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1

Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors  

PubMed Central

Objective: The purpose of this study is to describe the needs, process and experience of implementing a computerized physician order entry (CPOE) system in a leading healthcare organization in Saudi Arabia. Materials and Methods: The National Guard Health Affairs (NGHA) deployed the CPOE in a pilot department, which was the intensive care unit (ICU) in order to assess its benefits and risks and to test the system. After the CPOE was implemented in the ICU area, a survey was sent to the ICU clinicians to assess their perception on the importance of 32 critical success factors (CSFs) that was acquired from the literature. The project team also had several meetings to gather lessons learned from the pilot project in order to utilize them for the expansion of the project to other NGHA clinics and hospitals. Results: The results of the survey indicated that the selected CSFs, even though they were developed with regard to international settings, are very much applicable for the pilot area. The top three CSFs rated by the survey respondents were: The “before go-live training”, the adequate clinical resources during implementation, and the ordering time. After the assessment of the survey and the lessons learned from the pilot project, NGHA decided that the potential benefits of the CPOE are expected to be greater the risks expected. The project was then expanded to cover all NGHA clinics and hospitals in a phased approach. Currently, the project is in its final stages and expected to be completed by the end of 2011. Conclusion: The role of CPOE systems is very important in hospitals in order to reduce medication errors and to improve the quality of care. In spite of their great benefits, many studies suggest that a high percentage of these projects fail. In order to increase the chances of success and due to the fact that CPOE is a clinical system, NGHA implemented the system first in a pilot area in order to test the system without putting patients at risk and to learn from mistakes before expanding the system to other areas. As a result of the pilot project, NGHA developed a list of CSFs to increase the likelihood of project success for the expansion of the system to other clinics and hospitals. The authors recommend a future study for the CPOE implementation to be done that covers the implementation in all the four NGHA hospitals. The results of the study can then be generalized to other hospitals in Saudi Arabia.

Altuwaijri, Majid M.; Bahanshal, Abdullah; Almehaid, Mona

2011-01-01

2

National Guard: Joint Activity Personnel Management and Sustainment.  

National Technical Information Service (NTIS)

The National Defense Authorization Act (NDAA) 2008 recognizes the National Guard Bureau as a Department of Defense Joint Activity. This essay provides recommendations to the National Guard Bureau and the National Guard Joint Force Headquarters on methodol...

C. R. Tilton

2009-01-01

3

Public Safety - National Guard Deployment - Governor's Powers  

Microsoft Academic Search

This bill specifies that the Governor must withhold approval of the tra nsfer of the National Guard to federal control in the absence of an explicit aut horization for the use of military force, or a declaration of war, adopted by the U.S. Congress. The Gover nor must request the return of units of the National Guard to the State

Senate Bill

4

Successful Army National Guard units: A guard perspective  

SciTech Connect

This project sought to identify factors contributing to a healthy Army National Guard (ARNG) unit. Its results were intended to contribute to a computerized forecasting model under development at Oak Ridge National Laboratory. The model, the ARNG Regional Recruiting Potential Model (RRPM), forecasts locations of successful new or modified Guard units. The study was expected to enhance the understanding of what constituents a healthy Guard unit. A Delphi approach was used to define criteria for healthy Guard units and to elicit rankings of those criteria. Two sets of telephone interviews were conducted with a sample of 102 individuals-two battalion-level administrative officers, or their equivalents, in each state in Washington, DC. During these telephone calls, the phrase unit supportability'' was used to express the notion of a healthy unit. The first set of interviews obtained background information and respondents' ideas of the criteria that lead to unit supportability and to a lack of supportability. The data were analyzed to develop a list of ten criteria for unit supportability. In the second interview, the same respondents were asked to rank those criteria in order of importance.

Wolfe, A.K.; Saulsbury, J.W. (Oak Ridge National Lab., TN (United States)); Schexanayder, S.M. (Tennessee Univ., Knoxville, TN (United States))

1991-10-01

5

Successful Army National Guard units: A guard perspective  

SciTech Connect

This project sought to identify factors contributing to a healthy Army National Guard (ARNG) unit. Its results were intended to contribute to a computerized forecasting model under development at Oak Ridge National Laboratory. The model, the ARNG Regional Recruiting Potential Model (RRPM), forecasts locations of successful new or modified Guard units. The study was expected to enhance the understanding of what constituents a healthy Guard unit. A Delphi approach was used to define criteria for healthy Guard units and to elicit rankings of those criteria. Two sets of telephone interviews were conducted with a sample of 102 individuals-two battalion-level administrative officers, or their equivalents, in each state in Washington, DC. During these telephone calls, the phrase ``unit supportability`` was used to express the notion of a healthy unit. The first set of interviews obtained background information and respondents` ideas of the criteria that lead to unit supportability and to a lack of supportability. The data were analyzed to develop a list of ten criteria for unit supportability. In the second interview, the same respondents were asked to rank those criteria in order of importance.

Wolfe, A.K.; Saulsbury, J.W. [Oak Ridge National Lab., TN (United States); Schexanayder, S.M. [Tennessee Univ., Knoxville, TN (United States)

1991-10-01

6

Dual Status of the National Guard and the Total Force.  

National Technical Information Service (NTIS)

The National Guard and Reserves are organized and funded to supplement active forces when needed. In peacetime, however, National Guard units belong to states, and state governors are the commanders in chief. Unless federalized, Guard members are not subj...

C. T. Huguelet

2002-01-01

7

National Guard Senior Leader Development: A New Set of Tricks.  

National Technical Information Service (NTIS)

While the Army and Air Force components of the National Guard incorporate their parent services' established senior leader development strategies, the National Guard still lacks a cohesive strategy that incorporates the parents' strategies with the distin...

G. D. Chancellor

2012-01-01

8

Stress/Fatigue and the ARNG (Army National Guard) Aviator.  

National Technical Information Service (NTIS)

As a result of national policy, Army National Guard (ARNG) aviation units contain thirty-three percent of today's United States Army aviation program. In the event of a national emergency requiring military force, Guard aviation is scheduled to be mobiliz...

K. D. Rhoades

1988-01-01

9

Shaping the National Guard in a Post-War Environment.  

National Technical Information Service (NTIS)

The National Guard of the United States is the nation's oldest military service, tracing its roots to the Massachusetts Bay Colony of 1636. Since its inception, the Guard has enjoyed a unique dual-role responsibility of supporting state and federal missio...

S. C. Crofts

2012-01-01

10

Army National Guard: Regionally Aligned Brigade Force of First Choice.  

National Technical Information Service (NTIS)

This paper provides analysis and recommendations for inclusion and implementation of Army National Guard BCT s in support of the Regionally Aligned Brigade (RAB) Concept. In addition to accruing operational capabilities to react to global contingencies, t...

E. S. Smith

2012-01-01

11

Personnel Policies for an Operational Army National Guard.  

National Technical Information Service (NTIS)

The Army recognizes that the Army National Guard (ARNG) must transition to an operational reserve to meet current and future demands. Yet, current policies surrounding enlisted accessions, unit stabilization, mobilizations, and medical and dental benefits...

B. K. Vincent

2008-01-01

12

Maryland Defense Force Joins National Guard for Major Homeland Security/Terrorist Response Exercise.  

National Technical Information Service (NTIS)

The Maryland Defense Force (MDDF) joined the National Guard (NG) for Exercise Vigilant Guard, a major homeland security/terrorist response exercise held in Maryland, Virginia, and Washington, DC during the week ending 7 September, 2007. Vigilant Guard is ...

K. Henry R. Hastings

2007-01-01

13

National Guard Response Story: Do a Better Job of Telling It to the Media.  

National Technical Information Service (NTIS)

Should the National Guard include national and local media in its natural disaster response planning to more effectively present its response story. This thesis examines three recent disasters and the way in which the National Guard got its response story...

L. K. Lewis

2008-01-01

14

National Guard and the War on Terror: Operation Iraqi Freedom.  

National Technical Information Service (NTIS)

Operation Iraqi Freedom provides a battle history of the National Guard's role in the early years of the Iraq War. From the initial invasion in March 2003 to the outbreak of brutal violence in the sectarian uprising of 2006, extended and repeated deployme...

M. D. Doubler

2008-01-01

15

Experimenting with the National Guard: Field Artillery Gunnery.  

ERIC Educational Resources Information Center

Describes a college physics class that uses National Guard artillery practice as a practical source for the studying of projectile motion. Provides a firing table for the shell used and the physics involved when using variables such as drag, weight, and elevation. (MVL)

Day, Michael A.; Walker, Martin H.

1993-01-01

16

Suicide in the Army National Guard: An Empirical Inquiry  

ERIC Educational Resources Information Center

|Since 2004, suicides in the U.S. military have risen, most notably in the Army National Guard (ARNG). Data used in this study were obtained for suicides occurring from 2007 to 2010 and for a random sample of nonsuicides from the general ARNG population. Of the military-related variables considered, a few showed relationships to suicide. Rather,…

Griffith, James

2012-01-01

17

Installation Restoration Program. Preliminary Assessment: Maryland Air National Guard Base, Martin State Airport, Baltimore, Maryland.  

National Technical Information Service (NTIS)

Preliminary Assessment of suspected hazardous waste sites at the Maryland Air National Guard Base, Martin State Airport, Baltimore, Maryland. The study was conducted under the Air National Guard's Installation Restoration Program.

1988-01-01

18

Training Host-Nation Security Forces Strategic Mission for Army National Guard.  

National Technical Information Service (NTIS)

This paper examines the opportunity for Army National Guard Soldiers to train/assist and mentor host-nation security forces. The examination includes: (1) analysis of the current structure of Brigade Combat Teams augmented for security force assistance, (...

S. M. O'Brien

2010-01-01

19

The Mobilization and Return of Undergraduate Students Serving in the National Guard and Reserves  

ERIC Educational Resources Information Center

Some reserve and National Guard personnel are enrolled in college. Much like those who choose not to attend college, reservists and Guard members who are students are challenged by issues of separation from family and employment. However, members of the reserves and National Guard who are college students must also separate from their educational…

Bauman, Mark

2009-01-01

20

78 FR 59153 - National Employer Support of the Guard and Reserve Week, 2013  

Federal Register 2010, 2011, 2012, 2013

...Employer Support of the Guard and Reserve Week, 2013 Proclamation 9023--National Historically Black Colleges and Universities Week, 2013 Memorandum of September 20, 2013...Employer Support of the Guard and Reserve Week, 2013 By the President of the United...

2013-09-25

21

Preliminary assessment report for National Guard Training Center, Georgia Army National Guard, Fort Stewart, Georgia. Installation restoration program  

SciTech Connect

This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Georgia Army National Guard (GAARNG) facility near Hinesville, Georgia, known as the National Guard Training Center (NGTC). Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a priority basis for completing corrective actions (where necessary) in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining previous site activities, types and quantities of hazardous substances utilized, and potential pathways by which contamination could affect public health and the environment. The scope of this assessment is limited to the facilities and past activities contained within the NGTC. Preliminary assessment site score sheet information is also provided for the NGTC. However, this assessment report is intended to be read in conjunction with a previous IRP assessment of Fort Stewart completed in 1992 (USATHAMA 1992) and to provide comprehensive information on the NGTC area for incorporation with information contained in that previous assessment for the entirety of Fort Stewart.

Not Available

1993-07-01

22

75 FR 58277 - National Employer Support of the Guard and Reserve Week, 2010  

Federal Register 2010, 2011, 2012, 2013

...National Employer Support of the Guard and Reserve Week, 2010 Proclamation 8565--National Farm Safety and Health Week, 2010 Proclamation 8566--National Hispanic-Serving Institutions Week, 2010 Presidential Documents Federal...

2010-09-23

23

33 CFR 334.845 - Wisconsin Air National Guard, Volk Field military exercise area located in Lake Michigan offshore...  

Code of Federal Regulations, 2013 CFR

...Air National Guard, Volk Field military exercise area located in Lake Michigan offshore...Air National Guard, Volk Field military exercise area located in Lake Michigan offshore...specific, infrequent periods when Military exercises will be conducted, as...

2013-07-01

24

Prospective Risk Factors for New-Onset Post-Traumatic Stress Disorder in National Guard Soldiers Deployed to Iraq.  

National Technical Information Service (NTIS)

National Guard troops are at increased risk for post-traumatic stress disorder (PTSD); however, little is known about risk and resilience in this population. The Readiness and Resilience in National Guard Soldiers Study is a prospective, longitudinal inve...

C. R. Erbes M. Murdoch M. A. Polusny P. Thuras P. A. Arbisi

2011-01-01

25

Potential Standards and Methods for the National Guard's Homeland Response Force.  

National Technical Information Service (NTIS)

In 2009, the Office of the Secretary of Defense directed the creation of 10 National Guard Homeland Response Force (HRF) units to provide regional chemical, biological, radiological, nuclear, and explosive (CBRNE) disaster response in each of the 10 FEMA ...

C. M. Van Alstyne

2011-01-01

26

Better Oversight Needed for the National Guard's Weapons of Mass Destruction Civil Support Teams.  

National Technical Information Service (NTIS)

We evaluated the planning and reporting of the National Guard's Weapons of Mass Destruction Civil Support Teams (WMD CSTs) in response to intentional or unintentional release of chemical, biological, radiological, nuclear, or high-yield explosives and nat...

A. F. Carey

2012-01-01

27

Command Relationships of Active and National Guard Forces During Domestic Disaster Response in California.  

National Technical Information Service (NTIS)

Unity of effort is an essential concept in emergency management to provide a rapid and coordinated response. The command relationships between active and National Guard forces conducting operations in domestic disaster response become an issue when both t...

R. A. Rabe

2007-01-01

28

Fighter Aircrew Training in the Air National Guard: New Dimensions, New Challenges.  

National Technical Information Service (NTIS)

This study provides a short background and status report of operational fighter aircrew training in the Air National Guard, informs those within ANG training units and staffs about the major changes taking place in fighter aircrew training, and provides r...

D. W. Shepperd

1986-01-01

29

Posttraumatic Stress Symptoms Among National Guard Soldiers Deployed to Iraq: Associations With Parenting Behaviors and Couple Adjustment  

Microsoft Academic Search

Objective: In this article, we report findings from a 1-year longitudinal study examining the impact of change in posttraumatic stress disorder (PTSD) symptoms following combat deployment on National Guard soldiers' perceived parenting and couple adjustment 1 year following return from Iraq. Method: Participants were 468 Army National Guard fathers from a brigade combat team (mean age = 36 years; median

Abigail H. Gewirtz; Melissa A. Polusny; David S. DeGarmo; Anna Khaylis; Christopher R. Erbes

2010-01-01

30

Staying on Course: Three-Year Results of the National Guard Youth ChalleNGe Evaluation  

ERIC Educational Resources Information Center

|High school dropouts face an uphill battle in a labor market that increasingly rewards skills and postsecondary credentials: they are more likely than their peers to need public assistance, be arrested or incarcerated, and less likely to marry. This report presents results from a rigorous evaluation of the National Guard Youth ChalleNGe Program,…

Millenky, Megan; Bloom, Dan; Muller-Ravett, Sara; Broadus, Joseph

2011-01-01

31

Making the Transition: Interim Results of the National Guard Youth ChalleNGe Evaluation  

ERIC Educational Resources Information Center

Young people who drop out of high school face long odds of success in a labor market that increasingly values education and skills. This report presents interim results from a rigorous, ongoing evaluation of the National Guard Youth ChalleNGe Program, which aims to "reclaim the lives of at-risk youth" who have dropped out of high school. ChalleNGe…

Millenky, Megan; Bloom, Dan; Dillon, Colleen

2010-01-01

32

Disposal of Portion, Missouri Valley National Guard Facility, Harrison County, Iowa.  

National Technical Information Service (NTIS)

The proposed action involves the assignment of 288.75 acres of land and structures comprising a portion of Government-owned property known as the Missouri Valley National Guard Facility, Harrison County, Iowa, to the Department of Health, Education, and W...

1971-01-01

33

National Guard Ballistic Missile Defense Mission: Minutemen at the Orbital Plane.  

National Technical Information Service (NTIS)

This thesis examines the American defense policy decision to assign the Ground-based Midcourse Defense (GMD) portion of the Ballistic Missile Defense System (BMDS) mission to units of the Colorado and Alaska National Guard. The history of the Nike Ajax, N...

R. H. Trenary

2004-01-01

34

ICEPOD - Developing Ice Imaging Capabilities for the New York Air National Guard's LC130 Aircraft  

Microsoft Academic Search

The ICEPOD program is a 5-year development effort to develop a polar instrumentation suite for the New York Air National Guard's (NYANG) LC-130's supported by the NSF American Reinvestment and Recovery Act (ARRA) Major Research Instrumentation program. The fundamental goal of the ICEPOD program is to develop an instrumentation package that can capture the dynamics of the changing polar regions,

J. Detemple; N. Frearson; C. J. Zappa; M. Turrin; R. E. Bell

2010-01-01

35

Anthropometric Study of U.S. Army National Guard Personnel, Fort Polk, Louisiana (2003).  

National Technical Information Service (NTIS)

This report highlights the collection of anthropometric and demographic data for a group of Army National Guard (ARNG) personnel (N=451) who were preparing, at Fort Polk, Louisiana, for active duty in Bosnia and Kosovo in July 2003. These data provide inf...

T. N. Garlie C. C. Gordon

2005-01-01

36

National Guard Youth ChalleNGe Program. What Works Clearinghouse Intervention Report  

ERIC Educational Resources Information Center

The "National Guard Youth ChalleNGe Program" is a residential education and training program designed for youth ages 16 to 18 who have dropped out of or been expelled from high school. During the 22-week residential period, participants are offered GED preparation classes and other program services intended to promote positive youth development,…

What Works Clearinghouse, 2010

2010-01-01

37

Children of National Guard Troops Deployed in the Global War on Terrorism  

ERIC Educational Resources Information Center

|This study examined deployment effects in children and spouses of National Guard troops using a longitudinal design to assess 18 children (ages 6 to 17 years) and 13 nondeployed spouses before, during, and after deployment. Both self- and parent reports revealed that children of deployed service personnel experienced emotional and behavioral…

Pfefferbaum, Betty; Houston, J. Brian; Sherman, Michelle D.; Melson, Ashley G.

2011-01-01

38

Children of National Guard Troops Deployed in the Global War on Terrorism  

Microsoft Academic Search

This study examined deployment effects in children and spouses of National Guard troops using a longitudinal design to assess 18 children (ages 6 to 17 years) and 13 nondeployed spouses before, during, and after deployment. Both self- and parent reports revealed that children of deployed service personnel experienced emotional and behavioral symptoms during the deployment of their fathers relative to

Betty Pfefferbaum; J. Brian Houston; Michelle D. Sherman; Ashley G. Melson

2011-01-01

39

Strategic Analysis of Air National Guard Combat Support and Reachback Functions.  

National Technical Information Service (NTIS)

VANGUARD, the Air National Guard's (ANG's) long-range transformation program (released in December 2002), calls for the ANG to evaluate new concepts, prepare for new missions, and adopt a new culture that capitalizes on ANG strengths and ensures that the ...

R. S. Tripp K. F. Lynch R. G. McGarvey D. Snyder R. A. Pyles

2006-01-01

40

Relationship Adjustment, PTSD Symptoms, and Treatment Utilization Among Coupled National Guard Soldiers Deployed to Iraq  

Microsoft Academic Search

Although combat-related posttraumatic stress disorder (PTSD) is associated with considerable impairment in relationship adjustment, research has yet to investigate how PTSD symptoms and relationship distress uniquely and jointly predict utilization of a range of mental health services. The present study sought to examine these issues utilizing a longitudinal sample of National Guard soldiers surveyed 2–3 months following return from deployment

Laura A. Meis; Robin A. Barry; Shannon M. Kehle; Christopher R. Erbes; Melissa A. Polusny

2010-01-01

41

The US Army and National Guard Vibration Management Enhancement Program (VMEP): Data Analysis and Statistical Results  

Microsoft Academic Search

The US Army and South Carolina National Guard have developed automated vibration monitoring and fault diagnostic tools as part of the Vibration Management Enhancement Program (VMEP). VMEP is intended to improve the operations and support activities by keeping the maintainers aware of the health of the critical dynamic components of their aircraft. This paper outlines the program results to date.

Paul Grabill; Tom Brotherton; John Berry

42

Representational Rights of Security Guards Under the National Labor Relations Act: The Need for a Balancing of Interests  

Microsoft Academic Search

The private security industry is experiencing great prosperity. Despite the job opportunities in the industry, however, there are various problems endemic to employment as a security guard. Wages are usually low and risks can be high. While union membership has increased among security guards, collective bargaining has been unsuccessful in alleviating the occupation's problems. Section 9(b)(3) of the National Labor

Vivian A. Rattay

1984-01-01

43

Preliminary assessment report for National Guard Facility, Installation 25255, Rehoboth, Massachusetts. Installation Restoration Program  

SciTech Connect

This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Massachusetts Army National Guard (MAARNG) property known as the Rehoboth National Guard Facility (RNGF) in Rehoboth, Massachusetts. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for ftirther action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the RNGF property, phase I of the Department of Defense Installation Restoration Program (IRP). The scope of this assessment is limited to the facilities under the control of the MAARNG and the past activities contained within that area.

Haffenden, R.; Flaim, S.; Krokosz, M.

1993-08-01

44

Role of the National Guard in Homeland Security.  

National Technical Information Service (NTIS)

The United States experienced a wake-up ca%l as a result of the terrorist attacks in New York City and Washington D.C. on September 11 2001. Many civic and military leaders had previously warned of the dangers by terrorists to this nation and its citizenr...

W. F. Kuehn

2004-01-01

45

Predictors of postdeployment alcohol use disorders in National Guard soldiers deployed to Operation Iraqi Freedom.  

PubMed

Alcohol use in the military is a significant problem. The goal of this study was to examine the associations between personality, posttraumatic stress disorder (PTSD) symptoms, and postdeployment alcohol use disorders (AUDs) among a group of Operation Iraqi Freedom (OIF) deployed National Guard soldiers, with a focus on differentiating predeployment and postdeployment onset AUDs. Participants were 348 National Guard soldiers deployed to Iraq from March 2006 to July 2007 drawn from the Readiness and Resilience in National Guard Soldiers (RINGS) study. Participants completed self-report measures one month before deployment and 3 to 6 months postdeployment; current and lifetime history of AUDs were assessed 6 to 12 months postdeployment, using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (4th ed. text rev.; DSM-IV; American Psychiatric Association, 2000). Overall, 13% of the panel was diagnosed with a current AUD. Of those who met criteria for a current AUD, 38% had an AUD that developed following return from deployment (new onset AUD). The development of new onset AUDs was uniquely predicted by higher levels of PTSD symptom severity, higher levels of avoidance-specific PTSD symptoms, and lower levels of positive emotionality. AUDs with onset prior to deployment were predicted by higher levels of negative emotionality and disconstraint. Results of this study suggest that combat deployed soldiers with current AUDs are a heterogeneous group and point to the influence of combat-related PTSD symptoms in the development of AUDs following deployment. PMID:21823766

Kehle, Shannon M; Ferrier-Auerbach, Amanda G; Meis, Laura A; Arbisi, Paul A; Erbes, Christopher R; Polusny, Melissa A

2011-08-08

46

32 CFR 635.22 - Reserve component, U.S. Army Reserve, and Army National Guard personnel.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Reserve component, U.S. Army Reserve, and Army National Guard personnel. 635.22 Section 635...Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND CRIMINAL...

2013-07-01

47

78 FR 11676 - Notice of Inventory Completion: National Guard Bureau/A7AN, Air National Guard, Joint Base...  

Federal Register 2010, 2011, 2012, 2013

...Keetoowah Band of Cherokee Indians in Oklahoma that this notice has been published. Dated: January 29, 2013. Melanie O'Brien, Acting Manager, National NAGPRA Program. [FR Doc. 2013-03631 Filed 2-15-13; 8:45 am] BILLING CODE...

2013-02-19

48

Preliminary assessment report for Kent National Guard Facility (Installation 53065), 24410 Military Road, Kent, Washington  

SciTech Connect

This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Washington Army National Guard property in Kent, Washington. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment.

Ketels, P.; Aggarwal, P.; Rose, C.M.

1993-08-01

49

The Coast Guard's VHF-FM national distress system: Analysis for recapitalization  

NASA Astrophysics Data System (ADS)

Twenty years ago the U.S. Coast Guard established the National Distress System (NDS) of VHF-FM remote-controlled transceivers to provide nationwide maritime distress coverage and Coast Guard C(sup 2) communications. The NDS was designed to provide radio coverage along the coasts, the inland waterways, and the Great Lakes. The current NDS equipment is reaching the end of its useful life and the new requirements placed upon the system have mandated its replacement. In this thesis the author first details the C(sup 2) structure of the Coast Guard and identifies its major missions, and then relates history of the NDS. An examination of the NDS' current configuration is performed, the requirements are identified, and applicable technology is explored. The author concludes that present technology and commercially available equipment is available to solve the present and anticipated requirements placed upon the NDS. The author provides a model of the proposed system and presents an implementation schedule for replacement of the NDS.

Glidden, William C.

1991-06-01

50

Feasibility of a virtual health and wellness center for the Oregon Air National Guard.  

PubMed

A cross-sectional survey of members was used to examine the feasibility of developing a virtual health and wellness center in the Oregon Air National Guard. The survey asked about the health behaviors members wanted to change and explored their current access to, and potential use of, the Internet to make these changes. Surveys were mailed to 1,368 members, and 521 (38%) were returned. Most respondents (92.5%) had contemplated making one or more health behavior changes in the past year, which included becoming more physically active (94.6%), improving eating habits (86%), losing weight (81%), improving stress management (62%), and reducing tobacco use (46%). Popular sources of health behavior change information used included reading material (95.5%) and the Internet (91.3%). Many respondents had Internet access (82%), and average computer self-efficacy, rated on a scale of 1 to 5, was very high (mean = 4.05, SD = 0.91). Use of the Internet by health professionals to promote health behavior change among Oregon Air National Guard personnel seems feasible and desirable. PMID:11799811

Messecar, Deborah C; Salveson, Catherine A; Monkong, Supreeda

2002-01-01

51

3 CFR 8288 - Proclamation 8288 of September 12, 2008. National Employer Support of the Guard and Reserve Week...  

Code of Federal Regulations, 2010 CFR

...care about and love their country. These businesses have put patriotism above profit, and they deserve the gratitude of all Americans...National Guard and Reserve and their civilian employers for their patriotism and sacrifices on behalf of our Nation. I also call...

2009-01-01

52

Final Focused Feasibility Study for Site 5 Soils, 162nd Fighter Group, Arizona Air National Guard, Tucson International Airport Superfund Site, Tucson, Arizona.  

National Technical Information Service (NTIS)

ERM-West, Inc., (ERM) has prepared this Focused Feasibility Study (FFS) Report for Site 5 soils at the Arizona Air National Guard (AANG) Base in Tucson, Arizona. The study is part of the Installation Restoration Program of the Air National Guard. The FFS ...

1995-01-01

53

Posttraumatic stress, family adjustment, and treatment preferences among National Guard soldiers deployed to OEF/OIF.  

PubMed

We used an anonymous self-reported questionnaire to assess posttraumatic stress disorder symptoms, relationship concerns, and treatment preferences including interest in family-focused interventions among 100 National Guard Soldiers who were recently redeployed from Iraq or Afghanistan. We found that the majority of married or partnered soldiers were concerned about getting along with their partners, while the majority of parents were concerned about their child-rearing practices. Posttraumatic stress disorder symptoms were significantly associated with the degree of relationship concerns. Soldiers showed a striking preference for family-based interventions over individual treatment, highlighting the importance of developing family-based interventions tailored to address post-deployment mental health and co-occurring family problems. PMID:21366071

Khaylis, Anna; Polusny, Melissa A; Erbes, Christopher R; Gewirtz, Abigail; Rath, Michael

2011-02-01

54

Site inspection health and safety plan. Bennett Army National Guard Facility Bennett, Colorado. Final report  

SciTech Connect

This Health and Safety Plan (HSP) is based on the Remedial Investigation/Feasibility Study (RI/FS) HSP originally developed by R.L. Stollar Associates, Inc. in 1991 for use at the Bennett Army National Guard Facility (BANGF). Subsequent to the initial preparation of the plan, funding to perform the RI/FS at BANGF was not provided. The original RI/FS HSP has been modified to address the potential health and safety hazards associated with conducting a Site Inspection (SI) of this facility. The HSP meets the requirements of Title 29 of the Code of Federal Regulations, Section 1910.120 (29 CFR 1910.120) and 29 CFR 1910.134. Compliance with this HSP for BANGF is required of all field personnel, including subcontractors conducting investigations and waste management identified in the BANGF SI Sampling and Analysis Plan.

NONE

1995-01-26

55

Stationwide environmental baseline survey and related environmental factors, Ontario Air National Guard Station, California  

SciTech Connect

This Environmental Baseline Survey (EBS) has been prepared to document the environmental condition of real property at Ontario Air National Guard Station (ANGS), California, resulting from the storage, release, and disposal of hazardous substances and petroleum products and their derivatives over the installations history. This EBS is also used by the Air Force to meet its obligations under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), 42 United States Code Section 9620(h), as amended by the Community Environmental Response Facilitation Act (CERFA) (Public Law 102-426). Table ES-1 list all uncontaminated property based on information obtained through a records search, interviews, and visual site inspections at Ontario ANGS. Figure ES-1 depicts their respective locations.

NONE

1996-11-26

56

Staying on Course: Three-Year Results of the National Guard Youth ChalleNGe Evaluation. Executive Summary  

ERIC Educational Resources Information Center

|High school dropouts face an uphill battle in a labor market that increasingly rewards skills and postsecondary credentials: they are more likely than their peers to need public assistance, be arrested or incarcerated, and less likely to marry. This executive summary summarizes results from a rigorous evaluation of the National Guard Youth…

Millenky, Megan; Bloom, Dan; Muller-Ravett, Sara; Broadus, Joseph

2011-01-01

57

Creating 'Purpose-Driven' Forces: Enhancing the Contributions of U.S. Army National Guard Special Forces.  

National Technical Information Service (NTIS)

The U.S. Army National Guard (ARNG) contains two Special Forces Groups, the 19th and the 20th, which constitute 29% of the Army's Special Forces. Years of war have honed the capabilities of both the active component (AC) and ARNG Special Forces. Neverthel...

2013-01-01

58

69 FR 57004 - Proposed Aircraft Conversion of the 167th Airlift Wing (AW) of West Virginia Air National Guard...  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF DEFENSE Department of the Air Force Proposed Aircraft Conversion of the 167th Airlift Wing (AW) of West Virginia Air National Guard (ANG), Eastern West Virginia...On September 3, 2004, the United States Air Force signed the ROD for the Proposed...

2004-09-23

59

Baseline Water-Quality Characteristics of the Alaska Army National Guard Stewart River Training Area Near Nome, Alaska.  

National Technical Information Service (NTIS)

The Alaska Army National Guard Stewart River Training Area is approximately 23 miles north of Nome on the Seward Peninsula in northwest Alaska. The Stewart River Training Area encompasses much of the Stewart River Basin and a small part of the Snake River...

J. D. Eash

2005-01-01

60

The Predictive Validity of the PTSD Checklist in a Nonclinical Sample of Combat-Exposed National Guard Troops  

ERIC Educational Resources Information Center

|After returning from an extended combat deployment to Iraq, 348 National Guard soldiers were administered the PTSD Checklist (PCL-M), and the Beck Depression Inventory II (BDI-II) followed, on average, 3 months later by structured diagnostic interviews including the Clinician-Administered PTSD Scale (CAPS) for the "Diagnostic and Statistical…

Arbisi, Paul A.; Kaler, Matthew E.; Kehle-Forbes, Shannon M.; Erbes, Christopher R.; Polusny, Melissa A.; Thuras, Paul

2012-01-01

61

77 FR 58295 - National Employer Support of the Guard and Reserve Week, 2012  

Federal Register 2010, 2011, 2012, 2013

...Employer Support of the Guard and Reserve Week, 2012 By the President of the United States...helped carry that legacy forward. This week, we honor their service and sacrifice...Employer Support of the Guard and Reserve Week, let us pay tribute to the brave men...

2012-09-19

62

Preliminary assessment report for Redmond Army National Guard Facility, Installation 53120, Redmond, Washington. Installation Restoration Program  

SciTech Connect

This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Washington Army National Guard (WAARNG) property in Redmond, Washington. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the Redmond ARNG property, Phase I of the Department of Defense Installation Restoration Program. The environmentally significant operations (ESOs) associated with the property are (1) supply/storage of hazardous materials, (2) weapons cleaning, (3) the underground storage tanks (USTs), and (4) the use of herbicides. These ESOs are no longer active because of the closure of OMS 10 activities in 1988.

Ketels, P.; Aggarwal, P.

1993-08-01

63

Installation Restoration Program decision document. Site 11, Alpena Combat Readiness Training Center, Michigan Air National Guard, Alpena County Regional Airport, Alpena, Michigan. Final report  

SciTech Connect

This Decision Document (DD) supports the no further action alternative for Site 11. Former Underground Fuel Storage Tank at the Alpena Combat Readiness Training Center (CRTC) in Alpena, Michigan. The purpose of the DD is to summarize the existing data for the site and describe the Air National Guard`s rational for selecting the no further action alternative.

NONE

1996-05-01

64

How do they compare?: an assessment of predeployment fitness in the Arizona National Guard.  

PubMed

Currently, there is a paucity of literature that describes physical fitness levels in deploying service members. There has been no data collected that evaluate the Army National Guard or Reserves. This descriptive study will provide physical fitness data for soldiers in the Arizona National Guard (AZNG), allowing for a comparison between the active and reserve components. Sixty soldiers from the AZNG were tested before deployment. Body composition was measured by using air displacement plethysmography. Flexibility testing included the sit and reach (SNR), trunk extension (TE), and shoulder elevation (SE) assessments. Muscular strength was determined by the completion of 1 repetition maximum (1RM) bench press and back squat. Muscular endurance was determined by the completion of the Army push-up (P/U) and sit-up (S/U) test. Muscular power was assessed by the completion of the Wingate cycle test and the standing broad jump (SBJ). Cardiorespiratory fitness was determined by the completion of a VO2peak test. The AZNG soldiers demonstrated a fat mass of 22.7 ± 8.9%, SNR, TE, and SE of 30.0 ± 8.9, 117.1 ± 25.2, and 145.5 ± 50.3 cm, 1RM bench press and back squat of 82.2 ± 29.9 and 104.6 ± 29.0 kg, P/U and S/U of 50 ± 18 and 53 ± 14 reps, peak power of 660.9 ± 177.8 W, SBJ of 191.8 ± 28.4 cm, and VO2peak of 48.9 ± 8.8 ml·kg(-1)·min(-1). This is the first study that provides descriptive data for physical fitness in a reserve component. The data demonstrate that these AZNG soldiers are relatively fit and have comparable results to their active duty counterparts. This descriptive data will provide military leadership a better understanding of the condition of soldiers before deployment and will assist them in better preparing soldiers for future conflicts. PMID:21969079

Warr, Bradley J; Alvar, Brent A; Dodd, Daniel J; Heumann, Kristin J; Mitros, Melanie R; Keating, Christopher J; Swan, Pamela D

2011-11-01

65

Mental health diagnosis and occupational functioning in National Guard/Reserve veterans returning from Iraq.  

PubMed

Occupational functioning represents both an important outcome for military service members returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom and a predictor for long-term mental health functioning. We investigated the role of mental health diagnoses, determined by structured clinical interviews, on occupational functioning in a group of 262 National Guard/Reserve service members within 1 year of returning from a 16-month OIF combat deployment. We assessed occupational functioning at the time of diagnostic interviews and 1 year later. We hypothesized that service members with diagnoses of posttraumatic stress disorder (PTSD), depression, and/or alcohol abuse or dependence would exhibit lower rates of employment at both time points and lower rates of reported work and/or school role functioning. Service members with a diagnosis of PTSD (5%, n = 13), subthreshold PTSD (6%, n = 15), a major depressive disorder (11%, n = 29), or alcohol abuse or dependence (11%, n = 28) did not differ on employment status from service members without a diagnosis at either time point. However, those with a diagnosis of PTSD, depression, and/or alcohol abuse or dependence reported lower levels of work role functioning. In addition, service members with a diagnosis of PTSD reported greater rates of deterioration in work role functioning over time. PMID:22234661

Erbes, Christopher R; Kaler, Matthew E; Schult, Tamara; Polusny, Melissa A; Arbisi, Paul A

2011-01-01

66

Correlates of vegetable consumption among young men in the Norwegian National Guard.  

PubMed

The aim of this study was to investigate socio-environmental, personal and behavioural factors associated with vegetable consumption among young men in the military. Respondents included 578 male recruits (mean age 19.7) in the Norwegian National Guard (response rate 78%). Data were collected with a food diary (4-day record) and an attitudinal questionnaire. A model including items on personal factors (attitudes, preferences, self-efficacy, knowledge and perceived availability), socio-environmental factors (social influence, socio-economic status, eating habits at home) and behavioural factors (meal frequency, number of hot meals, snack consumption, smoking) was developed to assess correlates of the recruits' vegetable intake. The study showed that the recruits' consumption of vegetables (including potatoes) varied from 0 to 957 g/day with an average of 244 g/day. Overall, 32% of the variance in vegetable consumption was explained by factors included in the model. The most important correlates were occupational status of the parents, frequency of vegetable consumption when living at home, social influence, preferences for cooked vegetables, weight beliefs, number of hot meals for lunch and dinner and smoking habits. In conclusion, the present study indicates that in addition to cognitive factors, socio-environmental and behavioural factors can explain the variance in vegetable intake among young men in the military. PMID:16973238

Uglem, Solveig; Frølich, Wenche; Stea, Tonje Holte; Wandel, Margareta

2006-09-12

67

Posttraumatic stress disorder, depression, and HIV risk behavior among Ohio Army National Guard Soldiers.  

PubMed

We examined the relationship between posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and human immunodeficiency virus (HIV) risk behavior among the Ohio Army National Guard (OHARNG). We analyzed data collected from a sample of OHARNG enlisted between June 2008 and February 2009. Participants completed interviews assessing HIV risk activities defined by the Behavioral Risk Factor Surveillance System, and were screened for PTSD and MDD based on DSM-IV criteria according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed., DSM-IV; American Psychiatric Association, 1994). Logistic regression was used to examine the independent and combined effects of PTSD and MDD on past-year HIV risk behavior. Of 2,259 participants, 142 (6.3%) reported at least 1 past-year HIV risk behavior. In adjusted models, relative to soldiers with neither disorder, screening positive for MDD only was associated with HIV risk behavior (adjusted odds ratio [AOR] = 2.33, 95% CI = [1.15, 4.71]), whereas PTSD was not significant (AOR = 1.60, 95% CI = [0.80, 3.20]). Participants with both PTSD and depression were most likely to report HIV risk behavior (AOR = 2.75, 95% CI = [1.06, 7.11]). Soldiers with PTSD and MDD may be at greater risk for HIV infection due to increased engagement in HIV risk behavior. Integrated interventions to address mental health problems and reduce HIV risk behavior are in need of development and evaluation. PMID:23417876

Marshall, Brandon D L; Prescott, Marta R; Liberzon, Israel; Tamburrino, Marijo B; Calabrese, Joseph R; Galea, Sandro

2013-02-01

68

Conservation of the endangered San Joaquin kit fox at Camp Roberts Army National Guard Training Site, California  

SciTech Connect

Camp Roberts is a California Army National Guard Training Site located in central California. The San Joaquin kit fox, an endangered subspecies of kit fox, has been known to occur at Camp Roberts since 1960. The population of foxes began to increase in the early 1970's when use of rodenticides decreased. In 1987 the California Army National Guard contracted EG G Energy Measurements to conduct a 3-year study to assess the effects of Camp Roberts activities on the kit fox population. A discussion of the current Conservation Program is provided. EG G will prepare a revised Biological Assessment in late 1991. It appears that activities which occur on Camp Roberts, if efficiently regulated, will not have any significant effect on the local population of kit foxes. (MHB)

Not Available

1991-01-01

69

Unions in the National Guard: A National Consolidation, Yes/No.  

National Technical Information Service (NTIS)

The purpose of this strategic research project is to present information on the proposed consolidation of 38 states technician unions into one national union under a single collective bargaining agreement, negotiated with the Department of Defense/Nationa...

T. R. Ragland

1999-01-01

70

A specific labor market comparison of male and female willingness to travel: The case of the Army National Guard  

SciTech Connect

This paper reports on an examination of gender differences in commuting behavior within the Army National Guard. This labor market provides a more level playing field than most for a direct comparison between male and female willingness to travel. In contrast to other studies, we find that women as a group are willing to travel greater distances, in this particular labor market. 9 refs., 1 fig., 10 tabs.

Daniell, A. (Tennessee Univ., Knoxville, TN (United States)); Bell, S.E. (Science Applications International Corp., Oak Ridge, TN (United States)); Vogt, D.P. (Oak Ridge National Lab., TN (United States))

1991-01-01

71

Installation Restoration Program. Preliminary assessment: 177th Fighter Interceptor Group, New Jersey Air National Guard, Atlantic City International Airport, Atlantic City, New Jersey. Final preliminary assessment  

SciTech Connect

A preliminary assessment of suspected hazardous waste sites at the Atlantic City International Airport, Atlantic City, New Jersey is presented. The study was conducted under the Air National Guard's Installation Restoration Program.

Not Available

1989-11-01

72

Effects of military-authorized activities on the San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California.  

National Technical Information Service (NTIS)

The effects of military-authorized activities on San Joaquin kit fox (Vulpes velox macrotis) were investigated at Camp Roberts Army National Guard Training Site from 1988 to 1991. Military-authorized activities included military training exercises, facili...

W. H. Berry W. G. Standley T. P. O'Farrell T. T. Kato

1992-01-01

73

Environmental Compliance Assessment Management Program (ECAMP) Air National Guard Supplement for The Environmental Assessment and Management (TEAM) Guide. Volume 2. (Revised).  

National Technical Information Service (NTIS)

Beginning in 1992, the U.S. Army Construction Engineering Research Laboratories (USACERL), in cooperation with the U.S. Air National Guard (ANG), began the research that led to the publication of the Environmental Compliance Assessment and Management Prog...

D. A. Krooks K. B. Barrett M. D. Rigual

1997-01-01

74

National Rehabilitation Hospital Assistive Technology Research Center.  

National Technical Information Service (NTIS)

The Assistive Technology Research Center was established by the National Rehabilitation Hospital to facilitate transfer of technologies from aerospace and defense arenas to improve the lives of persons with disabilities. The Center's work has evolved in t...

R. M. Materson

1995-01-01

75

Fielded ATM network for the Air National Guard Global Yankee Fort Drum exercise  

NASA Astrophysics Data System (ADS)

This paper will review the deployment, demonstration, and test of an Asynchronous Transfer Mode (ATM) network to support the Air National Guard `Global Yankee' field exercise held at Fort Drum, New York. The network provided forty five (45) megabit per second (mbps) ATM connections between the Air Operations Center (AOC) and Forward Operating Location (FOL) located at Fort Drum, the State University of New York (SUNY) Health Science Center located in Syracuse, New York and Rome Laboratory located in Rome, New York. Connections were made with both fiber and free space equipment. The fiber connections used were part of the existing ATM New York Network (NYNet) between Rome Lab, SUNY Health Science Center and NYNEX Corporation. This network was extended to Watertown, New York by NYNEX to provide connectivity to Fort Drum. The free space links were provided by commercial DS-3 (45 mbps) radios, and 2 to 6 mbps Troposcatter Satellite Support Radios (TSSRs). This paper will also discuss significant digital Command, Control, Communications and Intelligence enhancements to the battlefield provided by the deployed ATM network. For example, videoconferencing and shared workspace capability was demonstrated over the AOC-to-FOL TSSR link, enabling remote intelligence briefings, pilot Battle Damage Assessment, and Search and Rescue coordination. Remote Medical Diagnostics videoconferencing with MRI high resolution digital imagery was demonstrated between the FOL, AOC, and SUNY Health Science Center. Finally, the network provided connectivity between the AOC and the Joint Surveillance System (JSS) radar's located at Griffiss Air Force BAse. The JSS data combined with the Rome Lab developed Radar Analysis Program provided AOC personnel with air picture areas of interest.

Kaminski, Robert L.; Hague, Daniel; Maciag, Chester

1996-06-01

76

National Guard and Reserve Equipment Report for Fiscal Year 2012 (NGRER FY 2012).  

National Technical Information Service (NTIS)

The Department is transforming the Guard and Reserve from a purely strategic force to a sustainable Reserve force with both operational and strategic roles captured in DoD Directive (DoDD) 1200.17, Managing the Reserve Components as an Operational Force. ...

2011-01-01

77

78 FR 42452 - Safety Zone; Kentucky Air National Guard Vessel for Parachute Rescue Jumpmaster Training, Lake...  

Federal Register 2010, 2011, 2012, 2013

...Jumpmaster Training, Lake Erie, Dunkirk, NY AGENCY: Coast Guard, DHS. [[Page 42453...training vessel on Lake Erie near Dunkirk, NY. This moving safety zone is intended to...taking place on Lake Erie north of Dunkirk, NY. The Captain of the Port Buffalo has...

2013-07-16

78

Bumper guard  

SciTech Connect

A bumper guard is described for protecting a selected portion of an automobile body comprising guard means for covering the selected portion of the automobile body and shaped complementary to the automobile body. A bracket means is attached to the automobile frame for holding the guard means in position on the selected portion of the automobile body. The guard means comprises a V-shaped angle iron adapted to fit over the selected portion of the automobile body. The guard means further comprises a padding secured to the angle iron for interposition between the angle iron and automobile body to thereby protectively separate the angle iron from the automobile body.

Heyman, N.R.

1987-02-10

79

National Hospital Ambulatory Medical Care Survey (NHAMCS)  

NSDL National Science Digital Library

The National Center for Health Statistics (NCHS) released public-use data files for the 1997 National Hospital Ambulatory Medical Care Survey (NHAMCS). The NHAMCS "collect[s] data on the utilization and provision of ambulatory care services in hospital emergency and outpatient departments." The Website for the survey describes methodology and data, provides technical documentation for accessing and manipulating the data, and links users to related reports. The data and documentation for the survey may be downloaded from the Website or from the NCHS FTP server.

1997-01-01

80

Mortality of San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California  

SciTech Connect

Sources and rates of mortality of a San Joaquin kit fox population (Vulpes velox macrotis) were investigated at Camp Roberts Army National Guard Training Site, California, from November 1988 through September 1991. National Guard-authorized activities, including military training, caused the death of three of the 94 (3%) kit foxes radiocollared, and do not appear to jeopardize the continued existence of the population. Predation by larger carnivores, primarily coyotes (Canis latrans), caused the death of 75% of the 32 radiocollared kit foxes recovered dead for which a cause of death could be determined; vehicle impacts, disease (rabies), poisoning, and shooting were each responsible for the deaths of 6.3%. Adult annual mortality rate was 0.47 and the juvenile mortality rate was 0.80, and both rates are similar to rates reported for kit foxes in other locations. There was no significant difference between male and female mortality rates in either age class. The proportions of dead kit foxes recovered in different habitat types were similar to the availability of the habitat types within the distribution of kit fox on the installation.

Standley, W.G.; Berry, W.H.; O`Farrell, T.P.; Kato, T.T.

1992-09-01

81

Risking the Guard: Risking America.  

National Technical Information Service (NTIS)

For over 372 years the citizen soldier has performed his or her duties as a member of a strong and independent National Guard, an organization dedicated to serving its citizens at home and abroad. While the Guard is a vital component of the national secur...

M. Eshelman M. Johnson

2009-01-01

82

Bird guard  

SciTech Connect

The bird guard provides a device to protect electrical insulators comprising a central shaft; a clamp attached to an end of the shaft to secure the device to a transmission tower; a top and bottom cover to shield transmission tower insulators; and bearings to allow the guard to rotate in order to frighten birds away from the insulators.

Fairchild, Dana M. (Armour, SD)

2010-03-02

83

Installation restoration program: UST removal report. 117th Refueling Wing, Alabama Air National Guard, Birmingham Airport, Birmingham, Alabama and 226th Combat Information Systems Group, Martin Air National Guard Station, Gadsden Airport, Gadsden, Alabama. Volume I. Final report  

SciTech Connect

The Installation Restoration Program was initiated by the Air National Guard (ANG) to evaluate potential contamination to the environment caused by past practices at its installations. During the 1987 Preliminary Assessment (PA), ten abandoned underground storage tanks (USTs) were identified at nine sites. During the 1991 Site Investigation, surveys found four USTs at four sites and none at the other sites. The UST at Gadsden was removed in November 1989. Three USTs were removed at Birmingham in January 1991. Remaining soil was below Alabama Department of Environmental Management`s (ADEM) corrective action limit of 100 ppm total petroleum hydrocarbon (TPH) for the Gadsden UST and UST 380 at Birmingham. For USTs 120 and 130 at Birmingham, remaining soil was above ADEM`s corrective action limit, but believed to be limited to soils immediately adjacent to the tank pits. The report recommends no further action be taken at any of the UST sites.

NONE

1997-01-01

84

Installation restoration program: UST removal report. 117th Refueling Wing, Alabama Air National Guard, Birmingham Airport, Birmingham, Alabama and 226th Combat Information Systems Group, Martin Air National Guard Station, Gadsden Airport, Gadsden, Alabama. Volume II. Final report  

SciTech Connect

The Installation Restoration Program was initiated by the Air National Guard (ANG) to evaluate potential contamination to the environment caused by past practices at its installations. During the 1987 Preliminary Assessment (PA), ten abandoned underground storage tanks (USTs) were identified at nine sites. During the 1991 Site Investigation, surveys found four USTs at four sites and none at the other sites. The UST at Gadsden was removed in November 1989. Three USTs were removed at Birmingham in January 1991. Remaining soil was below Alabama Department of Environmental Management`s (ADEM) corrective action limit of 100 ppm total petroleum hydrocarbon (TPH) for the Gadsden UST and UST 380 at Birmingham. For USTs 120 and 130 at Birmingham, remaining soil was above ADEM`s corrective action limit, but believed to be limited to soils immediately adjacent to the tank pits. The report recommends no further action be taken at any of the UST sites.

NONE

1997-01-01

85

National Hospital Ambulatory Medical Care Survey, 1993 (on Magnetic Tape).  

National Technical Information Service (NTIS)

The National Hospital Ambulatory Medical Care Survey (NHAMCS) provides data on ambulatory care rendered in hospital emergency and outpatient departments (EDs and OPDs). The NHAMCS is a national probability sample of visits to the emergency and outpatient ...

1996-01-01

86

National Hospital Ambulatory Medical Care Survey, 1995 (on Magnetic Tape).  

National Technical Information Service (NTIS)

The National Hospital Ambulatory Medical Care Survey (NHAMCS) provides data on ambulatory care rendered in hospital emergency and outpatient departments (EDs and OPDs). The NHAMCS is a national probability sample of visits to the emergency and outpatient ...

1997-01-01

87

National Hospital Ambulatory Medical Care Survey, 1996 (on Magnetic Tape).  

National Technical Information Service (NTIS)

The National Hospital Ambulatory Medical Care Survey (NHAMCS) provides data on ambulatory medical care rendered in hospital emergency and outpatient departments (EDs and OPDs). The NHAMCS is a nationally probability sample survey of visits to the emergenc...

1998-01-01

88

National Hospital Ambulatory Medical Care Survey, 1997 (Raw Data File).  

National Technical Information Service (NTIS)

The National Hospital Ambulatory Medical Care Survey (NHAMCS) provides data on ambulatory medical care rendered in hospital emergency and outpatient departments (EDs and OPDs). The NHAMCS is a nationally probability sample survey of visits to the emergenc...

1999-01-01

89

National Hospital Ambulatory Medical Care Survey, 1994 (on Magnetic Tape).  

National Technical Information Service (NTIS)

The National Hospital Ambulatory Medical Care Survey (NHAMCS) provides data on ambulatory care rendered in hospital emergency and outpatient departments (EDs and OPDs). The NHAMCS is a national probability sample of visits to the emergency and outpatient ...

1996-01-01

90

Deployment cycle stressors and post-traumatic stress symptoms in Army National Guard women: the mediating effect of resilience.  

PubMed

This study examined the associations between deployment cycle stressors, post-traumatic stress symptoms (PTSS), and resilience in Army National Guard (ARNG) women deployed to Operations Enduring Freedom and Iraqi Freedom. Resilience was also tested as a mediator. Hierarchical linear regression indicated that deployment and post-deployment stressors were positively associated, and resilience was negatively associated with PTSS. Resilience fully mediated the association between post-deployment stressors and PTSS. Findings suggest assessing deployment and post-deployment stressors in ARNG women may be helpful in identifying those at risk for severe PTSS; and highlight the potential of individual-level resilient characteristics in mitigating the adverse impact of post-deployment stressors. PMID:23078014

Wooten, Nikki R

2012-01-01

91

Population trends of San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California  

SciTech Connect

Population trends of a San Joaquin kit fox population (Vulpes velox macrotis) were investigated at Camp Roberts Army National Guard Training Site, California, from November 1989 through August 1991. Six semiannual livetrapping sessions and eight scent-station survey sessions were conducted. Livetrapping results and radiotelemetry data were used to calculate minimum population size, density, and distribution. A total of 175 individual foxes were trapped 463 times. The number of individuals trapped and minimum population size calculations showed a decline over time. The highest minimum population (109) was observed in winter 1988. Summer 1991 had the lowest minimum population size (45). No evidence was found to indicate that the apparent population decline was a result of military-authorized activities.

Berry, W.H.; Standley, W.G.

1992-10-01

92

Final Closure Assessment Work Plan for Sites 2 and 10, 119th Fighter-Interceptor Group, North Dakota Air National Guard Base, Hector Field, Fargo, North Dakota.  

National Technical Information Service (NTIS)

This Work Plan (WP) outlines closure assessment activities to be conducted at two sites at the North Dakota Air National Guard (NDANG) Base, Hector International Airport (also known as Hector Field), Fargo, North Dakota. The sites to be assessed include o...

1994-01-01

93

The combined use of Skype and the STORZ CMAC video laryngoscope in field intubation training with the Nebraska National Air Guard.  

PubMed

This study examined the feasibility of using Skype technology in basic manikin intubation instruction of Nebraska National Air Guard personnel at a Casualty Training Exercise. Results show that the Skype monitor provided clear sound and visualization of the airway view to the trainees and the combination of VoIP technology and videolaryngoscopy for intubation training was highly valued by study participants. PMID:21335766

Boedeker, Ben H; Bernhagen, Mary; Miller, David J; Miljkovic, Nikola; Kuper, Gail M; Murray, W Bosseau

2011-01-01

94

The Minnesota Multiphasic Personality Inventory-2 Restructured Form in National Guard Soldiers Screening Positive for Posttraumatic Stress Disorder and Mild Traumatic Brain Injury  

ERIC Educational Resources Information Center

|The Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2 RF) was administered to 251 National Guard soldiers who had recently returned from deployment to Iraq. Soldiers were also administered questionnaires to identify posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). On the basis of responses to the…

Arbisi, Paul A.; Polusny, Melissa A.; Erbes, Christopher R.; Thuras, Paul; Reddy, Madhavi K.

2011-01-01

95

Combat exposure, psychological symptoms, and marital satisfaction in National Guard soldiers who served in Operation Iraqi Freedom from 2005 to 2006  

Microsoft Academic Search

In current military operations in Iraq and Afghanistan, US National Guard (NG) troops are serving longer deployments than ever before. Little is known, however, about how such deployments affect this population of individuals, relative to active component (AC) troops. This study investigated the extent of combat exposure, severity of post-deployment psychological symptoms, and general interpersonal functioning, as well as the

Keith D. Renshaw; Camila S. Rodrigues; David H. Jones

2009-01-01

96

WWC Quick Review of the Report "Reengaging High School Dropouts: Early Results of the National Guard Youth ChalleNGe Program Evaluation"  

ERIC Educational Resources Information Center

The study examined whether participating in the "National Guard Youth ChalleNGe Program", a quasi-military residential/mentoring program for dropouts, improved the educational and other outcomes of at-risk youth. The study analyzed data on about 1,000 16- to 18-year-old high school dropouts enrolled in 10 ChalleNGe programs throughout the…

What Works Clearinghouse, 2009

2009-01-01

97

Statement to the National Research Council Study Committee for the Assessment of U.S. Coast Guard Polar Icebreaker Roles and Future Needs.  

National Technical Information Service (NTIS)

The age and condition of the U.S. Coast Guard's polar icebreakers are jeopardizing national security and scientific research in the Arctic and Antarctic. Because of a shortfall in funding for U.S. polar icebreaking activities, long-term maintenance on the...

D. H. Laible

2005-01-01

98

Critical Needs and Level of Support for the Military Spouse: A Comparative Study of the National Guard and Active Army during the Iraq War  

ERIC Educational Resources Information Center

|National Guard units have been asked to serve in ways never before experienced since the beginning of the Iraq War and throughout the continued war on terror. Multiple deployments, frequent long-term separations from families, communities, and jobs may have far reaching implications. Family Readiness Groups and a climate of support shown by…

Vasilas, Cynthia Nikki

2009-01-01

99

Final Environmental Impact Statement. Relocation of the 146th Tactical Airlift Wing of the California Air National Guard. Volume 1. EIS Text.  

National Technical Information Service (NTIS)

The proposed action is the relocation of 146 Tactical Airlift Wing(TAW) of the California Air National Guard from the Van Nuys Airport to a 239-acre site which abuts the northern boundary of the Naval Air Station (NAS) at point MUGU, located in Venture Co...

1985-01-01

100

Role of the Army National Guard in Ongoing Overseas Peacekeeping Missions: How Far Do We Stretch the Rubber Band Before it Breaks.  

National Technical Information Service (NTIS)

The downsizing of active military forces and the concurrent spike in operational tempo has resulted in a greatly increased use of Army National Guard units in ongoing overseas peacekeeping missions. The purpose of this paper is to see what impacts this si...

R. S. Forbes

2001-01-01

101

Disposal and reuse of portions of Rickenbacker Air National Guard Base, Ohio, environmental impact statement. Draft report  

SciTech Connect

Pursuant to the Defense Base Closure and Realignment Act of 1990, Rickenbacker Air National Guard Base is scheduled for realignment on September 30, 1994. This EIS, prepared in accordance with the National Environmental Policy Act, analyzes potential environmental impacts of disposal. Although disposal will have few direct effects, future use by others will create indirect effects. The document includes analyses of potential impacts that a range of reasonable foreseeable reuses could have on local land use and aesthetics, transportation, utilities, hazardous materials/wastes, geology and soils, water resources, air quality, noise, biological resources, and cultural resources. All reuse alternatives, including the proposed action and the No-Action Alternative, incorporate aviation and land use areas. Potential impacts associated with the proposed action include land use conflicts, aircraft-related noise, traffic increases, increased air emissions and wetland disturbance. Proposed mitigations include restricting residential development near the airport; incorporation of FAA-mandated Stage III engines on all commercial aircraft by the year 2000; planned improvement to local roads; application of state control measures to reduce traffic trips, especially during peak hours; and avoiding wetland areas to the extent possible. Because the Air Force is disposing of the property, some of the mitigation measures are beyond Air Force control. Remediation of Installation Restoration Program sites will continue to be the responsibility of the Air Force.

NONE

1994-07-01

102

Installation-Restoration Program. Phase 2. Confirmation/quantification. Stage 1. Problem confirmation study: Otis Air National Guard Base, Massachusetts, Air National Guard Support Center, Andrews Air Force Base, Maryland. Final technical report, November 1983-July 1985  

SciTech Connect

A Problem Confirmation Study was performed at seven sites on Otis Air National Guard Base: the Current and Former Training Areas, the Base Landfill, the Nondestructive Inspection Laboratory, the Fuel Test Dump Site, the Railyard Fuel Pumping Station, and the Petrol Fuel Storage Area. The field investigation was conducted in two stages, in November 1983 through January 1984, and in October through December 1984. Resampling was performed at selected locations in April and July 1985. A total of 11 monitor wells were installed and sampled and test-pit investigations were conducted at six sites. In addition, the contents of a sump tank, and two header pipes for fuel-transmission lines were sampled. Analytes included TOC, TOX, cyanide, phenols, Safe Drinking Water metals, pesticides and herbicides, and in the second round, priority-pollutant volatile organic compounds and a GC fingerprint scan for fuel products. On the basis of the field-work findings, it is concluded that, to date, water-quality impacts on ground water from past activities have been minimal.

Kraybill, R.L.; Smart, G.R.; Bopp, F.

1985-09-04

103

National Guard Homeland Defense Division Filling the Gap in Weapons of Mass Destruction Defense.  

National Technical Information Service (NTIS)

Weapons of mass destruction (WMD) pose a new and significant threat to American security. The nation does not presently possess the ability to adequately deal with this threat. Congress has tasked DoD to develop capabilities to deal with this threat. In p...

M. G. Spiese

1999-01-01

104

Fleas of the San Joaquin kit fox (Vulpes velox macrotis) on Camp Roberts Army National Guard Training Site, California  

SciTech Connect

A total of 3,241 fleas, representing seven species, were identified from 398 samples collected from San Joaquin kit foxes (Vulpes velox macrotis), California ground squirrels (Spermophilus beecheyi), and deer mice (Peromyscus maniculatus) at Camp Roberts Army National Guard Training Site, California, from November 1988 through September 1991. Of 3,109 fleas collected from kit foxes 95.7% were Echidnophaga gallinacea, 4.0% Pulex irritans, 0.2% Hoplopsyllus anomolus, and 0.1% Odontopsyllus dentatus. One male Ctenocephalides fells was also collected from a kit fox. The 118 fleas collected from California ground squirrels consisted of Hoplopsyllus anomolus (55.9%), Echidnophaga gallinacea (37.3%), and Oropsylla montanus (6.8%). The 14 fleas collected from deer mice were Aetheca wagneri. Based on the distribution and abundance of flea species collected, and the vector efficiency of these fleas, it appears that kit foxes could play a role in the transfer of natural vectors of sylvatic plague between rodent populations, if the bacterium responsible for plague (Yersinia pestis) were present at Camp Roberts. Little information regarding kit fox food habits was evidenced by the distribution and abundance of small mammal flea species collected from kit foxes.

Spencer, K.A.; Egoscue, H.J.

1992-09-01

105

Reproduction of the San Joaquin kit fox (Vulpes velox macrotis) on Camp Roberts Army National Guard Training Site, California  

SciTech Connect

The reproduction of a San Joaquin kit fox population (Vulpes velox macrotis) was investigated at Camp Roberts Army National Guard Training Site, California, from November 1988 through September 1991. Of 38 vixens radiocollared prior to parturition, 12 (32%) were successful in raising pups from conception to the point where pups were observed above ground. No yearling vixens were known tb be reproductively active. The mean litter size during 1989 - 1991 was 3.0 (n = 21, SE = 0.28) and ranged from one to six pups. Both the proportion of vixens successfully raising pups and the mean litter size observed at Camp Roberts during this study were lower than those reported at other locations. Sex ratios of kit fox pups were male biased two of the three years, but did not differ statistically from 1:1 throughout the study. Whelping was estimated to occur between February 15 and March 5. Results of this study support previous reports that kit foxes are primarily monogamous, although one case of polygamy may have occurred. Both the proportion of dispersing radiocollared juveniles (26%) and the mean dispersal distance (5.9 km) of juveniles at Camp Roberts appeared low compared to other locations.

Spencer, K.A.; Berry, W.H.; Standley, W.G.; O`Farrell, T.P.

1992-09-01

106

Perception of change and burden in children of national guard troops deployed as part of the global war on terror.  

PubMed

Changes in relationships, roles, and dynamics associated with deployment of troops to the Global War on Terror can create challenges for their families as non-deployed spouses and their children take on new responsibilities. Children, aged 6 to 18 years, of deployed National Guard troops were assessed to determine the children's perceptions about how their father's deployment would or did change them and their family, the burden the children experienced in relation to helping their mothers, and child- and parent-reported emotional and behavioral symptoms in the children. Endorsement of personal change was associated with psychological health. During deployment, recognizing personal change was associated with less perceived burden while perceived change in the family was associated with more perceived burden. In general, increased perception of burden was associated with increased psychological symptoms and problems. The children of deployed service personnel may experience burdens and challenges in relation to the changes associated with the circumstances of deployment. Helping children prepare for and manage changes in relationships, roles, rules, and routines may lessen adverse reactions to changes in the environment. PMID:23894799

Pfefferbaum, Betty; Houston, J Brian; Allen, Sandra F

2012-01-01

107

3 CFR 8864 - Proclamation 8864 of September 14, 2012. National Employer Support of the Guard and Reserve Week...  

Code of Federal Regulations, 2013 CFR

...the Guard and Reserve Week, 2012By the President of the United States of America A Proclamation During the 236 years...our fundamental rights to life, liberty, and the pursuit of happiness were first put to paper, ordinary citizens...

2013-01-01

108

Installation restoration program. Site investigation report. Volume 1. Alabama Air National Guard 187th Fighter Group Dannelly Field Municipal Airport Montgomery, Alabama  

SciTech Connect

A Site Investigation (SI) was conducted as part of the IRP for the 187th Fighter Group of the Alabama National Guard, Dannelly Field Municipal Airport, Montgomery, Alabama (the base). The SI was conducted in accordance with the SI Work Plan dated December 1990 and followed the 1987 Preliminary Assessment (PA) at the base that identified five sites that were potential sources of environmental contamination.

Hill

1995-11-01

109

Do Secondary Trauma Symptoms in Spouses of Combat-Exposed National Guard Soldiers Mediate Impacts of Soldiers’ Trauma Exposure on Their Children?  

Microsoft Academic Search

This exploratory study examines the associated effects of combat exposure on Soldiers assigned to a Midwestern Army National\\u000a Guard unit. It also explores the secondary and mediating effects of combat exposure on Soldier’s spouses and children. The\\u000a correlations of combat exposure with trauma symptoms, substance abuse, domestic violence and secondary trauma symptoms among\\u000a family members are identified. Survey results suggest

Joseph R. HerzogR; R. Blaine Everson; James D. Whitworth

110

Effects of military-authorized activities on the San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California  

Microsoft Academic Search

The effects of military-authorized activities on San Joaquin kit fox (Vulpes velox macrotis) were investigated at Camp Roberts Army National Guard Training Site from 1988 to 1991. Military-authorized activities included military training exercises, facilities maintenance, new construction, controlled burning, livestock grazing, and public-access hunting. Positive effects of the military included habitat preservation, preactivity surveys, and natural resources management practices designed

W. H. Berry; W. G. Standley; T. T. Kato

1992-01-01

111

Effects of Repeated Deployment to Iraq and Afghanistan on the Health of New Jersey Army National Guard Troops: Implications for Military Readiness  

PubMed Central

Objectives. We assessed the effects of prior military service in Iraq or Afghanistan on the health of New Jersey Army National Guard members preparing for deployment to Iraq. Methods. We analyzed anonymous, self-administered predeployment surveys from 2543 National Guard members deployed to Iraq in 2008. We used bivariate and multivariate analyses to measure the effects of prior service in Afghanistan (Operation Enduring Freedom [OEF]) or Iraq (Operation Iraqi Freedom [OIF]) on mental and physical health. Results. Nearly 25% of respondents reported at least 1 previous OEF or OIF deployment. Previously deployed soldiers were more than 3 times as likely as soldiers with no previous deployments to screen positive for posttraumatic stress disorder (adjusted odds ratio [AOR] = 3.69; 95% confidence interval [CI] = 2.59, 5.24) and major depression (AOR = 3.07; 95% CI = 1.81, 5.19), more than twice as likely to report chronic pain (AOR = 2.20; 95% CI = 1.78, 2.72) and more than 90% more likely to score below the general population norm on physical functioning (AOR = 1.94; 95% CI = 1.51, 2.48). Conclusions. Repeated OEF and OIF deployments may adversely affect the military readiness of New Jersey National Guard combat soldiers.

Falca-Dodson, Maria; Sussner, Bradley; Ciccone, Donald S.; Chandler, Helena; Callahan, Lanora; Losonczy, Miklos

2010-01-01

112

Productivity changes in Taiwanese hospitals and the national health insurance  

Microsoft Academic Search

In 1995 Taiwan launched the National Health Insurance (NHI) programme, which changed the method payment for hospital finances. This article examines the impact of this financial reform on hospital productivity during this period. Using the Malmquist productivity index approach, a hospital's change in productivity is decomposed into quality, efficiency, and technological change components. Factors affecting efficiency and productivity are also

Shih-Neng Chen

2006-01-01

113

National Hospital Ambulatory Medical Care Survey: 2006 Outpatient Department Summary  

Microsoft Academic Search

Objectives—This report describes ambulatory care visits to hospital outpatient departments (OPDs) in the United States. Statistics are presented on selected hospital, patient, and visit characteristics. Selected trends in OPD utilization from 1996 through 2006, as well as items new to the 2006 survey, are also presented. Methods—The data presented in this report were collected in the 2006 National Hospital Ambulatory

Esther Hing; Margaret J. Hall; Jianmin Xu

2006-01-01

114

National Estimates of Nonacute Hospital Utilization for 1981.  

National Technical Information Service (NTIS)

The National Estimates of Nonacute Hospital Utilization for 1981 presents national baseline estimates of inappropriate utilization in acute hospitals prior to the implementation of the Medicare prospective payment system. A total of 1,925,000 or 5.7 perce...

C. Moynihan S. Terrell C. Barnes K. Peinado N. Jordan

1984-01-01

115

Adverse outcomes in Belgian acute hospitals: retrospective analysis of the national hospital discharge dataset  

Microsoft Academic Search

Objective. The prevalence and variability of adverse outcome rates in Belgian acute hospitals is examined by using the national hospital discharge database. Design, setting, and participants. Retrospective analysis based on administrative data of all Belgian acute hospitals, covering the full medical (n = 1 024 743) and surgical (n = 633 027) in-patients population for the year 2000. Main outcome

KOEN VAN DEN HEEDE; WALTER SERMEUS; LUWIS DIYA; EMMANUEL LESAFFRE; ARTHUR VLEUGELS

2006-01-01

116

Nations Hospitable to Organized Crime and Terrorism.  

National Technical Information Service (NTIS)

This report assesses conditions that contribute to or are potentially hospitable to transnational criminal activity and terrorist activity in selected regions of the world. Such conditions include domestic factors such as government corruption and economi...

G. E. Curtis J. N. Gibbs L. Berry N. A. Kollars R. Miro R. A. Hudson T. Karacan

2003-01-01

117

Installation Restoration Program (IRP) for IRP sites numbers 4, 5, 7 and 14. 152 Tactical Reconnaissance Group, Nevada Air National Guard, Reno Tahoe International Airport, Reno, Nevada  

SciTech Connect

Remedial Investigation Report for IRP Site Nos. 4,5,7, and 14, Nevada Air National Guard, 152nd Tactical Reconnaissance Group, Reno Tahoe International Airport, Reno, Nevada. This is the remedial investigation report. The sites were investigated under the Installation Restoration Program. Soil and groundwater samples were collected and analyzed. An Engineering Evaluation/Cost Analysis was recommended to fully delineate the extent of contamination and conduct remediation activities, if required for sites 4,5,7, and 14. Groundwater monitoring was recommended for the all sites.

NONE

1996-01-01

118

Installation restoration program final remedial investigation report IRP sites 8 and 10. 151st air refueling group Utah Air National Guard, Salt Lake City, Utah. Final report  

SciTech Connect

This report presents the results from a Remedial Investigation (RI) for two sites at the Utah Air National Guard (UANG) Base located in Salt Lake City, Utah. The two sites investigated are identified as Installation Restoration Program (IRP) Site 8, a former underground storage tank (UST) location, and IRP Site 10, an existing petroleum, oil, and lubricants (POL) yard. The RI was conducted as outlined in the Remedial Investigation/Feasibility Study (RI/FS) Work Plan prepared by Stone Webster and submitted to and approved by the ANG in May 1993. The field work associated with the RI was performed in June, July, and August 1995.

NONE

1996-06-01

119

Does cynicism play a role in failure to obtain needed care? Mental health service utilization among returning U.S. National Guard soldiers.  

PubMed

[Correction Notice: An Erratum for this article was reported in Vol 25(3) of Psychological Assessment (see record 2013-30520-001). In the article, the copyright attribution was incorrect. The article is in the public domain. All versions of this article have been corrected.] In the present study, the authors examined cynicism, a trait associated with mistrust and a misanthropic world view, as an impediment to seeking needed mental health services among a group of National Guard Soldiers with diagnoses of anxiety, depression, or substance abuse or dependence after a combat deployment. On their return from deployment, 40 National Guard soldiers were assessed for self-stigma, current distress, attitudes toward mental health care, and psychiatric diagnoses. Eight and a half months later, mental health service utilization was evaluated. Cynicism assessed prior to deployment was associated with lower odds of utilizing mental health services independent of self-stigma and negative attitudes toward mental health care. Further, neither self-stigma nor attitudes toward mental health care predicted engaging in needed mental health care when cynicism was included in the model. (PsycINFO Database Record (c) 2013 APA, all rights reserved). PMID:23544401

Arbisi, Paul A; Rusch, Laura; Polusny, Melissa A; Thuras, Paul; Erbes, Christopher R

2013-04-01

120

NAPPH (National Association of Private Psychiatric Hospitals) statement of principles of psychiatric hospital practice ethics.  

PubMed

A competitive and dynamic healthcare environment requires that psychiatric hospital administrators and physicians continually monitor their hospital's ability to deliver quality services to their patients. To ensure that hospitals stand for and abide by psychiatric hospital practice ethics, the National Association of Private Psychiatric Hospitals (NAPPH) Board of Trustees has formally approved and distributed to the industry a "Statement of Principles of Psychiatric Hospital Practice Ethics." Adopted at the June 22, 1989, Board meeting, the guidelines not only summarize views long held in the industry, but are a condition of NAPPH membership. Nine critical areas are identified in the NAPPH statement: admissions, advertising, marketing and referral development, resource allocation and appropriateness of care, treatment rendered, patients' rights, family rights and involvement, competition, and financial resources. Central to ethical hospital practice is a moral responsibility--shared among administrators, trustees, physicians and staff--to ensure access to care, quality of care, and fair treatment of patients. NAPPH represents more than 300 private psychiatric hospitals throughout the United States, and the NAPPH mission includes the promotion of high-quality care and treatment, efficient hospital operation, and advocacy for the patients served by its member hospitals. Each NAPPH hospital actively supports the appropriate, safe, and compassionate treatment of the mentally ill. PMID:10296960

1989-01-01

121

Final report on testing of ACONF technology for the US Coast Guard National Distress Systems : a study for the DOE Energy Storage Systems Program.  

SciTech Connect

This report documents the results of a six month test program of an Alternative Configuration (ACONF) power management system design for a typical United States Coast Guard (USCG) National Distress System (NDS) site. The USCG/USDOE funded work was performed at Sandia National Laboratories to evaluate the effect of a Sandia developed battery management technology known as ACONF on the performance of energy storage systems at NDS sites. This report demonstrates the savings of propane gas, and the improvement of battery performance when utilizing the new ACONF designs. The fuel savings and battery performance improvements resulting from ACONF use would be applicable to all current NDS sites in the field. The inherent savings realized when using the ACONF battery management design was found to be significant when compared to battery replacement and propane refueling at the remote NDS sites.

Storey, Leanne M.; Byrd, Thomas M., Jr.; Murray, Aaron T.; Ginn, Jerry W.; Symons, Philip C. (Electrochemical Engineering Consultants, Inc., Morgan Hill, CA); Corey, Garth P.

2005-08-01

122

Seoul National University Bundang Hospital's Electronic System for Total Care  

PubMed Central

Objectives Seoul National University Bundang Hospital, which is the first Stage 7 hospital outside of North America, has adopted and utilized an innovative and emerging information technology system to improve the efficiency and quality of patient care. The objective of this paper is to briefly introduce the major components of the SNUBH information system and to describe our progress toward a next-generation hospital information system (HIS). Methods SNUBH opened in 2003 as a fully digital hospital by successfully launching a new HIS named BESTCare, "Bundang hospital Electronic System for Total Care". Subsequently, the system has been continuously improved with new applications, including close-loop medication administration (CLMA), clinical data warehouse (CDW), health information exchange (HIE), and disaster recovery (DR), which have resulted in the achievement of Stage 7 status. Results The BESTCare system is an integrated system for a university hospital setting. BESTCare is mainly composed of three application domains: the core applications, an information infrastructure, and channel domains. The most critical and unique applications of the system, such as the electronic medical record (EMR), computerized physician order entry (CPOE), clinical decision support system (CDSS), CLMA, CDW, HIE, and DR applications, are described in detail. Conclusions Beyond our achievement of Stage 7 hospital status, we are currently developing a next-generation HIS with new goals of implementing infrastructure that is flexible and innovative, implementing a patient-centered system, and strengthening the IT capability to maximize the hospital value.

Yoo, Sooyoung; Lee, Kee Hyuck; Lee, Hak Jong; Ha, Kyooseob; Lim, Cheong; Chin, Ho Jun; Yun, Jonghoar; Cho, Eun-Young; Chung, Eunja; Baek, Rong-Min; Chung, Chin Youb; Wee, Won Ryang; Lee, Chul Hee; Lee, Hai-Seok; Byeon, Nam-Soo

2012-01-01

123

Installation Restoration Program. Preliminary assessment: 192nd Tactical Fighter Group, Virginia Air National Guard, Richmond International Airport, Sandston, Virginia. Final preliminary Assessment  

SciTech Connect

The 192nd Tactical Fighter Group (TFG) is located at the Virginia Air National Guard Base, Richmond International Airport, Sandston, Virginia. The unit has been active at the Richmond International Airport since 1947, and over the years a variety of military aircraft have been located and serviced there. Both the past and current operations involve the use of hazardous materials and disposal of hazardous wastes. The Department of Defense (DoD)Installation Restoration Program (IRP) is a comprehensive program designed to: identify and fully evaluate suspected problems associated with past hazardous waste disposal and/or spill sites on DoD installations; and control hazards to human health and welfare to the environment that may have resulted from these past practices.

Not Available

1989-02-01

124

Installation-restoration program field-investigation report, hazardous-waste storage area, Rickenbacker Air National Guard Base, Columbus, Ohio. Final report  

SciTech Connect

The Rickenbacker Air National Guard Base is located 12 miles southeast of Columbus, Ohio. Engineering Science was contracted to perform an environmental field investigation at the hazardous waste storage area (HWSA) located on the base. Portions of the HWSA have been used over the past 42 years for the storage of waste oils, waste fuels, deicing fluid and various solvents and cleaners. The materials stored at the HWSA were contained in either storage drums, or in the four 25,000 gallon underground storage tanks. The purpose of the investigation was to determine if the soil or ground water beneath the site have been contaminated due to spills or leak from the on-site storage. Contamination was confirmed at the site and additional investigations were recommended to define the lateral and vertical extent and magnitude of contamination.

Not Available

1990-10-01

125

The Coast Guard Comes to Class.  

ERIC Educational Resources Information Center

|Focuses on Sea Partners, by the United States Coast Guard, that enables students to understand how pollution affects the marine environment. Correlates the activities with the National Science Education Standards. (DDR)|

Fawcett, Paul

2002-01-01

126

The Coast Guard Comes to Class.  

ERIC Educational Resources Information Center

Focuses on Sea Partners, by the United States Coast Guard, that enables students to understand how pollution affects the marine environment. Correlates the activities with the National Science Education Standards. (DDR)

Fawcett, Paul

2002-01-01

127

A Comparison of the Human Characteristics of Curriculum Materials Used in an Air National Guard Leadership Development Program with the Characteristics of Students Encountering the Materials: A Study Using the Annehurst Curriculum Classification System.  

ERIC Educational Resources Information Center

|The Annehurst Curriculum Classification System (ACCS), a tool for matching individual learners with appropriate curriculum materials, was used with a group of fifty-nine students (Air National Guard officer candidates) and their four instructor-advisors to examine two issues: (1) the applicability of the ACCS in a highly structured,…

French, Russell L.; And Others

128

National Hospital Ambulatory Medical Care Survey, 1996 (on CD-ROM with Search and Retrieval Software).  

National Technical Information Service (NTIS)

The National Hospital Ambulatory Medical Care Survey (NHAMCS) provides data on ambulatory medical care rendered in hospital emergency and outpatient departments (EDs and OPDs). The NHAMCS is a nationally probability sample survey of visits to the emergenc...

1998-01-01

129

Estimates from two survey designs: national hospital discharge survey.  

PubMed

The methodology for the National Hospital Discharge Survey (NHDS) has been revised in several ways. These revisions, which were implemented for the 1988 NHDS, included adoption of a different hospital sampling frame, changes in the sampling design (in particular the implementation of a three-stage design), increased use of data purchased from abstracting service organizations, and adjustments to the estimation procedures used to derive the national estimates. To investigate the effects of these revisions on the estimates of hospital use from the NHDS, data were collected from January through March of 1988 using both the old and the new survey methods. This study compared estimates based on the old and the new survey methods for a variety of hospital and patient characteristics. Although few estimates were identical across survey methodologies, most of the variations could be attributed to sampling error. Estimates from two different samples of the same population would be expected to vary by chance even if precisely the same methods were used to collect and process the data. Because probability samples were used for the old and new survey methodologies, sampling error could be measured. Approximate relative standard errors were calculated for the estimates using the old and new survey methods. Taking these errors into account, less than 10 percent of the estimates were found to differ across survey methodologies at the 0.05 level of significance. Because a large number of comparisons were made, 5 percent of the estimates could have been found to be significantly different by chance alone. When there were statistically significant differences in nonmedical data, the new methods appeared to produce more accurate estimates than the old methods did. Race was more likely to be reported using the new methods. "New" estimates for hospitals in the West Region and government-owned hospitals were more similar than the corresponding "old" estimates to data from the census of hospitals conducted by the American Hospital Association. The numerous significant differences in estimates for bed size categories between the two survey methodologies reflected the change in the universe and definition of beds for the new survey. Few statistically significant differences were found in the medical data using the old and the new survey methods. Two main differences, in estimates for cataract and alcohol dependence syndrome, may have resulted from problems with the new survey. A measurement error, reporting outpatients to the NHDS, is one possible explanation of the higher estimates for diagnosis of cataract using the new survey methods.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:1376945

Haupt, B J; Kozak, L J

1992-05-01

130

Cost of Hospitalization and Length of Stay in People with Down Syndrome: Evidence from a National Hospital Discharge Claims Database  

ERIC Educational Resources Information Center

|The present paper aims to describe the hospitalization profiles which include medical expenses and length of stays, and to determine their possible influencing factors of hospital admission on persons with Down syndrome in Taiwan. We employed a population-based, retrospective analyses used national health insurance hospital discharge data of the…

Hung, Wen-Jiu; Lin, Lan-Ping; Wu, Chia-Ling; Lin, Jin-Ding

2011-01-01

131

Promoting reintegration of National Guard veterans and their partners using a self-directed program of integrative therapies: a pilot study.  

PubMed

This article reports pilot data from phase I of a project to develop and evaluate a self-directed program of integrative therapies for National Guard personnel and significant relationship partners to support reintegration and resilience after return from Iraq or Afghanistan. Data are reported on 43 dyads. Intervention was an integrated multimedia package of guided meditative, contemplative, and relaxation exercises (CD) and instruction in simple massage techniques (DVD) to promote stress reduction and interpersonal connectedness. A repeated measures design with standardized instruments was used to establish stability of baseline levels of relevant mental health domains (day 1, day 30), followed by the intervention and assessments 4 and 8 weeks later. Significant improvements in standardized measures for post-traumatic stress disorder, depression, and self-compassion were seen in both veterans and partners; and in stress for partners. Weekly online reporting tracked utilization of guided exercises and massage. Veterans reported significant reductions in ratings of physical pain, physical tension, irritability, anxiety/worry, and depression after massage, and longitudinal analysis suggested declining baseline levels of tension and irritability. Qualitative data from focus groups and implications for continued development and a phase II trial are discussed. PMID:23397692

Collinge, William; Kahn, Janet; Soltysik, Robert

2012-12-01

132

Promoting Reintegration of National Guard Veterans and Their Partners Using a Self-Directed Program of Integrative Therapies: A Pilot Study  

PubMed Central

This article reports pilot data from phase I of a project to develop and evaluate a self-directed program of integrative therapies for National Guard personnel and significant relationship partners to support reintegration and resilience after return from Iraq or Afghanistan. Data are reported on 43 dyads. Intervention was an integrated multimedia package of guided meditative, contemplative, and relaxation exercises (CD) and instruction in simple massage techniques (DVD) to promote stress reduction and interpersonal connectedness. A repeated measures design with standardized instruments was used to establish stability of baseline levels of relevant mental health domains (day 1, day 30), followed by the intervention and assessments 4 and 8 weeks later. Significant improvements in standardized measures for post-traumatic stress disorder, depression, and self-compassion were seen in both veterans and partners; and in stress for partners. Weekly online reporting tracked utilization of guided exercises and massage. Veterans reported significant reductions in ratings of physical pain, physical tension, irritability, anxiety/worry, and depression after massage, and longitudinal analysis suggested declining baseline levels of tension and irritability. Qualitative data from focus groups and implications for continued development and a phase II trial are discussed.

Collinge, William; Kahn, Janet; Soltysik, Robert

2013-01-01

133

Ground Penetrating Radar and thermal imager applied to San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California  

SciTech Connect

Ground Penetrating Radar and thermal infrared imaging were used to evaluate the effects of military activities conducted at Camp Roberts Army National Guard Training Site. The Ground Penetrating Radar was used to identify underground burrows of San Joaquin kit fox (Vulpes velox macrotis) dens in an attempt to evaluate the impact of tracked vehicles on the integrity of kit fox dens. The thermal imaging was used to identify kit foxes within the live-fire impact area. The ground penetrating radar equipment was initially unsuccessfull in detecting burrows in the hard, compacted soils. Changes in antenna systems and sampling methods resulted in small improvements, but the data were inadequate to test for effects of military vehicles on dens. Further refinements would have required the intentional destruction of dens, or the redesign of the ground penetrating radar hardware and software. Thermal imaging was useful in observing kit foxes at close range but was not suitable for detecting foxes in the impact area because the images were not clear enough for conclusive species identification.

Reese, E.A.; Kato, T.T.; Berry, W.H.; O`Farrell, T.P.

1992-10-01

134

Prey abundance and food habits of San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training site, California  

SciTech Connect

Prey abundance and food habits of the San Joaquin kit fox (Vulpes velox macrotis) were investigated at Camp Roberts Army National Guard Training site, California, from November 1988 through September 1991. The sampling methods initially used to assess abundance of prey species resulted in indices too low to be of value. Because of this, the relationship between relative abundance and frequency of occurrence of prey species could not be examined. Six hundred forty-nine fecal samples (scats) were analyzed to determine the frequency of occurrence of prey items. California ground squirrels (Spermophilus beecheyi) and lagomorphs primarily desert cottontails (Sylvilagus audubonii) and black-tailed jackrabbits (Lepus californicus) were the most frequently occurring mammalian prey items found in scats (35.0% and 12.2%, respectively). The frequency of occurrence of ground squirrel (but not lagomorph) remains in scats collected from juveniles was significantly higher than in scats collected from adults. The frequency of occurrence of ground squirrel and lagomorph remains in scats collected from males was not significant different than in scats collected from females. There were significant variations in the frequency of ground squirrel remains among the years 1989--1991 and during the June--November periods between 1989 and 1990 and between 1990 and 1991. The frequency of lagomorph remains collected during the June--November period differed significantly among the years 1989--1991 and between 1990 and 1991.

Logan, C.G.; Berry, W.H.; Standley, W.G.; Kato, T.T.

1992-09-01

135

Effects of military-authorized activities on the San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California  

SciTech Connect

The effects of military-authorized activities on San Joaquin kit fox (Vulpes velox macrotis) were investigated at Camp Roberts Army National Guard Training Site from 1988 to 1991. Military-authorized activities included military training exercises, facilities maintenance, new construction, controlled burning, livestock grazing, and public-access hunting. Positive effects of the military included habitat preservation, preactivity surveys, and natural resources management practices designed to conserve kit foxes and their habitat. Perceived negative effects such as entrapment in dens, shootings during military exercises, and accidental poisoning were not observed. Foxes were observed in areas being used simultaneously by military units. Authorized activities were known to have caused the deaths of three of 52 radiocollared foxes recovered dead: one became entangled in concertina wire, one was believed shot by a hunter, and one was struck by a vehicle. Entanglement in communication wire may have contributed to the death of another radiocollared fox that was killed by a predator. Approximately 10% of kit fox dens encountered showed evidence of vehicle traffic, but denning sites did not appear to be a limiting factor for kit foxes.

Berry, W.H.; Standley, W.G.; O`Farrell, T.P.; Kato, T.T.

1992-10-01

136

Pre-deployment daytime and nighttime sleep complaints as predictors of post-deployment PTSD and depression in National Guard troops.  

PubMed

There is growing evidence that disturbed sleep is a risk factor for the development of a number of psychiatric diagnoses including depression, PTSD and substance use. The goal of this study was to use a subset of participants from a larger prospective longitudinal study to examine whether preexisting daytime and nighttime sleep disturbances predict depression, PTSD and substance use in US National Guard Soldiers deployed to Iraq. Data on daytime and nighttime sleep complaints, baseline symptoms and personality variables were gathered prior to deployment to Iraq. Measures of psychopathology were collected at three time points post-deployment over the course of two years using both questionnaires and interviews. Multiple regressions were used to predict diagnoses and symptoms of depression, PTSD and substance use. Pre-deployment daytime and nighttime sleep complaints contributed significantly to the prediction of PTSD and depression up to two years after deployment, but not substance use. This study suggests that daytime and nighttime sleep complaints are a risk factor for internalizing disorders including PTSD and depression. PMID:23939336

Koffel, Erin; Polusny, Melissa A; Arbisi, Paul A; Erbes, Christopher R

2013-07-24

137

Installation-Restoration Program. Preliminary assessment for the 153rd Tactical Airlift Group, Wyoming Air National Guard, Cheyenne Municipal Airport, Cheyenne, Wyoming  

SciTech Connect

The Hazardous Materials Technical Center (HMTC) was retained in September 1987 to conduct the Installation-Restoration Program (IRP) Preliminary Assessment of the 153rd Tactical Airlift Group (TAG), Wyoming Air National Guard, Cheyenne Municipal Airport, Cheyenne, Wyoming. The Preliminary Assessment included: an onsite visit, including interviews with 15 present and past Base personnel and 2 airport personnel conducted by HMTC personnel during 13-16 October 1987; the acquisition and analysis of pertinent information and records on hazardous materials use, and hazardous-waste generation and disposal at the Base; the acquisition and analysis of available geological, hydrological, meteorological development, and environmental data from pertinent Federal, State, and local agencies; and the identification of sites on the Base that may be potentially contaminated with hazardous materials/hazardous wastes (HM/HW). Past Base operations involved the use and disposal of materials and wastes that subsequently were categorized as hazardous. The major operations of the 153rd TAG that have used and disposed of these materials and wastes are flightline, NDI, avionics, AGE, airframe, electrical, engine and propulsion, nose dock and fuel cell, phase dock, pneudraulics, POL and refueling, repair and reclamation, photography lab, clinic, and vehicle maintenance. Waste oils, recovered fuels, spent cleaners, strippers, photographic chemicals, acids, and solvents were generated by these activities.

Not Available

1988-03-01

138

Sexual abuse of children as seen at Kenyatta National Hospital.  

PubMed

A retrospective study of 21 sexually abused children admitted to the Kenyatta National Hospital, Nairobi, Kenya, between January 1984 and December 1985 is presented. The peak incidence of sexual abuse was in the age group of 10-15 years (38.1%) followed by the 5-9 years age group (28.6%). Strangers and people familiar to the child were equally implicated as assailants. Fourteen out of the twenty one (66.7%) victims, presented with injuries ranging from perineal tears (19%), vaginal tears (19%), recto-vaginal fistulae (RVP) (4.8%) and vesico-vaginal-fistulae (VVF) and abdominal haematoma (4.8%). The victims presented to hospital within two days of the event usually accompanied by their mothers. PMID:1396187

Nduati, R W; Muita, J W

1992-07-01

139

Hyperresolution for guarded formulae  

Microsoft Academic Search

This paper investigates the use of hyperresolution as a decision procedure and model builder for guarded formulae. In general hyperresolution is not a decision procedure for the entire guarded fragment. However we show that there are natural fragments which can be decided by hyperresolution. In particular, we prove decidabil- ity of hyperresolution with or without splitting for the fragment GF1

Lilia Georgieva; Ullrich Hustadt; Renate A. Schmidt

2003-01-01

140

Installation restoration program: Remedial investigation report addendum for IRP site number 6. Volume 2. 161st Air Refueling Group Arizona Air National Guard Sky Harbor International Airport Phoenix, Arizona  

SciTech Connect

This document is the Remedial Investigation Report Addendum for IRP Site No. 6, Arizona National Guard, 161st Air Refueling Group, Sky Harbor International Airport, Phoenix, Arizona. This is the first volume of a two volume addendum to the Remedial Investigation Report, May 1996. Site 6. POL Facility was investigated under the Installation Restoration Program. Soil and groundwater samples were collected and analyzed. Remedial Action was recommended for both groundwater and soil associated with the site.

NONE

1996-05-01

141

Installation restoration program: Remedial investigation report addendum for IRP site number 6. Volume 1. 161st Air Refueling Group Arizona Air National Guard Sky Harbor International Airport Phoenix, Arizona  

SciTech Connect

This document is the Remedial Investigation Report Addendum for IRP Site No. 6, Arizona National Guard, 161st Air Refueling Group, Sky Harbor International Airport, Phoenix, Arizona. This is the first volume of a two volume addendum to the Remedial Investigation Report, May 1996. Site 6. POL Facility was investigated under the Installation Restoration Program. Soil and groundwater samples were collected and analyzed. Remedial Action was recommended for both groundwater and soil associated with the site.

NONE

1996-05-01

142

Evaluation of off-service rotations at National Guard Health Affairs: Results from a perception survey of off-service residents  

PubMed Central

Context: “Off-service” clinical rotations are part of the necessary requirements for many residency training programs. Because these rotations are off-service, little attention is given to their structure and quality of training. This often leads to suboptimal educational experience for the residents on these rotations. Aims: The aim of this study was to assess medical residents’ perceptions, opinions, and levels of satisfaction with their “off-service” rotations at a major residency training site in Saudi Arabia. It was also to evaluate the reliability and validity of a questionnaire used for quality assurance in these rotations. Improved reliability and validity of this questionnaire may help to improve the educational experience of residents in their “off-service” rotations. Materials and Methods: A close-ended questionnaire was developed, Pilot tested and distributed to 110 off-service residents in training programs of different specializations at King Fahad Naitonal Guard Hospital and King Abdulziz Medical City, Riyadh, Saudi Arabia, between September 2011 and December 2011. Results: A total of 80 out of 110 residents completed and returned the questionnaire. Only 33% of these residents had a clear set of goals and educational learning objectives before the beginning of their off-service rotations to direct their training. Surgical specializations had low satisfaction mean scores of 57.2 (11.9) compared to emergency medicine, which had 70.7 (16.2), P value (0.03). The reliability of the questionnaire was Cronbach's alpha 0.57. The factor analysis yielded a 4-factor solution (educational environment, educational balance, educational goals and objectives, and learning ability); thus, accounting for 51% variance in the data. Conclusion: Our data suggest that there were significant weaknesses in the curriculum for off-service clinical rotations in KAMC and that residents were not completely satisfied with their training.

Alquraini, Mustafa M.; Baig, Lubna; Magzoub, Mohi; Omair, Amir

2013-01-01

143

New Integrated Information System for Pusan National University Hospital  

PubMed Central

Objectives This study presents the information system for Pusan National University Hospital (PNUH), evaluates its performance qualitatively, and conducts economic analysis. Methods Information system for PNUH was designed by component-based development and developed by internet technologies. Order Communication System, Electronic Medical Record, and Clinical Decision Support System were newly developed. The performance of the hospital information system was qualitatively evaluated based on the performance reference model in order to identify problem areas for the old system. The Information Economics approach was used to analyze the economic feasibility of hospital information system in order to account for the intangible benefits. Results Average performance scores were 3.16 for input layer, 3.35 for process layer, and 3.57 for business layer. In addition, the cumulative benefit to cost ratio was 0.50 in 2011, 1.73 in 2012, 1.76 in 2013, 1.71 in 2014, and 1.71 in 2015. The B/C ratios steadily increase as value items are added. Conclusions While overall performance scores were reasonably high, doctors were less satisfied with the system, perhaps due to the weak clinical function in the systems. The information economics analysis demonstrated the economic profitability of the information systems if all intangible benefits were included. The second qualitative evaluation survey and economic analysis were proposed to evaluate the changes in performance of the new system.

Kim, Hyung Hoi; Cho, Kyung-Won; Kim, Hye Sook; Kim, Ju-Sim; Kim, Jung Hyun; Han, Sang Pil; Park, Chun Bok; Kim, Seok

2011-01-01

144

Law, Politics, and Occupational Consciousness: Industrial Guard Unions in the United States, 1933–1945  

Microsoft Academic Search

From 1865 to 1937 industrial guards (or company police) enforced work rules and engaged in anti-union activities. The National Industrial Recovery Act (1933) and the National Labor Relations Act (1935) introduced workplace democratization. The new political climate and federal laws aided unionization and simultaneously encouraged guards to develop a sense of occupational consciousness. Guard unionization during World War II completed

James D. Calder

2010-01-01

145

46 CFR 4.40-25 - Coast Guard marine casualty investigation for the Board.  

Code of Federal Regulations, 2012 CFR

...Coast Guard marine casualty investigation for the Board. 4.40-25...PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Coast Guard-National Transportation...Safety Board Marine Casualty Investigations § 4.40-25 Coast...

2012-10-01

146

46 CFR 4.40-25 - Coast Guard marine casualty investigation for the Board.  

Code of Federal Regulations, 2011 CFR

...Coast Guard marine casualty investigation for the Board. 4.40-25...PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Coast Guard-National Transportation...Safety Board Marine Casualty Investigations § 4.40-25 Coast...

2011-10-01

147

46 CFR 4.40-30 - Procedures for Coast Guard investigation.  

Code of Federal Regulations, 2012 CFR

... Procedures for Coast Guard investigation. 4.40-30 Section 4...PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Coast Guard-National Transportation...Safety Board Marine Casualty Investigations § 4.40-30...

2012-10-01

148

46 CFR 4.40-3 - Relationship to Coast Guard marine investigation regulations and procedures.  

Code of Federal Regulations, 2011 CFR

...Relationship to Coast Guard marine investigation regulations and procedures...PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Coast Guard-National Transportation...Safety Board Marine Casualty Investigations § 4.40-3...

2011-10-01

149

46 CFR 4.40-10 - Preliminary investigation by the Coast Guard.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false Preliminary investigation by the Coast Guard. 4...PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Coast Guard-National Transportation...Safety Board Marine Casualty Investigations § 4.40-10...

2011-10-01

150

46 CFR 4.40-30 - Procedures for Coast Guard investigation.  

Code of Federal Regulations, 2011 CFR

... Procedures for Coast Guard investigation. 4.40-30 Section 4...PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Coast Guard-National Transportation...Safety Board Marine Casualty Investigations § 4.40-30...

2011-10-01

151

46 CFR 4.40-10 - Preliminary investigation by the Coast Guard.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Preliminary investigation by the Coast Guard. 4...PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Coast Guard-National Transportation...Safety Board Marine Casualty Investigations § 4.40-10...

2012-10-01

152

46 CFR 4.40-3 - Relationship to Coast Guard marine investigation regulations and procedures.  

Code of Federal Regulations, 2012 CFR

...Relationship to Coast Guard marine investigation regulations and procedures...PUBLIC MARINE CASUALTIES AND INVESTIGATIONS Coast Guard-National Transportation...Safety Board Marine Casualty Investigations § 4.40-3...

2012-10-01

153

Habitat, soils, and den use of San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California  

SciTech Connect

Den use patterns, den characteristics, and effects of military training on dens were studied for San Joaquin kit foxes (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California.Ninety-four radiocollared kit foxes used 1059 dens and 334 buildings as shelter from December 1988, through September 1991. There were 1001 (95%) earthen dens, 57 (5%) culverts, and one den in a hollow log. Denentrance dimensions were measured for single entrance dens; the average height was 20 cm, and the average width was 21 cm. Most dens had two to five den entrances, and only 36% of dens found showed sign of fox activity. Dens were found at elevations between 161 and 351 m. The average slope of dens found on hillsides was 19 degrees, and most dens faced the western quadrant. Dens were found over much of the post exceptthe steep southwest portion. More kit fox dens were located in grassland and low to medium density oak woodlands than expected, and fewer dens were located in developed areas and medium to high density oak woodlands than expected. Denning range size was calculated for 16 foxes that were radiocollared at least one year and that were found using only earthen and culvert dens. The average denning range size was 171.0 {plus_minus} 24.0 ha. There was no significant difference in male and female average denning range sizes. When buildings used as shelter were included in denning range sizes, there was no significant difference in average denning range size between developed and undeveloped areas. Foxes used 26 of 36 available soil series, and dens were not distributed proportionally among the 36 soil series. Kit fox dens were typically found in well drained soils. Few den entrances were destroyed by military training exercises.

Reese, E.A.; Standley, W.G.; Berry, W.H.

1992-09-01

154

Habitat, soils, and den use of San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California  

SciTech Connect

Den use patterns, den characteristics, and effects of military training on dens were studied for San Joaquin kit foxes (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California.Ninety-four radiocollared kit foxes used 1059 dens and 334 buildings as shelter from December 1988, through September 1991. There were 1001 (95%) earthen dens, 57 (5%) culverts, and one den in a hollow log. Denentrance dimensions were measured for single entrance dens; the average height was 20 cm, and the average width was 21 cm. Most dens had two to five den entrances, and only 36% of dens found showed sign of fox activity. Dens were found at elevations between 161 and 351 m. The average slope of dens found on hillsides was 19 degrees, and most dens faced the western quadrant. Dens were found over much of the post exceptthe steep southwest portion. More kit fox dens were located in grassland and low to medium density oak woodlands than expected, and fewer dens were located in developed areas and medium to high density oak woodlands than expected. Denning range size was calculated for 16 foxes that were radiocollared at least one year and that were found using only earthen and culvert dens. The average denning range size was 171.0 [plus minus] 24.0 ha. There was no significant difference in male and female average denning range sizes. When buildings used as shelter were included in denning range sizes, there was no significant difference in average denning range size between developed and undeveloped areas. Foxes used 26 of 36 available soil series, and dens were not distributed proportionally among the 36 soil series. Kit fox dens were typically found in well drained soils. Few den entrances were destroyed by military training exercises.

Reese, E.A.; Standley, W.G.; Berry, W.H.

1992-09-01

155

Acceptance and Adverse Effects of H1N1 Vaccinations Among a Cohort of National Guard Health Care Workers during the 2009 Hajj Season  

PubMed Central

Background The H1N1 influenza pandemic had garnered a large amount of attention. Currently, the most effective preventive measure available is the H1N1 vaccine. We aimed to assess the willingness of our study participants to receive the H1N1 vaccination prior to the annual Hajj season. If any participant declined, we investigated the reasons for vaccine rejection. Findings We conducted a prospective cohort study of National Guard employees during the 1430 (2009) Hajj season. A survey was used as the primary method for data collection. Participants were vaccinated one to two weeks prior to their trip to Mona, and any side effects reported at the time of injection and three weeks post vaccination were recorded. There were 100 male and 26 female participants in the study. In total, 66.7% (n = 84) of the participants were health care workers (HCWs) and 33.3% (n = 42) were non-health care workers (non-HCWs). Less than half of the respondents (46.8%, n = 59) accepted the vaccination. The vaccination acceptance rate was higher among non-HCWs, at a rate of 71.4% (n = 30); HCWs only accepted at a rate of 34.5% (n = 29) (OR 1.103, 95% CI [0.488-2.496]). The most common reason for vaccine refusal was the impression that the disease was not fatal (25.4%, n = 32). Finally, all participants reported pain at the injection site and 18.3% (n = 11) reported swelling. All other side effects were reported in less than 15% of the participants. Conclusions Despite fears of the new H1N1 vaccine, there was a reasonable rate of vaccine acceptance among our study participants. Early health education may increase the rate of acceptance of the H1N1 vaccine. Furthermore, additional research is needed on long-term adverse effects of the H1N1 vaccine.

2011-01-01

156

Human mate guarding.  

PubMed

Long-term committed mating is a fundamental strategy in the human repertoire. Successful enactment of this strategy requires solving two related adaptive problems--fending off potential mate poachers and preventing a mates from defecting. Mate guarding adaptations evolved to solve these persistent problems. Those who failed in mate guarding risked suffering substantial reproductive costs ranging from genetic cuckoldry to reputational damage to the entire loss of a mate. Because the precise nature of the adaptive problems confronted differed historically for the sexes, men and women evolved corresponding differences in the underlying psychology of mate guarding. Men's mate guarding, relative to that of women's, is strongly triggered as a consequence of being mated to young and physically attractive women, being confronted by interested rivals who have superior economic resources or prospects, and having a mate who displays signs of sexual involvement with a rival. Women's mate guarding, relative to that of men's, is triggered as a consequence of being mated to men high in income and status striving, rivals who are more physically attractive, and having a partner who shows signs of emotional involvement with another woman. Behavioral output of mate guarding adaptations range from vigilance to violence. PMID:12496732

Buss, David M

2002-12-01

157

National Guard Solar Power Projects.  

National Technical Information Service (NTIS)

President Barack Obama said during his inauguration speech on 20 January 2009, 'We will harness the sun and the winds and the soil to fuel our cars and run our factories. Mr. Obama and the new administration believe that renewable energy is part of our na...

J. Castagna

2010-01-01

158

Trends in Inpatient Hospital Deaths: National Hospital Discharge Survey, 2000-2010  

MedlinePLUS

... 2000 and 2005, and for 70% in 2010. Did the length of stay for hospitalizations ending in ... hospital in the years 2000–2010 decreased, as did the rate of hospitalizations ending in death, but ...

159

Surface-water quantity and quality, aquatic biology, stream geomorphology, and groundwater-flow simulation for National Guard Training Center at Fort Indiantown Gap, Pennsylvania, 2002-05  

USGS Publications Warehouse

Base-line and long-term monitoring of water resources of the National Guard Training Center at Fort Indiantown Gap in south-central Pennsylvania began in 2002. Results of continuous monitoring of streamflow and turbidity and monthly and stormflow water-quality samples from two continuous-record long-term stream sites, periodic collection of water-quality samples from five miscellaneous stream sites, and annual collection of biological data from 2002 to 2005 at 27 sites are discussed. In addition, results from a stream-geomorphic analysis and classification and a regional groundwater-flow model are included. Streamflow at the facility was above normal for the 2003 through 2005 water years and extremely high-flow events occurred in 2003 and in 2004. Water-quality samples were analyzed for nutrients, sediments, metals, major ions, pesticides, volatile and semi-volatile organic compounds, and explosives. Results indicated no exceedances for any constituent (except iron) above the primary and secondary drinking-water standards or health-advisory levels set by the U.S. Environmental Protection Agency. Iron concentrations were naturally elevated in the groundwater within the watershed because of bedrock lithology. The majority of the constituents were at or below the method detection limit. Sediment loads were dominated by precipitation due to the remnants of Hurricane Ivan in September 2004. More than 60 percent of the sediment load measured during the entire study was transported past the streamgage in just 2 days during that event. Habitat and aquatic-invertebrate data were collected in the summers of 2002-05, and fish data were collected in 2004. Although 2002 was a drought year, 2003-05 were above-normal flow years. Results indicated a wide diversity in invertebrates, good numbers of taxa (distinct organisms), and on the basis of a combination of metrics, the majority of the 27 sites indicated no or slight impairment. Fish-metric data from 25 sites indicated results similar to the invertebrate data. Stream classification based on evolution of the stream channels indicates about 94 percent of the channels were considered to be in equilibrium (type B or C channels), neither aggrading nor eroding. A regional, uncalibrated groundwater-flow model indicated the surface-water and groundwater-flow divides coincided. Because of folding of rock layers, groundwater was under confined conditions and nearly all the water leaves the facility via the streams.

Langland, Michael J.; Cinotto, Peter J.; Chichester, Douglas C.; Bilger, Michael D.; Brightbill, Robin A.

2010-01-01

160

49 CFR 213.143 - Frog guard rails and guard faces; gage.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Frog guard rails and guard faces; gage. 213.143 ...Track Structure § 213.143 Frog guard rails and guard faces; gage. The guard check...frog to the guard line 1 of its guard rail or guarding face, measured across...

2012-10-01

161

49 CFR 213.355 - Frog guard rails and guard faces; gage.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Frog guard rails and guard faces; gage. 213.355 ...6 and Higher § 213.355 Frog guard rails and guard faces; gage. The guard check...frog to the guard line 1 of its guard rail or guarding face, measured across...

2011-10-01

162

49 CFR 213.355 - Frog guard rails and guard faces; gage.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Frog guard rails and guard faces; gage. 213.355 ...6 and Higher § 213.355 Frog guard rails and guard faces; gage. The guard check...frog to the guard line 1 of its guard rail or guarding face, measured across...

2012-10-01

163

49 CFR 213.143 - Frog guard rails and guard faces; gage.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Frog guard rails and guard faces; gage. 213.143 ...Track Structure § 213.143 Frog guard rails and guard faces; gage. The guard check...frog to the guard line 1 of its guard rail or guarding face, measured across...

2011-10-01

164

Remuneration practices in the UK hospitality industry in the age of the national minimum wage  

Microsoft Academic Search

This article examines why the introduction of the National Minimum Wage has been less disruptive in hospitality than had been anticipated. It shows that in hospitality establishments pay rates are not the outcome of managerial decision making alone, but are influenced by broader economic and social processes. Furthermore, key aspects of the ‘total reward system’ held to exist in hospitality,

Steve Williams; Derek Adam-Smith; Gill Norris

2004-01-01

165

Hospitalized Younger: A Comparison of a National Sample of Homeless and Housed Inpatient Veterans  

Microsoft Academic Search

Background. Homelessness is associated with high rates of hospitalizations and age-adjusted mortality. Few studies have examined whether homeless people are admitted to the hospital at an earlier age than the general population or for different diagnoses. Methods. We compared the age at admission and the primary discharge diagnoses in a national sample of 43,868 hospitalized veterans. Results. The difference in

Jennifer Adams; Robert. Rosenheck; Lauren. Gee; Catherine L. Seibyl; Margot. Kushel

2007-01-01

166

The hospital cost of vertebral fractures in the EU: estimates using national datasets  

Microsoft Academic Search

The purpose of this study was to estimate the hospital cost of vertebral fractures in the EU using national datasets to explore some of the methodologic limitations associated with such an approach. Hospital costs for vertebral fractures across the EU were compared with the hospital costs associated with hip fractures. Additionally, these costs were placed into the health care context

Henrik W. Finnern; David P. Sykes

2003-01-01

167

Installation restoration program. Site investigation report for IRP site No. 12 and 13, South Dakota Air National Guard, 114th Fighter Wing, Joe Foss Field, Sioux Falls, South Dakota - Volume 1. Final report  

SciTech Connect

Site Investigation Report for IRP Site No 12 and 13, South Dakota Air National Guard, 114th Fighter Wing, Joe Foss Field, Sioux Falls, South Dakota, Volume I. This is the first volume of a two volume site investigation report. Two sites (Site 12 - Ramp area and Site 13 - Motor Vehicle Maintenance Facility) was investigated under the Installation Restoration Program. Soil and groundwater samples were collected and analyzed. No further action was recommended on site 13 and quarterly sampling was recommended for site 12. South Dakota Regulators have agreed to both recommendations. Decision documents will be prepared for each site.

NONE

1996-02-01

168

GUARD RING SEMICONDUCTOR JUNCTION  

DOEpatents

A semiconductor diode having a very low noise characteristic when used under reverse bias is described. Surface leakage currents, which in conventional diodes greatly contribute to noise, are prevented from mixing with the desired signal currents. A p-n junction is formed with a thin layer of heavily doped semiconductor material disposed on a lightly doped, physically thick base material. An annular groove cuts through the thin layer and into the base for a short distance, dividing the thin layer into a peripheral guard ring that encircles the central region. Noise signal currents are shunted through the guard ring, leaving the central region free from such currents. (AEC)

Goulding, F.S.; Hansen, W.L.

1963-12-01

169

When the guards guard themselves: Undercover tactics turned inward  

Microsoft Academic Search

The perennial issue of “who guards the guards?” has taken a new turn in the U.S. with the increased use of covert means to ferret out corruption among police, prison guards, prosecutors, defense attorneys and judges. This specialized use is located within the recent general expansion of undercover policing in the United States. Theoretical issues involved in controlling the controllers,

Gary T. Marx

1992-01-01

170

Guarded recursive datatype constructors  

Microsoft Academic Search

We introduce a notion of guarded recursive (g.r.) datatype constructors, generalizing the notion of recursive datatypes in functional programming languages such as ML and Haskell. We address both theoretical and practical issues resulted from this generalization. On one hand, we design a type system to formalize the notion of g.r. datatype constructors and then prove the soundness of the type

Hongwei Xi; Chiyan Chen; Gang Chen

2003-01-01

171

The two guards problem  

Microsoft Academic Search

Given a simple polygon in the plane with two distinguished vertices, s and g ,i s it possible for two guards to simultaneously walk along the two boundary chains from s to g in such a way that they are always mutually visible? We decide this question in time O(n logn) and in linear space, where n is the number

Christian Icking; Rolf Klein

1991-01-01

172

The Two Guards Problem  

Microsoft Academic Search

ABSTRACT Given a simple polygon in the plane with two distinguished vertices, s and g ,i s it possible for two guards to simultaneously walk along the two boundary,chains from s to g in such a way that they are always mutually visible? We decide this question in time O(n logn) and in linear space, where n is the number

Christian Icking; Rolf Klein

1992-01-01

173

Decision Procedures for Guarded Logics  

Microsoft Academic Search

Different variants of guarded logics (a powerful generalization of modal logics) are surveyed and the recent decidability\\u000a result for guarded fixed point logic (obtained in joint work with I. Walukiewicz) is explained. The exposition given here\\u000a emphasizes the tree model property of guarded logics: every satisfiable sentence has a model of bounded tree width.

Erich Grädel; Rwth Aachen

174

Hydrogeologic framework and water quality of the Vermont Army National Guard Ethan Allen Firing Range, northern Vermont, October 2002 through December 2003  

USGS Publications Warehouse

The Ethan Allen Firing Range of the Vermont Army National Guard is a weapons-testing and training facility in a mountainous region of Vermont that has been in operation for about 80 years. The hydrologic framework and water quality of the facility were assessed between October 2002 and December 2003. As part of the study, streamflow was continuously measured in the Lee River and 24 observation wells were installed at 19 locations in the stratified drift and bedrock aquifers to examine the hydrogeology. Chemical analyses of surface water, ground water, streambed sediment, and fish tissue were collected to assess major ions, trace elements, nutrients, and volatile and semivolatile compounds. Sampling included 5 surface-water sites sampled during moderate and low-flow conditions; streambed-sediment samples collected at the 5 surface-water sites; fish-tissue samples collected at 3 of the 5 surface-water sites; macroinvertebrates collected at 4 of the 5 surface-water sites; and ground-water samples collected from 10 observation wells, and samples collected at all surface- and ground-water sites. The hydrogeologic framework at the Ethan Allen Firing Range is dominated by the upland mountain and valley setting of the site. Bedrock wells yield low to moderate amounts of water (0 to 23 liters per minute). In the narrow river valleys, layered stratified-drift deposits of sand and gravel of up to 18 meters thick fill the Lee River and Mill Brook Valleys. In these deposits, the water table is generally within 3 meters below the land surface and overall ground-water flow is from east to west. Streamflow in the Lee River averaged 0.72 cubic meters per second (25.4 cubic feet per second) between December 2002 and December 2003. Streams are highly responsive to precipitation events in this mountainous environment and a comparison with other nearby watersheds shows that Lee River maintains relatively high streamflow during dry periods. Concentrations of trace elements and nutrients in surface-water samples are well below freshwater-quality guidelines for the protection of aquatic life. Brook-trout samples collected in 1992 and 2003 show trace-metal concentrations have decreased over the past 11 years. concentrations in water samples are well below levels that restrict swimming at all five stream sites at moderate and low-flow conditions and in all observation wells. Comparisons among surface-water, streambed-sediment, and biological samples collected in 2003 to earlier studies at the Ethan Allen Firing Range indicate water-quality conditions are similar or have improved over the past 15 years. Ground water in the stratified-drift aquifers at the facility is well buffered with relatively high alkalinities and pH greater than 6. Concentrations of arsenic, cadmium, chromium, lead, nickel, uranium, and zinc were below detection levels in ground-water samples. Barium, cobalt, copper, iron, manganese, molybdenum, and strontium were the only trace elements detected in ground-water samples. Cobalt and iron were detected at low levels in two wells near Mill Brook, and copper was detected at the detection limit in one of these wells. These same two wells had concentrations of barium and manganese 2 to 10 times greater than other ground-water samples. Concentrations of nutrients are at or below detection levels in most ground-water samples. Volatile organic compounds and semivolatile organic compounds were not detected in any water samples from the Ethan Allen Firing Range.

Clark, Stewart F., Jr.; Chalmers, Ann; Mack, Thomas J.; Denner, Jon C.

2005-01-01

175

Are the nation's hospitals facing a capital crisis?  

PubMed

Are hospitals facing a capital crisis? Wall Street is taking a long, hard look at hospitals' bottom lines--and many analysts don't like what they see. Hospitals' increasing reliance on long-term debt, lower debt-service coverage ratios, and weakening performance indicators all signal a potentially volatile situation for some sectors of the field. Which hospitals are at risk? Experts point to hospitals in Southern California and New York. But others say that hospitals in moderate-size cities with 250 beds and $40 million or more in long-term debt are vulnerable. However, 40 percent of the 600 CEOs who responded to our Hamilton/KSA survey agree that the continued erosion of reimbursement will require a government bailout similar to the savings and loan industry. "A great deal depends on public policy," says Darrel Brownell, executive vice-president and chief financial officer, Memorial Health Services, a two-hospital system based in Long Beach, CA. "The government has the ability to maintain the industry in a stable condition, or it has the ability to force it into a bailout situation." PMID:2370036

Johnsson, J

1990-07-20

176

National hospital antibiotic timing measures for pneumonia and antibiotic overuse.  

PubMed

The development of drug-resistant bacteria from the overuse of antibiotics is a serious problem, with overutilization threatening to disarm caregivers and their patients even as together they face increasingly virulent strains of microbes. On the other hand, the speedy treatment of pneumonia with antibiotics is a firmly established, evidence-based practice, enshrined in Joint Commission on Accreditation for Healthcare Organizations Core Measures used in hospital accrediting and public reporting, and in Centers for Medicare and Medicaid Services (CMS) public-reporting and pay-for-performance hospital measures. This sets the stage for a potential conflict between (a) not doing the wrong thing by overprescribing antibiotics and (b) prescribing antibiotics on time for pneumonia. In November 2005, pneumonia antibiotic timing results were announced for the 133 top-performing hospitals in the first year of the 3-year CMS Hospital Quality Incentive Demonstration (HQID) pay-for-performance project, conducted in collaboration with Premier Inc, a hospital purchasing and informatics alliance. Premier client hospitals participating in the HQID also submit drug utilization and other comparative data to Premier for client access for benchmarking purposes; this makes it possible to see how the antibiotics specified for pneumonia are used by Premier hospitals for other conditions. In this study we look at where increased success in meeting the HQID pneumonia antibiotic timing measure is tied to an increase in antibiotic use for conditions where antibiotics are unwarranted--with the potential for promoting antibiotic resistance. PMID:17426609

Drake, Douglas E; Cohen, Abigail; Cohn, Jeffrey

177

Building an FTP guard  

SciTech Connect

Classified designs usually include lesser classified (including unclassified) components. An engineer working on such a design needs access to the various sub-designs at lower classification levels. For simplicity, the problem is presented with only two levels: high and low. If the low-classification component designs are stored in the high network, they become inaccessible to persons working on a low network. In order to keep the networks separate, the component designs may be duplicated in all networks, resulting in a synchronization problem. Alternatively, they may be stored in the low network and brought into the high network when needed. The latter solution results in the use of sneaker-net (copying the files from the low system to a tape and carrying the tape to a high system) or a file transfer guard. This paper shows how an FTP Guard was constructed and implemented without degrading the security of the underlying B3 platform. The paper then shows how the guard can be extended to an FTP proxy server or an HTTP proxy server. The extension is accomplished by allowing the high-side user to select among items that already exist on the low-side. No high-side data can be directly compromised by the extension, but a mechanism must be developed to handle the low-bandwidth covert channel that would be introduced by the application.

Sands, P.D.

1998-08-01

178

National Hospital Rate-Setting Study. Volume I. Case Study of Prospective Reimbursement in Arizona.  

National Technical Information Service (NTIS)

This report is one of nine (9) case study reports (Arizona, Connecticut, Maryland, Massachusetts, Minnesota, New Jersey, New York, Washington, and Western Pennsylvania) written as part of the National Hospital Rate-Setting Study. The report examines in de...

J. Boland H. Reilly

1979-01-01

179

Health cost assessment of firearm injuries at Kenyatta National Hospital in Nairobi, Kenya  

Microsoft Academic Search

Firearms are among the leading instruments used in the perpetration of violence and injury. Proliferation and abuse of small arms and light weapons has been the major culprit in the East and Central Africa region. This study analyzes the direct costs incurred by patients treated at the Kenyatta National Hospital (KNH) for firearm injuries. This was a 10 year hospital

W A Odhiambo; A Muchai; P Njuguna; G Lamb; D Domnique

2010-01-01

180

Distinct enough? A national examination of Catholic hospital affiliation and patient perceptions of care.  

PubMed

BACKGROUND:: Catholic hospitals play a critical role in the provision of health care in the United States; yet, empirical evidence of patient outcomes in these institutions is practically absent in the literature. PURPOSE:: The purpose of this study was to determine whether patient perceptions of care are more favorable in Catholic hospitals as compared with non-Catholic hospitals in a national sample of hospitals. METHODOLOGY:: This cross-sectional secondary analysis used linked data from the 2008 American Hospital Association Annual Survey, the 2008 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, the 2008 Medicare Case Mix Index file, and the 2010 Religious Congregations and Membership Study. The study included over 3,400 hospitals nationwide, including 494 Catholic hospitals. Propensity score matching and ordinary least-squares regression models were used to examine the relationship between Catholic affiliation and various HCAHPS measures. FINDINGS:: Our findings revealed that patients treated in Catholic hospitals appear to rate their hospital experience similar to patients treated in non-Catholic hospitals. Catholic hospitals maintain a very slight advantage above their non-Catholic peers on five HCAHPS measures related to nurse communication, receipt of discharge information, quietness of the room at night, overall rating, and recommendation of the hospital; yet, these differences were minimal. PRACTICE IMPLICATIONS:: If the survival of Catholic health care services is contingent upon how its provision of care is distinct, administrators of Catholic hospitals must show differences more clearly. Given the great importance of Catholic hospitals to the health of millions of patients in the United States, this study provides Catholic hospitals with a set of targeted areas on which to focus improvement efforts, especially in light of current pay-for-performance initiatives. PMID:23493045

Kutney-Lee, Ann; Melendez-Torres, G J; McHugh, Matthew D; Wall, Barbra Mann

2013-03-13

181

A national survey of heart failure in French hospitals  

Microsoft Academic Search

Rationale The epidemiology of heart failure and patient management procedures may vary from one country to another. This study was designed to analyse the spectrum of patients hospitalized in France for heart failure. Patients and Methods A registry involving 120 depart- ments (cardiology, general medicine and geriatrics) and 1058 patients. Results The patients' median age was 76 years, and the

A. Cohen-Solal; M. Desnos; F. Delahaye; J. P. Emeriau; G. Hanania

2000-01-01

182

Installation restoration program. Closure assessment report for UST removals at sites 4 and 5 - petroleum, oils, and lubricants facility. Virginia Air National Guard, 192nd Fighter Group, Richmond International Airport, Sandston, Virginia. Final report  

SciTech Connect

The objectives of the closure assessment were to determine the extent of contaminated soil adjacent to the USTs requiring excavation, to provide documentation of soil and groundwater conditions following excavation, and to document closure activities in accordance with applicable VADEQ regulations. During closure activities, ASI provided technical support to the Base to ensure that the UST removal contractor (E K, Inc.) hereinafter referred to as the Contractor was in compliance with the technical requirements (as specified in the Plans and Specifications for Removal of Abandoned Underground Storage Tanks, Virginia Air National Guard, Richmond International Airport, Sandston, VA., dated July 1991 and revised April 1992, and Addendum Numbers 1 through 7) of the contract. ASI was also responsible for collecting soil and/or groundwater closure samples from the excavations, and providing off-site fixed based laboratory analysis to verify clean conditions within the excavations.

NONE

1996-11-01

183

Installation restoration program, technical memorandum for field investigation at IRP sites No. 1 and No. 2, Vol 2, 183rd Fighter Wing, Illinois Air National Guard, Capital Municipal Airport, Springfield, Illinois, appendices A - J. Technical memo  

SciTech Connect

The Installation Restoration Program was initiated by the Air National Guard (ANG) to evaluate potential contamination to the environment caused by past practices at its installations. Two sites were identified at Capital Municipal Airport during the 1990 Preliminary Assessment; the Petroleum, Oils and Lubricants Storage Area (Site 1) and the Old Fire Training Area (Site 2). Information gathered during a 1996 Site Investigation on both sites and 1995 Site Investigation Addendum for Site 2 did not provide adequate information for decision-making. This Field Investigation was designed to fill data gaps. The Tech Memo recommends Site 1 proceed to a No Further Action Decision Document, and Site 2 proceed to an Engineering Evaluation/Cost Analysis (EE/CA). No further field effort is necessary to complete the EE/CA. Vol 1 contains the main text of the report. Vol 2 contains the supporting data.

NONE

1997-08-01

184

Installation restoration program, technical memorandum for field investigation at IRP sites No. 1 and No. 2, Vol 1, 183rd Fighter Wing, Illinois Air National Guard, Capital Municipal Airport, Springfield, Illinois. Technical memo  

SciTech Connect

The Installation Restoration Program was initiated by the Air National Guard (ANG) to evaluate potential contamination to the environment caused by past practices at its installations. Two sites were identified at Capital Municipal Airport during the 1990 Preliminary Assessment, the Petroleum, Oils and Lubricants Storage Area (Site 1) and the Old Fire Training Area (Site 2). Information gathered during a 1996 Site Investigation on both sites and 1995 Site Investigation Addendum for Site 2 did not provide adequate information for decision-making. This Field Investigation was designed to fill data gaps. The Tech Memo recommends Site 1 proceed to a No Further Action Decision Document, and Site 2 proceed to an Engineering Evaluation/Cost Analysis (EE/CA). No further field effort is necessary to complete the EE/CA. Vol 1 contains the main text of the report.

NONE

1997-08-01

185

Record Retention Practices among the Nation's "Most Wired" Hospitals  

PubMed Central

This exploratory study examined health record retention practices among health information management professionals in acute care general hospitals in the United States. A descriptive research design was used, and data were collected using a self-reporting survey. Respondents answered questions about record retention policies, the responsibility of health information professionals in policy administration, record retention periods, factors that determine retention periods, and other information about health record retention practices.

Rinehart-Thompson, Laurie A.

2008-01-01

186

National Survey of Children's Hospitals on Legacy-Making Activities  

PubMed Central

Abstract Objective Many hospitals offer legacy-building activities for children with serious illnesses or their family members, yet legacy-making has received little empirical attention. This descriptive cross-sectional study examined healthcare provider perceptions of legacy-making activities (e.g., memory books) currently offered by hospitals to pediatric patients and their families. Methods Healthcare providers in seventy-seven (100%) teaching children's hospitals across the United States completed an electronic survey. Results Nearly all providers surveyed reported offering legacy-making activities to ill children and their families, with patients and families usually completing the activity together. Most activities were offered before a patient died and when cure is no longer being sought. Perceived outcomes included benefit to bereaved families and a tangible memento of their deceased child. Conclusion Legacy-making may enhance life and decrease suffering for dying children and their families. Healthcare professionals can facilitate opportunities for children and their families to build legacies. Additional research is needed to examine activities across different age groups and conditions, the best time to offer such activities, and associations with positive and negative outcomes for ill children, their family members, and the bereaved.

Dietrich, Mary S.; Friedman, Debra L.; Gordon, Jessie E.; Gilmer, Mary J.

2012-01-01

187

User fees and patient behaviour: evidence from Niamey National Hospital.  

PubMed

Evidence is presented on the effects of price changes on the delay before seeking care and on referral status in a sample of hospital patients in Niger. Price changes are measured as differences across patients at one hospital in whether or not they pay for care, rather than as differences in prices across several hospitals. User fees are charged, but the fee system allows exemptions for some payor categories such as government employees, students, and indigent patients. Evidence is also presented on the effect of income on the delay before seeking care and referral status. The analysis demonstrates a technical point on whether household consumption or current income is a more appropriate measure of income. The analysis shows that user fees affect patient behaviour, but the effects are not the same for outpatients and inpatients. Outpatients who pay for care wait longer before seeking care, but inpatients do not. Inpatients who pay for care are more likely to be referred, but outpatients are not. Patients with more income wait less time to seek care and are less likely to be referred than other patients. Further, household consumption explains patient behaviour better than current income. PMID:10154359

Weaver, M

1995-12-01

188

49 CFR 213.355 - Frog guard rails and guard faces; gage.  

Code of Federal Regulations, 2010 CFR

...2009-10-01 2009-10-01 false Frog guard rails and guard faces; gage. ...Track Classes 6 and Higher § 213.355 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits prescribed...

2009-10-01

189

49 CFR 213.355 - Frog guard rails and guard faces; gage.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Frog guard rails and guard faces; gage. ...Track Classes 6 and Higher § 213.355 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits prescribed...

2010-10-01

190

49 CFR 213.143 - Frog guard rails and guard faces; gage.  

Code of Federal Regulations, 2010 CFR

...2009-10-01 2009-10-01 false Frog guard rails and guard faces; gage. ...STANDARDS Track Structure § 213.143 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits prescribed...

2009-10-01

191

49 CFR 213.143 - Frog guard rails and guard faces; gage.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Frog guard rails and guard faces; gage. ...STANDARDS Track Structure § 213.143 Frog guard rails and guard faces; gage. The guard check and guard face gages in frogs shall be within the limits prescribed...

2010-10-01

192

Hospital Performance Trends on National Quality Measures and the Association With Joint Commission Accreditation  

PubMed Central

BACKGROUND Evaluations of the impact of hospital accreditation have been previously hampered by the lack of nationally standardized data. One way to assess this impact is to compare accreditation status with other evidence-based measures of quality, such as the process measures now publicly reported by The Joint Commission and the Centers for Medicare and Medicaid Services (CMS). OBJECTIVES To examine the association between Joint Commission accreditation status and both absolute measures of, and trends in, hospital performance on publicly reported quality measures for common diseases. DESIGN, SETTING, AND PATIENTS Performance data for 2004 and 2008 from U.S. acute care and critical access hospitals were obtained using publicly available CMS Hospital Compare data augmented with Joint Commission performance data. MEASUREMENTS Changes in hospital performance between 2004 and 2008, and percent of hospitals with 2008 performance exceeding 90% for 16 measures of quality-of-care and 4 summary scores. RESULTS Hospitals accredited by The Joint Commission tended to have better baseline performance in 2004 than non-accredited hospitals. Accredited hospitals had larger gains over time, and were significantly more likely to have high performance in 2008 on 13 out of 16 standardized clinical performance measures and all summary scores. CONCLUSIONS While Joint Commission-accredited hospitals already outperformed non-accredited hospitals on publicly reported quality measures in the early days of public reporting, these differences became significantly more pronounced over 5 years of observation. Future research should examine whether accreditation actually promotes improved performance or is a marker for other hospital characteristics associated with such performance. Journal of Hospital Medicine 2011;6:458–465. © 2011 Society of Hospital Medicine

Schmaltz, Stephen P; Williams, Scott C; Chassin, Mark R; Loeb, Jerod M; Wachter, Robert M

2011-01-01

193

Organizational and market factors associated with leadership development programs in hospitals: a national study.  

PubMed

Effective leadership in hospitals is widely recognized as the key to organizational performance. Clinical, financial, and operational performance is increasingly being linked to the leadership practices of hospital managers. Moreover, effective leadership has been described as a means to achieve competitive advantage. Recent environmental forces, including reimbursement changes and increased competition, have prompted many hospitals to focus on building leadership competencies to successfully address these challenges. Using the resource dependence theory as our conceptual framework, we present results from a national study of hospitals examining the association of organizational and market factors with the provision of leadership development program activities, including the presence of a leadership development program, a diversity plan, a program for succession planning, and career development resources. The data are taken from the American Hospital Association's (AHA) 2008 Survey of Hospitals, the Area Resource File, and the Centers for Medicare & Medicaid Services. The results of multilevel logistic regressions of each leadership development program activity on organizational and market factors indicate that hospital size, system and network affiliation, and accreditation are significantly and positively associated with all leadership development program activities. The market factors significantly associated with all leadership development activities include a positive odds ratio for metropolitan statistical area location and a negative odds ratio for the percentage of the hospital's service area population that is female and minority. For-profit hospitals are less likely to provide leadership development program activities. Additional findings are presented, and the implications for hospital management are discussed. PMID:22530292

Kim, Tae Hyun; Thompson, Jon M

194

[Fates at the Psychiatric Hospital of Klagenfurt during National Socialism].  

PubMed

In this article the fate of Mr. B. is described as an example for the fate of hundreds of mentally ill patients of the "Landes-Irrenanstalt of Klagenfurt", murdered during the era of National Socialism. This extraordinary fate marks two outstanding aspects of history of medicine, the treatment of syphilis with malaria and the organised mass murder of mentally ill people during the cynic era of National Socialism. Beyond this historical perspective reconstructive biographical work together with relatives is presented as a proactive duty of psychiatric institutions. PMID:22990646

Oberlerchner, Herwig; Stromberger, Helge

2012-09-19

195

Proceedings of the U.S. Coast Guard National Data Buoy Development Project Industrial Data Users Meeting, Held At Arlington, Virginia On 12, 13, 14 May 1970.  

National Technical Information Service (NTIS)

Contents: Desired characteristics of national data buoy systems for satisfying environmental product needs of the offshore oil and gas industry; Conceptualization of a national data buoy system for the environmental data needs of the Gulf of Alaska oil an...

1970-01-01

196

Happy crisis tests hospitals' PR plan. Septuplets' arrival swamps Iowa hospitals with national, international media. Blank Children's Hospital, Iowa Methodist Medical Center, Des Moines.  

PubMed

The public relations staff believed the birth of healthy septuplets would become a human interest story for local media. But the staff was stunned at the outpouring of international and national media knocking at their front doors. The staff of both Iowa Methodist Medical Center and Blank Children's Hospital in Des Moines, Iowa, organized a communications plan for 14 official press conferences, constant updates to the media and a website to handle ongoing inquiries from the public. As a result, the story of the McCaughey septuplets was shown in more than 10,000 television stories around the world. The hospitals received more than 36,000 magazine and newspaper articles. The public relations staff not only fielded more than 2,000 phone calls in the days following the Nov. 19 birth, but more than 15 major networks parked their vehicles and satellite dishes in front of the hospital. PMID:10177636

197

Acute myocardial infarction incidence and hospital mortality: routinely collected national data versus linkage of national registers  

Microsoft Academic Search

Background and Objective  To compare levels of and trends in incidence and hospital mortality of first acute myocardial infarction (AMI) based on routinely\\u000a collected hospital morbidity data and on linked registers. Cases taken from routine hospital data are a mix of patients with\\u000a recurrent and first events, and double counting occurs when cases are admitted for an event several times during

Huberdina L. Koek; Jan W. P. F. Kardaun; Evelien Gevers; Agnes de Bruin; Joannes B. Reitsma; Diederick E. Grobbee; Michiel L. Bots

2007-01-01

198

Factors Associated With Poor Hospital Mortality Rates After the National Health Insurance Program.  

PubMed

The study examined whether hospital mortality rates have improved since National Health Insurance (NHI) in Taiwan and what factors affect the hospital mortality rates. The related hospital data were collected from databases belonging to the NHI Annual Statistics Information. In addition, panel data analysis and stepwise regression are used to indicate the determinants of hospital mortality rates from 1995 to 2008. The evidence shows that mortality rates have not improved since the NHI; competition, the elderly, family income, the poor, the number of clinical departments, length of stay, new technology, public hospitals and family medical expenses-all affect mortality rates. Moreover, longer length of stay, increase in the number of elderly and low-income families, and inequality of resource allocation have led to high mortality rates. Policy makers first have to realize what drives them to change and then set the benchmarks for their improvement. PMID:22500032

Chang, Li

2012-04-11

199

A nationally representative survey of hospital malnutrition: the Italian PIMAI (Project: Iatrogenic MAlnutrition in Italy) study  

Microsoft Academic Search

Hospital malnutrition is high in every country it was investigated, but no nationally representative prevalence study, considering\\u000a potential geographical interfering factors, has yet been performed. We designed a multidisciplinary, cross-sectional, nation-wide\\u000a survey: the PIMAI study (Project: Iatrogenic MAlnutrition in Italy). Adult (>18 years old) patient inclusion was managed on\\u000a a four-strata randomisation model according to sex and age (<65 and

Lucio Lucchin; Amleto D’Amicis; Maria Gabriella Gentile; Nino Carlo Battistini; Maria Antonia Fusco; Augusta Palmo; Maurizio Muscaritoli; Franco Contaldo; Emanuele Cereda

2009-01-01

200

Seroprevalance of HIV infection among patients attending STD clinic at National Hospital Abuja, Nigeria  

Microsoft Academic Search

The sero-prevalence of Human Immunodeficiency Virus (HIV) infection in patients attending STD clinic at National Hospital Abuja, Nigeria was determined from two hundred sera collected from patients. The result showed that 31 (16.5%) were HIV positive as antibodies to HIV was found in their sera. The age distribution revealed that the highest prevalence of HIV antibodies was found in the

201

Human bite injuries in the oro-facial region at the Muhimbili National Hospital, Tanzania  

Microsoft Academic Search

BACKGROUND: Human bites in the maxillofacial region compromise function and aesthetics, resulting in social and psychological effects. There is paucity of information regarding human bite injuries in Tanzania. The aim of the study was to assess the occurrence, treatment modalities and prognosis of human bite injuries in the oro-facial region at the Muhimbili National Hospital Dar es Salaam, Tanzania. METHODS:

Farrid M Shubi; Omar JM Hamza; Boniphace M Kalyanyama; Elison NM Simon

2008-01-01

202

Variations in Inpatient Mortality for AIDS in a National Sample of Hospitals.  

National Technical Information Service (NTIS)

The project examines the spectrum of AIDS-related conditions and variations in associated inpatient mortality for AIDS patients treated in a national sample of hospitals. It identifies 10,538 adult discharges with a diagnosis indicating AIDS from 258 hosp...

B. J. Turner J. K. Ball

1992-01-01

203

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2001.  

PubMed

Results of the 2001 ASHP national survey of pharmacy practice in hospital settings that pertain to prescribing and transcribing are presented. A stratified random sample of pharmacy directors at 1091 general and children's medical-surgical hospitals in the United States was surveyed by mail. SMG Marketing Group, Inc., supplied data on hospital characteristics; the survey sample was drawn from SMG's hospital database. The response rate was 49.0%. During 2001, nearly all hospitals are estimated to have pharmacy and therapeutics (P&T) committees that meet an average of seven times per year. It is estimated that more than 90% of P&T committees are responsible for formulary development and management, drug policy development, adverse-drug-reaction review, and medication-use evaluation. More than 90% of hospitals use clinical and therapeutic, cost, and pharmacoeconomic information in the formulary management process, while nearly two thirds consider quality-of-life issues. Nearly 70% use clinical practice guidelines in the formulary management process, and 78% have a medication-use evaluation program designed to improve prescribing. Pharmacists in more than 75% of hospitals provide consultations on drug information, dosage adjustments for patients with renal impairment, antimicrobials, and pharmacokinetics. Further, a majority of hospitals ensure accurate transcription of medication orders by clarifying illegible orders before transcription or entry into medication administration records (MARs), using standardized prescriber order forms, requiring prescribers to countersign all oral orders, and reconciling MARs and pharmacy patient profiles at least daily. In 2001, large hospitals are most likely to use prescriber order-entry systems to improve patient safety and are least likely to require the reentry of medication orders into the pharmacy computer system. The 2001 ASHP survey results suggest that pharmacists in hospital settings have positioned themselves well to improve the prescribing and transcribing components of the medication-use process. PMID:11763804

Pedersen, C A; Schneider, P J; Santell, J P

2001-12-01

204

Síndrome de inmunodeficiencia adquirida en niños institucionalizados en el Hospital Nacional de Mpilo (Zimbabwe) Acquired immunodeficiency syndrome in children institutionalized in Mpilo National Hospital (Zimbabwe)  

Microsoft Academic Search

A descriptive, longitudinal and prospective study of the human immunodeficiency syndrome was carried out in children institutionalized in Mpilo National Hospital in Zimbabwe from April, 2005 to March, 2006. The case material was formed by all the children up to 12 years, attended in the Opportunistic Infections Clinic belonging to this hospital and where they were previously diagnosed with the

Mariela Sosa Zamora; Jorge Ernesto Amarán Valverde; Migdia Pérez Pérez; Carmen Berenguer Gouarnaluses

205

A&M. Guard house (TAN638), contextual view. Built in 1968. Camera ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638), contextual view. Built in 1968. Camera faces south. Guard house controlled access to radioactive waste storage tanks beyond and to left of view. Date: February 4, 2003. INEEL negative no. HD-33-4-1 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

206

Coast Guard: Observations on the Preparation, Response, and Recovery Missions Related to Hurricane Katrina.  

National Technical Information Service (NTIS)

Hurricane Katrina was one of the largest natural disasters in our nation's history. Significant federal, state, and local resources were mobilized to respond to the Hurricane Katrina disaster, including those of the U.S. Coast Guard. The Coast Guard playe...

2006-01-01

207

Improving Service Quality in Long-term Care Hospitals: National Evaluation on Long-term Care Hospitals and Employees Perception of Quality Dimensions  

PubMed Central

Objectives To investigate predictors for specific dimensions of service quality perceived by hospital employees in long-term care hospitals. Methods Data collected from a survey of 298 hospital employees in 18 long-term care hospitals were analysed. Multivariate ordinary least squares regression analysis with hospital fixed effects was used to determine the predictors of service quality using respondents’ and organizational characteristics. Results The most significant predictors of employee-perceived service quality were job satisfaction and degree of consent on national evaluation criteria. National evaluation results on long-term care hospitals and work environment also had positive effects on service quality. Conclusion The findings of the study show that organizational characteristics are significant determinants of service quality in long-term care hospitals. Assessment of the extent to which hospitals address factors related to employeeperceived quality of services could be the first step in quality improvement activities. Results have implications for efforts to improve service quality in longterm care hospitals and designing more comprehensive national evaluation criteria.

Kim, Jinkyung; Han, Woosok

2012-01-01

208

Prevalence study of hospital-acquired infections in 14 Greek hospitals: planning from the local to the national surveillance level  

Microsoft Academic Search

A prevalence study of hospital-acquired infections (HAI) was carried out in 14 of 112 Greek hospitals (15.7%), scattered throughout Greece. Five of seven Greek university hospitals and nine regional hospitals participated in the one-day study, and 3925 hospitalized patients (10.5% of the total hospital beds in Greece) were recorded. The aim of this project was to organize a surveillance of

A. Gikas; J. Pediaditis; J. A. Papadakis; J. Starakis; S. Levidiotou; P. Nikolaides; G. Kioumis; E. Maltezos; M. Lazanas; E. Anevlavis; M. Roubelaki; Y. Tselentis

2002-01-01

209

Coast Guard Law Enforcement Detachments in the War on Terror.  

National Technical Information Service (NTIS)

This monograph explores the role of Coast Guard law enforcement detachments (LEDETs) abroad in the post-Cold War, post-9/11 strategic security environment. Drawing on the work of National Defense University and Thomas Barnett, the author finds that the gl...

G. R. Bowen

2006-01-01

210

A national study of pressure ulcer prevalence and incidence in acute care hospitals  

Microsoft Academic Search

Objective: This study sought to establish national benchmarks for pressure ulcer prevalence and incidence among acute care health organizations served by Novation LLC. Setting and subjects: One hundred sixteen acute care facilities from 34 states participated; the sample consisted of 17,560 patients in hospital-based medical-surgical or intensive care units. Instruments: Standardized education kits were provided to each participating site. The

Kathy Whittington; Martha Patrick; Joan L. Roberts

2000-01-01

211

29 CFR 1917.151 - Machine guarding.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 2013-07-01 false Machine guarding. 1917.151 Section 1917...Operations and Equipment § 1917.151 Machine guarding. (a) Definition...b) General. (1) Danger zones on machines and equipment used by employees...

2013-07-01

212

46 CFR 169.331 - Guards in hazardous locations.  

Code of Federal Regulations, 2011 CFR

...2012-10-01 false Guards in hazardous locations. 169...GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS Construction and...Guards § 169.331 Guards in hazardous locations....

2012-10-01

213

A&M. Guard house (TAN638). Interior detail turnstile and view to ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638). Interior detail turnstile and view to door. Date: February 4, 2003. INEEL negative no. HD-33-7-2 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

214

A&M. Guard house (TAN638). Oblique view of east and south ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638). Oblique view of east and south facades. Camera facing northerly. Date: February 4, 2003. INEEL negative no. HD-33-4-4 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

215

A&M. Guard house (TAN638). Interior detail of corner and windows. ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638). Interior detail of corner and windows. Date: February 4, 2003. INEEL negative no. HD-33-7-3 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

216

A&M. Guard house (TAN638). Detail of window grill on front ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638). Detail of window grill on front door (west facade). Date: February 4, 2003. INEEL negative no. HD-33-6-4 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

217

A&M. Guard house (TAN638), contextual view with camera facing northeast ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638), contextual view with camera facing northeast towards TAN-607. Date: February 4, 2003. INEEL negative no. HD-33-4-2 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

218

A&M. Guard house (TAN638). Interior, partitioned area in front of ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638). Interior, partitioned area in front of view is toilet enclosure. Date: February 4, 2003. INEEL negative no. HD-33-7-1 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

219

IET. Exclusion guard house, 71.8% complete. Camera facing northerly. Pumice ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

IET. Exclusion guard house, 71.8% complete. Camera facing northerly. Pumice block walls, canopy over concrete slabs. Date: October 20, 1954. INEEL negative no. 12541 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

220

Family Reintegration Following Guard Deployment.  

National Technical Information Service (NTIS)

As large numbers of deployed Guard members have returned home, there is still concern that they may not have been fully prepared to face the challenges of family reintegration. Though return from deployment can be a happy occasion, homecoming can turn int...

D. C. Messecar

2005-01-01

221

Guarding Exterior Region of a Simple Polygon  

Microsoft Academic Search

In this paper, our objective is to locate a position of a guard on the convex hull of a simple polygon P, such that, the farthest point on the boundary of the polygon from the location of the guard, avoiding the interior region\\u000a of the polygon P, is minimum among all possible locations of the guard on the convex hull.

Arindam Karmakar; Sasanka Roy; Sandip Das

2008-01-01

222

Athletic mouth guards prevent orofacial injuries.  

PubMed

Competitive and recreational athletes are at significant risk of orofacial injury. The use of mouth guards and face shields can substantially reduce that risk. In this article, the author summarizes the known incidence of orofacial trauma and the benefits of using athletic mouth guards and advises college health professionals to advocate mouth guards for athlete-patients who are at risk. PMID:9019006

Woodmansey, K F

1997-01-01

223

Estimating infra-national and national thyroid cancer incidence in France from cancer registries data and national hospital discharge database  

Microsoft Academic Search

Objective  As in many countries, cancer registries cover only part of the population in France. Incidence\\/mortality ratio observed in\\u000a registries is usually extrapolated to produce national estimates of cancer incidence. District-level estimates are not currently\\u000a available. For cancer sites such as thyroid, the incidence\\/mortality ratio widely varies between districts, and alternative\\u000a indicators must be explored. This study aims to produce national

Zoe Uhry; Marc Colonna; Laurent Remontet; Pascale Grosclaude; Nicolas Carré; Chantal Marie Couris; Michel Velten

2007-01-01

224

Mortality in a teaching hospital during junior doctor changeover: a regional and national comparison.  

PubMed

Concerns about whether the junior doctor changeover in the UK is associated with an increased risk of death have been reawakened by a retrospective study (Jen et al, 2009). Examination of overall mortality data has consistently failed to demonstrate any increase in mortality during the changeover. However, regional and national trends may mask this increase, so a study was undertaken to compare mortality in a busy London teaching hospital with regional and national trends. No evidence of an increase in mortality in August was found for any of the time periods examined, even after comparison with regional and national trends. The authors conclude that examination of overall mortality data is a blunt and impractical instrument for settling the question of whether an increase in morbidity and mortality occurs. Preventable morbidity and mortality should be audited. PMID:23665787

Sharma, Vijay; Proctor, Ian; Winstanley, Alison

2013-03-01

225

Criminal Manifestations of Dementia Patients: Report from the National Forensic Hospital  

PubMed Central

Background/Aims Some dementia patients have profound behavioral and psychological symptoms which might cause legal violation. We illustrate clinical and criminal characteristics of dementia patients who had been incarcerated because of criminal activity. Methods The National Forensic Hospital is the only hospital-based correctional facility in the Republic of Korea which incarcerates criminals with psychiatric or neurological disease. Between May 2008 and April 2009, those patients who had been diagnosed with dementia in the National Forensic Hospital were included in the study. We reviewed their medical and legal reports. Results There were 7 dementia patients out of 752 patients, including 2 Alzheimer's disease (AD) patients, 1 vascular dementia patient, and 4 patients with alcohol-related dementia. Criminal behavior included simple larceny by the 2 AD patients, and multiple violent crimes in a drunken state by the other 5 patients. Conclusions This study reported diverse criminal behaviors among dementia patients. Inebriation may be related to violent criminal behavior among some dementia patients.

Kim, Jeong-Min; Chu, Kon; Jung, Keun-Hwa; Lee, Soon-Tae; Choi, Sang-Sub; Lee, Sang Kun

2011-01-01

226

Trends in the Association Between Age and In-Hospital Mortality After Percutaneous Coronary Intervention National Cardiovascular Data Registry Experience  

Microsoft Academic Search

Background—Temporal trends and contemporary data characterizing the impact of patient age on in-hospital outcomes of percutaneous coronary interventions are lacking. We sought to determine the importance of age by assessing the in-hospital mortality of stratified age groups in the National Cardiovascular Data Registry. Methods and Results—In-hospital mortality after percutaneous coronary intervention on 1 410 069 patients was age stratified into

Mandeep Singh; Eric D. Peterson; Matthew T. Roe; John A. Spertus; John S. Rumsfeld; H. Vernon Anderson; Lloyd W. Klein; Kalon K. L. Ho; David R. Holmes

2010-01-01

227

Valid and Reliable Measurement of Nonacute Hospital Utilization in a Nationally Representative Sample: Final Report Appendices (1981).  

National Technical Information Service (NTIS)

This is a technical report associated with the National Estimates of Nonacute Hospital Utilization for 1981. The report acknowledges the expert Technical Advisory Panel, the Appropriateness Evaluation Protocol (AEP) criteria used, and the Interqual Intens...

C. Moynihan C. Barnes K. Peinado N. Jordan N. Thomasco

1984-01-01

228

Hospitals in England are failing to follow guidance for tuberculosis infection control – results of a National Survey  

Microsoft Academic Search

Tuberculosis outbreaks can occur in hospitals if adequate infection control is not in place. UK guidelines on the prevention of tuberculosis transmission have recently been published. A national survey of acute NHS Trusts in England was conducted to evaluate whether tuberculosis infection control in hospitals is consistent with the new guidance. There was a 72% response rate (144 NHS Trusts).

S. L. Wiggam; A. C. Hayward

2000-01-01

229

Dutch Hospital Drug Formularies: pharmacotherapeutic variation and conservatism, but concurrence with national pharmacotherapeutic guidelines  

PubMed Central

Aims This research examines current hospital drug formularies (HDFs) of all Dutch general hospitals. It assesses the extent to which they recommend the same drugs, the breadth of their coverage in terms of therapeutic areas, drug groups incorporated and individuals drugs included, and their extent of conservatism by considering the year of introduction of the drugs included within groups. Furthermore, it considers the extent to which their recommendations concur and comply with those of national pharmacotherapeutic guidelines and the WHO Essential Drugs List (EDL). Methods Seventy-eight (81%) out of all 96 current Dutch HDFs were received of which 62 were suitable for study. Differences between HDFs and eventual associations with hospital characteristics were researched by statistical testing and case-control studies. To evaluate HDFs' concurrence with national guidelines and compliance with the WHO EDL, nine drug groups were studied in detail: benzodiazepines, calcium channel blockers, ?-adrenoceptor blocking agents, ACE-inhibitors, angiotensin-II inhibitors, NSAIDs, H2-receptor antagonists, 5HT3-antagonists, and H+-pump inhibitors. Concurrence and compliance with national guidelines and the WHO EDL was defined as inclusion of recommended drugs. Non-concurrence was defined as inclusion of nonrecommended drugs. Results The total number of indications addressed and drug groups incorporated within HDFs varied from 28 to 72 (median 56) and from 30 to 123 (median 97), respectively. The total number of individual drug entities (pharmacological substances) included ranged from 239 to 658 (median 430) and the total number of drug products, including all different dosage forms, from 412 to 1121 (median 655). Within drug groups, drug entities first marketed were most frequently included. Teaching hospitals were most likely to include recently marketed drugs. Depending on the drug group, HDFs' concurrence and compliance with national guidelines and the WHO EDL ranged from 35% to 100%. Conclusions Findings indicate that Dutch HDFs are rather uniform in the indications addressed and the drug groups incorporated. However, the number of individual drug entities and drug products included within groups varies considerably. Furthermore, Dutch HDFs are considered rather conservative, as older drugs are favoured over more recent drugs. Generally, with some drug exceptions, Dutch HDFs concur and comply with recommendations in national pharmacotherapeutic guidelines and with the WHO EDL over 90%.

Fijn, R; Engels, S A G; Brouwers, J R B J; Knaap, R J; De Jong-Van den Berg, L T W

2000-01-01

230

Private hospital accreditation and inducement of care under the ghanaian national insurance scheme  

PubMed Central

The Ghanaian National Health Insurance Scheme pays providers according to the fee for service payment scheme, a method of payment that is likely to encourage inducement of care. The goal of this paper is to test for the presence of supplier induced demand among patients who received care in private, for profit, hospitals accredited to provide care to insured patients. An instrumental variable Poisson estimation was used to compare the demand curves for health care by insured outpatients in the public and private hospitals. The results showed that supplier induced demand existed in the private sector among patients within the ages 18 and 60 years. Impact on cost of care and patients' welfare is discussed.

2011-01-01

231

Mobilization of the National Guard and Reserves.  

National Technical Information Service (NTIS)

The study examines solutions to issues surfaced during a mobilization planning exercise conducted at the US Army War College, 29-30 October 1983. Specifically, the question is whether it is feasible to relieve over-taxed mobilization stations through the ...

L. L. Tech S. A. Humberson D. P. Wilhelm

1984-01-01

232

National Epidemiologic Surveys of Enterobacter aerogenes in Belgian Hospitals from 1996 to 1998  

PubMed Central

Two national surveys were conducted to describe the incidence and prevalence of Enterobacter aerogenes in 21 Belgian hospitals in 1996 and 1997 and to characterize the genotypic diversity and the antimicrobial resistance profiles of clinical strains of E. aerogenes isolated from hospitalized patients in Belgium in 1997 and 1998. Twenty-nine hospitals collected 10 isolates of E. aerogenes, which were typed by arbitrarily primed PCR (AP-PCR) using two primers and pulsed-field gel electrophoresis. MICs of 10 antimicrobial agents were determined by the agar dilution method. Beta-lactamases were detected by the double-disk diffusion test and characterized by isoelectric point. The median incidence of E. aerogenes colonization or infection increased from 3.3 per 1,000 admissions in 1996 to 4.2 per 1000 admissions in the first half of 1997 (P < 0.01). E. aerogenes strains (n = 260) clustered in 25 AP-PCR types. Two major types, BE1 and BE2, included 36 and 38% of strains and were found in 21 and 25 hospitals, respectively. The BE1 type was indistinguishable from a previously described epidemic strain in France. Half of the strains produced an extended-spectrum beta-lactamase, either TEM-24 (in 86% of the strains) or TEM-3 (in 14% of the strains). Over 75% of the isolates were resistant to ceftazidime, piperacillin-tazobactam, and ciprofloxacin. Over 90% of the strains were susceptible to cefepime, carbapenems, and aminoglycosides. In conclusion, these data suggest a nationwide dissemination of two epidemic multiresistant E. aerogenes strains in Belgian hospitals. TEM-24 beta-lactamase was frequently harbored by one of these epidemic strains, which appeared to be genotypically related to a TEM-24-producing epidemic strain from France, suggesting international dissemination.

De Gheldre, Y.; Struelens, M. J.; Glupczynski, Y.; De Mol, P.; Maes, N.; Nonhoff, C.; Chetoui, H.; Sion, C.; Ronveaux, O.; Vaneechoutte, M.

2001-01-01

233

Aeronomy sounding rocket program. Results of the guard ring probe experiment flown on the payload B1 of the National Aeronomy Winter Anomaly and Trace Constituents program at El Arenosillo, Spain, between December 1975 and January 1976  

Microsoft Academic Search

The guard ring probe experiment which was flown during the aeronomy program 15 times is briefly described and the results obtained are given. The fairly high frequency of launches made it possible to follow in quite some detail the development of so-called waves of winter anomalously high absorption. It was found the development of such a winter anomaly wave was

H. U. Widdel

1978-01-01

234

Barriers to healthy eating by National Health Service (NHS) hospital doctors in the hospital setting: results of a cross-sectional survey  

Microsoft Academic Search

BACKGROUND: With high levels of obesity and related illness, improving the health of the nation is a major public health concern. This study aimed to identify factors that prevent healthy eating among doctors, and that are associated with satisfaction with catering services. FINDINGS: Methods: Cross-sectional survey of 328 NHS doctors working in two NHS Trusts with on-site hospital canteen. Questionnaire

James Winston; Carol Johnson; Sue Wilson

2008-01-01

235

Biological aging and social characteristics: gerontology, the Baltimore city hospitals, and the national institutes of health.  

PubMed

The intramural gerontological research program in the National Institutes of Health underwent a substantial growth after its creation within the precincts of the Baltimore City Hospitals in 1940. This paper analyzes its development and the associated problems of its early years. Gerontologists aimed at improving the social and economic life of the elderly through scientific research. With this aim in mind, they conducted various investigations using the indigent aged patients of the Baltimore City Hospitals. Yet the scientists of aging, who hoped to eliminate negative social factors that might bias their research and heighten the confusion between pathology and aging per se, eventually stopped using these patients in the hospital as human subjects. Instead they sought educated affluent subjects in order to eliminate the impact of poverty. By doing so, however, they introduced a new source of social bias to their work, especially within the novel project begun in 1958, the Baltimore Longitudinal Study of Aging. This article thus examines the context of the development of gerontologists' research by analyzing their agenda, institutional environment, and research subjects in the 1940s and the 1950s. PMID:23229081

Park, Hyung Wook

2011-09-06

236

Evaluation of US rear underride guard regulation for large trucks using real-world crashes.  

PubMed

Current requirements for rear underride guards on large trucks are set by the National Highway Traffic Safety Administration in Federal Motor Vehicle Safety Standards (FMVSS) 223 and 224. The standards have been in place since 1998, but their adequacy has not been evaluated apart from two series of controlled crash tests. The current study used detailed reviews of real-world crashes from the Large Truck Crash Causation Study to assess the ability of guards that comply with certain aspects of the regulation to mitigate passenger vehicle underride. It also evaluated the dangers posed by underride of large trucks that are exempt from guard requirements. For the 115 cases meeting the inclusion criteria, coded data, case narratives, photographs, and measurements were used to examine the interaction between study vehicles. The presence and type of underride guard was determined, and its performance in mitigating underride was categorized. Overall, almost one-half of the passenger vehicles had underride damage classified as severe or catastrophic. These vehicles accounted for 23 of the 28 in which occupants were killed. For the cases involving trailers with underride guards compliant with one or both FMVSS, guard deformation or complete failure was frequent and most commonly due to weak attachments, buckling of the trailer chassis, or bending of the lateral end of the guard under narrow overlap loading. Most of the truck units studied qualified for at least one of the FMVSS exemptions. The two largest groups were trailers with small wheel setbacks and single-unit straight trucks. Dump trucks represented a particularly hazardous category of straight truck. The current study suggests several weaknesses in the rear underride guard regulation. The standard allows too much ground clearance, the quasi-static test conditions allow guard designs that fail in narrow overlap crashes, and certifying guards independent of trailers leads to systems with inadequate attachment and chassis strength. Additionally, the regulation should be expanded to cover a higher percentage of the large truck fleet. PMID:21512906

Brumbelow, Matthew L; Blanar, Laura

2010-11-01

237

Athletic mouth guards--one town's approach.  

PubMed

A program to produce inexpensive, custom mouth guards for high school basketball players was implemented by teams of dentists who took impressions, fabricated and then delivered the mouth guards. This community service involved three hours of donated time; the player or school was charged $7.50 for materials per mouth guard. The potential reduction of dental related injuries is immeasurable, and it is hoped that other cities will adopt a similar program. PMID:7686969

Johnson, D W; Parker, B J

1993-04-01

238

The National Surgical Quality Improvement Program in Non-Veterans Administration Hospitals  

PubMed Central

Objective To assess the feasibility of implementing the National Surgical Quality Improvement Program (NSQIP) methodology in non-VA hospitals. Summary Background Data Using data adjusted for patient preoperative risk, the NSQIP compares the performance of all VA hospitals performing major surgery and anonymously compares these hospitals using the ratio of observed to expected adverse events. These results are provided to each hospital and used to identify areas for improvement. Since the NSQIP’s inception in 1994, the VA has reported consistent improvements in all surgery performance measures. Given the success of the NSQIP within the VA, as well as the lack of a comparable system in non-VA hospitals, this pilot study was undertaken to test the applicability of the NSQIP models and methodology in the nonfederal sector. Methods Beginning in 1999, three academic medical centers (Emory University, Atlanta, GA; University of Michigan, Ann Arbor, MI; University of Kentucky, Lexington, KY) volunteered the time of a dedicated surgical nurse reviewer who was trained in NSQIP methodology. At each academic center, these nurse reviewers used NSQIP protocols to abstract clinical data from general surgery and vascular surgery patients. Data were manually collected and then transmitted via the Internet to a secure web site developed by the NSQIP. These data were compared to the data for general and vascular surgery patients collected during a concurrent time period (10/99 to 9/00) within the VA by the NSQIP. Logistic regression models were developed for both non-VA and VA hospital data. To assess the models’ predictive values, C-indices (0.5 = no prediction; 1.0 = perfect prediction) were calculated after applying the models to the non-VA as well as the VA databases. Results Data from 2,747 (general surgery 2,251; vascular surgery 496) non-VA hospital cases were compared to data from 41,360 (general surgery 31,393; vascular surgery 9,967) VA cases. The bivariate relationships between individual risk factors and 30-day mortality or morbidity were similar in the non-VA and VA patient populations for over 66% of the risk variables. C-indices of 0.942 (general surgery), 0.915 (vascular surgery), and 0.934 (general plus vascular surgery) were obtained following application of the VA NSQIP mortality model to the non-VA patient data. Lower C-indices (0.778, general surgery; 0.638, vascular surgery; 0.760, general plus vascular surgery) were obtained following application of the VA NSQIP morbidity model to the non-VA patient data. Although the non-VA sample size was smaller than the VA, preliminary analysis suggested no differences in risk-adjusted mortality between the non-VA and VA cohorts. Conclusions With some adjustments, the NSQIP methodology can be implemented and generates reasonable predictive models within non-VA hospitals.

Fink, Aaron S.; Campbell, Darrell A.; Mentzer, Robert M.; Henderson, William G.; Daley, Jennifer; Bannister, Janet; Hur, Kwan; Khuri, Shukri F.

2002-01-01

239

Patient Referral Patterns and the Spread of Hospital-Acquired Infections through National Health Care Networks  

Microsoft Academic Search

Rates of hospital-acquired infections, such as methicillin-resistant Staphylococcus aureus (MRSA), are increasingly used as quality indicators for hospital hygiene. Alternatively, these rates may vary between hospitals, because hospitals differ in admission and referral of potentially colonized patients. We assessed if different referral patterns between hospitals in health care networks can influence rates of hospital-acquired infections like MRSA. We used the

Tjibbe Donker; Jacco Wallinga; Hajo Grundmann

2010-01-01

240

Evaluation of the department of neurosurgery of the seoul national university hospital.  

PubMed

The Department of Neurosurgery (DNS) of the Seoul National University Hospital (SNUH), belongs to the largest and oldest such institutions in Korea. Because of its growing reputation it is hardly surprising that the DNS draws visitor and scholars for clinical education and academic exchange from far beyond Korea. I myself visited the SNUH in February and March 2013. During this time I composed this evaluation in which I compare the DNS to my home Department at the Johannes Gutenberg-University in Mainz/Germany, as well as the situation of Neurosurgery in Korea and Germany in general. In the first part this evaluation summarizes data concerning equipment, staff and organizational structure, as well as educational and scientific issues of the DNS. In the second part some issues of interest are discussed in special regard to the corresponding practices in Germany. PMID:23908698

Kantelhardt, Sven R

2013-05-31

241

Evaluation of the Department of Neurosurgery of the Seoul National University Hospital  

PubMed Central

The Department of Neurosurgery (DNS) of the Seoul National University Hospital (SNUH), belongs to the largest and oldest such institutions in Korea. Because of its growing reputation it is hardly surprising that the DNS draws visitor and scholars for clinical education and academic exchange from far beyond Korea. I myself visited the SNUH in February and March 2013. During this time I composed this evaluation in which I compare the DNS to my home Department at the Johannes Gutenberg-University in Mainz/Germany, as well as the situation of Neurosurgery in Korea and Germany in general. In the first part this evaluation summarizes data concerning equipment, staff and organizational structure, as well as educational and scientific issues of the DNS. In the second part some issues of interest are discussed in special regard to the corresponding practices in Germany.

2013-01-01

242

[Complicated chickenpox in a national pediatric Peruvian hospital, 2001-2011].  

PubMed

The objective of the study was to describe the clinical and epidemiological characteristics of complicated chickenpox cases seen at the National Institute of Children's Health (INSN, Spanish acronym) of Peru from 2001 to 2011. A case series was collected, including a total of 1,073 children with complicated chickenpox. The median age was 2.5 years (IQR 1.1-4.8 years), of which 578 (54%) were male. The most frequent complications were secondary skin and soft tissue infections with 768 cases (72%). 13 deaths (1.4%) were recorded. In conclusion, the hospitalizations due to complicated chickenpox in the INSN included mostly children under five, with a short stay and a low proportion of deaths most complications being related to secondary skin and soft tissue infections. PMID:23612811

Miranda-Choque, Edwin; Candela-Herrera, Jorge; Díaz-Pera, Javier; Farfán-Ramos, Sonia; Muñoz-Junes, Edith María; Escalante-Santivañez, Imelda Rita

2013-03-01

243

The burden of injuries at the Jigme Dorji Wangchuck National Referral Hospital in Thimphu, Bhutan.  

PubMed

A review of the surgical admission, operating room records, and emergency room consultations for the 2006 was undertaken with the objective of assessing the injury burden at the Jigme Dorji Wangchuck National Referral Hospital in Thimphu. The study revealed that trauma accounted for 20% of all surgical admissions in 2006, out of which the Orthopedic department bore the major chunk of trauma admissions at 61%. Trauma was responsible for more than 5000 disability-adjusted life years lost (DALYs) in 2006. On an average, 2 out of 3 orthopedic procedures were performed for trauma-related conditions. It is hoped that this study will stimulate the local practitioners and policy makers to initiate further studies to build up standardized database on injury burden in Bhutan to facilitate evidence-based decisions by the stakeholders. PMID:22210175

Gosselin, Richard A; Dorji, Sonam; Drukpa, Pakhila

2011-12-20

244

49 CFR 850.30 - Procedures for Coast Guard investigation.  

Code of Federal Regulations, 2012 CFR

... false Procedures for Coast Guard investigation. 850.30 Section 850.30 Transportation...TRANSPORTATION SAFETY BOARD MARINE CASUALTY INVESTIGATIONS § 850.30 Procedures for Coast Guard investigation. (a) The Coast Guard...

2012-10-01

245

49 CFR 850.30 - Procedures for Coast Guard investigation.  

Code of Federal Regulations, 2011 CFR

... false Procedures for Coast Guard investigation. 850.30 Section 850.30 Transportation...TRANSPORTATION SAFETY BOARD MARINE CASUALTY INVESTIGATIONS § 850.30 Procedures for Coast Guard investigation. (a) The Coast Guard...

2011-10-01

246

30 CFR 75.827 - Guarding of trailing cables.  

Code of Federal Regulations, 2013 CFR

...STANDARDS-UNDERGROUND COAL MINES Underground High-Voltage Distribution High-Voltage Longwalls § 75.827 Guarding of trailing cables. (a) Guarding. (1) The high-voltage cable must be guarded in the following...

2013-07-01

247

30 CFR 75.827 - Guarding of trailing cables.  

Code of Federal Regulations, 2010 CFR

...Distribution High-Voltage Longwalls § 75.827 Guarding of trailing cables. (a) Guarding. (1) The high-voltage cable must be guarded in the following locations: (i) From the power center cable coupler for a distance of 10...

2010-07-01

248

30 CFR 57.12080 - Bare conductor guards.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 2013-07-01 false Bare conductor guards. 57.12080 Section 57.12080... Underground Only § 57.12080 Bare conductor guards. Trolley wires and bare power conductors shall be guarded at mantrip loading...

2013-07-01

249

30 CFR 57.14112 - Construction and maintenance of guards.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Construction and maintenance of guards. 57.14112 Section 57...Machinery and Equipment Safety Devices and Maintenance Requirements § 57.14112 Construction and maintenance of guards. (a) Guards shall be...

2013-07-01

250

Automata on Guarded Strings and Applications  

Microsoft Academic Search

Guarded strings are like ordinary strings over a finite alphabet P, except that atoms of the free Boolean algebra on a set of atomic tests B alternate with the symbols of P. The regular sets of guarded strings play the same role in Kleene algebra with tests as the regular sets of ordinary strings do in Kleene algebra. In this

Dexter Kozen

251

Static Guard Analysis in Timed Automata Verification  

Microsoft Academic Search

By definition Timed Automata have an infinite state-space, thus for verification purposes, an exact finite abstraction is required. We propose a location- based finite zone abstraction, which computes an abstraction based on the rele- vant guards for a particular state of the model (as opposed to all guards). We show that the location-based zone abstraction is sound and complete with

Gerd Behrmann; Patricia Bouyer; Emmanuel Fleury; Kim Guldstrand Larsen

2003-01-01

252

The Provision of Hospital Chaplaincy in the United States: A National Overview  

Microsoft Academic Search

Over the past 25 years, the Joint Commission for the Accreditation of Healthcare Organizations has changed its guide- lines regarding religious\\/spiritual care of hospitalized patients to increase attention concerning this aspect of hospital-based care. Lit- tle empirical evidence assesses the extent to which hospitals relied on hospital chaplains as care providers during these years. This study investigates (1) the extent

Wendy Cadge; Jeremy Freese; Nicholas A. Christakis

253

46 CFR 111.50-9 - Disconnecting and guarding.  

Code of Federal Regulations, 2012 CFR

...ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Overcurrent Protection § 111.50-9 Disconnecting and guarding. Disconnecting and guarding of overcurrent protective devices must meet Part IV of...

2012-10-01

254

Subjective and objective outcomes of tympanoplasty surgery at National Hospital Abuja, Nigeria 2005-2009.  

PubMed

The objective of this study is to determine the subjective and objective outcomes of tympanoplasty surgery carried out in patients with otitis media and to identify factors responsible for these outcomes. The study setting is tertiary care urban referral hospital in a developing economy and the study methodology is a prospective analysis of patients with diagnosis of chronic suppurative otitis media that had tympanoplasty with or without mastoidectomy between May 2005 and September 2009 at National Hospital Abuja. Subjects were evaluated for age, sex, size and site of perforation, status of operated ear(s) (dry/discharging), status of the contralateral ear, surgical technique, subjective and objective pre-operative and post-operative hearing scores, average post-operative follow-up time, and post-operative complications, and results were statistically analyzed. A total of 45 patients (51 ears) were operated. Age distribution was 8-52 years. Type 1 tympanoplasty was done in 41 patients and Type 3 in 4 patients. Seven of the patient had concomitant mastoid surgery (cortical mastoidectomy). 3/51 of the cases had discharging ears at surgery. 16/45 of the patients (19/51 ears) had cartilage graft tympanoplasty, while 29/45 (32 ears) had temporalis fascia tympanoplasty. 15/16 of the cartilage group as well as 26/29 of the fascia group reported subjective hearing improvement, whilst the actual graft take was 12/16 of the cartilage group and 23/29 of the fascia group. Objective hearing improvement was observed in all of the cartilage as well as 26/29 of the fascia group. This study confirms success of tympanoplasty among Nigerians, and recommends that subjective hearing assessment should form part of indicators for success following tympanoplasty. PMID:20972573

Olusesi, Abiodun Daud; Opaluwah, Emmanuel; Hassan, Sherifat Bolanle

2010-10-23

255

National Trends in Hospitalizations for Pediatric Community-Acquired Pneumonia and Associated Complications  

PubMed Central

Objective To determine current rates of and trends in hospitalizations for community-acquired pneumonia (CAP) and CAP - associated complications in children. Methods We performed a cross-sectional retrospective cohort study using the 1997, 2000, 2003, and 2006 Kids’ Inpatient Database. National estimates for CAP and CAP - associated local and systemic complications were calculated for children ? 18 years of age using complex survey statistics. Patients with comorbid conditions or in-hospital birth status were excluded. Percent change was calculated using 1997 (pre-PCV7) and 2006 (post-PCV7) data. Results There were a combined 619,102 discharges for 1997, 2000, 2003, and 2006 after inclusion and exclusion criteria were applied. Overall rates of CAP discharges did not change substantially between 1997 and 2006, but stratification by age revealed a 22% decrease for children < 1 year, minimal change for children 1–5 years, and an increase in rates for children 6–12 years (22%) and ? 13 years (41%). Rates of systemic complications were highest among children < 1 year but decreased by 36%. In all other age groups, systemic complication rates remained stable. Rates of local complications increased 78% overall, from 5.4 to 9.6 per 100,000. Children ages 1–5 years had the highest rate of local complications (16.5 per 100,000). Conclusions Since the introduction of PCV7 in 2000, rates of CAP-associated systemic complications decreased only in children < 1 year of age. Rates of pediatric CAP-associated local complications are increasing in all age groups. More research is needed to determine the factors underlying these trends.

Lee, Grace E.; Lorch, Scott A.; Sheffler-Collins, Seth; Kronman, Matthew P.; Shah, Samir S.

2010-01-01

256

Registration of acute medical hospital admissions in the Danish National Patient Registry: a validation study  

PubMed Central

Background In recent years, the number of acute hospital admissions has increased and this has imposed both organizational and financial strains on the health care system. Consequently, it is of crucial importance that we have valid data on admission types in the administrative databases in order to provide data for health care planning and research. Objective To examine the validity of registration of acute admissions among medical patients in the Danish National Patient Registry (DNPR) using medical record reviews as the reference standard. Methods We used the nationwide DNPR to identify a sample of 160 medical patients admitted to a hospital in the North Denmark Region during 2009. Data on admission type was obtained from the DNPR and confirmed by a medical record review. We computed positive predictive values, sensitivity, and specificity including 95% confidence intervals (CI) using the medical record review as the reference standard. Results Among the 160 medical inpatients identified in the DNPR, 128 were registered with an acute admission, and 32 were registered with a nonacute admission. Two medical records could not be located. Thus, the analyses included 158 medical patients. Among the 127 patients registered with acute admission, 124 were confirmed to be correctly classified. Correspondingly, 28 of the 31 patients with a registered nonacute admission were confirmed to be correctly classified. The overall positive predictive value of the acute admissions among medical patients was 97.6% (95% CI, 93.8%–99.3%). Sensitivity was 97.6% (95% CI, 93.8%–99.3%) and specificity was 90.3% (95% CI, 76.4%–97.2%). Conclusion The registration of acute admission among medical patients in the DNPR has high validity.

Vest-Hansen, Betina; Riis, Anders Hammerich; Christiansen, Christian Fynbo

2013-01-01

257

Holmium Laser Enucleation of Prostate for Benign Prostatic Hyperplasia: Seoul National University Hospital Experience  

PubMed Central

Purpose The objective of this study was to report the experience acquired at the Seoul National University Hospital with Holmium Laser Enucleation of Prostate (HoLEP), combined with mechanical morcellation for symptomatic benign prostatic hyperplasia (BPH). Methods A retrospective review was performed on the clinical data of 309 consecutive patients who underwent HoLEP at our institution between July 2008 and June 2010. All patients were evaluated preoperatively for prostate volume by transrectal ultrasound, maximum urinary flow rate (Qmax), International Prostate Symptoms Score (IPSS) and quality of life (QoL) score. Peri- and postoperative parameters were evaluated and patients were followed-up at 1-, 3-, 6-, and 12- months with the aforementioned investigations. Results The patients' mean age was 68.3 (±6.5) years and mean prostate volume was 55.6 (±23.6) mL. Mean enucleation time was 56.2 (±25.1) minutes, mean morcellation time was 11.3 (±9.5) minutes, and the mean resected weight of the prostate was 20.8 (±16.9) g. The mean catheter indwelling period was 1.9 (±1.7) days and mean hospital stay was 2.9 (±1.5) days. Significant improvement was noted in Qmax, IPSS, and QoL at the 1-year follow-up compared with baseline (P<0.01). At 1 month 17.2% of patients complained of irritative urinary symptoms, which were typically self-limiting within 3 months. Transient stress incontinence was reported in 15.2% of patients. No patient experienced persistent obstructive symptoms that required reoperation. Conclusions Our study showed that HoLEP is a safe and effective therapeutic modality for BPH.

Bae, Jungbum; Choo, Minsoo; Park, Ji Hyun; Oh, Jin Kyu; Paick, Jae-Seung

2011-01-01

258

Burns mortality and hospitalization time — a prospective statistical study of 352 patients in an Asian National Burn Centre  

Microsoft Academic Search

A prospective study of 352 patients in an Asian National Burn Centre has been used to develop statistical predictive models for mortality and hospitalization time. The patients are largely of Asian origin. Total burn surface area (% TBSA) and presence of respiratory burns are significant independent predictors of mortality in the multiple logistic regression analysis with an accuracy of 98.3

M. K. Wong; R. C. K. Ngim

1995-01-01

259

Disability and Hospital Care Expenses among National Health Insurance Beneficiaries: Analyses of Population-Based Data in Taiwan  

ERIC Educational Resources Information Center

|Nationwide data were collected concerning inpatient care use and medical expenditure of people with disabilities (N = 937,944) among national health insurance beneficiaries in Taiwan. Data included gender, age, hospitalization frequency and expenditure, healthcare setting and service department, discharge diagnose disease according to the…

Lin, Lan-Ping; Lee, Jiunn-Tay; Lin, Fu-Gong; Lin, Pei-Ying; Tang, Chi-Chieh; Chu, Cordia M.; Wu, Chia-Ling; Lin, Jin-Ding

2011-01-01

260

The Implications of the National Minimum Wage for Training Practices and Skill Utilisation in the United Kingdom Hospitality Industry  

ERIC Educational Resources Information Center

|Two key issues thrown up by the 1999 introduction of the National Minimum Wage (NMW) in the United Kingdom are its likely impact on employers' training practices in low paying sectors of the economy and the implications for skills. Based on a study of the hospitality industry, this article assesses the limited significance of the differential,…

Norris, Gill; Williams, Steve; Adam-Smith, Derek

2003-01-01

261

Tubular actin filaments in tobacco guard cells  

PubMed Central

The dynamic remodeling of actin filaments in guard cells functions in stomatal movement regulation. In our previous study, we found that the stochastic dynamics of guard cell actin filaments play a role in chloroplast movement during stomatal movement. In our present study, we further found that tubular actin filaments were present in tobacco guard cells that express GFP-mouse talin; approximately 2.3 tubular structures per cell with a diameter and height in the range of 1–3 µm and 3–5 µm, respectively. Most of the tubular structures were found to be localized in the cytoplasm near the inner walls of the guard cells. Moreover, the tubular actin filaments altered their localization slowly in the guard cells of static stoma, but showed obvious remodeling, such as breakdown and re-formation, in moving guard cells. Tubular actin filaments were further found to be colocalized with the chloroplasts in guard cells, but their roles in stomatal movement regulation requires further investigation.

Chu, Cui-Ping; Liu, Zhao-Hua; Hu, Zi-Ying

2011-01-01

262

Fluorescence Properties of Guard Cell Chloroplasts  

PubMed Central

The presence of chloroplasts in guard cells from leaf epidermis, coleoptile, flowers, and albino portions of variegated leaves was established by incident fluorescence microscopy, thus confirming the notion that guard cell chloroplasts are remarkably conserved. Room temperature emission spectra from a few chloroplasts in a single guard cell of Vicia faba showed one major peak at around 683 nanometers. Low-temperature (77 K) emission spectra from peels of albino portions of Chlorophytum comosum leaves and from mesophyll chloroplasts of green parts of the same leaves showed major peaks at around 687 and 733 nanometers, peaks usually attributed to photosystem II and photosystem I pigment systems, respectively. Spectra of peels of V. faba leaves showed similar peaks. However, fluorescence microscopy revealed that the Vicia peels, as well as those from Allium cepa and Tulipa sp., were contaminated with non-guard cell chloroplasts which were practically undetectable under bright field illumination. These observations pose restrictions on the use of epidermal peels as a source of isolated guard cell chloroplasts. Studies on the 3-(3,4-dichlorophenyl)-1,1-dimethylurea-sensitive variable fluorescence kinetics of uncontaminated epidermal peels of C. comosum indicated that guard cell chloroplasts operate a normal, photosystem II-dependent, linear electron transport. The above properties in combination with their reported inability to fix CO2 photosynthetically may render the guard cell chloroplasts optimally suited to supply the reducing and high-energy phosphate equivalents needed to sustain active ion transport during stomatal opening in daylight.

Zeiger, Eduardo; Armond, Paul; Melis, Anastasios

1981-01-01

263

Retrivability in The Danish National Hospital Registry of HIV and hepatitis B and C coinfection diagnoses of patients managed in HIV centers 1995–2004  

Microsoft Academic Search

BACKGROUND: Hospital-based discharge registries are used increasingly for longitudinal epidemiological studies of HIV. We examined completeness of registration of HIV infections and of chronic hepatitis B (HBV) and hepatitis C (HCV) coinfections in the Danish National Hospital Registry (DNHR) covering all Danish hospitals. METHODS: The Danish HIV Cohort Study (DHCS) encompasses all HIV-infected patients treated in Danish HIV clinics since

Niels Obel; Hanne Reinholdt; Lars H Omland; Frederik Engsig; Henrik T Sørensen; Ann-Brit E Hansen

2008-01-01

264

Indications for percutaneous coronary interventions performed in U.S. Hospitals: a report from the National Cardiovascular Data Registry  

PubMed Central

Background There are many factors hypothesized as contributing to overuse of percutaneous coronary intervention (PCI) in the United States (U.S.), including financial ties between physicians and hospitals, but empirical data are lacking. We examined PCI indications in not-for-profit (NFP), major teaching, for-profit (FP) and physician-owned specialty hospitals. Methods A retrospective cohort study of 1,113,554 patients who underwent PCI in 694 hospitals (NFP=471, teaching=131, FP=79, specialty=13) participating in the National Cardiovascular Data Registry® (NCDR®) CathPCI Registry® between January 1, 2004 and December 31, 2007. PCI indications derived from American College of Cardiology (ACC) Guidelines were classified as: survival benefit (patients with primary reperfusion for STEMI); potential quality of life (QOL) benefit (patients with NSTEMI, ACS, positive stress test, or chest pain); or unclear indications (patients receiving PCI without an obvious potential survival or QOL benefit). Results The percentage of PCI performed for unclear indications was somewhat higher for specialty hospitals (5.1% of all procedures) as compared with other hospital categories (FP 4.7%, NFP 4.2%, teaching 4.5%; P<0.001). Overall, 17% of hospitals had 20% or more of their total PCI procedures performed for unclear indications but the proportion of FP, NFP, teaching, and specialty hospitals reaching this threshold was not statistically different (20%, 16%, 17% and 15% respectively; P=.84). Conclusions A small proportion of PCI procedures were performed in patients with unclear indications, but there was wide variation across hospitals. On average, specialty hospitals performed more PCIs for unclear indications. Efforts to reduce variability should be pursued.

Cram, Peter; House, John A.; Messenger, John; Piana, Robert N.; Horwitz, Phillip A; Spertus, John A.

2011-01-01

265

49 CFR 213.141 - Self-guarded frogs.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Self-guarded frogs. 213.141 Section 213.141 Transportation...Track Structure § 213.141 Self-guarded frogs. (a) The raised guard on a self-guarded frog shall not be worn more than...

2010-10-01

266

49 CFR 213.141 - Self-guarded frogs.  

Code of Federal Regulations, 2010 CFR

...2009-10-01 2009-10-01 false Self-guarded frogs. 213.141 Section 213.141 Transportation...Track Structure § 213.141 Self-guarded frogs. (a) The raised guard on a self-guarded frog shall not be worn more than...

2009-10-01

267

46 CFR 4.03-20 - Coast Guard district.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Coast Guard district. 4.03-20 Section 4.03-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES... Definitions § 4.03-20 Coast Guard district. A Coast Guard district...

2012-10-01

268

46 CFR 4.03-20 - Coast Guard district.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Coast Guard district. 4.03-20 Section 4.03-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES... Definitions § 4.03-20 Coast Guard district. A Coast Guard district...

2011-10-01

269

Vitamin B Supplements May Guard Against Stroke  

MedlinePLUS

... enable JavaScript. Vitamin B Supplements May Guard Against Stroke Review found they reduced risk by 7 percent, ... September 18, 2013 Related MedlinePlus Pages B Vitamins Stroke WEDNESDAY, Sept. 18 (HealthDay News) -- Taking vitamin B ...

270

Livestock Guarding Dogs: Protecting Sheep from Predators.  

National Technical Information Service (NTIS)

A livestock guarding dog is one that generally stays with sheep without harming them and aggressively repels predators. The dog chooses to remain with sheep because it has been reared from puppyhood with them. Its protective behaviors are largely instinct...

1999-01-01

271

Microtubules of guard cells are light sensitive.  

PubMed

Guard cells of stomata are characterized by ordered bundles of microtubules radiating from the ventral side toward the dorsal side of the cylindrical cell. It was suggested that microtubules play a role in directing the radial arrangement of the cellulose micro-fibrils of guard cells. However, the role of microtubules in daily cycles of opening and closing of stomata is not clear. The organization of microtubules in guard cells of Commelina communis leaves was studied by analysis of three-dimensional immunofluorescent images. It was found that while guard cell microtubules in the epidermis of leaves incubated in the light were organized in parallel, straight and dense bundles, in the dark they were less straight and oriented randomly near the stomatal pore. The effect of blue and red light on the organization of guard cell microtubules resembled the effects of white light and dark respectively. When stomata were induced to open in the dark with fusicoccin, microtubules remained in the dark configuration. Furthermore, when incubated in the light, guard cell microtubules were more resistant to oryzalin. Similarly, microtubules of Arabidopsis guard cells, expressing green fluorescent protein-tubulin alpha 6, were disorganized in the dark, but were organized in parallel arrays in the presence of white light. The dynamics of microtubule rearrangement upon transfer of intact leaves from dark to light was followed in single stomata, showing that an arrangement of microtubules typical for light conditions was obtained after 1 h in the light. Our data suggest that microtubule organization in guard cells is responsive to light signals. PMID:15169939

Lahav, Maoz; Abu-Abied, Mohamad; Belausov, Eduard; Schwartz, Amnon; Sadot, Einat

2004-05-01

272

Improved catalyst loading reduces guard reactor fouling  

Microsoft Academic Search

A new catalyst-loading strategy reduced the fouling tendency of the gas oil hydrotreater guard reactors at Syncrude Canada Ltd.'s heavy-crude upgrading facilities. Studies conducted on the guard reactors were designed to determine the thermal stability of the coker gas oil and to understand the properties of the fouling material. Small particles (described as fines) were present in the upper section

E. C. Sanford; R. P. Kirchen

1988-01-01

273

Introduction to the Prisoners Versus Guards Game  

Microsoft Academic Search

We introduce a two-player game in which one and his\\/her opponent attempt to pack as many ``prisoners'' as possible on the squares of an n-by-n checkerboard; each prisoner has to be ``protected'' by at least as many guards as the number of the other prisoners adjacent. Initially, the board is covered entirely with guards. The players take turns adjusting the

Timothy Howard; Eugen J. Ionascu; David Woolbright

2008-01-01

274

National and regional trends in heart failure hospitalization and mortality rates for Medicare beneficiaries: 1998-2008  

PubMed Central

Context Whether recent declines in ischemic heart disease and its risk factors have been accompanied by declines in heart failure (HF) hospitalization and mortality is not known. Objective To examine changes in HF hospitalization rate and 1-year mortality rate in the U.S., nationally and by state/territory. Design, Setting, and Participants 55,097,390 fee-for-service Medicare beneficiaries hospitalized between 1998 and 2008 in acute care hospitals in the U.S. and Puerto Rico admitted with a principal discharge diagnosis code for HF. Main Outcome Measures Changes in patient demographics and comorbidities, HF hospitalization rates, and 1-year mortality rates. Results The HF hospitalization rate adjusted for age, sex, and race declined from 2,845 per 100,000 person-years in 1998 to 2,007 per 100,000 person-years in 2008 (p<0.001), a relative decline of 29.5%. Age-adjusted HF-hospitalization rates declined over the study period for all race-sex categories. Black men had the lowest rate of decline (4,142 to 3,201 per 100,000 person-years) among all race-sex categories which persisted after adjusting for age (incidence rate ratio=0.81, 95% confidence interval [CI] 0.79 to 0.84). HF hospitalization rates declined significantly faster than the national mean in 16 states, and significantly slower in 3 states. Risk-adjusted 1-year mortality fell from 31.7% in 1999 to 29.6% in 2008 (p<0.001), a relative decline of 6.6%. 1-year mortality rates declined significantly in 4 states, but increased in 5 states. Conclusions The overall HF hospitalization rate declined substantially from 1998 to 2008, but at a lower rate for black men. The overall 1-year mortality rate declined slightly over the past decade, but remains high. Changes in HF hospitalization and 1-year mortality rates were uneven across states.

Chen, Jersey; Normand, Sharon-Lise T.; Wang, Yun; Krumholz, Harlan M.

2013-01-01

275

Contemporary Evidence about Hospital Strategies for Reducing 30-Day Readmissions: A National Study  

PubMed Central

Objectives We sought to determine the range and prevalence of practices being implemented by hospitals to reduce 30-day readmissions of patients with heart failure or acute myocardial infarction (AMI). Background Readmissions of patients with heart failure or AMI are both common and costly; however evidence on strategies adopted by hospitals to reduce readmission rates is limited. Methods We used a web-based survey to conduct a cross-sectional study of hospitals’ reported use of specific practices to reduce readmissions for patients with heart failure or AMI. We contacted all hospitals enrolled in the Hospital to Home (H2H) quality improvement initiative as of July 2010. Of 594 hospitals, 537 completed the survey (response rate of 90.4%). We used standard frequency analysis to describe the prevalence of key hospital practices in the areas of 1) quality improvement resources and performance monitoring, 2) medication management efforts, and 3) discharge and follow-up processes. Results Nearly 90% of hospitals agreed or strongly agreed that they had a written objective of reducing preventable readmission for patients with heart failure or AMI. More hospitals reported having quality improvement teams to reduce preventable readmissions for patients with heart failure (87%) than for patients with AMI (54%). On average, hospitals used 4.8 of 10 key practices; fewer than 3% of hospitals utilized all 10 practices. Conclusions Although most hospitals have a written objective of reducing preventable readmissions of patients with heart failure or AMI, the implementation of recommended practices varied widely. More evidence establishing the effectiveness of various practices is needed.

Bradley, Elizabeth H.; Curry, Leslie; Horwitz, Leora I.; Sipsma, Heather; Thompson, Jennifer W.; Elma, Mary Anne; Walsh, Mary Norine; Krumholz, Harlan M.

2012-01-01

276

Prospective surveillance applying the national nosocomial infection surveillance methods in a Brazilian pediatric public hospital  

Microsoft Academic Search

Background: A hospital-wide, traditional prospective surveillance for nosocomial infections was commenced in 1992 in Centro Geral de Pediatria in Minas Gerais, Brazil, to describe the epidemiology of nosocomial infection in this pediatric hospital and to implement cross-infection prevention and control policies. Methods: We performed a prospective cohort nosocomial infection surveillance of all patients receiving acute care according to the hospital-wide

J. M. M. Lopes; E. Tonelli; J. A. Lamounier; B. R. G. M. Couto; A. L. Siqueira; F. Komatsuzaki; A. P. Champs; C. E. F. Starling

2002-01-01

277

Introduction of a qualitative perinatal audit at Muhimbili National Hospital, Dar es Salaam, Tanzania  

PubMed Central

Background Perinatal death is a devastating experience for the mother and of concern in clinical practice. Regular perinatal audit may identify suboptimal care related to perinatal deaths and thus appropriate measures for its reduction. The aim of this study was to perform a qualitative perinatal audit of intrapartum and early neonatal deaths and propose means of reducing the perinatal mortality rate (PMR). Methods From 1st August, 2007 to 31st December, 2007 we conducted an audit of perinatal deaths (n = 133) with birth weight 1500 g or more at Muhimbili National Hospital (MNH). The audit was done by three obstetricians, two external and one internal auditors. Each auditor independently evaluated the cases narratives. Suboptimal factors were identified in the antepartum, intrapartum and early neonatal period and classified into three levels of delay (community, infrastructure and health care). The contribution of each suboptimal factor to adverse perinatal outcome was identified and the case graded according to possible avoidability. Degree of agreement between auditors was assessed by the kappa coefficient. Results The PMR was 92 per 1000 total births. Suboptimal factors were identified in 80% of audited cases and half of suboptimal factors were found to be the likely cause of adverse perinatal outcome and were preventable. Poor foetal heart monitoring during labour was indirectly associated with over 40% of perinatal death. There was a poor to fair agreement between external and internal auditors. Conclusion There are significant areas of care that need improvement. Poor monitoring during labour was a major cause of avoidable perinatal mortality. This type of audit was a good starting point for quality assurance at MNH. Regular perinatal audits to identify avoidable causes of perinatal deaths with feed back to the staff may be a useful strategy to reduce perinatal mortality.

Kidanto, Hussein L; Mogren, Ingrid; van Roosmalen, Jos; Thomas, Angela N; Massawe, Siriel N; Nystrom, Lennarth; Lindmark, Gunilla

2009-01-01

278

National Health and Hospital Reform Commission final report and patient-centred suggestions for reform.  

PubMed

The final report of the National Health and Hospital Reform Commission (NHHRC) called for a strengthened consumer voice and empowerment. This has salience for the development of health policy concerning chronic illnesses. This paper compares the recommendations for chronic illness care made in the NHHRC final report with suggestions made by people with chronic illness and family carers of people with chronic illness in a recent Australian study. Sixty-six participants were interviewed in a qualitative research project of the Serious and Continuing Illness Policy and Practice Study (SCIPPS). Participants were people with type II diabetes mellitus, chronic obstructive pulmonary disease or chronic heart failure. Family carers were also interviewed. Content analysis was undertaken and participants' recommendations for improving care were compared with those proposed in the NHHRC final report. Many suggestions from the participants of the SCIPPS qualitative research project appeared in the NHHRC final report, including the need to improve care coordination, health literacy and the experience of Indigenous Australians. The research project also identified important issues of family carers, immigrants and people with multiple illnesses, which were not addressed in the NHHRC final report. More specific attention is needed in health reform to improve the experience of family carers, Indigenous peoples, immigrants to Australia and people with multiple illnesses. To align more closely with their needs, health reform must be explicitly informed by the voices of people with chronic illness and their family carers. The NHHRC recommendations must be supplemented with proposals that address the needs of these people for support and the problems associated with poor care coordination. PMID:21645472

Jowsey, Tanisha; Yen, Laurann; Wells, Robert; Leeder, Stephen

2011-01-01

279

[Statistical study of dermatomycosis - observations in Sendai National Hospital over a 30 year period].  

PubMed

A statistical 30-year study of dermatomycosis in Sendai National Hospital (1968-1997) revealed many changes in the prevalent diseases: Tinea pedis and tinea unguium constantly increased during this period, and the ratio of the former associated with nail infection finally reached 30% of all tinea pedis patients. On the contrary, tinea corporis and cruris showed a remarkable decreasing tendency. Patient age distribution of each disease also showed distinctive changes, generally increasing in the older generation and decreasing in the younger. The number of patients with tinea pedis and unguium gradually increased among the middle and older generations, with the peak of the age-distribution curve shifting upward year after year. On the other hand, cases of tinea cruris among the younger generation were few in the latest years, and middle-age patients remained at a low number. In the first stage of this study the kinds of atiologic dermatophytes consisted of multiple species, but after middle period the isolation of Epidermaphyton floccosum decreased. Microsporum canis appeared first in 1976 but in the recent several years has completely disappeared. In the last few years of the period studied Trichophyton rubrum and Trichophyton mentagrophytes were the only isolates found from among all types of dermatophytoses. Infantile candidiasis remarkably increased in 1970-1975 but thereafter decreased rapidlly. Candidial intertrigo also increased in the same period but did not decrease as much thereafter and continued at the same intermediate level. The number of other types of candidiases were not greatly changed throughout the 30-year period. Malassezia infection also showed no remarkable changes, and only 20 cases of sporothrichosis were found. One case of the deep seated form of cutaneous aspergillosis was found, and this was also true of chromomycosis caused by Fonceaea pedrosoi. PMID:16465134

Kasai, Tatsuya

2006-01-01

280

[Statistical study of dermatomycosis for 30 years (1968-1997) in sendai national hospital].  

PubMed

A statistical study on dermatomycoses for the 30 years from 1968 to 1997 in the dermatologic section of Sendai National Hospital was carried out with the following results. The total number of dermatomycosis patients was 14,259 and accounted for 9.59% of all new outpatients during this period. These cases of dermatomycoses were composed of the following: dermatophytoses 10,656, candidiasis 3,287, malassezia infection 566, sporothrichosis 20, aspergillosis 7, and chromomycosis 1. Annual changes in number of dermatophytoses varied in each clinical type: tinea corporis and tinea cruris had increased by the end of the 1970s, and there after decreased gradually until recent years. Tinea pedis and tinea unguium, on the contrary, increased after the 1980s. Age distribution of all clinical forms of dermatophytoses changed gradually, and its peak of the distribution curve shifted to an older site each year, while the number of younger generation patients decreased. Mycologically Trichophyton (T.) rubrum was mainly isolated from all types of dermatophytoses, and T. mentagrophytes followed. The ratio of these two species (R/M) in tinea pedis was 1.25, and the ratio of T. mentagrophytes was relatively high. Epidermophyton floccosum was continuously isolated, but its frequency in recent years has decreased. Microsporum canis infection increased from the middle period of this research, but after 1990 decreased gradually. The other dermatophytes were found sporadically. In recent years the species isolated have become more simplified. Among candidiasis, infantile candidiasis increased dramatically in the 1970s but soon decreased. Intertrigo type also increased in the same period and then decreased to an intermediate level. Paronychia, onychia and erosio interdigitale were constantly found in small numbers, while malassezia infection remained at a constant level and was found more in male patients. PMID:15284829

Kasai, Tatsuya

2004-01-01

281

epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.  

PubMed

National evidence-based guidelines for preventing healthcare-associated infections (HCAI) in National Health Service (NHS) hospitals in England were commissioned by the Department of Health (DH) and developed during 1998-2000 by a nurse-led multi-professional team of researchers and specialist clinicians. Following extensive consultation, they were published in January 2001. These guidelines describe the precautions healthcare workers should take in three areas: standard principles for preventing HCAI, which include hospital environmental hygiene, hand hygiene, the use of personal protective equipment, and the safe use and disposal of sharps; preventing infections associated with the use of short-term indwelling urethral catheters; and preventing infections associated with central venous catheters. The evidence for these guidelines was identified by multiple systematic reviews of experimental and non-experimental research and expert opinion as reflected in systematically identified professional, national and international guidelines, which were formally assessed by a validated appraisal process. In 2003, we developed complementary national guidelines for preventing HCAI in primary and community care on behalf of the National Collaborating Centre for Nursing and Supportive Care (National Institute for Healthand Clinical Excellence). A cardinal feature of evidence-based guidelines is that they are subject to timely review in order that new research evidence and technological advances can be identified, appraised and, if shown to be effective in preventing HCAI, incorporated into amended guidelines. Periodically updating the evidence base and guideline recommendations is essential in order to maintain their validity and authority. Consequently, the DH commissioned a review of new evidence published following the last systematic reviews. We have now updated the evidence base for making infection prevention and control recommendations. A critical assessment of the updated evidence indicated that the original epic guidelines published in 2001 remain robust, relevant and appropriate but that adjustments need to be made to some guideline recommendations following a synopsis of the evidence underpinning the guidelines. These updated national guidelines (epic2) provide comprehensive recommendations for preventing HCAI in hospitals and other acute care settings based on the best currently available evidence. Because this is not always the best possible evidence, we have included a suggested agenda for further research in each section of the guidelines. National evidence-based guidelines are broad principles of best practice which need to be integrated into local practice guidelines. To monitor implementation, we have suggested key audit criteria for each section of recommendations. Clinically effective infection prevention and control practice is an essential feature of protecting patients. By incorporating these guidelines into routine daily clinical practice, patient safety can be enhanced and the risk of patients acquiring an infection during episodes of healthcare in NHS hospitals in England can be minimised. PMID:17307562

Pratt, R J; Pellowe, C M; Wilson, J A; Loveday, H P; Harper, P J; Jones, S R L J; McDougall, C; Wilcox, M H

2007-02-01

282

Maternal oral health status and preterm low birth weight at Muhimbili National Hospital, Tanzania: a case-control study  

Microsoft Academic Search

BACKGROUND: The study examined the relationship between oral health status (periodontal disease and carious pulpal exposure (CPE)) and preterm low-birth-weight (PTLBW) infant deliveries among Tanzanian-African mothers at Muhimbili National Hospital (MNH), Tanzania. METHODS: A retrospective case-control study was conducted, involving 373 postpartum mothers aged 14–44 years (PTLBW – 150 cases) and at term normal-birth-weight (TNBW) – 223 controls), using structured

Elifuraha GS Mumghamba; Karim P Manji

2007-01-01

283

Being ‘at home’ in the nation: Hospitality and sovereignty in talk about immigration  

Microsoft Academic Search

The discourse of hospitality is widely used as a way of making sense of the relationships between ‘natives’ and ‘newcomers’ established by immigration. While at first glance this seems a generous and benign system of meaning to apply to relations of immigration, the reality is more complex than this initial view suggests. Relations of hospitality are power relations in which

Avril Bell

2010-01-01

284

A National Survey of Hospital Adverse Drug Event Monitoring and Reporting Systems  

Microsoft Academic Search

The purpose of this research was to collect information concerning the systems which hospitals have developed to monitor and report adverse drug events (ADE). In addition, the attitudes and perceptions of those coordinating the program toward postmarketing surveillance of such events were investigated. The sample was stratified by hospital size. Questionnaires were sent to 725 Joint Commission for Accreditation of

Daniel S. Sum; Ashok K. Gumbhir

1996-01-01

285

A national survey on temporary and delayed abdominal closure in Norwegian hospitals  

PubMed Central

Introduction Temporary abdominal closure (TAC) is included in most published damage control (DC) and abdominal compartment (ACS) protocols. TAC is associated with a range of complications and the optimal method remains to be defined. The aim of the present study was to describe the experience regarding TAC after trauma and ACS in all acute care hospitals in a sparsely populated country with long transportation distances. Material and methods A questionnaire was sent to all 50 Norwegian hospitals with acute care general surgical services. Results The response rate was 88%. A very limited number of hospitals had treated more than one trauma patient with TAC (5%) or one patient with ACS (14%) on average per year. Most hospitals preferred vacuum assisted techniques, but few reported having formal protocols for TAC or ACS. Although most hospitals would refer patients with TAC to a trauma centre, more than 50% reported that they would perform a secondary reconstruction procedure themselves. Conclusion This study shows that most Norwegian hospitals have limited experience with TAC and ACS. However, the long distances between hospitals mandate all acute care hospitals to implement formal treatment protocols including monitoring of IAP, diagnosing and decompression of ACS, and the use of TAC. Assuming experience leads to better care, the subsequent treatment of these patients might benefit from centralization to one or a few regional centers.

2011-01-01

286

[The background of the hardships of Moabit Hospital; an aspect of German medicine under the National-Socialistic rule].  

PubMed

Under the National-Socialistic (Nazi) rule, Moabit Hospital (City Hospital of Berlin at Moabit) met various hardships. In the present communication, their sufferings and backgrounds are described as an aspect of German medicine during the Nazi regime. 1. Around April 1st, 1933, the day of an anti-Jewish boycott, the Jewish doctors, co-medical and non-medical personnel were banned from the hospital. 2. At the hospital, they were forced to perform involuntary sterilization on psychiatric patients and patients with hereditary disease, by an inhuman law. 3. Dr. Georg Groscurth, a chief physician of the hospital, was executed because of his anti-Nazi activity. His act came from his patriotism and righteous indignation against the cruelty of Nazism. 4. In comparison with the inhumanity of the Nazis and in relation to the origin of the name of the area, Moabit, the author comments on "the Prussian tolerance" realized by Elector Friedlich Wilhelm of Brandenburg. The author believes this tolerance was one of the important causes of the flourishing of German medicine in the ninteenth century. PMID:11618869

Izumi, H

1995-12-01

287

Artificial nutrition support in hospitals in the UnitedKingdom — 1994: Third national survey  

Microsoft Academic Search

ObjectiveTo determine how artificial nutrition support is used in hospitals inthe United Kingdom and to determine whether there have been any alterations in practice when compared to similar studies in 1988 (1) and 1991 (2).

J. J. Payne-James; C. J. De Gara; G. K. Grimble; D. B. A. Silk

1995-01-01

288

Hospital-based pulmonary rehabilitation in patients with COPD in Sweden--a national survey.  

PubMed

Pulmonary rehabilitation (PR) is an evidence-based, multidisciplinary and cost-effective intervention that leads to improved health in patients with chronic obstructive pulmonary disease, COPD. However, the availability of PR programs varies between and within different countries. The aim of this study was to investigate the availability and content of hospital-based PR programs in patients with COPD in Sweden. A cross-sectional descriptive design was applied using a web-based questionnaire which was sent out to all hospitals in Sweden. The questionnaire consisted of 32 questions that concerned availability and content of PR in patients with COPD during 2011. Seventy out of 71 hospitals responded the electronic survey. Forty-six (66%) hospitals offered PR for patients with COPD. Around 75% of the hospitals in southern and middle parts of Sweden and 33% of the hospitals in the northern part offered PR. Thirty-four percent of the patients declined participation. A total number of 1355 patients participated in PR which represents 0.2% of the COPD population in Sweden. All hospitals had exercise training as major component and 76% offered an educational program. Not even half a percent of the patients with COPD in Sweden took part in a hospital-based PR program during 2011. There was a considerable geographic discrepancy in availability over the country. To enable a greater part of the increasing number of patients with COPD to take part in this evidence-based treatment, there is a need of evaluating other settings of PR programs; in primary care, at home and/or over the internet. PMID:23702089

Wadell, K; Janaudis Ferreira, T; Arne, M; Lisspers, K; Ställberg, B; Emtner, M

2013-05-20

289

Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients  

Microsoft Academic Search

OBJECTIVE:We assessed nutrition status and prevalence of malnutrition in hospital patients as determined by the Subjective Global Assessment Form, awareness of patients’ nutrition status by health teams, and the use of nutrition therapy.METHODS:We enrolled 4000 hospital patients at least 18 y old who were covered by the Brazilian public health care system in a cross-sectional, multicenter epidemiologic study. We used

Dan L Waitzberg; Waleska T Caiaffa; M. Isabel T. D Correia

2001-01-01

290

A&M. Guard house (TAN638). Detail of west facade and front ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638). Detail of west facade and front door. Flood light bent below eave. Traffic control signal in view. Camera facing east. Date: February 4, 2003. INEEL negative no. HD-33-6-3 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

291

A&M. Guard house (TAN638). Oblique view of north and west ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

A&M. Guard house (TAN-638). Oblique view of north and west facades. (Door in west facade) . Facing southerly. Date: February 4, 2003. INEEL negative no. HD-33-4-3 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

292

78 FR 39595 - Safety Zone, Fifth Coast Guard District Firework Display, Pagan River; Smithfield, VA  

Federal Register 2010, 2011, 2012, 2013

...of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). This provision...Commandant Instruction M16475.lD, which guide the Coast Guard in complying with the National...LIMITED ACCESS AREAS 0 1. The authority citation for part 165 continues to read as...

2013-07-02

293

Coast Guard Polar Icebreaker Modernization: Background, Issues, and Options for Congress. (Updated May 29, 2009).  

National Technical Information Service (NTIS)

Of the Coast Guard's three polar icebreakers, two-Polar Star and Polar Sea-have exceeded their intended 30-year service lives. The Polar Star is not operational and has been in caretaker status since July 1, 2006. A 2007 report from the National Research ...

R. O'Rourke

2009-01-01

294

Coast Guard Polar Icebreaker Modernization: Background, Issues, and Options for Congress. (Updated April 29, 2009).  

National Technical Information Service (NTIS)

Of the Coast Guard's three polar icebreakers, two-Polar Star and Polar Sea-have exceeded their intended 30-year service lives. The Polar Star is not operational and has been in caretaker status since July 1, 2006. A 2007 report from the National Research ...

R. O'Rourke

2009-01-01

295

Coast Guard Polar Icebreaker Modernization: Background, Issues, and Options for Congress.  

National Technical Information Service (NTIS)

Of the Coast Guard's three polar icebreakers, two--Polar Star and Polar Sea--have exceeded their intended 30-year service lives. The Polar Star is not operational and has been in caretaker status since July 1, 2006. A 2007 report from the National Researc...

R. O'Rourke

2009-01-01

296

Coast Guard Polar Icebreaker Modernization: Background, Issues, and Options for Congress. Updated December 23, 2009.  

National Technical Information Service (NTIS)

Of the Coast Guard's three polar icebreakers, two -- Polar Star and Polar Sea -- have exceeded their intended 30-year service lives. The Polar Star is not operational and has been in caretaker status since July 1, 2006. A 2007 report from the National Res...

R. O'Rourke

2009-01-01

297

Influenza in Outpatient ILI Case-Patients in National Hospital-Based Surveillance, Bangladesh, 2007-2008  

PubMed Central

Background Recent population-based estimates in a Dhaka low-income community suggest that influenza was prevalent among children. To explore the epidemiology and seasonality of influenza throughout the country and among all age groups, we established nationally representative hospital-based surveillance necessary to guide influenza prevention and control efforts. Methodolgy/Principal Findings We conducted influenza-like illness and severe acute respiratory illness sentinel surveillance in 12 hospitals across Bangladesh during May 2007–December 2008. We collected specimens from 3,699 patients, 385 (10%) which were influenza positive by real time RT-PCR. Among the sample-positive patients, 192 (51%) were type A and 188 (49%) were type B. Hemagglutinin subtyping of type A viruses detected 137 (71%) A/H1 and 55 (29%) A/H3, but no A/H5 or other novel influenza strains. The frequency of influenza cases was highest among children aged under 5 years (44%), while the proportions of laboratory confirmed cases was highest among participants aged 11–15 (18%). We applied kriging, a geo-statistical technique, to explore the spatial and temporal spread of influenza and found that, during 2008, influenza was first identified in large port cities and then gradually spread to other parts of the country. We identified a distinct influenza peak during the rainy season (May–September). Conclusions/Significance Our surveillance data confirms that influenza is prevalent throughout Bangladesh, affecting a wide range of ages and causing considerable morbidity and hospital care. A unimodal influenza seasonality may allow Bangladesh to time annual influenza prevention messages and vaccination campaigns to reduce the national influenza burden. To scale-up such national interventions, we need to quantify the national rates of influenza and the economic burden associated with this disease through further studies.

Zaman, Rashid Uz; Alamgir, A. S. M.; Rahman, Mustafizur; Azziz-Baumgartner, Eduardo; Gurley, Emily S.; Sharker, M. Abu Yushuf; Brooks, W. Abdullah; Azim, Tasnim; Fry, Alicia M.; Lindstrom, Stephen; Gubareva, Larisa V.; Xu, Xiyan; Garten, Rebecca J.; Hossain, M. Jahangir; Khan, Salah Uddin; Faruque, Labib Imran; Ameer, Syeda Shegufta; Klimov, Alexander I.; Rahman, Mahmudur; Luby, Stephen P.

2009-01-01

298

Double-blind evaluation of the DKL LifeGuard Model 2  

SciTech Connect

On March 20, 1998, Sandia National Laboratories performed a double-blind test of the DKL LifeGuard human presence detector and tracker. The test was designed to allow the device to search for individuals well within the product`s published operational parameters. The Test Operator of the DKL LifeGuard was provided by the manufacturer and was a high-ranking member of DKL management. The test was developed and implemented to verify the performance of the device as specified by the manufacturer. The device failed to meet its published specifications and it performed no better than random chance.

Murray, D.W.; Spencer, F.W.; Spencer, D.D.

1998-05-01

299

Interim results of a national test of the rapid assessment of hospital procurement barriers in donation (RAPiD).  

PubMed

Organ donation remains a major public health challenge with over 114 000 people on the waitlist in the United States. Among other factors, extant research highlights the need to improve the identification and timely referral of potential donors by hospital healthcare providers (HCPs) to organ procurement organizations (OPOs). We implemented a national test of the Rapid Assessment of hospital Procurement barriers in Donation (RAPiD) to identify assets and barriers to the organ donation and patient referral processes; assess hospital-OPO relationships and offer tailored recommendations for improving these processes. Having partnered with seven OPOs, data were collected at 70 hospitals with high donor potential in the form of direct observations and interviews with 2358 HCPs. We found that donation attitudes and knowledge among HCPs were high, but use of standard referral criteria was lacking. Significant differences were found in the donation-related attitudes, knowledge and behaviors of physicians and emergency department staff as compared to other staff in intensive care units with high organ donor potential. Also, while OPO staff were generally viewed positively, they were often perceived as outsiders rather than members of healthcare teams. Recommendations for improving the referral and donation processes are discussed. PMID:22900761

Traino, H M; Alolod, G P; Shafer, T; Siminoff, L A

2012-08-17

300

Valid and Reliable Measurement of Nonacute Hospital Utilization in a Nationally Representative Sample: Standardized Medreview Instrument (SMI) Field Staff Training Manual (1981).  

National Technical Information Service (NTIS)

This is the training manual used with the Standardized Medreview Instrument (SMI) in the data abstraction for National Estimates of Nonacute Hospital Utilization for 1981. The manual includes introductory material, logic of the instrument, instructions fo...

C. Moynihan C. Barnes K. Peinado N. Jordan N. Thomasco

1984-01-01

301

Hospital care utilization of IVF\\/ICSI twins followed until 2 -7 years of age: a controlled Danish national cohort study  

Microsoft Academic Search

BACKGROUND: IVF\\/ICSI twins are likely to have a higher risk of prematurity associated with higher morbidity. The aim of this study was to assess the use of hospital care resources in IVF\\/ICSI twins on data retrieved until 2 - 7 years of child age. METHODS: National controlled cohort study on hospital admissions and surgical interventions in 3393 IVF twins, 10

Anja Pinborg; Anne Loft; Steen Rasmussen; Anders Nyboe Andersen

302

National in-hospital morbidity and mortality trends after lumbar fusion surgery between 1998 and 2008.  

PubMed

Increasing numbers of posterior lumbar fusions are being performed. The purpose of this study was to identify trends in demographics, mortality and major complications in patients undergoing primary posterior lumbar fusion. We accessed data collected for the Nationwide Inpatient Sample for each year between 1998 and 2008 and analysed trends in the number of lumbar fusions, mean patient age, comorbidity burden, length of hospital stay, discharge status, major peri-operative complications and mortality. An estimated 1 288 496 primary posterior lumbar fusion operations were performed between 1998 and 2008 in the United States. The total number of procedures, mean patient age and comorbidity burden increased over time. Hospital length of stay decreased, although the in-hospital mortality (adjusted and unadjusted for changes in length of hospital stay) remained stable. However, a significant increase was observed in peri-operative septic, pulmonary and cardiac complications. Although in-hospital mortality rates did not change over time in the setting of increases in mean patient age and comorbidity burden, some major peri-operative complications increased. These trends highlight the need for appropriate peri-operative services to optimise outcomes in an increasingly morbid and older population of patients undergoing lumbar fusion. PMID:22371544

Pumberger, M; Chiu, Y-L; Ma, Y; Girardi, F P; Mazumdar, M; Memtsoudis, S G

2012-03-01

303

Still making progress to improve the hospital workplace environment? Results from the 2008 National Survey of Registered Nurses.  

PubMed

Despite the majority of RNs perceiving a shortage of nurses, findings from the 2008 National Survey of RNs indicate the hospital workplace improved in several areas compared to a 2006 survey. Improvements included the time RNs spend with patients, quality of nursing care, and a decreasing impact of the shortage on delaying nurses' responses to pages or calls, staff communication, patients' wait time for surgery, and timeliness and efficiency of care. Areas the environment was perceived to have worsened included overtime hours, sexual harassment/hostile, and physical violence. RNs hold mixed views about the consequences of reporting errors and mistakes with a majority agreeing that reporting them had led to positive changes to prevent future errors, but that mistakes were held against them. Overall, results suggest that hospital managers can be reassured that their efforts to improve the workplace environment are having their intended effect but, at the same time, important areas for improvement remain. PMID:19927444

Buerhaus, Peter I; DesRoches, Catherine; Donelan, Karen; Hess, Robert

304

30 CFR 56.14112 - Construction and maintenance of guards.  

Code of Federal Regulations, 2013 CFR

...Construction and maintenance of guards. (a) Guards shall be constructed and maintained toâ (1) Withstand the vibration, shock, and wear to which they will be subjected during normal operation; and (2) Not create a hazard by their use....

2013-07-01

305

Readiness of the U.S. Coast Guard.  

National Technical Information Service (NTIS)

Continuing problems may prevent the Coast Guard from successfully carrying out its ongoing peacetime missions and assuming additional tasks to support Navy operations in wartime. Specifically, GAO found difficulties in assigning the Coast Guard wartime ta...

1982-01-01

306

46 CFR 107.117 - Coast Guard addresses.  

Code of Federal Regulations, 2012 CFR

...107.117 Section 107.117 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS INSPECTION AND CERTIFICATION General § 107.117 Coast Guard addresses. When approval of...

2012-10-01

307

33 CFR 118.30 - Action by Coast Guard.  

Code of Federal Regulations, 2013 CFR

...30 Section 118.30 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES BRIDGE LIGHTING AND OTHER SIGNALS § 118.30 Action by Coast Guard. (a) The District Commander receiving the application...

2013-07-01

308

33 CFR 118.30 - Action by Coast Guard.  

Code of Federal Regulations, 2010 CFR

...30 Section 118.30 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES BRIDGE LIGHTING AND OTHER SIGNALS § 118.30 Action by Coast Guard. (a) The District Commander receiving the...

2010-07-01

309

National strategy for mass casualty situations and its effects on the hospital.  

PubMed

A mass-casualty situation (MCS) usually is short in duration and resolves itself. To minimize the risks to patients during MCS, planning is essential. This article summarizes the preparations needed at the hospital level, for a local MCS involving numerous trauma victims arriving to the Emergency Department at a short notice. Experiences and conclusions related to the implementation of the Israeli strategy in one hospital that combines the responsibilities of both the military and civilians are summarized. The Ministry of Health distributes the master MCS plan to each hospital where a local committee adapts it to the specific situation in a format of standing orders. After its approval by the Ministry of Health, an annual inspection is conducted to check the ability of the staff to manage a MCS. A full-scale drill is conducted every second year during which each site's readiness level and the continuity of the flow of care are tested. In building the strategy for treating trauma victims during a MCS, a few assumptions were taken into account. The goal of treatment in a MCS is to deliver an acceptable quality of care while preserving as many lives as is possible. In theory, the capacity of the hospital is its ability to manage a load of patients in the range of 20% of the hospital bed capacity. Planning and drilling are the ways to minimize deviations from the guidelines and to avoid management mistakes. Special attention should be paid to problems related to the initial phase of receiving the first message, outside communication, inside hospital communication, and staff recruitment. Other issues include: free access to the hospital; opening a public information center; and dealing with the media and very important persons (VIPs). A new method for creating the needed MCS plan in the hospital is suggested. It is based upon knowledge of management techniques that used multi-level documents, which are spread via Intranet between the different key figures. Using this method, it is possible to keep the strategy, the source documentation, and reasons for choosing it, as well as immediate release of checklists for each functions. This detailed, time consuming work is worthwhile in the long run, when the benefits of easy updating and better preparedness are apparent. PMID:12357558

Levi, Leon; Michaelson, Moshe; Admi, Hanna; Bregman, David; Bar-Nahor, Ronen

310

Improved mouth guard design for protection and comfort  

Microsoft Academic Search

Mouth guards worn during contact sports have been shown to provide considerable protection against traumatic injuries to the teeth and supporting structures. Of the 3 types available, the custom-made mouth guard is considered superior to stock and mouth-formed mouth guards. The procedure for making a special mouth guard designed for protection and comfort is described. (J Prosthet Dent 1999;82:627-30.)

Trakol Mekayarajjananonth; Sheldon Winkler; Parnupong Wongthai

1999-01-01

311

The Incidence and Repetition of Hospital-Treated Deliberate Self Harm: Findings from the World's First National Registry  

PubMed Central

Background Suicide is a significant public health issue with almost one million people dying by suicide each year worldwide. Deliberate self harm (DSH) is the single most important risk factor for suicide yet few countries have reliable data on DSH. We developed a national DSH registry in the Republic of Ireland to establish the incidence of hospital-treated DSH at national level and the spectrum and pattern of presentations with DSH and repetition. Methods and Findings Between 2003 and 2009, the Irish National Registry of Deliberate Self Harm collected data on DSH presentations to all 40 hospital emergency departments in the country. Data were collected by trained data registration officers using standard methods of case ascertainment and definition. The Registry recorded 75,119 DSH presentations involving 48,206 individuals. The total incidence rate fell from 209 (95% CI: 205–213) per 100,000 in 2003 to 184 (95% CI: 180–189) per 100,000 in 2006 and increased again to 209 (95% CI: 204–213) per 100,000 in 2009. The most notable annual changes were successive 10% increases in the male rate in 2008 and 2009. There was significant variation by age with peak rates in women in the 15–19 year age group (620 (95% CI: 605–636) per 100,000), and in men in the 20–24 age group (427 (95% CI: 416–439) per 100,000). Repetition rates varied significantly by age, method of self harm and number of previous episodes. Conclusions Population-based data on hospital-treated DSH represent an important index of the burden of mental illness and suicide risk in the community. The increased DSH rate in Irish men in 2008 and 2009 coincided with the advent of the economic recession in Ireland. The findings underline the need for developing effective interventions to reduce DSH repetition rates as a key priority for health systems.

Perry, Ivan J.; Corcoran, Paul; Fitzgerald, Anthony P.; Keeley, Helen S.; Reulbach, Udo; Arensman, Ella

2012-01-01

312

Emergency department physician training in Jamaica: a national public hospital survey  

Microsoft Academic Search

BACKGROUND: Emergency Department (ED) medical officers are often the first medical responders to emergencies in Jamaica because pre-hospital emergency response services are not universally available. Over the past decade, several new ED training opportunities have been introduced locally. Their precise impact on the health care system in Jamaica has not yet been evaluated. We sought to determine the level of

Ivor W Crandon; Hyacinth E Harding; Shamir O Cawich; Eric W Williams; Jean Williams-Johnson

2008-01-01

313

National Hospital Rate-Setting Study. Volume VI. Case Study of Prospective Reimbursement in New Jersey.  

National Technical Information Service (NTIS)

Prospective reimbursement in New Jersey began in 1969 as a voluntary program under the auspices of the New Jersey Hospital Association but was converted in 1974 into a mandatory program under the administration of the Department of Health. When the curren...

N. Worthington J. Cromwell G. Kamens J. Kanak

1979-01-01

314

Education Program Cost Reimbursement in University Hospitals. Is There a Coherent National Policy?  

ERIC Educational Resources Information Center

|Medicare reimbursement for educational program costs is a quagmire of conflicting rules, regulations, laws, procedures, and precedents. The reimbursement principles in force fail to recognize the special value to patient care provided by the integration of the university hospital with an academic health sciences center and are illogical and…

Jeddeloh, Norman P.

1981-01-01

315

Risk Factors for Violent Offending in Autism Spectrum DisorderA National Study of Hospitalized Individuals  

Microsoft Academic Search

Little is known about risk factors for violence among individuals with autism spectrum disorder (ASD). This study uses data from Swedish longitudinal registers for all 422 individuals hospitalized with autistic disorder or Asperger syndrome during 1988-2000 and compares those committing violent or sexual offenses with those who did not. Thirty-one individuals with ASD (7%) were convicted of violent nonsexual crimes

Niklas Långström; Martin Grann; Vladislav Ruchkin; Gabrielle Sjöstedt; Seena Fazel

2009-01-01

316

United States National Hospital Survey of Anaerobic Culture and Susceptibility Methods, II  

Microsoft Academic Search

To assess the status of clinical anaerobic bacteriology in the United States, we surveyed (by means of a questionnaire) 120 hospitals selected at random with bed capacities of 200-1000, and we received responses from 78 (65%), all of which performed some degree of clinical anaerobic microbiology. Separate anaerobic blood culture bottles were used by 73 labs (94%) (median, 450 specimens\\/mo):

Ellie J. C. Goldstein; Diane M. Citron; Ronald J. Goldman; Marina C. Claros; Sharon Hunt-Gerrado

1995-01-01

317

Education Program Cost Reimbursement in University Hospitals. Is There a Coherent National Policy?  

ERIC Educational Resources Information Center

Medicare reimbursement for educational program costs is a quagmire of conflicting rules, regulations, laws, procedures, and precedents. The reimbursement principles in force fail to recognize the special value to patient care provided by the integration of the university hospital with an academic health sciences center and are illogical and…

Jeddeloh, Norman P.

1981-01-01

318

Risk Factors for Violent Offending in Autism Spectrum Disorder: A National Study of Hospitalized Individuals  

ERIC Educational Resources Information Center

Little is known about risk factors for violence among individuals with autism spectrum disorder (ASD). This study uses data from Swedish longitudinal registers for all 422 individuals hospitalized with autistic disorder or Asperger syndrome during 1988-2000 and compares those committing violent or sexual offenses with those who did not. Thirty-one…

Langstrom, Niklas; Grann, Martin; Ruchkin, Vladislav; Sjostedt, Gabrielle; Fazel, Seena

2009-01-01

319

Schools Wrestle with Issue of Armed Guards  

ERIC Educational Resources Information Center

|This article discusses the March 21, 2005, shootings at Red Lake High School that brought to light an issue of whether school security personnel should be armed. Among the what-ifs being asked after the shootings at Red Lake High is one with uncomfortable implications for many school leaders: What if the two security guards posted near the…

Trotter, Andrew

2005-01-01

320

The Mechanism of Guard Cell Movement  

ERIC Educational Resources Information Center

|Leaves of higher terrestrial plants have small pores--stomata--responsible for gas exchange. The opening of each stoma results from the osmotic uptake of water by two specialised cells--the guard cells. Because of the involvement in this mechanism of ATPase-proton pumps and active transport of ions across membranes, we have designed an Exploring…

Marques, M.; Arrabaca, J.; Chagas, I.

2005-01-01

321

US Coast Guard oil pollution control programs  

Microsoft Academic Search

Each year over a million tons of crude oil leaks from tankers and ships, while half as much again is deliberately dumped into the sea. This says nothing about 100,000 tons seeping out of offshore wells. There are many ways of reducing maritime pollution and the Coast Guard is continually exploring new ones. Response, for example, is an approach that

1972-01-01

322

Controlling Object Allocation Using Creation Guards  

Microsoft Academic Search

Abstract. Sharing of objects between difierent modules is often necessary to meet speed and resource demands. The invariants that describe properties of shared objects are di?cult to maintain because they can be falsiflable by object allocation. This paper introduces creation guards to obtain a sound and modular methodology that supports such invariants. Keywords: invariants, object allocation, speciflcation, veriflcation, ob-

Cees Pierik; Dave Clarke; Frank S. De Boer

2005-01-01

323

Recovering Data Models via Guarded Dependences  

Microsoft Academic Search

This paper presents an algorithm for reverse engineering semantically sound object-oriented data models from pro- grams written in weakly-typed languages like Cobol. Our inference is based on a novel form of guarded transitive data dependence, and improves upon prior semantics-based model inference algorithms by producing simpler, easier to understand, models, and by inferring them more efficiently.

Raghavan Komondoor; Ganesan Ramalingam

2007-01-01

324

A new Coast Guard search technique  

Microsoft Academic Search

For three years the US Coast Guard Research and Development Center has been developing a novel airborne search technique. It shows promise of detecting liferafts with a 95% probability at a search rate of 250 nmi2\\/hr. An experimental design is presented in which the Naval Air Development Center modifies a high-performance IR (infrared) scanner to record on magnetic tape. The

1988-01-01

325

Operation of a Guarded Straddle Packer System.  

National Technical Information Service (NTIS)

The Office of Nuclear Waste Isolation (ONWI) provided funds, during FY 1981, for design and construction of an S-CUBED patented guarded straddle packer (GSP) system. This unique four-packer system was developed to fill a void in current drill-stem testing...

E. Peterson F. Burns P. Lagus K. Lie E. Wu

1983-01-01

326

Probabilistic Role Models and the Guarded Fragment  

Microsoft Academic Search

We propose a uniform semantic frame- work for interpreting probabilistic con- cept subsumption and probabilistic role quantification through statistical sam- pling distributions. This general se- mantic principle serves as the founda- tion for the development of a proba- bilistic version of the guarded fragment of first-order logic. A characterization of equivalence in that logic in terms of bisimulations is given.

Manfred Jaeger

2006-01-01

327

Portable Extinguisher Evaluation for Coast Guard Cutters.  

National Technical Information Service (NTIS)

This test series evaluated existing extinguishers for use against incipient Class B fires occurring in machinery spaces aboard Coast Guard cutters. The tests were conducted on a full-scale machinery space mockup constructed inside a cargo hold on the SS M...

D. E. Beene R. C. Richards

1978-01-01

328

United States Coast Guard Recycling Guide.  

National Technical Information Service (NTIS)

In accordance with the Pollution Prevention Act of 1990, the United States Coast Guard (CG) is committed to a pollution prevention program that will improve the quality of the environment. A key element of this program is the minimization of municipal, in...

1996-01-01

329

Coast Guard's Response to Spilled Oil  

ERIC Educational Resources Information Center

|The Coast Guard utilizes a number of monitoring detectors, sensors, and techniques to find, recover and identify oil spills. Discussed in this article are in-situ and airborne sensors, systems developed to provide clean-up capability such as air deployable anti-pollution transfer system (ADAPTS), and techniques which will determine the source of…

Ard, R. W., Jr.

1976-01-01

330

Work Relations and Cynicism Among Prison Guards  

Microsoft Academic Search

While researchers have recently focused their attention on cynicism as a role characteristic of prison guards, they have tended to view cynicism as a consequence of the organization of prison work and have not examined the attitude as the outcome of interaction with others in the institution. The present research explores the feasibility of this line of explanation. Data for

Eric D. Poole; Robert M. Regoli

1980-01-01

331

Schools Wrestle with Issue of Armed Guards  

ERIC Educational Resources Information Center

This article discusses the March 21, 2005, shootings at Red Lake High School that brought to light an issue of whether school security personnel should be armed. Among the what-ifs being asked after the shootings at Red Lake High is one with uncomfortable implications for many school leaders: What if the two security guards posted near the…

Trotter, Andrew

2005-01-01

332

46 CFR 167.40-30 - Guards and rails.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Guards and rails. 167.40-30 Section 167.40-30...Requirements § 167.40-30 Guards and rails. On nautical school ships all exposed...properly protected with covers, guards, or rails, in order that the danger of...

2011-10-01

333

Effects of wrist guard and arrest strategies on impact force  

Microsoft Academic Search

Wrist guards are one of the protective devices widely used for preventing from a distal radius fracture during in-line skating and snowboard-related activities. However, more than half of the people wearing wrist guards sustained a fracture of the wrist on forward falls. The purpose of this study was to evaluate the three factors, materials of wrist guard, fall heights and

S. Z. Lou; H. C. Chen; C. L. Lee; H. C. Wu; J. Y. You

334

Olfactory cues and Vespula wasp recognition by honey bee guards  

Microsoft Academic Search

Guard honey bees patrol the entrance to the nest and are thought to recognise nestmates by cuticular hydrocarbons. We aimed to determine whether honey bee guards can recognise predatory common wasps Vespula vulgaris and nestmates by olfactory cues. Odours were transferred between both honey bees and wasps and the responses of guards to controlled introductions monitored. When controlling for the

Matthew J. Wood; Francis L. W. Ratnieks

2004-01-01

335

Social Role Self-Perceptions of State Prison Guards  

Microsoft Academic Search

Penal institutions determine their expectations of their own guards' social role. The adequate performance of this social role, however, is dependent on the self-perceptions of the guards and the extent to which their own expectations are associated with those of the institutions. The following research was conducted to find out the influence of self-perceptions of prison guards on their social

Peter O. Peretti; Margaret Hooker

1976-01-01

336

41 CFR 50-204.5 - Machine guarding.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 2013-07-01 false Machine guarding. 50-204.5 Section 50-204...Safety and Health Standards § 50-204.5 Machine guarding. (a) One or more methods of machine guarding shall be provided to protect...

2013-07-01

337

What Prison Guards Think: A Profile of the Illinois Force  

Microsoft Academic Search

This article examines the results of a survey conducted among 929 in- service Illinois prison guards between July 1974 and October 1975. A demographic profile of the Illinois guards reveals the age, race, education, experience, and cultural background of the force as a whole. Question naire data reveal the prison guards' attitudes toward their career, the nature of the job,

James B. Jacobs

1978-01-01

338

46 CFR 50.10-25 - Coast Guard Symbol.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Coast Guard Symbol. 50.10-25 Section 50.10-25 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED...This Subchapter § 50.10-25 Coast Guard Symbol. (a) The term Coast...

2012-10-01

339

33 CFR 23.10 - Coast Guard emblem.  

Code of Federal Regulations, 2010 CFR

...2009-07-01 2009-07-01 false Coast Guard emblem. 23.10 Section 23.10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL DISTINCTIVE MARKINGS FOR COAST GUARD VESSELS AND AIRCRAFT § 23.10...

2009-07-01

340

Guarded execution and branch prediction in dynamic ILP processors  

Microsoft Academic Search

We evaluate the effects of guarded (or conditional, or predicated) execution on the performance of an instruction level parallel processor employing dynamic branch prediction. First, we assess the utility of guarded execution, both qualitatively and quantitatively, using a variety of application programs. Our assessment shows that guarded execution significantly increases the opportunities, for both compiler and dynamic hardware, to extract

Dionisios N. Pnevmatikatos; Gurindar S. Sohi

1994-01-01

341

Subjective and objective outcomes of tympanoplasty surgery at National Hospital Abuja, Nigeria 2005–2009  

Microsoft Academic Search

The objective of this study is to determine the subjective and objective outcomes of tympanoplasty surgery carried out in\\u000a patients with otitis media and to identify factors responsible for these outcomes. The study setting is tertiary care urban\\u000a referral hospital in a developing economy and the study methodology is a prospective analysis of patients with diagnosis of\\u000a chronic suppurative otitis

Abiodun Daud Olusesi; Emmanuel Opaluwah; Sherifat Bolanle Hassan

2011-01-01

342

Haunted by Enron's ghost. National Century Financial Enterprises files for Chapter 11, leaving a string of broken healthcare chains and hospitals.  

PubMed

Some are calling it the Enron of the healthcare industry. Ryder trucks hauled possible evidence from embattled financier National Century Financial Enterprises during an FBI raid. NCFE filed for Chapter 11 bankruptcy protection last week, sending ripples through the industry and contributing to the bankruptcies of a string of national healthcare chains and at least six hospitals. PMID:12510558

Taylor, Mark

2002-11-25

343

A healthier future for all Australians: an overview of the final report of the National Health and Hospitals Reform Commission.  

PubMed

After extensive community and health industry consultation, the final report of the National Health and Hospitals Reform Commission, A healthier future for all Australians, was presented to the Australian Government on 30 June 2009. The reform agenda aims to tackle major access and equity issues that affect health outcomes for people now; redesign our health system so that it is better positioned to respond to emerging challenges; and create an agile, responsive and self-improving health system for long-term sustainability. The 123 recommendations are grouped in four themes: Taking responsibility: supporting greater individual and collective action to build good health and wellbeing. Connecting care: delivering comprehensive care for people over their lifetime, by strengthening primary health care, reshaping hospitals, improving subacute care, and opening up greater consumer choice and competition in aged care services. Facing inequities: taking action to tackle the causes and impact of health inequities, focusing on Aboriginal and Torres Strait Islander people, people in rural and remote areas, and access to mental health and dental services. Driving quality performance: having leadership and systems to achieve the best use of people, resources and knowledge, including "one health system" with national leadership and local delivery, revised funding arrangements, and changes to health workforce education, training and practice. PMID:19807629

Bennett, Christine C

2009-10-01

344

Clinical and economic outcomes among hospitalized patients with acute coronary syndrome: an analysis of a national representative Medicare population  

PubMed Central

Objective To evaluate the clinical and economic burden of acute coronary syndrome (ACS), a common cardiovascular illness, in the Medicare population. Methods Data from the Medicare Current Beneficiary Survey were analyzed. Patients with incident hospitalization for ACS without similar events during the 6 months prior were included. Outcomes evaluated included inpatient mortality, 30-day mortality and readmission, subsequent hospitalization events, and total direct health care costs. Sample population weights were applied, accounting for multistage sampling design to obtain nationally representative estimates for the US Medicare population. Results Between March 1, 2002 and December 31, 2006, we identified 795 incident ACS patients (mean age 76 years; 49% male) representing 2,542,211 Medicare beneficiaries. The inpatient mortality rate was 9.71% and the 30-day mortality ranged from 10.96% to 13.93%. The 30-day readmission rate for surviving patients was 18.56% for all causes and 17.90% for cardiovascular disease (CVD)-related diagnoses. The incidence of death since admission was 309 cases per 1000 person–years. Among patients discharged alive, the incidence was 197 for death, 847 for CVD-related admission, and 906 for all-cause admission. During the year when the ACS event occurred, mean annual total direct health care costs per person were US$50,458, with more than half attributable to inpatient hospitalization ($27,609). Conclusion In this national representative Medicare population, we found a substantial clinical and economic burden for ACS. These findings suggest a continuing unmet medical need for more effective management of patients with ACS. The continuous burden underscores the importance of development of new interventions and/or strategies to improve long-term outcomes.

Chen, Shih-Yin; Crivera, Concetta; Stokes, Michael; Boulanger, Luke; Schein, Jeffrey

2013-01-01

345

The impact of organizational change on social work staffing in a hospital setting: a national, longitudinal study of social work in hospitals.  

PubMed

Market forces continue to shape the health care environment, producing radical changes within the hospital. These changes are affecting social work structure, staffing, and processes within the hospital setting, particularly in the area of social work staffing. This paper examines the changes impacting hospital settings over three fiscal years. A primary question is whether or not social work staffing is being negatively impacted by these hospital changes, and what factors predict the downsizing of social work staff. PMID:12921403

Berger, Candyce S; Robbins, Charles; Lewis, Michael; Mizrahi, Terry; Fleit, Shelley

2003-01-01

346

Current management of intracerebral haemorrhage in China: a national, multi-centre, hospital register study  

PubMed Central

Background We aimed to examine current practice of the management and secondary prevention of intracerebral haemorrhage (ICH) in China where the disease is more common than in Western populations. Methods Data on baseline characteristics, management in-hospital and post-stroke, and outcome of ICH patients are from the ChinaQUEST (QUality Evaluation of Stroke Care and Treatment) study, a multi-centre, prospective, 62 hospital registry in China during 2006-07. Results Nearly all ICH patients (n = 1572) received an intravenous haemodiluting agent such as mannitol (96%) or a neuroprotectant (72%), and there was high use of intravenous traditional Chinese medicine (TCM) (42%). Neurosurgery was undertaken in 137 (9%) patients; being overweight, having a low Glasgow Coma Scale (GCS) score on admission, and Total Anterior Circulation Syndrome (TACS) clinical pattern on admission, were the only baseline factors associated with this intervention in multivariate analyses. Neurosurgery was associated with nearly three times higher risk of death/disability at 3 months post-stroke (odd ratio [OR] 2.60, p < 0.001). Continuation of antihypertensives in-hospital and at 3 and 12 months post-stroke was reported in 732/935 (78%), 775/935 (83%), and 752/935 (80%) living patients with hypertension, respectively. Conclusions The management of ICH in China is characterised by high rates of use of intravenous haemodiluting agents, neuroprotectants, and TCM, and of antihypertensives for secondary prevention. The controversial efficacy of these therapies, coupled with the current lack of treatments of proven benefit, is a call for action for more outcomes based research in ICH.

2011-01-01

347

OnGuard, a computational platform for quantitative kinetic modeling of guard cell physiology.  

PubMed

Stomatal guard cells play a key role in gas exchange for photosynthesis while minimizing transpirational water loss from plants by opening and closing the stomatal pore. Foliar gas exchange has long been incorporated into mathematical models, several of which are robust enough to recapitulate transpirational characteristics at the whole-plant and community levels. Few models of stomata have been developed from the bottom up, however, and none are sufficiently generalized to be widely applicable in predicting stomatal behavior at a cellular level. We describe here the construction of computational models for the guard cell, building on the wealth of biophysical and kinetic knowledge available for guard cell transport, signaling, and homeostasis. The OnGuard software was constructed with the HoTSig library to incorporate explicitly all of the fundamental properties for transporters at the plasma membrane and tonoplast, the salient features of osmolite metabolism, and the major controls of cytosolic-free Ca²? concentration and pH. The library engenders a structured approach to tier and interrelate computational elements, and the OnGuard software allows ready access to parameters and equations 'on the fly' while enabling the network of components within each model to interact computationally. We show that an OnGuard model readily achieves stability in a set of physiologically sensible baseline or Reference States; we also show the robustness of these Reference States in adjusting to changes in environmental parameters and the activities of major groups of transporters both at the tonoplast and plasma membrane. The following article addresses the predictive power of the OnGuard model to generate unexpected and counterintuitive outputs. PMID:22635116

Hills, Adrian; Chen, Zhong-Hua; Amtmann, Anna; Blatt, Michael R; Lew, Virgilio L

2012-05-25

348

Motor vehicle related injuries among American Indian and Alaskan Native youth, 1981-92: analysis of a national hospital discharge database  

PubMed Central

Objective—To describe national trends in hospitalizations for motor vehicle related injuries among children and youth (0–24 years) of the United States Indian Health Service (IHS) from 1981–92. Design—Descriptive epidemiologic study of the E coded national hospital discharge database of the IHS. Results—From 1981 to 1992, the age standardized annual incidence of motor vehicle related injury hospitalizations (per 100 000 population) among American Indian and Alaskan Native (AI/AN) youth decreased more than 65% from 269 to 93. Substantial declines in hospitalization rates for all age and sex groups, all IHS areas, and most injury types were seen over this time. Injuries to vehicle occupants accounted for 78% of all motor vehicle related injury hospitalizations. The annual incidence of hospitalization (per 100 000 population) ranged from 291 in the Billings (Wyoming/Montana) and Aberdeen (the Dakotas) areas to 38 in the Portland area (Pacific Northwest). Conclusions—National motor vehicle related injury hospitalization rates of AI/AN children and youth decreased significantly from 1981–92. This may be due to a reduction in the incidence of severe motor vehicle related trauma, changing patterns of medical practice, and changes in the use of services. Additional measures, such as passage and enforcement of tribal laws requiring the use of occupant restraints and stronger laws to prevent alcohol impaired driving, might further reduce the incidence of serious motor vehicle related injuries in this high risk population.

Quinlan, K.; Wallace, L; Furner, S.; Brewer, R.; Bolen, J.; Schieber, R.

1998-01-01

349

Improved catalyst loading reduces guard reactor fouling  

SciTech Connect

A new catalyst-loading strategy reduced the fouling tendency of the gas oil hydrotreater guard reactors at Syncrude Canada Ltd.'s heavy-crude upgrading facilities. Studies conducted on the guard reactors were designed to determine the thermal stability of the coker gas oil and to understand the properties of the fouling material. Small particles (described as fines) were present in the upper section of the removed catalyst bed. This part of the bed was then replaced in one of three ways. One way was to replace the catalyst with used, nonregenerated catalyst, and cover the catalyst with nonactive support balls, 10 and 13 mm in diameter. The second way was to fill the entire space with nonactive support balls, and the third way was to fill with regenerated oxidic catalyst combined with semiactive support balls (unsulfided).

Sanford, E.C.; Kirchen, R.P. (Syncrude Canada Ltd., Edmonton (CA))

1988-12-19

350

A National Profile Of Patient Safety In U.S. Hospitals  

Microsoft Academic Search

Measures based on routinely collected data would be useful to examine the epidemiology of patient safety. Extending previous work, we established the face and con- sensual validity of twenty Patient Safety Indicators (PSIs). We generated a national profile of patient safety by applying these PSIs to the HCUP Nationwide Inpatient Sample. The inci- dence of most nonobstetric PSIs increased with

Patrick S. Romano; Jeffrey J. Geppert; Sheryl Davies; Marlene R. Miller; Anne Elixhauser; Kathryn M. McDonald

2003-01-01

351

National HPV Immunisation Programme: Knowledge and Acceptance of Mothers Attending an Obstetrics Clinic at a Teaching Hospital, Kuala Lumpur.  

PubMed

Background: Introduction of the HPV vaccine is a forefront primary prevention method in reducing the incidence of carcinogenic human papillomavirus (HPV) and cervical cancer. The Malaysia government has implemented the National HPV immunisation programme since 2010, supplying HPV vaccine free to targeted 13 year olds. This study aimed to explore the level of knowledge among mothers on cervical cancer, HPV, HPV vaccine and National HPV (NHPV) immunisation programme since its' implementation. It also assessed acceptance of mothers towards HPV vaccine being administered to their daughter, son or themselves. Materials and Methods: A cross sectional study was conducted on 155 respondents using self-administered questionnaires; conducted in December 2012 at the Obstetrics and Gynaecology Clinic in a teaching hospital in Kuala Lumpur. Respondents were selected using a multistage sampling technique. Results: A response rate of 100% was obtained. Overall, 51.0% of mothers had good knowledge, with 55% having good knowledge of cervical cancer, 54.2% for both HPV and the National HPV immunisation programme and 51.0% for the HPV vaccine. Regression analyses showed that ethnicity was associated with knowledge on cervical cancer (p=0.003) while education was associated with knowledge on HPV (p=0.049). Three factors are associated with knowledge of the National HPV immunisation programme; ethnicity (p=0.017), mothers' education (p=0.0005) and number of children (p=0.020). The acceptance of HPV vaccine to be administered among daughter was the highest at 87.1%, followed by for mothers themselves at 73.5%, and the least is for sons 62.6%. Conclusions: This study found that the overall level of knowledge was moderate. Adequate information on cervical cancer, HPV, HPV vaccination and the National HPV immunisation programme should be provided to mothers in order to increase acceptance of the HPV vaccine which can reduce the disease burden in the future. PMID:23803068

Ezat, Sharifa Wan Puteh; Hod, Rozita; Mustafa, Jamsiah; Mohd Dali, Ahmad Zailani Hatta; Sulaiman, Aqmar Suraya; Azman, Azlin

2013-01-01

352

Probabilistic guarded commands mechanized in HOL  

Microsoft Academic Search

The probabilistic guarded-command language pGCL (15) contains both demonic and probabilistic nondeterminism, which makes it suitable for reasoning about dis- tributed random algorithms (14). Proofs are based on weakest precondition seman- tics, using an underlying logic of real- (rather than Boolean-) valued functions. We present a mechanization of the quantitative logic for pGCL (16) using the HOL theorem prover (4),

Joe Hurd; Annabelle McIver; Carroll Morgan

2005-01-01

353

Probabilistic guarded commands mechanized in HOL  

Microsoft Academic Search

The probabilistic guarded-command language (pGCL) contains both demonic and probabilis- tic non-determinism, which makes it suitable for reasoning about distributed random algorithms. Proofs are based on weakest precondition semantics, using an underlying logic of real- (rather than Boolean-)valued functions. We present a mechanization of the quantitative logic for pGCL using the HOL theorem prover, including a proof that all pGCL

Joe Hurd; Annabelle McIver; Carroll Morgan

354

Checking Java Programs via Guarded Commands  

Microsoft Academic Search

This paper defines a simple guarded-command--like language and its semantics.The language is used as an intermediate language in generating verification conditionsfor Java. The paper discusses why it is a good idea to generate verificationconditions via an intermediate language, rather than directly.Publication history. This paper appears in Formal Techniques for Java Programs,workshop proceedings. Bart Jacobs, Gary T. Leavens, Peter Muller, and

K. Rustan M. Leino; James B. Saxe; Raymie Stata

1999-01-01

355

Probabilistic Models for the Guarded Command Language  

Microsoft Academic Search

The two models presented in this paper provide two different semantics for an extensionof Dijkstra's language of guarded commands. The extended language has an additional operator,namely probabilistic choice, which makes it possible to express randomised algorithms.An earlier model by Claire Jones included probabilistic choice but not non-determinism,which meant that it could not be used for the development of algorithms from

He Jifeng; A. Mciver

1995-01-01

356

On The Restraining Power of Guards  

Microsoft Academic Search

Guarded fragments of first-order logic were recently introduced by Andreka, van Benthem and Nemeti; they consist of relational first-order formulae whose quantifiers are appropriately relativized by atoms. These fragments are interesting because they extend in a natural way many propositional modal logics, because they have useful model-theoretic properties and especially because they are decidable classes that avoid the usual syntactic

Erich Grädel

1999-01-01

357

On the Restraining Power of Guards  

Microsoft Academic Search

Guarded fragments of first-order logic were recently introduced by Andr'eka, vanBenthem and N'emeti; they consist of relational first-order formulae whose quantifiersare appropriately relativized by atoms. These fragments are interesting because theyextend in a natural way many propositional modal logics, because they have usefulmodel-theoretic properties and especially because they are decidable classes that avoidthe usual syntactic restrictions (on the arity of

Erich Gradel; Rwth Aachen

1999-01-01

358

Intelligent scheduling support for the US Coast Guard  

SciTech Connect

This paper will discuss a joint effort by the U.S. Coast Guard Research & Development Center, Idaho National Engineering Laboratory and Brunel University to provide the necessary tools to increase the human scheduler`s capability to handle the scheduling process more efficiently and effectively. Automating the scheduling process required a system that could think independently of the scheduler, that is, the systems needed its own control mechanism and knowledge base. Further, automated schedule generation became a design requirement and sophisticated algorithms were formulated to solve a complex combinatorial problem. In short, the resulting design can be viewed as a hybrid knowledge-based mathematical programming application system. This document contains an overview of the integrated system, a discrete optimization model for scheduling, and schedule diagnosis and analysis.

Darby-Dowman, K.; Lucas, C.; Mitra, G. [Brunel Univ., Uxbridge (United Kingdom); Fink, R. [Idaho National Engineering Lab., Idaho Falls, ID (United States); Kingsley, L.; Smith, J.W. [Coast Guard Research and Development Center, Groton, CT (United States)

1992-12-31

359

Intelligent scheduling support for the US Coast Guard  

SciTech Connect

This paper will discuss a joint effort by the U.S. Coast Guard Research Development Center, Idaho National Engineering Laboratory and Brunel University to provide the necessary tools to increase the human scheduler's capability to handle the scheduling process more efficiently and effectively. Automating the scheduling process required a system that could think independently of the scheduler, that is, the systems needed its own control mechanism and knowledge base. Further, automated schedule generation became a design requirement and sophisticated algorithms were formulated to solve a complex combinatorial problem. In short, the resulting design can be viewed as a hybrid knowledge-based mathematical programming application system. This document contains an overview of the integrated system, a discrete optimization model for scheduling, and schedule diagnosis and analysis.

Darby-Dowman, K.; Lucas, C.; Mitra, G. (Brunel Univ., Uxbridge (United Kingdom)); Fink, R. (Idaho National Engineering Lab., Idaho Falls, ID (United States)); Kingsley, L.; Smith, J.W. (Coast Guard Research and Development Center, Groton, CT (United States))

1992-01-01

360

The National Database of Hospital-based Cancer Registries: A Nationwide Infrastructure to Support Evidence-based Cancer Care and Cancer Control Policy in Japan.  

PubMed

Monitoring the current status of cancer care is essential for effective cancer control and high-quality cancer care. To address the information needs of patients and physicians in Japan, hospital-based cancer registries are operated in 397 hospitals designated as cancer care hospitals by the national government. These hospitals collect information on all cancer cases encountered in each hospital according to precisely defined coding rules. The Center for Cancer Control and Information Services at the National Cancer Center supports the management of the hospital-based cancer registry by providing training for tumor registrars and by developing and maintaining the standard software and continuing communication, which includes mailing lists, a customizable web site and site visits. Data from the cancer care hospitals are submitted annually to the Center, compiled, and distributed as the National Cancer Statistics Report. The report reveals the national profiles of patient characteristics, route to discovery, stage distribution, and first-course treatments of the five major cancers in Japan. A system designed to follow up on patient survival will soon be established. Findings from the analyses will reveal characteristics of designated cancer care hospitals nationwide and will show how characteristics of patients with cancer in Japan differ from those of patients with cancer in other countries. The database will provide an infrastructure for future clinical and health services research and will support quality measurement and improvement of cancer care. Researchers and policy-makers in Japan are encouraged to take advantage of this powerful tool to enhance cancer control and their clinical practice. PMID:23448800

Higashi, Takahiro; Nakamura, Fumiaki; Shibata, Akiko; Emori, Yoshiko; Nishimoto, Hiroshi

2013-02-28

361

The burden of co-existing dermatological disorders and their tendency of being overlooked among patients admitted to muhimbili national hospital in Dar es Salaam, Tanzania  

Microsoft Academic Search

Background  Skin diseases are underestimated and overlooked by most clinicians despite being common in clinical practice. Many patients\\u000a are hospitalized with co-existing dermatological conditions which may not be detected and managed by the attending physicians.\\u000a The objective of this study was to determine the burden of co-existing and overlooked dermatological disorders among patients\\u000a admitted to medical wards of Muhimbili National hospital

Yassin M Mgonda; Pauline NF Chale

2011-01-01

362

Understanding the recruitment and retention of overseas nurses: realist case study research in National Health Service Hospitals in the UK.  

PubMed

This paper illustrates one of the possible applications of critical realist ideas to the analysis of health services, in the use of comparative case study research design, to elucidate the causal social processes underlying events. In the research reported here, a comparative research design was used as a basis for improving our understanding of the processes involved in the assimilation of overseas nurses (OSN) into the salient long-term workforce of the National Health Service (NHS) hospitals in the UK. The work brought to light the salient experiences of overseas nurses during their initial work in the NHS hospitals, and these were used as a basis for developing an account of the general mechanisms typically underlying the recruitment and assimilation at work. The authors conclude that successful assimilation is often hindered by the presence of occupational closure mechanisms, by which home nurses effectively excluded recruits from participation and promotion; these mechanisms, which articulate with everyday racism, threaten successful assimilation for obvious reasons. If the treatment recruits receive does not lead to withdrawal, it is because they typically have very strong economic motives to continue despite unfavourable and sometimes inhumane treatment. Thus, the research offered substantial reasons why recruitment policies should be reviewed by policy-makers. PMID:22212369

O'Brien, Terri; Ackroyd, Stephen

2011-07-27

363

Dementia Increases the Risks of Acute Organ Dysfunction, Severe Sepsis and Mortality in Hospitalized Older Patients: A National Population-Based Study  

PubMed Central

Background Dementia increases the risk of death in older patients hospitalized for acute illnesses. However, the effect of dementia on the risks of developing acute organ dysfunction and severe sepsis as well as on the risk of hospital mortality in hospitalized older patients remains unknown, especially when treatments for these life-threatening situations are considered. Methods In this population-based cohort study, we analyzed 41,672 older (?65 years) patients, including 3,487 (8.4%) with dementia, from the first-time admission claim data between 2005 and 2007 for a nationally representative sample of one million beneficiaries enrolled in the Taiwan National Health Insurance Research Database. Outcomes included acute organ dysfunction, severe sepsis, and hospital mortality. The effect of dementia on outcomes was assessed using multivariable logistic regression. Results Dementia was associated with a 32% higher risk of acute organ dysfunction (adjusted odds ratio [aOR] 1.32, 95% confidence interval [CI] 1.19–1.46), a 50% higher risk of severe sepsis (aOR 1.50, 95% CI 1.32–1.69) and a 28% higher risk of hospital mortality (aOR 1.28, 95% CI 1.10–1.48) after controlling age, sex, surgical condition, comorbidity, principal diagnosis, infection status, hospital level, and length of hospital stay. However, the significant adverse effect of dementia on hospital mortality disappeared when life-support treatments, including vasopressor use, hemodialysis, mechanical ventilation, and intensive care, were also controlled. Conclusions In hospitalized older patients, the presence of dementia increased the risks of acute organ dysfunction, severe sepsis and hospital mortality. However, after intervention using life-support treatments, dementia only exhibited a minor role on short-term mortality.

Shen, Hsiu-Nien; Lu, Chin-Li; Li, Chung-Yi

2012-01-01

364

Malaria Burden in Pregnancy at Mulago National Referral Hospital in Kampala, Uganda  

PubMed Central

Pregnancy-associated malaria is a major global health concern. To assess the Plasmodium falciparum burden in pregnancy we conducted a cross-sectional study at Mulago Hospital in Kampala, Uganda. Malaria prevalence by each of three measures—peripheral smear, placental smear, and placental histology was 9% (35/391), 11.3% (44/389), and 13.9% (53/382) respectively. Together, smear and histology data yielded an infection rate of 15.5% (59/380) of active infections and 4.5% (17/380) of past infections; hence 20% had been or were infected when giving birth. A crude parity dependency was observed with main burden being concentrated in gravidae 1 through gravidae 3. Twenty-two percent were afflicted by anaemia and 12.2% delivered low birthweight babies. Active placental infection and anaemia showed strong association (OR = 2.8) whereas parity and placental infection had an interactive effect on mean birthweight (P = .036). Primigravidae with active infection and multigravidae with past infection delivered on average lighter babies. Use of bednet protected significantly against infection (OR = 0.56) whilst increased haemoglobin level protected against low birthweight (OR = 0.83) irrespective of infection status. Albeit a high attendance at antenatal clinics (96.8%), there was a poor coverage of insecticide-treated nets (32%) and intermittent preventive antimalarial treatment (41.5%).

Namusoke, Fatuma; Rasti, Niloofar; Kironde, Fred; Wahlgren, Mats; Mirembe, Florence

2010-01-01

365

Variations in U.S. Pediatric Burn Injury Hospitalizations Using the National Burn Repository Data  

PubMed Central

An understanding of population-specific variation in pediatric burn injuries is essential to the development of effective prevention strategies. The purpose of this study was to examine the etiology of pediatric burn injury considering age and race categories using the National Burn Repository. The authors reviewed the records of all pediatric patients (age <18 years) in the American Burn Association's National Burn Registry injured between 1995 and 2007. The authors compared patient and injury characteristics across race, age, etiology, and payor status. A total of 46,582 patients were included in this study. The etiology of burn injury varied by both age and race. Populations of color were younger, constituting 53.8% of patients younger than 5 years, whereas 53.9% of the total study population identified as Caucasian. Scald etiology was disproportionately less common in patients identifying as Caucasian (39.9 vs 61.4%, P <.001), and scald was a common etiology in older children identifying as African American, Asian, and Hispanic. Inhalation injuries were also higher in patients identifying as Native American (5.4%), Hispanic (4.2%), and African American (3.7%). Pediatric burn injury etiology varies with age and race. These data should encourage careful consideration of race, age, and other differences in formulating the most effective, population-specific prevention and outreach strategies.

Kramer, C. Bradley; Rivara, Frederick P.; Klein, Matthew B.

2011-01-01

366

The conceptual approach to quantitative modeling of guard cells  

PubMed Central

Much of the 70% of global water usage associated with agriculture passes through stomatal pores of plant leaves. The guard cells, which regulate these pores, thus have a profound influence on photosynthetic carbon assimilation and water use efficiency of plants. We recently demonstrated how quantitative mathematical modeling of guard cells with the OnGuard modeling software yields detail sufficient to guide phenotypic and mutational analysis. This advance represents an all-important step toward applications in directing “reverse-engineering” of guard cell function for improved water use efficiency and carbon assimilation. OnGuard is nonetheless challenging for those unfamiliar with a modeler’s way of thinking. In practice, each model construct represents a hypothesis under test, to be discarded, validated or refined by comparisons between model predictions and experimental results. The few guidelines set out here summarize the standard and logical starting points for users of the OnGuard software.

Blatt, Michael R.; Hills, Adrian; Chen, Zhong-Hua; Wang, Yizhou; Papanatsiou, Maria; Lew, Vigilio L.

2013-01-01

367

The rate and cost of hospital-acquired infections occurring in patients admitted to selected specialties of a district general hospital in England and the national burden imposed  

Microsoft Academic Search

Between April 1994 and May 1995 4000 adult patients admitted to selected specialties of a district general hospital were recruited to this study. Hospital-acquired infections presenting during the in-patient stay were identified using previously validated methods of surveillance, and information on daily resource use by both infected and uninfected patients was recorded and estimates of their cost derived. Linear regression

R. Plowman; N. Graves; M. A. S. Griffin; J. A. Roberts; A. V. Swan; B. Cookson; L. Taylor

2001-01-01

368

Pattern of occurrence and treatment of impacted teeth at the Muhimbili National Hospital, Dar es Salaam, Tanzania  

PubMed Central

Background Impacted teeth predispose to periodontal disease and dental caries of adjacent teeth resulting in pain, discomfort and loss of function. This study analyzed the pattern of occurrence of impacted teeth, associated symptoms, treatment and complications of treatment in patients who presented at the Muhimbili National Hospital, Tanzania. Method This was a crossectional descriptive study which utilized notes and x rays of patients who were treated for impacted teeth at the Oral and Maxillofacial firm in Muhimbili National Hospital over five years, from January 2005 to August 2010. These records were retrieved and examined for the major complaint of the patient at presentation to hospital, demography, impacted tooth, type of impaction (for third molars), treatment offered and complications after treatment. Similar information was collected from all patients with impacted teeth attended in the same centre from 1st September 2010 to 31st August 2011. Results A total of 896 patients (496 males and 400 females) treated for complaints related to impacted teeth were recorded. The male to female ratio was 1.2:1, age range of 16 to 85 years and a mean age of 28.9 years (SD = 9.5). Slightly more than 84% of the patients presented with mandibular third molar impactions. Most (44.7%) of these patients had an impacted lower right third molar followed by those presenting with a lower left third molar impaction (39.7%). In 1.3% of the patients all the four third molars were impacted. Sixty nine (7.7%) patients had impacted upper 3rd molars while 2% had impacted upper canines. Of the mandibular 3rd molar impactions 738 (76%) were mesio-angular type, 87 (8.9%) horizontal type and 69 (7.1%) disto-angular. Patients presented with a variety of complaints. About 85% of the patients presented to hospital due to varying degrees of pain. In 4.9% the detection of the impacted tooth/teeth was coincidental after presenting to hospital for other reasons not related to the impaction. Majority of the patients with impacted mandibular third molars had carious lesions on the impacted teeth, neighbouring tooth or both. Four hundred and five (45.2%) patients had a carious lesion on one of the impacted teeth while 201(22.4%) patients had a carious lesion on the adjacent second molar. In 122 (13.6%) patients both the impacted third molar and the adjacent second molar were carious. In twelve patients who presented with a main complaint of fracture of the angle of the mandible there was an associated impacted 3rd molar. Eight hundred and fifteen (91%) patients with impacted teeth were treated by surgical removal. Among these only 15 (1.8%) had complications that ranged from excessive swellings, trismus and severe pain post operatively. One patient was reported to have fracture of the angle of the mandible sustained during surgical removal of an impacted 48. Conclusions The majority of patients with impacted teeth were young with an almost equal sex distribution. The most commonly impacted teeth were mandibular third molars followed by the maxillary third molars. Patients with impacted teeth reported for health care predominantly because of pain due to dental caries or infection. There is a need of creating appropriate programmes that would further raise peoples’ awareness to regular dental checkups so that appropriate measures are taken before complications arise.

2013-01-01

369

A constraint-based approach to guarded algebraic data types  

Microsoft Academic Search

We study HMG(X), an extension of the constraint-based type system HM(X) with deep pat- tern matching, polymorphic recursion, and guarded algebraic data types. Guarded algebraic data types subsume the concepts known in the literature as indexed types, guarded recursive datatype constructors, (first-class) phantom types, and equality qualified types, and are closely related to inductive types. Their characteristic property is to

Vincent Simonet; François Pottier

2007-01-01

370

GUARD HOUSE AND SOUTH FIRE HOUSE, VICINITY MAP. (Shows the ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

GUARD HOUSE AND SOUTH FIRE HOUSE, VICINITY MAP. (Shows the Guard House and Barracks, and South Fire House in relation to nearby roads, railroad tracks, and the piers). Navy Yard, Mare Island, California. P.W. Drawing No. C-1899, approved 1941; file no. 930-C-1. Scale one inch to forty feet. 72 cn x 97 cm. Ink on vellum - Mare Island Naval Shipyard, Guard House & Barracks, Railroad Avenue near Eighteenth Street, Vallejo, Solano County, CA

371

Adolescent occupational injuries requiring hospital emergency department treatment: a nationally representative sample.  

PubMed Central

Data from a nationally representative sample of emergency departments for the 6-month period July through December 1992 were used to examine nonfatal occupational injuries sustained by adolescents aged 14 through 17 years. There were 679 occupational injuries, corresponding to an estimated 37,405 injuries nationwide. Males constituted 65.8% of the injury victims. The injury rate for males was 7.0 per 100 full-time employees, compared with 4.4 for females. Lacerations to the hand or finger accounted for 25.6% of all injuries. The majority of injuries occurred in retail trades (53.7%), which also had the highest rate (6.3 per 100 full-time employees). Seventy-one percent of the injuries in retail trade occurred in eating and drinking establishments.

Layne, L A; Castillo, D N; Stout, N; Cutlip, P

1994-01-01

372

Physiological Costs of Mate Guarding in the Japanese Beetle (Popillia japonica Newman)  

Microsoft Academic Search

Males of many insects directly defend their mates from rival males (i.e. mate guard) as a way to avoid sperm competition and thus increase their reproductive success. However, mate guarding may have associated costs for these males. We examined costs of mate guarding in Japanese beetles (Popillia japonica), a pest species which exhibits post-copulatory mate guarding during which the guarding

Yoriko Saeki; Kipp C. Kruse; Paul V. Switzer

2005-01-01

373

Protocol: optimised electrophyiological analysis of intact guard cells from Arabidopsis  

PubMed Central

Genetic resources available for Arabidopsis thaliana make this species particularly attractive as a model for molecular genetic studies of guard cell homeostasis, transport and signalling, but this facility is not matched by accessible tools for quantitative analysis of transport in the intact cell. We have developed a reliable set of procedures for voltage clamp analysis of guard cells from Arabidopsis leaves. These procedures greatly simplify electrophysiological recordings, extending the duration of measurements and scope for analysis of the predominant K+ and anion channels of intact stomatal guard cells to that achieved previously in work with Vicia and tobacco guard cells.

2012-01-01

374

Comparison of soccer shin guards in preventing tibia fracture.  

PubMed

The goal of this study was to evaluate the effectiveness of a number of shin guards in protecting against tibia fracture in soccer players. A secondary purpose was to determine the relationship between the material and structural differences in shin guard design and the protection provided. Twenty-three commercially available shin guards were tested on a model leg containing a synthetic tibia that had been calibrated against human cadaver specimens. Each guard was categorized into one of four material types: plastic (N = 9), fiberglass (N = 6), compressed air (N = 4), and Kevlar (N = 4). The maximum combined force at the ends of the tibia, the principal strain on the posterior side of the tibia, and the contact time of the impact were measured using a drop track impact simulation. Shin guards provided significant protection from tibia fracture at all drop heights. The average guard reduced force by 11% to 17% and strain by 45% to 51% compared with the unguarded leg. At the higher drop heights, material composition and structural characteristics of the shin guards showed significant differences in protective abilities. These findings indicate that all shin guards provide some measure of protection against tibia fracture, although the level of protection may vary significantly among the different guards. PMID:10751000

Francisco, A C; Nightingale, R W; Guilak, F; Glisson, R R; Garrett, W E

375

Adherence to medication: A nation-wide study from the Children's Cancer Hospital, Egypt  

PubMed Central

AIM: To investigate adherence to medical regimen and predictors for non-adherence among children with cancer in Egypt. METHODS: We administered two study specific questionnaires to 304 parents of children diagnosed with cancer at the Children’s Cancer Hospital in Cairo, Egypt, one before the first chemotherapy treatment and the other before the third. The questionnaires were translated to colloquial Egyptian Arabic, and due, to the high illiteracy level in Egypt an interviewer read the questions in Arabic to each parent and registered the answers. Both questionnaires consisted of almost 90 questions each. In addition, a Case Report Form was filled in from the child’s medical journal. The study period consisted of 7 mo (February until September 2008) and we had a participation rate of 97%. Descriptive statistics are presented and Fisher’s exact test was used to check for possible differences between the adherent and non-adherent groups. A P-value below 0.05 was considered significant. Software used was SAS version 9.3 for Windows (SAS Institute Inc., Cary, NC, United States). RESULTS: Two hundred and eighty-one (90%) parents answered the second questionnaire, regarding their child’s adherence behaviour. Approximately two thirds of the children admitted to their third chemotherapy treatment had received medical recommendations upon discharge from the first or second chemotherapy treatment (181/281, 64%). Sixty-eight percent (123/181) of the parents who were given medical recommendations reported that their child did not follow the recommendations. Two main predictors were found for non-adherence: child resistance (111/123, 90%) and inadequate information (100/123, 81%). In the adherent group, 20% of the parents (n = 12/58) reported trust in their child’s doctor while 14 percent 8/58 reported trust in the other health-care professionals. Corresponding numbers for the non-adherent group are 8/123 (7%) for both their child’s doctor and other health-care professionals. Almost all of the parents expressed a lack of optimism towards the treatment (116/121, 96%), yet they reported an intention to continue with the treatment for two main reasons, for the sake of their child’s life (70%) (P = 0.005) and worry that their child would die if they discontinued the treatment (81%) (P < 0.0001). CONCLUSION: Non-adherence to medical regimen is common among children diagnosed with cancer in Egypt, the main reasons being child resistance and inadequate information.

El Malla, Hanan; Ylitalo Helm, Nathalie; Wilderang, Ulrica; El Sayed Elborai, Yasser; Steineck, Gunnar; Kreicbergs, Ulrika

2013-01-01

376

Discriminant analysis of game-related statistics between basketball guards, forwards and centres in three professional leagues  

Microsoft Academic Search

The aim of the present paper was to examine the differences in game-related statistics between basketball guards, forwards and centres playing in three professional leagues: National Basketball Association (NBA, superior level) in the USA, Associación de Clubs de Baloncesto (ACB, one of the best European leagues) in Spain and Liga de Clubes de Basquetebol (LCB, inferior level) in Portugal. We

Jaime Sampaio; Manuel Janeira; Sergio Ibáñez; Alberto Lorenzo

2006-01-01

377

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports  

Microsoft Academic Search

Introduction: Falls in hospital inpatients are common, with reported rates ranging from 3 to 14 per 1000 bed days. They cause physical and psychological harm, are associated with impaired rehabilitation, increased length of stay and excess cost, and lead to complaints and litigation, making them a crucial area for risk manage- ment. A National Reporting and Learning System (NRLS) for

F Healey; S Scobie; D Oliver; A Pryce; R Thomson

2009-01-01

378

[Medical emergencies in the Yalgado Ouedraogo national hospital of Ouagadougou: patients' profile and assessment of care practices].  

PubMed

The Emergency Department, the showcase of the hospital, must be functional at all times with sufficient resources for looking after the patients without delay. In the Medical Emergency Department of the Yalgado Ouedraogo national hospital of Ouagadougou (Burkina Faso), problems such as delays and difficulties to obtain medicine, give rise to conflicts thus causing the hospital to be a target for public criticism. The aim of this study is to establish the profile of the patients and to assess how they are taken care of. A cross-sectional survey was carried out for 21 consecutive days spread out over three months, from April 25 to June 25, 1997 and concerned all of the 551 patients consulting on those days. The self referral rate was 50.8%. Patients came mainly from the Kadiogo province (90.7%), with their own transport means (85.1%), more often at the beginning of the week (31 patients per day on average) than during week ends (21 patients per day on average, p<0.001). The age group was 15 to 93 years with a mean of 35.4 ( 14,2) years. Infectious diseases, particularly gastroenteritis (21.3%), malaria (12.1%), and pneumonia (10.2%) were the main diagnoses. The median waiting time was 8 min (from 0 to 3 h 59 min), the median therapeutic time was 56 min (from 5 min to 16 h 19 min). Patients were supplied with medicine in 14.5% of cases. Thus median medicine acquisition time was significantly reduced from 35 min to 21 min (p<0.001) when medicines were bought. Medicine acquisition time significantly contributes to increase the therapeutic delay (rs=0.31; p<0.001). The median therapeutic time was 56 min (5 min to 16 h 19 min). The diagnostic accuracy rate was 77.4%, and the satisfaction index 3.5%. Patients expenditure was 9,002 CFA francs on average, including 7,963 CFA francs for medicine. Thus access to medicine constitutes a major point of malfunction, increasing the caretaking time span as well as patients' expenditure. In addition to quickly and systematically supplying medicines to all patients, organizing the reception and providing comfortable waiting conditions must be considered in order to offer better care delivery services. PMID:12473525

Traoré, Abdoulaye; Ouédraogo, Hermann Zosé; Sondo, Blaise; Guissou, Innocent Pierre

379

Efficacy of hand rubs with a low alcohol concentration listed as effective by a national hospital hygiene society in Europe  

PubMed Central

Background Some national hospital hygiene societies in Europe such as the French society for hospital hygiene (SFHH) have positive lists of disinfectants. Few hand disinfectants with a rather low concentration of ethanol are listed by one society as effective for hygienic hand disinfection with 3 mL in 30 s including a virucidal activity in 30 s or 60 s, but published data allow having doubts. We have therefore evaluated the efficacy of three commonly used hand disinfectants according to EN 1500 and EN 14476. Methods Products 1 (Aniosgel 85 NPC) and 2 (Aniosrub 85 NPC) were based on 70% ethanol, product 3 (ClinoGel derma+) on 60% ethanol and 15% isopropanol (all w/w). They were tested in 3 laboratories according to EN 1500. Three mL were applied for 30 s and compared to the reference treatment of 2 × 3 mL applications of isopropanol 60% (v/v), on hands artificially contaminated with Escherichia coli. Each laboratory used a cross-over design against the reference alcohol with 15 or 20 volunteers. The virucidal activity of the products was evaluated (EN 14476) in one laboratory against adenovirus and poliovirus in different concentrations (80%, 90%, 97%), with different organic loads (none; clean conditions; phosphate-buffered saline) for up to 3 min. Results Product 1 revealed a mean log10-reduction of 3.87 ± 0.79 (laboratory 1) and 4.38 ± 0.87 (laboratory 2) which was significantly lower compared to the reference procedure (4.62 ± 0.89 and 5.00 ± 0.87). In laboratory 3 product 1 was inferior to the reference disinfection (4.06 ± 0.86 versus 4.99 ± 0.90). Product 2 revealed similar results. Product 3 fulfilled the requirements in one laboratory but failed in the two other. None of the three products was able to reduce viral infectivity of both adenovirus and poliovirus by 4 log10 steps in 3 min according to EN 14476. Conclusions Efficacy data mentioned in a positive list published by a society for hospital hygiene should still be regarded with caution if they quite obviously contradict published data on the same or similar products.

2013-01-01

380

Treatment of Gastric Adenocarcinoma May Differ Among Hospital Types in the United States, a Report from the National Cancer Data Base  

PubMed Central

The concept that complex surgical procedures should be performed at high-volume centers to improve surgical morbidity and mortality is becoming widely accepted. We wanted to determine if there were differences in the treatment of patients with gastric cancer between community cancer centers and teaching hospitals in the United States. Data from the 2001 Gastric Cancer Patient Care Evaluation Study of the National Cancer Data Base comprising 6,047 patients with gastric adenocarcinoma treated at 691 hospitals were assessed. The mean number of patients treated was larger at teaching hospitals (14/year) when compared to community centers (5–9/year) (p?hospitals and 38% at teaching hospitals (p?hospitals (5.5%) and highest at community hospitals (9.9%) (p?

Gay, Greer; Patel-Parekh, Lina; Ajani, Jaffer A.; Donohue, John H.

2007-01-01

381

33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.  

Code of Federal Regulations, 2013 CFR

...validity of Coast Guard Port Security Cards. 125.12 Section...Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) WATERFRONT...validity of Coast Guard Port Security Cards. (a) The Coast...

2013-07-01

382

33 CFR 165.1339 - Safety Zone; Coast Guard Exercise Area, Hood Canal, Washington.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Safety Zone; Coast Guard Exercise Area, Hood Canal, Washington. 165...165.1339 Safety Zone; Coast Guard Exercise Area, Hood Canal, Washington. ...is involved in a Coast Guard training exercise while such vessel is transiting...

2013-07-01

383

48 CFR 3009.171-3 - Determination of eligibility for award of FPS guard service contracts.  

Code of Federal Regulations, 2012 CFR

...Determination of eligibility for award of FPS guard service contracts. 3009.171-3 ...Determination of eligibility for award of FPS guard service contracts. (a) Contracting...determination of eligibility for award of FPS guard service contracts upon...

2012-10-01

384

48 CFR 637.102-70 - Special requirements for the acquisition of local guard services overseas.  

Code of Federal Regulations, 2011 CFR

...requirements for the acquisition of local guard services overseas. 637.102-70 ...requirements for the acquisition of local guard services overseas. (a) Policy. ...United States joint venture persons in local guard contracts overseas under diplomatic...

2011-10-01

385

46 CFR 159.005-7 - Preapproval review: Coast Guard action.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Preapproval review: Coast Guard action. 159.005-7 Section 159.005-7 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED...005-7 Preapproval review: Coast Guard action. (a) If approval...

2012-10-01

386

48 CFR 3009.171-3 - Determination of eligibility for award of FPS guard service contracts.  

Code of Federal Regulations, 2011 CFR

...Determination of eligibility for award of FPS guard service contracts. 3009.171-3 ...Determination of eligibility for award of FPS guard service contracts. (a) Contracting...determination of eligibility for award of FPS guard service contracts upon...

2011-10-01

387

46 CFR 9.1 - Extra compensation; Coast Guard civilian personnel.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Extra compensation; Coast Guard civilian personnel. 9.1 Section 9.1 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES... § 9.1 Extra compensation; Coast Guard civilian personnel....

2012-10-01

388

48 CFR 637.102-70 - Special requirements for the acquisition of local guard services overseas.  

Code of Federal Regulations, 2012 CFR

...requirements for the acquisition of local guard services overseas. 637.102-70 ...requirements for the acquisition of local guard services overseas. (a) Policy. ...United States joint venture persons in local guard contracts overseas under diplomatic...

2012-10-01

389

DO LIVESTOCK GUARDING DOGS LOSE THEIR EFFECTIVENESS OVER TIME?  

Microsoft Academic Search

Information about the effectiveness of livestock guarding dogs for reducing coyote predation on sheep was gathered from livestock producers in the Animal Damage Control Livestock Guarding Dog Program and in Colorado. Eighty-two percent of the producers contacted reported that the performance of their dogs remained the same or improved during 1993 compared with previous years. Eighteen percent of the producers

Jeffrey S. Green; Roger A. Woodruff; William F. Andelt

1994-01-01

390

35. INTERIOR VIEW OF THE GUARD LOCKS LOCK HOUSE: CLOSED ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

35. INTERIOR VIEW OF THE GUARD LOCKS LOCK HOUSE: CLOSED LOCK GATES AND TWO SETS OF MACHINERY TO ASSIST IN OPERATING THEM. VIEW FROM THE FAST END OF THE BUILDING LOOKING WEST 1976 - Pawtucket Canal, Guard Locks, Lowell, Middlesex County, MA

391

Constraint-Based Type Inference for Guarded Algebraic Data Types  

Microsoft Academic Search

Guarded algebraic data types, which subsume the concepts known in the literature as indexed types, guarded recursive datatype constructors, and phantom types, and are closely related to inductive types, have the distinguishing feature that, when typechecking a function defined by cases, every branch must be checked under different typing assumptions. This mechanism allows exploiting the presence of dynamic tests in

Vincent Simonet; François Pottier

2003-01-01

392

Computational Space Efficiency and Minimal Model Generation for Guarded Formulae  

Microsoft Academic Search

This paper describes a number of hyperresolution-based de- cision procedures for a subfragment of the guarded fragment. We rst present a polynomial space decision procedure of optimal worst-case space and time complexity for the fragment under consideration. We then consider minimal model generation procedures which construct all and only minimal Herbrand models for guarded formulae. These procedures are based on

Lilia Georgieva; Ullrich Hustadt; Renate A. Schmidt

2001-01-01

393

The Guard Zone in Wireless Ad hoc Networks  

Microsoft Academic Search

In this paper, the effect of scheduling on the performance of CDMA wireless ad hoc networks is examined. In ad hoc networks, it is necessary to suppress transmissions by nodes around the desired receiver in order to achieve successful communication. This minimum separation, the guard zone, has important implications on carrier sensing and other MAC-level protocols. But previously, the guard

Aamir Hasan; Jeffrey G. Andrews

2007-01-01

394

LG-GUARD for missile defense and offence  

NASA Astrophysics Data System (ADS)

LG-GUARD employs a hierarchy of multi-resolution games (LG hypergame) to represent various areas of operations at different levels of detail. LG-GUARD includes a full implementation of advanced fire control by dynamic preemptive control of sensor-to-shooter and shooter-to-target pairing. However, the greatest advantage of LG-GUARD is a fast planning and re-planning based on the Linguistic Geometry (LG) approach. This ability allows LG-GUARD to generate COA aiming to achieve the commander"s intent for the entire operation, vs. an ability to shoot as many targets as possible at each snapshot of a battle. LG-GUARD operates in two modes. The Planning Mode (long range planning) enabled LG-GUARD to automatically select best types, quantities, and locations for defensive assets from the entire area permitted for the operations of the Blue side to achieve a given probability of success (with as little total opportunity cost as possible). After selection and turning to the Engagement Mode (short range planning), LG-GUARD generates the best courses of action for all sides of the most probable operation (which involves defensive assets selected in the Planning Mode). The capabilities of LG-GUARD are shown in this paper by describing two kinds of scenarios, those executable now and those to be executable in the near future.

Stilman, Boris; Yakhnis, Vladimir; Umanskiy, Oleg

2003-09-01

395

41 CFR 50-204.5 - Machine guarding.  

Code of Federal Regulations, 2010 CFR

...shall be guarded by an enclosure which is interlocked with the drive mechanism, so that the barrel, drum or container cannot revolve unless the guard enclosure is in place. (e) When the periphery of the blades of a fan is less than seven (7) feet...

2009-07-01

396

41 CFR 50-204.5 - Machine guarding.  

Code of Federal Regulations, 2010 CFR

...shall be guarded by an enclosure which is interlocked with the drive mechanism, so that the barrel, drum or container cannot revolve unless the guard enclosure is in place. (e) When the periphery of the blades of a fan is less than seven (7) feet...

2010-07-01

397

Hardness and shock absorption of silicone rubber for mouth guards  

Microsoft Academic Search

Silicone rubbers have general properties that make them suitable for the fabrication of custom-made mouth guards. This study evaluated the shock absorption properties and Shore A hardness of several silicone rubbers and derived products, compared their values with those of materials commonly used for the manufacture of mouth guards, and correlated the shock absorption and transmission abilities of these different

Pascal Auroy; Philippe Duchatelard; Nour E Zmantar; Martine Hennequin

1996-01-01

398

Cell block three and northeast guard tower (center), looking from ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Cell block three and northeast guard tower (center), looking from the central guard tower, facing northeast (note view also includes the baseball field (left), and cell blocks fourteen and eleven (right)) - Eastern State Penitentiary, 2125 Fairmount Avenue, Philadelphia, Philadelphia County, PA

399

Coast Guard's response to spilled oil. [Detectors, sensors, recovery systems  

Microsoft Academic Search

The Coast Guard's responsibilities for oil spill control within and outside the territorial limits of the United States are defined. An extensive remote sensing program, using in-situ and airborne sensors, of the Coast Guard's Office of R and D detects oil spills. Five types of each in-situ and airborne sensors are described. After a spill has been detected, the next

R. W. Jr

1976-01-01

400

33 CFR 23.20 - Coast Guard commission pennant.  

Code of Federal Regulations, 2013 CFR

... Coast Guard commission pennant. The Coast Guard commission pennant shall have the union part composed of thirteen blue stars in a horizontal line on a white field, one-fourth the length of the pennant; the remaining three-fourths shall...

2013-07-01

401

16 CFR 1512.9 - Requirements for protective guards.  

Code of Federal Regulations, 2013 CFR

...SUBSTANCES ACT REGULATIONS REQUIREMENTS FOR BICYCLES Regulations § 1512.9 Requirements...protective guards. (a) Chain guard. Bicycles having a single front sprocket...introduced from the chain side of the bicycle in any direction within 45° from a...

2013-01-01

402

Shoplifter faces 27 years in prison for biting security guard.  

PubMed

A Pennsylvania man was sentenced to 13.5 to 27 years in prison following a biting incident after he was caught shoplifting at a Wal-Mart. Eric Rivera Perez was convicted of aggravated assault for attempting to inflict serious bodily harm on a security guard by "knowingly exposing her to an infectious disease". Perez bit the guard who detained him and told the guard repeatedly that he had AIDS. A blood test later confirmed his HIV status. The prosecution argued that the guard did not have to show that she had a serious injury, only that Perez had placed her at risk. The prosecutor and defense attorneys had earlier agreed to a plea bargain with a sentence of no more than 27 months, but the judge rejected the plea, citing the seriousness of the offense and the defendant's long criminal record. The guard has tested negative. PMID:11366397

1999-03-01

403

Soccer shin guard reactions: allergic and irritant reactions.  

PubMed

In spite of the worldwide popularity of soccer among youth and the common requirement of the use of protective shin guards, reports of allergy to shin guards is sparse. This is surprising in light of the fact that this equipment is often made of materials that are reported to cause allergies, and that friction and moisture from the use of these shin guards during the sport would seem to predispose soccer players to the development of an allergic response. We present eight patients that presented for evaluation of dermatitis under their shin guards--some of which had allergy to their shin guards and some of which were diagnosed as having an irritant reaction. PMID:20487661

Powell, Douglas; Ahmed, Sartaj

404

Wrist injuries in guarded versus unguarded first time snowboarders.  

PubMed

In 1999, a study was done examining the injury risk and pattern in first time snowboarders versus first time skiers. Although these rates were similar, snowboarders sustained a higher percentage of injuries to the upper extremity, particularly wrist sprains and fractures. As an extension of this previous study, the protective value during snowboarding of an off-the-shelf wrist guard originally designed for inline skating was tested. Two thousand three hundred fifty-five first time snowboarders were evaluated at one northeastern ski resort. Five hundred fifty-one snowboarders wore wrist guards and a control group of more than 1800 snowboarders did not wear wrist guards. Forty wrist injuries were sustained in the control group (2.2%), compared with no injuries (0%) in the snowboarders who wore wrist guards. Importantly, there was no increase in more proximal or distal upper extremity injuries in the group of snowboarders who wore wrist guards. PMID:12671490

O'Neill, Daniel Fulham

2003-04-01

405

The nature of puerperal psychosis at Muhimbili National Hospital: its physical co-morbidity, associated main obstetric and social factors.  

PubMed

Eighty six in-patients suffering from puerperal psychosis within six weeks after childbirth were prospectively investigated in Muhimbili National Hospital during two years. Formal psychiatric history, mental status evaluation, research and diagnostic criteria including ICD 10 and clinical progression were employed for diagnosis. Using a structured questionnaire, the socio-demographic characteristics, concomitant physical disorders, major obstetric events, period of onset of puerperal psychosis following delivery and social support given were established. Mean age was found to be 23.6 years; the majority was primiparous women with parity of between one and three children. Main physical co-morbidities included anaemia in 51.4% of cases, infections in 44.2% and EPH-gestosis in 17.4%. Most mothers received social support from their extended families. Organic psychosis was found in four fifths of the mothers and schizophrenia in 8.1%. A high rate of early onset puerperal psychosis (3.2/1000 (births), predominantly in young primiparous women, was found. PMID:12476728

Ndosi, Noah K; Mtawali, M L W

2002-04-01

406

"Comfortable Camps?" Archaeology of the Confederate Guard Camp at the Florence Stockade  

NSDL National Science Digital Library

How can we best learn about the world around us? The talented individuals at the National Park Service have continued to answer this question by carefully creating the Teaching with Historic Places Lessons over the past few years. Each lesson plan contains teaching guides, activities, and helpful primary documents. This plan looks at the Confederate Guard Camp at the Florence Stockade in South Carolina, and offers some tremendous insights into what life was like for the guards there. The lesson includes a thematic essay about the historical context of the lesson, along with maps, visual evidence in the form of site plans and artifacts, and helpful first-person narratives by those who were there. The activities here are a real pip, as they include a template for students seeking to build their own campground. [KMG

407

Precopulatory mate guarding in the hermit crab Pagurus middendorffii (Brandt) (Decapoda: Paguridae): effects of population parameters on male guarding duration  

Microsoft Academic Search

The effects of sex ratio, competitor size, and the encounter rate with females on the duration of male precopulatory guarding were tested in the hermit crab Pagurus middendorffii (Brandt, 1851) to examine how guarding duration varies in relation to social factors. Size and owner advantages in male–male contest competition were also examined. Larger and owner males were stronger competitors than

Satoshi Wada; Kiyonori Tanaka; Seiji Goshima

1999-01-01

408

Air National Guard. Past, Present, and Future Prospects.  

National Technical Information Service (NTIS)

Smsgt Robert Myco crawls under the A-10 at the end of the foreign run-way, carefully performing a last-minute inspection. He looks for cuts in the tires, gas or oil leaks, and exterior panels that have not been properly secured. Weapons personnel remove s...

C. J. Gross

1996-01-01

409

Improving the ARFORGEN Model: An Army National Guard Perspective.  

National Technical Information Service (NTIS)

The purpose of this monograph is to provide a new lens to view the ARFORGEN model, as it has largely been accepted without constructive criticism or analysis of its impacts since its inception in 2006. This monograph is an attempt to synthesize elements o...

A. R. Dziengeleski

2010-01-01

410

Acceptability of Associate Evaluation in National Guard Units.  

National Technical Information Service (NTIS)

The present research was designed to assess the acceptability of a peer evaluation technique among enlisted men in combat and combat support units. Specifically, the objectives were to (1) measure soldier attitudes toward peer evaluations using the Unit A...

S. L. Goldberg J. F. Lombardo

1976-01-01

411

US Coast Guard differential GPS network  

SciTech Connect

In order to aid navigation and to prevent disasters such as oil spills, collisions, and wrecks of vessels and aircraft, the US Coast Guard is charged with establishing, maintaining, and operating electronic aids to navigation. In a technological advance developed and operated by the Department of Defense, the global positioning system (GPS) provides all-weather global coverage, 24 hours/day at unprecedented accuracies. GPS provides standard positioning service (SPS) and precise positioning service (PPS). By applying differential techniques to GPS, navigational accuracies of better than 10 meters can be achieved. For the first time, an all-weather system is possible to meet all the marine navigator's needs including harbor and harbor approach navigation. This should revolutionize navigation safety and efficiency, surveying operations, search and rescue operations, and underwater mine disposal efficiency and safety.

Alsip, D.H.; Butler, J.M.; Radice, J.T.

1993-03-01

412

Physiology and Regulation of Calcium Channels in Stomatal Guard Cells  

SciTech Connect

Stomatal pores in the epidermis of leaves regulate the diffusion of CO2 into leaves for photosynthetic carbon fixation and control water loss of plants during drought periods. Guard cells sense CO2, water status, light and other environmental conditions to regulate stomatal apertures for optimization of CO2 intake and plant growth under drought stress. The cytosolic second messenger calcium contributes to stomatal movements by transducing signals and regulating ion channels in guard cells. Studies suggest that both plasma membrane Ca2+ influx channels and vacuolar/organellar Ca2+ release channels contribute to ABA-induced Ca2+ elevations in guard cells. Recent research in the P.I.'s laboratory has led to identification of a novel major cation-selective Ca2+-permeable influx channel (Ica) in the plasma membrane of Arabidopsis guard cells. These advances will allow detailed characterization of Ica plasma membrane Ca2+ influx channels in guard cells. The long term goal of this research project is to gain a first detailed characterization of these novel plasma membrane Ca2+-permeable channel currents in Arabidopsis guard cells. The proposed research will investigate the hypothesis that Ica represents an important Ca2+ influx pathway for ABA and CO2 signal transduction in Arabidopsis guard cells. These studies will lead to elucidation of key signal transduction mechanisms by which plants balance CO2 influx into leaves and transpirational water loss and may contribute to future strategies for manipulating gas exchange for improved growth of crop plants and for biomass production.

Schroeder, Julian I.

2007-05-02

413

Clinical study on psoriasis patients for past 30 years (1982-2012) in Seoul National University Hospital Psoriasis Clinic.  

PubMed

Psoriasis is a chronic relapsing disorder which shows variable clinical features. The long-term clinical study with many patients is important to elucidate the epidemiologic characteristics and clinical features of psoriasis. The purpose of this study was to analyze the epidemiologic characteristics and clinical features of psoriasis in Korean patients. Epidemiologic and clinic data and assessments for severity of extent and activity of psoriasis were collected from the medical records of 5084 patients, who had been newly diagnosed with psoriasis in the Psoriasis Clinic of Seoul National University Hospital between 1982 and 2012. The sex ratio of the psoriasis patients was 1.2:1 (male 54.6%, female 45.4%). The peak age of onset in males was 20s, while it was the teenage years in females. A total of 63.5% of patients developed psoriasis before 30 years of age. Family history of psoriasis was observed in 26.0% of patients. Moderate to severe extent of involvement were more frequently observed in male patients and patients under 30 years of onset age than in females and patients 30 years or over of onset age, respectively. Moderate to severe disease activity were also more frequently presented in male patients, but not in patients under 30 years of onset age. The most common morphological type was nummular (56.7%), followed by large plaque (28.5%) and guttate (8.5%). Nail involvement accompanied in 26.4% of patients. We demonstrated the epidemiologic and clinical characteristics of psoriasis in Korean patients. PMID:23834701

Na, Sun Jae; Jo, Seong Jin; Youn, Jai Il

2013-07-09

414

Disparities in Emergency Department Wait Times for Acute Gastrointestinal Illnesses: Results From the National Hospital Ambulatory Medical Care Survey, 1997–2006  

Microsoft Academic Search

OBJECTIVES:(i) The aims of this study were to report wait times for visits to US emergency departments (EDs) for acute gastrointestinal illnesses, (ii) to identify whether racial\\/ethnic disparities exist in wait times, and (iii) to characterize factors associated with delays in physician assessment.METHODS:We analyzed data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 1997 to 2006. We studied

Bechien U Wu; Peter A Banks; Darwin L Conwell

2009-01-01

415

Fresh Whole Blood Transfusions in Coalition Military, Foreign National, and Enemy Combatant Patients during Operation Iraqi Freedom at a U.S. Combat Support Hospital  

Microsoft Academic Search

Background  United States military doctrine permits the use of fresh whole blood (FWB), donated by U.S. military personnel on site, for\\u000a casualties with life-threatening injuries at combat support hospitals. U.S. Military Medical Department policy dictates that\\u000a all patients treated at military facilities during combat (coalition military personnel, foreign nationals, and enemy combatants)\\u000a are to be treated equally. The objectives of this

Philip C. Spinella; Jeremy G. Perkins; Kurt W. Grathwohl; Thomas Repine; Alec C. Beekley; James Sebesta; Donald Jenkins; Kenneth Azarow; John B. Holcomb

2008-01-01

416

Does Competition Improve Public Hospitals' Efficiency? Evidence from a Quasi-Experiment in the English National Health Service  

Microsoft Academic Search

This paper uses a difference-in-difference style estimation strategy to test separately the impact of competition from public sector and private sector hospitals on the efficiency of public hospitals. Our identification strategy takes advantage of the phased introduction of a recent set of substantive reforms introduced in the English NHS from 2006 onwards. These reforms forced public sector health care providers

Zack Cooper; Stephen Gibbons; Simon Jones; Alistair McGuire

2012-01-01

417

Health among hospital employees in Europe: A cross-national study of the impact of work stress and work control  

Microsoft Academic Search

This article analyses the effect of working conditions on the health of hospital employees across Europe. Hospital employees often have demanding jobs that increase their stress levels and, consequently, their risk of health problems. Work control – typified by employee autonomy and working time flexibility – helps them cope with high levels of work stress. Researchers have traditionally studied the

Tjasa Pisljar; Tanja van der Lippe; Laura den Dulk

2011-01-01

418

Transfer of hospitals and "additional premises" to the state: questionable morality in the implementation of the National Health Service Act (1946).  

PubMed

The National Health Service Act of 1946, pioneered by Aneurin Bevan, came into being on the "appointed day", 5 July 1948. Hospitals with their "additional premises" throughout Britain were "seized" by the state and incorporated into this vast socialist enterprise. While the majority of the population welcomed this new initiative in the creation of a welfare state, associated with medical care from cradle to grave, not all (especially members of various Hospital Boards of Management) were so enthusiastic. The hospitals for "incurables" (long stay patients) were unhappy and lost a vast proportion of their income owing to a great deal of procrastination; but most of them ultimately managed to escape nationalisation after a prolonged period of negotiation, by a claim that they were "homes" rather than "hospitals". The confiscation of property which had been built as a result of voluntary subscription was another huge and highly contentious matter, which has been highlighted in recent years. The future of the Seamen's Hospital Society's properties represents a good example of this. PMID:15579611

Cook, G C

2004-12-01

419

Excessive working hours and health complaints among hospital physicians: a study based on a national sample of hospital physicians in Germany  

PubMed Central

Objectives: To determine correlations between excessively long working hours and subjectively experienced somatic health complaints among hospital physicians. Methods: Quantitative data were collected as part of the survey “Working life, Lifestyle and Health of Hospital Physicians in Germany 2006” using self-reporting questionnaires. The individually experienced health was assessed on the basis of Zerssen’s [1] list of somatic complaints. The indicator of excessively long working hours was defined as 10 or more working hours per working day and 6 or more on-call shifts a month among full-time employees. The net sample consisted of 3295 randomly selected physicians from 515 hospitals. Results: The response rate was 58% (n=1917). Physicians with excessively long working hours (19%) had significantly higher sum score of health complaints (p=0.0001) and significantly increased mental and physical fatigue symptoms (feeling faint, languor, uneasiness, heavy legs, excessive need for sleep, trembling; p=0.0001 to 0.047), mood changes (irritability, brooding; p=0.008 to 0.014), gastrointestinal (nausea, loss of weight; p=0.0001 to 0.014) and heart disorders (lumpy sensation in the throat, chest pain; p=0.0001 to 0.042). When the sum score of health complaints was controlled for selected confounders, being female (B=-3.44, p=0.0001) and having excessively long working hours (B=2.76, p=0.0001) were significantly correlated with health complaints. In a separate gender analysis, being exposed to excessively long working hours remained a significant predictor for health complaints among both females (B=3.78, p=0.001) and males (B=2.28, p=0.004). Conclusions: Excessively long working hours are associated with an increased risk of health complaints. Reducing working hours may be the first step to improving physicians' health.

Rosta, Judith; Gerber, Andreas

2007-01-01

420

29 CFR 1928.57 - Guarding of farm field equipment, farmstead equipment, and cotton gins.  

Code of Federal Regulations, 2010 CFR

...guarded. (ii) All revolving shafts, including projections...shields, and access doors shall be in place when...of a guard or access door will expose an employee...remove the guard or access door until all components...guarded. (ii) All revolving shafts, including...

2007-07-01

421

33 CFR 1.20-1 - Testimony by Coast Guard personnel and production of records.  

Code of Federal Regulations, 2010 CFR

...by Coast Guard Personnel and Production of Records in Legal Proceedings...Coast Guard personnel and production of records. (a) The...of Coast Guard personnel, production of Coast Guard records...Officer of each Maintenance and Logistics Command, each District...

2009-07-01

422

33 CFR 1.20-1 - Testimony by Coast Guard personnel and production of records.  

Code of Federal Regulations, 2013 CFR

...by Coast Guard Personnel and Production of Records in Legal Proceedings...Coast Guard personnel and production of records. (a) The...of Coast Guard personnel, production of Coast Guard records...Officer of each Maintenance and Logistics Command, each District...

2013-07-01

423

33 CFR 1.20-1 - Testimony by Coast Guard personnel and production of records.  

Code of Federal Regulations, 2010 CFR

...by Coast Guard Personnel and Production of Records in Legal Proceedings...Coast Guard personnel and production of records. (a) The...of Coast Guard personnel, production of Coast Guard records...Officer of each Maintenance and Logistics Command, each District...

2010-07-01

424

Prolonged mate guarding and sperm competition in the weevil Diaprepes abbreviatus (L.)  

Microsoft Academic Search

The hypothesis that prolonged copulatory mate guarding coexists with last male sperm precedence was tested for the sugarcane rootstalk borer weevil, Diaprepes abbreviatus (L.) (Coleoptera: Curculionidae). Male D. abbreviatus showed a long copulatory guarding. Both males and females were less likely to remate when prolonged guarding occurred compared with terminating copulation early. Guarding was generally terminated by the struggling behavior

Ally R. Harari; Peter J. Landolt; Charles W. OBrien; H. Jane Brockmannc

2003-01-01

425

National trends in rates of death and hospital admissions related to acute myocardial infarction, heart failure and stroke, 1994-2004  

PubMed Central

Background Rates of death from cardiovascular and cerebrovascular diseases have been steadily declining over the past few decades. Whether such declines are occurring to a similar degree for common disorders such as acute myocardial infarction, heart failure and stroke is uncertain. We examined recent national trends in mortality and rates of hospital admission for these 3 conditions. Methods We analyzed mortality data from Statistic Canada’s Canadian Mortality Database and data on hospital admissions from the Canadian Institute for Health Information’s Hospital Morbidity Database for the period 1994–2004. We determined age- and sex-standardized rates of death and hospital admissions per 100 000 population aged 20 years and over as well as in-hospital case-fatality rates. Results The overall age- and sex-standardized rate of death from cardiovascular disease in Canada declined 30.0%, from 360.6 per 100 000 in 1994 to 252.5 per 100 000 in 2004. During the same period, the rate fell 38.1% for acute myocardial infarction, 23.5% for heart failure and 28.2% for stroke, with improvements observed across most age and sex groups. The age- and sex-standardized rate of hospital admissions decreased 27.6% for stroke and 27.2% for heart failure. The rate for acute myocardial infarction fell only 9.2%. In contrast, the relative decline in the inhospital case-fatality rate was greatest for acute myocardial infarction (33.1%; p < 0.001). Much smaller relative improvements in case-fatality rates were noted for heart failure (8.1%) and stroke (8.9%). Interpretation The rates of death and hospital admissions for acute myocardial infarction, heart failure and stroke in Canada changed at different rates over the 10-year study period. Awareness of these trends may guide future efforts for health promotion and health care planning and help to determine priorities for research and treatment.

Tu, Jack V.; Nardi, Lorelei; Fang, Jiming; Liu, Juan; Khalid, Laila; Johansen, Helen

2009-01-01

426

Timing of surgery for hip fracture and in-hospital mortality: a retrospective population-based cohort study in the Spanish National Health System  

PubMed Central

Background While the benefits or otherwise of early hip fracture repair is a long-running controversy with studies showing contradictory results, this practice is being adopted as a quality indicator in several health care organizations. The aim of this study is to analyze the association between early hip fracture repair and in-hospital mortality in elderly people attending public hospitals in the Spanish National Health System and, additionally, to explore factors associated with the decision to perform early hip fracture repair. Methods A cohort of 56,500 patients of 60-years-old and over, hospitalized for hip fracture during the period 2002 to 2005 in all the public hospitals in 8 Spanish regions, were followed up using administrative databases to identify the time to surgical repair and in-hospital mortality. We used a multivariate logistic regression model to analyze the relationship between the timing of surgery (< 2 days from admission) and in-hospital mortality, controlling for several confounding factors. Results Early surgery was performed on 25% of the patients. In the unadjusted analysis early surgery showed an absolute difference in risk of mortality of 0.57 (from 4.42% to 3.85%). However, patients undergoing delayed surgery were older and had higher comorbidity and severity of illness. Timeliness for surgery was not found to be related to in-hospital mortality once confounding factors such as age, sex, chronic comorbidities as well as the severity of illness were controlled for in the multivariate analysis. Conclusions Older age, male gender, higher chronic comorbidity and higher severity measured by the Risk Mortality Index were associated with higher mortality, but the time to surgery was not.

2012-01-01

427

Cytochemical and cytofluorometric evidence for guard cell photosystems  

SciTech Connect

Evidence for photosynthetic linear electron transport in guard cells was obtained with two sensitive methods of high spacial resolution. Light-dependent diaminobenzidine oxidation (an indicator of PSI) and DCMU-sensitive, light-dependent thiocarbamyl nitroblue tetrazolium reduction (an indicator of PSII) were observed in guard cell plastids of Hordeum vulgare L. cv Himalaya using electron microscopic cytochemical procedures. DCMU-sensitive Chl a fluorescence induction (an indicator of PSII) was detected in individual guard cell pairs of Vicia faba L. cv Longpod using an ultramicrofluorometer. At least for these species, we conclude these results are proof for the presence of PSII in guard cell chloroplasts, which until now has been somewhat controversial. 31 references, 2 figures.

Vaughn, K.C.; Outlaw, W.H. Jr.

1983-01-01

428

30 CFR 57.12034 - Guarding around lights.  

Code of Federal Regulations, 2013 CFR

...AND NONMETAL MINES Electricity Surface and Underground § 57.12034 Guarding around lights. Portable extension lights, and other lights that by their location present a shock or burn hazard, shall be...

2013-07-01

429

Collateral Duty Job Satisfaction Among Coast Guard Aviators.  

National Technical Information Service (NTIS)

This research sought to determine if collateral duty job satisfaction is related to a Coast Guard aviator's career satisfaction and retention plans, which are the most and least satisfying collateral duties, and if various job, management, and individual ...

R. J. Morrison

1991-01-01

430

38. BACK CORNER SHOWING BAND SAW WITH WOODEN SAFETY GUARD, ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

38. BACK CORNER SHOWING BAND SAW WITH WOODEN SAFETY GUARD, DISK AND VERTICAL SPINDLE SANDER, AND WOODWORKING LATHE-LOOKING SOUTHWEST. - W. A. Young & Sons Foundry & Machine Shop, On Water Street along Monongahela River, Rices Landing, Greene County, PA

431

PARTS WASHING ALTERNATIVES STUDY - UNITED STATES COAST GUARD  

EPA Science Inventory

This report has been written to assist the United States Coast Guard (USCG) industrial managers in determining the most cost effective and environmentally acceptable parts washing alternatives for their specific applications. n evaluation was conducted on four different cleaners ...

432

PARTS WASHING ALTERNATIVES STUDY - UNITED STATES COAST GUARD  

EPA Science Inventory

This report has been written to assist the United States Coast Guard (USCG) industrial managers in determining the most cost effective and environmentally acceptable parts washing alternatives for their specific applications. An; evaluation was conducted on four different cleane...

433

Coast Guard's Boat Crew Communications System Is Unreliable.  

National Technical Information Service (NTIS)

This report addresses the effectiveness of the Coast Guard's boat crew communications system to support maritime operations. We conducted this work as part of our audit to determine whether the current Maritime Safety and Security Team (MSST) program and ...

2010-01-01

434

Could a Good Night's Sleep Guard Against Alzheimer's?  

MedlinePLUS

... JavaScript. Could a Good Night's Sleep Guard Against Alzheimer's? Study found that older people who got more ... 2014) Thursday, October 24, 2013 Related MedlinePlus Pages Alzheimer's Disease Seniors' Health Sleep Disorders MONDAY, Oct. 21 ( ...

435

30 CFR 75.1722 - Mechanical equipment guards.  

Code of Federal Regulations, 2013 CFR

...ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Miscellaneous § 75.1722 ...(c) Except when testing the machinery, guards shall be securely in...

2013-07-01

436

30 CFR 77.400 - Mechanical equipment guards.  

Code of Federal Regulations, 2013 CFR

...HEALTH MANDATORY SAFETY STANDARDS, SURFACE COAL MINES AND SURFACE WORK AREAS OF UNDERGROUND COAL MINES Safeguards for Mechanical Equipment ...pulley. (d) Except when testing the machinery, guards shall be securely in place...

2013-07-01

437

11. REINFORCED CONCRETE SLAB ROOF, GUARD RAIL AT CENTER, VIEW ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. REINFORCED CONCRETE SLAB ROOF, GUARD RAIL AT CENTER, VIEW TOWARDS NORTHWEST. - Glenn L. Martin Company, Titan Missile Test Facilities, Captive Test Stand D-1, Waterton Canyon Road & Colorado Highway 121, Lakewood, Jefferson County, CO

438

Within compound, from Guard Tower, looking north Beale Air ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Within compound, from Guard Tower, looking north - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

439

GUARD RAIL AND RETAINING WALL ALONG GENERALS HIGHWAY, FACING NORTHWEST. ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

GUARD RAIL AND RETAINING WALL ALONG GENERALS HIGHWAY, FACING NORTHWEST. WITH PHOTO NO. 82, THIS SHOT FORMS A PANORAMA OF THE ROAD ALONG THE KAWEAH RIVER - Generals Highway, Three Rivers, Tulare County, CA

440

INTERIOR LIBRARY, LOOKING NORTHWEST. Oregon Inlet Coast Guard Station, ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

INTERIOR LIBRARY, LOOKING NORTHWEST. - Oregon Inlet Coast Guard Station, Northern end of Pea Island, East side of State Road 1257, 0.3 mile North of North Carolina Highway 12, Rodanthe, Dare County, NC

441

INTERIOR TOWER ROOM LOOKING NORTHEAST. Oregon Inlet Coast Guard ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

INTERIOR TOWER ROOM LOOKING NORTHEAST. - Oregon Inlet Coast Guard Station, Northern end of Pea Island, East side of State Road 1257, 0.3 mile North of North Carolina Highway 12, Rodanthe, Dare County, NC

442

Exploitable Vulnerabilities of Iran's Islamic Revolutionary Guard Corps.  

National Technical Information Service (NTIS)

As the government of the Islamic Republic of Iran s center of gravity, the Islamic Revolutionary Guard Corps (IRGC) critical strengths are both vulnerable and exploitable. The IRGC s accumulation of considerable influence in Iranian domestic politics, med...

S. J. Corrigan

2011-01-01

443

Membrane trafficking in guard cells during stomatal movement  

PubMed Central

Pairs of guard cells form small pores called stoma in the epidermis, and the reversible swelling and shrinking of these guard cells regulate the stomatal apertures. The well-documented changes in guard cell volume have been associated with their vacuolar structures. To investigate the contribution of the guard cell vacuoles to stomatal movement, the dynamics of these vacuolar structures were recently monitored during stomatal movement in vacuolar-membrane visualized Arabidopsis plants. Calculation of the vacuolar volume and surface area after reconstruction of three-dimensional images revealed a decrease in the vacuolar volume but an increase in the vacuolar surface area upon stomatal closure. These results implied the possible acceleration of membrane trafficking to the vacuole upon stomatal closure and membrane recycling from the vacuole to the plasma membrane upon stomatal opening. To clarify and quantify membrane trafficking during stomatal movement, we describe in this addendum our development of an improved image processing system.

Kutsuna, Natsumaro; Hasezawa, Seiichiro; Tanaka, Yoko

2008-01-01

444

Voltage Dependence of K+ Channels in Guard-Cell Protoplasts  

Microsoft Academic Search

Stomatal pores in leaves enable plants to regulate the exchange of gases with their environment. Variations of the pore aperture are mediated by controlled changes of potassium salt concentrations in the surrounding guard cells. The voltage-dependent gating of K+-selective channels in the plasma membrane (plasmalemma) of cell-wall-free guard cells (protoplasts) was studied at the molecular level in order to investigate

Julian I. Schroeder; Klaus Raschke; Erwin Neher

1987-01-01

445

Computationally efficient method for analyzing guard channel schemes  

Microsoft Academic Search

Call admission control (CAC) is important for cellular wireless networks in order to provide quality of service (QoS) requirements\\u000a to users. Guard channel scheme is one of the CAC schemes. There are different computational models for analyzing the guard\\u000a channel scheme which make unrealistic assumption of exponential distribution for both call holding duration and cell residence\\u000a time for computational tractability.

Attahiru Sule Alfa

2009-01-01

446

(Selected aspects of guard-cell biochemistry)  

SciTech Connect

Synopsis of progress on current grant. The studies were proposed for five years. The proposal was funded for three years, and I am pleased to report that the proposed experiments have been conducted, in essence, although some protocols were altered as the work unfolded. We found that Abscisic acid (ABA) accumulates in guard cells before it does in other leaf cells during stress imposition. This is an important result that eliminates a long-standing objection to unequivocal assignment of a role to ABA in stress-related decrease in stomatal conductance. We also followed the kinetics of ABA following relief of stress. In a published manuscript, we report values for protoplasts. The results did not permit a conclusion as to the cellular source of ABA. We did not detect physiological isoforms and therefore did not search for phosphorylation or aggregation states. We have been successful in measuring plant cytoplasmic malate concentration, though not in Crassula, which presented intractable technical difficulties. These results lead me to the heretical general conclusion that malate inhibition is not the major single factor that regulates phosphoenolpyruvate. 48 refs., 8 figs.

Outlaw, W.H. Jr.

1990-06-21

447

33 CFR 5.59 - Medical treatment and hospitalization.  

Code of Federal Regulations, 2013 CFR

...Navigation and Navigable Waters 1 2013-07-01...2013-07-01 false Medical treatment and hospitalization...Navigation and Navigable Waters COAST GUARD, DEPARTMENT... § 5.59 Medical treatment and hospitalization...dies as a result of physical injury...

2013-07-01

448

Chlorophyll a Fluorescence Transients in Mesophyll and Guard Cells 1  

PubMed Central

Chlorophyll fluorescence transients from mesophyll and guard cell chloroplasts of variegated leaves from Chlorophytum comosum were compared using high resolution fluorescence spectroscopy. Like their mesophyll counterparts, guard cell chloroplasts showed the OPS fluorescence transient indicating the operation of the linear electron transport and the possible generation of NADPH in these organelles. They also showed a slow fluorescence yield decrease, equivalent to the MT transition in mesophyll, suggesting the formation of the high energy state and photophosphorylation. Unlike the mesophyll chloroplasts, the fluorescence from guard cell chloroplasts lacked the increment of the SM transition, indicating that the two types of chloroplasts have some metabolic differences. The presence of CO2 (supplied as bicarbonate, pH 6.7) specifically inhibited the MT-equivalent transition while its absence accelerated it. These observations constitute the first specific evidence of a guard cell chloroplast response to CO2. Control of photosynthetic ATP levels in the guard cell cytoplasm by CO2 may provide a mechanism regulating the availability of high energy equivalents at the guard cell plasmalemma, thus affecting stomatal opening.

Melis, Anastasios; Zeiger, Eduardo

1982-01-01

449

Guarded capacitance probes for measuring particle concentration and flow  

DOEpatents

Guarded capacitance probe structures are constructed with guard electrodes surrounding one or more sensor electrodes and ground electrodes or grounded surfaces surrounding the guard electrodes. In a one sensor embodiment, the probe utilizes an apertured sensor electrode and the guard electrode both surrounds the sensor electrode and fills the aperture. This embodiment is particularly useful for measuring particle concentration in a fluid suspension contained within a vessel or pipe. The portion of the guard electrode within the aperture of the sensor electrode prevents electric field lines from emanating from the sensor electrode into the fluid suspension and toward infinity. A two sensor embodiment of the probe is useful for measuring flow velocities of fluid suspensions through cross correlation of the outputs generated by each sensor. The relative dimensions of the guard and sensor electrodes are selected to provide the most accurate measurements by confining the electric lines emanating from the sensor electrode or electrodes and terminating on the surrounding grounded surfaces to a small measurement volume of the fluid suspension near the vessel or pipe wall. 14 figs.

Louge, M.Y.

1996-08-13

450

Guarded capacitance probes for measuring particle concentration and flow  

DOEpatents

Guarded capacitance probe structures are constructed with guard electrodes surrounding one or more sensor electrodes and ground electrodes or grounded surfaces surrounding the guard electrodes. In a one sensor embodiment, the probe utilizes an apertured sensor electrode and the guard electrode both surrounds the sensor electrode and fills the aperture. This embodiment is particularly useful for measuring particle concentration in a fluid suspension contained within a vessel or pipe. The portion of the guard electrode within the aperture of the sensor electrode prevents electric field lines from emanating from the sensor electrode into the fluid suspension and toward infinity. A two sensor embodiment of the probe is useful for measuring flow velocities of fluid suspensions through cross correlation of the outputs generated by each sensor. The relative dimensions of the guard and sensor electrodes are selected to provide the most accurate measurements by confining the electric lines emanating from the sensor electrode or electrodes and terminating on the surrounding grounded surfaces to a small measurement volume of the fluid suspension near the vessel or pipe wall. 14 figs.

Louge, M.Y.

1995-10-17

451

Method for modifying axial fan’s guard grill and its impact on operating characteristics  

Microsoft Academic Search

This paper presents the impact of guard grill on aerodynamic integral characteristic, the spectrum of sound pressure level\\u000a and total sound power level at four characteristic operating points of axial fans with standard guard grill, with optimized\\u000a guard grill and without guard grill. The study of guard grill’s impact was conducted with measurements at integral level and\\u000a local outflow velocity

G. Ali?; B. Širok; M. Ho?evar

2010-01-01

452

Behavioral differences between public and private not-for-profit hospitals in the Italian National Health Service.  

PubMed

In this paper we attempt to identify behavioral differences between public and private not-for-profit hospitals, by exploiting the introduction of the DRG-based payment system in the Italian NHS during the second half of the 1990s. We estimate the technical efficiency of a sample of hospitals for the period 1995-2000 considering an output distance function, and adopting both parametric (COLS and SF) and nonparametric (DEA) approaches. Our results show a convergence of mean efficiency scores between not-for-profit and public hospitals, and seem to suggest that differences in economic performances between competing ownership forms are more the result of the institutional settings in which they operate than the effect of the incentive structures embedded in the different proprietary forms. We also observe a decline in technical efficiency, probably due to policies aimed at reducing hospitalization rates. PMID:16929498

Barbetta, Gian Paolo; Turati, Gilberto; Zago, Angelo M

2007-01-01

453

Sex, quality of care, and outcomes of elderly patients hospitalized with heart failure: Findings from the National Heart Failure Project  

Microsoft Academic Search

BackgroundPrevious studies have demonstrated that women hospitalized for heart failure receive poorer quality of care and have worse outcomes than men. However, these studies were based upon selected patient populations and lacked quality of care measures.

Saif S. Rathore; JoAnne Micale Foody; Yongfei Wang; Jeph Herrin; Frederick A. Masoudi; Edward P. Havranek; Diana L. Ordin; Harlan M. Krumholz

2005-01-01

454

Prevalance of and risk factors for hospital-acquired infections in Slovenia—results of the first national survey, 2001  

Microsoft Academic Search

A one-day survey was conducted in all (19) Slovenian acute-care hospitals in October 2001 to estimate the prevalence of all types of hospital-acquired infections (HAIs) and to identify predominant micro-organisms and risk factors. Among 6695 patients surveyed, the prevalence of patients with at least one HAI was 4.6%. The prevalence of urinary tract infections was highest (1.2%), followed by pneumonia

I Klavs; T Bufon Lužnik; M Škerl; M Grgi?-Vitek; T Lejko Zupanc; M Dolinšek; V Prodan; M Vegnuti; A Kraigher; Z Arnež

2003-01-01

455

Does long-term care use within primary health care reduce hospital use among older people in Norway? A national five-year population-based observational study  

PubMed Central

Background Population ageing may threaten the sustainability of future health care systems. Strengthening primary health care, including long-term care, is one of several measures being taken to handle future health care needs and budgets. There is limited and inconsistent evidence on the effect of long-term care on hospital use. We explored the relationship between the total use of long-term care within public primary health care in Norway and the use of hospital beds when adjusting for various effect modifiers and confounders. Methods This national population-based observational study consists of all Norwegians (59% women) older than 66 years (N = 605676) (13.2% of total population) in 2002-2006. The unit of analysis was defined by municipality, age and sex. The association between total number of recipients of long-term care per 1000 inhabitants (LTC-rate) and hospital days per 1000 inhabitants (HD-rate) was analysed in a linear regression model. Modifying and confounding effects of socioeconomic, demographic and geographic variables were included in the final model. We defined a difference in hospitalization rates of more than 1000 days per 1000 inhabitants as clinically important. Results Thirty-one percent of women and eighteen percent of men were long-term care users. Men had higher HD-rates than women. The crude association between LTC-rate and HD-rate was weakly negative. We identified two effect modifiers (age and sex) and two strong confounders (travel time to hospital and mortality). Age and sex stratification and adjustments for confounders revealed a positive statistically significant but not clinically important relationship between LTC-rates and hospitalization for women aged 67-79 years and all men. For women 80 years and over there was a weak but negative relationship which was neither statistically significant nor clinically important. Conclusions We found a weak positive adjusted association between LTC-rates and HD-rates. Opposite to common belief, we found that increased volume of LTC by itself did not reduce pressure on hospitals. There still is a need to study integrated care models for the elderly in the Norwegian setting and to explore further why municipalities far away from hospital achieve lower use of hospital beds.

2011-01-01

456

76 FR 25702 - National Maritime Security Advisory Committee; Meeting  

Federal Register 2010, 2011, 2012, 2013

...Guard [USCG-2011-0310] National Maritime Security Advisory Committee; Meeting...SUMMARY: The National Maritime Security Advisory Committee (NMSAC...and presentation at the International Maritime Organization (IMO). Agenda (1)...

2011-05-05

457

Chlorophyll a Fluorescence Transients in Mesophyll and Guard Cells : MODULATION OF GUARD CELL PHOTOPHOSPHORYLATION BY CO(2).  

PubMed

Chlorophyll fluorescence transients from mesophyll and guard cell chloroplasts of variegated leaves from Chlorophytum comosum were compared using high resolution fluorescence spectroscopy. Like their mesophyll counterparts, guard cell chloroplasts showed the OPS fluorescence transient indicating the operation of the linear electron transport and the possible generation of NADPH in these organelles. They also showed a slow fluorescence yield decrease, equivalent to the MT transition in mesophyll, suggesting the formation of the high energy state and photophosphorylation. Unlike the mesophyll chloroplasts, the fluorescence from guard cell chloroplasts lacked the increment of the SM transition, indicating that the two types of chloroplasts have some metabolic differences. The presence of CO(2) (supplied as bicarbonate, pH 6.7) specifically inhibited the MT-equivalent transition while its absence accelerated it. These observations constitute the first specific evidence of a guard cell chloroplast response to CO(2). Control of photosynthetic ATP levels in the guard cell cytoplasm by CO(2) may provide a mechanism regulating the availability of high energy equivalents at the guard cell plasmalemma, thus affecting stomatal opening. PMID:16662265

Melis, A; Zeiger, E

1982-03-01

458

Black race as a predictor of poor health outcomes among a national cohort of HIV/AIDS patients admitted to US hospitals: a cohort study  

PubMed Central

Background In general, the Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) population has begun to experience the benefits of highly active antiretroviral therapy (HAART); unfortunately, these benefits have not extended equally to Blacks in the United States, possibly due to differences in patient comorbidities and demographics. These differences include rates of hepatitis B and C infection, substance use, and socioeconomic status. To investigate the impact of these factors, we compared hospital mortality and length of stay (LOS) between Blacks and Whites with HIV/AIDS while adjusting for differences in these key characteristics. Methods The 1996–2006 National Hospital Discharge Surveys were used to identify HIV/AIDS patients admitted to US hospitals. Survey weights were incorporated to provide national estimates. Patients < 18 years of age, those who left against medical advice, those with an unknown discharge disposition and those with a LOS < 1 day were excluded. Patients were stratified into subgroups by race (Black or White). Two multivariable logistic regression models were constructed with race as the independent variable and outcomes (mortality and LOS > 10 days) as the dependent variables. Factors that were significantly different between Blacks and Whites at baseline via bivariable statistical tests were included as covariates. Results In the general US population, there are approximately 5 times fewer Blacks than Whites. In the present study, 1.5 million HIV/AIDS hospital discharges were identified and Blacks were 6 times more likely to be hospitalized than Whites. Notably, Blacks had higher rates of substance use (30% vs. 24%; P < 0.001), opportunistic infections (27% vs. 26%; P < 0.001) and cocaine use (13% vs. 5%; P < 0.001). Conversely, fewer Blacks were co-infected with hepatitis C virus (8% vs. 12%; P < 0.001). Hepatitis B virus was relatively infrequent (3% for both groups). Crude mortality rates were similar for both cohorts (5%); however, a greater proportion of Blacks had a LOS > 10 days (21% vs. 19%; P < 0.001). Black race, in the presence of comorbidities, was correlated with a higher odds of LOS > 10 days (OR, 95% CI = 1.20 [1.10–1.30]), but was not significantly correlated with a higher odds of mortality (OR, 95% CI = 1.07 [0.93–1.25]). Conclusion Black race is a predictor of LOS > 10 days, but not mortality, among HIV/AIDS patients admitted to US hospitals. It is possible that racial disparities in hospital outcomes may be closing with time.

2009-01-01

459

Use And In-Hospital Mortality Associated With Two Cardiac Procedures, By Sex And Age: National Trends, 1990-2004 Rates for men were higher for both procedures, but women who had the procedures tended to be more seriously ill  

Microsoft Academic Search

This study used data from the National Hospital Discharge Survey to examine sex- and age-specific trends in use and in-hospital mortality associated with coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) among adults age forty- five and older during 1990-2004. Although use rates for PCI increased 58 percent over the study period, CABG use rates declined. In-hospital death

Julia S. Holmes; Lola Jean Kozak; Maria F. Owings

460

The changing status of hospital libraries 1984 to 1989: characteristics and services in Region 7 of the National Network of Libraries of Medicine.  

PubMed Central

Economic and political factors have had far-reaching effects on hospital libraries in the last decade, but quantitative evidence of these changes is not readily available. Through periodic evaluation surveys within its multistate region, the Pacific Southwest Regional Medical Library Service, the Regional Medical Library for Region 7 of the National Network of Libraries of Medicine (formerly the Regional Medical Library Network) has monitored hospital library changes over the years. This paper compares data from a 1989 survey with similar information gathered in 1984. Longitudinal analysis was performed on responses from 188 hospitals that responded to both the 1984 and the 1989 survey, as was cross-sectional analysis of all responses from both surveys. Results showed a small decrease in the number of hospitals with separate library collections. Staffing patterns had changed considerably, with a drop of approximately one entire full-time salaried equivalent per library and a decrease in libraries managed by a librarian with an M.L.S. The libraries that provide all of a set of predefined core services and resources decreased from 61% in 1984 to 44% in 1989. Libraries with M.L.S. staff were more likely to have core services than those without professional staff.

Glitz, B; Lovas, I; Flack, V

1992-01-01

461

Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.  

PubMed

Catheter-associated urinary tract infection (CAUTI) represents a significant proportion of healthcare-associated infections (HAIs). The US Department of Health and Human Services issued a plan to reduce HAIs with a target 25% reduction of CAUTI by 2013. Michigan's successful collaborative to reduce unnecessary use of urinary catheters and CAUTI was based on a partnership between diverse hospitals, the state hospital association (SHA), and academic medical centers. Taking the lessons learned from Michigan, we are now spreading this work throughout the 50 states. This national spread leverages the expertise of different groups and organizations for the unified goal of reducing catheter-related harm. The key components of the project are (1) centralized coordination of the effort and dissemination of information to SHAs and hospitals, (2) data collection based on established definitions and approaches, (3) focused guidance on the technical practices that will prevent CAUTI, (4) emphasis on understanding the socioadaptive aspects (both the general, unit-wide issues and CAUTI-specific challenges), and (5) partnering with specialty organizations and governmental agencies who have expertise in the relevant subject area. The work may serve in the future as a model for other large improvement efforts to address other hospital-acquired conditions, such as venous thromboembolism and falls. PMID:24018921

Fakih, Mohamad G; George, Christine; Edson, Barbara S; Goeschel, Christine A; Saint, Sanjay

2013-08-29

462

Description of local adaptation of national guidelines and of active feedback for rationalising preoperative screening in patients at low risk from anaesthetics in a French university hospital  

PubMed Central

OBJECTIVE: To describe the effect of local adaptation of national guidelines combined with active feedback and organisational analysis on the ordering of preoperative investigations for patients at low risk from anaesthetics. DESIGN: Assessment of preoperative tests ordered over one month, before and after local adaptation of guidelines and feedback of results, combined with an organisational analysis. SETTING: Motivated anaesthetists in 15 surgical wards of Bordeaux University Hospital, Region Aquitain, France. SUBJECTS: 42 anaesthetists, 60 surgeons, and their teams. MAIN OUTCOME MEASURES: Number and type of preoperative tests ordered in June 1993 and 1994, and the estimated savings. RESULTS: Of 536 patients at low risk from anaesthetics studied in 1993 before the intervention 80% had at least one preoperative test. Most (70%) tests were ordered by anaesthetists. Twice the number of preoperative tests were ordered than recommended by national guidelines. Organisational analysis indicated lack of organised consultations and communication within teams. Changes implemented included scheduling of anaesthetic consultations; regular formal multidisciplinary meetings for all staff; preoperative ordering decision charts. Of 516 low risk patients studied in 1994 after the intervention only 48% had one or more preoperative tests ordered (p < 0.05). Estimated mean (SD) saving for one year if changes were applied to all patients at low risk from anaesthesia in the hospital 3.04 (1.23) mFF. CONCLUSIONS: A sharp decrease in tests ordered in low risk patients was found. The likely cause was the package of changes that included local adaptation of national guidelines, feedback, and organisational change.

Capdenat Saint-Martin, S; Michel, P.; Raymond, J. M.; Iskandar, H.; Chevalier, C.; Petitpierre, M. N.; Daubech, L.; Amouretti, M.; Maurette, P.

1998-01-01

463

Light Quality and Osmoregulation in Vicia Guard Cells 1  

PubMed Central

Osmoregulation in opening stomata of epidermal peels from Vicia faba L. leaves was investigated under a variety of experimental conditions. The K+ content of stomatal guard cells and the starch content of guard cell chloroplasts were examined with cobaltinitrite and iodine-potassium iodide stains, respectively; stomatal apertures were measured microscopically. Red light (50 micromoles per square meter per second) irradiation caused a net increase of 3.1 micrometers in aperture and a decrease of ?0.4 megapascals in guard cell osmotic potential over a 5 hour incubation, but histochemical observations showed no increase in guard cell K+ content or starch degradation in guard cell chloroplasts. At 10 micromoles per square meter per second, blue light caused a net 6.8 micrometer increase in aperture over 5 hours and there was a substantial decrease in starch content of chloroplasts but no increase in guard cell K+ content. At 25 micromoles per square meter per second of blue light, apertures increased faster (net gain of 5.7 micrometers after 1 hour) and starch content decreased. About 80% of guard cells had a higher K+ content after 1 hour of incubation but that fraction decreased to 10% after 5 hours. In the absence of KCl in the incubation medium, stomata opened slowly in response to 25 micomoles per square meter per second of blue light, without any K+ gain or starch loss. In dual beam experiments, stomata irradiated with 50 micomoles per square meter per second of red light for 3 hours opened without detectable starch loss or K+ gain; addition of 25 micomoles per square meter per second of blue light caused a further net gain of 4.4 micometers in aperture accompanied by substantial K+ uptake and starch loss. Comparison of K+ content in guard cells of opened stomata in epidermal peels with those induced to open in leaf discs showed a substantially higher K+ content in the intact tissue than in isolated peels. These results are not consistent with K+ (and its counterions) as the universal osmoticum in guard cells of open stomata under all conditions; rather, the data point to sugars arising from photosynthesis and from starch degradation as additional osmotica. Biochemical confirmation of these findings would indicate that osmoregulation during stomatal opening is the result of three key metabolic processes: ion transport, photosynthesis, and sugar metabolism. Images Fig. 2

Tallman, Gary; Zeiger, Eduardo

1988-01-01

464

OnGuard, a Computational Platform for Quantitative Kinetic Modeling of Guard Cell Physiology1[W][OA  

PubMed Central

Stomatal guard cells play a key role in gas exchange for photosynthesis while minimizing transpirational water loss from plants by opening and closing the stomatal pore. Foliar gas exchange has long been incorporated into mathematical models, several of which are robust enough to recapitulate transpirational characteristics at the whole-plant and community levels. Few models of stomata have been developed from the bottom up, however, and none are sufficiently generalized to be widely applicable in predicting stomatal behavior at a cellular level. We describe here the construction of computational models for the guard cell, building on the wealth of biophysical and kinetic knowledge available for guard cell transport, signaling, and homeostasis. The OnGuard software was constructed with the HoTSig library to incorporate explicitly all of the fundamental properties for transporters at the plasma membrane and tonoplast, the salient features of osmolite metabolism, and the major controls of cytosolic-free Ca2+ concentration and pH. The library engenders a structured approach to tier and interrelate computational elements, and the OnGuard software allows ready access to parameters and equations ‘on the fly’ while enabling the network of components within each model to interact computationally. We show that an OnGuard model readily achieves stability in a set of physiologically sensible baseline or Reference States; we also show the robustness of these Reference States in adjusting to changes in environmental parameters and the activities of major groups of transporters both at the tonoplast and plasma membrane. The following article addresses the predictive power of the OnGuard model to generate unexpected and counterintuitive outputs.

Hills, Adrian; Chen, Zhong-Hua; Amtmann, Anna; Blatt, Michael R.; Lew, Virgilio L.

2012-01-01

465

Increases in vaccination coverage of healthcare personnel following institutional requirements for influenza vaccination: A national survey of US hospitals  

Microsoft Academic Search

BackgroundInstitutional requirements for influenza vaccination, ranging from policies that mandate declinations to those terminating unvaccinated healthcare personnel (HCP), are increasingly common in the US. Our objective was to determine HCP vaccine uptake following requirements for influenza vaccination at US hospitals.

Brady L. Miller; Faruque Ahmed; Megan C. Lindley; Pascale M. Wortley

2011-01-01

466

Utilization and Expenditure of Hospital Admission in Patients with Autism Spectrum Disorder: National Health Insurance Claims Database Analysis  

ERIC Educational Resources Information Center

|There were not many studies to provide information on health access and health utilization of people with autism spectrum disorders (ASD). The present study describes a general profile of hospital admission and the medical cost among people with ASD, and to analyze the determinants of medical cost. A retrospective study was employed to analyze…

Lin, Jin-Ding; Hung, Wen-Jiu; Lin, Lan-Ping; Lai, Chia-Im

2011-01-01

467

Comparison of Evidence-Based Practice between Physicians and Nurses: A National Survey of Regional Hospitals in Taiwan  

ERIC Educational Resources Information Center

Introduction: Although evidence-based practice (EBP) has been widely investigated, few studies compare physicians and nurses on performance. Methods: A structured questionnaire survey was used to investigate EBP among physicians and nurses in 61 regional hospitals of Taiwan. Valid postal questionnaires were collected from 605 physicians and 551…

Chiu, Ya-Wen; Weng, Yi-Hao; Lo, Heng-Lien; Hsu, Chih-Cheng; Shih, Ya-Hui; Kuo, Ken N.

2010-01-01

468

Comparison of Evidence-Based Practice between Physicians and Nurses: A National Survey of Regional Hospitals in Taiwan  

ERIC Educational Resources Information Center

|Introduction: Although evidence-based practice (EBP) has been widely investigated, few studies compare physicians and nurses on performance. Methods: A structured questionnaire survey was used to investigate EBP among physicians and nurses in 61 regional hospitals of Taiwan. Valid postal questionnaires were collected from 605 physicians and 551…

Chiu, Ya-Wen; Weng, Yi-Hao; Lo, Heng-Lien; Hsu, Chih-Cheng; Shih, Ya-Hui; Kuo, Ken N.

2010-01-01

469

Quality of human-computer interaction - results of a national usability survey of hospital-IT in Germany  

PubMed Central

Background Due to the increasing functionality of medical information systems, it is hard to imagine day to day work in hospitals without IT support. Therefore, the design of dialogues between humans and information systems is one of the most important issues to be addressed in health care. This survey presents an analysis of the current quality level of human-computer interaction of healthcare-IT in German hospitals, focused on the users' point of view. Methods To evaluate the usability of clinical-IT according to the design principles of EN ISO 9241-10 the IsoMetrics Inventory, an assessment tool, was used. The focus of this paper has been put on suitability for task, training effort and conformity with user expectations, differentiated by information systems. Effectiveness has been evaluated with the focus on interoperability and functionality of different IT systems. Results 4521 persons from 371 hospitals visited the start page of the study, while 1003 persons from 158 hospitals completed the questionnaire. The results show relevant variations between different information systems. Conclusions Specialised information systems with defined functionality received better assessments than clinical information systems in general. This could be attributed to the improved customisation of these specialised systems for specific working environments. The results can be used as reference data for evaluation and benchmarking of human computer engineering in clinical health IT context for future studies.

2011-01-01

470

Round robins on the apparent thermal conductivity of low-density glass fiber insulations using guarded hot plate and heat flow meter apparatus  

Microsoft Academic Search

This National Bureau of Standards report presents the results and the data analysis pertaining to these results for three round robins on the thermal performance of guarded hot plates and heat flow meters when measuring the thermal resistance properties of low density glass fibrous thermal insulations. The three round robins were carried out under the sponsorship of the American Society

J. G. Hust; C. M. Pelanne

1985-01-01

471

ILC TARGET WHEEL RIM FRAGMENT/GUARD PLATE IMPACT ANALYSIS  

SciTech Connect

A positron source component is needed for the International Linear Collider Project. The leading design concept for this source is a rotating titanium alloy wheel whose spokes rotate through an intense localized magnetic field. The system is composed of an electric motor, flexible motor/drive-shaft coupling, stainless steel drive-shaft, two Plumber's Block tapered roller bearings, a titanium alloy target wheel, and electromagnet. Surrounding the target wheel and magnet is a steel frame with steel guarding plates intended to contain shrapnel in case of catastrophic wheel failure. Figure 1 is a layout of this system (guard plates not shown for clarity). This report documents the FEA analyses that were performed at LLNL to help determine, on a preliminary basis, the required guard plate thickness for three potential plate steels.

Hagler, L

2008-07-17

472

48 CFR 3009.171 - Prohibition on Federal Protective Service guard services contracts with business concerns owned...  

Code of Federal Regulations, 2012 CFR

...Prohibition on Federal Protective Service guard services contracts with business concerns...Prohibition on Federal Protective Service guard services contracts with business concerns...Determination of eligibility for award of FPS guard service contracts. 3009.171-4...

2012-10-01

473

48 CFR 3009.171 - Prohibition on Federal Protective Service guard services contracts with business concerns owned...  

Code of Federal Regulations, 2011 CFR

...Prohibition on Federal Protective Service guard services contracts with business concerns...Prohibition on Federal Protective Service guard services contracts with business concerns...Determination of eligibility for award of FPS guard service contracts. 3009.171-4...

2011-10-01

474

Assessment of the implementation and knowledge of the UK National Guidelines for HIV Testing (2008) in key conditions at a UK district general hospital.  

PubMed

The objective of this study is to audit the implementation and knowledge of the British HIV Association (BHIVA) UK National guidelines for HIV testing (2008) in key conditions at Basildon & Thurrock University Hospital. Basildon Hospital is a district general hospital, serving over 400,000 patients in south-west Essex. A total of 348 patients were assessed through electronic to pathology data and patients' notes to investigate if they had been tested for HIV when diagnosed with the following conditions: tuberculosis (TB), hepatitis B and C, cervical intraepithelial neoplasia grade II/III, lymphoma, anal cancer, seminoma or Castleman's disease. The physicians involved were questioned as to their knowledge of the HIV testing guidelines. Of the 348 patients who were identified as having the above mentioned conditions, only 13.8% of those with any of the key conditions had received an HIV test. Only one non-HIV physician was aware of the guidelines. Knowledge of the 2008 BHIVA HIV testing guidelines is scanty among non-HIV-trained physicians. Health-care professionals in the field, irrespective of their role, should work harder to disseminate information and reduce prejudice that decreases testing of at-risk individuals. PMID:21427432

Gupta, N D; Lechelt, M

2011-02-01

475

GUARD HOUSE AND BARRACKS, SECTIONS AND DETAILS. Navy Department, Bureau ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

GUARD HOUSE AND BARRACKS, SECTIONS AND DETAILS. Navy Department, Bureau of Yards & Docks, Navy Yard, Mare Island, CA. H.J. Brunnier, Structural Engineer, Sharon Building, San Francisco, CA. Sheet 7 of 15, accompanying specification Noy-4675. Submitted May 8, 1941, last revised July 7, 1941. Yards & Docks drawing no. 160692; P.W. (Public Works) drawing no. 10388-31; file no. 930-CR-7. Scale three eighths inch to one foot. 73 cm x 129 cm. Ink on vellum - Mare Island Naval Shipyard, Guard House & Barracks, Railroad Avenue near Eighteenth Street, Vallejo, Solano County, CA

476

GUARD HOUSE AND BARRACKS, ROOF FRAMING DETAILS. Navy Department, Bureau ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

GUARD HOUSE AND BARRACKS, ROOF FRAMING DETAILS. Navy Department, Bureau of Yards & Docks, Navy Yard, Mare Island, CA. H.J. Brunnier, Structural Engineer, Sharon Building, San Francisco, CA. Sheet 9 of 15, accompanying specification Noy-4675. Submitted May 8, 1941, last revised July 7, 1941. Yards & Docks drawing no. 160694; P.W. (Public Works) drawing no. 10388-33; file no. 930-S-4. Scale three eighths inch to one foot. 73 cm x 129 cm. Black line print - Mare Island Naval Shipyard, Guard House & Barracks, Railroad Avenue near Eighteenth Street, Vallejo, Solano County, CA

477

Age differences in alcohol drinking patterns among Norwegian and German hospital doctors - a study based on national samples  

PubMed Central

Aims: To describe and discuss the alcohol drinking patterns of the younger generation of hospital doctors in Norway and Germany – respectively the abstainers, frequent drinkers, episodic heavy drinkers and hazardous drinkers. Methods: Data were collected in nationwide postal surveys among doctors in Norway (2000) and Germany (2006). A representative sample of 1898 German and 602 Norwegian hospital doctors aged 27–65 years were included in the analyses (N=2500). Alcohol drinking patterns were measured using the first three items of AUDIT in Norway and the AUDIT-C in Germany, scores of ?5 (ranking from 0 to 12) indicating hazardous drinking. Episodic heavy drinking was defined by the intake of ?60g of ethanol, on one occasion, at least once a week. Frequent drinkers were who drank alcoholic beverages at least twice a week. Abstainers were persons who drank no alcohol. The analyses were performed separately for age groups (27–44 years versus 45–65 years) and genders. Results: Compared to the age groups 45 to 65 years in the Norwegian and German samples, the younger age groups (27–44 years) tend to have higher rates of abstainers, higher rates of infrequent drinking of moderate amount of alcoholic drinks, lower rates of episodic heavy drinking and lower rates of hazardous drinking. Conclusion: The younger generation of hospital doctors in Norway and Germany showed tendencies to healthier drinking habits. Changes in professional life, and in the attitude towards alcohol consumption, may go some way towards explaining these findings.

Rosta, Judith; Aasland, Olaf G.

2010-01-01

478

Is point of care testing in Irish hospitals ready for the laboratory modernisation process? An audit against the current national Irish guidelines.  

PubMed

BACKGROUND: The Laboratory modernisation process in Ireland will include point of care testing (POCT) as one of its central tenets. However, a previous baseline survey showed that POCT was under-resourced particularly with respect to information technology (IT) and staffing. AIMS: An audit was undertaken to see if POCT services had improved since the publication of National Guidelines and if such services were ready for the major changes in laboratory medicine as envisaged by the Health Service Executive. METHODS: The 15 recommendations of the 2007 Guidelines were used as a template for a questionnaire, which was distributed by the Irish External Quality Assessment Scheme. RESULTS: Thirty-nine of a possible 45 acute hospitals replied. Only a quarter of respondent hospitals had POCT committees, however, allocation of staff to POCT had doubled since the first baseline survey. Poor IT infrastructure, the use of unapproved devices, and low levels of adverse incident reporting were still major issues. CONCLUSIONS: Point of care testing remains under-resourced, despite the roll out of such devices throughout the health service including primary care. The present high standards of laboratory medicine may not be maintained if the quality and cost-effectiveness of POCT is not controlled. Adherence to national Guidelines and adequate resourcing is essential to ensure patient safety. PMID:23575628

O'Kelly, R A; Byrne, E; Mulligan, C; Mulready, K J; O'Gorman, P; O'Shea, P; Boran, G

2013-04-11

479

49 CFR 850.10 - Preliminary investigation by the Coast Guard.  

Code of Federal Regulations, 2011 CFR

... 2011-10-01 false Preliminary investigation by the Coast Guard. 850.10 Section...TRANSPORTATION SAFETY BOARD MARINE CASUALTY INVESTIGATIONS § 850.10 Preliminary investigation by the Coast Guard. (a) The...

2011-10-01

480

49 CFR 850.3 - Relationship to Coast Guard marine investigation regulations and procedures.  

Code of Federal Regulations, 2012 CFR

...Relationship to Coast Guard marine investigation regulations and procedures. 850...TRANSPORTATION SAFETY BOARD MARINE CASUALTY INVESTIGATIONS § 850.3 Relationship to Coast Guard marine investigation regulations and procedures....

2012-10-01