical engineering.Areas examined include:applied electrical engineeringmicrowave engineeringcontrol engineeringpower engineeringdigital systems engineeringdevice electronicsand much more! The book provides workable definitions for practicing engineers, serves as a reference and research tool for students, and offers practical information for scientists and engineers in other disciplines.

  8. Content Schemata and Reading Comprehension

    Institute of Scientific and Technical Information of China (English)

    LiKe

    2004-01-01

    For students of non-English majors in China, reading ability has been considered as one of the most important skills that they should acquire. However, teachers of English often complain that students reading in English seem to read with less comprehension and slower speed than expected. It is true that their failure is due to inadequate knowledge of vocabulary and

  9. A Comprehensive General Chemistry Demonstration

    Science.gov (United States)

    Sweeder, Ryan D.; Jeffery, Kathleen A.

    2013-01-01

    This article describes the use of a comprehensive demonstration suitable for a high school or first-year undergraduate introductory chemistry class. The demonstration involves placing a burning candle in a container adjacent to a beaker containing a basic solution with indicator. After adding a lid, the candle will extinguish and the produced…

  10. Memory mechanisms supporting syntactic comprehension

    Science.gov (United States)

    Waters, Gloria

    2013-01-01

    Efforts to characterize the memory system that supports sentence comprehension have historically drawn extensively on short-term memory as a source of mechanisms that might apply to sentences. The focus of these efforts has changed significantly in the past decade. As a result of changes in models of short-term working memory (ST-WM) and developments in models of sentence comprehension, the effort to relate entire components of an ST-WM system, such as those in the model developed by Baddeley (Nature Reviews Neuroscience 4: 829–839, 2003) to sentence comprehension has largely been replaced by an effort to relate more specific mechanisms found in modern models of ST-WM to memory processes that support one aspect of sentence comprehension—the assignment of syntactic structure (parsing) and its use in determining sentence meaning (interpretation) during sentence comprehension. In this article, we present the historical background to recent studies of the memory mechanisms that support parsing and interpretation and review recent research into this relation. We argue that the results of this research do not converge on a set of mechanisms derived from ST-WM that apply to parsing and interpretation. We argue that the memory mechanisms supporting parsing and interpretation have features that characterize another memory system that has been postulated to account for skilled performance—long-term working memory. We propose a model of the relation of different aspects of parsing and interpretation to ST-WM and long-term working memory. PMID:23319178

  11. Innovation Learning in Comprehensive Education?

    Science.gov (United States)

    Lindfors, Eila; Hilmola, Antti

    2016-01-01

    The goal of this article is to clarify the concept of innovation and by presenting a research on the basic education outcome assessment data from an innovation learning perspective, answer to a question: Do students learn innovation in comprehensive education? The empirical information in this research is based on data collected in the national…

  12. Constraint Programming for Context Comprehension

    DEFF Research Database (Denmark)

    Christiansen, Henning

    2014-01-01

    of knowledge. The language of Constraint Handling Rules, CHR, is suggested for defining constraint solvers that reflect “world knowledge” for the given domain, and driver algorithms may be ex- pressed in Prolog or additional rules of CHR. It is argued that this way of doing context comprehension is an instance...

  13. Assessment Format and Comprehension Performance.

    Science.gov (United States)

    Seda, Ileana

    In response to the tradition of examining a new test's validity by comparing it with a well-established multiple-choice test, a study investigated whether multiple-choice tests with one right answer can measure the reading comprehension process as defined by constructivists. The study compared the information obtained from two different…

  14. A staff support programme for rural hospitals in Nepal.

    Science.gov (United States)

    Zimmerman, Mark; Shah, Sharada; Shakya, Rabina; Sundar Chansi, Bal; Shah, Kashim; Munday, Daniel; Eyal, Nir; Hayes, Bruce

    2016-01-01

    District hospitals in Nepal struggle to provide essential services such as caesarean sections. Retention of health workers is critical to the delivery of long-term, quality health-care services. To promote retention and enhance performance in rural public hospitals, the Government of Nepal and the Nick Simons Institute progressively implemented a rural staff support programme in remote hospitals. After competitive selection for a compulsory-service scholarship and training, family practice doctors who could do basic surgery, orthopaedics and obstetrics were hired under a binding three-year contract in each participating hospital. Comfortable living quarters and an Internet connection were provided for the resident doctors; in-service training for all staff and capacity development for each hospital's management committee were provided. Nepal's mountainous landscape, poverty and inequitable rural/urban distribution of health workers pose barriers to adequate health care. Between 2011 and 2015 family practice doctors were maintained in all seven programme hospitals. All hospitals became providers of comprehensive emergency obstetric care and served more patients. Compared with hospitals not within the programme, deliveries increased significantly (203% versus 71% increase, respectively; P = 0.002). The programme recently expanded to 14 hospitals. A package of human resource supports can improve the retention of doctors and the use of remote hospitals. Factors contributing to the success of this programme were compulsory-service scholarship, central personnel management, performance-based incentives and the provision of comfortable living quarters.

  15. [Hospital financing in 2016. Relevant changes for rheumatology].

    Science.gov (United States)

    Fiori, W; Bunzemeier, H; Lakomek, H-J; Buscham, K; Lehmann, H; Fuchs, A-K; Bessler, F; Roeder, N

    2016-03-01

    Hospital financing 2016 will be influenced by the prospects of the approaching considerable changes. It is assumed that the following years will lead to a considerable reallocation of financial resources between hospitals. While not directly targeted by new regulations, reallocations always also affect specialties like rheumatology. Compared to the alterations in the legislative framework the financial effects of the yearly adaptation of the German diagnosis-related groups system are subordinate. Only by comprehensive consideration of current and expected changes a forward-looking and sustainable strategy can be developed. The following article presents the relevant changes and discusses the consequences for hospitals specialized in rheumatology.

  16. Strategic planning processes and hospital financial performance.

    Science.gov (United States)

    Kaissi, Amer A; Begun, James W

    2008-01-01

    Many common management practices in healthcare organizations, including the practice of strategic planning, have not been subject to widespread assessment through empirical research. If management practice is to be evidence-based, evaluations of such common practices need to be undertaken. The purpose of this research is to provide evidence on the extent of strategic planning practices and the association between hospital strategic planning processes and financial performance. In 2006, we surveyed a sample of 138 chief executive officers (CEOs) of hospitals in the state of Texas about strategic planning in their organizations and collected financial information on the hospitals for 2003. Among the sample hospitals, 87 percent reported having a strategic plan, and most reported that they followed a variety of common practices recommended for strategic planning-having a comprehensive plan, involving physicians, involving the board, and implementing the plan. About one-half of the hospitals assigned responsibility for the plan to the CEO. We tested the association between these planning characteristics in 2006 and two measures of financial performance for 2003. Three dimensions of the strategic planning process--having a strategic plan, assigning the CEO responsibility for the plan, and involving the board--are positively associated with earlier financial performance. Further longitudinal studies are needed to evaluate the cause-and-effect relationship between planning and performance.

  17. Toward a New Relation of Hospitality in the Academy

    Science.gov (United States)

    Kuokkanen, Rauna

    2003-01-01

    In this article the author proposes some thoughts for working toward academic hospitality that would enable the recognition of Indigenous epistemologies in an appropriate manner. These suggestions will always remain partial and are by no means intended to be taken as a comprehensive, exhaustive consideration of possible measures. To suggest…

  18. [Water hygiene in hospitals].

    Science.gov (United States)

    Kerwat, Klaus; Wulf, Hinnerk

    2013-10-01

    As a general rule drinking water in hospitals does not represent a risk for the normal patient. However, for high-risk patients with compromised immune defense systems drinking water in hospitals may become a source of nosocomial infections. It may be contaminated with microorganisms that may have the potential to be infectious agents in the hospital environment. Of particular significance in such circumstances are the Gram-negative rods such as Pseudomonas aeruginosa, Acinetobacter spp. and Legionella bacteria. Accordingly, specific behavior patterns and measures in the handling of drinking water in hospitals are meaningful in order to reduce the risks of water-associated nosocomial infections.

  19. Moments of hospitality

    DEFF Research Database (Denmark)

    Justesen, Lise; Gyimóthy, Szilvia; Mikkelsen, Bent Egberg

    2014-01-01

    Hospital meals have increasingly become part of the political and scientific agenda of the welfare discussions in Denmark and other European countries. This article employs non-representational theory to analyse hospitalityscapes in order to explore opportunities for adding value to the hospital...... meal experience. By drawing on research carried out in two Danish hospital wards, this article explores how hospitalityscapes are socio-materially constructed. The research strategy was based on performative participant observations, visual ethnography and semi-structured interviews. The empirical data...... that a focus on disruptive micro-events might create opportunities for hospitalityscapes and add value to future hospital meal experiences....

  20. Central line infections - hospitals

    Science.gov (United States)

    ... infection; Central venous catheter - infection; CVC - infection; Central venous device - infection; Infection control - central line infection; Nosocomial infection - central line infection; Hospital acquired ...

  1. Comprehensive update on cancer scenario of Bangladesh

    Directory of Open Access Journals (Sweden)

    Syed Md Akram Hussain

    2013-01-01

    Full Text Available Bangladesh, at 142 million people, is the ninth most populous country in the world. There are 13 to 15 lakh cancer patients in Bangladesh, with about two lakh patients newly diagnosed with cancer each year. As an overview, lung cancer and mouth-oropharynx cancer rank as the top two prevalent cancers in males. Other types of cancers are esophagus cancer and stomach cancer. In women, cancer cervix uteri and breast cancer are most prevalent. Other cancer types, which affect women, are mouth and oropharynx cancer, lung cancer, and esophagus cancer. There are around 150 qualified clinical oncologists and 16 pediatric oncologists working in the different parts of the country. Regular cancer treatment is available in 19 hospitals and 465 hospital beds are attached as indoor or day care facilities for chemotherapy in the oncology/radiotherapy departments. There are about 15 linear accelerators, 12 Co-60 teletherapy and 12 brachytherapy units currently available. Approximately, 56 cancer chemotherapeutic agents are obtainable in Bangladesh. Research facilities are available at tertiary care centers and a few multi country collaborative research activities are ongoing. Bangladesh has a unique National Cancer Control Strategy and Plan of Action 2009-2015 formulated with the assistance of WHO with an objective to develop and implement continuum of cancer care through a comprehensive cancer control programe. Preventive measures taken to reduce the incidence of cancer include reduced tobacco smoking, change of dietary habit and reduced food adulteration, ensuring reproductive hygiene, increased physical activity, and reduced occupational hazard. Awareness buildup and media campaign are going on by organizing the general people, opinion leaders of the society, and boy and girl scout. Training of general physicians on cancer warning signs and setup of early cancer detection centers at each medical college and district levels are ongoing. Beside these, some

  2. Overcrowding in hospital wards as a predictor of antidepressant treatment among hospital staff.

    Science.gov (United States)

    Virtanen, Marianna; Pentti, Jaana; Vahtera, Jussi; Ferrie, Jane E; Stansfeld, Stephen A; Helenius, Hans; Elovainio, Marko; Honkonen, Teija; Terho, Kirsi; Oksanen, Tuula; Kivimäki, Mika

    2008-11-01

    This report assessed whether hospital ward overcrowding predicts antidepressant use among hospital staff. The extent of hospital ward overcrowding was determined using administrative records of monthly bed occupancy rates between 2000 and 2004 in 203 somatic illness wards in 16 Finnish hospitals providing specialized health care. Information on job contracts for personnel was obtained from the employers' registers. Comprehensive daily data on purchased antidepressant prescriptions (World Health Organization's Anatomical Therapeutic Chemical classification code N06A) for nurses (N=6,699) and physicians (N=641) was derived from national registers. Cox proportional hazards models were used to examine the association between bed occupancy rate and subsequent antidepressant treatment. Monthly bed occupancy rates were used as a time-dependent exposure that could change in value over the course of observation. Hazard ratios were adjusted for sex, age, occupation, type and length of employment contract, hospital district, specialty, and calendar year. Exposure over 6 months to an average bed occupancy rate over 10% in excess of the recommended limit was associated with new antidepressant treatment. This association followed a dose-response pattern, with increasing bed occupancy associated with an increasing likelihood of antidepressant use. There was no evidence of reverse causality; antidepressant treatment among employees did not predict subsequent excess bed occupancy. The increased risk of antidepressant use observed in this study suggests that overcrowding in hospital wards may have an adverse effect on the mental health of staff.

  3. Comprehensible Presentation of Topological Information

    Energy Technology Data Exchange (ETDEWEB)

    Weber, Gunther H. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Beketayev, Kenes [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Bremer, Peer-Timo [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Hamann, Bernd [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Haranczyk, Maciej [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Hlawitschka, Mario [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Pascucci, Valerio [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-03-05

    Topological information has proven very valuable in the analysis of scientific data. An important challenge that remains is presenting this highly abstract information in a way that it is comprehensible even if one does not have an in-depth background in topology. Furthermore, it is often desirable to combine the structural insight gained by topological analysis with complementary information, such as geometric information. We present an overview over methods that use metaphors to make topological information more accessible to non-expert users, and we demonstrate their applicability to a range of scientific data sets. With the increasingly complex output of exascale simulations, the importance of having effective means of providing a comprehensible, abstract overview over data will grow. The techniques that we present will serve as an important foundation for this purpose.

  4. Alarm management a comprehensive guide

    CERN Document Server

    Hollifield, Bill R

    2011-01-01

    In this second edition, Alarm Management: A Comprehensive Guide, various problems of alarm systems are covered with precise guidance on how they come about and how to effectively correct them. It is written by individuals with vast experience in the different plants, processes, and environments requiring effective alarm management. The second edition is filled with good examples and explanations of procedures, with practical lists and tips on how one should proceed. It is based on hundreds of successful projects.

  5. Constraint Programming for Context Comprehension

    DEFF Research Database (Denmark)

    Christiansen, Henning

    2014-01-01

    A close similarity is demonstrated between context comprehension, such as discourse analysis, and constraint programming. The constraint store takes the role of a growing knowledge base learned throughout the discourse, and a suitable con- straint solver does the job of incorporating new pieces o...... of abductive reasoning. The approach fits with possible worlds semantics that allows both standard first-order and non-monotonic semantics....

  6. Helping Students Develop Listening Comprehension

    Directory of Open Access Journals (Sweden)

    Cárdenas Beltrán Melba Libia

    2000-08-01

    Full Text Available Listening practice is often neglected or handled inappropriately in the teachinglearning process. This poses problem because listening is an integral part of conversations. Oral skills without equally welldeveloped listening abilities are of little practical value. In this article, I will take a look at issues related to the area of listening that may be considered when guiding students toward developing listening comprehension.

  7. Neuroimaging Evidence of Comprehension Monitoring

    OpenAIRE

    Linda Baker; Alisa Zeliger-Kandasamy; Laura U. DeWyngaert

    2014-01-01

    The purpose of this article is to synthesize the emerging neuroimaging literature that reveals how the brain responds when readers and listeners encounter texts that demand monitoring of their ongoing comprehension processes. Much of this research has been undertaken by cognitive scientists who do not frame their work in metacognitive terms, and therefore it is less likely to be familiar to psychologists who study metacognition in educational contexts. The important role of metacognition in t...

  8. A comprehensive dairy valorization model.

    Science.gov (United States)

    Banaszewska, A; Cruijssen, F; van der Vorst, J G A J; Claassen, G D H; Kampman, J L

    2013-02-01

    Dairy processors face numerous challenges resulting from both unsteady dairy markets and some specific characteristics of dairy supply chains. To maintain a competitive position on the market, companies must look beyond standard solutions currently used in practice. This paper presents a comprehensive dairy valorization model that serves as a decision support tool for mid-term allocation of raw milk to end products and production planning. The developed model was used to identify the optimal product portfolio composition. The model allocates raw milk to the most profitable dairy products while accounting for important constraints (i.e., recipes, composition variations, dairy production interdependencies, seasonality, demand, supply, capacities, and transportation flows). The inclusion of all relevant constraints and the ease of understanding dairy production dynamics make the model comprehensive. The developed model was tested at the international dairy processor FrieslandCampina (Amersfoort, the Netherlands). The structure of the model and its output were discussed in multiple sessions with and approved by relevant FrieslandCampina employees. The elements included in the model were considered necessary to optimally valorize raw milk. To illustrate the comprehensiveness and functionality of the model, we analyzed the effect of seasonality on milk valorization. A large difference in profit and a shift in the allocation of milk showed that seasonality has a considerable impact on the valorization of raw milk.

  9. Predictive mechanisms in idiom comprehension.

    Science.gov (United States)

    Vespignani, Francesco; Canal, Paolo; Molinaro, Nicola; Fonda, Sergio; Cacciari, Cristina

    2010-08-01

    Prediction is pervasive in human cognition and plays a central role in language comprehension. At an electrophysiological level, this cognitive function contributes substantially in determining the amplitude of the N400. In fact, the amplitude of the N400 to words within a sentence has been shown to depend on how predictable those words are: The more predictable a word, the smaller the N400 elicited. However, predictive processing can be based on different sources of information that allow anticipation of upcoming constituents and integration in context. In this study, we investigated the ERPs elicited during the comprehension of idioms, that is, prefabricated multiword strings stored in semantic memory. When a reader recognizes a string of words as an idiom before the idiom ends, she or he can develop expectations concerning the incoming idiomatic constituents. We hypothesized that the expectations driven by the activation of an idiom might differ from those driven by discourse-based constraints. To this aim, we compared the ERP waveforms elicited by idioms and two literal control conditions. The results showed that, in both cases, the literal conditions exhibited a more negative potential than the idiomatic condition. Our analyses suggest that before idiom recognition the effect is due to modulation of the N400 amplitude, whereas after idiom recognition a P300 for the idiomatic sentence has a fundamental role in the composition of the effect. These results suggest that two distinct predictive mechanisms are at work during language comprehension, based respectively on probabilistic information and on categorical template matching.

  10. Narrative Comprehension and Story Grammar

    Directory of Open Access Journals (Sweden)

    Mehwish Zahoor

    2013-09-01

    Full Text Available Every text has an underlying structure which has a vital contribution in making it a meaningful whole. Awareness of a text’s structure therefore is significant in developing an overall sense of the text. Story grammar offers a simple and effective framework to analyze a coherent structure in narrative texts, hence is assumed to facilitate the comprehension of narratives. The research has been designed to be a descriptive study, with the objective to explain and illustrate how story grammar functions in constructing and decoding meanings in a narrative text, and, to highlight its scope in pedagogy. A short story text has been randomly selected from the short story collection in the English text book by Punjab text book board for Intermediate level. A three stepped comprehensive analysis of the sample text has been done by implementing the selected story grammar model. It has been found that story grammar helped in deriving coherent structure and meanings from the selected short story text; hence it has pedagogical implications in developing narrative comprehension.

  11. Reading comprehension levels in scholars.

    Science.gov (United States)

    Carvalho, Carolina Alves Ferreira de; Avila, Clara Regina Brandão de; Chiari, Brasília Maria

    2009-01-01

    important reading performance measurements are related to how and to what extent a child understands a written text. to study the performance of primary school (Ensino Fundamental) students in reading comprehension tasks according to the variables grade and type of school. 160 students from the 3rd to the 6th grades were screened and later evaluated based on the retelling and question answering about a given text. students of the 5th and 6th grades of private schools presented a better performance on issues related to implicit information when compared to students of public schools. The overall analysis of the educational level revealed, through the retelling task, a better performance of the 6th grade students in terms of the number of present macro propositions and a low performance of the 5th grade students in terms of the achieved comprehension level, in both types of school. When answering text-derived questions, the 4th, 5th and 6th grade students performed better than the 3rd grade students regarding explicit questions. When considering implicit questions, the 4th grade students performed better than all the other grades, in both types of school. These results gave evidence to the influence of the different texts used in each grade. the 5th and 6th grades from private schools were the only grades that performed better when compared to public schools in general, regarding answering implicit knowledge questions. All students achieved some level of reading comprehension.

  12. Comprehensive treatment of generalized parodontitis.

    Science.gov (United States)

    Mdinaradze, N

    2006-06-01

    The complexity of pathogenesis of periodontitis makes the use of comprehensive treatment necessary. We observed 60 patients, 20 women and 40 men among them aged from 20 to 50. In the course of parodontitis, we determined the intensity of inflammatory-destructive changes (Pi) in the course of periodontitis, the degree of fang denudation, the depth of gum and parodontal recesses, degree of the teeth becoming loose; we conducted the microbiological study of the oral cavity microflora and drew up an antibiotic graph. We included laser therapy in the comprehensive treatment course of generalized parodontitis. We divided the patients into two groups. The patients of the first group were treated in two stages. We used peridex, composed of chlorhexidine for antiseptic treatment of oral cavity. We used a combined solution of sage, eucalyptus, camomile and calendula to irrigate the oral cavity. At the second stage we used ointment applications with the composition of 3% indometacin, heparin, vitamins, sea-buckthorn oil and antibiotics. In the course of comprehensive treatment of the patients of the II group we included laser therapy. Our interest in the laser beam, as in the means of parodontitis treatment was stimulated by a number of properties of the laser beam and namely, its anti-inflammatory, desensitizing and antibacterial action promotes intensifying the reparation processes and does not entail any complications. The mentioned method has produced the best therapeutic results and has resulted in the reduced treatment period.

  13. Comprehensive utilization of digested residue

    Energy Technology Data Exchange (ETDEWEB)

    Reizhi Shen [Soil and Fertilizer Inst. of Shanghai Academy of Agricultural Sciences (China)

    2000-07-01

    The application history of biogas technology in China covers almost one century. Until the 1980's, people's attention not only focused on the benefit of biogas as people's daily fuel, but also on the comprehensive utilization of digested residues. People are more and more interested in these methods of comprehensive utilization, which has led to many research projects on, among others, ''digested effluent as feed additive for pigs'', ''digested sludge for growing mushroom'', and ''digested effluent as pesticide''. Not only are biogas fermentation, organic waste such as animal manure, crop straw, distillery wastewater and the wastewater from slaughter houses converted to biogas, but also digested residues are very useful with a lot of ''potential value'' and ''special functions'', which will bring far more benefits than biogas alone. Some progress on the comprehensive utilization of digested residues in the past ten years is summarized below. (orig.)

  14. Hospitality Occupations. Curriculum Guide.

    Science.gov (United States)

    California State Dept. of Education, Sacramento. Bureau of Homemaking Education.

    This curriculum guide on the hospitality occupations was developed to help secondary and postsecondary home economics teachers prepare individuals for entry-level jobs in the hospitality industry. The content is in seven sections. The first section presents organizational charts of a medium-size hotel, food and beverage division, housekeeping and…

  15. Heritage, Tourism and Hospitality

    NARCIS (Netherlands)

    Laarse, van der R.; Egberts, L.

    Heritage, Tourism and HospitalityInternational Conference 2015 (HTHIC2015)Preservation, Presentation, Promotion and ProfitResearch Agendas, Best Practices and Hospitable Partnerships in TourismFollowing the success of the first conference in the series in Istanbul, Rotterdam School of

  16. Hospitality, Tourism, and Recreation.

    Science.gov (United States)

    Novachek, James

    The Northern Arizona Hospitality Education Program is an exemplary three-year project designed to help students, mainly Indian, obtain job skills and attitudes necessary for successful employment in the hospitality industry. Nine high schools from Apache, Coconino, and Navajo Counties participated in the project. Objectives included providing an…

  17. The Ethic of Hospitality

    OpenAIRE

    Christopher Muller

    2013-01-01

    The idea of hospitality is evident in several types of human behavior including obligatory duties, commercial activity, and prosocial action. These are intertwined and revolve around the commitment to caring for others whether they are relatives, guests, or strangers. This article explores the ethic of hospitality in its various forms.

  18. The Ethic of Hospitality

    Directory of Open Access Journals (Sweden)

    Christopher Muller

    2013-04-01

    Full Text Available The idea of hospitality is evident in several types of human behavior including obligatory duties, commercial activity, and prosocial action. These are intertwined and revolve around the commitment to caring for others whether they are relatives, guests, or strangers. This article explores the ethic of hospitality in its various forms.

  19. Hospital benefit segmentation.

    Science.gov (United States)

    Finn, D W; Lamb, C W

    1986-12-01

    Market segmentation is an important topic to both health care practitioners and researchers. The authors explore the relative importance that health care consumers attach to various benefits available in a major metropolitan area hospital. The purposes of the study are to test, and provide data to illustrate, the efficacy of one approach to hospital benefit segmentation analysis.

  20. Hospitality Services. Curriculum Guide.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This guide, which was developed as part of Texas' home economics education program, is intended to assist teachers of a hospitality services course focusing on the food and lodging segments of the hospitality and tourism industry. The first 40% of the approximately 600-page guide consists of strategies for teaching each of 29 essential…

  1. Medication safety in hospitals.

    Science.gov (United States)

    Kirke, C

    2009-01-01

    Medication error and adverse drug reactions occur frequently, leading to a high burden of patient harm in the hospital setting. Many Irish hospitals have established medication safety initiatives, designed to encourage reporting and learning to improve medication use processes and therefore patient safety. Eight Irish hospitals or hospital networks provided data from voluntary medication safety incident and near miss reporting programmes for pooled analysis of events occurring between 1st January 2006 and 30th June 2007. 6179 reports were received in total (mean 772 per hospital; range 96-1855). 95% of reports did not involve patient harm. Forty seven percent of reports related to the prescribing stage of the medication use process, 40% to the administration stage and 9% to the pharmacy dispensing stage. This data is published to increase awareness of this key patient safety issue, to share learning from these incidents and near misses and to encourage a more open patient safety culture.

  2. Patient life in hospital

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

    Patient life in hospital.A qualitative study of informal relationships between hospitalised patients Introduction Within a patientology framework, this PhD dissertation is about an empirical study on patient life that provides insight into the nature of informal relationships between patients...... in hospitals today. Purpose The purpose was to explore how informal relationships between patients affect their hospital experiences in the hospital. The assumption is that, on the one hand, the impacts on patients' suffering affect the way they act and experience encounters with fellow patients for good....... Methods The study is designed within a phenomenological-hermeneutical philosophic frame of reference and is based on ethnographic fieldwork among hospitalised patients in a Danish university hospital. Data for the study were collected through participant observations over a period of 18 months. Nine males...

  3. Hjertestop uden for hospital

    DEFF Research Database (Denmark)

    Frandsen, F; Nielsen, J R; Gram, L

    1989-01-01

    %) were resuscitated and could be discharged alive from hospital. Out of the eight patients who were discharged alive, only two (1%) had retained reasonable cerebral function as assessed by dementia testing. Treatment of the cardiac arrest prior to the arrival of the ambulance, duration of the cardiac......During the period 1.10.1986-30.9.1987, all patients with cardiac arrest outside hospital brought to the casualty department in Odense Hospital were registered. Out of 160 patients, 133 (83%) could be primarily resuscitated, 19 (12%) were resuscitated but died later in hospital and eight patients (5...... arrest for less than six minutes and staffing of the ambulance with three first-aid men were factors of decisive importance for survival of the patients. The results of this investigation demonstrate that treatment of cardiac arrest outside hospital is unsatisfactory. Proposals for improvement...

  4. Beyond Grand Rounds: A Comprehensive and Sequential Intervention to Improve Identification of Delirium

    Science.gov (United States)

    Ramaswamy, Ravishankar; Dix, Edward F.; Drew, Janet E.; Diamond, James J.; Inouye, Sharon K.; Roehl, Barbara J. O.

    2011-01-01

    Purpose of the Study: Delirium is a widespread concern for hospitalized seniors, yet is often unrecognized. A comprehensive and sequential intervention (CSI) aiming to effect change in clinician behavior by improving knowledge about delirium was tested. Design and Methods: A 2-day CSI program that consisted of progressive 4-part didactic series,…

  5. Beyond Grand Rounds: A Comprehensive and Sequential Intervention to Improve Identification of Delirium

    Science.gov (United States)

    Ramaswamy, Ravishankar; Dix, Edward F.; Drew, Janet E.; Diamond, James J.; Inouye, Sharon K.; Roehl, Barbara J. O.

    2011-01-01

    Purpose of the Study: Delirium is a widespread concern for hospitalized seniors, yet is often unrecognized. A comprehensive and sequential intervention (CSI) aiming to effect change in clinician behavior by improving knowledge about delirium was tested. Design and Methods: A 2-day CSI program that consisted of progressive 4-part didactic series,…

  6. 综合康复治疗对长期住院慢性精神分裂症患者生活质量及社会功能的影响%Comprehensive rehabilitation on the quality of life and social skills in long-term hospitalized patients with chronic schizophrenia

    Institute of Scientific and Technical Information of China (English)

    贾海涛; 白玉红; 袁小平

    2012-01-01

    目的 探讨综合康复治疗对慢性精神分裂症患者生活质量和社会功能的影响.方法 将117例病情稳定的长期住院精神分裂症患者随机分为治疗组58例及对照组59例.治疗组在药物治疗的基础上给予系统的康复治疗,对照组只给予药物治疗.康复治疗前后分别应用简明精神病评定量表(BPRS)、生活质量综合评定问卷-74(GQOLI-74)以及住院慢性精神分裂症社会功能评定量表(SSPI)综合评价患者的康复情况.结果 综合康复治疗第6个月后,治疗组BPRS评分显著低于治疗前(P<0.05),且治疗后9个月、12个月治疗组优于对照组(P<0.05);治疗组治疗后6~12个月GQOLI-74心理健康因子、社会功能因子评分、SSPI评分均高于治疗前(P<0.05),且治疗12个月时心理健康社会功能优于对照组,治疗6~12个月时SSPI评分优于对照组(P<0.05).结论 综合康复治疗能提高长期住院慢性精神分裂症患者的生活质量及社会功能.%Objective To explore the effect of comprehensive rehabilitation on the quality of life and social skills of chronic schizophrenia patients. Methods 117 patients with chronic schizophrenia were randomly divided into study group and control group. The patients in study group were given comprehensive rehabilitation besides medicine treatment, while control group were only given medicine treatment. All the patients were assessed using brief psychiatric rating scale ( BPRS ). Generic quality of life inventory 74 ( GQOLI 74 ), the scale of social skills for psychiatric in patients ( SSPI ) pre and post treatment. Results After 6 months, the BPRS scores in study group was significantly lower than that in control group and baseline( P < 0.05 ); the mental health score and social function score of GQOLI 74 in study group were significantly higher than those in control group and baseline ( P < 0. 05 ); the SSPI scores in study group was significantly higher than that in control group and

  7. Schemata and reading comprehension Schemata and reading comprehension

    Directory of Open Access Journals (Sweden)

    José Luiz Meurer

    2008-04-01

    Full Text Available t school, and also after formal schooling takes place, the acquisition of new knowledge is in great measure dependent on reading comprehension. The total task of understanding written discourse depends on the distribution of information in the printed text, and on the voluntary and automatic activation of information or "schemata" in the reader's mind. Thus, what different readers 'comprehend' of a given text may vary considerably. Reading comprehension is a function of the nature of the text itself and of the extent to which the reader possesses, uses, and integrates pertinent background knowledge, or schemata. Schemata can be loosely defined as patterns which represent the way experinece and knowledge are organized in the mind. The schema for a concept like "break", for instance, will have associated with it at least the variables "breaker", "the thing broken", "the method or' instrument" for the action of breaking, and the notion of "causing something to change into a different state" (Rumelhart and Ortony 1977. Schemata constitute a powerful means used by readers in understanding information which is both explicit and implicit in texts. As an illustration, let us say that we read (or hear the following sentences: "The Karate champion broke the cinder block" (Brewer 1977:3. t school, and also after formal schooling takes place, the acquisition of new knowledge is in great measure dependent on reading comprehension. The total task of understanding written discourse depends on the distribution of information in the printed text, and on the voluntary and automatic activation of information or "schemata" in the reader's mind. Thus, what different readers 'comprehend' of a given text may vary considerably. Reading comprehension is a function of the nature of the text itself and of the extent to which the reader possesses, uses, and integrates pertinent background knowledge, or schemata. Schemata can be loosely defined as patterns which

  8. A Trial of Nursing Cost Accounting using Nursing Practice Data on a Hospital Information System.

    Science.gov (United States)

    Miyahira, Akiko; Tada, Kazuko; Ishima, Masatoshi; Nagao, Hidenori; Miyamoto, Tadashi; Nakagawa, Yoshiaki; Takemura, Tadamasa

    2015-01-01

    Hospital administration is very important and many hospitals carry out activity-based costing under comprehensive medicine. However, nursing cost is unclear, because nursing practice is expanding both quantitatively and qualitatively and it is difficult to grasp all nursing practices, and nursing cost is calculated in many cases comprehensively. On the other hand, a nursing information system (NIS) is implemented in many hospitals in Japan and we are beginning to get nursing practical data. In this paper, we propose a nursing cost accounting model and we simulate a cost by nursing contribution using NIS data.

  9. How Do We Motivate Reading Comprehension?

    Science.gov (United States)

    Shanahan, Timothy

    1982-01-01

    Considers the nature of motivation and its place in the development of reading comprehension. Uses A. Maslow's hierarchy of motivation as a heuristic for examining the motivational quality of several teaching methods commonly proposed for comprehension instruction. (FL)

  10. Metaphor comprehension in Alzheimer's disease: novelty matters.

    Science.gov (United States)

    Amanzio, Martina; Geminiani, Giuliano; Leotta, Daniela; Cappa, Stefano

    2008-10-01

    The comprehension of non-literal language was investigated in 20 probable Alzheimer's disease (pAD) patients by comparing their performance to that of 20 matched control subjects. pAD patients were unimpaired in the comprehension of conventional metaphors and idioms. However, their performance was significantly lower in the case of non-conventional (novel) metaphor comprehension. This ability was not related to global cognitive deterioration or to deficits in the cognitive domains of attention, memory and language comprehension. On the other hand, the impairment in verbal reasoning appeared to be relevant for both novel and conventional metaphor comprehension. The relationship between novel metaphor comprehension and performance in the visual-spatial planning task of the Behavioral Assessment of the Dysexecutive Syndrome (BADS) suggests that executive impairment, possibly related to prefrontal dysfunction, may be responsible for the pAD patients' poor performance in novel metaphor comprehension. The present findings suggest a role of the prefrontal cortex in novel metaphor comprehension.

  11. On the importance of listening comprehension.

    Science.gov (United States)

    Hogan, Tiffany P; Adlof, Suzanne M; Alonzo, Crystle N

    2014-06-01

    The simple view of reading highlights the importance of two primary components which account for individual differences in reading comprehension across development: word recognition (i.e., decoding) and listening comprehension. While assessments and interventions for decoding have been the focus of pedagogy in the past several decades, the importance of listening comprehension has received less attention. This paper reviews evidence showing that listening comprehension becomes the dominating influence on reading comprehension starting even in the elementary grades. It also highlights a growing number of children who fail to develop adequate reading comprehension skills, primarily due to deficient listening comprehension skills (i.e., poor comprehenders). Finally we discuss key language influences on listening comprehension for consideration during assessment and treatment of reading disabilities.

  12. Hospital diversification: evaluating alternatives.

    Science.gov (United States)

    Hammer, L

    1987-05-01

    The appropriateness of diversification as a growth strategy for hospitals is discussed, and planning for diversification is described. Because new forms of health-care delivery are now in direct competition with hospitals, many hospitals are confronting environmental pressures and preparing for future survival through diversification. To explore the potential risks and benefits of diversification, the hospital must identify opportunities for new business ventures. Diversification can be "related," through an expansion of the primary product line (health care), or "unrelated," into areas not directly associated with health care. The hospital must establish specific criteria for evaluating each diversification alternative, and the two or three most attractive options should be analyzed further through a financial feasibility study. The hospital should also seek legal advice to determine the implications of diversification for maintenance of tax status, antitrust limitations, and applicability of certificate of need. Although diversification may not be appropriate for every institution, hospitals should consider it as a strategy for increasing their revenue base, confronting environmental pressures, and securing future survival.

  13. Application evaluation on double-general duty management pattern in comprehensive hospital of multi-ethnic region%双总值班管理工作模式在多民族地区综合医院应用评价

    Institute of Scientific and Technical Information of China (English)

    姜丽; 邹英; 魏江玲; 彭巧君

    2013-01-01

    Objective To investigate the ways and effects of double-general duty management pattern imple-mentation in general hospital in minority area .Methods Bureau-level and the highers in administrative de-partment and clinic department directors participate in Chief duty together .Taking multi-ethnic constitu-tion and suitable collocation with work ability in Chief duty .To contrast the success ratios in efficiently handling events and the satisfaction degree of Clinical departments and patients before and after the imple-mentation of Double-general Duty Management Pattern (from 2009 to 2012) .Results The success ratios in efficiently handling events in 2009 were higher than those in 2012 after implementing Double-general Du-ty Management Pattern .The ratio differences in clinical requirement ,complaint ,tele-consultation and sol-ving instrument problems and logistics difficulties have the statistical significance (P < 0 .05 ) .Mean-w hile ,the satisfaction degree of Clinical departments and patients rise from 83 .92% and 56 .00% in 2009 to 96 .56% and 90 .91% at present ,respectively .Conclusion Implementing the double-general duty man-agement pattern in multi-ethnic region could enhance the efficiency of hospital daily management ,and it is one of efficient measures to improve hospital administrative management .%目的探讨双总值班工作模式在多民族地区综合医院实施的方法与效果。方法由职能科室副科级以上管理人员与临床科室主任共同参与总值班,采取多民族构成、工作能力强弱搭配的双总值班工作模式,比较实施双总值班工作模式前后(2009年和2012年)有效处理各类事件比例与临床科室与投诉患者对总值班工作质量的满意度。结果2012年实施双总值班工作模式后,处理各类事件成功率均高于2009年实施前,尤其在临床需求、投诉、远程会诊、解决仪器和后勤故障方面差异有统计学意义(P <0.05)。临床科

  14. Comprehensive primary health care under neo-liberalism in Australia.

    Science.gov (United States)

    Baum, Fran; Freeman, Toby; Sanders, David; Labonté, Ronald; Lawless, Angela; Javanparast, Sara

    2016-11-01

    This paper applies a critical analysis of the impact of neo-liberal driven management reform to examine changes in Australian primary health care (PHC) services over five years. The implementation of comprehensive approaches to primary health care (PHC) in seven services: five state-managed and two non-government organisations (NGOs) was tracked from 2009 to 2014. Two questions are addressed: 1) How did the ability of Australian PHC services to implement comprehensive PHC change over the period 2009-2014? 2) To what extent is the ability of the PHC services to implement comprehensive PHC shaped by neo-liberal health sector reform processes? The study reports on detailed tracking and observations of the changes and in-depth interviews with 63 health service managers and practitioners, and regional and central health executives. The documented changes were: in the state-managed services (although not the NGOs) less comprehensive service coverage and more focus on clinical services and integration with hospitals and much less development activity including community development, advocacy, intersectoral collaboration and attention to the social determinants. These changes were found to be associated with practices typical of neo-liberal health sector reform: considerable uncertainty, more directive managerial control, budget reductions and competitive tendering and an emphasis on outputs rather than health outcomes. We conclude that a focus on clinical service provision, while highly compatible with neo-liberal reforms, will not on its own produce the shifts in population disease patterns that would be required to reduce demand for health services and promote health. Comprehensive PHC is much better suited to that task.

  15. The value relevance of comprehensive income

    OpenAIRE

    2012-01-01

    In this study, we look at the effects of the adoption of the revised IAS 1 rules, which has been in effect since January 1, 2009. The revised IAS 1 requires that all changes in equity, excluding changes in equity arising from transactions with owners, should be recognized in comprehensive income statement. Revised IAS 1 requires companies to report total comprehensive income that is a sum of net income and other comprehensive income. Total comprehensive income includes all unrealized gains an...

  16. The value relevance of comprehensive income

    OpenAIRE

    Ringström, Elena; Ekström, Jörgen

    2012-01-01

    In this study, we look at the effects of the adoption of the revised IAS 1 rules, which has been in effect since January 1, 2009. The revised IAS 1 requires that all changes in equity, excluding changes in equity arising from transactions with owners, should be recognized in comprehensive income statement. Revised IAS 1 requires companies to report total comprehensive income that is a sum of net income and other comprehensive income. Total comprehensive income includes all unrealized gains an...

  17. On the importance of listening comprehension

    OpenAIRE

    Hogan, Tiffany P.; Adlof, Suzanne M.; Alonzo, Crystle

    2014-01-01

    The simple view of reading highlights the importance of two primary components which account for individual differences in reading comprehension across development: word recognition (i.e., decoding) and listening comprehension. While assessments and interventions for decoding have been the focus of pedagogy in the past several decades, the importance of listening comprehension has received less attention. This paper reviews evidence showing that listening comprehension becomes the dominating ...

  18. On spaces of hospitality

    DEFF Research Database (Denmark)

    Greve, Anni

    Although specialists in hospitality have worked extensively on hospitality with respect to relations between different nations or between nations and individuals of a different nationality, for instance when they seek asylum, Jacques Derrida preferred to focus instead upon the relationship between...... the market place, the religious sanctuary and places for the performing arts and cultural heritage. For the modern city they are the tightly woven fabric of social reality, and their configuration can make certain cities more hospitable than others, is the leading idea....

  19. Repeated Lexical Comprehension in Context

    Institute of Scientific and Technical Information of China (English)

    朱瑾

    2009-01-01

    in the understanding of word meaning, two current semantic theories are popular: one is the referential approach, the other is the representational approach. Logogcn model is one of the models used to comprehend lexicon both by sensory input and by contextual information. Under certain context, four types of lexical repe-tition exist: simple lexical repetition, complex lexical repetition, simple paraphrase, complex paraphrase. How these different repetition patterns are comprehended is our main concern. According to our analysis, they go under different process in the course of comprehension.

  20. Text comprehension practice in school

    Directory of Open Access Journals (Sweden)

    Hernández, José Emilio

    2010-01-01

    Full Text Available The starting point of the study is the existence of relations between the two dimensions of text compression: the instrumental dimension and the cognitive dimension. The first one includes the system of actions, the second one the system of knowledge. A description of identifying, describing, inferring apprising and creating actions are suggested for each type of text. Likewise, the importance of implementing text comprehension is outlined on the basis of the assumption that the text is a tool for preserving and communicating culture, that allows human beings to wide their respective cultural horizons and develop cognitive and affective process that allow them to get universal morals.

  1. On Factors Affecting Listening Comprehension

    Institute of Scientific and Technical Information of China (English)

    苗琴

    2014-01-01

    In English teaching and learning, listening ability is an important part of communicative competence, is a very practical integrated skill. It has been a difficult skill in second language acquisition for many students. Many Chinese students are skilled in reading, but often they tend to neglect the listening. However, owing to the higher requirements of many English tests and the great importance in communication, students begin to pay attention to develop their English listening skills. But there are many factors affecting listening, the paper mainly focuses on linguistic factors and non-linguistic factors that affect listening, to provide a theoretical basis to help exploring ways of improving listening and comprehension skills.

  2. Comprehensive management of project changes

    Directory of Open Access Journals (Sweden)

    Aljaž Stare

    2010-06-01

    Full Text Available The goal of this research was to examine how project changes can be prevented, and how to reduce their negative impact. Theoretical research examined risk management, project control and change management. Based on the study a “Comprehensive Change Management Model” was developed and verified after conducting empirical research in Slovenian enterprises. The research confirmed that risk management identifies possible changes and reduces their impact; project control ensures the timely detection of changes and an efficient response, while formal change management ensures the effective implementation of changes. The combined functioning of all three areas ensures effective project execution.

  3. 33 CFR 238.5 - Comprehensive planning.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Comprehensive planning. 238.5... Comprehensive planning. Coordinated comprehensive planning at the regional or river basin level, or for an urban.... This planning is particularly important in areas where significant portions of a watershed are expected...

  4. Text comprehension strategy instruction with poor readers

    NARCIS (Netherlands)

    Van den Bos, K.P.; Aarnoudse, C.C.; Brand-Gruwel, S.

    1998-01-01

    The goal of this study was to investigate the effects of teaching text comprehension strategies to children with decoding and reading comprehension problems and with a poor or normal listening ability. Two experiments are reported. Four text comprehension strategies, viz., question generation,

  5. How to Improve English Reading Comprehension

    Institute of Scientific and Technical Information of China (English)

    王晓珊

    2013-01-01

      Comprehension is the base of reading and also the purpose of reading. Improving reading comprehension is one of the most important tasks in English study. Only mastering English basic knowledge, accumulating rich vocabulary and using proper reading strategies and techniques can reading comprehension be improved effectively.

  6. Text comprehension strategy instruction with poor readers

    NARCIS (Netherlands)

    Van den Bos, K.P.; Aarnoudse, C.C.; Brand-Gruwel, S.

    1998-01-01

    The goal of this study was to investigate the effects of teaching text comprehension strategies to children with decoding and reading comprehension problems and with a poor or normal listening ability. Two experiments are reported. Four text comprehension strategies, viz., question generation, summa

  7. 18 CFR 801.5 - Comprehensive plan.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Comprehensive plan. 801... POLICIES § 801.5 Comprehensive plan. (a) The Compact requires that the Commission formulate and adopt a comprehensive plan for the immediate and long-range development and use of the water resources of the basin....

  8. Outpatient Imaging Efficiency - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical...

  9. Hospitals as health educators

    Science.gov (United States)

    ... Babysitting courses for teens Exercise classes like yoga, tai chi, qigong, Zumba, Pilates, dance, or strength training Weight- ... blood pressure and other health screenings Giveaways like stress balls Health risk surveys Your hospital may sponsor ...

  10. Service Robots for Hospitals

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan

    services to maintain the quality of healthcare provided. This thesis and the Industrial PhD project aim to address logistics, which is the most resource demanding service in a hospital. The scale of the transportation tasks is huge and the material flow in a hospital is comparable to that of a factory. We...... believe that these transportation tasks, to a great extent, can be and will be automated using mobile robots. This thesis consequently addresses the key technical issues of implementing service robots in hospitals. In simple terms, a robotic system for automating hospital logistics has to be reliable...... manual work and offer many advantages beyond robotics. Finally, this thesis outlines our contributions in representation of multi-floor buildings, which is a vital requirement to achieve robust and practical, real-world service robot applications....

  11. Mathari psychiatric hospital

    African Journals Online (AJOL)

    2007-11-26

    Nov 26, 2007 ... burnout among the staff at the Mathari Psychiatric Hospital. Method: This was .... poor relationship with the management staff were quoted as some of the .... Emotional exhaustion and depersonalization as indicators of burnout ...

  12. Hospital Outpatient PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4523 of the Balanced Budget Act of 1997 (BBA) provides authority for CMS to implement a prospective payment system (PPS) under Medicare for hospital...

  13. HOSPITAL IN NIGERIA.

    African Journals Online (AJOL)

    reduce the incidence of prematurity and low birth weight babies must be instituted. Key words: Neonatal mortality. risk factors. tertiary hospital. INTRODUCTION .... Classification of Diseases WHO Geneva 1975: 700. 52 Nigerian Journal v_f(.

  14. Allegheny County Diabetes Hospitalization

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This data includes the number of people hospitalized with diabetes between 2013-2015, by age group, for Allegheny County Zip Codes.

  15. Optimal Hospital Layout Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine

    This PhD project presents a design model that generates and evaluates hospital designs with respect to long-term performances and functionalities. By visualizing and quantifying costs and performances in the early design phases, it is possible to make design choices based on a qualified, profound...... foundation. The basis of the present study lies in solving the architectural design problem in order to respond to functionalities and performances. The emphasis is the practical applicability for architects, engineers and hospital planners for assuring usability and a holistic approach of functionalities...... and performances. By formal descriptions, a design model can weigh and compare the impact of different perspectives and, even in the early design phase, it can visualize and quantify consequences for design choices. By qualitative study of hospital design and hospital functionality, formal descriptions develop...

  16. Hospital Readmissions Reduction Program

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  17. Critical Access Hospitals (CAH)

    Science.gov (United States)

    ... CAH designation is designed to reduce the financial vulnerability of rural hospitals and improve access to healthcare ... MDH) Rural Referral Center (RRC) What types of facilities are eligible for CAH status? Facilities applying to ...

  18. Management accounting for hospitals

    African Journals Online (AJOL)

    Current state. Traditionally hospital systems. especially in the government ... orientated with a system that provides cost-effective, efficient and ... ENT ward activity report. Managers ... categories; {v} consumption based in the same timeframe;.

  19. Physician-Owned Hospitals

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 6001 of the Affordable Care Act of 2010 amended section 1877 of the Social Security Act to impose additional requirements for physician-owned hospitals to...

  20. Premier Hospital Historical Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — To provide a historical overview of the participating hospitals, before the first project report, Premier Healthcare Informatics has used data already available for...

  1. Teaching Hospital, Sagamu

    African Journals Online (AJOL)

    birth asphyxia. It is recommended that greater effort be made through health education to encourage ... subjects, eight (34.8 percent) were born in private. Kehinde hospitals, six ..... plexus injiuries in Malaysian neonates. ] Trap Pedkztr. 1991 ...

  2. Allegheny County Hospitals

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The data on health care facilities includes the name and location of all the hospitals and primary care facilities in Allegheny County. The current listing of...

  3. University College Hospital, Ibadan

    African Journals Online (AJOL)

    Pattern of semen analysis of male partners of infertile couples at the. University College ... Hospital, Ibadan, Nigeria, between 1st January 1990 and 31st. December, 1999. .... reproduction, pregnancy can now be accomplished in area where it.

  4. Hospital Readmission Reduction

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  5. ~ . Teaching Hospital, Sagamu

    African Journals Online (AJOL)

    Neonatal Mortality at Olabisi Onabanjo University Teaching Hospital, _. -' Sagamu. ..... Africa,3 Bangladesh, 1° and Pakistan.11 Preterrnbirth and septicaemia were almost .... Ibe O. Child Survival in Nigeria: Situation, Response and Prospects.

  6. Hospitality and prosumption

    African Journals Online (AJOL)

    jane.b

    a hospitable environment. The consumers .... 'essential marketing functions for the producers of consumers' goods' (Smythe ... However, in the age of the internet the media have much less ...... Advertising: The Uneasy Persuasion. New York:.

  7. Speech intelligibility in hospitals.

    Science.gov (United States)

    Ryherd, Erica E; Moeller, Michael; Hsu, Timothy

    2013-07-01

    Effective communication between staff members is key to patient safety in hospitals. A variety of patient care activities including admittance, evaluation, and treatment rely on oral communication. Surprisingly, published information on speech intelligibility in hospitals is extremely limited. In this study, speech intelligibility measurements and occupant evaluations were conducted in 20 units of five different U.S. hospitals. A variety of unit types and locations were studied. Results show that overall, no unit had "good" intelligibility based on the speech intelligibility index (SII > 0.75) and several locations found to have "poor" intelligibility (SII speech intelligibility across a variety of hospitals and unit types, offers some evidence of the positive impact of absorption on intelligibility, and identifies areas for future research.

  8. Hospital Compare Data

    Data.gov (United States)

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

  9. Hospitals of The Future

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    An overseas biometric and RFID solutions provider eyes up China’s emerging healthcare IT solutions market New mothers in China can look forward to more peaceful hos-pital stays without worries that their precious newborns might be

  10. American Hospital Association

    Science.gov (United States)

    ... replay of the AHA’s breakdown of the 2016 election results and what they mean for hospitals. Click ... Forum Trustee and Community Leadership Volunteers and Auxiliary Leaders Workforce Center News Center Press Releases AHA Awards ...

  11. Prediction During Natural Language Comprehension.

    Science.gov (United States)

    Willems, Roel M; Frank, Stefan L; Nijhof, Annabel D; Hagoort, Peter; van den Bosch, Antal

    2016-06-01

    The notion of prediction is studied in cognitive neuroscience with increasing intensity. We investigated the neural basis of 2 distinct aspects of word prediction, derived from information theory, during story comprehension. We assessed the effect of entropy of next-word probability distributions as well as surprisal A computational model determined entropy and surprisal for each word in 3 literary stories. Twenty-four healthy participants listened to the same 3 stories while their brain activation was measured using fMRI. Reversed speech fragments were presented as a control condition. Brain areas sensitive to entropy were left ventral premotor cortex, left middle frontal gyrus, right inferior frontal gyrus, left inferior parietal lobule, and left supplementary motor area. Areas sensitive to surprisal were left inferior temporal sulcus ("visual word form area"), bilateral superior temporal gyrus, right amygdala, bilateral anterior temporal poles, and right inferior frontal sulcus. We conclude that prediction during language comprehension can occur at several levels of processing, including at the level of word form. Our study exemplifies the power of combining computational linguistics with cognitive neuroscience, and additionally underlines the feasibility of studying continuous spoken language materials with fMRI. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  12. Medicinal marijuana: a comprehensive review.

    Science.gov (United States)

    Gurley, R J; Aranow, R; Katz, M

    1998-01-01

    Considerable controversy exists regarding the role of marijuana as a therapeutic agent; however, many practitioners are taught very little about existing marijuana data. The authors therefore undertook a comprehensive literature review of the topic. References were identified using textbooks, review and opinion articles, and a primary literature review in MEDLINE. Sources were included in this review based primarily on the quality of the data. Some data exists that lends credence to many of the claims about marijuana's properties. In general, however, the body of literature about marijuana is extremely poor in quality. Marijuana and/or its components may help alleviate suffering in patients with a variety of serious illnesses. Health care providers can best minimize short term adverse consequences and drug interactions for terminally ill patients by having a thorough understanding of the pharmacology of marijuana, potential adverse reactions, infection risks, and drug interactions (along with on-going monitoring of the patient). For chronic conditions, the significance and risk of short and long term adverse effects must be weighed against the desired benefit. Patients who are best suited to medicinal marijuana will be those who will gain substantial benefit to offset these risks, and who have failed a well-documented, compliant and comprehensive approach to standard therapies.

  13. Comprehensive Environmental Assessment Applied to ...

    Science.gov (United States)

    In September 2013, EPA announced the availability of the final report, Comprehensive Environmental Assessment Applied to Multiwalled Carbon Nanotube Flame-Retardant Coatings in Upholstery Textiles: A Case Study Presenting Priority Research Gaps for Future Risk Assessments. This final report presents a case study of multiwalled carbon nanotubes (MWCNTs); it focuses on the specific example of MWCNTs as used in flame-retardant coatings applied to upholstery textiles. This case study is organized around the comprehensive environmental assessment (CEA) framework, which structures available information pertaining to the product life cycle, environmental transport and fate, exposure-dose in receptors (i.e., humans, ecological populations, and the environment), and potential impacts in these receptors. A group of experts representing multiple disciplines and multiple sector perspectives used an earlier draft of the case study in conjunction with a structured workshop process to identify and prioritize research gaps that, if pursued, could inform future MWCNT assessment efforts. The final report is not a health, risk, or exposure assessment and as such does not draw conclusions about potential risks, or present an exhaustive review of the literature. Rather, it presents the MWCNT research priorities that experts identified in this application of CEA in order to aid research planning throughout the scientific community. The outcomes of these research efforts may subsequ

  14. Hospitality, Tourism, and Politics

    OpenAIRE

    Stephen W. Litvin

    2012-01-01

    Government policy has a significant impact on the hospitality and tourism industry, but it is unclear if political leaders fully understand this economic sector when crafting policies. This article offers new research about the direct involvement of industry practitioners in the political process, by analyzing the backgrounds of legislators in the six New England states. The data indicate that only 3% of these legislators have current or former careers related to hospitality and tourism. The ...

  15. Nutrition support in hospitals

    DEFF Research Database (Denmark)

    Kondrup, Jens

    2005-01-01

    Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance.......Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance....

  16. Pre-hospital and early in-hospital management of severe injuries: changes and trends.

    Science.gov (United States)

    Hussmann, Bjoern; Lendemans, Sven

    2014-10-01

    The pre-hospital and early in-hospital management of most severely injured patients has dramatically changed over the last 20 years. In this context, the factor time has gained more and more attention, particularly in German-speaking countries. While the management in the early 1990s aimed at comprehensive and complete therapy at the accident site, the premise today is to stabilise trauma patients at the accident site and transfer them into the hospital rapidly. In addition, the introduction of training and education programmes such as Pre-hospital Trauma Life Support (PHTLS(®)), Advanced Trauma Life Support (ATLS(®)) concept or the TEAM(®) concept has increased the quality of treatment of most severely injured trauma patients both in the preclinical field and in the emergency trauma room. Today, all emergency surgical procedures in severely injured patients are generally performed in accordance with the Damage Control Orthopaedics (DCO) principle. The advancements described in this article provide examples for the improved quality of the management of severely injured patients in the preclinical field and during the initial in-hospital treatment phase. The implementation of trauma networks, the release of the S3 polytrauma guidelines, and the DGU "Weißbuch" have contributed to a more structured management of most severely injured patients.

  17. Method and Application of Comprehensive Knowledge Discovery

    Institute of Scientific and Technical Information of China (English)

    SHA Zongyao; BIAN Fuling

    2003-01-01

    This paper proposes the principle of comprehensive knowledge discovery. Unlike most of the current knowledge discovery methods, the comprehensive knowledge discovery considers both the spatial relations and attributes of spatial entities or objects. We introduce the theory of spatial knowledge expression system and some concepts including comprehensive knowledge discovery and spatial union information table(SUIT). In theory, SUIT records all information contained in the studied objects, but in reality, because of the complexity and varieties of spatial relations,only those factors of interest to us are selected. In order to find out the comprehensive knowledge from spatial databases, an efficient comprehensive knowledge discovery algorithm called recycled algorithm (RAR) is suggested.

  18. Sisters in Dutch hospitals.

    Science.gov (United States)

    van den Bergh-Braam, A H

    1985-11-01

    This study focuses on hospital sisters in 30 Dutch hospitals. The so-called role-set approach has been adopted. In this approach the sisters are the focal persons. Direct superiors, specialists, registered nurses and student nurses acted as role-senders. The possible number of respondents is 600 (120 of each group). The response of hospital sisters is 100%, that of role-senders 88%. The study started out as an attempt to collect background information on the causes of wastage of sisters. High wastage rates are generally regarded as an indication of an unfavourable working environment. Since hospital sisters occupy a key position in hospitals, the ward problems will be studied from their angle. Although wastage rates have dropped recently, it does not necessarily follow that the working environment has improved. Wastage is known to act as a safety valve, thus allowing tensions to resolve. The threat of unemployment clogs this outlet, which increases the tensions on the hospital ward. Data from the study show that work overload is one of the major stress factors for sisters. Analyses demonstrated that there exists a relationship between work overload and tensions with the management and direct superiors, tensions in job execution, irritableness on the ward, low self-esteem, health complaints and psychological condition. Sisters with an excessive job involvement refer to work overload more often than their moderate colleagues. There is a relationship between an unfavourable working environment and irritableness of sisters.

  19. Epidemiological survey and antibiotic resistance analysis of methicillin-resistant staphylococcus aureus in comprehensive hospitals from 2011 to 2014%综合性医院2011-2014年MRSA感染流行病学调查和耐药性分析

    Institute of Scientific and Technical Information of China (English)

    纵帅; 徐萍萍; 康海全; 冯倚帆; 郝婷婷; 徐银海

    2016-01-01

    Objective To retrospectively analyze the epidemiological characteristics and drug resistance of methicil-lin-resistant Staphylococcus aureus ( MRSA) which was isolated from nosocomial infection .Methods Clinical data a-bout MRSA infection in hospitals were collected from 2011 to 2014.Then, the detection rate, clinical distribution, sources of specimens and antibiotic resistance of MRSA were analyzed .Results The main departments where MRSA was detected were ICU ( including emergency ICU ) and Departments of Neurology , Neurosurgery , Pediatrics and Respiratory . MRSA infection was detected in 61.3%of sputum samples and 20.2%of blood samples.All MRSA strains were sensi-tive to vancomycin, linezolid, syncercid and teicoplanin, but resistant to the selected β-lactam antibiotics.More than 50%of the stains were resistant to other antibiotics .However , the ratio of MIC =2 mg/L of vancomycin to MRSA is gradually increased .Conclusion Hospital MRSA has a high infection rate and serious multiple antibiotic resistance , but no strain was resistant or intermediate to vancomycin .The monitoring and management to major distribution departments should be strengthened to prevent the outbreak .Patients with MRSA infection, whose MIC≥1.0 mg/L (broth microdilu-tion method), should be given more intensive monitoring and active antibiotic therapy .%目的:回顾性分析耐甲氧西林金黄色葡萄球菌( MRSA)医院感染的流行病学特征和耐药性特点。方法收集和统计2011—2014年徐州医学院附属医院MRSA感染的相关数据,分析其检出率、临床科室分布、标本来源和耐药性特点等。结果近4年MRSA的检出主要分布在ICU(含急诊ICU)、神经内科、神经外科、儿科和呼吸科等科室;检出标本中以痰液和血液为主,分别占61.3%和20.2%;对万古霉素、替考拉宁和利奈唑胺等100%敏感,对所选β-内酰胺类抗生素100%耐药,对其他抗生素耐药多在50%

  20. Who Did What to Whom? The Relationship between Syntactic Aspects of Sentence Comprehension and Text Comprehension

    Science.gov (United States)

    Poulsen, Mads; Gravgaard, Amalie K. D.

    2016-01-01

    This study investigated the relationship between syntactic comprehension at the sentence level and text-level comprehension. The study isolated the specific contribution of syntax by asking whether sentence comprehension efficiency of difficult syntactic constructions explained variance in text comprehension after controlling for sentence…

  1. The Relative Contributions of Word Identification Skill and Comprehension-Monitoring Behavior to Reading Comprehension Ability.

    Science.gov (United States)

    Zinar

    2000-10-01

    Ninety-five fourth-grade children completed measures of reading comprehension, word identification, and several aspects of comprehension-monitoring behavior. Correlations indicated that word identification was the strongest predictor of reading comprehension. However, hierarchical regression analysis indicated that after the effects of word identification were partialed, comprehension-monitoring behavior explained significant additional variability in reading comprehension. Subgroup analysis indicated that the effect of comprehension-monitoring behavior was strongest among those students whose word-analysis skills were less well developed. Results were interpreted as suggesting that comprehension-monitoring strategies can be used to compensate for weaknesses in word-identification skills. Copyright 2000 Academic Press.

  2. Related factors of comprehensive treatment effect on anisometropic amblyopia children

    Directory of Open Access Journals (Sweden)

    Ai-Xin Jiang

    2015-10-01

    Full Text Available AIM: To study the related factors of comprehensive treatment effect on anisometropic amblyopia children, and to provide a theoretical basis for clinical intervention. METHODS: Totally 100 cases of anisometropic amblyopia children in our hospital from October 2013 to October 2014 were selected and were divided into groups A, B and C according to curative effect after 6~18mo's treatment. Fifty-four cases of group A were judged to be cured, 34 cases of group B were judged to be improved, and 12 cases of group C was invalid. The age, compliance, anisometropia degree, anisometropia type, amblyopia degree and fixation behavior were analyzed. RESULTS: Anisometropia type among the three groups of patients showed no significant difference(P>0.05. While the age, compliance, anisometropia degree, amblyopia degree and fixation behavior among three groups of patients had statistically significant differences(PCONCLUSION: There are closed relationship between comprehensive treatment effect and age, compliance, anisometropia degree, amblyopia degree, fixation behavior, but there is no significant correlation between anisometropia type and comprehensive treatment effect.

  3. [Comprehensive system integration and networking in operating rooms].

    Science.gov (United States)

    Feußner, H; Ostler, D; Kohn, N; Vogel, T; Wilhelm, D; Koller, S; Kranzfelder, M

    2016-12-01

    comprehensive surveillance and control system integrating all devices and functions is a precondition for realization of the operating room of the future. Multiple proprietary integrated operation room systems are currently available with a central user interface; however, they only cover a relatively small part of all functionalities. Internationally, there are at least three different initiatives to promote a comprehensive systems integration and networking in the operating room: the Japanese smart cyber operating theater (SCOT), the American medical device plug-and-play interoperability program (MDPnP) and the German secure and dynamic networking in operating room and hospital (OR.NET) project supported by the Federal Ministry of Education and Research. Within the framework of the internationally advanced OR.NET project, prototype solution approaches were realized, which make short-term and mid-term comprehensive data retrieval systems probable. An active and even autonomous control of the medical devices by the surveillance and control system (closed loop) is expected only in the long run due to strict regulatory barriers.

  4. From corporate governance to hospital governance. Authority, transparency and accountability of Belgian non-profit hospitals' board and management.

    Science.gov (United States)

    Eeckloo, Kristof; Van Herck, Gustaaf; Van Hulle, Cynthia; Vleugels, Arthur

    2004-04-01

    As a result of multiple developments in health care and health care policy, hospital administrators, policy makers and researchers are increasingly challenged to reflect on the meaning of good hospital governance and how they can implement it in the hospital organisations. The question arises whether and to what extent governance models that have been developed within the corporate world can be valuable for these reflections. Due to the unique societal position of hospitals--which involves a large diversity of stakeholders--the claim for autonomy of various highly professional groups and the lack of clear business objectives, principles of corporate governance cannot be translated into the hospital sector without specific adjustments. However, irrespective of these contextual differences, corporate governance can provide for a comprehensive 'frame of reference', to which the hospital sector will have to give its own interpretation. A multidisciplinary research unit of the university of Leuven has taken the initiative to develop a governance model for Belgian hospitals. As part of the preliminary research work a survey has been performed among 82 hospitals of the Flemish Community on their governance structure, the composition of the governance entities, the partition of competencies and the relationship between management and medical staff.

  5. Nursing supervision for care comprehensiveness.

    Science.gov (United States)

    Chaves, Lucieli Dias Pedreschi; Mininel, Vivian Aline; Silva, Jaqueline Alcântara Marcelino da; Alves, Larissa Roberta; Silva, Maria Ferreira da; Camelo, Silvia Helena Henriques

    2017-01-01

    To reflect on nursing supervision as a management tool for care comprehensiveness by nurses, considering its potential and limits in the current scenario. A reflective study based on discourse about nursing supervision, presenting theoretical and practical concepts and approaches. Limits on the exercise of supervision are related to the organization of healthcare services based on the functional and clinical model of care, in addition to possible gaps in the nurse training process and work overload. Regarding the potential, researchers emphasize that supervision is a tool for coordinating care and management actions, which may favor care comprehensiveness, and stimulate positive attitudes toward cooperation and contribution within teams, co-responsibility, and educational development at work. Nursing supervision may help enhance care comprehensiveness by implying continuous reflection on including the dynamics of the healthcare work process and user needs in care networks. refletir a supervisão de enfermagem como instrumento gerencial do enfermeiro para integralidade do cuidado, considerando suas potencialidades e limitações no cenário atual. estudo reflexivo baseado na formulação discursiva sobre a supervisão de enfermagem, apresentando conceitos e enfoques teóricos e/ou práticos. limitações no exercício da supervisão estão relacionadas à organização dos serviços de saúde embasada no modelo funcional e clínico de atenção, assim como possíveis lacunas no processo de formação do enfermeiro e sobrecarga de trabalho. Quanto às potencialidades, destaca-se a supervisão como instrumento de articulação de ações assistenciais e gerenciais, que pode favorecer integralidade da atenção, estimular atitudes de cooperação e colaboração em equipe, além da corresponsabilização e promoção da educação no trabalho. supervisão de enfermagem pode contribuir para fortalecimento da integralidade do cuidado, pressupondo reflexão cont

  6. Effect of Hospital Ownership on Outcomes of Heart Failure Hospitalization.

    Science.gov (United States)

    Akintoye, Emmanuel; Briasoulis, Alexandros; Egbe, Alexander; Orhurhu, Vwaire; Ibrahim, Walid; Kumar, Kartik; Alliu, Samson; Nas, Hala; Levine, Diane; Weinberger, Jarrett

    2017-09-01

    This study aimed to evaluate the impact of hospital ownership on heart failure (HF) hospitalization outcomes in the United States using data from the National Inpatient Sample of the Agency for Healthcare Research and Quality. Hospital ownership was classified into three, namely, nonfederal government, not-for-profit, and for-profit hospitals. Participants were adults hospitalized with a primary diagnosis of HF (2013 to 2014). End points included inpatient mortality, length-of-stay, cost and charge of hospitalization, and disposition at discharge. Of the estimated 1.9 million HF hospitalizations in the United States between 2013 and 2014, 73% were in not-for-profit hospitals, 15% were in for-profit hospitals, and 12% were in nonfederal government hospitals. Overall, mortality rate was 3%, mean length of stay was 5.3 days, median cost of hospitalization was USD 7,248, and median charge was USD 25,229, and among those who survived to hospital discharge, 51% had routine home discharge. There was no significant difference in inpatient mortality between hospital ownership among male patients, but there was a significant difference for female patients. Compared with government hospitals, mortality in female patients was lower in not-for-profit (odds ratio: 0.85 [95% confidence interval: 0.77 to 0.94]) and for-profit hospitals (odds ratio: 0.77 [0.68 to 0.87]). In addition, mean length of stay was highest in not-for-profit hospitals (5.4 days) and lowest in for-profit hospitals (5 days). Although cost of hospitalization was highest in not-for-profit hospitals (USD 7462) and lowest in for-profit hospitals (USD 6,290), total charge billed was highest in for-profit hospitals (USD 35,576) and lowest in government hospitals (USD 19,652). The average charge-to-cost ratio was 3:1 for government hospitals, 3.5:1 for not-for-profit hospitals, and 5.9:1 for for-profit hospitals. In conclusion, there exist significant disparities in HF hospitalization outcomes between hospital

  7. Re-thinking barriers to organizational change in public hospitals.

    Science.gov (United States)

    Edwards, Nigel; Saltman, Richard B

    2017-01-01

    Public hospitals are well known to be difficult to reform. This paper provides a comprehensive six-part analytic framework that can help policymakers and managers better shape their organizational and institutional behavior. The paper first describes three separate structural characteristics which, together, inhibit effective problem description and policy design for public hospitals. These three structural constraints are i) the dysfunctional characteristics found in most organizations, ii) the particular dysfunctions of professional health sector organizations, and iii) the additional dysfunctional dimensions of politically managed organizations. While the problems in each of these three dimensions of public hospital organization are well-known, and the first two dimensions clearly affect private as well as publicly run hospitals, insufficient attention has been paid to the combined impact of all three factors in making public hospitals particularly difficult to manage and steer. Further, these three structural dimensions interact in an institutional environment defined by three restrictive context limitations, again two of which also affect private hospitals but all three of which compound the management dilemmas in public hospitals. The first contextual limitation is the inherent complexity of delivering high quality, safe, and affordable modern inpatient care in a hospital setting. The second contextual limitation is a set of specific market failures in public hospitals, which limit the scope of the standard financial incentives and reform measures. The third and last contextual limitation is the unique problem of generalized and localized anxiety, which accompanies the delivery of medical services, and which suffuses decision-making on the part of patients, medical staff, hospital management, and political actors alike. This combination of six institutional characteristics - three structural dimensions and three contextual dimensions - can help explain why

  8. Hospitals look to hospitality service firms to meet TQM goals.

    Science.gov (United States)

    Hard, R

    1992-05-20

    Hospitals that hire contract service firms to manage one or all aspects of their hospitality service departments increasingly expect those firms to help meet total quality management goals as well as offer the more traditional cost reduction, quality improvement and specialized expertise, finds the 1992 Hospital Contract Services Survey conducted by Hospitals.

  9. Mycobacterial endocarditis: a comprehensive review

    Science.gov (United States)

    Shi-Min, Yuan

    2015-01-01

    Objective A systematic analysis was made in view of the epidemiology, clinical features, diagnosis, treatment and main outcomes of mycobacterial endocarditis. Methods The data source of the present study was based on a comprehensive literature search in MEDLINE, Highwire Press and Google search engine for publications on mycobacterial endocarditis published between 2000 and 2013. Results The rapidly growing mycobacteria become the predominant pathogens with Mycobacterium chelonae being the most common. This condition has changed significantly in terms of epidemiology since the 21st century, with more broad patient age range, longer latency, prevailed mitral valve infections and better prognosis. Conclusion Mycobacterial endocarditis is rare and the causative pathogens are predominantly the rapidly growing mycobacteria. Amikacin, ciprofloxacin and clarithromycin are the most frequently used targeted antimicrobial agents but often show poor responses. Patients with deep infections may warrant a surgical operation or line withdrawal. With periodic multidrug therapy guided by drug susceptibility testing, and surgical managements, patients may achieve good therapeutic results. PMID:25859873

  10. Disciplinary Fragmentation in Comprehensive Issues

    DEFF Research Database (Denmark)

    Lauridsen, Erik Hagelskjær

    2004-01-01

    of environmental degradation of the lakes. Articles on environmental planning contain a more integrated understanding of the environmental degradation as a result of social activities. But also here the scope of the studies tend to be limited to the water related issues. The results of the literature survey...... welfare of the population at large. This paper suggests that The Lake Bassin must be described and analyzed as a comprehensive issue which integrates an understanding of the uplands of the lake as more than watersheds. A literature surevey was performed searching major international research databases...... to social and economic factors are not subjects of specific analysis in the literature. They can to some extent be derived from the assumptions of the articles on environmental planning: Socio-economic data are available as statistics for the area, but they are not related to the concrete sources...

  11. Building Information Modeling Comprehensive Overview

    Directory of Open Access Journals (Sweden)

    Sergey Kalinichuk

    2015-07-01

    Full Text Available The article is addressed to provide a comprehensive review on recently accelerated development of the Information Technology within project market such as industrial, engineering, procurement and construction. Author’s aim is to cover the last decades of the growth of the Information and Communication Technology in construction industry in particular Building Information Modeling and testifies that the problem of a choice of the effective project realization method not only has not lost its urgency, but has also transformed into one of the major condition of the intensive technology development. All of it has created a great impulse on shortening the project duration and has led to the development of various schedule compression techniques what becomes a focus of modern construction.

  12. Probability theory a comprehensive course

    CERN Document Server

    Klenke, Achim

    2014-01-01

    This second edition of the popular textbook contains a comprehensive course in modern probability theory. Overall, probabilistic concepts play an increasingly important role in mathematics, physics, biology, financial engineering and computer science. They help us in understanding magnetism, amorphous media, genetic diversity and the perils of random developments at financial markets, and they guide us in constructing more efficient algorithms.   To address these concepts, the title covers a wide variety of topics, many of which are not usually found in introductory textbooks, such as:   • limit theorems for sums of random variables • martingales • percolation • Markov chains and electrical networks • construction of stochastic processes • Poisson point process and infinite divisibility • large deviation principles and statistical physics • Brownian motion • stochastic integral and stochastic differential equations. The theory is developed rigorously and in a self-contained way, with the c...

  13. Prevalence survey of depression and/or anxiety among clinic clients in neurology departments of the third grade comprehensive hospitals in Chengdu%成都市三级综合医院神经内科门诊就诊者抑郁/焦虑患病率调查

    Institute of Scientific and Technical Information of China (English)

    李晓佳; 孙红斌; 黄雨兰; 张岚

    2011-01-01

    目的 通过流行病学调查,研究成都市三级综合性医疗机构神经内科门诊就诊者抑郁/焦虑障碍现况和神经内科医师的识别及处治现状.方法 随机抽取三级综合医院神经内科门诊的调查日期,使用焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)和患者15项健康状况量表对门诊就诊者进行评估,所有HADS评分≥8分的就诊者由精神科医师用国际神经精神科简式访谈问卷(Mini-international Neuropsychiatric Interview,MINI)进行评估确定诊断.结果 454例神经内科门诊就诊者加入了调查,有253例就诊者HADS≥8分,占55.73%,其中192例就诊者(75.9 %)完成了MINI量表的测定,诊断为抑郁/焦虑的患者有119例,神经内科门诊就诊者抑郁/焦虑障碍的患病率为26.2%,发病年龄集中在30~45岁(40.1%),其次为18~30岁(23.4%),主诉最多为头昏、头痛(48.7%),其次为失眠(10.1%)、上下肢麻木(5.2%)、肢体瘫痪无力(2.5%)、尿频(8.8%)、心悸(6.8%).神经内科医师对患者精神系统疾病的认识率仅有25.7%,患者愿意到精神科接受治疗仅占24.7%.结论 三级综合性医疗机构神经内科门诊就诊者抑郁/焦虑患病率高,而神经内科医师对患者精神系统疾病的识别率较低.

  14. Comprehensive approach to sarcopenia treatment.

    Science.gov (United States)

    Wakabayashi, Hidetaka; Sakuma, Kunihiro

    2014-05-01

    Sarcopenia is characterized by progressive and generalized loss of skeletal muscle mass and strength with a risk of adverse outcomes such as physical disability, poor quality of life, and death. Primary sarcopenia is considered to be age-related when no other cause is evident, other than ageing itself. Secondary sarcopenia should be considered when one or more other causes are evident, such as activity-, disease-, or nutrition-related sarcopenia. In this narrative review that focused on human studies, we summarize the pharmaceutical therapies (testosterone, dehydroepiandrosterone, estrogen, growth hormone, ghrelin, vitamin D, angiotensin converting enzyme inhibitor, and eicosapentaenoic acid) and nonpharmaceutical therapies (resistance training, protein and amino acid supplementation, and non-smoking) for counteracting primary sarcopenia. Testosterone and growth hormone improve muscle mass and muscle strength, but have several side effects. Although there are some intriguing pharmaceutical therapies to combat sarcopenia, resistance training combined with supplements containing amino acids are the most effective for preventing and treating age-related muscle wasting and weakness. The etiology of sarcopenia in the elderly is multi-factorial. Patients with disuse syndrome and deconditioning often complicate the diagnosis, of not only activity-related sarcopenia, but also age-, disease-, and nutrition-related sarcopenia. In these cases a comprehensive approach to sarcopenia treatment should include pharmaceutical therapies for age-related sarcopenia and comorbid chronic diseases, resistance training, early ambulation, nutrition management, protein and amino acid supplementation, and non-smoking. The effect of pharmaceutical therapies for sarcopenia can be enhanced by this comprehensive approach. Future research on pharmaceutical therapies for counteracting sarcopenia should consider non-pharmaceutical therapies and also the causes of sarcopenia.

  15. Secondhand smoke exposure in St. Louis and need for comprehensive smoke-free law adoption across Missouri

    Science.gov (United States)

    Moreland-Russell, Sarah; Cyr, Julianne; Benson, Peter; Colditz, Graham; Pulley, Deren; Barnoya, Joaquin

    2014-01-01

    This cross- sectional study provides information about secondhand smoke exposure across the St. Louis metro area and perceptions and attitudes about tobacco and health within the local hospitality industry. Results from this study support the need for passage and implementation of comprehensive smoke-free laws throughout Missouri, particularly in St. Louis City and County where efforts to pass comprehensive smoke-free laws have been unsuccessful . PMID:23362653

  16. Trick questions: cosmopolitan hospitality

    Directory of Open Access Journals (Sweden)

    Eleanor Byrne

    2013-08-01

    Full Text Available Byrne’s paper consists of two parallel texts. The first explores the limits of cosmopolitanism in practice, taking as its subject the Life in the UK Citizenship Test, inaugurated under the Labour Government in 2005. It argues that the test exemplifies the predicament of all attempts at cosmopolitan hospitality as unconditional welcoming, through a discussion of the relation between questioning and welcoming the stranger. Establishing the relationship between cosmopolitanism and hospitality as envisaged in Derrida’s reading of Kant it asks what kind of cosmopolitan hospitality is either possible or desirable by exploring what Derrida calls the ‘perversions’ inherent in the structures of hospitality. It focuses on the concept of the ‘trick questions’ that the state asks the foreigner observed by Derrida in his reading of The Apology of Socrates; questions that seem to invite answers but foreclose the possibilities of a free response. The second text asks how this logic that Derrida identifies can be pushed or coaxed into new ways of addressing the perceived threats of ‘unconditional’ hospitality through a reading of ‘unconditional hospitality’ as queer in the work of Tove Jansson.

  17. From “Comprehensive Transportation Hub” to “City New Sitting Room”---Overall the design about Jinan East district comprehensive transportation hub

    Science.gov (United States)

    Lv, Jie; Guo, Jianmin; Li, Jin

    2017-08-01

    integrated transport hub or high-speed rail station often talked about, often known as the “city portal” and the title of “city window”, so the comprehensive transportation hub or the high-speed rail station of a city is very important to a region or a provincial. At the same time, it reflects that the managers and users of a city only focus on the comprehensive transportation hub of transportation service function and ignore her cities attributes and functions. Jinan east district comprehensive transportation hub in the beginning of design is given a feature that it has to serve both the traffic and city. We are trying to build a new center for Jinan east new town, the window to welcome people, the city hall of hospitality.

  18. [Marianne in hospital].

    Science.gov (United States)

    Weium, Frode

    2003-12-23

    In 1948 Norwegian architect and author Odd Brochmann (1909-92) published his popular children's book Marianne in hospital (Marianne på sykehus). Two years later the book was filmed on the initiative of the Ministry of Social Affairs. This article considers the question of what were the purposes of the film. Officially, it was presented as an attempt to teach children not to be afraid of hospitals. However, in internal notes and letters the health authorities stressed that the film should be an educational film about the social benefits and health services of the welfare state. Furthermore, I will argue that the film was the result of a wish to present the nation's modern hospital care and, by way of conclusion, discuss the characterisation of the film as educational.

  19. Internal auditing in hospitals.

    Science.gov (United States)

    Edwards, Don; Kusel, Jim; Oxner, Tom

    2003-01-01

    The authors analyzed two national surveys to determine answers for two basic questions: How do the roles of internal auditors compare with those of their counterparts in other industries and to what extent over the past 6 years have the activities of internal auditors changed? Internal auditors in hospitals allocate their time primarily to financial/compliance and operational types of audits, as do their counterparts. The current trend is toward more operational types of audits. In the early years of employment, staff turnover in hospitals is significantly higher than in all combined industries, often leading to internal auditors' filling other positions in the organization. Hospital staff salaries are higher than are salaries in other industries combined. Staff composition continues to reflect the growing presence of women in the field. The majority of internal auditing directors believe that their salaries are fair, would recommend internal auditing as a career position, and are treated as valued consultants in the organization.

  20. [Stress management in hospitals].

    Science.gov (United States)

    Miki, Akiko

    2002-11-01

    Job stress in employees in hospitals has been recognized as a key issue in the workplace. In this paper, characteristics of job stress in the medical profession, especially in doctors and nurses, and the effectiveness of stress management are overviewed. The important points in stress management in hospitals are summarized as follows: 1) improvement of work environment, 2) assurance of participation and autonomy, 3) education or training to reduce job stress (ex. coping behavior, self-care, relaxation), 4) career development, 5) total support among medical professions. Some reports have demonstrated that the establishment of constant meetings is an effective method of reducing job stress and improving mental health in the medical profession, but few prospective intervention studies have been carried out. Further research is necessary to evaluate the effectiveness of stress reduction and to develop effective intervention programs for medical professions in hospitals.

  1. Adapting the SERVQUAL scale to hospital services: an empirical investigation.

    Science.gov (United States)

    Babakus, E; Mangold, W G

    1992-02-01

    Defining and measuring the quality of service has been a major challenge for health care marketers. A comprehensive service quality measurement scale (SERVQUAL) is empirically evaluated for its potential usefulness in a hospital service environment. Active participation by hospital management helped to address practical and user-related aspects of the assessment. The completed expectations and perceptions scales met various criteria for reliability and validity. Suggestions are provided for the managerial use of the scale, and a number of future research issues are identified.

  2. Late Abortion: A Comprehensive Review

    Directory of Open Access Journals (Sweden)

    Sheng Chiang

    2005-12-01

    Full Text Available Late termination of pregnancy (LTOP is defined as an abortion carried out beyond 24 gestational weeks, when the fetus has arguably attained viability. In Taiwan, the current abortion law, bearing a eugenic title, allows LTOP on certain medical grounds. However, the fetal and maternal conditions that constitute medical grounds are not clarified and remain legally untested. Professional debate on the abortion issue is also lacking in academia in Taiwan, despite societal concerns. With the advent of technology to detect fetal abnormalities, obstetricians are now confronted more frequently with acute dilemmas regarding LTOP. Quite often, they sail in an uncharted sea with no clinical guidelines from their professional societies or affiliated hospitals. Recently, LTOP at 35 gestational weeks for a fetus with Down syndrome, complicated with polyhydramnios and tetralogy of Fallot, triggered media scrutiny and aroused much public attention. Although the clinical decision making for pregnancies with fetal abnormalities entails increasingly balanced information and consideration in terms of the medical, ethical, legal, psychologic, and societal aspects, society at large is unaware of the complexity and intertwined nature of various abortion issues, especially LTOP. Obstetricians are now in a vulnerable position in Taiwanese society, where litigations relevant to the practice of early abortions are not rare. Therefore, a global and in-depth look into abortion issues from legal and ethical dimensions is indispensable for modern obstetric practice. This review considers the core issues in LTOP, including what conditions constitute a “serious” fetal abnormality to justify LTOP, the incidence of LTOP, legislation regarding LTOP in Western countries, and recent research on ambivalent fetal pain. It will also present procedures, some under the auspices of the ethical committee of a Presbyterian hospital in Taiwan, for clinical decision making, particularly

  3. Developing a Model for Evaluation and Accreditation of Hospitals

    Directory of Open Access Journals (Sweden)

    AM Mosadegh Rad

    2005-10-01

    for Evaluation and Accreditation of Hospitals is developed. In this model, the context, structure (input, process and results (out put were considered comprehensively. In this model items such as customer participation in treatment process, hospital information system, equity of services, employees’ participation in evaluation process, increasing employees and managers knowledge and capabilities level, risk and safety management and so on are considered. Discussion: The evaluation and accreditation system of Hospitals should be a comprehensive system in order to evaluate the whole dimensions of these organizations.

  4. Toward healthier hospitals.

    Science.gov (United States)

    Mintzberg, H

    1997-01-01

    This article builds around a framework of cure, care, control, and community, with collaboration at the center, to consider 12 issues common to many hospitals. These include, among others, the fragmentation of efforts, confusion in mission (and in mission statements), the problems of bundling research with clinical work, selectivity in informing board members, the dangers of professional management, and the difficulties of combining external advocacy with internal reconciliation in the senior manager's job. The article concludes that hospitals could better learn how to solve systemic problems systemically, and that to do so will require not the wish lists of strategic planning and structural reorganizing, but tangible changes in their collective behavior.

  5. Drawing Hospital Foodscapes

    DEFF Research Database (Denmark)

    Tvedebrink, Tenna Doktor Olsen; Fisker, Anna Marie; Kirkegaard, Poul Henning

    This poster presents a series of drawings depicting the initial considerations made with the Ph.D. project for an improved ‘Interior Design for Food’ in a Danish hospital ward. The project concerns a study on the ontological and symbolic interrelationship possibly existing between food and archit......This poster presents a series of drawings depicting the initial considerations made with the Ph.D. project for an improved ‘Interior Design for Food’ in a Danish hospital ward. The project concerns a study on the ontological and symbolic interrelationship possibly existing between food...

  6. Hospitality, Tourism, and Politics

    Directory of Open Access Journals (Sweden)

    Stephen W. Litvin

    2012-09-01

    Full Text Available Government policy has a significant impact on the hospitality and tourism industry, but it is unclear if political leaders fully understand this economic sector when crafting policies. This article offers new research about the direct involvement of industry practitioners in the political process, by analyzing the backgrounds of legislators in the six New England states. The data indicate that only 3% of these legislators have current or former careers related to hospitality and tourism. The author suggests that practitioners should seek election to political office, to better influence government policy.

  7. Marketing the hospital library.

    Science.gov (United States)

    Bridges, Jane

    2005-01-01

    Many librarians do not see themselves as marketers, but marketing is an essential role for hospital librarians. Library work involves education, and there are parallels between marketing and education as described in this article. It is incumbent upon hospital librarians actively to pursue ways of reminding their customers about library services. This article reinforces the idea that marketing is an element in many of the things that librarians already do, and includes a list of suggested marketing strategies intended to remind administrators, physicians, and other customers that they have libraries in their organizations.

  8. How to build a comprehensive business continuity programme for a healthcare organisation.

    Science.gov (United States)

    Devlen, Angela

    2009-11-01

    Since 2005 there has been an ongoing examination of the impact of disasters on hospitals, with specific interest in those rendered inoperable or seriously crippled operationally and financially. Following several evaluations of these events and the publication of several reports detailing gaps in preparedness, more is known about the impact to hospitals directly affected by emergencies and catastrophic events. As a result, there have been continued updates to regulations and standards. However, a significant gap remains in the establishment of a model representing true integration of risk management practices within hospitals. This paper discusses one approach to addressing that gap through building a comprehensive business continuity programme for healthcare organisations. This programme is intended to result in a roadmap towards resilience in the face of the many risks faced by hospitals today.

  9. Comprehensive energy management eco routing & velocity profiles

    CERN Document Server

    Brandstätter, Bernhard

    2017-01-01

    The book discusses the emerging topic of comprehensive energy management in electric vehicles from the viewpoint of academia and from the industrial perspective. It provides a seamless coverage of all relevant systems and control algorithms for comprehensive energy management, their integration on a multi-core system and their reliability assurance (validation and test). Relevant European projects contributing to the evolvement of comprehensive energy management in fully electric vehicles are also included.

  10. The use of electronic health records in Spanish hospitals.

    Science.gov (United States)

    Marca, Guillem; Perez, Angel; Blanco-Garcia, Martin German; Miravalles, Elena; Soley, Pere; Ortiga, Berta

    2014-01-01

    The aims of this study were to describe the level of adoption of electronic health records in Spanish hospitals and to identify potential barriers and facilitators to this process. We used an observational cross-sectional design. The survey was conducted between September and December 2011, using an electronic questionnaire distributed through email. We obtained a 30% response rate from the 214 hospitals contacted, all belonging to the Spanish National Health Service. The level of adoption of electronic health records in Spanish hospitals was found to be high: 39.1% of hospitals surveyed had a comprehensive EHR system while a basic system was functioning in 32.8% of the cases. However, in 2011 one third of the hospitals did not have a basic electronic health record system, although some have since implemented electronic functionalities, particularly those related to clinical documentation and patient administration. Respondents cited the acquisition and implementation costs as the main barriers to implementation. Facilitators for EHR implementation were: the possibility to hire technical support, both during and post implementation; security certification warranty; and objective third-party evaluations of EHR products. In conclusion, the number of hospitals that have electronic health records is in general high, being relatively higher in medium-sized hospitals.

  11. Assessing hospitals' clinical risk management: Development of a monitoring instrument

    Directory of Open Access Journals (Sweden)

    Pfeiffer Yvonne

    2010-12-01

    Full Text Available Abstract Background Clinical risk management (CRM plays a crucial role in enabling hospitals to identify, contain, and manage risks related to patient safety. So far, no instruments are available to measure and monitor the level of implementation of CRM. Therefore, our objective was to develop an instrument for assessing CRM in hospitals. Methods The instrument was developed based on a literature review, which identified key elements of CRM. These elements were then discussed with a panel of patient safety experts. A theoretical model was used to describe the level to which CRM elements have been implemented within the organization. Interviews with CRM practitioners and a pilot evaluation were conducted to revise the instrument. The first nationwide application of the instrument (138 participating Swiss hospitals was complemented by in-depth interviews with 25 CRM practitioners in selected hospitals, for validation purposes. Results The monitoring instrument consists of 28 main questions organized in three sections: 1 Implementation and organizational integration of CRM, 2 Strategic objectives and operational implementation of CRM at hospital level, and 3 Overview of CRM in different services. The instrument is available in four languages (English, German, French, and Italian. It allows hospitals to gather comprehensive and systematic data on their CRM practice and to identify areas for further improvement. Conclusions We have developed an instrument for assessing development stages of CRM in hospitals that should be feasible for a continuous monitoring of developments in this important area of patient safety.

  12. A system dynamics approach for hospital waste management.

    Science.gov (United States)

    Chaerul, Mochammad; Tanaka, Masaru; Shekdar, Ashok V

    2008-01-01

    Healthcare services provided by hospitals may generate some infectious wastes. Although a large percentage of hospital waste is classified as general waste, which has similar nature as that of municipal solid waste and, therefore, could be disposed in municipal landfills, a small portion of infectious waste has to be managed in the proper manner in order to minimize risk to public health. Many factors involved in the hospital waste management system often link to one another, which require a comprehensive analysis to determine the role of each factor in the system. In this paper, we present a hospital waste management model based on system dynamics to determine the interaction among factors in the system using a software package, Stella. A case study of the City of Jakarta, Indonesia is selected. The hospital waste generation is affected by various factors including the number of beds in the hospitals and the NIMBY (not in my back yard) syndrome. To minimize the risk to public health, we found that waste segregation, as well as infectious waste treatment prior to disposal, has to be conducted properly by the hospital management, especially when scavenging takes place in landfill sites in developing countries.

  13. Pediatric hospital medicine: historical perspectives, inspired future.

    Science.gov (United States)

    Fisher, Erin Stucky

    2012-05-01

    Pediatric hospital medicine (PHM) is in an accelerated growth phase. Multiple elements have combined to affect the current state of the field. PHM is similar to other geographic specialties such as pediatric emergency medicine and pediatric critical care that deliver general, comprehensive care to patients based on hospital site. Pediatric hospitalists have been molded by changes in medicine, consumer expectations, and training program modifications. The history of PHM dates back for more than 3 decades, when unwitting pediatricians began to focus on delivering care for the hospitalized child. The ensuing years allowed for natural responses to external pressures that resulted in much of the field's initial development. In more recent years, however, pediatric hospitalists have been catalysts for change and driving forces for health care systems' improvements. Simultaneous with this has been the nearly exponential surge of energy focused on targeted initiatives, which have further defined the field and brought attention on a national level. PHM is at a critical but brilliant juncture in development. Further decisions regarding scope and demonstration of competencies are important to make with clarity of purpose. Pediatric hospitalists are advancing child health in the inpatient setting through evidence-based care, research, education, clinical excellence, advocacy, and health care business acumen. With a strong community sense and leadership evident, PHM has a bright future. Copyright © 2012 Mosby, Inc. All rights reserved.

  14. Hospital diversification: how to involve the pharmacy.

    Science.gov (United States)

    Smith, J E; Black, B L

    1987-05-01

    Participation by hospital pharmacy departments in planning and development of diversified services is described. Diversification requires market planning. Seven basic marketing steps are identification of mission, goals, and objectives; identification of growth strategies (market penetration, market development, product development, and diversification); market analysis of external factors (size, growth, and logistics; reimbursement and financial considerations; competition; regulatory issues; and legal issues); market analysis of internal factors (departmental organization and reporting lines, demographics of the institution, and costs and productivity associated with the new service); program development and design; implementation; and evaluation. Hospitals can diversify by expanding acute-care services through management contracts and mergers; developing new services to include long-term-care, ambulatory-care, occupational-health, and wellness programs; starting other health-care ventures, such as consulting, continuing medical education, and continuing education for nurses; and expanding into non-health-care businesses. Vertical diversification is finding new markets for existing services; horizontal diversification is development of new services for new markets. To diversify, an institution may need to change its corporate structure; it may form a family of corporations that includes a university, nonprofit hospitals, holding companies, for-profit corporations, joint ventures, and service organizations. Through diversification, institutions and pharmacy departments can create alternative sources of funding and offer more comprehensive services to patients.

  15. Tuberculosis patients hospitalized in the Albert Schweitzer Hospital, Lambaréné, Gabon-a retrospective observational study.

    Science.gov (United States)

    Stolp, S M; Huson, M A M; Janssen, S; Beyeme, J O; Grobusch, M P

    2013-11-01

    Epidemiological data on tuberculosis in Central Africa are limited. We performed a retrospective observational study on clinical characteristics of 719 hospitalized tuberculosis patients in Lambaréné, Gabon. Human immunodeficiency virus (HIV) co-infection rate was high (34%) and in-hospital mortality was significantly higher in HIV-positive patients (10% versus 2%). Long-term information on patient outcome was limited; however, from 2008 to 2011, loss to follow up was noted in 28% of cases. Our data illustrate the high burden of TB in Gabon, where loss to follow up and emerging drug resistance are important problems for which comprehensive data are still lacking.

  16. SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund) - NPL Sites

    Data.gov (United States)

    U.S. Environmental Protection Agency — National Priorities List (NPL) Sites - The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access...

  17. Reading comprehension in children with Down syndrome.

    Science.gov (United States)

    Laws, Glynis; Brown, Heather; Main, Elizabeth

    Two studies aimed to investigate the reading comprehension abilities of 14 readers with Down syndrome aged 6 years 8 months to 13 years relative to those of typically developing children matched on word reading ability, and to investigate how these abilities were associated with reading accuracy, listening comprehension, phonological awareness and vocabulary knowledge. Study 1 confirmed significantly poorer passage-reading comprehension than the typically developing group. In an experimental task, readers with Down syndrome understood fewer written sentences than the typical group and, contrary to prediction, received no advantage from printed sentences compared to spoken sentences, despite the lower memory load. Reading comprehension was associated with listening comprehension, word reading and phonological awareness in DS. Vocabulary knowledge was also associated with reading comprehension, mediated by word reading and nonverbal cognitive abilities. Study 2 investigated the longitudinal relationships between reading and language measures in the readers with DS over around 22 months. Time 1 listening comprehension and phonological awareness predicted Time 2 reading comprehension but there was no evidence that reading or reading comprehension predicted Time 2 language scores or phonological awareness, and no evidence that readers had acquired greater depth of vocabulary.

  18. German hospital database-allocation of patients to appropriate hospitals.

    Science.gov (United States)

    Schneider, Rita; Reiners, Christoph

    2010-06-01

    Effective response to radiological emergencies requires information about available qualified hospitals and defined methods to timely allocate patients to appropriate hospitals. In Germany, updated information about hospitals concerning their qualification and willingness to treat radiological emergency patients is not summarized. The objectives were to identify qualified hospitals, assess hospital capacities and treatment capabilities, to examine willingness to respond to various radiological emergencies and to develop a concept for matching patients to hospitals. A Germany-wide combined postal/Web survey of 99 selected hospitals conducted in 2007 covered relevant organizational characteristics, hospital resources, treatment expertise, and the willingness to accept radiological emergency patients by a self-reported written questionnaire with 57 items. Survey results were documented in a Microsoft Access database. A database-driven Web application was developed to allocate patients to hospitals. Of 99 hospitals, 69 responded and 54 indicated their willingness to accept radiological emergency patients. 17,512 total hospital beds, 2,084 intensive care, and 170 reverse isolation beds were reported. Availability of laboratory and in-patient departments ranged from 14 radiobiology to 47 laboratory medicine departments and from 13 burn care to 52 trauma surgery departments. 48 and 40 hospitals stated treatment competence for local and whole body external exposure, respectively. 34 and 29 hospitals reported treatment expertise for contamination and incorporation, respectively. In this publication baseline data of qualified hospitals concerning capacities and competence to manage radiological emergency patients are presented, and an allocation concept for radiological emergency patients is provided.

  19. Hospital Prices Increase in California, Especially Among Hospitals in the Largest Multi-hospital Systems

    Directory of Open Access Journals (Sweden)

    Glenn A. Melnick PhD

    2016-06-01

    Full Text Available A surge in hospital consolidation is fueling formation of ever larger multi-hospital systems throughout the United States. This article examines hospital prices in California over time with a focus on hospitals in the largest multi-hospital systems. Our data show that hospital prices in California grew substantially (+76% per hospital admission across all hospitals and all services between 2004 and 2013 and that prices at hospitals that are members of the largest, multi-hospital systems grew substantially more (113% than prices paid to all other California hospitals (70%. Prices were similar in both groups at the start of the period (approximately $9200 per admission. By the end of the period, prices at hospitals in the largest systems exceeded prices at other California hospitals by almost $4000 per patient admission. Our study findings are potentially useful to policy makers across the country for several reasons. Our data measure actual prices for a large sample of hospitals over a long period of time in California. California experienced its wave of consolidation much earlier than the rest of the country and as such our findings may provide some insights into what may happen across the United States from hospital consolidation including growth of large, multi-hospital systems now forming in the rest of the rest of the country.

  20. Investigation on the governance model and effect of medical schools merged with comprehensive universities in China.

    Science.gov (United States)

    Bai, Ge; Luo, Li

    2013-08-01

    This investigation analyzes the management of medical schools merged with comprehensive universities through internet search and research review to reveal management model and effect of the merger. The conclusion is safely reached that governance models are divided into two different patterns: centralized management and decentralized management. Eight universities, representing the two models, were selected and evaluated comprehensively. Among them, the universities that carried out decentralized management have greater development after the merger based on a quality comparison concerning freshmen, faculty, teaching, and research between the two patterns. © 2013 Wiley Publishing Asia Pty Ltd and Chinese Cochrane Center, West China Hospital of Sichuan University.

  1. ACE INHIBITORS: A COMPREHENSIVE REVIEW

    Directory of Open Access Journals (Sweden)

    Pradeep Kumar Arora* and Ashish Chauhan

    2013-02-01

    Full Text Available Hypertension is a chronic increase in blood pressure, characterized as primary and secondary hypertension. The disorder is associated with various risk factors like obesity, diabetes, age, lack of exercise etc. Hypertension is being treated since ancient times by Ayurvedic, Chinese and Unani medicine. Now various allopathic drugs are available which include diuretics, calcium channel blockers, α-blockers, β-blockers, vasodilators, central sympatholytics and ACE-inhibitors. Non-pharmacological treatments include weight reduction, dietary sodium reduction, increased potassium intake and reduction in alcohol consumption. ACE-inhibitors are widely used in the treatment of hypertension by inhibiting the angiotensin converting enzyme responsible for the conversion of angiotensin I to angiotensin II (responsible for vasoconstriction. Various structure activity relationship studies led to the synthesis of ACE-inhibitors, some are under clinical development. This comprehensive review gives various guidelines on classification of hypertension, hypertension therapy including ancient, pharmacological, non-pharmacological therapies, pharmacoeconomics, historical perspectives of ACE, renin, renin angiotensin system (circulating vs local RAS, mechanism of ACE inhibitors, and development of ACE inhibitors. Review also emphasizes on the recent advancements on ACE inhibitors including drugs in clinical trials, computational studies on ACE-inhibitors, peptidomimetics, dual, natural, multi-functional ACE inhibitors, and conformational requirements for ACE-inhibitors.

  2. Comprehensive Analysis of Neptune's Features

    Science.gov (United States)

    Karkoschka, Erich

    2007-07-01

    Hubble took an amazing data set of Neptune in nine GO programs between 1994 and 2006, consisting of 408 WFPC2 exposures with several filters present in each program. The PIs of these programs, Hammel, Sromovsky, and Rages, published a variety of results about Neptune's atmosphere based on each program. However, the typical size of the grants for each program did not allow all scientific questions of these rich data sets to be addressed.I propose to analyze these 400 images to create a consistent data set spanning 12 years, and I will make even the intermediate results available, such as 400 consistently calibrated images. The combined data set will then be able to address more far reaching questions than could be done by single data sets. Whereas previous studies focused on only a few center-to-limb measurements for a limited selection of latitudes and wavelengths, I will investigate the whole data set and analyze 16,000 center-to-limb curves. I will use the principal component analysis and various statistical tests to find the hidden variations on Neptune. I created software for a similar project on Hubble's Saturn images. I am ready to adapt and apply it to Hubble's Neptune images.The huge number of variable features on Neptune contain an ideal probe about atmospheric dynamics. Previous investigations have only scratched pieces of the surface of this treasure. It is time for a comprehensive study of the whole data to discover fundamenatal insights about atmospheric dynamics.

  3. CEDR: Comprehensive Epidemiologic Data Resource

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    The Department of Energy (DOE) and its predecessor agencies have a long history of epidemiologic research programs. The main focus of these programs has been the Health and Mortality Study of the DOE work force. This epidemiologic study began in 1964 with a feasibility study of workers at the Hanford facility. Studies of other populations exposed to radiation have also been supported, including the classic epidemiologic study of radium dial painters and studies of atomic bomb survivors. From a scientific perspective, these epidemiologic research program have been productive, highly credible, and formed the bases for many radiological protection standards. Recently, there has been concern that, although research results were available, the data on which these results were based were not easily obtained by interested investigators outside DOE. Therefore, as part of an effort to integrate and broaden access to its epidemiologic information, the DOE has developed the Comprehensive Epidemiologic Data Resource (CEDR) Program. Included in this effort is the development of a computer information system for accessing the collection of CEDR data and its related descriptive information. The epidemiologic data currently available through the CEDAR Program consist of analytic data sets, working data sets, and their associated documentation files. In general, data sets are the result of epidemiologic studies that have been conducted on various groups of workers at different DOE facilities during the past 30 years.

  4. The Comprehensive Emergent Literacy Model

    Directory of Open Access Journals (Sweden)

    Leigh Rohde

    2015-03-01

    Full Text Available The early skills of Emergent Literacy include the knowledge and abilities related to the alphabet, phonological awareness, symbolic representation, and communication. However, existing models of emergent literacy focus on discrete skills and miss the perspective of the surrounding environment. Early literacy skills, including their relationship to one another, and the substantial impact of the setting and context, are critical in ensuring that children gain all of the preliminary skills and awareness they will need to become successful readers and writers. Research findings over the last few decades have led to a fuller understanding of all that emergent literacy includes, resulting in a need for a new, more comprehensive model. A new model, described in this article, strives to explain how emergent literacy can be viewed as an interactive process of skills and context rather than a linear series of individual components. Early literacy learning opportunities are more likely to happen when teachers have a solid knowledge base of emergent literacy and child development. Research has shown that preschool teachers with limited knowledge about literacy development are significantly less able to provide such experiences for children. Teachers will be better able to facilitate all of the components of emergent literacy if they have access to, and understanding of, a model that describes the components, their interactions, and the importance of environmental factors in supporting children.

  5. Comprehensive approach to diabetic nephropathy

    Directory of Open Access Journals (Sweden)

    Bancha Satirapoj

    2014-09-01

    Full Text Available Diabetic nephropathy (DN is a leading cause of mortality and morbidity in patients with diabetes. This complication reflects a complex pathophysiology, whereby various genetic and environmental factors determine susceptibility and progression to end-stage renal disease. DN should be considered in patients with type 1 diabetes for at least 10 years who have microalbuminuria and diabetic retinopathy, as well as in patients with type 1 or type 2 diabetes with macroalbuminuria in whom other causes for proteinuria are absent. DN may also present as a falling estimated glomerular filtration rate with albuminuria as a minor presenting feature, especially in patients taking renin–angiotensin–aldosterone system inhibitors (RAASi. The pathological characteristic features of disease are three major lesions: diffuse mesangial expansion, diffuse thickened glomerular basement membrane, and hyalinosis of arterioles. Functionally, however, the pathophysiology is reflected in dysfunction of the mesangium, the glomerular capillary wall, the tubulointerstitium, and the vasculature. For all diabetic patients, a comprehensive approach to management including glycemic and hypertensive control with RAASi combined with lipid control, dietary salt restriction, lowering of protein intake, increased physical activity, weight reduction, and smoking cessation can reduce the rate of progression of nephropathy and minimize the risk for cardiovascular events. This review focuses on the latest published data dealing with the mechanisms, diagnosis, and current treatment of DN.

  6. Comprehensive resource: Skeletal gene database.

    Science.gov (United States)

    Jia, L; Ho, N C; Park, S S; Powell, J; Francomano, C A

    2001-01-01

    The Skeletal Gene Database (SGD) is an integrated resource that provides comprehensive information about bone-related genes, mRNA, and proteins expressed in human and mouse, with rich links to numerous other electronic tools. SGD contains expressed sequence tag (EST) data from all the skeletal-related cDNA libraries that are available to the public. It supplies the query/data access analytic tools for users to search and compare each gene expressed in skeletal tissue(s). The results derived from EST tissue expression profiling will allow users to get the data on the mRNA copy numbers of each gene expressed in each tissue and its normalized value. From the SGD, researchers can obtain information regarding the name, symbol, size, exon/intron number, chromosomal location, LocusLink, and related disease (if any is known) of each gene. This electronic compendium also furnishes information on the protein of the corresponding gene including the protein size (amino acid number and molecular weight). It provides swift and ready access to other useful databases including OMIM, UniGene and PUBMED. The data will be updated regularly in step with current and future research, thereby providing what we hope will serve as a highly useful source of information and a powerful analytic tool to the scientific community.

  7. Swine Flu -A Comprehensive View

    Science.gov (United States)

    Singh, Vandana; Sood, Meenakshi

    2012-07-01

    The present article is aimed on comprehensive view of Swine flu. It was first isolated from pigs in 1930 in USA. Pandemic caused by H1N1 in 2009 brought it in limelight. Itís a viral respiratory disease caused by viruses that infects pigs, resulting in nasal secretions, barking cough, decreased appetite, and listless behavior. Swine virus consist of eight RNA strands, one strand derived from human flu strains, two from avian (bird) strains, and five from swine strains. Swine flu spreads from infected person to healthy person by inhalation or ingestion of droplets contaminated with virus while sneezing or coughing. Two antiviral agents have been reported to help prevent or reduce the effects of swine flu, flu shot and nasal spray. WHO recommended for pandemic period to prevent its future outbreaks through vaccines or non-vaccines means. Antiviral drugs effective against this virus are Tamiflu and Relenza. Rapid antigen testing (RIDT), DFA testing, viral culture, and molecular testing (RT-PCR) are used for its diagnosis in laboratory

  8. The interstices of hospitality

    African Journals Online (AJOL)

    jane.b

    Printed in The Netherlands — All rights reserved. Introduction ... event, the rule of the city is anonymity disguised in the rules of urbanity ... understanding the theoretical meaning of hospitality (in part ... obligation that both behave appropriately in the meeting. ... which the concepts of consumption, commerce, utilitarianism,.

  9. Hospitals as food arenas

    DEFF Research Database (Denmark)

    Poulsen, Signe; Jørgensen, Michael Søgaard

    2010-01-01

    also identified. Research limitations: The assessment of the dietary changes based on the canteen take-away food was only based on indirect assessments based on interviews with users and non-users and furthermore based on a questionnaire at one of the hospitals. Value/originality: Canteen take...

  10. Innovations in Hospitality Industry

    Science.gov (United States)

    Dzhandzhugazova, Elena A.; Blinova, Ekaterina A.; Orlova, Liubov N.; Romanova, Marianna M.

    2016-01-01

    The article focuses on the study of the role and importance of innovation, its classification, the problems of its application in the hotel industry with emphasis on the application of sensory marketing tools in the development of the innovative marketing mix within the hospitality industry. The article provides an analysis of the "seven…

  11. Responsible Hospitality. Prevention Updates

    Science.gov (United States)

    Colthurst, Tom

    2004-01-01

    Responsible Hospitality (RH)--also called Responsible Beverage Service (RBS)--encompasses a variety of strategies for reducing risks associated with the sale and service of alcoholic beverages. RH programs have three goals: (1) to prevent illegal alcohol service to minors; (2) to reduce the likelihood of drinkers becoming intoxicated; and (3) to…

  12. Surgery, Hospitals, and Medications

    Science.gov (United States)

    ... involved in your hospital care that you have Sjögren’s syndrome. • Share information about your dryness symptoms and routine ... neck, jaw, or back. For more information on Sjögren’s syndrome, visit the SSF Web site at www.sjogrens. ...

  13. Hacking the hospital environment

    DEFF Research Database (Denmark)

    Boisen, Kirsten A; Boisen, Anne Bank; Thomsen, Stine Legarth

    2017-01-01

    BACKGROUND: There is a need for youth-friendly hospital environments as the ward environment may affect both patient satisfaction and health outcomes. OBJECTIVE: To involve young people in designing youth-friendly ward environment. METHODS: We arranged a design competition lasting 42 h (Hackathon...

  14. Mechanical engineering in hospitals.

    Science.gov (United States)

    Wallington, J W

    1980-10-01

    The design of a modern hospital owes more to engineering than the layman may realize. In this context, many engineers are in the position of laymen, being unfamiliar with the multitude of services that lies behind the impressive facade of a modern hospital. In recent years medicine and surgery themselves have taken on many of the characteristics of a technology. This has required a matching development of the services both mechanical and electrical that are required in modern health care buildings. In medical terms, if the architectural features provide the 'skin' of the hospital, the mechanical and electrical engineering services provide the nerves and sinews. If we take as an example the recently completed Freeman Hospital, Newcastle upon Tyne, (Fig. 1), which cost 10 million pounds at current cost, the service network was responsible for about half the total cost. About 400 miles (643 km) of electrical wiring and more than 40 mile (64.5 km) of copper and steel piping were used to service 3000 separate rooms. This compares with percentages of between 18 and 25 per cent for other large buildings such as office blocks, hotels and sports complexes.

  15. Hospital restructuring and burnout.

    Science.gov (United States)

    Greenglass, Esther R; Burke, Ronald J

    2002-01-01

    Increasingly, organizations are experiencing changes as a result of extensive downsizing, restructuring, and merging. In Canada, government-sponsored medicine has been affected as hospitals have merged or closed, reducing essential medical services and resulting in extensive job loss for hospital workers, particularly nurses. Hospital restructuring has also resulted in greater stress and job insecurity in nurses. The escalation of stressors has created burnout in nurses. This study examines predictors of burnout in nurses experiencing hospital restructuring using the MBI-General Survey which yields scores on three scales: Emotional exhaustion, Cynicism, and Professional efficacy. Multiple regressions were conducted where each burnout scale was the criterion and stressors (e.g., amount of work, use of generic workers to do nurses' work), restructuring effects, social support, and individual resources (e.g., control coping, self-efficacy, prior organizational commitment) were predictors. There were differences in the amount of variance accounted for in the burnout components by stressors and resources. Stressors contributed most to emotional exhaustion and least to professional efficacy. Individual resources were more likely to contribute to professional efficacy and least to emotional exhaustion. Stressors and resources accounted for approximately equal amounts of variance in cynicism. Three conclusions were drawn. First, present findings parallel others by showing that individual coping patterns contribute to professional efficacy. Second, emotional exhaustion was found to be the prototype of stress. Third, prior organizational commitment, self-efficacy, and control coping resulted in lower burnout.

  16. Knowledge Assessment of Hospital Staff Regarding Biomedical Waste Management in A Tertiary Care Hospital

    Directory of Open Access Journals (Sweden)

    Bathma Vishal

    2012-01-01

    Full Text Available Background: Biomedical waste (BMW is waste generated during diagnosis, treatment or immunization of human beings or animals. Approximately 10-25% of the Bio-Medical waste is hazardous and can be injurious to humans or animals and deleterious to environment. It is estimated that annually about 0.33 million tones of hospital waste are generated in India. Objectives: To assess the knowledge regarding hospital waste management amongst hospital staff. Material and Methods: The study comprises of assessment of the knowledge regarding BMW management. For this purpose, a 10% sample of each of the 4 categories of staff on roll was randomly selected for the study; the sample consisted of 110 respondents: 38 doctors, 44 nurses, 21 Lab-technicians and 7 waste handlers/supporting staff. Results: The knowledge of doctors about BMW management & handling rule was much better (92.1% as compared to nurses (54.5% and Lab-technicians (47.6% and it was statistically significant (p-value < 0.05. Conclusion: The doctors where observed to be good in theoretical knowledge. While in case of nurses and lab-technicians the reverse was true. Recommendation: The need of comprehensive training programs regarding Bio-Medical waste management is highly recommended to all hospital staff.

  17. Situation analysis of quality of abortion care in the main maternity hospital in Hai Phòng, Viet Nam

    DEFF Research Database (Denmark)

    Nguyen, My H Ng; Gammeltoft, Tine; Rasch, Vibeke

    2007-01-01

    Six months after a Comprehensive Abortion Care project was implemented in Phu-San Hospital, the main maternity hospital in Hai Phòng, northern Viet Nam, a study of quality of abortion services was carried out. The study explored the interaction between providers and women seeking abortion and how...

  18. [Leadership in the hospital].

    Science.gov (United States)

    Schrappe, Matthias

    2009-01-01

    Current concepts in leadership and governance on the level of supervisory board, management and departments are often considered as insufficient to cope with the profound structural change which actually takes place in the German health care system. While vertical and horizontal disconnecting is typical of the professional bureaucracy of hospitals, transition from functional to divisional structure further increases this risk. Accordingly, medical experts are oriented towards their professional peers and patient care on the one side; on the other side the management gets isolated and looses operative and strategic control. Several studies provide evidence for the relevance of role models to serve as agents of change, which are now developed into the concept of "Clinical Governance": evidence-based medicine, guidelines, continuous quality improvement, safety culture, resource accountability and organisational learning. The present situation makes it necessary to extend this conception, which focuses on the departmental level in an organisation with divisional features, to one of "Clinical Corporate Governance". This term, which also includes supervisory structures and the management board and is relevant for the total hospital and company, respectively, is based on the corporate governance concept. Inside the hospital, the management and the heads of the departments have to agree that (1) experts really need to be integrated into the decision process, and that (2) the outcomes of the entire hospital have to be regarded as equal or superior to the aims of a single department. The public image of the hospital should be one of a strong and reliable partner in health care and health care business on a local, regional and national level. Members of the supervisory board should clearly put corporate aspects above political and other implications and pay attention to personal independence from the leaders of the medical departments.

  19. Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

    Directory of Open Access Journals (Sweden)

    Yallew WW

    2016-08-01

    Full Text Available Walelegn Worku Yallew,1 Abera Kumie,2 Feleke Moges Yehuala3 1Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, 2School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, 3Department of Medical Microbiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Purpose: Hospital-acquired infection (HAI is a major safety issue affecting the quality of care of hundreds of millions of patients every year, in both developed and developing countries, including Ethiopia. In Ethiopia, there is no comprehensive research that presents the whole picture of HAIs in hospitals. The objective of this study was to examine the nature and extent of HAIs in Ethiopia. Methods: A repeated cross-sectional study was conducted in two teaching hospitals. All eligible inpatients admitted for at least 48 hours on the day of the survey were included. The survey was conducted in dry and wet seasons of Ethiopia, that is, in March to April and July 2015. Physicians and nurses collected the data according to the Centers for Disease Control and Prevention definition of HAIs. Coded and cleaned data were transferred to SPSS 21 and STATA 13 for analysis. Univariate and multivariable logistic regression analyses were used to examine the prevalence of HAIs and relationship between explanatory and outcome variables. Results: A total of 908 patients were included in this survey, the median age of the patients was 27 years (interquartile range: 16–40 years. A total of 650 (71.6% patients received antimicrobials during the survey. There were 135 patients with HAI, with a mean prevalence of 14.9% (95% confidence interval 12.7–17.1. Culture results showed that Klebsiella spp. (22.44% and Staphylococcus aureus (20.4% were the most commonly isolated HAI-causing pathogens in these hospitals. The association of patient age and hospital type with the occurrence of HAI was

  20. Hospitals Participating In ACOs Tend To Be Large And Urban, Allowing Access To Capital And Data.

    Science.gov (United States)

    Colla, Carrie H; Lewis, Valerie A; Tierney, Emily; Muhlestein, David B

    2016-03-01

    Relationships between physicians and hospitals have changed considerably over the past decade, as hospitals and physician groups have integrated and new public and private payment policies have created financial interdependence. The extent to which accountable care organizations (ACOs) involve hospitals in their operations may prove to be vitally important, because managing hospital care is a key part of improving health care quality and lowering cost growth. Using primary data on ACO composition and capabilities paired with hospital characteristics, we found that 20 percent of US hospitals were part of an ACO in 2014. Hospitals that were in urban areas, were nonprofit, or had a smaller share of Medicare patients were more likely to participate in ACOs, compared to hospitals that were in more rural areas, were for-profit or government owned, or had a larger share of Medicare patients, respectively. Qualitative data identified the following advantages of including a hospital in an ACO: the availability of start-up capital, advanced data sharing, and engagement of providers across the care continuum. Although the 63 percent of ACOs that included hospitals offered more comprehensive services compared to ACOs without hospitals, we found no differences between the two groups in their ability to manage hospital-related aspects of patient care. Project HOPE—The People-to-People Health Foundation, Inc.

  1. Hospital malnutrition: a 33-hospital screening study.

    Science.gov (United States)

    Kamath, S K; Lawler, M; Smith, A E; Kalat, T; Olson, R

    1986-02-01

    A collaborative study involving nutrition screening of 3,047 patients (excluding 125 pregnant women) at admission to 33 hospitals in and around the greater Chicago area was carried out to identify patients at nutritional risk. Information on sex, age, admitting diagnosis, serum albumin, hemoglobin, total lymphocyte count, and height and weight was collected from the medical chart within 48 hours of admission. Nutrition screening could not be completed for a larger number of patients (60%) because data at admission were not available. Of the remaining 40% of patients, more than 50% had below normal values for one or more of the variables studied: serum albumin, hemoglobin, and total lymphocyte count. A large number of the patients (40%) also were considered at nutritional risk as judged by the criteria of weight/height (measured only). Early nutrition intervention for high-risk patients cannot be implemented, nor can the efficacy of nutrition services be evaluated, unless nutrition screening is carried out on patients at admission.

  2. Improving Reading Comprehension Strategies through Listening.

    Science.gov (United States)

    Aarnoutse, C.; Brand-Gruwel, S.; Oduber, R.

    1997-01-01

    Seeks to determine whether it is possible to teach children who are poor readers four text comprehension strategies (clarifying, questioning, summarizing, and predicting) in listening contexts. Demonstrates that it is possible to teach the strategies to poor readers; that they can improve their reading comprehension; and that listening…

  3. Reading Comprehension Instruction Practices in Sierra Leone

    NARCIS (Netherlands)

    Hersbach, S.; Denessen, E.J.P.G.; Droop, W.

    2014-01-01

    Aim: In this study an attempt was made to give insight in the way reading comprehension is taught in Sierra Leone. Attention was paid to the didactical strategies and the materials used during reading comprehension instruction. Methodology: Primary school teachers in Sierra Leone (N=43) were observe

  4. Avoidable costs of comprehensive case management.

    Science.gov (United States)

    Issel, L M; Anderson, R A

    1999-01-01

    Comprehensive case management has become an industry standard and its pervasiveness raises questions about the ubiquitous need for this service. Analyzed from the perspective of transaction cost analysis and access, we argue that in some cases comprehensive case management is an avoidable cost incurred because of system problems that limit access to otherwise eligible clients. Implications are discussed.

  5. Beyond Comprehension Strategy Instruction: What's Next?

    Science.gov (United States)

    Elleman, Amy M.; Compton, Donald L.

    2017-01-01

    Purpose: In this article, we respond to Catts and Kamhi's (2017) argument that reading comprehension is not a single ability. Method: We provide a brief review of the impact of strategy instruction, the importance of knowledge in reading comprehension, and possible avenues for future research and practice. Results: We agree with Catts and Kamhi's…

  6. Reading Comprehension in Children with Down Syndrome

    Science.gov (United States)

    Laws, Glynis; Brown, Heather; Main, Elizabeth

    2016-01-01

    Two studies aimed to investigate the reading comprehension abilities of 14 readers with Down syndrome aged 6 years 8 months to 13 years relative to those of typically developing children matched on word reading ability, and to investigate how these abilities were associated with reading accuracy, listening comprehension, phonological awareness and…

  7. The Development of Locative Comprehension in Spanish.

    Science.gov (United States)

    Connor, Peggy S.; Chapman, Robin S.

    1985-01-01

    Describes a study of 40 monolingual Spanish-speaking Peruvian children in which comprehension of six locative phrases was tested. Results are analyzed in terms of developmental sequence, locative acquisition, the effects of intrinsic label on projective locative comprehension, the effects of linguistic form, and the effects of context. (SED)

  8. How to Improve Your Reading Comprehension

    Institute of Scientific and Technical Information of China (English)

    MollieSmith

    2005-01-01

    When seeking to improve any skill, it is important to have a positive attitude, to set clear goals, and to practice regularly. The same is true of improving your reading comprehension skills. First, I want to discuss some positive thinking strategies, and then we will discuss some more practical ways of improving in the area of reading comprehension.

  9. Reading Comprehension in Children with Down Syndrome

    Science.gov (United States)

    Laws, Glynis; Brown, Heather; Main, Elizabeth

    2016-01-01

    Two studies aimed to investigate the reading comprehension abilities of 14 readers with Down syndrome aged 6 years 8 months to 13 years relative to those of typically developing children matched on word reading ability, and to investigate how these abilities were associated with reading accuracy, listening comprehension, phonological awareness and…

  10. University Students with Poor Reading Comprehension

    Science.gov (United States)

    Georgiou, George K.; Das, J. P.

    2015-01-01

    The present study aimed to examine the nature of the working memory and general cognitive ability deficits experienced by university students with a specific reading comprehension deficit. A total of 32 university students with poor reading comprehension but average word-reading skills and 60 age-word-matched controls with no comprehension…

  11. Reading Comprehension Assessment: A Cognitive Basis.

    Science.gov (United States)

    Johnston, Peter H.

    Drawing on work from a number of disciplines, this volume brings together experimental and theoretical information relevant to the problems of assessing children's reading comprehension. After a short introduction, the first section defines reading comprehension, presenting theoretical issues intended to provide an understanding of what is being…

  12. A Low Vision Reading Comprehension Test.

    Science.gov (United States)

    Watson, G. R.; And Others

    1996-01-01

    Fifty adults (ages 28-86) with macular degeneration were given the Low Vision Reading Comprehension Assessment (LVRCA) to test its reliability and validity in evaluating the reading comprehension of those with vision impairments. The LVRCA was found to take only nine minutes to administer and was a valid and reliable tool. (CR)

  13. Comprehensive Education Portfolio with a Career Focus

    Science.gov (United States)

    Kruger, Evonne J.; Holtzman, Diane M.; Dagavarian, Debra A.

    2013-01-01

    There are many types of student portfolios used within academia: the prior learning portfolio, credentialing portfolio, developmental portfolio, capstone portfolio, individual course portfolio, and the comprehensive education portfolio. The comprehensive education portfolio (CEP), as used by the authors, is a student portfolio, developed over…

  14. Revisiting the Reader's Rudder: A Comprehension Strategy.

    Science.gov (United States)

    Fischer, Cynthia

    2003-01-01

    Presents the structured comprehension method, a strategy that facilitates literal, inferential, and critical reading comprehension for passive readers who can decode but not comprehend. Uses the method to illustrate how other areas of students' instruction (e.g., vocabulary enhancement through morphemic analysis, use of a phonogram approach to…

  15. Improving Reading Comprehension through Cooperative Learning.

    Science.gov (United States)

    Caposey, Tracey; Heider, Barbara

    This report describes a program for improving reading comprehension through cooperative learning. The targeted population consisted of elementary and middle school students in growing middle class communities, located in northern Illinois. The problems of reading comprehension in content areas were documented through teacher observation and…

  16. Development of longwalls with comprehensive mechanization

    Energy Technology Data Exchange (ETDEWEB)

    Oplaznik, G.

    1984-01-01

    The characteristics of the development of comprehensive mechanization in the period between 1969 and 1982 are analyzed. The extensive nature of the development is indicated. The most important principles for analyzing a longwall with comprehensive mechanization is the establishment of the possibility of increasing their effectiveness and to identify and use production reserves.

  17. Reading Comprehension Instruction Practices in Sierra Leone

    NARCIS (Netherlands)

    Hersbach, S.; Denessen, E.J.P.G.; Droop, W.

    2014-01-01

    Aim: In this study an attempt was made to give insight in the way reading comprehension is taught in Sierra Leone. Attention was paid to the didactical strategies and the materials used during reading comprehension instruction. Methodology: Primary school teachers in Sierra Leone (N=43) were

  18. The Effects of Reading Fluency on Comprehension

    Science.gov (United States)

    Zugel, Kevin M.

    2009-01-01

    The purpose of this report was to examine the effects reading fluency has on reading comprehension. The analysis was done through a synthesis of recent literature on the topic. Research shows improvement in reading fluency does improve reading comprehension and suggests reading development similarities for all readers. This consistency in…

  19. Teaching Listening Comprehension: Bottom-Up Approach

    Science.gov (United States)

    Khuziakhmetov, Anvar N.; Porchesku, Galina V.

    2016-01-01

    Improving listening comprehension skills is one of the urgent contemporary educational problems in the field of second language acquisition. Understanding how L2 listening comprehension works can have a serious influence on language pedagogy. The aim of the paper is to discuss the practical and methodological value of the notion of the perception…

  20. The politics of hospital payment.

    Science.gov (United States)

    Feder, J; Spitz, B

    1979-01-01

    This paper analyzes the politics of hospital payment over the last decade. The authors explain how provider interests and judgments became a standard for appropriate hospital payment: the impact of that standard on hospital costs; and the political obstacles to imposing an alternative standard and controlling hospital costs. The authors draw lessons from this experience, here and in other countries, to propose an alternative approach to hospital payment that would allow policymakers, accountable to the public, to make explicit choices about the level and nature of hospital expenditures.

  1. Hospital-acquired infections - when are hospitals legally liable?

    Science.gov (United States)

    McQuoid-Mason, David

    2012-04-12

    Hospital-acquired infections (nosocomial infections) are acquired in healthcare settings by patients admitted for reasons unrelated to the infection or not previously infected when admitted to the facility. Liability for hospital-acquired infections depends on whether the hospital: (i) has introduced best practice infection control measures; (ii) has implemented best practice infection control measures; or (iii) will be vicariously liable for negligent or intentional failures by staff to comply with the infection control measures implemented. A hospital and hospital administrators may be held directly liable for not introducing or implementing best practice infection control measures, resulting in harm to patients. The hospital may also be held vicariously liable where patients have been harmed because hospital staff negligently or intentionally failed to comply with the infection control measures that have been implemented by the hospital, during the course and scope of their employment.

  2. Informed consent comprehension in African research settings.

    Science.gov (United States)

    Afolabi, Muhammed O; Okebe, Joseph U; McGrath, Nuala; Larson, Heidi J; Bojang, Kalifa; Chandramohan, Daniel

    2014-06-01

    Previous reviews on participants' comprehension of informed consent information have focused on developed countries. Experience has shown that ethical standards developed on Western values may not be appropriate for African settings where research concepts are unfamiliar. We undertook this review to describe how informed consent comprehension is defined and measured in African research settings. We conducted a comprehensive search involving five electronic databases: Medline, Embase, Global Health, EthxWeb and Bioethics Literature Database (BELIT). We also examined African Index Medicus and Google Scholar for relevant publications on informed consent comprehension in clinical studies conducted in sub-Saharan Africa. 29 studies satisfied the inclusion criteria; meta-analysis was possible in 21 studies. We further conducted a direct comparison of participants' comprehension on domains of informed consent in all eligible studies. Comprehension of key concepts of informed consent varies considerably from country to country and depends on the nature and complexity of the study. Meta-analysis showed that 47% of a total of 1633 participants across four studies demonstrated comprehension about randomisation (95% CI 13.9-80.9%). Similarly, 48% of 3946 participants in six studies had understanding about placebo (95% CI 19.0-77.5%), while only 30% of 753 participants in five studies understood the concept of therapeutic misconception (95% CI 4.6-66.7%). Measurement tools for informed consent comprehension were developed with little or no validation. Assessment of comprehension was carried out at variable times after disclosure of study information. No uniform definition of informed consent comprehension exists to form the basis for development of an appropriate tool to measure comprehension in African participants. Comprehension of key concepts of informed consent is poor among study participants across Africa. There is a vital need to develop a uniform definition for

  3. [Hospital clinical ethics committees].

    Science.gov (United States)

    Gómez Velásquez, Luis; Gómez Espinosa, Luis Néstor

    2007-01-01

    The scientific and technological advances have been surprising, more in the two last decades, but they don't go united with to the ethical values of the medical professional practice, it has been totally escaped, specially when the biological subsistence, the maintenance of the life through apparatuses and the mechanisms that prolong the existence are who undergoes an alteration that until recently time was mortal shortly lapse. It is common listening that exist a crisis in the medical profession, but what really is it of human values, which as soon and taken into nowadays, actually professional account, which gives rise to a dehumanization towards the life, the health, the disease, the suffering and the death. The ideal of the doctor to give to service to the man in its life and health, as well to be conscious that the last biological process that must fulfill is the death, and when it appears, does not have considered as a actually professional failure. It has protect to the patient as the extreme cruelty therapeutic, that it has right a worthy death. It's taking to the birth of the hospital ethics committees, they have like function to analyze, to advise and to think about the ethical dilemmas that appear actually clinical or in the biomedical investigation. In 1982 in the UEA only 1% of its hospitals had a ethics committees; by 1988, it was 67% and the 100% in 2000. In Mexico the process of the formation by these committees begins, only in the Military Central Hospital, to count the ethics committee on 1983, also the Hospital no. 14 of the IMSS in Guadalajara, it works with regularity from 1995, with internal teaching of bioethic. The Secretariat of Health has asked the formation of the bioethical committees in each hospital, and order the it was be coordinated by the National Committee of Bioética. The integration of these committees is indispensable that their members have the knowledge necessary of bioética. The Mexican Society of Ortopedia, conscious of

  4. Facilitating pictorial comprehension with color highlighting.

    Science.gov (United States)

    McDougald, Brannan R; Wogalter, Michael S

    2014-09-01

    Pictorials can aid in communicating warning information, but viewers may not always correctly comprehend them. Two experiments focused on whether the use of relevant highlighting could benefit pictorial comprehension. A set of warning-related pictorials were manipulated according to three-color highlighting conditions: highlighting areas more relevant to correct comprehension, highlighting areas less relevant to comprehension, and no highlighting. Participants were asked to describe the purpose and meaning of each pictorial presented to them. The findings from both experiments indicate that comprehension of warning pictorials is higher for the relevant highlighting condition than the other two conditions. The highlighting of less relevant areas reduced comprehension compared to no highlighting. Use of appropriately placed highlighting could benefit the design of a complex symbol by pointing out pertinent areas to aid in determining its intended conceptual meaning.

  5. Listen, Listen, Listen and Listen: Building a Comprehension Corpus and Making It Comprehensible

    Science.gov (United States)

    Mordaunt, Owen G.; Olson, Daniel W.

    2010-01-01

    Listening comprehension input is necessary for language learning and acculturation. One approach to developing listening comprehension skills is through exposure to massive amounts of naturally occurring spoken language input. But exposure to this input is not enough; learners also need to make the comprehension corpus meaningful to their learning…

  6. Relationship between Graphical Device Comprehension and Overall Text Comprehension for Third-Grade Children

    Science.gov (United States)

    Roberts, Kathryn L.; Norman, Rebecca R.; Cocco, Jaime

    2015-01-01

    This study examined relationships between reading comprehension, known predictors of reading comprehension (i.e., cognitive flexibility, fluency, reading motivation and attitude, vocabulary), and graphical device comprehension. One-hundred fifty-six third graders completed assessments of known predictor variables and an assessment tapping…

  7. The Effect of Explicit Teaching of Comprehension Strategies on Reading Comprehension in Elementary School

    Science.gov (United States)

    Atkins, James Grant

    2013-01-01

    This study investigated the effect of explicit teaching of comprehension strategies on the comprehension performance of elementary school students. Two schools with similar demographics, including a significant proportion of students at risk for reading failure, participated in the study. One school utilized an explicit comprehension strategy…

  8. Readability and Its Effects on Reading Rate, Subjective Judgments of Comprehensibility and Comprehension.

    Science.gov (United States)

    Coke, Esther U.

    Prose passages read aloud or silently were rated for pronounceability and comprehensibility. The relationships of text-derived readability indices to reading rate, comprehensibility ratings and comprehension test scores were explored. Reading rate in syllables per minute was unrelated to readability. The high correlation between rate in words per…

  9. Measures of Reading Comprehension: A Latent Variable Analysis of the Diagnostic Assessment of Reading Comprehension

    Science.gov (United States)

    Francis, David J.; Snow, Catherine E.; August, Diane; Carlson, Coleen D.; Miller, Jon; Iglesias, Aquiles

    2006-01-01

    This study compares 2 measures of reading comprehension: (a) the Woodcock-Johnson Passage Comprehension test, a standard in reading research, and (b) the Diagnostic Assessment of Reading Comprehension (DARC), an innovative measure. Data from 192 Grade 3 Spanish-speaking English language learners (ELLs) were used to fit a series of latent variable…

  10. Comprehensive treatment of complicated plantar ulcers in leprosy

    Institute of Scientific and Technical Information of China (English)

    YAN Liangbin 严良斌; ZHANG Guocheng 张国成; ZHENG Zhiju 郑志菊; LI Wenzhong 李文忠; ZHENG Tisheng 郑逖生; Jean M. Watson; Angelika Piefer

    2003-01-01

    Objective To investigate feasible treatment methods for plantar ulcers in leprosy patients according to the agreement between the Ministry of Health (MOH) of China and the Leprosy Mission International (LMI).Methods A total of 2599 complicated foot ulcers in 1804 leprosy cases underwent surgic treatment. Plastic fixation and supports were used, dressings were changed regularly, and protective footwear and modified insoles were provided.Results Of the 2599 foot ulcers 1446 (55.64%) healed. The cure rate of the patients treated in leprosy hospitals was 71.31%, with 219 (15.15%) recurrences of foot ulcers. The recurrence rate of those who lived at home was 18.35%.Conclusions Comprehensive treatment of foot ulcers has a high cure rate and a low recurrence rate. Reduction of workload, avoidance of long distance walking, intensification of education on foot self-care and provision of financial support are the main measures for preventing a recurrence of foot ulcers.

  11. On Hospital Design – Identifying Building Attributes of Hospital Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine; Kirkegaard, Poul Henning; Christoffersen, Lars D.

    The present paper surveys the input parameters in hospital design and describes them formally as building attributes in preparation for facilitating planning and designing of hospitals with the aim of a more optimal design process. The overview of the hospital functionalities, bonds, logistics...

  12. Innovative Ground Habitats for Lunar Operational Outpost (IGLOO) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NextGen Aeronautics, Inc. is proposing an alternate architecture for inflatable lunar habitats that takes advantage of inflatable beam technologies currently being...

  13. Architecture Analysis of Wireless Power Transmission for Lunar Outposts

    Science.gov (United States)

    2015-09-01

    long history of both theoretical and material origin, as Max Plank formulated the underlying idea that light was just another form of electromagnetic...understand their impact on the solar power satellite architecture. The laser has a long history of both theoretical and material origin, when Max Plank ...NY: Lawrence Livermore National Laboratory. 98 Kare, Jordin T., and Kevin LG Parkin. 2006. “A Comparison of Laser and Microwave Approaches to

  14. First Colonization of a Spectral Outpost in Random Matrix Theory

    CERN Document Server

    Bertola, M

    2007-01-01

    We describe the distribution of the first finite number of eigenvalues in a newly-forming band of the spectrum of the random Hermitean matrix model. The method is rigorously based on the Riemann-Hilbert analysis of the corresponding orthogonal polynomials. We provide an analysis with an error term of order N^(-2 h) where 1/h = 2 nu+2 is the exponent of non-regularity of the effective potential, thus improving even in the usual case the analysis of the pertinent literature. The behavior of the first finite number of zeroes (eigenvalues) appearing in the new band is analyzed and connected with the location of the zeroes of certain Freud polynomials. In general all these newborn zeroes approach the point of nonregularity at the rate N^(-h) whereas one (a stray zero) lags behind at a slower rate of approach. The kernels for the correlator functions in the scaling coordinate near the emerging band are provided together with the subleading term: in particular the transition between K and K+1 eigenvalues is analyzed...

  15. Creating Methane from Plastic: Recycling at a Lunar Outpost

    Science.gov (United States)

    Santiago-Maldonado, Edgardo; Captain, Janine; Devor, Robert; Gleaton, Jeremy

    2010-01-01

    The high cost of re-supply from Earth demands resources to be utilized to the fullest extent for exploration missions. The ability to refuel on the lunar surface would reduce the vehicle mass during launch and provide excess payload capability. Recycling is a key technology that maximizes the available resources by converting waste products into useful commodities. One example of this is to convert crew member waste such as plastic packaging, food scraps, and human waste into fuel. This process thermally degrades plastic in the presence of oxygen producing CO2 and CO. The CO2 and CO are then reacted with hydrogen over catalyst (Sabatier reaction) producing methane. An end-to-end laboratory-scale system has been designed and built to produce methane from plastic, in this case polyethylene. This first generation system yields 12-16% CH4 by weight of plastic used.

  16. The Last Possible Outposts for Life on Mars.

    Science.gov (United States)

    Davila, Alfonso F; Schulze-Makuch, Dirk

    2016-02-01

    The evolution of habitable conditions on Mars is often tied to the existence of aquatic habitats and largely constrained to the first billion years of the planet. Here, we propose an alternate, lasting evolutionary trajectory that assumes the colonization of land habitats before the end of the Hesperian period (ca. 3 billion years ago) at a pace similar to life on Earth. Based on the ecological adaptations to increasing dryness observed in dryland ecosystems on Earth, we reconstruct the most likely sequence of events leading to a late extinction of land communities on Mars. We propose a trend of ecological change with increasing dryness from widespread edaphic communities to localized lithic communities and finally to communities exclusively found in hygroscopic substrates, reflecting the need for organisms to maximize access to atmospheric sources of water. If our thought process is correct, it implies the possibility of life on Mars until relatively recent times, perhaps even the present.

  17. Tonopah test range - outpost of Sandia National Laboratories

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, L.

    1996-03-01

    Tonopah Test Range is a unique historic site. Established in 1957 by Sandia Corporation, Tonopah Test Range in Nevada provided an isolated place for the Atomic Energy Commission to test ballistics and non-nuclear features of atomic weapons. It served this and allied purposes well for nearly forty years, contributing immeasurably to a peaceful conclusion to the long arms race remembered as the Cold War. This report is a brief review of historical highlights at Tonopah Test Range. Sandia`s Los Lunas, Salton Sea, Kauai, and Edgewood testing ranges also receive abridged mention. Although Sandia`s test ranges are the subject, the central focus is on the people who managed and operated the range. Comments from historical figures are interspersed through the narrative to establish this perspective, and at the end a few observations concerning the range`s future are provided.

  18. High-Pressure Oxygen Generation for Outpost EVA

    Science.gov (United States)

    Jeng, Frank; Conger, Bruce; Anderson, Molly

    2008-01-01

    Low Lunar Orbit (LLO) poses unique thermal challenges for the orbiting space craft, particularly regarding the performance of the radiators. The emitted infrared (IR) heat flux from the lunar surface varies drastically from the light side to the dark side of the moon. Due to the extremely high incident IR flux, especially at low beta angles, a radiator is oftentimes unable to reject the vehicle heat load throughout the entire lunar orbit. One solution to this problem is to implement Phase Change Material (PCM) Heat Exchangers. PCM Heat Exchangers act as a "thermal capacitor, storing thermal energy when the radiator is unable to reject the required heat load. The stored energy is then removed from the PCM heat exchanger when the environment is more benign. Because they do not use an expendable resource, such as the feed water used by sublimators and evaporators, PCM Heat Exchangers are ideal for long duration Low Lunar Orbit missions. The Advanced Thermal Control project at JSC is completing a PCM heat exchanger life test to determine whether further technology development is warranted. The life test is being conducted on four nPentadecane, carbon filament heat exchangers. Fluid loop performance, repeatability, and measurement of performance degradation over 2500 meltfreeze cycles will be performed and reported in the current document.

  19. High-Pressure Oxygen Generation for Outpost EVA Study

    Science.gov (United States)

    Jeng, Frank F.; Conger, Bruce; Ewert, Michael K.; Anderson, Molly S.

    2009-01-01

    The amount of oxygen consumption for crew extravehicular activity (EVA) in future lunar exploration missions will be significant. Eight technologies to provide high pressure EVA O2 were investigated. They are: high pressure O2 storage, liquid oxygen (LOX) storage followed by vaporization, scavenging LOX from Lander followed by vaporization, LOX delivery followed by sorption compression, water electrolysis followed by compression, stand-alone high pressure water electrolyzer, Environmental Control and Life Support System (ECLSS) and Power Elements sharing a high pressure water electrolyzer, and ECLSS and In-Situ Resource Utilization (ISRU) Elements sharing a high pressure electrolyzer. A trade analysis was conducted comparing launch mass and equivalent system mass (ESM) of the eight technologies in open and closed ECLSS architectures. Technologies considered appropriate for the two architectures were selected and suggested for development.

  20. Analysis of Logistics in Support of a Human Lunar Outpost

    Science.gov (United States)

    Cirillo, William; Earle, Kevin; Goodliff, Kandyce; Reeves, j. D.; Andrashko, Mark; Merrill, R. Gabe; Stromgren, Chel

    2008-01-01

    Strategic level analysis of the integrated behavior of lunar transportation system and lunar surface system architecture options is performed to inform NASA Constellation Program senior management on the benefit, viability, affordability, and robustness of system design choices. This paper presents an overview of the approach used to perform the campaign (strategic) analysis, with an emphasis on the logistics modeling and the impacts of logistics resupply on campaign behavior. An overview of deterministic and probabilistic analysis approaches is provided, with a discussion of the importance of each approach to understanding the integrated system behavior. The logistics required to support lunar surface habitation are analyzed from both 'macro-logistics' and 'micro-logistics' perspectives, where macro-logistics focuses on the delivery of goods to a destination and micro-logistics focuses on local handling of re-supply goods at a destination. An example campaign is provided to tie the theories of campaign analysis to results generation capabilities.

  1. HOSPITALITY TODAY AND TOMORROW

    Directory of Open Access Journals (Sweden)

    Ray F. IUNIUS

    2017-08-01

    Full Text Available As a wise man once said, “Don’t worry about what you don’t know. Be worried about what you think you know, but don’t.” Regarding different ways “hospitality” is understood, the root of the problem lies in part in the different interpretations that hospitality has in different cultures and languages. In American English, for example, when we speak about “hospitality” we first think of it as an industry and only secondarily as an attribute of an individual or community. In other cultures, the primary meaning of hospitality is more a characteristic of people, or of a country or city, etc., and encompasses such ideas as welcome, reception, amiability, generosity, etc. – not an industry! Even in American English, other words are sometimes used to describe the same economic activity: lodging, accommodation, etc.

  2. A New Comprehensive Final Exam

    Science.gov (United States)

    Bhavsar, Suketu P.

    2015-01-01

    Instructors aspire for students to master all the material covered. The final exam should assess the breadth and depth of their learning and be a significant basis for the final grade. I insist on a comprehensive final because I want students to review early material in light of later topics. I believe that this helps students create connections, integrate understanding, and retain knowledge for the long term. For non-science majors, reviewing and retaining the large amount of astronomy material is daunting. I experimented with a final exam format that calmed their fears and encouraged thorough review. It is only practical for a class of about twenty students or less. I provided a number of challenging conceptual and problem solving questions (at least as many as there were students), crafted to interconnect and span the entire range of topics. The order of the questions reflected the sequence in which the topics had been discussed. Students received these questions in ample time to prepare prior to the final. A student could bring up to 5 standard sheets of notes to the final. At the final, each student picked a number out of a hat. This was the question they had to answer in a 5-minute presentation. They were allowed 15 minutes for a final preparation during which they could use their 5 pages of notes. The presentations were given in order, 1- 20. Written comments on at least 10 other talks, explaining what was missed or correcting a mistake were required. They were graded both on their talk and on their comments. This format required students to be prepared for any question and encouraged interaction and communication while studying. Knowing the questions beforehand provided a guide to their studying as well as allayed their fears about what could be asked. The students also received guidance to what constituted a good answer, namely accuracy (correct scientific argument, appropriate facts, no irrelevant material), thoroughness (answered the complete questions

  3. Hospital Presbiteriano Valley

    Directory of Open Access Journals (Sweden)

    Luckman, Charles

    1964-12-01

    Full Text Available This hospital is built on the circular system. This arrangement has economic and functional advantages. The nurses walk 40 % less distance than in a hospital of similar size, of conventional layout. The rooms are situated along the external perimeter and the beds are orientated towards the corridor, rather than towards the window. However, the patients can see out of doors by turning on their side. The hospital is most carefully fitted out, and is very comfortable. There is air conditioning, and patients can control their own TV sets. There are also curtains separating each bed form the rest, thus providing maximum independence. Warm colours have been adopted in the decoration of rooms facing north, whilst those facing south are painted in cooler tones. The circular design arrangement makes the distribution far more flexible, and it will be easier to include further units later on; by adding small adjustments to the central building. To reduce external noise, and to improve the surrounding landscape, small sand hills have been provided in the garden, and the parking site also serves to partially absorb the noise.Presenta esta solución de unidades circulares numerosas ventajas de tipo económico, ahorra espacio y da eficiencia a la circulación— las enfermeras recorren un 40 por 100 menos de camino que en otro hospital de dimensiones similares—. Las habitaciones están distribuidas a lo largo del perímetro exterior y tienen las camas orientadas hacia los corredores, en lugar de hacia las ventanas, pero de tal modo que los pacientes puedan contemplar el exterior al volverse sobre uno de sus costados. Están cuidadosamente diseñadas y dotadas de las máximas comodidades: aire acondicionado y aparatos de televisión controlados por el paciente; así como cortinas divisorias que le proporcionan el grado de aislamiento deseado.

  4. Hospital Princesa Margarita

    Directory of Open Access Journals (Sweden)

    Powell y Moya, Aquitectos

    1961-04-01

    Full Text Available El amplio programa desarrollado en este grande e importante Centro sanitario, abarcó tres fases de construcción, al final de las cuales se consiguió el Hospital General, capaz para 600 camas. En la primera parte se construyeron los siguientes departamentos: Enfermos del exterior, Accidentes, Medicina Física, Patología, Rayos X, y el primero de los cuatro núcleos quirúrgicos.

  5. Hospital nurses' work motivation.

    Science.gov (United States)

    Toode, Kristi; Routasalo, Pirkko; Helminen, Mika; Suominen, Tarja

    2015-06-01

    The knowledge surrounding nurses' work motivation is currently insufficient, and previous studies have rarely taken into account the role of many influential background factors. This study investigates the motivation of Estonian nurses in hospitals, and how individual and organisational background factors influence their motivation to work. The study is quantitative and cross-sectional. An electronically self-reported questionnaire was used for data collection. The sample comprised of 201 Registered Nurses working in various hospital settings in Estonia. Data were analysed using descriptive statistics, two-sample Wilcoxon rank-sum (Mann-Whitney) test, Kruskal-Wallis equality-of-populations rank test and Spearman's correlation. Both extrinsic and intrinsic motivations were noted among hospital nurses. Nurses were moderately externally motivated (M = 3.63, SD = 0.89) and intrinsically strongly motivated (M = 4.98, SD = 1.03). A nurses' age and the duration of service were positively correlated with one particular area of extrinsic work motivation, namely introjected regulation (p extrinsic motivation (p = 0.016) and intrinsic work motivation (p = 0.004). The findings expand current knowledge of nurses' work motivation by describing the amount and orientation of work motivation among hospital nurses and highlighting background factors which should be taken into account in order to sustain and increase their intrinsic work motivation. The instrument used in the study can be an effective tool for nurse managers to determine a nurse's reasons to work and to choose a proper motivational strategy. Further research and testing of the instrument in different countries and in different contexts of nursing is however required. © 2014 Nordic College of Caring Science.

  6. E-procurement in hospitals.

    Science.gov (United States)

    Hidalgo, Julio Villalobos; Orrit, Joan; Villalobos, Juan Pablo

    2011-01-01

    This article describes the history, current status, advantages of and opposition to the implementation of e-procurement in hospitals and examines the results of its implementation in a psychiatric hospital.

  7. Preventing Infections in the Hospital

    Science.gov (United States)

    ... Share | With attention increasing on the incidence of infection in hospitals, patients everywhere need sensible principles to manage their ... will reduce the chance of developing a lung infection while in the hospital and may also improve your healing abilities following ...

  8. Hospitalized Patients and Fungal Infections

    Science.gov (United States)

    ... These types of infections are called healthcare-associated infections (HAIs). Hospital staff and healthcare providers do everything they can ... IV tube) can increase your risk for fungal infection. During your hospital stay you may need a central venous catheter, ...

  9. Wearing gloves in the hospital

    Science.gov (United States)

    ... gloves; PPE - wearing gloves; Nosocomial infection - wearing gloves; Hospital acquired infection - wearing gloves ... Wearing gloves in the hospital helps prevent the spread of germs. This helps protect both patients and health care workers from infection.

  10. Hospital labs go under microscope.

    Science.gov (United States)

    Aston, Geri

    2014-05-01

    Financial pressures are hitting hospital clinical labs on both the inpatient and outpatient sides. To control expenses, hospitals are teaming up to buy supplies, centralizing services and improving blood management.

  11. Hospital ICUs May Be Overused

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_162801.html Hospital ICUs May Be Overused Single medical center study ... While this is a study of just one hospital and results may differ at other medical centers, ...

  12. HSIP Hospitals in New Mexico

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Hospitals in New Mexico The term "hospital" ... means an institution which- (1) is primarily engaged in providing, by or under the supervision of physicians, to...

  13. Prognosis after Hospitalization for Erythroderma

    DEFF Research Database (Denmark)

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

    2016-01-01

    Erythrodermic psoriasis (EP) and erythroderma exfoliativa (EE) are acute and potentially life-threatening inflammatory reactions. We estimated hazard ratios (HRs) of 3-year mortality following hospitalization for EP or EE compared with general population controls, patients hospitalized for psoria...

  14. Little hospital has big ideas.

    Science.gov (United States)

    Friedman, E

    1980-11-16

    Many hospitals have been looking at diversification of services with increased interest in recent years, and a small hospital in rural Wisconsin has shown that the concept need not be limited to large, urban institutions.

  15. A management information system to plan and monitor the delivery of health-care services in government hospitals in India.

    Science.gov (United States)

    Ramani, K V

    2004-01-01

    Governments all over the world are getting increasingly concerned about their ability to meet their social obligations in the health sector. In this paper, we discuss the design and development of a management information system (MIS) to plan and monitor the delivery of healthcare services in government hospitals in India. Our MIS design is based on an understanding of the working of several municipal, district, and state government hospitals. In order to understand the magnitude and complexity of various issues faced by the government hospitals, we analyze the working of three large tertiary care hospitals administered by the Ahmedabad Municipal Corporation. The hospital managers are very concerned about the lack of hospital infrastructure and resources to provide a satisfactory level of service. Equally concerned are the government administrators who have limited financial resources to offer healthcare services at subsidized rates. A comprehensive hospital MIS is thus necessary to plan and monitor the delivery of hospital services efficiently and effectively.

  16. Removal Efficiency of Microbial Contaminants from Hospital Wastewaters

    KAUST Repository

    Timraz, Kenda

    2016-02-01

    This study aims to evaluate the removal efficiency of microbial contaminants from two hospitals on-site Wastewater Treatment Plants (WWTPs) in Saudi Arabia. Hospital wastewaters often go untreated in Saudi Arabia as in many devolving countries, where no specific regulations are imposed regarding hospital wastewater treatment. The current guidelines are placed to ensure a safe treated wastewater quality, however, they do not regulate for pathogenic bacteria and emerging contaminants. Results from this study have detected pathogenic bacterial genera and antibiotic resistant bacteria in the sampled hospitals wastewater. And although the treatment process of one of the hospitals was able to meet current quality guidelines, the other hospital treatment process failed to meet these guidelines and disgorge of its wastewater might be cause for concern. In order to estimate the risk to the public health and the impact of discharging the treated effluent to the public sewage, a comprehensive investigation is needed that will facilitate and guide suggestions for more detailed guidelines and monitoring.

  17. Parametric Optimization of Hospital Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine; Kirkegaard, Poul Henning; Christoffersen, L.D.

    2013-01-01

    Present paper presents a parametric performancebased design model for optimizing hospital design. The design model operates with geometric input parameters defining the functional requirements of the hospital and input parameters in terms of performance objectives defining the design requirements...... and preferences of the hospital with respect to performances. The design model takes point of departure in the hospital functionalities as a set of defined parameters and rules describing the design requirements and preferences....

  18. Pseudomonas aeruginosa from hospital environment

    Directory of Open Access Journals (Sweden)

    Milind Davane

    2014-03-01

    Full Text Available Hospital acquired infection is an additional affliction to the patient admitted to the hospital for some serious illness and is caused by pathogens which are prevalent in hospital environment. In the hospital, microbes are ubiquitous; and can reach the sick patient through various sources, such as air, water, food, contaminated equipments, linen, catheters, scopes, ventilators, contaminated disinfectants and other preparations used for treatment, visitors, infected patients, etc.

  19. Parametric Optimization of Hospital Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine; Kirkegaard, Poul Henning; Christoffersen, L.D.

    2013-01-01

    Present paper presents a parametric performancebased design model for optimizing hospital design. The design model operates with geometric input parameters defining the functional requirements of the hospital and input parameters in terms of performance objectives defining the design requirements...... and preferences of the hospital with respect to performances. The design model takes point of departure in the hospital functionalities as a set of defined parameters and rules describing the design requirements and preferences....

  20. Killybegs Community Hospital, Killybegs, Donegal.

    LENUS (Irish Health Repository)

    McKeown, Kieran

    2015-04-18

    More people die in hospital than in any other setting which is why it is important to study the outcomes of hospital care at end of life. This study analyses what influenced outcomes in a sample of patients who died in hospital in Ireland in 2008\\/9. The study was undertaken as part of the Irish Hospice Foundation\\'s Hospice Friendly Hospitals Programme (2007-2012).