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1

MASSACHUSETTS GENERAL HOSPITAL  

E-print Network

MASSACHUSETTS GENERAL HOSPITAL Page 1 of 4 HARVARD MEDICAL SCHOOL Position: Quality & Safety and efficacy of our practice, reporting this data out to department clinicians, senior leadership and hospital hospital and department groups, exceptional interpersonal, communication, project organization, time

Adams, Mark

2

Association between particulate air pollution and first hospital admission for childhood respiratory illness in Vancouver, Canada.  

PubMed

In this study, the authors assessed the impact of particulate air pollution on first respiratory hospitalization. Study subjects were children less than 3 years of age living in Vancouver, British Columbia, who had their first hospitalization as a result of any respiratory disease (ICD-9 codes 460-519) during the period from June 1, 1995, to March 31, 1999. The authors used logistic regression to estimate the associations between ambient concentrations of particulate matter (PM) and first hospitalization. The adjusted odds ratios for first respiratory hospitalization associated with mean and maximal PM10-2.5 with a lag of 3 days were 1.12 (95% confidence interval: 0.98, 1.28) and 1.13 (1.00, 1.27). After adjustment for gaseous pollutants, the corresponding odds ratios were 1.22 (1.02, 1.48) and 1.14 (0.99, 1.32). The data indicated the possibility of harmful effects from coarse PM on first hospitalization for respiratory disease in early childhood. PMID:16053204

Yang, Qiuying; Chen, Yue; Krewski, Daniel; Shi, Yuanli; Burnett, Richard T; McGrail, Kimberlyn M

2004-01-01

3

The deleterious consequences of privatization and outsourcing for hospital support work: the experiences of contracted-out hospital cleaners and dietary aids in Vancouver, Canada.  

PubMed

This article is based on the findings of the Hospital Support Workers Study, which includes in-depth interviews with 70 hospital housekeepers and dietary aids in Vancouver, British Columbia, Canada. As a result of provincial government legislation in 2003, all hospital-based support work in the Vancouver region was privatized and contracted out to three multinational corporations. The outsourcing of hospital support services is part of a larger global trend toward neoliberal policy reform in health care. This article presents the perceptions of hospital support workers about the consequences of contracting out on their work conditions, training, turnover rates and other issues that directly affect their quality of work and have important implications for patient health and well-being. The findings suggest serious negative consequences for the health care system as a result of the privatization and contracting out of hospital support services. PMID:21324410

Zuberi, Daniyal M; Ptashnick, Melita B

2011-03-01

4

Asthma attack periodicity: A study of hospital emergency visits in Vancouver  

SciTech Connect

Attendances at the emergency departments of the nine acute care hospitals serving the Vancouver region, with a population of just under a million people, were recorded from July 1, 1984 to October 31, 1986. Of about 25,500 visits a month, 2.7% were for respiratory conditions; and of these, 41.3% were for asthma. Data from 11 air monitoring stations were also tabulated on a daily basis, giving mean maximal hourly values for SO2, NO2, and O3; daily aerosol sulfate measurements from one station were also analyzed, together with daily temperature data and measurements of the coefficient of haze. In 3 consecutive years, a peak in asthma attendances was noted, starting in the last week of September, and continuing for 3 weeks. In these periods, weekly visits for asthma reached 130 patients; during the rest of the year, the weekly visits for asthma varied between 30 and 90. This peak affected children and adults between the ages of 15 and 60, but no increase was seen in those over 60 years. Although pollution levels increased sharply in the fall, a day-by-day analysis showed that the rise in asthma attendances preceded the increase in NO chi and SO2 levels for the region, expressed as the mean of the hourly maxima across all stations. It seems unlikely that a specific pollen is responsible for this, or that house mite replication is the cause. Soya beans are not shipped out of Vancouver. The cause of the peak has not been identified. Variations in emergency visits by day of the week have been recorded; in children and in those aged 15-60, more visits occur on Sundays than on other days, but this does not occur in those over 60. Intercorrelations between environmental variables and emergency visits have been calculated separately for the periods May 1 to October 31, and November 1 to April 30.

Bates, D.V.; Baker-Anderson, M.; Sizto, R. (Univ. of British Columbia, Vancouver (Canada))

1990-02-01

5

3. Hospital Point, general view toward Portsmouth Naval Hospital Building ...  

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

3. Hospital Point, general view toward Portsmouth Naval Hospital Building showing cannon (at left) and Saunders Monument (at right in distance), view to southwest - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

6

Examining General Hospitals' Smoke-Free Policies  

ERIC Educational Resources Information Center

Purpose: This paper aims to examine the level of smoke-free policies in general hospitals and the barriers faced in implementing restrictive policies banning smoking inside buildings and on surrounding grounds. Design/methodology/approach; A survey was developed to gather data on hospitals' current smoke-free policies, including the challenges…

Whitman, Marilyn V.; Harbison, Phillip Adam

2010-01-01

7

7. Hospital Point, general view from steps of the Portsmouth ...  

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

7. Hospital Point, general view from steps of the Portsmouth Naval Hospital Building showing radiating walks, view to northeast - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

8

42 CFR 412.22 - Excluded hospitals and hospital units: General rules.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Excluded hospitals and hospital units: General rules. 412.22 Section 412...PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Hospital Services Subject to and...

2012-10-01

9

42 CFR 412.22 - Excluded hospitals and hospital units: General rules.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 2013-10-01 false Excluded hospitals and hospital units: General rules. 412.22 Section 412...PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Hospital Services Subject to and...

2013-10-01

10

42 CFR 412.22 - Excluded hospitals and hospital units: General rules.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Excluded hospitals and hospital units: General rules. 412.22 Section 412...PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Hospital Services Subject to and...

2010-10-01

11

42 CFR 412.22 - Excluded hospitals and hospital units: General rules.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Excluded hospitals and hospital units: General rules. 412.22 Section 412...PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Hospital Services Subject to and...

2011-10-01

12

MASSACHUSETTS GENERAL HOSPITAL PATIENT AND FAMILY ADVISORY COUNCILS  

E-print Network

designation. In 2008, the hospital was redesignated a Magnet hospital. Massachusetts General Hospital is a 957 outpatient visits Records 95,765 emergency room visits Performs 41,304 operations Delivers 3,699 babies

Mootha, Vamsi K.

13

Chest injuries in a district general hospital.  

PubMed Central

Patients with chest injuries requiring admission to the Kent and Canterbury Hospital over a period of one year have been reviewed. Good survival figures are possible when these patients are managed by general surgeons and anaesthetists once the initial traumatic insult and immediate resuscitation period are survived. Among the 54 patients admitted there were 11 deaths, of which 10 occurred within a few hours of the patient's reaching hospital. It seems unlikely that even with specialist facilities the outcome would have been different in these 10 patients. Provided that a combination of experienced surgical and anaesthetic teams supported by intensive care facilities are mobilised quickly enough the absence of specialised cardiothoracic expertise is not important. Images p119-a PMID:7065598

Thompson, G. A.; Wilson, T.; Collins, R. E.; Broadley, J. A.

1982-01-01

14

20. West Elevation and Section, Ward 'K', Letterman General Hospital, ...  

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

20. West Elevation and Section, Ward 'K', Letterman General Hospital, Presidio of San Francisco, Cal. Sheet No. 2. May 1917. BUILDING 1049. - Presidio of San Francisco, Letterman General Hospital, Building No. 12, Letterman Hospital Complex, Edie Road, San Francisco, San Francisco County, CA

15

19. First and Second Floors. Ward 'K', Letterman General Hospital, ...  

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

19. First and Second Floors. Ward 'K', Letterman General Hospital, Presidio of San Francisco, Cal. Sheet No. 1. May 1917. BUILDING 1049. - Presidio of San Francisco, Letterman General Hospital, Building No. 12, Letterman Hospital Complex, Edie Road, San Francisco, San Francisco County, CA

16

Psychiatric disorder in hospital and general practice  

Microsoft Academic Search

Accepted clinical notions in psychiatry have been derived largely from the study of mental hospital case-material which, however, may be unrepresentative because of the selective factors influencing hospital admission. To obviate bias, it will be necessary to study cases identified in the community.

Brian Cooper

1966-01-01

17

SDSU General Catalog 2013-2014 289 Hospitality and Tourism  

E-print Network

School of Hospitality and Tourism Management In the College of Professional Studies and Fine Arts OFFICE management with the B.S. degree in applied arts and sciences. Emphasis in global tourism management. EmphasisSDSU General Catalog 2013-2014 289 HTM Hospitality and Tourism Management In the L. Robert Payne

Gallo, Linda C.

18

North side. Fitzsimons General Hospital, Physiotherapy & Electrocardiograph Department ...  

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

North side. - Fitzsimons General Hospital, Physiotherapy & Electrocardiograph Department Building, North of Building No. 516, East of corridor connecting Building No. 511 to Building No. 515, Aurora, Adams County, CO

19

East and north sides. Fitzsimons General Hospital, Physiotherapy & ...  

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

East and north sides. - Fitzsimons General Hospital, Physiotherapy & Electrocardiograph Department Building, North of Building No. 516, East of corridor connecting Building No. 511 to Building No. 515, Aurora, Adams County, CO

20

East and north sides of building Fitzsimons General Hospital, ...  

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

East and north sides of building - Fitzsimons General Hospital, Golf Course Waiting Shelter, Southwest area of Golf Course, 700 feet Northeast of intersection of West Harlow Avenue & Peoria Street, Aurora, Adams County, CO

21

The MASSACHUSETTS GENERAL HOSPITAL SURGICAL SOCIETY  

E-print Network

'. Pediatric, plastic and cardiac surgery cases migrated to privatized subspecialty ser- vices decades ago Surgery programs (29 %). By their tabulation, operative insufficiencies were the most frequent deficiency will then be a narrower focus or subspe- cialty of surgery for all residents, rather than the pretense of general

Mootha, Vamsi K.

22

Innovation in Hospital Podiatric Residencies: Waldo General Hospital--A Model Program.  

ERIC Educational Resources Information Center

The Waldo General Hospital Podiatric Residency Program, designed to be an intense, "well-rounded," multifaceted, single year of postgraduate practical training for the podiatric physician, is described. Surgical training, internal medicine, "outside rotations," in-hospital rotations, and meetings and lectures are discussed. A podiatric lecture…

Miller, Stephen J.

1980-01-01

23

Comparing the stigma of mental illness in a general hospital with a state mental hospital  

Microsoft Academic Search

The stigma faced by psychiatric patients associated with the type of psychiatric facilities is controversial. This study was conducted to compare the stigma faced by patients with schizophrenia and non-schizophrenia psychiatric disorders in the outpatient departments of a state mental hospital with those in a general hospital in Singapore. A cross-sectional study involving two groups of outpatients in a state

Cornelia Y. I. Chee; Tze Pin Ng; Ee Heok Kua

2005-01-01

24

The American General Hospital as a Complex Social System  

PubMed Central

Based on data from and about the medical, nursing, and administrative staffs in a probability sample of general hospitals, involving 41 institutions and some 2,400 respondents, certain aspects of the hospital social system are examined in each of the following basic problem-areas: organizational and member goal attainment; availability and allocation of organizational resources; organizational coordination; social integration; intraorganizational strain; and organizational adaptation. These areas are examined separately and in relation to one another, as a basis for understanding and assessing the overall effectiveness of the hospital as a complex social organization. Hospital effectiveness is viewed in the context of open system theory, as a joint function of the relative success with which the organization handles its problems in these key areas. Findings concerning a number of social-psychological variables in each area are presented and discussed, with emphasis on the interdependence of the areas and on organizational issues and implications. The results show some of the basic strengths and weaknesses of the system. Important differences associated with hospital size and affiliation are also discussed to illustrate the typical profile of the American general hospital and significant variations from it. Similarly, differences among the principal groups in the system are presented, where appropriate. Finally, promising directions for future organizational research in the hospital field are briefly presented.

Georgopoulos, Basil S.; Matejko, Aleksander

1967-01-01

25

Sheraton Vancouver Wall Centre Hotel, Vancouver, BC  

E-print Network

a variety of disciplines who face diabetes in practice. The goal is to update your understanding, Port Moody, BC 1430h Break 1445h Physical Activity Management in Diabetes Cathy Potkins, BHK, MPAS, MD, Pediatric Endocrinologist, BC Children's Hospital, & Clinical Assistant Professor, Division

Michelson, David G.

26

WSU Vancouver Historic Collection  

NSDL National Science Digital Library

This fun collection brings together items from three collections in the Washington State University (WSU) Vancouver Library Archive, including items from the WSU 20th Anniversary Oral History Project, campus environmental impact statements, and campus master plans. In a very real sense, it's a potpourri of materials that will interest folks who care about the built environment, sustainability, and the history of this corner of Washington. The oral histories are quite fascinating, as well as the Photographs area which offers a range of images documenting the history of this campus, including some remarkable aerial shots of southwestern Washington. Finally, the Ephemera section lives up to its name as it has everything from a 1992 course schedule to a curious pamphlet for a microcomputer seminar series in 1984.

27

HIV/AIDS in Vancouver, British Columbia: a growing epidemic  

PubMed Central

The prevalence of HIV in Vancouver, British Columbia was subject to two distinct periods of rapid increase. The first occurred in the 1980s due to high incidence among men who have sex with men (MSM), and the second occurred in the 1990s due to high incidence among injection drug users (IDU). The purpose of this study was to estimate and model the trends in HIV prevalence in Vancouver from 1980 to 2006. HIV prevalence data were entered into the UNAIDS/WHO Estimation and Projection Package (EPP) where prevalence trends were estimated by fitting an epidemiological model to the data. Epidemic curves were fit for IDU, MSM, street-based female sex trade workers (FSW), and the general population. Using EPP, these curves were then aggregated to produce a model of Vancouver's overall HIV prevalence. Of the 505 000 people over the age of 15 that reside in Vancouver, 6108 (ranging from 4979 to 7237) were living with HIV in the year 2006, giving an overall prevalence of 1.21 percent (ranging from 0.99 to 1.43 percent). The subgroups of IDU and MSM account for the greatest proportion of HIV infections. Our model estimates that the prevalence of HIV in Vancouver is greater than one percent, roughly 6 times higher than Canada's national prevalence. These results suggest that HIV infection is having a relatively large impact in Vancouver and that evidence-based prevention and harm reduction strategies should be expanded. PMID:19265531

McInnes, Colin W; Druyts, Eric; Harvard, Stephanie S; Gilbert, Mark; Tyndall, Mark W; Lima, Viviane D; Wood, Evan; Montaner, Julio SG; Hogg, Robert S

2009-01-01

28

HIV/AIDS in Vancouver, British Columbia: a growing epidemic.  

PubMed

The prevalence of HIV in Vancouver, British Columbia was subject to two distinct periods of rapid increase. The first occurred in the 1980s due to high incidence among men who have sex with men (MSM), and the second occurred in the 1990s due to high incidence among injection drug users (IDU). The purpose of this study was to estimate and model the trends in HIV prevalence in Vancouver from 1980 to 2006. HIV prevalence data were entered into the UNAIDS/WHO Estimation and Projection Package (EPP) where prevalence trends were estimated by fitting an epidemiological model to the data. Epidemic curves were fit for IDU, MSM, street-based female sex trade workers (FSW), and the general population. Using EPP, these curves were then aggregated to produce a model of Vancouver's overall HIV prevalence. Of the 505 000 people over the age of 15 that reside in Vancouver, 6108 (ranging from 4979 to 7237) were living with HIV in the year 2006, giving an overall prevalence of 1.21 percent (ranging from 0.99 to 1.43 percent). The subgroups of IDU and MSM account for the greatest proportion of HIV infections. Our model estimates that the prevalence of HIV in Vancouver is greater than one percent, roughly 6 times higher than Canada's national prevalence. These results suggest that HIV infection is having a relatively large impact in Vancouver and that evidence-based prevention and harm reduction strategies should be expanded. PMID:19265531

McInnes, Colin W; Druyts, Eric; Harvard, Stephanie S; Gilbert, Mark; Tyndall, Mark W; Lima, Viviane D; Wood, Evan; Montaner, Julio S G; Hogg, Robert S

2009-01-01

29

Experience of clomiphene use in a district general hospital.  

PubMed

Clomiphene citrate (CC) has been widely used for ovulation induction since the 1960s, due to its ease of administration and minimal side-effects. We conducted a retrospective study of 565 women who attended the infertility clinic at a district general hospital (Victoria Hospital, Kirkcaldy) between January 2004 and October 2008. The database was analysed for age, pregnancy rates, type of infertility and pregnancy outcomes. The conception rate with clomiphene citrate was 25%. The drug was well tolerated in 97.5% of women. The miscarriage rate with CC was 4.3%. We believe that these data give useful insights on CC therapy to gynaecologists involved in infertility clinics in a district general hospital setting. PMID:20121504

Damodaran, S; Mamatha, L; Pheely, M; Mahmood, T

2010-01-01

30

SDSU General Catalog 2009-2010 263 Hospitality and Tourism  

E-print Network

and Management. With a solid core of business management courses and theoretical and applied study of the broad Management 201 and 223; Mathematics 120 (or other approved calculus course); and either Statistics 119SDSU General Catalog 2009-2010 263 HTM Hospitality and Tourism Management In the College

Gallo, Linda C.

31

HOSPITAL STAY OF IN-PATIENTS IN A GENERAL HOSPITAL PSYCHIATRY UNIT  

PubMed Central

SUMMARY This report examines the hospital stay of psychiatric in-patients in a general hospital psychiatric setting. The hospital stay days, psychiatric diagnosis, outcome, number of re-admission and some socio-demographic details of patients admitted during one year period were recorded and analysed. The mean hospital stay was 29.39 ± 20.43 days. 60% patients stayed less than 4 weeks. The mean hospital stay of various categories was calculated. Schizophrenics 29.62 ± 25.82 days, manic depressives 35.29 ± 33.04 days and neuroses 24.83±18.43 days. Chronic Schizophrenics stayed longest (43.64±22.56) days. Of the Affective Psychosis group, between manics and depressives no difference was noticed. Good prognosis and relatively benign conditions had a briefer stay. Patients with no improvement stayed for significantly shorter- period (p< .001). Readmission cases tend to stay longer than fresh admissions (p< .05). The implications and interpretations especially in a general hospital psychiatric setting are discussed. PMID:21847306

Chaturvedi, S.K.; Varma, V.K.; Malhotra, Savita; Kumar, Pradeep

1983-01-01

32

42 CFR 412.370 - General provisions for hospitals located in Puerto Rico.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 false General provisions for hospitals located in Puerto Rico. 412.370...PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Inpatient Hospital Capital Costs Special Rules for...

2013-10-01

33

42 CFR 412.370 - General provisions for hospitals located in Puerto Rico.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false General provisions for hospitals located in Puerto Rico. 412.370...PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Inpatient Hospital Capital Costs Special Rules for...

2011-10-01

34

42 CFR 412.370 - General provisions for hospitals located in Puerto Rico.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 false General provisions for hospitals located in Puerto Rico. 412.370...PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Inpatient Hospital Capital Costs Special Rules for...

2010-10-01

35

42 CFR 412.370 - General provisions for hospitals located in Puerto Rico.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false General provisions for hospitals located in Puerto Rico. 412.370...PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Inpatient Hospital Capital Costs Special Rules for...

2012-10-01

36

Hospital Readmission in General Medicine Patients: A Prediction Model  

Microsoft Academic Search

Background  Previous studies of hospital readmission have focused on specific conditions or populations and generated complex prediction\\u000a models.\\u000a \\u000a \\u000a \\u000a \\u000a Objective  To identify predictors of early hospital readmission in a diverse patient population and derive and validate a simple model\\u000a for identifying patients at high readmission risk.\\u000a \\u000a \\u000a \\u000a \\u000a Design  Prospective observational cohort study.\\u000a \\u000a \\u000a \\u000a Patients  Participants encompassed 10,946 patients discharged home from general medicine services at six academic

Omar Hasan; David O. Meltzer; Shimon A. Shaykevich; Chaim M. Bell; Peter J. Kaboli; Andrew D. Auerbach; Tosha B. Wetterneck; Vineet M. Arora; James Zhang; Jeffrey L. Schnipper

2010-01-01

37

Interdiscimplinary differences on a general hospital psychiatry unit.  

PubMed

A questionnaire was distributed to staff members of a 28-bed general hospital psychiatry unit to determine and compare staff perceptions of the value of psychotherapies and the role of the disciplines in conducting treatments. Marked interdisciplinary differences were reported in attitudes toward the use of psychopharmacologic agents, the importance of diagnostic evaluation, the value of psychotherapy in the treatment program, the role of various disciplines in the program, and the therapeutic community approach. Clinical implications of the magnitude of interdisciplinary differences are discussed, and recommendations are made for resolving intergroup conflict. PMID:499789

Greden, J F; Brandow, M; Burpee, C; Krone, K P

1979-07-01

38

Halting Urban Sprawl: Smart Growth in Vancouver and Seattle  

Microsoft Academic Search

Haphazard and unorganized land-use planning in United States cities has resulted in endless sprawl that is straining infrastructure, polluting the atmosphere, and negatively affecting quality of life. This Note compares efforts of two similarly situated North American cities— Seattle and Vancouver—in enacting Smart Growth policies to combat sprawl and argues that Seattle, and American cities in general, should look to

David Fox

2010-01-01

39

[Adult myocarditis in a general hospital: observations on 605 autopsies].  

PubMed

We studied 605 necropsies carried out in a general hospital (San Giovanni battista in Turin), during the years 1985-86 (405 cases) and 1993-94 (200 cases). A standardized sample of myocardium was systematically taken and submitted to histological examination. Thirty-one cases of myocarditis were found (5.1%). Th disease was more frequently observed in the age group from 30 to 49 years and in people dying of malignancies: females showed higher frequency than males (7.4% vs. 4%), with differences nearly significant from a statistical point of view. None of these cases was recognized by the physicians. The prevalence rate of myocarditis in the present series is higher than in retrospective reviews, where microscopic examination of myocardium was not systematically performed. The discrepancies between clinical results and pathological findings confirm that myocarditis is often unsuspected by the physicians. PMID:8927424

Burlo, P; Comino, A; Di Gioia, V; Passarino, G; Mollo, F

1995-12-01

40

CHAPTER 5: PLANS FOR EXISTING SITES C. SAN FRANCISCO GENERAL HOSPITAL  

E-print Network

the Veterans Affairs Medical Center.7 This relationship has existed for over 120 years. UCSF's role at SFGHCHAPTER 5: PLANS FOR EXISTING SITES 130 C. SAN FRANCISCO GENERAL HOSPITAL BACKGROUND San Francisco General Hospital (SFGH) is one of two major hospital affiliations UCSF maintains, the other being

Mullins, Dyche

41

Paediatric inpatient utilisation in a district general hospital.  

PubMed Central

Paediatric inpatient utilisation in a district general hospital was studied for 20 general practices covering a population of 26,433 children. The factors influencing the rate and route of admission (general practitioner (GP) or accident and emergency department) were analysed for 894 emergency non-traumatic admissions over a 12 month period. The overall rate of acute, nontraumatic admission was 33.8/1000; 35% of these admissions were via the accident and emergency department. Asthma was the most common reason for admission (16.1%); 56.9% of the admissions resulted from respiratory tract illness and 44% were for an infective illness. There was a significant variation in the route and rate of admission across practices. Admission rates ranged from 10 to 70/1000 children under 15 and the proportion via the accident and emergency department from 19% to 85%. The proportion of admissions via the accident and emergency department for each practice was highly negatively correlated with the number of GPs in the practice, the number of children under 15 registered, and positively correlated with the unemployment rate attributed to the list. Using multiple logistic regression analysis, the risk of being admitted via the accident and emergency department relative to GP admission was shown to be higher for older children (odds ratio for each year of age 1.05) and less for children registered with large practices with more GPs (odds ratio for each extra GP 0.36) or practices with more children under 15 (odds ratio per extra child 0.9991). Access to hospital as measured by isochrone bars and social characteristics of the ward of residence of each child admitted were not associated with the route of admission. The admission rate for each practice was positively, but not statistically significantly, associated with the unemployment rate attributed to the list, the unemployment rate of the ward where the practice was located, and the percentage of admissions via accident and emergency, and negatively associated with the percentage of the list under 15 years. PMID:8048817

Thakker, Y; Sheldon, T A; Long, R; MacFaul, R

1994-01-01

42

Paediatric inpatient utilisation in a district general hospital.  

PubMed

Paediatric inpatient utilisation in a district general hospital was studied for 20 general practices covering a population of 26,433 children. The factors influencing the rate and route of admission (general practitioner (GP) or accident and emergency department) were analysed for 894 emergency non-traumatic admissions over a 12 month period. The overall rate of acute, nontraumatic admission was 33.8/1000; 35% of these admissions were via the accident and emergency department. Asthma was the most common reason for admission (16.1%); 56.9% of the admissions resulted from respiratory tract illness and 44% were for an infective illness. There was a significant variation in the route and rate of admission across practices. Admission rates ranged from 10 to 70/1000 children under 15 and the proportion via the accident and emergency department from 19% to 85%. The proportion of admissions via the accident and emergency department for each practice was highly negatively correlated with the number of GPs in the practice, the number of children under 15 registered, and positively correlated with the unemployment rate attributed to the list. Using multiple logistic regression analysis, the risk of being admitted via the accident and emergency department relative to GP admission was shown to be higher for older children (odds ratio for each year of age 1.05) and less for children registered with large practices with more GPs (odds ratio for each extra GP 0.36) or practices with more children under 15 (odds ratio per extra child 0.9991). Access to hospital as measured by isochrone bars and social characteristics of the ward of residence of each child admitted were not associated with the route of admission. The admission rate for each practice was positively, but not statistically significantly, associated with the unemployment rate attributed to the list, the unemployment rate of the ward where the practice was located, and the percentage of admissions via accident and emergency, and negatively associated with the percentage of the list under 15 years. PMID:8048817

Thakker, Y; Sheldon, T A; Long, R; MacFaul, R

1994-06-01

43

Toshiba General Hospital PACS for routine in- and outpatient clinics  

NASA Astrophysics Data System (ADS)

The Toshiba General Hospital introduced a departmental RIS/PACS (Radiology Information System/Picture Archiving and Communication System) in the radiology department in May, 1993. It has been used routinely since that time. In order to provide efficient means for clinicians to find and read many images, the system has been expanded to the neurosurgery and urology clinics and wards since May, 1995, and five image referring workstations now provide digital images to clinicians. In this paper we discuss an algorithm for image migration, one of the key issues to accomplish the expansion to outpatient clinics successfully, and propose the WYWIWYG (what you want is what you get) image transfer logic. This is the logic used to transfer images that physicians require refer without increasing the traffic between the image server and referring workstations. We accomplish the WYWIWYG logic by prioritizing exams the physicians have not yet viewed and by finding historical exams according to the modality, anatomy, and marking. Clinicians gave us comments from their first use of the system and suggested that the PACS enables clinicians to review images more efficiently compared to a film-based system. Our experience suggests that it is a key to the effective application of PACS in outpatient clinics to incorporate consideration patterns of clinicians on the migration algorithm.

Toshimitsu, Akihiro; Okazaki, Nobuo; Kura, Hiroyuki; Nishihara, Eitaro; Tsubura, Shinichi

1996-05-01

44

Attitudes of Malaysian general hospital staff towards patients with mental illness and diabetes  

Microsoft Academic Search

Background  The context of the study is the increased assessment and treatment of persons with mental illness in general hospital settings\\u000a by general health staff, as the move away from mental hospitals gathers pace in low and middle income countries. The purpose\\u000a of the study was to examine whether general attitudes of hospital staff towards persons with mental illness, and extent

Harry Minas; Ruzanna Zamzam; Marhani Midin; Alex Cohen

2011-01-01

45

Zolpidem prescribing and adverse drug reactions in hospitalized general medicine patients at a veterans affairs hospital  

Microsoft Academic Search

Background: Zolpidem is prescribed for sleep disruption in hospitalized patients, but data on the incidence of adverse drug reactions (ADRs) are based largely on outpatient studies. Thus, the incidence of ADRs in hospitalized patients may be much higher.Objective: The goal of this study was to describe prescribing patterns of zolpidem for hospitalized medical patients aged ? 50 years, the incidence

Jane E Mahoney; Melissa J Webb; Shelly L Gray

2004-01-01

46

Vancouver Art Gallery: Emily Carr  

NSDL National Science Digital Library

Created by the Vancouver Art Gallery (with a little help from the Virtual Museum of Canada), this is possibly the largest, most comprehensive web site devoted to the works of Canada's beloved artist, Emily Carr. The site includes a featured works section, where, using Flash, visitors can view Carr's works arranged on a timeline and zoom in for more information. There is also an extensive biography of Carr, outlining all the phases of her varied career, such as her work as an artist, documenting the First Nations cultures of British Columbia using Native American motifs, painting magical forests and totems, as well as creating crafts such as bowls and rugs. Carr is also known as an author of books such as "Klee Wyck", Carr's tales of First Nations communities, and for her literary depictions of nineteenth-century Victoria. The search function of the web site searches all 1,688 works by Carr held by the Vancouver Art Gallery, and will retrieve digital images of Carr's paintings, drawings, crafts, and sketchbooks, many accompanied by captions, for example, Haida Totems, 1912 with a quote from Klee Wyck describing the totem's setting at Cha-atl on Queen Charlotte Island.

47

Hospitable archean climates simulated by a general circulation model.  

PubMed

Evidence from ancient sediments indicates that liquid water and primitive life were present during the Archean despite the faint young Sun. To date, studies of Archean climate typically utilize simplified one-dimensional models that ignore clouds and ice. Here, we use an atmospheric general circulation model coupled to a mixed-layer ocean model to simulate the climate circa 2.8 billion years ago when the Sun was 20% dimmer than it is today. Surface properties are assumed to be equal to those of the present day, while ocean heat transport varies as a function of sea ice extent. Present climate is duplicated with 0.06 bar of CO2 or alternatively with 0.02 bar of CO2 and 0.001 bar of CH4. Hot Archean climates, as implied by some isotopic reconstructions of ancient marine cherts, are unattainable even in our warmest simulation having 0.2 bar of CO2 and 0.001 bar of CH4. However, cooler climates with significant polar ice, but still dominated by open ocean, can be maintained with modest greenhouse gas amounts, posing no contradiction with CO2 constraints deduced from paleosols or with practical limitations on CH4 due to the formation of optically thick organic hazes. Our results indicate that a weak version of the faint young Sun paradox, requiring only that some portion of the planet's surface maintain liquid water, may be resolved with moderate greenhouse gas inventories. Thus, hospitable late Archean climates are easily obtained in our climate model. PMID:23808659

Wolf, E T; Toon, O B

2013-07-01

48

In a niche of time: do specialty hospitals outperform general services hospitals?  

PubMed

Niche hospitals represent a growing segment in the health care industry. Niche facilities are primarily engaged in the treatment of cardiac or orthopedic conditions. The effectiveness of this strategy is of interest because niche hospitals focus on only the most profitable services. The purpose of this research was to assess the financial effectiveness of the niche strategy. We theorize that firm and market-level factors concomitantly with the strategy of the hospital-niche versus traditional-are associated with financial performance. This research used 2 data sources, the 2003 Medicare Cost Report and the 2003 Area Resource File. The sample was limited to only for-profit, urban, nongovernmental hospitals (n = 995). The data were analyzed using hierarchical least squares regression. Financial performance was operationalized using the hospital's return on assets. The principal finding of this project is that niche hospitals had significantly higher performance than traditional facilities. From the organizational perspective, the niche strategy leads to better financial performance. From a societal perspective, the niche strategy provides increased focus and efficiencies through repetition. Despite the limited focus of this strategy, patients who can access these providers may experience better outcomes than patients in more traditional hospitals. PMID:23364413

Poole, LeJon; Davis, Jullet A; Gunby, Norris W

2013-01-01

49

Can We Humanize Dying in the General Hospital?  

ERIC Educational Resources Information Center

This paper reviews the literature on the behavior and attitudes of medical-nursing personnel toward the dying person and illustrates the frequent conflict between hospital staff and the needs of dying. Inner perturbation stemming from feelings of vicarious suffering, vicarious disintegration, or personal anxiety about death, education deficiencies…

Fleming, Stephen

50

Impact of hyperglycemia on morbidity and mortality, length of hospitalization and rates of re-hospitalization in a general hospital setting in Brazil  

PubMed Central

Background Hyperglycemia in hospitalized patients is known to be related to a higher incidence of clinical and surgical complications and poorer outcomes. Adequate glycemic control and earlier diagnosis of type 2 diabetes during hospitalization are cost-effective measures. Methods This prospective cohort study was designed to determine the impact of hyperglycemia on morbidity and mortality in a general hospital setting during a 3-month period by reviewing patients' records. The primary purposes of this trial were to verify that hyperglycemia was diagnosed properly and sufficiently early and that it was managed during the hospital stay; we also aimed to evaluate the relationship between in-hospital hyperglycemia control and outcomes such as complications during the hospital stay, extent of hospitalization, frequency of re-hospitalization, death rates and number of days in the ICU (Intensive Care Unit) after admission. Statistical analyses utilized the Kruskall-Wallis complemented by the "a posteriori" d.m.s. test, Spearman correlation and Chi-squared test, with a level of significance of 5% (p < 0.05). Results We reviewed 779 patient records that fulfilled inclusion criteria. The patients were divided into 5 groups: group (1) diabetic with normal glycemic levels according to American Diabetes Association criteria for in-hospital patients (n = 123); group (2) diabetics with hyperglycemia (n = 76); group (3) non-diabetics with hyperglycemia (n = 225); group (4)diabetics and non-diabetics with persistent hyperglycemia during 3 consecutive days (n = 57) and group (5) those with normal glucose control (n = 298). Compared to patients in groups 1 and 5, patients in groups 2, 3 and 4 had significantly higher mortality rates (17.7% vs. 2.8%) and Intensive Care Unit admissions with complications (23.3% vs. 4.5%). Patients in group 4 had the longest hospitalizations (mean 15.5 days), and group 5 had the lowest re-hospitalization rate (mean of 1.28 hospitalizations). Only 184 (51.4%) hyperglycemic patients had received treatment. An insulin "sliding-scale" alone was the most frequent treatment used, and there was a wide variation in glucose target medical prescriptions. Intra Venous insulin infusion was used in 3.8% of patients in the ICU. Glycohemoglobin(A1C) was measured in 11 patients(2.2%). Conclusions Hospital hyperglycemia was correlated with, among other parameters, morbidity/mortality, length of hospitalization and number of re-hospitalizations. Most patients did not have their glycemic levels measured at the hospital; despite the high number of hyperglycemic patients not diagnosed as diabetics, A1C was not frequently measured. Even when patients are assessed for hyperglycemia, they were not treated properly. PMID:20663179

2010-01-01

51

Suicide risk among inpatients at a university general hospital Risco de suicídio em pacientes internados em um hospital geral universitário  

Microsoft Academic Search

Objective: To estimate the proportion of inpatients at a university general hospital who are at risk of committing suicide. Method: A random sample of 253 patients (57% males) aged 18 years old or older, admitted to surgical and clinical wards, was assessed using the the Mini International Neuropsychiatric Interview, which has a section that evaluates the risk for suicide. Uni-

Elisabetta Sachsida Colombo; Paula Serra-Azul Guimarães; Rachel Esteves Soeiro; Paulo Dalgalarrondo; Neury José Botega

2007-01-01

52

Personal health records in a public hospital: experience at the HIV\\/AIDS clinic at San Francisco General Hospital  

Microsoft Academic Search

Personal health records (PHRs) are information repositories; however, PHRs may be less available to persons in the safety net setting. We deployed a free, secure, internet-based PHR for persons receiving care at the AIDS\\/HIV clinic at San Francisco General Hospital. In our initial rollout, 221 persons registered for the PHR. Compared to the entire clinic, these initial users were more

James S. Kahn; Joan F. Hilton; T. Van Nunnery; Skip Leasure; Kelly M. Bryant; C. Bradley Hare; David H. Thom

2010-01-01

53

The point-prevalence of alcohol use disorders and binge drinking in an Irish general hospital  

Microsoft Academic Search

Objectives: There is a paucity of data concerning the prevalence of alcohol use disorders and binge drinking in the general hospital adult population in Ireland. We therefore examined the point-prevalence of alcohol use disorders and of binge drinking in the adult inpatient population of the acute wards of an Irish university teaching hospital. The secondary aim was to examine gender,

Guy J Molyneux; Elizabeth Cryan; Elisa Dooley

54

Geriatrician Clinician-Educator The Division of Hospital Medicine and Division of General Internal Medicine &  

E-print Network

Geriatrician Clinician-Educator The Division of Hospital Medicine and Division of General Internal Medicine & Geriatrics within the Department of Medicine at Oregon Health & Science University seek to an academic career. This position will be a joint appointment in the Divisions of Hospital Medicine

Chapman, Michael S.

55

WSU Vancouver Catering Effective Summer 2008 PAGE 1 of 13 WSU Vancouver Catering  

E-print Network

of less than one week and invoicing of goods purchased for that event will be handled on a case by case are for service and/or pick-up on the WSU Vancouver campus. Food service provided by WSU Vancouver Café & Catering food and equipment order has been finalized. Minimum delivery charge is $35.00 per delivery trip

Collins, Gary S.

56

Fitzsimons General Hospital, Bachelor Officers' Quarters/Officers' Club, West Harlowe Avenue, ...  

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

Fitzsimons General Hospital, Bachelor Officers' Quarters/Officers' Club, West Harlowe Avenue, South side, 200 feet West of intersection of West Harlow Avenue & South First Street, Aurora, Adams County, CO

57

Managing variability to improve quality, capacity and cost in the perioperative process at Massachusetts General Hospital  

E-print Network

The widely held assumption is that to improve access and quality of health care, we need to spend more. In fact, that is not necessarily true. The results of this project, performed at Massachusetts General Hospital (MGH), ...

Price, Devon J. (Devon Jameson)

2011-01-01

58

Convergence and divergence: Assessing criteria of consumer satisfaction across general practice, dental and hospital care settings  

Microsoft Academic Search

This paper describes the results of the first-stage of a study carried out in the spring of 1988 in the South East of England. The study looked at general and specific aspects of consumer satisfaction with general practitioner services, general dental care services and hospital in-patients care. It also examined which specific consumer criteria were the key predictors of overall

Simon J. Williams; Michael Calnan

1991-01-01

59

Characteristics of general practices associated with emergency admission rates to hospital: a cross-sectional study  

Microsoft Academic Search

ObjectivesTo identify characteristics of general practices associated with emergency hospital admission rates, and determine whether levels of performance and patient reports of access are associated with admission rates.DesignA cross-sectional study.SettingTwo primary care trusts (Leicester City and Leicestershire County and Rutland) in the East Midlands of England.Participants145 general practices.MethodsHospital admission data were used to calculate the rate of emergency admissions from

M J G Bankart; R Baker; A Rashid; M Habiba; J Banerjee; R Hsu; S Conroy; S Agarwal; A Wilson

2011-01-01

60

Implementation of a Prototype Generalized Network Technology for Hospitals *  

PubMed Central

A demonstration implementation of a distributed data processing hospital information system using an intelligent local area communications network (LACN) technology is described. This system is operational at the UCSF Medical Center and integrates four heterogeneous, stand-alone minicomputers. The applications systems are PID/Registration, Outpatient Pharmacy, Clinical Laboratory and Radiology/Medical Records. Functional autonomy of these systems has been maintained, and no operating system changes have been required. The LACN uses a fiber-optic communications medium and provides extensive communications protocol support within the network, based on the ISO/OSI Model. The architecture is reconfigurable and expandable. This paper describes system architectural issues, the applications environment and the local area network.

Tolchin, S. G.; Stewart, R. L.; Kahn, S. A.; Bergan, E. S.; Gafke, G. P.; Simborg, D. W.; Whiting-O'Keefe, Q. E.; Chadwick, M. G.; McCue, G. E.

1981-01-01

61

Deliveries in teenagers at a Newfoundland general hospital.  

PubMed Central

A study of deliveries in teenagers was undertaken for the year 1975 in a hospital that had recorded 2797 births, 371 (13%) of which were to women under 20 years of age. Conception had occurred out of wedlock in 314 (85%) of the 371 pregnancies; 124 of the 314 women had married during the pregnancy, most often in the 3rd or 4th month of gestation. The peak months for conception out of wedlock were June and December. This was not the first pregnancy for 65 women (18%), 21 of whom had married during a previous pregnancy. Of the "heads of the households" 36% were labourers and 27% were unemployed. Cesarean section was the method of delivery for 51 (14%) of the women, and 63 (17%) were reported as having had toxemia. There were seven perinatal deaths and seven infants had severe congenital abnormalities. The frequency of low birth weight was 6% overall but 13% for the infants of single women. Five women underwent tubal ligation post partum. PMID:647544

McKilligin, H. R.

1978-01-01

62

A methodology model for quality management in a general hospital.  

PubMed

A reappraisal is made of the relevance of industrial modes of quality management to the issues of medical care. Analysis of the nature of medical care, which differentiates it from the supplier-client relationships of industry, presents the main intrinsic characteristics, which create problems in application of the industrial quality management approaches to medical care. Several examples are the complexity of the relationship between the medical action and the result obtained, the client's nonacceptance of economic profitability as a value in his medical care, and customer satisfaction biased by variable standards of knowledge. The real problems unique to hospitals are addressed, and a methodology model for their quality management is offered. Included is a sample of indicator vectors, measurements of quality care, cost of medical care, quality of service, and human resources. These are based on the trilogy of planning quality, quality control, and improving quality. The conclusions confirm the inadequacy of industrial quality management approaches for medical institutions and recommend investment in formulation of appropriate concepts. PMID:10169184

Stern, Z; Naveh, E

1997-01-01

63

SELF MEDICATION AMONGST GENERAL OUTPATIENTS IN A NIGERIAN COMMUNITY HOSPITAL  

PubMed Central

Aim: This study was designed to determine the proportion of general out patients who practice self medication, the drugs employed and the reasons for resorting to self medication. Methodology: This study was conducted between June and December, 2007 at the General Outpatient Clinic of the Federal Medical Centre, Owo, Ondo State, Nigeria. Two hundred consenting respondents were selected by simple random sampling and interviewed with the aid of semi structured questionnaire by the authors with three assistants. Information regarding their bio-data, history of self medication, drugs used and the reasons for resorting to self medication were obtained. Results: Majority of the respondents (85%) admitted to self medication while the remaining proportion (15%) did not practice it. Drugs utilized could be single, usually analgesics (26.5%) and anti-malaria (15.9%) or in combinations, usually antimalaria-analgesics (22.4%), antimalariaanalgesic- antibiotic (15.3%) and antibiotic-analgesic (10.0%). The reasons cited by respondents for self medication were their perception of their complaints been minor enough to be amenable to self medication (54.7%) and financial constraint (22.4%). Conclusion: Majority of the respondents practiced self medication using an array of drugs like analgesics, anti-malaria and antibiotics used either singly or in combination. The main reasons identified for self medication were that the ailments were minor and financial constraint.

Omolase, C.O.; Adeleke, O.E.; Afolabi, A.O.; Afolabi, O.T.

2007-01-01

64

Geoscape Vancouver: Living with our Geological Landscape  

NSDL National Science Digital Library

This site is about the geology and dynamic landscape of the Vancouver, British Columbia area. The people of Vancouver live where the Fraser River breaches the coastal mountains to reach the inland sea of the Strait of Georgia. This landscape is underlain by a variety of earth materials and is continually shaped by earth processes - a geological landscape or geoscape. The processes include colliding crustal plates and mountain-building, earthquakes, volcanic eruptions, landslides, and the work of water, and past glaciers. References are given to printed and web resources for additional information.

65

An evaluation of the hospital component of general practice vocational training.  

PubMed Central

The contribution of the hospital component of vocational training to the needs of the future general practitioner was investigated by undertaking semi-structured interviews with a representative sample of doctors involved. The findings indicated that, in general, training was failing to address objectives perceived to be important for general practice by the study sample. Problems related to the context and style of hospital training also emerged, which appeared to be limiting the learning potential of this type of experience for general practitioner trainees. It is apparent that there is a need to clarify priority objectives for the hospital component of vocational training, and ensure that it provides the opportunity to achieve them. PMID:2271261

Kearley, K

1990-01-01

66

The benefits of educational release of hospital-based general practice specialist training registrars into general practice.  

PubMed

In Denmark, specialist training for family medicine consists of 2.5 years training in general practice and 2.5 years training in specific hospital departments. The hospital training programme contains mandatory release time (return days) whereby GP trainees leave their hospitals in order to work with patients in their teaching GP surgeries for one day every month. The goals are to develop and maintain a family medicine perspective during the hospital training and to maintain contact with the family medicine environment. In order to explore the benefits of going back to general practice for one day per month during hospital training, we carried out a qualitative study comprising three focus group interviews with trainees and one focus group with trainers. Return days are important for the development of a professional identity and they can ensure the provision of a useful/necessary breathing space in a turbulent education. If properly organised, return days have the potential to strengthen professional competences due to a stronger focus on the family medicine perspective during training. The process strengthens transferability of skills. A focus on better educational management is needed. Trainers' commitment and trainees' ownership of and responsibility for the educational process are prerequisites for success. PMID:20836928

Munk, Martin; Kjaer, Niels Kristian

2010-07-01

67

Imagine UBC Vancouver 6 September 2011  

E-print Network

the new 22-inch TV, you spot the empty carton and see ... a race car. They can't afford the Barbie Dream #12;Imagine UBC Vancouver 6 September 2011 Page 3 of 6 life, you're about to put your skills will find yourself able to take what you imagine and make it real in the physical world. Let me say

Pulfrey, David L.

68

Wildlife Risk Management at Vancouver International Airport  

Microsoft Academic Search

The Vancouver International Airport (YVR) is the second busiest airport in Canada. YVR is located on Sea Island in the Fraser River Estuary - a world-class wintering and staging area for hundreds of thousands of migratory birds. The Fraser Delta supports Canada’s largest wintering populations of waterfowl, shorebirds, and raptors. The large number of aircraft movements and the presence of

Gary F. Searing

2005-01-01

69

INTERPOLATING VANCOUVER'S DAILY AMBIENT PM 10 FIELD  

EPA Science Inventory

In this article we develop a spatial predictive distribution for the ambient space- time response field of daily ambient PM10 in Vancouver, Canada. Observed responses have a consistent temporal pattern from one monitoring site to the next. We exploit this feature of the field b...

70

Washington State University -Vancouver Formal Minor  

E-print Network

, with an emphasis on journalism, social media and public relations, via such platforms as Web sites and mobile apps after completion of 60 semester hours. It requires a minimum of 18 credit hours, 9 of which must exchange courses. WSU Vancouver's focus on media communication emphasizes increasing media literacy

Collins, Gary S.

71

Emergency Communications Plan Vancouver Point Grey Campus  

E-print Network

Emergency Communications Plan Vancouver Point Grey Campus June 3, 2013 UBC Public Affairs Risk Management Services #12;Emergency Communications Plan Page 2 Emergency Communications Plan 1. Introduction The Emergency Communications Plan (ECP) is intended to outline guidelines for quickly communicating with UBC

Michelson, David G.

72

The need for acute, subacute, and nonacute care at 105 general hospital sites on Ontario  

PubMed Central

BACKGROUND: Previous studies of hospital utilization have not taken into account the use of acute care beds for subacute care. The authors determined the proportion of patients who required acute, subacute and nonacute care on admission and during their hospital stay in general hospitals in Ontario. From this analysis, they identified areas where the efficiency of care delivery might be improved. METHODS: Ninety-eight of 189 acute care hospitals in Ontario, at 105 sites, participated in a review that used explicit criteria for rating acuity developed by Inter-Qual Inc., Marlborough, Mass. The records of 13,242 patients who were discharged over a 9-month period in 1995 after hospital care for 1 of 8 high-volume, high-variability diagnoses or procedures were randomly selected for review. Patients were categorized on the basis of the level of care (acute, subacute or nonacute) they required on admission and during subsequent days of hospital care. RESULTS: Of all admissions, 62.2% were acute, 19.7% subacute and 18.1% nonacute. The patients most likely to require acute care on admission were those with acute myocardial infarction (96.2% of 1826 patients) or cerebrovascular accident (84.0% of 1596 patients) and those admitted for elective surgery on the day of their procedure (73.4% of 3993 patients). However, 41.1% of patients awaiting hip or knee replacement were admitted the day before surgery so did not require acute care on admission. The proportion of patients who required acute care on admission and during the subsequent hospital stay declined with age; the proportion of patients needing nonacute care did not vary with age. After admission, acute care was needed on 27.5% of subsequent days, subacute care on 40.2% and nonacute care on 32.3%. The need for acute care on admission was a predictor of need for acute care during subsequent hospital stay among patients with medical conditions. The proportion of patients requiring subacute care during the subsequent hospital stay increased with age, decreased with the number of inpatient beds in each hospital and was highest among patients with congestive heart failure, chronic obstructive pulmonary disease and pneumonia. INTERPRETATION: In 1995, inpatients requiring subacute care accounted for a substantial proportion of nonacute care days in Ontario's general hospitals. These findings suggest a need to evaluate the efficiencies that might be achieved by introducing a subacute category of care into the Canadian health care system. Generally, efforts are needed to reduce the proportion of admissions for nonacute care and of in-hospital days for other than acute care. PMID:9614821

Flintoft, V F; Williams, J I; Williams, R C; Basinski, A S; Blackstien-Hirsch, P; Naylor, C D

1998-01-01

73

Predator discrimination and 'personality' in captive Vancouver Island marmots (Marmota vancouverensis)  

Microsoft Academic Search

A major impediment to recovering declining populations successfully is the mortality of reintroduced or translocated animals. We generally assume that captive-born animals may lose their antipredator behaviour abilities in captivity, but studies rarely compare predator recognition abilities of captive-born and wild- captured animals to test this. To identify whether predator discrimination abilities of the critically endangered Vancouver Island marmots Marmota

D. T. Blumstein; B.-D. Holland; J. C. Daniel

2006-01-01

74

Preliminary survey report: control technology for ethylene oxide sterilization at Selby General Hospital, Marietta, Ohio  

SciTech Connect

A survey of control technology for reducing exposure during ethylene oxide sterilization was conducted at Selby General Hospital, Marietta, Ohio on August 30, 1984. The Central Services Department performed ethylene oxide sterilization for obstetrics, neonatal care, respiratory therapy, cytology, isolation cases, and surgery. Engineering controls consisted of isolation of the sterilizer and aerators, local exhaust ventilation, a continuous fresh air purge on the sterilization cycle, in chamber aeration of the sterilizers, and general exhaust ventilation of the Central Services Department and the sterilizer room. The author concludes that the Central Services Department has instituted control technology that minimizes employee exposure to ethylene-oxide. The hospital should be considered a candidate for an in-depth survey in a NIOSH study of control technology for ethylene oxide sterilization in hospitals.

Kercher, S.L.; Mortimer, V.D.; Todd, W.F.

1985-08-01

75

Adverse Events Associated With Organizational Factors of General Hospital Inpatient Psychiatric Care Environments  

PubMed Central

Objective Although general hospitals receive nearly 60% of all inpatient psychiatric admissions, little is known about the care environment and related adverse events. The purpose of this study was to determine the occurrence of adverse events and examine the extent to which organizing factors of inpatient psychiatric care environments were associated with the occurrence of these events. The events examined were wrong medication, patient falls with injuries, complaints from patients and families, work-related staff injuries, and verbal abuse directed toward nurses. Methods This cross-sectional study used data from a 1999 nurse survey linked with hospital data. Nurse surveys from 353 psychiatric registered nurses working in 67 Pennsylvania general hospitals provided information on nurse characteristics, organizational factors, and the occurrence of adverse events. Linear regression models and robust clustering methods at the hospital level were used to study the relationship of organizational factors of psychiatric care environments and adverse event outcomes. Results Verbal abuse toward registered nurses (79%), complaints (61%), patient falls with injuries (44%), and work-related injuries (39%) were frequent occurrences. Better management skill was associated with fewer patient falls and fewer work-related injuries to staff. In addition, fewer occurrences of staff injuries were associated with better nurse-physician relationship and lower patient-to-nurse staffing ratios. Conclusions Adverse events are frequent for inpatient psychiatric care in general hospitals, and organizational factors of care environments are associated with adverse event outcomes. Further development of evidence-based quality and safety monitoring of inpatient psychiatric care in general hospitals is imperative. PMID:20513679

Kumar, Aparna; Aiken, Linda H.

2010-01-01

76

The John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital  

E-print Network

2007 The John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital 50.stoecklecenter.org reshaping primary care for a healthier future The John D. Stoeckle Center for PRIMARY CARE INNOVATION How You Can Help The need for outstanding primary care is great, and your charitable support

Mootha, Vamsi K.

77

Legal Outcomes of Sexually Abused Children Evaluated at the Philippine General Hospital Child Protection Unit  

ERIC Educational Resources Information Center

Objectives: To describe the legal outcomes and factors associated with case reaching court and conviction for sexual abuse of children seen at the Philippine General Hospital Child Protection Unit (PGH-CPU) from 1997 to 2000. Methods: Mixed transdisciplinary research design combined longitudinal cohort with qualitative methods. Data were obtained…

Sugue-Castillo, Mariella

2009-01-01

78

Massachusetts General Hospital Cancer Center Advancing cancer care through groundbreaking research  

E-print Network

of basic cancer research in fields from genetics and genomics to computational biology and stem cell advances are allowing researchers to gain a deeper understanding of the genetic makeup of cancers, whichMassachusetts General Hospital Cancer Center Advancing cancer care through groundbreaking research

de Bakker, Paul

79

Lisa Brown PT, DPT, NCS Massachusetts General Hospital Institute of Health Professions, Boston MA  

E-print Network

, Boston MA May 2008 to May 2009 Physical Therapy, transitional Doctorate Massachusetts General Hospital Institute of Health Professions, Boston, MA September 2006 to September 2008 Physical Therapy, Certificate of Advanced Study in Neurology University of Vermont September 1989 to May 1993 Physical Therapy, Bachelor

Guenther, Frank

80

Audit of results of operations for infantile pyloric stenosis in a district general hospital  

Microsoft Academic Search

Because of the proposal that infants with hypertrophic pyloric stenosis should only be treated by surgeons with an interest in paediatric surgery, we carried out a retrospective study to audit our experience in a district general hospital. Forty six infants over a five year period underwent pyloromyotomy. There were no deaths, and 36 infants (78%) made uneventful recoveries. Perforation of

C A Eriksen; C J Anders

1991-01-01

81

Should we continue oesophageal surgery in a district general hospital? A review of 200 consecutive cases.  

PubMed Central

A series of 200 oesophageal resections is presented. The results show that acceptable standards are obtainable in a district general hospital (DGH) thus favouring the suggestion that such services could be organised by 'networking' rather than centralisation. This avoids the disadvantages to many DGH patients which follow centralisation. PMID:11432133

Dickson, G. H.; Waters, R.; Bull, J.; Kaul, V.; Sitzia, J.

2001-01-01

82

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

83

Personal health records in a public hospital: experience at the HIV/AIDS clinic at San Francisco General Hospital.  

PubMed

Personal health records (PHRs) are information repositories; however, PHRs may be less available to persons in the safety net setting. We deployed a free, secure, internet-based PHR for persons receiving care at the AIDS/HIV clinic at San Francisco General Hospital. In our initial rollout, 221 persons registered for the PHR. Compared to the entire clinic, these initial users were more likely to be Caucasian, male, non-Hispanic, on antiretroviral medications, and have better control of their HIV infection. The median number of online sessions was 7 and the median session length was 4 min. Laboratory results were the most commonly accessed feature. Patients were satisfied with the PHR and more than 80% of users agreed that the PHR helped them manage their medical problems; however, some users were concerned that their health information was not accurate or secure. Patients in a safety net setting will access and use an online PHR. PMID:20190069

Kahn, James S; Hilton, Joan F; Van Nunnery, T; Leasure, Skip; Bryant, Kelly M; Hare, C Bradley; Thom, David H

2010-01-01

84

Alcohol and drug misuse, risk of re-admission to a general hospital and psychiatric contact.  

PubMed

Patients with physical problems related to the use of alcohol or drugs often present to general hospitals in an unplanned, emergency fashion. In 2005, the Kerr report concluded that fundamental changes were needed in our approach, shifting the emphasis from a reactive to a more proactive, prevention-based model in the treatment of acute medical conditions. We studied patients who had at least one alcohol- or drug-related emergency admission, whose most recent admission was to Aberdeen Royal Infirmary and who, using the Scottish Patients at Risk of Re-admission and Admission (SPARRA) All Ages Tool, were thought to be at high risk of further emergency admission. We examined data sets derived from the National Health Service National Services Scotland Information Services Division, a Liaison Psychiatry database, data from the local psychiatric Patient Information Management System and data collected by the hospital alcohol liaison nurse to examine this group of patients further and consider the scope for any future intervention. Patients who have an alcohol- or drug-related emergency admission to the general hospital are at increased risk of re-admission. A substantial proportion of these patients has come into contact with the psychiatric services, often attracting a substance misuse and/or personality disorder diagnosis. A significant proportion also presents in the context of self-harm. In conclusion, this group of frequent hospital attenders may be difficult to engage but may benefit from more proactive intervention, a more joined-up management approach and the development of an enhanced general hospital alcohol liaison service. PMID:22408219

Goldbeck, R; Asif, M; Sanderson, M; Farquharson, C

2012-02-01

85

The Difference in the Online Medical Information Searching Behaviors of Hospital Patients and Their Relatives versus the General Public  

ERIC Educational Resources Information Center

The purpose of this study is two-fold: to explore the differences in online medical information searching behaviors, including evaluative standards and search strategies, of the general public (general group) and those of hospital patients and their relatives (hospital group); and to compare the predictive relationship between the evaluative…

Wang, Hung-Yuan; Liang, Jyh-Chong; Tsai, Chin-Chung

2014-01-01

86

Preregistration rotation including general practice at St Mary's Hospital Medical School.  

PubMed Central

A rotation for the preregistration year which included medicine, surgery, and general practice started at St Mary's Hospital Medical School in August 1981. Initially approved by London University for an experimental period of three years, in 1984 it became an established rotation subject to normal review. Special arrangements were made for clinical work, supervision, prescribing, teaching, and other aspects of the general practice component. Data relating to the general practice consultations of the nine participating house officers show that they obtained wide experience, and their comments on the post itself were generally favourable. The four months spent in general practice were needed to allow time for the house officers to adapt to the new setting but did not seem to have an important effect on their experience in medicine and surgery. PMID:3924268

Harris, C M; Dudley, H A; Jarman, B; Kidner, P H

1985-01-01

87

Antibacterial Resistance and Molecular Typing of Methicillin-Resistant Staphylococcus aureus in a Kuwaiti General Hospital  

Microsoft Academic Search

Objective: To investigate antibiotic resistance and genetic relatedness of methicillin-resistant Staphylococcus aureus (MRSA) isolated in a general hospital in Kuwait over a period from 1996 to 1998 and 2001. Material and Methods: The isolates were characterized by antibacterial susceptibility testing, coagulase serotyping, coagulase gene polymorphism (coag-RFLP) and pulsed-field gel electrophoresis (PFGE). Results: The MRSA isolates were highly resistant to gentamicin,

E. E. Udo; N. Al-Sweih; S. Mohanakrishnan; P. W. J. West

2006-01-01

88

General outbreaks of infectious intestinal disease (IID) in hospitals, England and Wales, 1992–2000  

Microsoft Academic Search

Between 1992 and 2000, 26.6% (1396\\/5257) of all general outbreaks of infectious intestinal disease (IID) reported to the Public Health Laboratory Service (PHLS) Communicable Disease Surveillance Centre (CDSC) occurred in hospitals. Over 29000 patients and staff were affected and the mortality risk was higher than for outbreaks in other settings [relative risk 2.00 (95% CI: 1.52–2.63) P<0.001]. Person-to-person spread was

S. M. Meakins; G. K. Adak; B. A. Lopman; S. J. O'Brien

2003-01-01

89

Discharge, water temperature, and selected meteorological data for Vancouver Lake, Vancouver, Washington, water years 2011-13  

USGS Publications Warehouse

The U.S. Geological Survey partnered with the Vancouver Lake Watershed Partnership in a 2-year intensive study to quantify the movement of water and nutrients through Vancouver Lake in Vancouver, Washington. This report is intended to assist the Vancouver Lake Watershed Partnership in evaluating potential courses of action to mitigate seasonally driven blooms of harmful cyanobacteria and to improve overall water quality of the lake. This report contains stream discharge, lake water temperature, and selected meteorological data for water years 2011, 2012, and 2013 that were used to develop the water and nutrient budgets for the lake.

Foreman, James R.; Marshall, Cameron A.; Sheibley, Rich W.

2014-01-01

90

Why are family carers of people with dementia dissatisfied with general hospital care? a qualitative study  

PubMed Central

Background Families and other carers report widespread dissatisfaction with general hospital care for confused older people. Methods We undertook a qualitative interviews study of 35 family carers of 34 confused older patients to ascertain their experiences of care on geriatric and general medical, and orthopaedic wards of a large English hospital. Transcripts were analysed using a grounded theory approach. Themes identified in interviews were categorised, and used to build a model explaining dissatisfaction with care. Results The experience of hospital care was often negative. Key themes were events (illness leading to admission, experiences in the hospital, adverse occurrences including deterioration in health, or perceived poor care); expectations (which were sometimes unrealistic, usually unexplored by staff, and largely unmet from the carers’ perspective); and relationships with staff (poor communication and conflict over care). Expectations were influenced by prior experience. A cycle of discontent is proposed. Events (or ‘crises’) are associated with expectations. When these are unmet, carers become uncertain or suspicious, which leads to a period of ‘hyper vigilant monitoring’ during which carers seek out evidence of poor care, culminating in challenge, conflict with staff, or withdrawal, itself a crisis. The cycle could be completed early during the admission pathway, and multiple cycles within a single admission were seen. Conclusion People with dementia who have family carers should be considered together as a unit. Family carers are often stressed and tired, and need engaging and reassuring. They need to give and receive information about the care of the person with dementia, and offered the opportunity to participate in care whilst in hospital. Understanding the perspective of the family carer, and recognising elements of the ‘cycle of discontent’, could help ward staff anticipate carer needs, enable relationship building, to pre-empt or avoid dissatisfaction or conflict. PMID:23006826

2012-01-01

91

33 CFR 165.1314 - Safety Zone; Fort Vancouver Fireworks Display, Columbia River, Vancouver, Washington.  

Code of Federal Regulations, 2010 CFR

The following area is a safety zone: All waters of the Columbia River at Vancouver, Washington bounded by a line commencing at the northern base of the Interstate 5 highway bridge at latitude 45°37? 16.5? N, longitude 122°40?...

2010-07-01

92

33 CFR 165.1314 - Safety Zone; Fort Vancouver Fireworks Display, Columbia River, Vancouver, Washington.  

The following area is a safety zone: All waters of the Columbia River at Vancouver, Washington bounded by a line commencing at the northern base of the Interstate 5 highway bridge at latitude 45°37? 16.5? N, longitude 122°40?...

2014-07-01

93

33 CFR 165.1314 - Safety Zone; Fort Vancouver Fireworks Display, Columbia River, Vancouver, Washington.  

Code of Federal Regulations, 2011 CFR

The following area is a safety zone: All waters of the Columbia River at Vancouver, Washington bounded by a line commencing at the northern base of the Interstate 5 highway bridge at latitude 45°37? 16.5? N, longitude 122°40?...

2011-07-01

94

33 CFR 165.1314 - Safety Zone; Fort Vancouver Fireworks Display, Columbia River, Vancouver, Washington.  

Code of Federal Regulations, 2013 CFR

The following area is a safety zone: All waters of the Columbia River at Vancouver, Washington bounded by a line commencing at the northern base of the Interstate 5 highway bridge at latitude 45°37? 16.5? N, longitude 122°40?...

2013-07-01

95

33 CFR 165.1314 - Safety Zone; Fort Vancouver Fireworks Display, Columbia River, Vancouver, Washington.  

Code of Federal Regulations, 2012 CFR

The following area is a safety zone: All waters of the Columbia River at Vancouver, Washington bounded by a line commencing at the northern base of the Interstate 5 highway bridge at latitude 45°37? 16.5? N, longitude 122°40?...

2012-07-01

96

The role of rotavirus associated with pediatric gastroenteritis in a general hospital in Lagos, Nigeria  

PubMed Central

Introduction Bacterial, viral and parasitic agents have been implicated and confirmed as causative agents of gastroenteritis in children with ages below 5 years old. The major role of rotavirus as causative agent is not widely recognized within the public health community, particularly in developing countries. This study examined the role of rotavirus as a causative agent of childhood gastroenteritis in infants and young children below 5 years of age in a General Hospital in Lagos, Nigeria. Methods Parents and caregivers of children admitted to the hospital were interviewed using a structured questionnaire. Viral RNA was extracted from the stool samples collected and analyzed using RT-PCR for genotyping and agarose gel electrophoresis for identification of rotavirus electrophoretypes. Results Out of the 71 samples analyzed, 16 (22.5%) were positive for rotavirus. A total of 12 (75%) males and 4 (25%) females were positive for rotavirus gastroenteritis with most cases (7, 43.8%) distributed to the 13-24 months age group, followed closely by the 1-6 months age group, with 6 cases, 37.5%. Rotavirus G2 genotype was the most prevalent strain in the hospital (10 patients, 62.5%) followed by G1 (6 patients, 37.5%). These were the only rotavirus genotypes detected in the hospital. PMID:24432291

Anochie, Philip Ifesinachi; Onyeneke, Edwina Chinwe; Asowata, Emmanuel Osaretin; Afocha, Ebelechukwu; Onyeozirila, Anthony Chidiebere; Ogu, Angelina Chinyere; Onyeneke, Bestman Chukwuemeka

2013-01-01

97

VANCOUVER BOARD OF TRADE Go Global with UBC  

E-print Network

VANCOUVER BOARD OF TRADE Go Global with UBC: Make Your `Local' University Your International was the type of book it was, the graphics on the cover, the #12;Vancouver Board of Trade Annual Address'll Go! You might know it. People give it to high school or university grads, or to someone who`s just

Michelson, David G.

98

Prevalence of nurses' smoking habits in psychiatric and general hospitals in China.  

PubMed

This study determined the prevalence of lifetime and current smoking and the correlates of current smoking in nurses working in psychiatric and general hospitals in China. Of 807 distributed questionnaires, 799 nurses who were working in two psychiatric hospitals (n=387, 48.4%), and one general hospital (n=412, 51.6%) had analyzable data. Socio-demographic, alcohol use and smoking data were collected with a self-reported questionnaire. Work-related stress was evaluated with the Nurse Stress Inventory. In the whole sample, the lifetime smoking prevalence was 7.6% (females=2.1% vs. males=48.9%, p<0.0001; psychiatric nurses=14.5% vs. non-psychiatric nurses=1.2%, p<0.0001). The prevalence of current smoking was 7.1% (females=2.1% vs. males=44.7%, p<0.0001; psychiatric nurses=13.4% vs. non-psychiatric nurses=1.2%, p<0.0001). In a multiple logistic regression analysis, age 30 years or older, male gender, having children, being a psychiatric nurse and alcohol consumption were positively associated with smoking, while being a nursing officer was negatively associated with smoking (r(2) = 0.513, p<0.0001). Considering the harmful effects of smoking as well as second-hand smoking in the presence of children, effective measures to promote smoking cessation for male, older and psychiatric nurses and those with children are warranted. PMID:24673786

An, Feng-Rong; Xiang, Yu-Tao; Yu, Liuyang; Ding, Yan-Ming; Ungvari, Gabor S; Chan, Sally Wai-Chi; Yu, Doris S F; Lai, Kelly Y C; Qi, Yun-Ke; Zeng, Jiao-Ying; Wu, Ping-Ping; Hou, Zhi-Jiaolong; Correll, Christoph U; Newhouse, Robin; Chiu, Helen F K

2014-04-01

99

Changes in diagnostic case mix in psychiatric care in general hospitals, 1980-85.  

PubMed

The Hospital Discharge Survey of 1980 and 1985 was used to assess changes in diagnostic case mix of psychiatric inpatient care in short-term, nonfederal general hospitals. Information regarding presence of psychiatric and chemical dependency units was added to both surveys, and information regarding exemption from Medicare's PPS system was noted for 1985. The largest increase was in ICD-9 code 296 (affective disorder), which more than doubled in frequency, along with a similar decrease in Diagnosis-Related Group 426, depressive neurosis. One explanation for this sizable shift was "gaming the system." One cannot conclusively, however, distinguish between gaming the system and the effects of changing professional views of depression during this time period. Other variables potentially contributing to the effect are described as well. PMID:1601291

Kiesler, C A; Simpkins, C

1992-05-01

100

Mechanical circulatory support with the ABIOMED BVS 5000: The Toronto General Hospital experience  

PubMed Central

BACKGROUND Acute hemodynamic collapse resulting in cardiogenic shock and impending end-organ failure is usually associated with certain death. The introduction of short-term mechanical circulatory support (MCS) devices offers potential therapy to these critically ill patients. The BVS 5000 device (ABIOMED Inc, USA) is widely used in the United States, but rarely in Canada, where device reimbursement remains a barrier. OBJECTIVE To present the Toronto General Hospital’s (Toronto, Ontario) initial five-year experience with this device to highlight the indications for use, common complications and overall success rates. METHODS AND RESULTS The institutional MCS database from 2001 to 2006 was reviewed, and 18 patients who received 30 devices in a variety of configurations were identified. The most common support configuration consisted of biventricular support (n=12), followed by isolated left ventricular support (n=4) and isolated right ventricular support in two recipients of an implantable long-term left ventricular assist device. Overall survival to device explant or transplant was 55% (n=10), of which five (50%) were successfully discharged from the hospital. The overall survival from device implant to hospital discharge was 28% (five of 18). The most common cause of death was multisystem organ failure. CONCLUSIONS MCS with the ABIOMED BVS 5000 can successfully resuscitate critically ill patients; however, earlier institution of this device would avoid irreversible end-organ injury, and lead to higher rates of device explant and hospital discharge. Short-term MCS devices should be available in all cardiac surgical centres in Canada to permit stabilization and evaluation of the acutely ill cardiac patient and subsequent management in a heart transplant facility. PMID:21076718

Lad, Vidyadhar; Elhenawy, Abdelsalam; Harwood, Steve; MacIver, Jane; Badiwala, Mitesh V; Vallelonga, Mark; Yau, Terrence M; Cusimano, Robert J; Delgado, Diego H; Ross, Heather J; Rao, Vivek

2010-01-01

101

Partnerships between Medical Centres and General Hospitals Providing Normal Care Standards in Gynaecology and Obstetrics in Germany  

PubMed Central

Hospital managers and the heads of medical departments are nowadays being faced with ever increasing demands. It is becoming difficult for some small hospitals to find highly experienced or even experienced medical staff, to provide specific health-care services at break-even prices and to maintain their position in competition with other hospitals. On the other hand, large hospitals are facing enormous pressure in the investment and costs fields. Cooperation could provide a solution for these problems. For an optimal strategic exploitation of the hospitals, their direction could be placed in the hands of a joint medical director. However, the directorship of two hospitals is associated both with opportunities and with risks. The present article illustrates the widely differing aspects of the cooperation between a medical centre and a general hospital providing standard care from both a theoretical point of view and on the basis of practical experience with an actual cooperation of this type in Heidelberg. PMID:25308978

Schutz, F.; Maleika, A.; Poeschl, J.; Domschke, C.; Seitz, H.; Beuter-Winkler, P.; Sohn, C.

2012-01-01

102

General hospital resources consumed by an elderly population awaiting long-term care.  

PubMed

The provision of extended care facilities in urban Ireland has lagged behind the growth in the numbers of older people. A final pathway for placement is often through the general hospital and the attendant delay results in a diversion of resources. We developed a database of the long-term care waiting lists for the years 1994-present and this was analysed for the six years 1994-1999. We calculated the number of bed-days consumed by elderly patients awaiting placement in long-term care facilities and thus the hospital resources consumed during these periods. The total number of bed-days consumed over the study period was 51,923, the mean being 8653.8 days. Approximately 23.9% of patients die in hospital while awaiting long-term placement. Translating these bed-days into opportunity cost losses in areas relevant to the general hospital we found that 560 extra elective orthopaedic procedures and 1,212 extra transurethral prostatectomies could have been performed per year. The problem of overnight stays in casualty could have been totally abolished if only 65% of these beds were free. Elective theatre is often cancelled with one of the primary reasons being lack of beds. If even a proportion of these beds could be freed up few if any theatre sessions would have to be cancelled, assuming bed availability to be the only factor. This study confirms that the lack of appropriate accommodation for older people requiring extended care is consuming a significant proportion of health care resources. An accelerated program of building of publicly funded long-term placement facilities is urgently required to ameliorate this problem, especially in the greater Dublin area. Further study is required to determine whether this problem exists in other health board areas and if so whether it exists to the same extent. PMID:11693210

Coughlan, T; O'Neill, D

2001-01-01

103

Pathways to psychiatric care in urban north China: a general hospital based study  

PubMed Central

Background Pathway studies highlight the help-seeking behaviors of patients with physical and mental illnesses. A number of studies in this field have been completed in various parts of the world. The purpose of this study is to explore the characteristics of the help-seeking pathways of patients with mental illness from urban north China at Mental Health Professional (MHP). Methods The pathway diagrams, which accounted for more than five percent of patients, were documented for 441 subjects using the translated version of the World Health Organization (WHO) pathway encounter form. The patterns and durations of care-seeking were analyzed in different diagnostic groups. The ?2-test and the Mann-Whitney U test were employed, as needed. Results Respondents visited the MHP through a variety of pathways. Approximately three-quarters of the patients took an indirect pathway (74.8% vs 25.2%, ?2?=?108.8, p?general hospitals (56.4% vs 4.1%, ?2?=?138.3, p?general hospitals (24.8% vs 4.1%, ?2?=?40.96, p?hospitals. Of the patients who first contacted with psychiatry hospital, 55.6% received a professional diagnosis and finally reached the MHP because of the poor treatment or high-cost medical care. Conclusions The majority of patients seek other pathways than to go to MHP directly and this may be due to stigma, and/or lack of knowledge. The study gives emphasis on the importance of improving skills and knowledge that will facilitate the recognition of psychiatric disorders in the community health centers, the general hospitals system and by private practitioners. The pathway described by this study may be helpful while preparing mental health programs in the future. PMID:24020825

2013-01-01

104

Designing a route planner to facilitate and promote cycling in Metro Vancouver, Canada  

Microsoft Academic Search

With increasing fuel costs, greater awareness of greenhouse gas emissions and increasing obesity levels, cycling is promoted as a health promoting and sustainable transport mode. We developed a cycling route planner (http:\\/\\/cyclevancouver.ubc.ca) for Metro Vancouver, British Columbia, Canada, to facilitate cycling amongst the general public and to facilitate new route location by transportation planners. The geographical information system-based planner incorporates

Jason G. Su; Meghan Winters; Melissa Nunes; Michael Brauer

2010-01-01

105

Hospitalization of influenza-like illness patients recommended by general practitioners in France between 1997 and 2010  

E-print Network

Page 1 Hospitalization of influenza-like illness patients recommended by general practitioners-hospitalization ratio; emerging pathogens; influenza pandemics; surveillance, severity. Corresponding author (present.pelat@gmail.com inserm-00709172,version1-18Jun2012 Author manuscript, published in "Influenza and Other Respiratory

106

Introducing an annualised contract for a consultant team in a district general hospital.  

PubMed

The majority of physicians work a weekly timetable consisting of programmed activities (PAs) defined by the consultant contract. This paper describes the implementation of an annualised contract within a gastroenterology department, which is located across two district general hospital sites within the same trust. The perceived benefits of the system include the introduction of a new out-of-hours emergency endoscopy service, more efficient backfilling of vacant endoscopy lists and greater transparency of work patterns and workload between colleagues and within the trust. PMID:23760692

Ayres, Lachlan; Hughes, Rebecca; Brooklyn, Trevor; Shaw, Ian; Valori, Roland

2013-06-01

107

Patient Profile: Inuvik General Hospital and Four Regional Nursing Stations, NWT  

PubMed Central

A five year retrospective study of the inpatient caseload at Inuvik General Hospital (July 1, 1973—July 1, 1978) and the total caseload at four regional nursing stations (July 1, 1974—July 1, 1979) was undertaken. The 20 most common diagnoses and the 10 most common causes of medical evacuation for Fort Norman, Fort Franklin, Fort Good Hope and Norman Wells are presented. The 50 most common diagnoses in Inuvik are compared to figures for Alberta, 1975. Industrialization of the north causes an increase in the frequency and severity of physical trauma and in the amount of psychological morbidity treated by health professionals. PMID:21297849

Ross, Colin; Jensen, Brian

1980-01-01

108

The psychiatric nurse specialist: a valuable asset in the general hospital.  

PubMed

In summary, what are the ways in which the psychiatric/mental clinical specialist contributes to cost-effectiveness, the professional growth of nursing staff, and quality patient care in the general hospital setting? All services of the psychiatric/mental health clinical specialist are ultimately directed toward increasing the effectiveness with which staff can deliver care. This goal is accomplished by helping staff nurses maximize their knowledge, by providing needed educational opportunities, by promoting the use of a holistic model of care, and by helping staff cope with their own stress. In our experience, high quality care that meets the physiological, psychological, and sociological needs of patients decreases the length of the hospital stay, prevents repeated hospitalizations, and minimizes the development of psychosocial problems secondary to the illness. With the necessary support and cooperation from administration, this clinical specialist role reduces health care costs, promotes a higher level of functioning in patients and their families, and increases the level of job satisfaction for the staff who provide direct bedside care. PMID:6403677

Fife, B; Lemler, S

1983-04-01

109

Randomised controlled trial of routine hospital clinic care versus routine general practice care for type II diabetics  

Microsoft Academic Search

Two hundred patients with type II diabetes were entered into a randomised controlled trial lasting five years to compare routine care of this condition by a hospital diabetic clinic with routine care in general practice. Fewer patients in the group being cared for by their general practitioner (general practice group) were regularly reviewed or had regular estimations of blood glucose

T M Hayes; J Harries

1984-01-01

110

CONTENDING WITH SPACE-TIME INTERACTION IN THE SPATIAL PREDICTION OF POLLUTION: VANCOUVER'S HOURLY AMBIENT PM 10 FIELD  

EPA Science Inventory

In this article we describe an approach for predicting average hourly concentrations of ambient PM10 in Vancouver. We know our solution also applies to hourly ozone fields and believe it may be quite generally applicable. We use a hierarchal Bayesian approach. At the primary ...

111

Small can be beautiful: 10 years managing colorectal cancer in a rural general hospital.  

PubMed

There has been much recent debate on the relationship between surgical volume and outcomes. The aim of this study was to assess the ability of a rural general hospital to provide care for patients with colorectal cancer in a small-volume practice. A retrospective review of patients treated in a rural general hospital, between January 1993 and December 2002, was undertaken. Patient demographics, disease characteristics, treatments and complications were all recorded. Ninety-eight patients had a final diagnosis of colorectal cancer. There was an equal male: female ratio and an average age of 69 years (40-88 years). Eighty-five percent underwent treatment with curative intent. The postoperative complication rate was low (2% wound infections, 2.3% anastomotic leak rate) and Dukes-specific five-year survival was satisfactory (A > 80%, B and C > 60%). In conclusion, this study adds weight to the argument that even with low-volume workload, satisfactory results can still be obtained. PMID:21515529

Grant, A J; Sedgwick, D M

2011-02-01

112

Continuing education among Chinese nurses: A general hospital-based study  

PubMed Central

SUMMARY Background Continuing education (CE) is increasingly critical for nurses to keep abreast of rapid changes in patient care due to advancements in knowledge and technology. Objective The objective of this study was to explore Chinese nurses’ perceptions on continuing education, how best CE practices meet their learning needs, and the motivation and barriers nurses face in completing CE. Methods A cross-sectional study of 2727 hospital-employed Chinese nurses from ten general hospitals was conducted from September to October 2010. Nurses’ perceptions on CE, as well as motivational and preventive factors in CE were assessed. Results The majority of nurses (97.3%) attended CE activities in the last twelve months. More than 92.2% of the nurses were familiar with the value of CE. Nurses expected CE activities to take place within a five-day period and to consist of 2 h per activity. The major factors that motivate nurses to participate in CE are the desire to gain and update their knowledge of the newest nursing development and procedures, to improve their practical skills and comprehensive qualities, to maintain professional status and to receive an academic degree. Factors that hindered nurses’ participation in CE included time constraints, work commitments, a lack of opportunity, cost of the courses and previous negative experiences with CE programs. Conclusion Chinese nurses considered CE an extremely important measure to further develop their professional competency. Nurses’ actual expectations for CE and the motivation and barriers for participation in CE from nurses’ individual, family and hospital perspective must be taken into the account in order to make CE programs more effective. PMID:23931929

Ni, Chunping; Hua, Yan; Shao, Pei; Wallen, Gwenyth R.; Xu, Shasha; Li, Lu

2014-01-01

113

Comparative heart failure profile over a 3-year period in a Romanian general hospital  

PubMed Central

Background Heart failure (HF) has become an increasingly significant public health problem, associated with repeated hospitalizations, high costs, low quality of life, and decreased survival rate. The progress of the disease may be slowed if treatment is administered in accordance with current guidelines. Objectives To compare the clinical profile of HF patients in a Romanian general hospital over a 3-year period. Methods and results We studied two cohorts of patients admitted in the cardiology department of a rehabilitation hospital with a diagnosis of chronic HF New York Heart Association class II–IV The first, in 2006, included 415 patients, 67.08 ± 10.59 years; the second, in 2009, included 500 patients, 67.31 ± 11.27 years. Considering all patients, the left ventricle ejection fraction (LVEF) was not statistically different in the two cohorts. Compared to the 2006 cohort, the 2009 female cohort had higher LVEF (60.49% ± 13.41% vs 64.42% ± 13.79%, P < 0.05), while males over 65 years of age had lower LVEF (52.75% ± 15.02% vs 54.37% ± 15.23%, P = NS). For females, the probability of having LVEF <45% was higher in 2006 (odds ratio = 1.573). HF with preserved LVEF was more common in females, both in 2006 (78.2% vs 54.2%) and 2009 (87.2% vs 57.3%). In the 2009 cohort, LVEF was higher both in young patients (59.08% ± 14.22% vs 55.35% ± 14.92%) and patients ? than 75 years of age (62.28% ± 13.81% vs 56.79% ± 14.81%) compared to the 2006 cohort. Ischemic heart disease was the main underlying cause for HF in both cohorts. Conclusion HF appeared to have the same clinical profile over a 3-year period. Females diagnosed with HF showed higher rates of preserved LVEF. PMID:23930074

Pop, Dana; Penciu, Oana Maria; Sitar-Taut, Adela Viviana; Zdrenghea, Dumitru Tudor

2013-01-01

114

Palliative inpatients in general hospitals: a one day observational study in Belgium  

PubMed Central

Background Hospital care plays a major role at the end-of-life. But little is known about the overall size and characteristics of the palliative inpatient population. The aim of our study was to analyse these aspects. Methods We conducted a one-day observational study in 14 randomly selected Belgian hospitals. Patients who met the definition of palliative patients were identified as palliative. Then, information about their socio-demographic characteristics, diagnoses, prognosis, and care plan were recorded and analysed. Results There were 2639 in-patients on the day of the study; 9.4% of them were identified as "palliative". The mean age of the group was 72 years. The primary diagnosis was cancer in 51% of patients and the estimated life expectancy was shorter than 3 months in 33% of patients and longer than 1 year in 28% of patients. The professional caregivers expected for most of the patients (73%), that the treatment would improve patient comfort rather than prolong life. Antibiotics, transfusions, treatments specific to the pathology, and artificial nutrition were administered in 90%, 78%, 57% and 50% of the patients, respectively, but were generally given with a view to controlling the symptoms. Conclusions This analysis presents a first national estimate of the palliative inpatient population. Our results confirm that hospitals play a major role at the end-of-life, with one out of ten inpatients identified as a "palliative" patient. These data also demonstrate the complexity of the palliative population and the substantial diversity of care that they can require. PMID:21362204

2011-01-01

115

The occurrence of Enterobacteriaceae producing KPC carbapenemases in a general hospital in Curacao  

PubMed Central

Background Although the presence of Carbapenemase-producing Enterobacteriaceae (CPE) are extensively documented in North and South America. CPE have not been reported from Curacao. However, recently intercontinental spread was suggested of a KPC carbapenemase producing Klebsiella pneumoniae in a patient in the United Kingdom with previous admission to a hospital in Curacao in 2009. Findings After the introduction of the CLSI 2010 revised breakpoints, seven patients with carbapenemase-producing Enterobacteriaceae were found in a general hospital in Curacao over a period of 16 months. Four patients carried KPC-2 positive Klebsiella pneumoniae, ST11. Two patients carried KPC-3 positive Klebsiella pneumoniae ST258 and one patient carried a KPC-3 positive Citrobacter freundii. Furthermore, our Klebsiella pneumoniae KPC-2 ST11 strain was matched to the Klebsiella pneumoniae KPC-2 ST11 strain in the United Kingdom. Conclusions Introduction of new laboratory methods, and adoption of new guidelines and breakpoints led to the first detection of CPE in Curacao. By matching our Klebsiella pneumoniae KPC-2 ST11 strain to a Klebsiella pneumoniae KPC-2 ST11 strain in the United Kingdom, we suggest that carbapenemase-producing Enterobacteriaceae are probably more prevalent in Curacao than previously recognized. PMID:25132965

2014-01-01

116

Rupture of the uterus: a review of 32 cases in a general hospital in Zambia.  

PubMed

During July 1993 to June 1994, in Zambia, 32 pregnant women aged 15-46 years suffered from uterine rupture at Mansa General Hospital, a referral center for Luapula province. Adolescent women were significantly more likely to have had a uterine rupture than all women delivering (38% vs. 17%; p 0.01). Nulliparity was more common among the uterine rupture cases than among all women giving birth (44% vs. 27%; p 0.05). Multiparity was just as common. 63% of uterine rupture cases had had no prenatal care. In 94% of cases the rupture occurred during labor. Some identified contributing factors for uterine rupture were cephalopelvic disproportion (24 cases), previous cesarean section (3), and oxytocic stimulation and assisted breech delivery with undiagnosed mild hydrocephalus (2). 44% of the women died postoperatively. Sepsis was the leading cause of death (79%). Mortality was associated with nulliparity (79%), adolescence (71%), and anemia, sepsis, and shock on admission (64%). Sepsis and maternal death increased with time since rupture and distance between patient's home or referring center and hospital. Prenatal care did not affect maternal death. All the babies died. These findings emphasize the need for health education of rural residents, training and supervision of traditional birth attendants, and available transportation. In cases of uterine rupture, later marriage, family planning use, and obstetric care may improve maternal prognosis. PMID:8634565

Nkata, M

1996-05-11

117

Liver biopsy in a district general hospital: Changes over two decades  

PubMed Central

AIM: To study liver biopsy practice over two decades in a district general hospital in the United Kingdom. METHODS: We identified all patients who had at least one liver biopsy between 1986 and 2006 from the databases of the radiology and gastroenterology departments. Subjects with incomplete clinical data were excluded from the study. RESULTS: A total of 103 liver biopsies were performed. Clinical data was available for 88 patients, with 95 biopsies. Between 1986 and 1996, 18 (95%) out of the 19 liver biopsies performed were blind and 6 (33%) were for primary biliary cirrhosis. Between 1996 and 2006, 14 (18%) out of 76 biopsies were blind; and the indications were abnormal liver tests (33%), hepatitis C (12%) and targeted-biopsies (11%). Liver biopsies were unhelpful in 5 (5%) subjects. Pain was the most common complication of liver biopsy (5%). No biopsy-related mortality was reported. There was a trend towards more technical failures and complications with the blind biopsy technique. CONCLUSION: Liver biopsies performed in small district hospitals are safe and useful for diagnostic and staging purposes. Abnormal liver tests, non-alcoholic fatty liver disease and targeted biopsies are increasingly common indications. Ultrasound-guided liver biopsies are now the preferred method and are associated with fewer complications. PMID:17879403

Syn, Wing-Kin; Bruckner-Holt, Caroline; Farmer, Adam; Howdle, Sarah; Bateman, Jeffrey

2007-01-01

118

Audit on tracheostomies performed at the General Intensive Care Unit, Kuala Lumpur Hospital.  

PubMed

During a 6-month period from October 2000 to March 2001, we analysed the indications, methods, waiting period and complications following a tracheostomy at the General Intensive Care Unit (GIGU) of Hospital Kuala Lumpur. There were 49 tracheostomies performed during this period. Thirty of them were performed in the GICU using the percutaneous dilatational method while 19 were performed electively in the Operating Theatre (OT) by the ear, nose and throat (ENT) surgeons. The main indications for a tracheostomy were prolonged mechanical ventilation and airway protection for patients with a poor Glasgow Coma Scale. The average waiting time for a tracheostomy after a decision was made to perform one was 1.34 +/- 0.72 days for a percutaneous tracheostomy and 3.72 +/- 2.52 days for a surgical tracheostomy. This difference was statistically significant (p < 0.001). There was excessive bleeding in 3 patients in the percutaneous tracheostomy group and 1 patient in the surgical tracheostomy group. Percutaneous tracheostomy is now the main method of tracheostomy at the GICU in Hospital Kuala Lumpur. Haemorrhage is the most significant complication of this procedure. However the overall complication rate is comparable with that of a surgical tracheostomy. PMID:14569741

Rao, A S; Mansor, L; Inbasegaran, K

2003-06-01

119

Transboundary air pollution and environmental justice: Vancouver and Seattle compared  

Microsoft Academic Search

This paper comparatively analyzes the association between urban neighborhood socioeconomic markers and ambient air pollution\\u000a in Vancouver and Seattle, the two largest urban regions in the Georgia Basin-Puget Sound (GB-PS) international airshed. Given\\u000a their similarities and common airshed, Vancouver and Seattle are useful comparators addressing not only whether socioeconomic\\u000a gradients exist in urban environmental quality but also identifying clues to

Jason G. Su; Timothy Larson; Timothy Gould; Martin Cohen; Michael Buzzelli

2010-01-01

120

The Decomposition of Cost Efficiency: An Empirical Application of the Shadow Cost Function Model to Dutch General Hospitals  

Microsoft Academic Search

This paper investigates the performance of the Dutch general hospital industry by a parametric method. In general, the parametric approaches find more difficulties in distinguishing between technical and allocative efficiencies than DEA. Only recently a class of models is developed based on shadow prices which have possibilities to distinguish between technical and allocative efficiency. However, these models cause some serious

Jos L. T. Blank; Evelien Eggink

2004-01-01

121

The quality of communication about older patients between hospital physicians and general practitioners: a panel study assessment  

Microsoft Academic Search

BACKGROUND: Optimal care of patients is dependent on good professional interaction between general practitioners and general hospital physicians. In Norway this is mainly based upon referral and discharge letters. The main objectives of this study were to assess the quality of the written communication between physicians and to estimate the number of patients that could have been treated at primary

Helge Garåsen; Roar Johnsen

2007-01-01

122

[Professional practice of nurses who care for cancer patients in general hospitals].  

PubMed

The present article discusses a qualitative study which aimed to understand the typical of nurses' professional practice caring for patient with cancer in general hospitals. In order to find out the reasons that motivate nurse's action, and to put in evidence what is original, significant, specific and typical about this phenomenon, we have taken into consideration the premises of the philosopher Alfred Schütz, which provide us with subsidies to unveil them. The data collected through semi-structured interviews reported that nurses admit not having the required theoretical knowledge and experience or enough practice to take care of a cancer patient. Thus, they don't feel capable of developing actions which may positively influence care on patients and their family members. PMID:23032337

da Silva, Josiane Travençolo; Matheus, Maria Clara Cassuli; Fustinoni, Suzete Maria; de Gutiérrez, Maria Gaby Rivero

2012-01-01

123

Effect of the Iranian hospital grading system on patients' and general practitioners' behaviour: an examination of awareness, belief and choice.  

PubMed

There is considerable international interest in the use of performance measurement and their public release in order to improve the quality of care. However, few studies have assessed stakeholders' awareness and use of performance data. Iranian hospitals have been graded annually since 1998 and hospital hotel charges vary by grade, but this system has never been evaluated. We conducted a cross-sectional survey of 104 outpatients at eight Teheran hospitals and 103 general practitioners (GPs) to assess the awareness of and attitudes towards hospital grading system. Only 5.8% of patients (95% CI: 1.3-10.3%) and 11.7% of GPs (95% CI: 5.5-17.9%) were aware of grading results. Patients' awareness was positively associated with their education level (P = 0.016). No patient used the grading results for choosing a hospital and only one GP (1%, 95% CI: 0-2%) reported using hospital grade to influence referral decisions. Patients were more influenced by hospitals' public reputation and that of their specialists. GPs believed that the grading system did not reflect the quality of care in hospitals. When developing performance measurement systems, public release of data should be accompanied by evaluation of its impact on awareness and health-care choices. PMID:20702891

Aryankhesal, Aidin; Sheldon, Trevor

2010-08-01

124

Contribution of the outpatient surgery unit ITO the general surgery department of a district hospital.  

PubMed

Introduction: The creation of Outpatient Surgery (OPS) units to combine the quality of medical attention and rationalize costs allows for greater efficiency in the use of resources. Aim: To report our series of patients undergoing surgery at the OPS units integrated into our Hospital (Type II): Patients and method: Between May 1994 and March 1998, 832 outpatients, of a total of 5230, underwent surgery at our General Surgery Unit. The criteria for exclusion from the programme depended on the patient and the enviroment or resulted from the operation itself. Results: Mean patient age was 47.5 years; there were 420 males and 412 females. Surgery was performed for 229 inguinofemoral hernias, 47 umbilical-epigastric hernias, nine incisional hernias, 193 pilonidal sinuses, 156 mammary nodules, 65 varicose veins, 64 arteriovenous fistulae and 69 proctology operations. The most common anesthesia techniques performed were rachianesthesia and local anesthesia. Eight point seven percent of the patients required admission (OPS failure), the most frequent causes being excessive pain, orthostatic-syncopal hypotension, nausea and vomiting and urine retention. There was no morbidity or mortality. Conclusion: OPS is a highly efficient procedure for resolving the most common pathologies in General Surgery. The anesthesia technique was an important factor in the rate of failure. PMID:10856848

Carrasco; Flores; Aguayo; de Andres B; Moreno Egea A; Cartagena; De Vicente JP; Martin

2000-07-01

125

Pattern of traumatic brain injury treated by general surgeons in a tertiary referral hospital.  

PubMed

The number of polytrauma patient with associated brain injury or commonly referred as 'head injury' has increased tremendously in recent times courtesy to road traffic accident or other causes. This prospective observational study was conducted in patients of head injury admitted through emergency in the department of general surgery in NRS Medical College, Kolkata during the year 2011 to determine the pattern of head injury patients admitted and nature of intervention. A total number of 3861 patients were admitted in a single year. Obviously this represents the tip of the iceburg. Traumatic brain injury was the highest in the age group of 31-40 years (33.5%) followed by 21-30 years (29.1%) in the most fruitful phase of life. The traumatic brain injury death was more common in males. The maximum number of cases was from rural areas ie, farmers and labours. To minimise the morbidity and mortality resulting from head injury there is need for better maintenance of roads, improvement of road visibility and lighting, rigid enforcement of traffic rules and imparting road safety education to school children. Despite valiant efforts and advancement in medical sciences and infrastructure in the form of neurosurgery departments and trauma care units to cope with the changing world of trauma, there still remains a huge responsibility and a definite part to be played by the general surgeons to manage head injury patient even in tertiary hospitals. PMID:24968524

Chattopadhyay, Shankar Das; Karmakar, Nisith Chandra; Sengupta, Ritankar; SenGupta, Tamal Kanti; Ray, Debasis; Basus, Shibaji

2013-09-01

126

Hospital capital funding.  

PubMed

It is critical that hospitals have a long-range plan in place to ensure that buildings and equipment are replaced when necessary. A study undertaken in British Columbia contrasted the Greater Vancouver Regional Hospital District's capital plan (past and future) to a proposed capital replacement model. The model, developed using accepted industry standards and criteria, provided an asset value that was used for comparison purposes. Building and equipment expenditures of the Surrey Memorial Hospital were also compared against the model. Findings from both studies are presented in this article. PMID:10123135

Hebert, M

1992-01-01

127

Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital  

PubMed Central

Background The objective of this study was to investigate how medical and nursing staff of the Nicosia General Hospital is affected by specific motivation factors, and the association between job satisfaction and motivation. Furthermore, to determine the motivational drive of socio-demographic and job related factors in terms of improving work performance. Methods A previously developed and validated instrument addressing four work-related motivators (job attributes, remuneration, co-workers and achievements) was used. Two categories of health care professionals, medical doctors and dentists (N = 67) and nurses (N = 219) participated and motivation and job satisfaction was compared across socio-demographic and occupational variables. Results The survey revealed that achievements was ranked first among the four main motivators, followed by remuneration, co-workers and job attributes. The factor remuneration revealed statistically significant differences according to gender, and hospital sector, with female doctors and nurses and accident and emergency (A+E) outpatient doctors reporting greater mean scores (p < 0.005). The medical staff showed statistically significantly lower job satisfaction compared to the nursing staff. Surgical sector nurses and those >55 years of age reported higher job satisfaction when compared to the other groups. Conclusions The results are in agreement with the literature which focuses attention to management approaches employing both monetary and non-monetary incentives to motivate health care professionals. Health care professionals tend to be motivated more by intrinsic factors, implying that this should be a target for effective employee motivation. Strategies based on the survey's results to enhance employee motivation are suggested. PMID:21080954

2010-01-01

128

[Eligibility for dabigatran therapy: the real-life experience of a Tuscany general hospital].  

PubMed

Introduction. Dabigatran has emerged as a promising alternative to vitamin K antagonists (VKAs) in non-valvular atrial fibrillation (NVAF). It has several clinical and practical advantages over VKAs that finally facilitate their use in clinical practice. The aim of this study is to describe patients taking dabigatran, to evaluate its use in the real world and the eligibility for therapy, according to the criteria established by the Italian Medicines Agency (AIFA). Methods. A retrospective review was conducted using dabigatran prescriptions in patients with NVAF. Data were retrieved from the prescriptions recorded in the hospital pharmacy of Careggi General Hospital from June to October 2013. Results. Data were related to 138 patients with NVAF who have at least one dabigatran prescription. Patients have a mean age of 79.0±8.9 years, mean CHA2DS2-VASc 4.4±3.0 and mean HAS-BLED 3.0±1.0. 49.3% were male and 50% were older than 80 years; 18.8% were treated with high-dose dabigatran (150 mg). According to the AIFA criteria, 85.5% of patients were eligible for treatment: 34% were at high embolic and bleeding risk and 70.2% reported objective problems in routine coagulation monitoring. Conclusions. Our patients can be categorized in two groups: subjects with high risk of embolism and bleeding for whom the new oral anticoagulant dabigatran provides clinically important benefit, and subjects for whom the benefit derives from a simplified management of therapy. It should be interesting to evaluate the rate of therapeutic adherence in these patients in order to verify the expected clinical benefits. PMID:25229760

Pugi, Alessandra; Fallani, Francesca; Palazzi, Nadia; Banfi, Roberto

2014-09-01

129

The Warrens and other pioneering clinician pathologists of the Massachusetts General Hospital during its early years: an appreciation on the 200th anniversary of the hospital founding.  

PubMed

To celebrate the bicentennial of the 1811 charter to establish the Massachusetts General Hospital, we tell the stories of the physicians and surgeons of the hospital who practiced pathology until the discipline was more firmly established with the recruitment of James Homer Wright who became the first full-time pathologist at the hospital in 1896. One of the two co-founders of the hospital, John Collins Warren (famed primarily for being the surgeon at the first public demonstration of ether anesthesia) had a major interest in pathology; he published a book focused on gross pathology (1837) and began the important specimen collection subsequently known as the Warren Anatomical Museum at Harvard Medical School (HMS). An early physician, John Barnard Swett Jackson, became the first professor of pathology in the United States (1847) and was a noted collector whose specimens were added to the Warren Museum. Dr Jackson showed no interest in microscopy when it became available, but microscopy was promoted from circa the late 1840s at Harvard and likely at the hospital by Oliver Wendell Holmes, the famed essayist who was on the staff of the hospital and faculty at the medical school. Microscopy was probably first used at the Hospital with any frequency on examination of fluids by the first officially designated 'Microscopist,' John Bacon Jr, in 1851, and after the mid-1850s by Calvin Ellis on anatomic specimens; Ellis went on to pioneering reform of the HMS curriculum. Reginald Heber Fitz succeeded Ellis in 1871 and was the first to be officially designated as 'Pathologist' at the hospital. Fitz is remembered for two major contributions: his paper showing the nature of, and potential surgical cure for, the disease that he termed 'appendicitis'; and his description of acute pancreatitis. With the microscope now firmly entrenched and with the increase in surgery after Fitz's work on appendicitis, surgical pathology grew quickly. J Collins Warren, the grandson of the co-founder, had a major interest in pathology and in 1895 published an impressive volume entitled 'Surgical Pathology and Therapeutics.' Dr Warren had a major interest in breast disease and was a pioneer of needle biopsy in the evaluation of breast masses. In 1888, William Fiske Whitney joined the staff of the hospital and spent his nearly 30-year career practicing primarily as a surgical pathologist, making particular innovations in intraoperative consultation. The contributions of these individuals brought the field from a gross pathology-oriented discipline mostly oriented around teaching to a microscopy-dependent practice integral to patient care, and hence set the stage for the formal founding of the Pathology department in 1896. PMID:21926958

Young, Robert H; Louis, David N

2011-10-01

130

Physical comorbidity and its relevance on mortality in schizophrenia: a naturalistic 12-year follow-up in general hospital admissions.  

PubMed

Schizophrenia is a major psychotic disorder with significant comorbidity and mortality. Patients with schizophrenia are said to suffer more type-2 diabetes mellitus (T2DM) and diabetogenic complications. However, there is little consistent evidence that comorbidity with physical diseases leads to excess mortality in schizophrenic patients. Consequently, we investigated whether the burden of physical comorbidity and its relevance on hospital mortality differed between patients with and without schizophrenia in a 12-year follow-up in general hospital admissions. During 1 January 2000 and 31 June 2012, 1418 adult patients with schizophrenia were admitted to three General Manchester NHS Hospitals. All comorbid diseases with a prevalemce ?1% were compared with those of 14,180 age- and gender-matched hospital controls. Risk factors, i.e. comorbid diseases that were predictors for general hospital mortality were identified using multivariate logistic regression analyses. Compared with controls, schizophrenic patients had a higher proportion of emergency admissions (69.8 vs. 43.0%), an extended average length of stay at index hospitalization (8.1 vs. 3.4 days), a higher number of hospital admissions (11.5 vs. 6.3), a shorter length of survival (1895 vs. 2161 days), and a nearly twofold increased mortality rate (18.0 vs. 9.7%). Schizophrenic patients suffered more depression, T2DM, alcohol abuse, asthma, COPD, and twenty-three more diseases, many of them diabetic-related complications or other environmentally influenced conditions. In contrast, hypertension, cataract, angina, and hyperlipidaemia were less prevalent in the schizophrenia population compared to the control population. In deceased schizophrenic patients, T2DM was the most frequently recorded comorbidity, contributing to 31.4% of hospital deaths (only 14.4% of schizophrenic patients with comorbid T2DM survived the study period). Further predictors of general hospital mortality in schizophrenia were found to be alcoholic liver disease (OR = 10.3), parkinsonism (OR = 5.0), T1DM (OR = 3.8), non-specific renal failure (OR = 3.5), ischaemic stroke (OR = 3.3), pneumonia (OR = 3.0), iron-deficiency anaemia (OR = 2.8), COPD (OR = 2.8), and bronchitis (OR = 2.6). There were no significant differences in their impact on hospital mortality compared to control subjects with the same diseases except parkinsonism which was associated with higher mortality in the schizophrenia population compared with the control population. The prevalence of parkinsonism was significantly elevated in the 255 deceased schizophrenic patients (5.5 %) than in those 1,163 surviving the study period (0.8 %, OR = 5.0) and deceased schizophrenic patients had significantly more suffered extrapyramidal symptoms than deceased control subjects (5.5 vs. 1.5 %). Therefore patients with schizophrenia have a higher burden of physical comorbidity that is associated with a worse outcome in a 12-year follow-up of mortality in general hospitals compared with hospital controls. However, schizophrenic patients die of the same physical diseases as their peers without schizophrenia. The most relevant physical risk factors of general hospital mortality are T2DM, COPD and infectious respiratory complications, iron-deficiency anaemia, T1DM, unspecific renal failure, ischaemic stroke, and alcoholic liver disease. Additionally, parkinsonism is a major risk factor for general hospital mortality in schizophrenia. Thus, optimal monitoring and management of acute T2DM and COPD with its infectious respiratory complications, as well as the accurate detection and management of iron-deficiency anaemia, of diabetic-related long-term micro- and macrovascular complications, of alcoholic liver disease, and of extrapyramidal symptoms are of utmost relevance in schizophrenia. PMID:23942824

Schoepf, Dieter; Uppal, Hardeep; Potluri, Rahul; Heun, Reinhard

2014-02-01

131

The decomposition of cost efficiency: an empirical application of the shadow cost function model to Dutch general hospitals.  

PubMed

This paper investigates the performance of the Dutch general hospital industry by a parametric method. In general, the parametric approaches find more difficulties in distinguishing between technical and allocative efficiencies than DEA. Only recently a class of models is developed based on shadow prices which have possibilities to distinguish between technical and allocative efficiency. However, these models cause some serious computational problems. This paper recommends an approach to overcome these problems by using an iterative two-stage estimation procedure. The estimation is conducted on a panel data set of Dutch general hospitals. Estimation shows that this method is effective. The parameter estimates are plausible, reliable and satisfy all theoretical requirements. In particular we find some reliable estimates for the individual hospitals' shadow prices. According to these shadow prices hospitals should reallocate their resources in favor of material supplies at the cost of other personnel and nursing personnel. The mean technical efficiency is about 86%, whereas the allocative efficiency is about 92%. The outcomes also show that technical progress is very small. Economies of scale are present only for small hospitals. PMID:15152972

Blank, Jos L T; Eggink, Evelien

2004-05-01

132

Microorganisms isolated from blood and cerebrospinal fluid in a general hospital. Clinical implications.  

PubMed

This study is a review of 1,040 significant positive blood cultures from 415 patients, and 44 positive cerebrospinal fluid cultures from 44 patients treated at the Meir General Hospital during the period 1976-78. The most frequent isolates from blood cultures were Escherichia coli, Staphylococcus aureus and Klebsiella pneumoniae. The most frequent isolates from cerebrospinal fluid cultures were Streptococcus pneumoniae, Haemophilus influenzae and Neisseria meningitidis, which were present in similar proportions. E. coli was predominant in the division of medicine, Staph. aureus in the division of pediatrics and Klebsiella in the division of surgery. Fifty percent of the E. coli isolates were sensitive to ampicillin and carbenicillin; about 80%, to cephalothin and sulfamethoxazole-trimethoprim; and 100%, to gentamicin. Only 7% of the Klebsiella isolates were sensitive to apicillin; 72% were sensitive to cephalothin and 87%, to gentamicin. Only 18% of Staph. aureus isolates were sensitive to penicillin, but about 95% were sensitive to methicillin or cephalothin. Two of 10 salmonellae isolates and 13% of H. influenzae were resistant to ampicillin. PMID:6772597

Nitzan, Y; Maayan, M; Drucker, M

1980-07-01

133

Paranoid Personality Disorder and Sociodemography: a 25-year Study of First Admissions to a Danish General Psychiatric Hospital  

Microsoft Academic Search

Paranoid personality disorder is predominantly characterized by suspiciousness, self-reference, and exquisite sensitivity. Scarce research exists on the sociodemographic characteristics of patients with a paranoid personality disorder. A chart review was conducted on patients first admitted to a Danish general psychiatric hospital between 1975 and 2000 with a) an original paranoid (and\\/or sensitive type) personality disorder, b) no primary organic or

Søren Fryd Birkeland

2011-01-01

134

CONFIDENTIAL Thank you for your interest in the Pancreas Transplant Program at Massachusetts General Hospital. Below is a list  

E-print Network

General Hospital. Below is a list of all of the medical records required for listing on the kidney/pancreas or pancreas after kidney transplant list, but only the tests indicated with an * are required to initiate meets criteria to be scheduled for a multidisciplinary kidney/pancreas or pancreas after kidney

Mootha, Vamsi K.

135

Case of the Massachusetts General Hospital: Case 35-2013: a 77-year-old man with confusion and malaise.  

PubMed

A 77-year-old man was admitted to this hospital because of confusion and malaise after resection of a papillary urothelial cancer. He reported abdominal pain, facial and jaw pain, anorexia, lethargy, weakness, and night sweats; imaging revealed generalized lymphadenopathy. PMID:24224628

Barnes, Jeffrey A; Abramson, Jeremy S; Scott, James A; Sohani, Aliyah R

2013-11-14

136

An Investigation of Nursing Staff Attitudes and Emotional Reactions towards Patients with Intellectual Disability in a General Hospital Setting  

ERIC Educational Resources Information Center

Background: It has been suggested that inequalities in health care for people with intellectual disabilities may be partly explained by negative attitudes of health professionals. This study aimed to investigate the attitudes and emotional reactions reported by nursing staff working in general hospitals towards caring for patients with…

Lewis, Sharna; Stenfert-Kroese, Biza

2010-01-01

137

Visit Vancouver! Apply by May 15 for an airfaire travel bursary. 2014 HISTORICAL THINKING SUMMER INSTITUTE  

E-print Network

the Museum of Vancouver meet with critical perspectives at our Historical Thinking travel bursary. 2014 HISTORICAL THINKING SUMMER INSTITUTE Museum of Vancouver as an academic course, or for non-credit professional development. Historical Thinking

Michelson, David G.

138

Resident research training conducted in a community hospital general surgery residency program  

Microsoft Academic Search

PurposeResearch is educationally important for surgical residents. However, little information exists regarding effective methods for teaching residents scientific methodology in a community hospital. This effort describes an effective program conducted in a community hospital for enhancing scientific opportunities of surgical residents.

Richard M Lampman; Seth W Wolk; Jennifer Fowler; Robert Cleary; Richard A Pomerantz; William J Fry; Walter M Whitehouse; Verne L Hoshal

2003-01-01

139

Directions to the WSU Vancouver campus: 14204 NE Salmon Creek Avenue  

E-print Network

Directions to the WSU Vancouver campus: Address 14204 NE Salmon Creek Avenue Vancouver, Washington) and follow 134th Street as it turns into Salmon Creek Avenue. Follow the WSU Vancouver signs to the entrance Street exit. Turn left (east) onto 134th Street and follow as it turns into Salmon Creek Avenue. Follow

Collins, Gary S.

140

Influenza and pneumococcal vaccinations in dialysis patients in a London district general hospital  

PubMed Central

Background Patients on dialysis mount reduced immune responses compared with the general population. The Department of Health advises that these patients receive influenza and pneumococcal vaccinations at regular intervals—once yearly and every five years, respectively. This article investigates the uptake of these vaccinations in this patient population and seeks to examine factors that may influence vaccination status such as patient's language and presence of a general practitioner (GP) electronic vaccination reminder system. It also explores preferred site of vaccination for patients and GPs as these are primary care vaccinations yet patients have more frequent contact with their dialysis unit than their GP, blurring the boundaries between primary and specialized care. Methods This is a retrospective study of all patients registered as dialysing at the North Middlesex University Hospital NHS Trust (NMUH) in September 2011. Information was obtained through GP letters, GP and patient questionnaires. Results Of 154 patients, 133 were included in the data analysis. Nineteen per cent were up-to-date with both vaccinations and 67% with their influenza vaccination. Fifty per cent had received the influenza vaccination in the last two consecutive years. Thirty per cent were not up-to-date with either vaccination. There was no evidence of a difference in uptake in 2009 (P = 0.7564) and in 2010 (P = 0.7435) among those who could and could not speak English. Twenty-five per cent of GPs and 58.6% of patients preferred vaccination to occur in the dialysis unit. Unfortunately a high number of GPs did not provide information on whether they used an electronic vaccination reminder but the analysis from the information provided by the few respondents did not reveal any correlation between the presence of an electronic reminder and vaccination status. Conclusion Most dialysis patients were not up-to-date with both vaccinations. They were, however, more up-to-date with their influenza than their pneumococcal vaccination. Non-English speakers did not appear to be disadvantaged. GP electronic reminder systems may have influenced influenza uptake but this study did not demonstrate a correlation and this is likely due to the lack of GP respondents; the effectiveness of electronic reminders merits further studies as a tool to improve vaccination rates in at-risk populations. Most patients visited their GP at least annually but preferred to receive their vaccinations at the hospital. Vaccinating in the dialysis unit and maintaining an electronic record accessible to GPs or generating a letter for GPs may help fill the vaccination gap in these patients. Overall, more evidence is required for the effectiveness of such vaccinations and their frequency, but in the meantime UK national guidelines were not being followed with a large proportion of patients remaining unvaccinated against influenza and in particular pneumococcal disease. This audit highlights the importance of local data collection, discussions around correlations influencing outcomes and publication of results to improve standards of care at a national level. PMID:24466425

Wilmore, Stephanie M.S.; Philip, Keir E.; Cambiano, Valentina; Bretherton, Christopher P.; Harborne, Josephine E.; Sharma, Aditi; Jayasena, Shyama D.

2014-01-01

141

Specialised Chronic Compartment Measurement Clinic in a District General Hospital: Is it Worthwhile?  

PubMed Central

INTRODUCTION Chronic compartment syndrome is one of the conditions that cause exertional pain in the young. In this condition, a careful history taking is usually the key for making the correct diagnosis, but intracompartmental pressure measurement that has high sensitivity and specificity rates can add invaluable confirmation, especially when surgical decompression is indicated. In a district general hospital there is usually a logistical problem in performing compartmental pressure measurement. In this study, we describe our experience in dealing with such a problem by setting up a quarterly specialised clinic for intracompartmental pressure measurement that, according to our knowledge, is unique in the UK. PATIENTS AND METHODS We retrospectively reviewed the medical records of 42 patients referred to our specialised clinic and documented the referral patterns, clinical picture, additional investigations, pressure measurement results, final diagnosis and outcome of treatment. The intracompartmental measurement was recorded pre- and post-exercise on the treadmill for 1 min or 5 min and results were interpreted according to published criteria. RESULTS The mean age of the referred 42 patients was 33.1 years (range, 15–78 years). There were 16 positive results (38%) confirming the diagnosis of chronic compartment syndrome and four clinically characteristic cases of this condition with negative results. There were 22 negative results (53%), one borderline, and three patients were not tested for different reasons. All of the 10 patients who were treated surgically had positive pre-operative test results. CONCLUSIONS An inappropriate referral rate of approximately 52% was encountered that had a significant impact on the waiting time for the proposed test (5.7 months), which is far longer than the 18-week target for treatment in the NHS. We found that a positive test is a strong predictor of a successful outcome of surgical treatment. Such a specialised clinic, therefore, should only receive carefully assessed patients. PMID:19558765

Zeineh, Nedal; Ardolino, Antonella; O'Connor, David

2009-01-01

142

Teenage mothers' knowledge of sex education in a general hospital of the Umtata district.  

PubMed

There has been growing concern about the increase in teenage pregnancies in relation to the teenagers' knowledge of human sexuality and the impact sex education has on these teenagers in both the urban and rural areas. The aim of the study was to assess the knowledge of sex education and the health beliefs of teenagers with regard to teenage pregnancy. A descriptive study was conducted in the Umtata district of the Eastern Cape. The sample involved 42 teenage mothers drawn from local rural and urban areas attending a Well Baby Clinic at Umtata General Hospital. A questionnaire was used as the method of data collection. Data analysis was done by a software package called SAS. The study revealed that teenagers receive almost no sex education from health personnel and only a little from their parents. The study also revealed that most of these teenagers live with their mothers only instead of both parents. It also became clear that unsafe or unprotected sexual behaviour was practised by these teenagers although teenagers supported the idea of their partners using condoms. The most common problem resulting from teenage pregnancy, as indicated from the study results, was the financial burden on parents and lost educational opportunities by the girls. In the recommendations the parents' involvement in sex education and the improvement of recreational facilities for both urban and rural areas are highlighted. In conclusion, the study has shown the need for more efforts to solve the problem of inadequate sex education and to change the health beliefs of teenagers. PMID:11040611

Williams, C X; Mavundla, T R

1999-03-01

143

Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan  

PubMed Central

Background Data regarding the prescription status of individuals with diabetes are limited. This study was an analysis of participants from the relationship between cardiovascular disease and brachial-ankle pulse wave velocity in patients with type 2 diabetes (REBOUND) Study, which was a prospective multicenter cohort study recruited from eight general hospitals in Busan, Korea. We performed this study to investigate the current status of prescription in Korean type 2 diabetic patients. Methods Type 2 diabetic patients aged 30 years or more were recruited and data were collected for demographics, medical history, medications, blood pressure, and laboratory tests. Results Three thousands and fifty-eight type 2 diabetic patients were recruited. Mean age, duration of diabetes, and HbA1c were 59 years, 7.6 years, and 7.2%, respectively. Prevalence of hypertension was 66%. Overall, 7.3% of patients were treated with diet and exercise only, 68.2% with oral hypoglycemic agents (OHAs) only, 5.3% with insulin only, and 19.2% with both insulin and OHA. The percentage of patients using antihypertensive, antidyslipidemic, antiplatelet agents was similar as about 60%. The prevalence of statins and aspirin users was 52% and 32%, respectively. Conclusion In our study, two thirds of type 2 diabetic patients were treated with OHA only, and one fifth with insulin plus OHA, and 5% with insulin only. More than half of the patients were using each of antihypertensive, antidyslipidemic, or antiplatelet agents. About a half of the patients were treated with statins and one third were treated with aspirin. PMID:25003077

Suk, Ji Hye; Lee, Chang Won; Son, Sung Pyo; Kim, Min Cheol; Ahn, Jun Hyeob; Lee, Kwang Jae; Park, Ja Young; Shin, Sun Hye; Kwon, Min Jeong; Kim, Sang Soo; Kim, Bo Hyun; Lee, Soon Hee; Park, Jeong Hyun

2014-01-01

144

Optical detection of breast cancer: a pilot clinical trial at the Massachusetts General Hospital  

NASA Astrophysics Data System (ADS)

X-ray mammography has been the major imaging modality in breast cancer detection for years, despite its high false diagnosis rate for malignant tumors and harmful radiation. In the last decade, optical imaging has been emerging as a promising method for breast cancer detection. Using near infrared (NIR) light ranging from 690 nm to 900 nm, an optical device can measure functional properties of breast tissue, such as total hemoglobin concentration (HbT) and oxygen saturation (SO2). Cancers tend to have higher levels of HbT because of their greater vascularization, and lower SO2 because of greater oxygen consumption, than normal tissue. Thus the NIR technology could be useful in breast cancer detection. In addition, optical detection is totally noninvasive and safe, and can be low cost. Photonify Technologies Inc. has developed an optical device for real-time two-dimensional mapping of HbT and SO2 in breast tissue. The device has been tested in a pilot clinical study for a group of 50 patients at the Department of Radiology of the Masachusetts General Hospital at Harvard Medical School. Preliminary results suggest that contrast-normalized standard deviations in HbT and SO2 might be good indicators for breast cancer detection. A patient may have a higher risk to have cancer in a breast portion where the normalized standard deviation in either HbT or SO2 is greater than 0.3. We demonstrate 92% diagnostic sensitivity and 66% specificity in detecting ductal carcinoma, either invasive or in situ. The device may potentially be used as an adjunctive tool with mammography to reduce unnecessary biopsies.

Cheng, Xuefeng; Mao, Jian M.; Zhu, Wen; Bush, Robin; Kopans, Daniel B.; Moore, Richard H.; Chorlton, Maryann

2003-06-01

145

Antimicrobial activity of tigecycline and comparative agents against clinical isolates of staphylococci and enterococci from ICUs and general hospital wards at three Swedish university hospitals.  

PubMed

The activities of tigecycline and comparative agents on staphylococci and enterococci isolated from patients at general hospital wards (GHWs) and intensive care units (ICUs) at 3 university hospitals in Sweden were investigated. Oxacillin disc diffusion and minimal inhibitory concentration with E-test were used. The presence of mecA, vanA or vanB genes was determined with PCR. Statistically significant higher incidence of clindamycin, fusidic acid, rifampicin and multidrug-resistant CoNS was found at ICUs compared to GHWs. Resistance rates were low among S. aureus. Tigecycline, linezolid and vancomycin were the only agents with high activity against methicillin-resistant S. aureus and multidrug-resistant CoNS. Resistance rates were low among E. faecalis, except for high-level gentamicin-resistant (HLGR) E. faecalis. E. faecium showed high resistance rates to ampicillin, piperacillin/tazobactam and imipenem. The HLGR rates among E. faecium were lower than the rates for E. faecalis. Tigecycline and linezolid were the only drugs with high activity against all enterococci including vancomycin-resistant enterococci. No statistically significant differences in susceptibility rates were found between the ward levels for S. aureus and enterococcal isolates and no statistically significant differences were found between the hospitals. PMID:19173129

Claesson, Carina; Nilsson, Lennart E; Kronvall, Göran; Walder, Mats; Sörberg, Mikael

2009-01-01

146

Incidence rates of in-hospital carpal tunnel syndrome in the general population and possible associations with marital status  

PubMed Central

Background Carpal tunnel syndrome (CTS) is a socially relevant condition associated with biomechanical risk factors. We evaluated age-sex-specific incidence rates of in-hospital cases of CTS in central/northern Italy and explored relations with marital status. Methods Seven regions were considered (overall population, 14.9 million) over 3–6-year periods between 1997 and 2002 (when out-of-hospital CTS surgery was extremely rare). Incidence rates of in-hospital cases of CTS were estimated based on 1) codified demographic, diagnostic and intervention data in obligatory discharge records from all Italian public/private hospitals, archived (according to residence) on regional databases; 2) demographic general population data for each region. We compared (using the ?score test) age-sex-specific rates between married, unmarried, divorced and widowed subsets of the general population. We calculated standardized incidence ratios (SIRs) for married/unmarried men and women. Results Age-standardized incidence rates (per 100,000 person-years) of in-hospital cases of CTS were 166 in women and 44 in men (106 overall). Married subjects of both sexes showed higher age-specific rates with respect to unmarried men/women. SIRs were calculated comparing married vs unmarried rates of both sexes: 1.59 (95% confidence interval [95% CI], 1.57–1.60) in women, and 1.42 (95% CI, 1.40–1.45) in men. As compared with married women/men, widows/widowers both showed 2–3-fold higher incidence peaks during the fourth decade of life (beyond 50 years of age, widowed subjects showed similar trends to unmarried counterparts). Conclusion This large population-based study illustrates distinct age-related trends in men and women, and also raises the question whether marital status could be associated with CTS in the general population. PMID:18957090

Mattioli, Stefano; Baldasseroni, Alberto; Curti, Stefania; Cooke, Robin MT; Bena, Antonella; de Giacomi, Giovanna; dell'Omo, Marco; Fateh-Moghadam, Pirous; Melani, Carla; Biocca, Marco; Buiatti, Eva; Campo, Giuseppe; Zanardi, Francesca; Violante, Francesco S

2008-01-01

147

High diversity of beta-lactamases in the General Hospital Vienna verified by whole genome sequencing and statistical analysis.  

PubMed

The detailed analysis of antibiotic resistance mechanisms is essential for understanding the underlying evolutionary processes, the implementation of appropriate intervention strategies and to guarantee efficient treatment options. In the present study, 110 ?-lactam-resistant, clinical isolates of Enterobacteriaceae sampled in 2011 in one of Europe's largest hospitals, the General Hospital Vienna, were screened for the presence of 31 ?-lactamase genes. Twenty of those isolates were selected for whole genome sequencing (WGS). In addition, the number of ?-lactamase genes was estimated using biostatistical models. The carbapenemase genes blaKPC-2, blaKPC-3, and blaVIM-4 were identified in carbapenem-resistant and intermediate susceptible isolates, blaOXA-72 in an extended-spectrum ?-lactamase (ESBL)-positive one. Furthermore, the observed high prevalence of the acquired blaDHA-1 and blaCMY AmpC ?-lactamase genes (70%) in phenotypically AmpC-positive isolates is alarming due to their capability to become carbapenem-resistant upon changes in membrane permeability. The statistical analyses revealed that approximately 55% of all ?-lactamase genes present in the General Hospital Vienna were detected by this study. In summary, this work gives a very detailed picture on the disseminated ?-lactamases and other resistance genes in one of Europe's largest hospitals. PMID:25159028

Bariši?, Ivan; Mitteregger, Dieter; Hirschl, Alexander M; Noehammer, Christa; Wiesinger-Mayr, Herbert

2014-10-01

148

The founding of walter reed general hospital and the beginning of modern institutional army medical care in the United States.  

PubMed

When Walter Reed United States Army General Hospital opened its doors in 1909, the Spanish-American War had been over for a decade, World War I was in the unforeseeable future, and army hospital admission rates were steadily decreasing. The story of the founding of Walter Reed, which remained one of the flagship military health institutions in the United States until its 2011 closure, is a story about the complexities of the turn of the twentieth century. Broad historical factors-heightened imperial ambitions, a drive to modernize the army and its medical services, and a growing acceptance of hospitals as ideal places for treatment-explain why the institution was so urgently fought for and ultimately won funding at the particular moment it did. The justifications put forth for the establishment of Walter Reed indicate that the provision of publicly funded medical care for soldiers has been predicated not only on a sense of humanitarian commitment to those who serve, but on principles of military efficiency, thrift, pragmatism, and international competition. On a more general level, the story of Walter Reed's founding demonstrates a Progressive Era shift in health services for U.S. soldiers-from temporary, makeshift hospitals to permanent institutions with expansive goals. PMID:23839016

Adler, Jessica L

2014-10-01

149

Mini Schools: The New "Global City Communities" of Vancouver  

ERIC Educational Resources Information Center

In recent decades, under the mutually constitutive processes of neoliberal urbanization and globalization, Vancouver has radically transformed and become a serious contender for the title of "world-class city". Against the background of this socio-spatial force reconfiguring the city, I explore how the city's unique development of "mini…

Yoon, Ee-Seul

2011-01-01

150

Coal-bed methane potential of Vancouver Island coalfields  

Microsoft Academic Search

Commercially attractive quantities of coal-bed methane gas on Vancouver Island, British Columbia, are indicated from recent studies by the provincial Geological Survey Branch and independent consultants. Coal mining activity began in 1847, which provides large amount of data concerning drilling, mining, quality, and reserves. Presence of methane is corroborated by documented accounts of coal mine disasters. Coal measures are part

C. Kenyon; D. K. Murray

1990-01-01

151

World Conference on Earthquake Engineering Vancouver, B.C., Canada  

E-print Network

13th World Conference on Earthquake Engineering Vancouver, B.C., Canada August 1-6, 2004 Paper No. 3337 3D HYBRID SIMULATION OF THE SOURCE AND SITE EFFECTS DURING THE 1999 ATHENS EARTHQUAKE Ivo OPRSAL1 due to the Mw=5.9 1999 Athens Earthquake are computed via efficient hybrid method. The method couples

Oprsal, Ivo

152

Sighting of apparent Whooper Swan on Vancouver Island, British Columbia  

Microsoft Academic Search

A possible Whooper Swan (Cygnus cygnus) was photographed in flight in the Comox Valley, Vancouver Island, British Columbia, in January of 2008. It had been part of a group of Trumpeter Swans (Cygnus buccinator) feeding in a field. It appeared to be an adult or sub-adult bird with extensive yellowish markings on the bill, similar to those of a Whooper

Dianne Shuttleworth

153

PLANNING FOR WATER CONSERVATION Greater Vancouver Regional District  

E-print Network

PLANNING FOR WATER CONSERVATION Greater Vancouver Regional District by Andrew K. Doi B. A (BMPs) for water conservation are used as evaluative criteria. These BMPs were drawn from California's urban water conservation system. This researched examines 4 case study municipalities from the GVRD

154

UBC ReseaRCh stRategy vancouver campus  

E-print Network

UBC ReseaRCh stRategy vancouver campus #12;This research strategy was first published in March 2011 by the Office of the Vice President Research & International, following broad consultation with the UBC of the Vice President Research & International The University of British Columbia 224 Old Administration

Ollivier-Gooch, Carl

155

HIV\\/AIDS in Vancouver, British Columbia: a growing epidemic  

Microsoft Academic Search

The prevalence of HIV in Vancouver, British Columbia was subject to two distinct periods of rapid increase. The first occurred in the 1980s due to high incidence among men who have sex with men (MSM), and the second occurred in the 1990s due to high incidence among injection drug users (IDU). The purpose of this study was to estimate and

Colin W McInnes; Eric Druyts; Stephanie S Harvard; Mark Gilbert; Mark W Tyndall; Viviane D Lima; Evan Wood; Julio SG Montaner; Robert S Hogg

2009-01-01

156

Vascular disease in women: comparison of diagnoses in hospital episode statistics and general practice records in England  

PubMed Central

Background Electronic linkage to routine administrative datasets, such as the Hospital Episode Statistics (HES) in England, is increasingly used in medical research. Relatively little is known about the reliability of HES diagnostic information for epidemiological studies. In the United Kingdom (UK), general practitioners hold comprehensive records for individuals relating to their primary, secondary and tertiary care. For a random sample of participants in a large UK cohort, we compared vascular disease diagnoses in HES and general practice records to assess agreement between the two sources. Methods Million Women Study participants with a HES record of hospital admission with vascular disease (ischaemic heart disease [ICD-10 codes I20-I25], cerebrovascular disease [G45, I60-I69] or venous thromboembolism [I26, I80-I82]) between April 1st 1997 and March 31st 2005 were identified. In each broad diagnostic group and in women with no such HES diagnoses, a random sample of about a thousand women was selected for study. We asked each woman’s general practitioner to provide information on her history of vascular disease and this information was compared with the HES diagnosis record. Results Over 90% of study forms sent to general practitioners were returned and 88% of these contained analysable data. For the vast majority of study participants for whom information was available, diagnostic information from general practice and HES records was consistent. Overall, for 93% of women with a HES diagnosis of vascular disease, general practice records agreed with the HES diagnosis; and for 97% of women with no HES diagnosis of vascular disease, the general practitioner had no record of a diagnosis of vascular disease. For severe vascular disease, including myocardial infarction (I21-22), stroke, both overall (I60-64) and by subtype, and pulmonary embolism (I26), HES records appeared to be both reliable and complete. Conclusion Hospital admission data in England provide diagnostic information for vascular disease of sufficient reliability for epidemiological analyses. PMID:23110714

2012-01-01

157

Development of a Likelihood of Survival Scoring System for Hospitalized Equine Neonates Using Generalized Boosted Regression Modeling  

PubMed Central

Background Medical management of critically ill equine neonates (foals) can be expensive and labor intensive. Predicting the odds of foal survival using clinical information could facilitate the decision-making process for owners and clinicians. Numerous prognostic indicators and mathematical models to predict outcome in foals have been published; however, a validated scoring method to predict survival in sick foals has not been reported. The goal of this study was to develop and validate a scoring system that can be used by clinicians to predict likelihood of survival of equine neonates based on clinical data obtained on admission. Methods and Results Data from 339 hospitalized foals of less than four days of age admitted to three equine hospitals were included to develop the model. Thirty seven variables including historical information, physical examination and laboratory findings were analyzed by generalized boosted regression modeling (GBM) to determine which ones would be included in the survival score. Of these, six variables were retained in the final model. The weight for each variable was calculated using a generalized linear model and the probability of survival for each total score was determined. The highest (7) and the lowest (0) scores represented 97% and 3% probability of survival, respectively. Accuracy of this survival score was validated in a prospective study on data from 283 hospitalized foals from the same three hospitals. Sensitivity, specificity, positive and negative predictive values for the survival score in the prospective population were 96%, 71%, 91%, and 85%, respectively. Conclusions The survival score developed in our study was validated in a large number of foals with a wide range of diseases and can be easily implemented using data available in most equine hospitals. GBM was a useful tool to develop the survival score. Further evaluations of this scoring system in field conditions are needed. PMID:25295600

Dembek, Katarzyna A.; Hurcombe, Samuel D.; Frazer, Michele L.; Morresey, Peter R.; Toribio, Ramiro E.

2014-01-01

158

Treatment Results of a Periprosthetic Femoral Fracture Case Series: Treatment Method for Vancouver Type B2 Fractures Can Be Customized  

PubMed Central

Background Currently, an algorithmic approach for deciding treatment options according to the Vancouver classification is widely used for treatment of periprosthetic femoral fractures after hip arthroplasty. However, this treatment algorithm based on the Vancouver classification lacks consideration of patient physiology and surgeon's experience (judgment), which are also important for deciding treatment options. The purpose of this study was to assess the treatment results and discuss the treatment options using a case series. Methods Eighteen consecutive cases with periprosthetic femoral fractures after total hip arthroplasty and hemiarthroplasty were retrospectively reviewed. A locking compression plate system was used for osteosynthesis during the study period. The fracture type was determined by the Vancouver classification. The treatment algorithm based on the Vancouver classification was generally applied, but was modified in some cases according to the surgeon's judgment. The reasons for modification of the treatment algorithm were investigated. Mobility status, ambulatory status, and social status were assessed before the fracture and at the latest follow-up. Radiological results including bony union and stem stability were also evaluated. Results Thirteen cases were treated by osteosynthesis, two by revision arthroplasty and three by conservative treatment. Four cases of type B2 fractures with a loose stem, in which revision arthroplasty is recommended according to the Vancouver classification, were treated by other options. Of these, three were treated by osteosynthesis and one was treated conservatively. The reasons why the three cases were treated by osteosynthesis were technical difficulty associated with performance of revision arthroplasty owing to severe central migration of an Austin-Moore implant in one case and subsequent severe hip contracture and low activity in two cases. The reasons for the conservative treatment in the remaining case were low activity, low-grade pain, previous wiring around the fracture and light weight. All patients obtained primary bony union and almost fully regained their prior activities. Conclusions We suggest reaching a decision regarding treatment methods of periprosthetic femoral fractures by following the algorithmic approach of the Vancouver classification in addition to the assessment of each patient's hip joint pathology, physical status and activity, especially for type B2 fractures. The customized treatments demonstrated favorable overall results. PMID:24900893

Lee, Sang Yang; Sakai, Yoshitada; Nishida, Kotaro; Kuroda, Ryosuke; Kurosaka, Masahiro

2014-01-01

159

Surgical wound infection surveillance in general surgery procedures at a teaching hospital in Pakistan  

Microsoft Academic Search

Background: A surveillance system was established at the Aga Khan University Hospital in Karachi, Pakistan, to determine surgical wound infection (SWI) rates, trends, and risk factors; and to compare rates with those reported by the National Nosocomial Infection Surveillance (NNIS) system of the Centers for Disease Control and Prevention. Methods: Surveillance was performed from January 1997 to December 1999. Risk

Turab Pishori; Amna Rehana Siddiqui; Mushtaq Ahmed

2003-01-01

160

General practitioners' assessments of the primary care caseload in Middlemore Hospital Emergency Department  

Microsoft Academic Search

Aim To estimate the proportion of Middlemore Hospital Emergency Department (ED) attendances that GPs thought could be handled in primary care. Methods A retrospective review of 300 randomly selected discharge summaries of non-admitted patients by 12 GPs. Results Data were available from 278 discharges. Agreement between GP reviewers was \\

Barry Gribben

161

Development of Mobile Electronic Health Records Application in a Secondary General Hospital in Korea  

PubMed Central

Objectives The recent evolution of mobile devices has opened new possibilities of providing strongly integrated mobile services in healthcare. The objective of this paper is to describe the decision driver, development, and implementation of an integrated mobile Electronic Health Record (EHR) application at Ulsan University Hospital. This application helps healthcare providers view patients' medical records and information without a stationary computer workstation. Methods We developed an integrated mobile application prototype that aimed to improve the mobility and usability of healthcare providers during their daily medical activities. The Android and iOS platform was used to create the mobile EHR application. The first working version was completed in 5 months and required 1,080 development hours. Results The mobile EHR application provides patient vital signs, patient data, text communication, and integrated EHR. The application allows our healthcare providers to know the status of patients within and outside the hospital environment. The application provides a consistent user environment on several compatible Android and iOS devices. A group of 10 beta testers has consistently used and maintained our copy of the application, suggesting user acceptance. Conclusions We are developing the integrated mobile EHR application with the goals of implementing an environment that is user-friendly, implementing a patient-centered system, and increasing the hospital's competitiveness. PMID:24523996

Park, Min Ah; Hong, Eunseok; Kim, Sunhyu; Ahn, Ryeok; Hong, Jungseok; Song, Seungyeol; Kim, Tak; Kim, Jeongkeun; Yeo, Seongwoon

2013-01-01

162

The role of general practitioners in the pre hospital setting, as experienced by emergency medicine technicians: a qualitative study  

PubMed Central

Background Together with the ambulances staffed with emergency medical technicians (EMTs), general practitioners (GPs) on call are the primary resources for handling emergencies outside hospitals in Norway. The benefit of the GP accompanying the ambulance to pre-hospital calls is a matter of controversy in Norway. The purpose of the present study was to gain better insight into the EMT’s experiences with the role of the GPs in the care for critically ill patients in the pre-hospital setting. Methods We conducted four focus group interviews with EMTs at four different ambulance stations in Norway. Three of the stations were located at least 2 hours driving distance from the nearest hospital. The interviews were transcribed and analyzed using systematic text condensation. Results The EMTs described increasing confidence in emergency medicine during the last few years. However, they felt the need for GP participation in the ambulance when responding to a critically ill patient. The presence of GPs made the EMTs feel more confident, especially in unclear and difficult cases that did not fit into EMT guidelines. The main contributions of the GPs were described as diagnosis and decision-making. Bringing the physician to the patient shortened transportation time to the hospital and important medication could be started earlier. Several examples of sub-optimal treatment in the absence of the GP were given. The EMTs described discomfort with GPs not responding to the calls. They also experienced GPs responding to calls that did not function in the pre-hospital emergency setting. The EMTs reported a need for professional requirements for GPs taking part in out-of-hours work and mandatory interdisciplinary training on a regular basis. Conclusions EMTs want GPs to be present in challenging pre-hospital emergency settings. The presence of GPs is perceived as improving patient care. However, professional requirements are needed for GPs taking part in out-of-hours work, and the informants suggested a formalized area for training between EMTs and GPs on call. PMID:25145390

2014-01-01

163

CLINICAL/HOSPITAL VOLUNTEER CONTACTS Local Hospitals  

E-print Network

CLINICAL/HOSPITAL VOLUNTEER CONTACTS Local Hospitals: Crouse Hospital Pennie Stagnitta (315) 470 Rhonda M. Butler (315) 464-5180 ButlerR@upstate.edu http://www.upstate.edu/hospital/volunteers/ VA University Hospital at Community General http://www.cgh-home.org/ St. Joseph's Hospital Health Center http

McConnell, Terry

164

Graveyard of the Pacific: The Shipwrecks of Vancouver Island  

NSDL National Science Digital Library

For those who make their living aboard large ships, there is always the fear of a potential shipwreck, especially when navigating dangerous passages. One of the latest sites from the Virtual Museum of Canada explores the various shipwrecks that have taken place around Vancouver Island, off the mainland of British Columbia, from the year 1803 to the present day. Here visitors will learn about the tales of survival from these doomed vessels, view an interactive map of the shipwrecks, and learn about the various hazards associated with the waters off Vancouver Island. The tales of survival are told in 10 stories disseminated through the site's own "Shipwreck Times", which takes quotes from interviews and historic newspaper articles to create a full portrait of each incident. The interactive shipwreck map is quite nice, as it allows visitors to learn about each shipwreck and to view photographs of the various wrecks in context. There is also an interactive game called "Wrecks", that allows visitors to navigate the icy oceans of Vancouver Island in an attempt to bring their cargo to a safe harbor.

165

Food production and wastage in relation to nutritional intake in a general district hospital—wastage is not reduced by training the staff  

Microsoft Academic Search

Background and Aims: To assess the amount of food produced in a hospital kitchen and the amount wasted. To assess the amount of food eaten by patients in relation to their energy needs. To assess whether the food production and wastage could be reduced by training members of the staff.Methods: The study was carried out in a general district hospital

T ALMDAL; L VIGGERS; A. M BECK; K JENSEN

2003-01-01

166

Health assessment for ALCOA (Vancouver Smelter), Vancouver, Clark County, Washington, Region 10. CERCLIS No. WAD009045279. Final report  

SciTech Connect

The ALCOA (also known as Vancouver Smelter) site, located on the northern bank of the Columbia River about 4 miles west of Interstate 5 in Vancouver, Clark County, Washington, has been proposed for the National Priorities List. The site consists of three waste piles containing about 66,000 tons of waste (spent potlinings and alumina insulation) that were deposited on the north bank of the Columbia River by ALCOA between 1973 and 1981. ALCOA has since sold the aluminum smelter to another company, VANALCO. The contaminants detected in the groundwater in the area surrounding the piles include cyanide, fluoride, and trichloroethene (TCE). The ALCOA site is of potential public health concern because humans may be exposed to hazardous substances at concentrations that may result in adverse health effects.

Not Available

1990-05-09

167

[Severe forms of malaria in children in a general hospital pediatric department in Yaounde, Cameroon].  

PubMed

Severe forms of malaria in children are responsible for 1 million deaths yearly in young children in hyperendemic areas. The main objective of this study was to identify and compare common manifestations of different forms of severe malaria and to evaluate the prognosis for hospital treatment in an endemic area. 271 files of children admitted into hospital between March 1991 and September 1996 were analysed. These children were confirmed to have Plasmodium falciparum in their peripheral blood. 78 patients (29%) had the severe form of malaria. 43 patients (53%) were under 5 years of age. The 5 severe types identified were characterized by very high temperatures 28 cases (36%), cerebral malaria 20 cases (26%), prostration and weakness 15 cases (19%), severe anaemia 14 cases (18%) and haemoglobinuria 1 case (1.3%). Cerebral malaria and severe anaemia were more common in children under 5 years old. The average parasitemia was 16,366 +/- 1390 parasites per microlitre. Clearance of parasitemia was obtained on day 3 in almost all cases; 6 patients with very high temperatures presented neither sign of visceral complications nor convulsions. The average period in coma for cases of cerebral malaria was 1.7 days; 12 anaemic patients were transfused. There were no deaths. No abnormality was found on physical examination after an average hospitalisation of 5.3 days. An early diagnosis and adequate treatment of severe forms of malaria in children by qualified personnel will usually result in a favourable prognosis in our area. PMID:10472438

Tchokoteu, P F; Bitchong-Ekono, C; Tietche, F; Tapko, J B; Same Ekobo, A; Douala-Mouteng, V; Maokoudi Amadou Ali, A; Juimo, A G; Mbede, J; Nkoulou, H

1999-07-01

168

Managing congestive heart failure in a general hospital in Malaysia. Are we keeping pace with evidence?  

PubMed

Evidence-based heart failure management now includes beta-blockers and spironolactone in addition to diuretics and angiotensin-converting enzyme inhibitors. We aim to determine if these recommendations had been applied in practice for acute and chronic stable heart failure, and what difficulties there might be. Data from 80 consecutive patients hospitalized for decompensated heart failure ('acute') between May and July 2003 were analyzed at admission, upon discharge and at 12 weeks follow-up; along with 74 cardiology clinic out-patients with stable congestive heart failure ('chronic'- no decompensation or admission in previous six months). Less than half of study patients with prior left ventricular dysfunction were on ACE-inhibitors (47%), diuretics (39%), ATII antagonists, spironolactone or digoxin (5% each). All 'acute' patients were commenced on diuretics and ACE-inhibitors in hospital. Six patients died or transferred to another center. Compliance with clinic appointment at 12 weeks was 85% despite telephone reminders. Drug prescription at 12 weeks was significantly lower for diuretics and ACE-inhibitors compared to prescription at discharge (all p < 0.05) but higher compared to patients with chronic HF. Diuretics and ACE inhibitors remain under-utilized for patients with recurrent heart failure. Use of spironolactone and beta-blocker is slow due to limited medical experience and funding. Clinic non-attendance is significant and due to patient factors. PMID:17240575

Chin, S P; Sapari, S; How, S H; Sim, K H

2006-08-01

169

The seasonal variation of Achilles tendon ruptures in Vancouver, Canada: a retrospective study  

PubMed Central

Objective To examine the seasonal distribution of tendon ruptures in a large cohort of patients from Vancouver, Canada. Design Retrospective chart review. Setting Acute Achilles tendon rupture cases that occurred from 1987 to 2010 at an academic hospital in Vancouver, Canada. Information was extracted from an orthopaedic database. Participants No direct contact was made with the participants. The following information was extracted from the OrthoTrauma database: age, sex, date of injury and season (winter, spring, summer and autumn), date of surgery if date of injury was unknown and type of injury (sport related or non-sport related/unspecified). Only acute Achilles tendon rupture cases were included; chronic cases were excluded along with those that were conservatively managed. Primary and secondary outcomes The primary outcome was to determine the seasonal pattern of Achilles tendon rupture. Secondary outcomes, such as differences in gender and mechanism of sport (non-sport vs sport related), were also assessed. Results There were 543 cases in total; 83% of the cases were men (average age 39.3) and 17% were women (average age 37.3). In total, 76% of cases were specified as sport related. The distribution of injuries varied significantly across seasons (?2, p<0.05), with significantly more cases occurring in spring. The increase in the number of cases in spring was due to sport-related injuries, whereas non-sport-related cases were distributed evenly throughout the year. Conclusions The seasonality of sport-related Achilles tendon ruptures should be considered when developing preventive strategies and when timing their delivery. PMID:24519875

Scott, Alex; Grewal, Navdeep; Guy, Pierre

2014-01-01

170

Quality of care for people with dementia in general hospitals: national cross-sectional audit of patient assessment.  

PubMed

There have been recent reports of poor quality care in the National Health Service in the UK, and older people with dementia are particularly vulnerable. This study aims to examine the quality of assessment of people with dementia admitted to hospital. Cross-sectional case-note audit of key physical and psychosocial assessments was carried out in 7,934 people with dementia who were discharged from 206 general hospitals. Most people had no record of a standardised assessment of their cognitive state (56.8%, 95% confidence interval [CI] = 55.8-58.0) or functioning (74.2%, 95% CI = 73.2-75.1). Information from carers was documented in 39.0% of cases (95% CI = 37.9-40.1). There was considerable variation across hospital sites. Key assessments were less likely when people were admitted to surgical wards. Assessments fall well below recommended standards especially with regard to social and cognitive functioning. Problems are particularly marked on surgical wards. PMID:25301908

Souza, Renata; Gandesha, Aarti; Hood, Chloe; Chaplin, Robert; Young, John; Crome, Peter; Crawford, Mike J

2014-10-01

171

Habitat Associations of Vancouver Island Water Shrews in Restored and Natural Stream Habitats  

Microsoft Academic Search

The Vancouver Island water shrew (Sorex palustris brooksi)1 is a rare subspecies found only on Vancouver Island, British Columbia. It is a riparian specialist, specially adapted to a semi-aquatic lifestyle and strongly associated with the land\\/water interface. Human-related activities on Vancouver Island have resulted in the loss or degradation of habitat for S. p. brooksi. Mitigation efforts aimed at stream

VANESSA J. CRAIG; STEVEN F. WILSON

172

Motives for drinking, alcohol consumption, and alcohol-related consequences in a Vancouver youth sample.  

E-print Network

??This longitudinal investigation examined motives for alcohol use, alcohol consumption, and alcohol-related consequences in a Vancouver, British Columbia youth sample (n = 405). Secondary analyses… (more)

McIntosh, Kimberly Ann

2011-01-01

173

The John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital  

E-print Network

personal doctor," or "My children's pediatrician said they need to exercise more," do you know what kind, general internist, pediatrician, or medicine-pediatrics doctor to be their primary care physician. Nurse get their vaccinations, treating sore throats and bladder infections, and doing school and annual

Mootha, Vamsi K.

174

Short-term complications of percutaneous tracheostomy: experience of a district general hospital--otolaryngology department.  

PubMed

Percutaneous tracheostomy is a procedure frequently carried out in a critical care setting. It is performed in the majority of cases by anaesthetists in the United Kingdom. The ENT surgeon is only called in situations where it is deemed by the intensivist that percutanous tracheostomy would prove too great a risk. In this situation the patient was taken to the operating theatre for a surgical tracheostomy. In our paper, a retrospective analysis was performed of all percutaneous tracheostomies carried out by ENT surgeons in the Royal Glamorgan Hospital, during a two-year period from July 1999 to July 2001, to assess whether percutaneous tracheostomy is a feasible option as a first line procedure in all elective tracheostomies. Thirty-six patients were included in the study. The mean age was 60.2 years. Haemorrhage was noted to be a problem in only one patient and two patients developed postoperative wound infection that was treated with systemic antibiotics. No other complications were encountered. We propose that all ENT surgeons should be trained in performing percutaneous tracheostomy and that it should be used as the gold standard in elective tracheostomy insertion. In cases where difficulties are likely to be anticipated, percutaneous tracheostomy can still be considered as the first option. This can be performed in the operating theatre setting with the knowledge that if any complication should occur then conversion to surgical tracheostomy can be done without delay. PMID:12537616

Kumar, Manoj; Jaffery, Ali; Jones, Mathew

2002-12-01

175

Recent trends in clinically significant nontuberculous Mycobacteria isolates at a Korean general hospital.  

PubMed

Lung disease caused by nontuberculous mycobacteria (NTM) represents an increasing proportion of all mycobacterial diseases. We investigated recent occurrences of NTM and evaluated the clinical significance of NTM isolates from 752 respiratory specimens collected from patients at National Health Insurance Service Ilsan Hospital between January 2007 and May 2011. Specimens were incubated on solid and liquid media (BACTEC MGIT 960, BD, USA) for 6-8 weeks, and PCR and reverse blot hybridization were performed (REBA Myco-ID, Molecules & Diagnostics, Korea). Clinical features of the patients were reviewed through medical records. The most frequently isolated organism was Mycobacterium avium (46.7%), followed by M. intracellulare (14.8%), M. fortuitum (7.2%), and M. abscessus (6.6%). The most common mycobacteria among definitive cases of NTM lung disease were M. avium (42/351, 12.0%), M. intracellulare (19/111, 17.1%), M. abscessus (11/50, 22.0%), M. massiliense (4/13, 30.8%), and M. fortuitum (4/54, 7.4%). Clinically significant cases of NTM lung disease increased from 4 patients in 2007 to 32 in 2011. The mean patient age was 64 yr (range: 35-88 yr), and 58 (64%) patients were women. Patients suffered from cough, productive sputum, and hemoptysis. In summary, the most common mycobacteria causing NTM lung disease were M. avium and M. intracellulare; however, cases of M. massiliense and M. abscessus infection are on the rise in Korea. PMID:24422197

Kim, Hyun Soo; Lee, Yangsoon; Lee, Sangsun; Kim, Young Ah; Sun, Young-Kyu

2014-01-01

176

A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice  

PubMed Central

Objective To determine how the timing and length of hospital discharge letters impact on the number of ongoing patient problems identified by general practitioners (GPs). Trial design GPs were randomised into four groups. Each viewed a video monologue of an actor-patient as he might present to his GP following a hospital admission with 10 problems. GPs were provided with a medical record as well as a long or short discharge letter, which was available when the video was viewed or 1?week later. GPs indicated if they would prescribe, refer or order tests for the patient's problems. Methods Setting Primary care. Participants Practising Australian GPs. Intervention A short or long hospital discharge letter enumerating patient problems. Outcome measure Number of ongoing patient problems out of 10 identified for management by the GPs. Randomisation 1:1 randomisation. Blinding (masking) Single-blind. Results Numbers randomised 59 GPs. Recruitment GPs were recruited from a network of 102 GPs across Australia. Numbers analysed 59 GPs. Outcome GPs who received the long letter immediately were more satisfied with this information (p<0.001). Those who received the letter immediately identified significantly more health problems (p=0.001). GPs who received a short, delayed discharge letter were less satisfied than those who received a longer delayed letter (p=0.03); however, both groups who received the delayed letter identified a similar number of health problems. GPs who were older, who practised in an inner regional area or who offered more patient sessions per week identified fewer health problems (p values <0.01, <0.05 and <0.05, respectively). Harms Nil. Conclusions Receiving information during patient consultation, as well as GP characteristics, influences the number of patient problems addressed. Trial registration number ACTRN12614000403639. PMID:25005597

Jiwa, Moyez; Meng, Xingqiong; O'Shea, Carolyn; Magin, Parker; Dadich, Ann; Pillai, Vinita

2014-01-01

177

An urban metabolism and ecological footprint assessment of Metro Vancouver.  

PubMed

As the world urbanizes, the role of cities in determining sustainability outcomes grows in importance. Cities are the dominant form of human habitat, and most of the world's resources are either directly or indirectly consumed in cities. Sustainable city analysis and management requires understanding the demands a city places on a wider geographical area and its ecological resource base. We present a detailed, integrated urban metabolism of residential consumption and ecological footprint analysis of the Vancouver metropolitan region for the year 2006. Our overall goal is to demonstrate the application of a bottom-up ecological footprint analysis using an urban metabolism framework at a metropolitan, regional scale. Our specific objectives are: a) to quantify energy and material consumption using locally generated data and b) to relate these data to global ecological carrying capacity. Although water is the largest material flow through Metro Vancouver (424,860,000 m(3)), it has the smallest ecological footprint (23,100 gha). Food (2,636,850 tonnes) contributes the largest component to the ecological footprint (4,514,400 gha) which includes crop and grazing land as well as carbon sinks required to sequester emissions from food production and distribution. Transportation fuels (3,339,000 m(3)) associated with motor vehicle operation and passenger air travel comprises the second largest material flow through the region and the largest source of carbon dioxide emissions (7,577,000 tonnes). Transportation also accounts for the second largest component of the EF (2,323,200 gha). Buildings account for the largest electricity flow (17,515,150 MWh) and constitute the third largest component of the EF (1,779,240 gha). Consumables (2,400,000 tonnes) comprise the fourth largest component of the EF (1,414,440 gha). Metro Vancouver's total Ecological Footprint in 2006 was 10,071,670 gha, an area approximately 36 times larger than the region itself. The EFA reveals that cropland and carbon sinks (forested land required to sequester carbon dioxide emissions) account for 90% of Metro Vancouver's overall demand for biocapacity. The per capita ecological footprint is 4.76 gha, nearly three times the per capita global supply of biocapacity. Note that this value excludes national government services that operate outside the region and could account for up to an additional 2 gha/ca. PMID:23603775

Moore, Jennie; Kissinger, Meidad; Rees, William E

2013-07-30

178

Their Spirits Live within Us: Aboriginal Women in Downtown Eastside Vancouver Emerging into Visibility  

ERIC Educational Resources Information Center

The intersection of Main and Hastings streets--known locally as "Pain and Wastings"--marks the heart of Vancouver's inner-city neighborhood: the Downtown Eastside. Since 1997, when the City of Vancouver Health Department declared a public health emergency in response to reports that HIV infection rates among residents exceeded those anywhere else…

Culhane, Dara

2003-01-01

179

‘The Unbearable Lightness of Being Black’: Race, Class, and Victorian Vancouver First Lifeguard  

Microsoft Academic Search

In the late nineteenth and early twentieth centuries, a black man, Joe Fortes, received much admiration from the city of Vancouver's white population. Fortes’s life and career presents an interesting study of race and class not only in Vancouver but also in the larger North American society during this period. Around the turn of the twentieth century, a social hierarchy

John Wong

2011-01-01

180

Clinical/Hospital Volunteer Contacts Local Hospitals  

E-print Network

Clinical/Hospital Volunteer Contacts Local Hospitals: Crouse Hospital Pennie Stagnitta Reverend Center - http://www.schcny.com/volunteers/ Community General Hospital - http://cgh-home.org/site2/index.php?option=com_content&view=article&id=86&Itemid=57 St. Joseph's Hospital Health Center - http://www.sjhsyr.org/sjhhc/stj_about_8.asp

Kovalev, Leonid

181

Recognition of depression in children in general hospital-based paediatric units in Kenya: practice and policy implications  

PubMed Central

Background Physical disorders are commonly comorbid with depression in children attending general medical facilities. However, the depression component is rarely recognised. Methods A questionnaire on sociodemographics and history of presenting medical conditions was administered together with the Children's Depression Inventory (CDI) to all 11-year-old to 17-year-old children attending at nine medical facilities. Results In all, 408 children were recruited from 9 health facilities. Whereas the clinicians diagnosed a mental disorder in only 2.5% of the sample studied, 41.3% had CDI scores that suggested mild to moderate depression. The highest proportion of children with depressive symptomatology was found at the Kenyatta National and Teaching Referral Hospital. Conclusion Although prevalence rate for depression among children is high, detection rates remain low. This finding has clinical practice and policy implications within and outside Kenya. PMID:19863784

Ndetei, David M; Khasakhala, Lincoln I; Mutiso, Victoria N; Mbwayo, Anne W

2009-01-01

182

Management of lymphoma patients in a cancer unit: an audit of 15 years' experience in a district general hospital.  

PubMed

The objectives were to analyse data obtained in a district general hospital medical oncology unit over a 15-year period, and to provide a comparator for standards of care for lymphoma patients in new cancer units. Prospectively collected data were analysed on 208 consecutive patients presenting with lymphoma, on an 'all-comers' basis, between 1981 and 1996. Treatment was with radiotherapy and/or chemotherapy, according to local protocols. The outcome measure was survival from the date of diagnosis. The 5-year actuarial survival was 72.7% for Hodgkin's disease and 55.7% for non-Hodgkin's lymphoma. Age and stage of disease were the only predictors of survival in a multivariate analysis. Histological classification was not a useful predictor of survival in this analysis. Survival figures comparable with those obtained nationally and across Europe are attainable in a cancer unit. Multiple pathways of referral of lymphoma patients operate in our region. PMID:11554620

Chester, J D; Clark, C J; Gouldesbrough, D R; Bogle, S M; Bradley, C J; Parker, D

2001-01-01

183

Waiting times before dental care under general anesthesia in children with special needs in the Children's Hospital of Casablanca  

PubMed Central

Introduction Oral diseases may have an impact on quality of children's life. The presence of severe disability requires the use of care under general anesthesia (GA). However, because of the limited number of qualified health personnel, waiting time before intervention can be long. Aim: To evaluate the waiting time before dental care under general anesthesia for children with special needs in Morocco. Methods A retrospective cohort study was carried out in pediatric dentistry unit of the University Hospital of Casablanca. Data were collected from records of patients seen for the first time between 2006 and 2011. The waiting time was defined as the time between the date of the first consultation and intervention date. Results 127 children received dental care under general anesthesia, 57.5% were male and the average age was 9.2 (SD = 3.4). Decay was the most frequent reason for consultation (48%), followed by pain (32%). The average waiting time was 7.6 months (SD = 4.2 months). The average number of acts performed per patient was 13.5. Conclusion Waiting times were long, it is necessary to take measures to reduce delays and improve access to oral health care for this special population. PMID:25328594

Badre, Bouchra; Serhier, Zineb; El Arabi, Samira

2014-01-01

184

Shifts in Mortality During a Hot Weather Event in Vancouver, British Columbia: Rapid Assessment With Case-Only Analysis  

PubMed Central

Objectives. We assessed shifts in patterns of mortality during a hot weather event in greater Vancouver, British Columbia. Methods. We used a case-only analysis to compare characteristics of individuals who died during the hottest week of 2009 with those who died (1) during earlier summer weeks in 2009 and (2) during the same calendar weeks in the summers of 2001 through 2008. Results. Compared with the 8 previous weeks of 2009, odds of mortality during the summer’s hottest week were highest in the 65 to 74 years age category, compared with the 85 years and older category (odds ratio [OR]?=?1.47; 95% confidence interval [CI]?=?1.06, 2.03). The number of deaths at home increased over deaths in hospitals or institutions (OR?=?1.43; 95% CI?=?1.10, 1.86). Densely populated administrative health areas were more affected. Conclusions. A shift toward deaths at home suggests that in-home–based protective measures should be part of planning for hot weather events in greater Vancouver. Targeting should be considered for those aged 65 to 74 years. The case-only approach is quick and easy to apply and can provide useful information about localized, time-limited events. PMID:23078510

Henderson, Sarah B.; Pollock, Sue L.

2012-01-01

185

Risperidone long-acting injection in the treatment of schizophrenia spectrum illnesses: A retrospective chart review of 19 patients in the Vancouver Community Mental Health Organization (Vancouver, Canada)  

PubMed Central

Background: Schizophrenia is a chronic debilitating disease that affects ~110,000 Canadians (0.55% lifetime prevalence). Risperidone long-acting injection (RLAI) is the first injectable, long-acting, atypical antipsychotic drug marketed in Canada. Objective: The aim of this study was to assess the clinical effectiveness and hospitalization rates of patients with schizophrenia, schizoaffective disorder, or schizophreniform disorder treated with RLAI in a community mental health care setting. Methods: Data were collected between August 1, 2006 and September 30, 2006 via a retrospective chart review of outpatients diagnosed with schizophrenia, schizoaffective disorder, or schizophreniform disorder who received treatment from 1 of the 8 mental health teams within the Vancouver Community Mental Health Organization (VCMHO) in Vancouver, British Columbia, Canada. Collected data included: frequency and duration of institutional care, discharge and relapse rates, demographic variables, diagnosis history, RLAI medication history, and history of other medications. The overall severity of symptoms before and after RLAI treatment and the improvement in symptoms during treatment were evaluated using the Clinical Global Impression Scales for severity (CGI-S)(1 = not ill to 7 = extremely ill) and improvement (CGI-I)(1 = very much improved to 7 = very much worse). Results: Forty-four patients were identified as having received RLAI. The charts of 19 patients (10 men, 9 women; mean [SD] age at time of chart audit, 36.7 [11.7] years; mean [SD] age at primary diagnosis, 23.6 [7.4] years; race: white, 10 [52.6%]; Asian, 6 [31.6%]; American Indian, 1 [5.3%]; black, 1 [5.3%]; other, 1 [5.3%]) were included in the analysis. The majority of patients (78%) had been treated with another antipsychotic drug prior to treatment with RLAI: risperidone (77%), quetiapine (47%), zuclopenthixol (43%), olanzapine (43%), and loxapine (17%). Mean (SD) CGI-S Scale score declined significantly from 5.29 (1.3) before treatment initiation to 3.05 (1.0) posttreatment (P < 0.001). Mean (SD) CGI-I Scale score was 2.58 (0.71) (P < 0.001); 94% of patients had a CGI-I score ?3. Mean (SD) duration of hospitalization decreased significantly from 15.7 (19.7) days before treatment to 2.4 (6.0) days after treatment (P < 0.05). Mean (SD) number of hospializations also decreased significantly from 2.0 (1.8) before treatment to 0.5 (1.3) after treatment (P < 0.01). Conclusions: The results of this pilot study suggest that use of the atypical-antipsychotic medication RLAI significantly decreased duration and rates of hospitalization, compared with baseline, in these VCMHO patients with schizophrenia spectrum illnesses. PMID:24692772

Ganesan, Soma; McKenna, Mario; Procyshyn, Ric M.; Zipursky, Sheldon

2007-01-01

186

Risk factors associated with calcium oxalate urolithiasis in dogs evaluated at general care veterinary hospitals in the United States.  

PubMed

Calcium oxalate urolithiasis results from the formation of aggregates of calcium salts in the urinary tract. Difficulties associated with effectively treating calcium oxalate urolithiasis and the proportional increase in the prevalence of calcium oxalate uroliths relative to other urolith types over the last 2 decades has increased the concern of clinicians about this disease. To determine factors associated with the development of calcium oxalate urolithiasis in dogs evaluated at general care veterinary hospitals in the United States, a retrospective case-control study was performed. A national electronic database of medical records of all dogs evaluated between October 1, 2007 and December 31, 2010 at 787 general care veterinary hospitals in the United States was reviewed. Dogs were selected as cases at the first-time diagnosis of a laboratory-confirmed urolith comprised of at least 70% calcium oxalate (n=452). Two sets of control dogs with no history of urolithiasis diagnosis were randomly selected after the medical records of all remaining dogs were reviewed: urinalysis examination was a requirement in the selection of one set (n=1808) but was not required in the other set (n=1808). Historical information extracted included urolith composition, dog's diet, age, sex, neuter status, breed size category, hospital location, date of diagnosis, and urinalysis results. Multivariable analysis showed that the odds of first-time diagnosis of calcium oxalate urolithiasis were significantly (P<0.05) greater for dogs<7 years, males (OR: 7.77, 95% CI: 4.93-12.26), neutered (OR: 2.58, 1.44-4.63), toy- vs. medium-sized breeds (OR: 3.15, 1.90-5.22), small- vs. medium-sized breeds (OR: 3.05, 1.83-5.08), large- vs. medium-sized breeds (OR: 0.05, 0.01-0.19), and those with a diagnosis of cystitis within the previous year (OR: 6.49, 4.14-10.16). Urinary factors significantly associated with first-time diagnosis of calcium oxalate urolithiasis were acidic vs. basic pH (OR: 1.94, 1.22-3.10), presence of RBCs (OR: 6.20, 3.91-9.83) or WBCs (OR: 1.62, 1.03-2.54), and protein concentration>30 mg/dL (OR: 1.55, 1.04-2.30). Patient demographics and urinalysis results are important factors that can support risk assessment and early identification of canine oxalate urolithiasis. Therefore, periodic urolith screening and monitoring of urine parameters should be encouraged for dogs at risk of developing these uroliths. PMID:24834804

Okafor, Chika C; Lefebvre, Sandra L; Pearl, David L; Yang, Mingyin; Wang, Mansen; Blois, Shauna L; Lund, Elizabeth M; Dewey, Cate E

2014-08-01

187

Is Organizational Change Associated With Increased Rates of Readmission to General Hospital in Suicide Attempters? A 10Year Prospective Catchment Area Study  

Microsoft Academic Search

The objective of this study was to examine predictors for readmissions in patients admitted to a general hospital emergency ward for suicide attempts before and after organizational changes potentially affecting the chain of care. Socio-demographic and clinical variables were collected by clinicians from 1997 thru 2007. Data from the periods before and after 2004—when the hospital changed its catchment area—were

Lars Mehlum; Trond Jørgensen; Lien My Diep; Latha Nrugham

2010-01-01

188

Attempted suicide by drug overdose and by poison-ingestion methods seen at the main general hospital in the Fiji islands: a comparative study  

Microsoft Academic Search

Objective: This study examined the prevalence and the characteristics of deliberate self-poisoning patients seen at the main general hospital in the Fiji Islands.Method: Thirty-one consecutive patients with deliberate drug-overdose and 27 others with nonoverdosed self-poisoning were compared on sociodemographic and clinical variables.Results: Deliberate self-poisoning cases represented 0.3% of the hospital admissions, and had a rate of 25.9 per 100,000 population.

Henry S. Aghanwa

2001-01-01

189

Needle Exchange and the HIV Epidemic in Vancouver: Lessons Learned from 15 years of research  

PubMed Central

During the mid-1990s, Vancouver experienced a well characterized HIV outbreak among injection drug users (IDU) and many questioned how this could occur in the presence of a high volume needle exchange program (NEP). Specific concerns were fuelled by early research demonstrating that frequent needle exchange program attendees were more likely to be HIV positive than those who attended the NEP less frequently. Since then, some have misinterpreted this finding as evidence that NEPs are ineffective or potentially harmful. In light of continuing questions about the Vancouver HIV epidemic, we review 15 years of peer-reviewed research on Vancouver’s NEP to describe what has been learned through this work. Our review demonstrates that: 1) NEP attendance is not causally associated with HIV infection, 2) frequent attendees of Vancouver’s NEP have higher risk profiles which explain their increased risk of HIV seroconversion, and 3) a number of policy concerns, as well as the high prevalence of cocaine injecting contributed to the failure of the NEP to prevent the outbreak. Additionally, we highlight several improvements to Vancouver’s NEP that contributed to declines in syringe sharing and HIV incidence. Vancouver’s experience provides a number of important lessons regarding NEP. Keys to success include refocusing the NEP away from an emphasis on public order objectives by separating distribution and collection functions, removing syringe distribution limits and decentralizing and diversifying NEP services. Additionally, our review highlights the importance of context when implementing NEPs, as well as ongoing evaluation to identify factors that constrain or improve access to sterile syringes. PMID:22579215

Hyshka, Elaine; Strathdee, Steffanie; Wood, Evan; Kerr, Thomas

2012-01-01

190

Habitat Evaluation Procedures (HEP) Report : Vancouver Lowlands Shillapoo Wildlife Area, 1994-1995 Technical Report.  

SciTech Connect

This project was conducted as part of a comprehensive planning effort for the Vancouver Lowlands project area. The study was funded by The Bonneville Power Administration (BPA) and carried out by the Washington Department of Fish and Wildlife (WDFW). The Vancouver Lowlands is considered an area of high priority by WDFW and is being considered as a potential site for wildlife mitigation activities by BPA. The objectives of this study were to collect baseline information and determine current habitat values for the study area. A brief discussion of potential future management and a proposed listing of priorities for habitat protection are found near the end of this report. This report is a companion to a programmatic management plan being drafted for the area which will outline specific, management programs to improve habitat conditions based, in part, on this study. The following narratives, describing limiting habitat variables, carry recurring themes for each indicator species and habitat type. These recurring variables that limited habitat value include: Waterbodies that lack emergent and submerged vegetation; forest areas that lack natural shrub layers; a predominance of non-hydrophytic and less desirable non-native plants where shrubs are present; a general lack of cover for ground nesting and secure waterfowl nest sites (island type). Human disturbance was the variable that varied more than any other from site to site in the study area. One issue that the models we used do not truly deal with is the quantity and connectivity of habitat. The mallard and heron models deal with spatial relationships but for other species this may be as critical. Observation of habitat maps easily show that forested habitats are in short supply. Their continuity along Lake river and the Columbia has been broken by past development. Wetland distribution has also been affected by past development.

Calkins, Brian; Anderson, Eric; Ashley, Paul

1995-01-01

191

Police and public health partnerships: Evidence from the evaluation of Vancouver's supervised injection facility  

PubMed Central

In various settings, drug market policing strategies have been found to have unintended negative effects on health service use among injection drug users (IDU). This has prompted calls for more effective coordination of policing and public health efforts. In Vancouver, Canada, a supervised injection facility (SIF) was established in 2003. We sought to determine if local police impacted utilization of the SIF. We used generalized estimating equations (GEE) to prospectively identify the prevalence and correlates of being referred by local police to Vancouver's SIF among IDU participating in the Scientific Evaluation of Supervised Injecting (SEOSI) cohort during the period of December 2003 to November 2005. Among 1090 SIF clients enrolled in SEOSI, 182 (16.7%) individuals reported having ever been referred to the SIF by local police. At baseline, 22 (2.0%) participants reported that they first learned of the SIF via police. In multivariate analyses, factors positively associated with being referred to the SIF by local police when injecting in public include: sex work (Adjusted Odds Ratio [AOR] = 1.80, 95%CI 1.28 – 2.53); daily cocaine injection (AOR = 1.54, 95%CI 1.14 – 2.08); and unsafe syringe disposal (AOR = 1.46, 95%CI 1.00 – 2.11). These findings indicate that local police are facilitating use of the SIF by IDU at high risk for various adverse health outcomes. We further found that police may be helping to address public order concerns by referring IDU who are more likely to discard used syringes in public spaces. Our study suggests that the SIF provides an opportunity to coordinate policing and public health efforts and thereby resolve some of the existing tensions between public order and health initiatives. PMID:18462491

DeBeck, Kora; Wood, Evan; Zhang, Ruth; Tyndall, Mark; Montaner, Julio; Kerr, Thomas

2008-01-01

192

Hip resurfacing in a district general hospital: 6-year clinical results using the ReCap hip resurfacing system  

PubMed Central

Background The purpose of our study was to prospectively report the clinical results of 280 consecutive hips (240 patients) who received a ReCap Hip Resurfacing System implant (Biomet Inc., Warsaw, USA) in a single district general hospital. Literature reports a large variation in clinical results between different resurfacing designs and published results using this particular design are scarce. Methods Mean follow up was 3.3 years (1.0 to 6.3) and four patients were lost to follow-up. All patients were diagnosed with end-stage hip osteoarthritis, their mean age was 54 years and 76.4% of all patients were male. Results There were 16 revisions and four patients reported a Harris Hip Score <70 points at their latest follow up. There were no pending revisions. Kaplan-Meier implant survival probability, with revision for any reason as endpoint, was 93.5% at six years follow-up (95%-CI: 88.8-95.3). There were no revisions for Adverse Reactions to Metal Debris (ARMD) and no indications of ARMD in symptomatic non-revised patients, although diagnostics were limited to ultrasound scans. Conclusions This independent series confirms that hip resurfacing is a demanding procedure, and that implant survival of the ReCap hip resurfacing system is on a critical level in our series. In non-revised patients, reported outcomes are generally excellent. Trial registration ClinicalTrials.gov Identifier: NCT00603395 PMID:23234268

2012-01-01

193

Vancouver At Home: pragmatic randomized trials investigating Housing First for homeless and mentally ill adults  

PubMed Central

Background Individuals with mental illnesses are overrepresented among the homeless. Housing First (HF) has been shown to promote positive outcomes in this population. However, key questions remain unresolved, including: how to match support services to client needs, the benefits of housing in scattered sites versus single congregate building, and the effectiveness of HF with individuals actively using substances. The present study aimed to recruit two samples of homeless mentally ill participants who differed in the complexity of their needs. Study details, including recruitment, randomization, and follow-up, are presented. Methods Eligibility was based on homeless status and current mental disorder. Participants were classified as either moderate needs (MN) or high needs (HN). Those with MN were randomized to HF with Intensive Case Management (HF-ICM) or usual care. Those with HN were randomized to HF with Assertive Community Treatment (HF-ACT), congregate housing with support, or usual care. Participants were interviewed every 3 months for 2 years. Separate consent was sought to access administrative data. Results Participants met eligibility for either MN (n?=?200) or HN (n?=?297) and were randomized accordingly. Both samples were primarily male and white. Compared to participants designated MN, HN participants had higher rates of hospitalization for psychiatric reasons prior to randomization, were younger at the time of recruitment, younger when first homeless, more likely to meet criteria for substance dependence, and less likely to have completed high school. Across all study arms, between 92% and 100% of participants were followed over 24 months post-randomization. Minimal significant differences were found between study arms following randomization. 438 participants (88%) provided consent to access administrative data. Conclusion The study successfully recruited participants meeting criteria for homelessness and current mental disorder. Both MN and HN groups had high rates of substance dependence, suicidality, and physical illness. Randomization resulted in no meaningful detectable differences between study arms. Trial registration Current Controlled Trials: ISRCTN57595077 (Vancouver at Home study: Housing First plus Assertive Community Treatment versus congregate housing plus supports versus treatment as usual) and ISRCTN66721740 (Vancouver At Home study: Housing First plus Intensive Case Management versus treatment as usual). PMID:24176253

2013-01-01

194

Cryptococcus gattii in wildlife of Vancouver Island, British Columbia, Canada.  

PubMed

Although Cryptococcus gattii has emerged as an important pathogen of humans and domestic animals on Vancouver Island, Canada since 1999; its distribution in regional wildlife species is largely unknown. Opportunistic sampling methods were employed to obtain nasal swabs for fungal culture from wild mammal species residing within the coastal Douglas fir biogeoclimatic zone on the southeast coast of the island. Samples were collected from 91 animals representing 14 species. Cryptococcus gattii was isolated from the nasal swabs of two eastern gray squirrels (Sciurus carolinensis) trapped in Duncan, British Columbia. The relative proportion of nasal colonization in wild mammal species is consistent with findings in domestic animals, suggesting that animals may be good indicators of environmental organisms. PMID:16699162

Duncan, C; Schwantje, H; Stephen, C; Campbell, J; Bartlett, K

2006-01-01

195

Massachusetts General Hospital  

Cancer.gov

Imaging sciences are at a stage at which in vivo imaging can occur at near micron resolutions with image specificity at the physiological, cellular and molecular level. Although the molecular basis of may diseases are well defined, we do not have a full understanding of the mechanism by which they develop in vivo nor have we fully harnessed the potential for translating advances in molecular science into clinical practice of imaging.

196

Massachusetts General Hospital  

Cancer.gov

Advanced MRI methods may improve the ability to provide an accurate prognosis and potentially guide treatment choices for glioblastoma patients. The proposed research will help establish a common, standardized approach to acquisition and analysis of two forms of vascular MRI that have shown excellent promise. The investigators will do this by careful reduction of variability. These efforts will enable these advanced techniques to become more widely available and more appropriately establish their benefit to patients.

197

Massachusetts General Hospital  

Cancer.gov

The overall goal of this U24 application is to continue supporting a team of investigators to develop new and provide established, state-of-the-art high resolution mouse imaging techniques to local cancer investigators. The Harvard Small Animal Imaging Resource (SAIR) has a proven track record for innovation in molecular imaging and clinical translation, has served over 70 regional cancer investigators and currently performs imaging studies for over 40 cancer related base grants.

198

Coal-bed methane potential of Vancouver Island coalfields  

SciTech Connect

Commercially attractive quantities of coal-bed methane gas on Vancouver Island, British Columbia, are indicated from recent studies by the provincial Geological Survey Branch and independent consultants. Coal mining activity began in 1847, which provides large amount of data concerning drilling, mining, quality, and reserves. Presence of methane is corroborated by documented accounts of coal mine disasters. Coal measures are part of the Upper Cretaceous Nanaimo Group, which covers approximately 800 mi{sup 2} and are divided into two subbasins. Cretaceous strata rest unconformably on predominantly volcanic basement rocks and are controlled in their distribution by paleotopography. Maximum aggregate coal thickness in the Nanaimo subbasin is 30-60 ft in the Comox subbasin, greater than 40 ft. Post-Cretaceous faulting strongly influences the area. Tertiary intrusives have effected coal quality to some extent. Sampling of coal seams is currently underway to determine levels of thermal maturation. Vitrinite reflectance ranges from 0.59 to 3.21 (R{sub o} max). The majority of coals are of high-volatile B to A bituminous rank, with local variations near Tertiary intrusions. Test-well desorption data have indicated that coals can contain as much as 380 ft{sup 3} of methane per ton of coal. Gas samples taken were pipeline quality, about 95% methane, 4.5% heavier hydrocarbons, and 0.5% carbon dioxide. A conservative estimate of in-place methane resource is 800 bcf. Plans are currently underway to construct a natural gas pipeline from the mainland to service Vancouver Island. This would provide the necessary infrastructure to make extraction of the methane resource economic.

Kenyon, C. (Ministry of Energy, Mines, Petroleum Resources, Victoria, British Columbia (Canada)); Murray, D.K. (D. Keith Murray and Associates, Inc., Golden, CO (USA))

1990-05-01

199

The Monitoring Network of the Vancouver 2010 Olympics  

NASA Astrophysics Data System (ADS)

An innovative monitoring network was implemented to support the operational and science programs for the Vancouver 2010 Winter Olympics. It consisted of in situ weather stations on custom-designed platforms. The sensors included an HMP45C for temperature, humidity and pressure, a tipping bucket rain gauge, an acoustic snow depth sensor, a Pluvio 1 precipitation gauge and an anemometer placed at gauge height and at 10 m height. Modifications to commercial automated precipitation gauges were necessary for the heavy snowfall conditions. Advanced or emerging technologies were deployed to support scientific and nowcasting studies into precipitation intensity, typing, visibility and wind. The sensors included an FD12P visibility and precipitation sensor, a precipitation occurrence sensing system (POSS) present weather sensor, a Hotplate precipitation sensor and a Parsivel disdrometer. Data were collected at 1 min sampling intervals. A Doppler weather radar was deployed in a valley location and provided critical detailed low-level data. An X-band dual-polarized radar was deployed by the National Oceanic and Atmospheric Administration to monitor Vancouver and Cypress Mountain. Three remote sensing stations for vertical profiling were established. At the base of Whistler Mountain, a micro-rain radar, a 22-channel radiometer, a ceilometer, a Parsivel and a POSS were installed. At the base of Cypress Mountain, a micro-rain radar, a ceilometer, a low cost rain sensor (LCR by ATTEX) and a POSS were installed. At Squamish, a wind profiler and a POSS were installed. Weather sensors were mounted on the Whistler Village Gondola and on the Peak to Peak gondola. Sites were established along the Whistler Mountain slope and at other key locations. The combination of sites and instruments formed a comprehensive network to provide observations appropriate for nowcasting in winter complex terrain and investigate precipitation, visibility and wind processes. The contribution provides a detailed description of the network, their sensors, the innovations and some examples.

Joe, Paul; Scott, Bill; Doyle, Chris; Isaac, George; Gultepe, Ismail; Forsyth, Douglas; Cober, Stewart; Campos, Edwin; Heckman, Ivan; Donaldson, Norman; Hudak, David; Rasmussen, Roy; Kucera, Paul; Stewart, Ron; Thériault, Julie M.; Fisico, Teresa; Rasmussen, Kristen L.; Carmichael, Hannah; Laplante, Alex; Bailey, Monika; Boudala, Faisal

2014-01-01

200

Changing frequency of parotid gland neoplasms--analysis of 560 tumours treated in a district general hospital.  

PubMed Central

An analysis of all parotidectomies performed for neoplastic lesions in the maxillofacial unit at a district general hospital during a 26-year period between 1974-1999 was undertaken. The details analysed were age, sex, histology and temporal variations in the frequency of specific tumour types during the study period. A total of 538 parotidectomies performed on 529 patients in whom 560 tumours were present, formed the basis of this study. Marked variations were present in the age and sex distribution and relative frequency of specific tumour types in this study, when compared to previous reports. There were also differences in the age and sex distribution of pleomorphic adenoma and adenolymphoma (P <0.0001) in this study. The relative frequency of benign tumours and adenolymphoma increased, whereas that of pleomorphic adenoma decreased during the study period. In addition, there was a statistically significant decrease in the relative frequency of pleomorphic adenoma (P <0.0001) and an increase in adenolymphoma (P <0.0001) when comparisons were made with previous studies. This study from a defined population may be more representative of the true proportion of specific tumours in this population. The potential implications of the results on the investigation and treatment of parotid neoplasms is highlighted. PMID:11890618

Ethunandan, M.; Pratt, C. A.; Macpherson, D. W.

2002-01-01

201

General Hospital Psychiatry 29 (2007) 285-293 Title: Use of the PRIME-MD Patient Health Questionnaire for estimating the  

E-print Network

1 General Hospital Psychiatry 29 (2007) 285-293 Title: Use of the PRIME-MD Patient Health 5, France 2 Service Universitaire de Psychiatrie Adulte, Centre Hospitalier Universitaire, 39 av, NIHR Biomedical Research Centre, Institute of Psychiatry, Kings College, London SE5 8AF, UK

Paris-Sud XI, Université de

202

MOLECULAR EPIDEMIOLOGICAL STUDIES ON TWO CYCLOSPORIASIS OUTBREAKS IN VANCOUVER, BRITISH COLUMBIA  

EPA Science Inventory

Two cyclosporiasis outbreaks in Vancouver, British Columbia (BC) were investigated using molegular epidemiology. The cause of the 1999 outbreak has not been identiifed whereas the 2001 oubreak has been linked epidemiologically to the consumption of Thai basil. The internal tran...

203

Contemporary use of bark for medicine by two Salishan native elders of southeast Vancouver Island, Canada.  

PubMed

Elders of the Saanich and Cowichan Coast Salish people of southern Vancouver Island treat, or have treated in the recent past, many ailments with bark preparations. Interviews with two elder Salishan women revealed that: respiratory ailments were treated with bark of Abies grandis, Arbutus menziesii, Cornus nuttallii, Prunus emarginata, Pseudotsuga menziesii and Quercus garryana; digestive tract ailments with the bark of Abies grandis, Alnus rubra, Arbutus menziesii, Malus fusca. Oemleria cerasiformis, Populus tremuloides, Pseudotsuga menziesii, Rhamnus purshianus and Rubus spectabilis; gynaecological problems with bark of Abies grandis, Arbutus menziesii, Populus tremuloides, Prunus emarginata, Pseudotsuga menziesii and Sambucus racemosa; and dermatological complaints with the bark of Mahonia spp., Rubus spectabilis, and Symphoricarpos albus. Tree barks have also been used to treat fevers, diabetes, kidney problems, sore eyes, and haemorrhaging, and also as general tonics. Two recipes for general-purpose multi-bark medicines are provided. In most cases, infusions or decoctions of barks are used. The medicines are drunk or applied externally as a wash. PMID:2345461

Turner, N J; Hebda, R J

1990-04-01

204

Evaluation of efficacy of restorative dental treatment provided under general anesthesia at hospitalized pediatric dental patients of Isfahan  

PubMed Central

Background: General anesthesia (GA) allows dental treatment to be rendered under optimal conditions, theoretically ensuring ideal outcomes. The aim of this study was to determine the efficacy of restorative dental procedures performed under GA. Materials and Methods: In this cross-sectional retrospective study, 305 pediatric patients who had been treated under GA 6 to 24 months before our survey at Isfahan's hospitalized dentistry center were examined. The examination was performed on dental chair with oral mirror and dental probe. The results were recorded in a special form for each patient for statistical analysis and evaluation of restorations to be successful or failed. Statistical analysis was performed by chi-square and fisher exact tests for comparison between success rates of restorations and Kendall's tau-b test for evaluating the effect of time on success rates of them (P < 0.05). Results: Stainless steel crown restorations had significantly better results vs class I and class II amalgam and class I and class II tooth color restorations. All types of posterior tooth color restorations had statistically same results with amalgam restorations. Anterior composite resin build-up represented significantly low success rates. The failure rates of stainless steel crown and anterior composite resin build-up restorations did not correlate with the time of follow-up (P = 0.344 and P = 0.091, respectively). Conclusion: Stainless steel crown restorations had significantly better results vs other posterior restorations. The failure rates of stainless steel crown and anterior composite resin build-up restorations did not correlate with the time of follow-up in comparison of other restorations. PMID:23162592

Eshghi, Alireza; Samani, Mahdi Jafarzadeh; Najafi, Naghme Feyzi; Hajiahmadi, Maryam

2012-01-01

205

National Hospital Discharge Survey  

Cancer.gov

The National Hospital Discharge Survey (NHDS), which has been conducted annually since 1965, collects data from a sample of approximately 270,000 inpatient records acquired from a national sample of about 500 hospitals. Only hospitals with an average length of stay of fewer than 30 days for all patients, general hospitals, or children's general hospitals are included in the survey. Information collected includes diagnoses, surgical and nonsurgical procedures, prescription and over-the-counter drugs, immunizations, allergy shots, anesthetics, and dietary supplements.

206

An assessment of readiness for pre-implementation of electronic health record in Iran: a practical approach to implementation in general and teaching hospitals.  

PubMed

Readiness assessment provides a proper image of the existing conditions and an explanation of facilitated operational plans and functional approaches to successful implementation of electronic health record. Readiness assessment requires indices adjusted to particular conditions in each country. Therefore, the present study attempts to provide an acceptable model in Iran and to provide an assessment of public and teaching hospitals in medical education university. After reviewing related papers and descriptive study of five selected countries, the initial model was designed in the form of a questionnaire for analysis through Delphi and distributed among 30 experts nationwide. Along identification of components in the proposed method, a 7-point Likert scale was used to determine priority of each component. Then, all general -education hospitals at Tehran University of Medical Education were examined based on this model in terms of total, relative, or no readiness. The final model was designed in five dimensions: cultural, leadership and management, technical infrastructure, governance and operational dimensions; Educational Hospitals were evaluated in this dimension. 28.6 % of general--teaching hospitals are ready for pre-implementation. It seems to establish uniform strategic and executive team in Health center is essential for the preparation them in abovementioned area in the least possible time. PMID:25135263

Ghazisaeidi, Marjan; Ahmadi, Maryam; Sadoughi, Farahnaz; Safdari, Reza

2014-01-01

207

An Experimental High-Resolution Forecast System During the Vancouver 2010 Winter Olympic and Paralympic Games  

NASA Astrophysics Data System (ADS)

Environment Canada ran an experimental numerical weather prediction (NWP) system during the Vancouver 2010 Winter Olympic and Paralympic Games, consisting of nested high-resolution (down to 1-km horizontal grid-spacing) configurations of the GEM-LAM model, with improved geophysical fields, cloud microphysics and radiative transfer schemes, and several new diagnostic products such as density of falling snow, visibility, and peak wind gust strength. The performance of this experimental NWP system has been evaluated in these winter conditions over complex terrain using the enhanced mesoscale observing network in place during the Olympics. As compared to the forecasts from the operational regional 15-km GEM model, objective verification generally indicated significant added value of the higher-resolution models for near-surface meteorological variables (wind speed, air temperature, and dewpoint temperature) with the 1-km model providing the best forecast accuracy. Appreciable errors were noted in all models for the forecasts of wind direction and humidity near the surface. Subjective assessment of several cases also indicated that the experimental Olympic system was skillful at forecasting meteorological phenomena at high-resolution, both spatially and temporally, and provided enhanced guidance to the Olympic forecasters in terms of better timing of precipitation phase change, squall line passage, wind flow channeling, and visibility reduction due to fog and snow.

Mailhot, J.; Milbrandt, J. A.; Giguère, A.; McTaggart-Cowan, R.; Erfani, A.; Denis, B.; Glazer, A.; Vallée, M.

2014-01-01

208

Forest harvesting is associated with increased landslide activity during an extreme rainstorm on Vancouver Island, Canada  

NASA Astrophysics Data System (ADS)

Safe operations of forest practices in mountainous regions require effective development planning to mitigate hazards posed by landslides. British Columbia, Canada, has for the past two decades implemented landslide risk management policies aimed at reducing the impacts of the forest industry on landslides; it is required that timber harvesting sites are evaluated for their potential or existing impacts on terrain stability. Statistical landslide susceptibility modelling can enhance this evaluation by geographically highlighting potential hazardous areas. In addition, these statistical models can also improve our understanding of regional landslide controlling factors. The purpose of this research was to explore the regional effects of forest harvesting activities, topography, precipitation and geology on landslides initiated during an extreme rainfall event in November 2006 on Vancouver Island, British Columbia. These effects were analysed with a nonparametric statistical method, the generalized additive model (GAM). Although topography was the strongest predictor of landslide initiation, low density forest interpreted as regrowth areas and proximity to forest service roads were jointly associated with a six- to nine-fold increase in the odds of landslide initiation, while accounting for other environmental cofounders. This result highlights the importance of continuing proper landslide risk management to control the effects of forest practices on landslide initiation.

Goetz, J. N.; Guthrie, R. H.; Brenning, A.

2014-08-01

209

Capillaria hepatica in wild Norway rats (Rattus norvegicus) from Vancouver, Canada.  

PubMed

Capillaria hepatica is a parasitic nematode that infects the liver of rats (Rattus spp.), and occasionally other mammalian species, including humans. Despite its broad geographic distribution and host range, the ecology of this parasite remains poorly understood. We characterized the ecology of C. hepatica in urban Norway rats (Rattus norvegicus) in Vancouver, Canada. The overall prevalence of C. hepatica among Norway rats was 36% (241/671); however, there was significant variation in prevalence among city blocks. Using a generalized linear mixed model to control for clustering by block (where OR is odds ratio and CI is confidence interval), we found C. hepatica infection was negatively associated with season (spring [OR=0.14, 95% CI=0.05-0.39]; summer [OR=0.14, 95% CI=0.03-0.61]; winter [OR=0.34, 95% CI=0.13-0.84], compared to fall) and positively associated with sexual maturity (OR: 7.29, 95% CI=3.98-13.36) and presence of cutaneous bite wounds (OR=1.87, 95% CI=1.11-3.16). Our understanding of the ecology of C. hepatica in rats is hindered by a paucity of data regarding the main mechanisms of transmission (e.g., environmental exposure vs. active cannibalism). However, associations among infection, season, maturity, and bite wounds could suggest that social interactions, possibly including cannibalism, may be important in transmission. PMID:24807174

Rothenburger, Jamie L; Himsworth, Chelsea G; Chang, Victoria; LeJeune, Manigandan; Leighton, Frederick A

2014-07-01

210

Harmful microinjecting practices among a cohort of injection drug users in Vancouver Canada  

PubMed Central

Objectives We sought to identify factors associated with harmful microinjecting practices in a longitudinal cohort of IDU. Methods Using data from the Vancouver Injection Drug Users Study (VIDUS) between January 2004 and December 2005, generalized estimating equations (GEE) logistic regression was performed to examine sociodemographic and behavioral factors associated with four harmful microinjecting practices (frequent rushed injecting, frequent syringe borrowing, frequently injecting with a used water capsule, frequently injecting alone). Results In total, 620 participants were included in the present analysis. Our study included 251 (40.5%) women and 203 (32.7%) self-identified Aboriginal participants. The median age was 31.9 (interquartile range: 23.4–39.3). GEE analyses found that each harmful microinjecting practice was associated with a unique profile of sociodemographic and behavioral factors. Discussion We observed high rates of harmful microinjecting practices among IDU. The present study describes the epidemiology of harmful microinjecting practices and points to the need for strategies that target higher risk individuals including the use of peer-driven programs and drug-specific approaches in an effort to promote safer injecting practices. PMID:20509739

Rachlis, Beth; Lloyd-Smith, Elisa; Small, Will; Tobin, Diane; Stone, Dave; Li, Kathy; Wood, Evan; Kerr, Thomas

2013-01-01

211

Association between gaseous ambient air pollutants and adverse pregnancy outcomes in Vancouver, Canada.  

PubMed

The association between ambient air pollution and adverse health effects, such as emergency room visits, hospitalizations, and mortality from respiratory and cardiovascular diseases, has been studied extensively in many countries, including Canada. Recently, studies conducted in China, the Czech Republic, and the United States have related ambient air pollution to adverse pregnancy outcomes. In this study, we examined association between preterm birth, low birth weight, and intrauterine growth retardation (IUGR) among singleton live births and ambient concentrations of sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone in Vancouver, Canada, for 1985-1998. Multiple logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for such effects. Low birth weight was associated with exposure to SO2 during the first month of pregnancy (OR = 1.11, 95% CI, 1.01-1.22, for a 5.0 ppb increase). Preterm birth was associated with exposure to SO2 (OR = 1.09, 95% CI, 1.01-1.19, for a 5.0 ppb increase) and to CO (OR = 1.08, 95% CI, 1.01-1.15, for a 1.0 ppm increase) during the last month of pregnancy. IUGR was associated with exposure to SO2 (OR = 1.07, 95% CI, 1.01-1.13, for a 5.0 ppb increase), to NO2 (OR = 1.05, 95% CI, 1.01-1.10, for a 10.0 ppb increase), and to CO (OR = 1.06, 95% CI, 1.01-1.10, for a 1.0 ppm increase) during the first month of pregnancy. In conclusion, relatively low concentrations of gaseous air pollutants are associated with adverse effects on birth outcomes in populations experiencing diverse air pollution profiles. PMID:14594630

Liu, Shiliang; Krewski, Daniel; Shi, Yuanli; Chen, Yue; Burnett, Richard T

2003-11-01

212

Adherence of Surgeons to Antimicrobial Prophylaxis Guidelines in a Tertiary General Hospital in a Rapidly Developing Country  

PubMed Central

Objectives. To assess the standard practice of care of surgeons regarding surgical antibiotic prophylaxis, to identify gaps, and to set recommendations. Methods. A retrospective analysis of data obtained from different surgical units in a single center in Qatar over a 3-month period in 2012. A total of 101 patients who underwent surgery and followed regimes for surgical prophylaxis as per hospital guidelines were included in the study. Results. The overall use of antibiotic was 89%, whereas the current practice did not match the recommended hospital protocols in 53.5% of cases. Prolonged antibiotics use (59.3%) was the commonest reason for nonadherence followed by the use of an alternative antibiotic to that recommended in the protocol (31.5%) and no prophylaxis was used in 9.2% of cases. The rate of compliance was significantly higher among clean surgery than clean contaminated group (P = 0.03). Forty-four percent of clean and 65% of clean-contaminated procedures showed noncompliance with the recommended surgical antimicrobial prophylaxis hospital guidelines. Conclusion. Lack of adherence to hospital protocols is not uncommon. This finding remains a challenge to encourage clinicians to follow hospital guidelines appropriately and to consistently apply the surgical antibiotic prophylaxis. The role of clinical pharmacist may facilitate this process across all surgical disciplines. PMID:24454349

Abdel-Aziz, Ahmed; El-Menyar, Ayman; Al-Thani, Hassan; Zarour, Ahmad; Asim, Mohammad; El-Enany, Rasha; Al-Tamimi, Haleema; Latifi, Rifat

2013-01-01

213

Building better healthcare facilities through evidence-based design: breaking new ground at Vancouver Island Health Authority.  

PubMed

Many of today's healthcare facilities were constructed at least 50 years ago, and a growing number have outlived their useful lives. Despite renovations and renewals, they often fall short of providing an appropriate care setting. Clinicians and staff develop a mixture of compromises and workarounds simply to make things function. Evidence-based design principles are often absent from new healthcare facilities, perhaps because of lack of awareness of the principles or because implementing them may fall foul of short-term and short-sighted budgetary decisions. In planning a new healthcare facility in 2008, the executive team at Vancouver Island Health Authority decided to adopt the evidence-based design approach. They conducted site visits to newly constructed hospitals across North America and beyond, to determine best practices in terms of design and construction. These engagements resulted in the implementation of 102 evidence-based design principles and attributes in Victoria's Royal Jubilee hospital, a 500-bed Patient Care Centre. This $350M project was completed on time and on budget, showing that using evidence need not result in delays or higher costs. To date, the results of the evidence-based design are promising, with accolades coming from patients, staff and clinical partners, and a number of immediate and practical benefits for patients, families and care teams alike. PMID:24863125

Waldner, Howard; Johnson, Bart; Sadler, Blair

2012-12-01

214

An alcohol-focused intervention versus a healthy living intervention for problem drinkers identified in a general hospital setting (ADAPTA): study protocol for a randomized, controlled pilot trial  

PubMed Central

Background Alcohol misuse is a major cause of premature mortality and ill health. Although there is a high prevalence of alcohol problems among patients presenting to general hospital, many of these people are not help seekers and do not engage in specialist treatment. Hospital admission is an opportunity to steer people towards specialist treatment, which can reduce health-care utilization and costs to the public sector and produce substantial individual health and social benefits. Alcohol misuse is associated with other lifestyle problems, which are amenable to intervention. It has been suggested that the development of a healthy or balanced lifestyle is potentially beneficial for reducing or abstaining from alcohol use, and relapse prevention. The aim of the study is to test whether or not the offer of a choice of health-related lifestyle interventions is more acceptable, and therefore able to engage more problem drinkers in treatment, than an alcohol-focused intervention. Methods/design This is a pragmatic, randomized, controlled, open pilot study in a UK general hospital setting with concurrent economic evaluation and a qualitative component. Potential participants are those admitted to hospital with a diagnosis likely to be responsive to addiction interventions who score equal to or more than 16 on the Alcohol Use Disorders Identification Test (AUDIT). The main purpose of this pilot study is to evaluate the acceptability of two sorts of interventions (healthy living related versus alcohol focused) to the participants and to assess the components and processes of the design. Qualitative research will be undertaken to explore acceptability and the impact of the approach, assessment, recruitment and intervention on trial participants and non-participants. The effectiveness of the two treatments will be compared at 6 months using AUDIT scores as the primary outcome measure. There will be additional economic, qualitative and secondary outcome measurements. Discussion Development of the study was a collaboration between academics, commissioners and clinicians in general hospital and addiction services, made possible by the Collaboration in Leadership in Applied Health Research and Care (CLAHRC) program of research. CLAHRC was a necessary vehicle for overcoming the barriers to answering an important NHS question – how better to engage problem drinkers in a hospital setting. Trial registration ISRCTN47728072 PMID:23782907

2013-01-01

215

Real-time monitoring of currents and water level at second narrows to improve port efficiency in Vancouver harbour  

Microsoft Academic Search

A real-time monitoring system for currents and water levels was installed at Second Narrows in the Port of Vancouver in March 2001. Second Narrows restricts the movement of marine traffic into the upper harbour because of its strong tidal streams, limited depth and the presence of both a vehicular bridge and a rail bridge. The Port of Vancouver undertook a

D. D. Lemon; R. A. J. Chave; M. R. Clarke; T. A. Curran; A. Hinds; A. Thorn; A. Thomson; C. J. Badger

2003-01-01

216

General and visceral surgery practice in German hospitals: a real-time work analysis on surgeons’ work flow  

Microsoft Academic Search

Background  Surgeons have criticized the working conditions at German hospitals. They complain in particular about long working hours,\\u000a an inadequate salary for their work, insufficient training\\/supervision, and an increasing amount of time spent on administration\\u000a duties. Since these critics are only subjective perceptions, they should be compared to data that can be quantified more objectively\\u000a and accurately. In this study, we

Stefanie Mache; Ramona Kelm; Hartwig Bauer; Albert Nienhaus; Burghard F. Klapp; David A. Groneberg

2010-01-01

217

Virtual Pediatric Hospital  

MedlinePLUS

... PediatricEducation.org | GeneralPediatrics.com | Pediatric Commons Virtual Pediatric Hospital is a digital library of pediatric information and ... information for all students of medicine Virtual Naval Hospital - a digital library of naval medicine and military ...

218

THE RELATIONSHIP BETWEEN SELF-REPORTED HEALTH STATUS AND SPIRITUALITY AMONG ADULT PATIENTS ATTENDING GENERAL OUTPATIENT CLINIC OF TERTIARY HOSPITAL IN IBADAN  

PubMed Central

Background: Spirituality is an important aspect of health that is not always addressed in modern day medical practice. This is related to lack of clarity about the nature of the concept, however its role in researches and health service provision is being revisited because of the evergreen importance. Objective: To determine the relationship between spirituality and selfreported health status of adult patients attending general outpatient clinic of University College Hospital, Ibadan, Nigeria. Methods: A cross-sectional descriptive study wherein interviewer administered questionnaire was applied on randomly selected 422 eligible and consenting adult patients attending general outpatient clinic of University College Hospital between 1st November, 2010 and 31st January, 2011. Their Spirituality and Heath status were assessed using spirituality scale and self reported health questionnaire respectively. Result: Of all the respondents, 270(64.0%) were females while 152(36.0%) were males with a ratio of 1.8:1, and mean age of 42.8±15.9. The overall mean spirituality score was 125.7 ± 12.1, the maximum obtainable score was 138. A total of 63(15.0%) respondents rated their health as excellent, 114 (27.0%) rated theirs as very good while 150 (35.5%) respondents considered theirs as good. Respondents who rated their health as good had significantly higher mean scores when compared with those who rated theirs as poor or fair (mean difference = 3.347, 95% C I = 0.552 to -6.142 p=0.019) Conclusion: The study revealed that perceived spiritual wellbeing is positively related to the patient's sense of general wellbeing. Therefore, there is need to give attention to patient's spiritual wellbeing during medical encounter in the hospital. PMID:25332698

Ibraheem, A.B.; Ibraheem, W.A.; Adebusoye, L.

2014-01-01

219

The implementation of an Electronic Nursing Record in a general hospital in the Netherlands: lessons to learn.  

PubMed

This article describes the implementation of an Electronic Nursing Record (ENR) in Maasland Hospital (Orbis Medical and Healthcare group) in Sittard, the Netherlands. Through analysis of documents, structured interviews and participatory observation, a study was made of the plans prior to the introduction of the ENR, how the process proceeded, which enhancing and constraining factors influenced the process and how the nursing staff experienced the introduction of the ENR. The implementation of the system took place in 2006 and 2007. The selection and design of the system was carried out first, followed by a pilot phase. After thorough review and adjustment, the introduction of the ENR in the other wards of the hospital followed according to plan. The implementation process was carried out by several nurses in different roles (project management, project group members, key-users and teachers). The introduction of the system had two objectives: saving time by promoting efficiency and quality improvement by the introduction of standardization in documentation and the use of nursing care plans. The study indicates, however, that no time-efficiency was achieved by using the ENR so far. This had an adverse effect on the acceptance of the system by the nurses. The nurses were positive about the set-up of the implementation process, especially the contribution of the project group, the key-users on the ward and the resources which were made available (the staffing, external expertise and training). PMID:18953133

Verwey, R; Claassen, R A B; Rutgers, M J; de Witte, L P

2008-01-01

220

Automated red blood cell exchange as an adjunctive treatment for severe Plasmodium falciparum malaria at the Vienna General Hospital in Austria: a retrospective cohort study  

PubMed Central

Background Severe falciparum malaria is associated with considerable rates of mortality, despite the administration of appropriate anti-malarial treatment. Since overall survival is associated with total parasite biomass, blood exchange transfusion has been proposed as a potential method to rapidly reduce peripheral parasitaemia. However, current evidence suggests that this treatment modality may not improve outcome. Automated red blood cell exchange (also referred to as “erythrocytapheresis”) has been advocated as an alternative method to rapidly remove parasites from circulating blood without affecting patients’ volume and electrolyte status. However, only limited evidence from case reports and case series is available for this adjunctive treatment. This retrospective cohort study describes the use of automated red blood cell exchange for the treatment of severe malaria at the Medical University of Vienna. Methods Epidemiologic data for imported malaria cases in Austria are reported and data of patients treated for malaria at the General Hospital/Medical University of Vienna were extracted from electronic hospital records. Results Between 2000 and 2010, 146 patients were hospitalized at the Medical University of Vienna due to malaria and 16 of those were classified as severe malaria cases. Eleven patients of this cohort were potentially eligible for an adjunctive treatment with automated red blood cell exchange. Five patients eventually underwent this procedure within a period of seven hours (range: 3–19 hours) after hospital admission. Six patients did not undergo this adjunctive treatment following the decision of the treating physician. The procedure was well tolerated in all cases and rapid reduction in parasite counts was achieved without occurrence of haemodynamic complications. One patient died within seven days, whereas four patients survived without any sequelae. Discussion and conclusion Automated red blood cell exchange was a safe and efficient procedure to rapidly clear peripheral parasitaemia. Whether the fast reduction in parasite biomass may ultimately improve patient survival remains however unclear. Randomized controlled trials are needed to conclusively appreciate the value of this adjunctive treatment. PMID:22564543

2012-01-01

221

Fish communities and life history attributes of English sole ( Pleuronectes vetulus) in Vancouver Harbour  

Microsoft Academic Search

Data on demersal fish abundance, distribution, and spatial variation in community composition are given for Vancouver harbour and a far field reference station in outer Howe Sound. Flatfish (F. Pleuronectidae) were the dominant taxa in the trawl sampling, with the English sole (Pleuronectes vetulus) one of the most abundant species, especially in Port Moody Arm. Cluster and ordination analyses suggested

Colin Levings; Stacey Ong

2004-01-01

222

Immigrants as Active Citizens: Exploring the Volunteering Experience of Chinese Immigrants in Vancouver  

ERIC Educational Resources Information Center

Despite the fact that immigration has played an important role in transforming Canada into an ethno-culturally diverse and economically prosperous nation, immigrants themselves are often criticised as passive citizens. This study attempts to deconstruct this myth by investigating the volunteering experiences of Chinese immigrants in Vancouver. The…

Guo, Shibao

2014-01-01

223

THE ALMA MATER SOCIETY OF THE UNIVERSITY OF BRITISH COLUMBIA VANCOUVER  

E-print Network

THE ALMA MATER SOCIETY OF THE UNIVERSITY OF BRITISH COLUMBIA VANCOUVER AMS Student Society. Matt: Caroline says she wants to recreate the Impacts Committee. It's not possible) and the 2008 Lighter Footprint Strategy that came out of it. #12;THE ALMA MATER SOCIETY

Pulfrey, David L.

224

Feb. 15, 2012 The Hockey Stick and the Climate Wars one-off Vancouver lecture  

E-print Network

MEDIA TIP Feb. 15, 2012 The Hockey Stick and the Climate Wars ­ one-off Vancouver lecture The lead author of the "Hockey Stick" chart will be based on his soon-to- be-released book, The Hockey Stick and the Climate Wars

Pedersen, Tom

225

Vancouver Board of Trade Conspiring to Change the World for the Better  

E-print Network

of the high points of my calendar. I warmly remember how you welcomed me as a newcomer to Vancouver, and I for careers on a global stage. Our faculty and students are conducting hands-on practical research relevant was confronting a very persistent myth of UBC as an Ivory Tower. I hope I've made headway in this regard

Pulfrey, David L.

226

June 14, 2011 Food security and climate change Vancouver forum starts today  

E-print Network

MEDIA TIP June 14, 2011 Food security and climate change ­ Vancouver forum starts today Finding out change. Media are welcome to attend the forum and should contact the PICS communications staff in advance how British Columbia's climate is expected to change and how this will affect our future food supplies

Pedersen, Tom

227

Going social at Vancouver Public Library: what the virtual branch did next  

Microsoft Academic Search

Purpose – The purpose of this paper is to follow up on the 2009 publication “Building a virtual branch at Vancouver Public Library (VPL) using Web 2.0 tools” and to explore the work that VPL has been doing in the social media space over the past two years. Design\\/methodology\\/approach – Following the launch of its new web site in 2008,

Kay Cahill

2011-01-01

228

A rare genotype of Cryptococcus gattii caused the cryptococcosis outbreak on Vancouver Island (British Columbia, Canada)  

Microsoft Academic Search

Cryptococcus gattii causes life-threatening infection of the pulmonary and central nervous systems in hosts with normal immunity and traditionally has been considered to be restricted geographically to tropical and subtropical climates. The recent outbreak of C. gattii in the temperate climate of Vancouver Island, BC, Canada, led to a collaborative investigation. The objectives of the current study were to ascertain

S. E. Kidd; F. Hagen; R. L. Tscharke; M. Huynh; K. H. Bartlett; M. Fyfe; L. MacDougall; T. Boekhout; K. J. Kwon-Chung; W. Meyer

2004-01-01

229

Environmentally biased fragmentation of oak savanna habitat on southeastern Vancouver Island, Canada  

Microsoft Academic Search

Quantifying the degree to which natural or protected areas are representative of a specified baseline provides critical information to conservation prioritization schemes. We report results on southeastern Vancouver Island, Canada, where we compared environmental conditions represented across the entire landscape, in oak savanna habitats prior to European settlement (

Mark Vellend; Anne D. Bjorkman; Alan McConchie

2008-01-01

230

Police and public health partnerships: Evidence from the evaluation of Vancouver's supervised injection facility  

Microsoft Academic Search

In various settings, drug market policing strategies have been found to have unintended negative effects on health service use among injection drug users (IDU). This has prompted calls for more effective coordination of policing and public health efforts. In Vancouver, Canada, a supervised injection facility (SIF) was established in 2003. We sought to determine if local police impacted utilization of

Kora DeBeck; Evan Wood; Ruth Zhang; Mark Tyndall; Julio Montaner; Thomas Kerr

2008-01-01

231

UBC Robson Square 800 Robson Street, Vancouver, BC V6Z 3B7  

E-print Network

West Coast flavors spanning the past 30 years of food culture in Vancouver. Using only the finest Ã? LA CARTE PRICED PER ITEM. Coffee and Tea Service (Minimum 6) Fair Trade Starbucks Regular and Decaf Coffee, and Selection of Tazo and Moteas Tea (Priced Per Person) 3.60 Water Water Service (Priced

Michelson, David G.

232

Seismic wave triggering of nonvolcanic tremor, episodic tremor and slip, and earthquakes on Vancouver Island  

Microsoft Academic Search

We explore the physical conditions that enable triggering of nonvolcanic tremor and earthquakes by considering local seismic activity on Vancouver Island, British Columbia during and immediately after the arrival of large-amplitude seismic waves from 30 teleseismic and 17 regional or local earthquakes. We identify tremor triggered by four of the teleseismic earthquakes. The close temporal and spatial proximity of triggered

Justin L. Rubinstein; Joan Gomberg; John E. Vidale; Aaron G. Wech; Honn Kao; Kenneth C. Creager; Garry Rogers

2009-01-01

233

Suite102-6190 Agronomy Road Vancouver, B.C. V6T 1Z3  

E-print Network

Suite102- 6190 Agronomy Road Vancouver, B.C. V6T 1Z3 Phone: (604) 822-8595 Fax: (604) 822-5093 ADM this completed form to Dean Kuusela, Associate Director, Office of Research Services, #102-6190 Agronomy Road

Michelson, David G.

234

What's The Gendered Story? Vancouver's Prime Time Olympic Glory on NBC  

Microsoft Academic Search

Previous Olympic media studies have shown that NBC's Winter Olympic telecast is far more likely to promote and advance men athletes and sports than women athletes and sports (see Billings, 2008b), and this study of the 2010 Vancouver Winter Olympic telecast again reveals gender divisions. Analysis of all 64 hours of NBC's prime time telecast revealed that (a) when excluding

James R. Angelini; Paul J. MacArthur; Andrew C. Billings

2012-01-01

235

149th Meeting of the Acoustical Society of America, Vancouver, May 2005 Oldenburg University, acoustics group  

E-print Network

149th Meeting of the Acoustical Society of America, Vancouver, May 2005 Oldenburg University, acoustics group In situ measurement of absorption of acoustic material with a parametric source in air. Roland Kruse, Bastian Epp, Volker Mellert #12;149th Meeting of the Acoustical Society of America

Vormann, Matthias

236

Building a Virtual Branch at Vancouver Public Library Using Web 2.0 Tools  

ERIC Educational Resources Information Center

Purpose: The purpose of this paper is to demonstrate the work undertaken by Vancouver Public Library (VPL) in an effort to convert its website into a true virtual branch, both through the functionality of the website itself and by extending its web presence on to external social networking sites. Design/methodology/approach: VPL worked with its…

Cahill, Kay

2009-01-01

237

A Perithecial Sordariomycete (Ascomycota, Diaporthales) from the Lower Cretaceous of Vancouver Island, British Columbia, Canada  

E-print Network

Island, British Columbia, Canada Author(s): Allison W. Bronson, Ashley A. Klymiuk, Ruth A. Stockey downloaded on Wed, 13 Mar 2013 10:34:44 AM All use subject to JSTOR Terms and Conditions #12;A PERITHECIAL SORDARIOMYCETE (ASCOMYCOTA, DIAPORTHALES) FROM THE LOWER CRETACEOUS OF VANCOUVER ISLAND, BRITISH COLUMBIA, CANADA

Tomescu, Alexandru MF

238

The Vancouver Summer Program (VSP) is a four week academic program offered by various Faculties at  

E-print Network

Management #12;VSP Program Dates July 19 to August 19, 2014 Kinesiology Package A Sport and Exercise Science Perspectives on the Development of the City of Vancouver Arts Package A Communication and Journalism Culture and Communication Global Journalism Package B Politics and Sustainability International Politics Sustainability

Michelson, David G.

239

Implications for Counselling Asian Transnational Youth: The Experiences of Taiwanese Youth in Vancouver  

ERIC Educational Resources Information Center

Using a phenomenological approach, this study sought to explore the long-term psychological impact of families' transnational separation on children through the lenses of Taiwanese youth in Vancouver. Over time, most participants found themselves in a position of an "ambivalent outsider," with an increased sense of uncertainty about their…

Petersen, Leah; Park-Saltzman, Jeeseon

2010-01-01

240

Annual and seasonal habitat use of Columbian black-tailed deer in urban Vancouver, Washington  

Microsoft Academic Search

We investigated habitat use of Columbian black-tailed deer in urban Vancouver, Clark County, Washington, at 3 spatial scales: (1) placement of the annual home range within the landscape mosaic, (2) annual and seasonal locations of deer within the annual home range, and (3) short-term use of critical habitats (fawning areas) within seasonal ranges. Annual home range sizes of deer were

Louis C. Bender; David P. Anderson; Jeffrey C. Lewis

2004-01-01

241

How Much Do Multicultural Residents of Greater Vancouver Know about the Internet?  

ERIC Educational Resources Information Center

Vancouver high school honors and university award lists are crowded with Asian names. But do these abilities in face-to-face settings extend to the Internet, which is the centerpiece of distributed learning? The purpose of this study was to measure the extent to which Internet knowledge varied as a function of age, sex, and language spoken at…

Boshier, Roger; Kow, Janet Kushner; Huang, Yan

2006-01-01

242

[Factors influencing uptake of influenza vaccination in healthcare workers. Findings from a study in a general hospital].  

PubMed

Despite recommendations, influenza vaccination coverage in health professionals remains low throughout the world. In order to identify reasons for adherence or refusal we conducted a study within our hospital by means of interview questionnaires which were distributed to health care workers to reveal factors influencing acceptance or refusal of vaccination and to get suggestions to improve vaccination coverage. There is good overlap between our results and data obtainable from international literature: the main motivating factor for vaccination is personal protection against influenza, while only a significantly smaller part gave protection of patients as a reason. The main factors for not adhering to vaccination are belief the vaccine is not effective, influenza-related sick leave, fear of adverse effects and lack of availability. These data point out the need for more information concerning the importance of influenza infection within risk groups, the safety and effectiveness of the vaccine. Further, it is suitable to increase availability of the vaccine free of charge. PMID:19385332

Castella, A; Argentero, P A; Lanszweert, A

2009-01-01

243

24 CFR 242.4 - Eligible hospitals.  

Code of Federal Regulations, 2013 CFR

... 2013-04-01 false Eligible hospitals. 242.4 Section 242.4 Housing...AUTHORITIES MORTGAGE INSURANCE FOR HOSPITALS General Eligibility Requirements § 242.4 Eligible hospitals. (a) The hospital to be...

2013-04-01

244

24 CFR 242.4 - Eligible hospitals.  

... 2014-04-01 false Eligible hospitals. 242.4 Section 242.4 Housing...AUTHORITIES MORTGAGE INSURANCE FOR HOSPITALS General Eligibility Requirements § 242.4 Eligible hospitals. (a) The hospital to be...

2014-04-01

245

Hospitality in hospitals?  

Microsoft Academic Search

Purpose – The purpose of this paper is to explore an organization-wide philosophy of hospitality in a hospital setting. Design\\/methodology\\/approach – An exploratory case study method approach matched the research purpose. First, a hospitality centric philosophy (HCP) was defined from the literature review. Next, a triangulation of unstructured visits, structured visits and key informant interviews is used to further explore

Denver Severt; Taryn Aiello; Shannon Elswick; Cheryl Cyr

2008-01-01

246

IBCD: Development and Testing of a Checklist to Improve Quality of Care for Hospitalized General Medical Patients  

PubMed Central

Background Several studies have demonstrated the usefulness of medical checklists to improve quality of care in surgery and the ICU. The feasibility, effectiveness, and sustainability of a checklist was explored. Methods Literature on checklists and adherence to quality indicators in general medicine was reviewed to develop evidence-based measures for the IBCD checklist: (I) pneumococcal immunization (I), (B) pressure ulcers (bedsores), (C) catheter-associated urinary tract infections (CAUTIs), and (D) deep venous thrombosis (DVT) were considered conditions highly relevant to the quality of care in general medicine inpatients. The checklist was used by attending physicians during rounds to remind residents to perform four actions related to these measures. Charts were audited to document actions prompted by the checklist. Results The IBCD checklist was associated with significantly increased documentation of and adherence to care processes associated with these four quality indicators. Seventy percent (46/66) of general medicine teams during the intervention period of July 2010–March 2011 voluntarily used the IBCD checklist, for 1,168 (54%) of 2,161 patients. During the intervention period, average adherence for all four checklist items increased from 68% on admission to 82% after checklist use (p < .001). Average adherence after checklist use was also higher when compared to a historical control group from one year before implementation (82% versus 50%, p < .0001). In the six weeks after the checklist was transitioned to the electronic medical record (EMR), IBCD was noted in documentation of 133 (59%) of 226 patients admitted to general medicine. Conclusion A checklist is a useful and sustainable tool to improve adherence to, and documentation of, care processes specific to quality indicators in general medicine. PMID:23641534

Aspesi, Anthony V.; Kauffmann, Greg E.; Davis, Andrew M.; Schulwolf, Elizabeth M.; Press, Valerie G.; Stupay, Kristen L.; Lee, Janey J.; Arora, Vineet M.

2014-01-01

247

Knowledge and attitude of women on the available PMTCT services at the antenatal clinic of the Coast Province General Hospital  

PubMed Central

Introduction Several high profile events of the last decade have served as catalysts for the now widely available prevention of mother-to-child transmission of HIV services. However, Kenya continues to face challenges in assuring that all women in need of PMTCT services receive the full package. Methods A cross sectional survey was undertaken. Systematic sampling method was used for sample selection. Data was collected using pretested structured questionnaires. Data was analyzed in SPSS and Epi Info using bivariate and multivariate logistic regression. Results Approximately 75% of participants were seeking PMTCT services in CPGH for the first time, 71% knew of their HIV status. About 95% of participants were satisfied with privacy during testing. Clients who had never delivered in CPGH had a significantly (p<0.001) higher odds compared to those who had previously delivered in CPGH and had their first PMTCT visit. participants who had never lost a pregnancy in CPGH and were in the hospital for the first time were 3 times likely to seek PMTCT services compared to those who had lost a pregnancy in CPGH. There was a significant association between family planning use before pregnancy and first PMTCT. Conclusion Participants seeking PMTCT services had poor HIV knowledge; but reported positive experiences and good provider – client relationship. However for a successful PMTCT program in CPGH attention needs to be paid in the patient experiences as they seek other reproductive services.

Kevin, Adam; Mutugi, Marion; Wanzala, Peter

2014-01-01

248

Evaluation of extremity pain in children using technetium-99m MDP bone scan: A general hospital experience  

SciTech Connect

This study was undertaken to evaluate the efficacy of three-phase bone scan in detection of significant pathology i.e., osteomyelitis (OM), septic joint, cellulitis, etc., in children with symptoms of extremity pain. A total of 100 consecutive patients (age 9 days - 16 yrs, 63 boys and 37 girls) were studied. The authors reviewed their scans, x-rays and hospital records. The final diagnoses were based on the findings of needle aspiration, surgical drainage, biopsy, culture, and on the therapeutic response. In 87%, sufficiently long clinical follow-up was available to confirm the final diagnoses. In the remaining 13%, the symptoms resolved quickly and follow-up was not felt necessary. The scan was essential in pinpointing the lesions in pts with referred or nonlocalizing extremity pain. The +ve and -ve predictive values of the scan and OM were 89% and 96% respectively. One spiral fracture was misinterpreted as diffuse OM. One ''Subacute epiphyseal OM'' was not detected. In two cases, cellulitis and septic joint obscured underlying OM. Prior antibotic therapy resulted in one equivocal scan. Although less sensitive (29%) in early OM, radiographs play an important complimentary role. Bone scans detected underlying pathology for extremity pain in 61% of all pts studied.

Park, H.M.; Rothschild, P.A.; Kernek, C.B.

1984-01-01

249

The Epidemiology of Pulmonary Nontuberculous Mycobacteria: Data from a General Hospital in Athens, Greece, 2007-2013  

PubMed Central

Background. The epidemiology of pulmonary nontuberculous mycobacteria (NTM) in Greece is largely unknown. Objectives. To determine the incidence and the demographic, microbiological, and clinical characteristics of patients with pulmonary NTM infection and pulmonary NTM disease. Methods. A retrospective review of the demographic, microbiological, and clinical characteristics of patients with NTM culture-positive respiratory specimens from January 2007 to May 2013. Results. A total of 120 patients were identified with at least one respiratory NTM isolate and 56 patients (46%) fulfilled the microbiological ATS/IDSA criteria for NTM disease. Of patients with adequate data, 16% fulfilled the complete ATS/IDSA criteria for NTM disease. The incidence of pulmonary NTM infection and disease was 18.9 and 8.8 per 100.000 inpatients and outpatients, respectively. The spectrum of NTM species was high (13 species) and predominated by M. avium-intracellulare complex (M. avium (13%), M. intracellulare (10%)), M. gordonae (14%), and M. fortuitum (12%). The ratio of isolation of NTM to M. tuberculosis in all hospitalized patients was 0.59. Conclusions. The first data on the epidemiology of pulmonary NTM in Athens, Greece, are presented. NTM infection is common in patients with chronic respiratory disease. However, only a significantly smaller proportion of patients fulfill the criteria for NTM disease. PMID:25132991

Papaioannou, Andriana I.; Paraskeua, Maria; Velentza, Ekaterini; Kanellopoulou, Maria; Filaditaki, Vasiliki; Karagiannidis, Napoleon

2014-01-01

250

Provision of gastrointestinal endoscopy and related services for a district general hospital. Working Party of the Clinical Services Committee of the British Society of Gastroenterology.  

PubMed Central

(1) The number of endoscopic examinations performed is rising. Epidemiological data and the workload of well developed units show that annual requirements per head of population are approaching: Upper gastrointestinal 1 in 100 Flexible sigmoidoscopy 1 in 500 Colonoscopy 1 in 500 ERCP 1 in 2000 (2) Open access endoscopy to general practitioners is desirable and increasingly sought. For a district general hospital serving a population of 250,000, this workload entails about 3500 procedures annually, performed during 10 half day routine sessions plus emergency work. (3) High standards of training and experience are needed by all staff, who must work in purpose built accommodation designed to promote efficient and safe practice. (4) The endoscopy unit should be adjacent to day care facilities and near the x ray department. There should be easy access to wards. (5) An endoscopy unit needs at least two endoscopy rooms; a fully ventilated cleaning/disinfection area; rooms for patient reception, preparation, and recovery; and accommodation for administration, storage, and staff amenities. (6) The service should be consultant based. At least 10 clinical sessions are required, made up of six or more consultant sessions and two to four clinical assistant, hospital practitioner, or staff specialist sessions. Each consultant should be expected to commit at least two sessions weekly to endoscopy. Extra consultant sessions may be needed to provide an efficient service. (7) A specially trained nursing sister (grade G or H) and five other endoscopy nurses are needed to care for the patients; their work may be supplemented by care assistants. (8) A new post of endoscopy department assistant (analogous to an operating department assistant) is proposed to maintain and prepare instruments, and to give technical assistance during procedures. (9) A full time secretary should be employed. Records, appointments, and audit should be computer based. (10) ERCP needs the collaboration of an interventional radiologist working with high quality x ray equipment in a specially prepared radiology screening room. This facility may need to serve more than one hospital. (11) A gastrointestinal measurement laboratory can conveniently be combined with the endoscopy unit. In some hospitals one or more gastrointestinal measurement technicians may staff this laboratory. (12) An endoscopy unit is a service department analogous to a radiology department. It needs an annual budget. PMID:1991644

1991-01-01

251

The use of the partograph in labor monitoring: a cross-sectional study among obstetric caregivers in General Hospital, Calabar, Cross River State, Nigeria  

PubMed Central

Background Prolonged and obstructed labor is a significant cause of maternal morbidity and mortality in Nigeria, one of the six countries contributing significantly to the global maternal mortality crisis. The use of the partograph would engender a remarkable reduction in the number of these deaths since abnormal markers in the progress of labor would be identified early on. Objective This study aimed to evaluate the non-physician obstetric caregivers’ (OCGs) knowledge of partograph use, assess the extent of its use, determine the factors that impede its usage, and unravel the relationship between years of experience and partograph use among the respondents (OCGs) in General Hospital, Calabar, Nigeria. Methodology Using a self-administered semi-structured questionnaire, a cross-sectional descriptive study was conducted among 130 purposely selected and consenting OCGs working in the General Hospital, Calabar, Nigeria. Results The majority of the respondents (70.8%) had good general knowledge of the partograph but lacked detailed and in-depth knowledge of the component parts of the partograph. Knowledge of partograph (?2=12.05, P=0.0001) and partograph availability (?2=56.5, P=0.0001) had a significant relationship with its utilization. Previous training (?2=9.43, P=0.002) was significantly related to knowledge of partograph. Factors affecting utilization were: little or no knowledge of the partograph (85.4%), nonavailability (70%), shortage of staff (61.5%), and the fact that it is time-consuming to use (30%). Conclusion Lack of detailed knowledge of the partograph, nonavailability of the partograph, poor staff numbers, and inadequate training are factors that work against the effective utilization of the partograph in the study facility. Usage of this tool for labor monitoring can be enhanced by periodic training, making partographs available in labor wards, provision of reasonable staff numbers, and mandatory institutional policy. PMID:25342920

Asibong, Udeme; Okokon, Ita B; Agan, Thomas U; Oku, Affiong; Opiah, Margaret; Essien, E James; Monjok, Emmanuel

2014-01-01

252

Relationship between hospital infection and long-term mortality in general surgery: a prospective follow-up study  

Microsoft Academic Search

A prospective study of 1431 patients admitted to a general surgery department were followed up for a median of 6.2 years after discharge (7679 person-years of follow-up). We collected information on underlying conditions, including severity of illness, and healthcare-related variables. Relative rates of death and their 95% confidence interval (CI) were estimated using person-years as the denominator. Multiple-risk factors adjusted

A Cosano; M. Á Mart??nez-González; M Medina-Cuadros; G Mart??nez-Gallego; S Palma; M Delgado-Rodr??guez

2002-01-01

253

How well do general practitioners and hospital consultants work together? A qualitative study of cooperation and conflict within the medical profession.  

PubMed Central

BACKGROUND: The professional relationship between general practitioners (GPs) and hospital consultants (sometimes referred to as 'specialists') is important in a health care system based upon the generalist as the first point of contact for patients and the gatekeeper for hospital services. This relationship has been the subject of considerable interest over the years, but little empirical research has been carried out. AIM: To investigate the professional relationship in terms of the balance between cooperation and conflict between GPs and specialists in clinical contact. METHOD: A qualitative study using 24 semistructured interviews and four focus group interviews with a purposeful sample of clinicians working in the south-west of England. A content analysis of the data was performed. RESULTS: There is a high level of mutual respect and cooperation between the two branches of the profession and a strong desire to build a personal relationship over a long period of time. There are few areas of significant disagreement; indeed, most members of both branches of the profession try hard to deal with, or avoid, potential conflict. CONCLUSION: The professional relationship between GPs and specialists is better than the literature and anecdotal stories might suggest. PMID:9800393

Marshall, M N

1998-01-01

254

Evaluating the Frequency of Errors in Preparation and Administration of Intravenous Medications in Orthopedic, General Surgery and Gastroenterology Wards of a Teaching Hospital in Tehran  

PubMed Central

The aim of this study was to determine the frequency of medication errors happened during the preparation and administration of intravenous (IV) drugs. This study was designed as prospective cross-sectional evaluations by direct unconcealed observation in a setting consisted of orthopedic, general surgery and gastroenterology wards of a teaching hospital. Participants were those patients hospitalized in these wards along with nurses responsible for preparation and administration of IV medications. Medication errors occurred in the process of preparation and administration of IV drugs, were recorded by a pharmacist. The frequency of medication errors with suggesting a solution to overcome was the main outcome of this study. Details of the preparation and administration stages of the observed drugs were compared to an instructed checklist prepared by an expert clinical pharmacist. From a total of 357 preparation and administration episodes, the most common type of error (%20.6) was the injection of bolus doses and infusion faster than the recommended rate. Metronidazole had the highest rate of error (%24.3). IV rounds conducted at 12 p.m. had the most rate of error (%26.3). Errors happened in the administration process were more prevalent than those in the preparation. No significant correlation was found between the frequency of errors and nurses’ demographic data. This study revealed that the errors happened in the preparation and administration of IV drugs is prevalent. Improving the medication safety by the implementation of clinical pharmacists’ prepared protocols at the point of care is an important concern. PMID:24250594

Abbasinazari, Mohammad; Hajhossein Talasaz, Azita; Mousavi, Zahra; Zare-Toranposhti, Samaneh

2013-01-01

255

Patrick Moore, chairman and chief scientist of Greenspirit Strate-gies Ltd., based in Vancouver, British Columbia, Canada, pre-  

E-print Network

with an income of over U.S.$l00 million per year, offices in 21 countries, and over 100 campaigns around basement in Vancouver with a like- minded group of people, planning a protest campaign against U

Kammen, Daniel M.

256

Fusion Power Associates, 2011 Annual Meeting 1 General Fusion  

E-print Network

Fusion Power Associates, 2011 Annual Meeting 1 General Fusion #12;Fusion Power Associates, 2011 Annual Meeting 2 General Fusion Making commercially viable fusion power a reality. · Founded in 2002, based in Vancouver, Canada · Plan to demonstrate a fusion system capable of "net gain" within 3 years

257

The Tenth Annual Ion Channel Retreat, Vancouver, Canada, June 25-27, 2012  

PubMed Central

Abstract Ten years after Aurora Biomed (Vancouver, British Columbia, Canada) hosted the inaugural Ion Channel Retreat, this event is recognized as a leading conference for ion channel researchers. Held annually in Vancouver, this meeting consistently provides an outlet for researchers to share their findings while learning about new concepts, methods, and technologies. Researchers use this forum to discuss and debate a spectrum of topics from ion channel research and technology to drug discovery and safety. The Retreat covered key subjects in the ion channel industry, including ion channels as disease targets, transient receptor protein channels as pain and disease targets, ion channels as pain targets, ion channel structure and function, ion channel screening technologies, cardiac safety and toxicology, and cardiac function and pharmacology. PMID:23679851

Kimlicka, Lynn; Liang, Sophia; Brugger, Saranna; Liang, Dong

2013-01-01

258

Synoptic circulation and summertime ground-level ozone concentrations at Vancouver, British Columbia  

SciTech Connect

The Kirchhofer synoptic classification procedure is applied to both mean sea level and 500-hPa NMC gridded pressure fields for the vicinity of southwestern British Columbia. Exceedances of the Canadian 1-h Ambient O{sub 3} Air Quality Objective of 82 ppb at Port Moody, Vancouver, are associated with the coincidence of a low-level thermal trough and an upper-level ridge of high pressure. Analysis of synoptic sequences also reveals the importance of persistence in the development of elevated O{sub 3} concentrations. The application of synoptic climatology to ground-level O{sub 3} in Vancouver highlights the need for consideration of more than one atmospheric level in map-typing schemes. An extension of the basic Kirchhofer approach to permit multilevel computer-assisted map typing is advocated. 27 refs., 8 figs., 2 tabs.

McKendry, I.G. [Univ. of British Columbia, Vancouver (Canada)] [Univ. of British Columbia, Vancouver (Canada)

1994-05-01

259

How accurate is the diagnosis of exercise induced asthma among Vancouver schoolchildren?  

Microsoft Academic Search

Background: Limited access to exercise testing facilities means that the diagnosis of exercise induced asthma (EIA) is mainly based on self-reported respiratory symptoms. This is open to error since the correlation between exercise related symptoms and subsequent exercise testing has been shown to be poor.Aim: To study the accuracy of clinically diagnosed EIA among Vancouver schoolchildren.Methods: Fifty two children referred

M Seear; D Wensley

2005-01-01

260

Tree-ring analysis of yellow-cedar ( Chamaecyparis nootkatensis ) on Vancouver Island, British Columbia  

Microsoft Academic Search

Yellow-cedar (Chamaecyparis nootkatensis(D. Don) Spach) are the oldest known coniferous trees in Canada. This paper reports on the first dendrochronological investigation of yellow-cedar trees at montane sites on Vancouver Island. Mature yellow-cedar trees were selected for study at four sites along a 200-km northwest-southeast transect. Trees older than 500 years were common at three of the four sites, with numerous

Colin P. Laroque; Dan J. Smith

1999-01-01

261

Three rarely reported digeneans inhabiting amphibians from Vancouver Island, British Columbia, Canada.  

PubMed

Three rarely reported species of digeneans were collected in amphibian hosts from Diversion Reservoir, Sooke, Vancouver Island, British Columbia, Canada. The endangered anuran Rana aurora hosted Glypthelmins californiensis, Gorgoderina multilobata, and Megalodiscus microphagus. In addition, the anuran Pseudacris regilla and the caudatan Taricha granulosa hosted Megalodiscus microphagus. Gorgoderina multilobata has been reported only once since 1936 and has never been reported outside of California. We note several characters not previously reported for Gorgoderina multilobata and G. aurora. PMID:16419782

Zamparo, David; Brooks, Daniel R

2005-10-01

262

VOLUMETWENTY-ONE, NUMBEiR THREE FEBRUARY 7,1975. VANCOUVER, B.C.  

E-print Network

REPORTS VOLUMETWENTY-ONE, NUMBEiR THREE FEBRUARY 7,1975. VANCOUVER, B.C. A DREAM A REALITY BY JOHN presumptuous act on his part to march upto the director of the Sanyo Pavilion a t Expo '70 in Osaka, Japan would foot the bill. But see tha Dr. IDE when a n t dream cc lida's drea :AL 1 Ian has )me true m came

Farrell, Anthony P.

263

Alcohol and Drug Use Among Vancouver Secondary School Students: 1970, 1974 and 1978.  

ERIC Educational Resources Information Center

In 1970, 1974 and 1978 similar surveys of alcohol and drug use were conducted using 10% random samples of Vancouver secondary school students (grades 8-12). The reported use of alcohol increased from 61% in 1970 to 71% in 1974 and 78% in 1978, while the use of cannabis increased from 39% in 1970 to 42% in 1974 and 47% in 1978. The use of tobacco,…

Hollander, Marcus J.; Macurdy, E. Ann

264

Barriers and facilitators to methadone maintenance therapy use among illicit opiate injection drug users in Vancouver.  

PubMed

Methadone maintenance therapy (MMT) has been increasingly implemented as the treatment of choice for opiate-addicted individuals and has been associated with reduced harm related to opiate addiction. Barriers to MMT uptake still exist, however, and many opiate-addicted individuals do not access this form of treatment. We examined barriers to and facilitators of MMT access among opiate users enrolled in a prospective cohort study of injection drug users (IDUs). We identified individuals who had initiated MMT during follow-up interviews and used generalized estimating equations to identify sociodemographic and drug-related variables associated with MMT access. Of the 1,587 participants recruited into the Vancouver Injection Drug User Study, 1,463 individuals were eligible for the present analysis. Factors negatively associated with MMT use included male gender (odds ratio [OR] = 0.41; 95 percent confidence interval [CI], 0.32 to 0.52), Aboriginal ethnicity (OR = 0.37; 95 percent CI, 0.29 to 0.48), recent incarceration (OR = 0.82; 95 percent CI, 0.72 to 0.93), Downtown Eastside residence (OR = 0.86; 95 percent CI, 0.75 to 0.97), sex-trade involvement (OR = 0.80; 95 percent CI, 0.67 to 0.95), syringe lending (OR = 0.76; 95 percent CI, 0.66 to 0.89), denied addiction treatment (OR = 0.81; 95 percent CI, 0.68 to 0.96), heroin injection (OR = 0.51; 95 percent CI, 0.44 to 0.59), nonfatal overdose (OR = 0.59; 95 percent CI, 0.51 to 0.68), and infecting in public (OR = 0.75; 95 percent CI, 0.63 to 0.89). Older age (OR = 1.03; 95 percent CI, 1.01 to 1.04), human immunodeficiency virus (HJV) positivity (OR = 1.89; 95 percent CI, 1.52 to 2.2.3), and crack cocaine smoking (OR = 1.41; 95 percent CI, 1.22 to 1.62) were positively associated with MMT use. Our study identified a large number of barriers to and facilitators of MMT use among IDUs. While some populations such as HIV-positive individuals are frequently accessing MMT, identified barriers among men and Aboriginal lDUs are of great concern. These findings indicate the need for additional interventions aimed at maximizing coverage of MMT and other treatments for opiate-addicted individuals. PMID:17319116

Callon, Cody; Wood, Evan; Marsh, David; Li, Kathy; Montaner, Julio; Kerr, Thomas

2006-01-01

265

Bronson Methodist Hospital Founded in 1900, today Bronson Methodist Hospital  

E-print Network

Bronson Methodist Hospital Founded in 1900, today Bronson Methodist Hospital (BMH) is a state provides care in virtually every specialty: cardiology (Heart Hospital at Bronson), general surgical's Hospital at Bronson), and adult critical care services. As a tertiary care center, BMH includes a Level I

Magee, Joseph W.

266

1. OVERVIEW OF MAIN HOSPITAL, NORTHEAST CORNER. Presidio of ...  

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

1. OVERVIEW OF MAIN HOSPITAL, NORTHEAST CORNER. - Presidio of San Francisco, Letterman General Hospital, Building No. 27, Letterman Hospital Complex, Edie Road, San Francisco, San Francisco County, CA

267

5. Hospital Point, northeast bulkhead (typical), view to northwest ...  

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

5. Hospital Point, northeast bulkhead (typical), view to northwest - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

268

4. Hospital Point, Saunders Monument, view to northeast Portsmouth ...  

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

4. Hospital Point, Saunders Monument, view to northeast - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

269

Demographics, Clinical Characteristics, and Treatment of Aggressive Patients Admitted to the Acute Behavioral Unit of a Community General Hospital: A Prospective Observational Study  

PubMed Central

Objective: Aggressive patients are not uncommon in acute inpatient behavioral health units of general hospitals. Prior research identifies various predictors associated with aggressive inpatient behavior. This prospective observational study examines the demographic and clinical characteristics of aggressive inpatients and the routine medications these patients were receiving at discharge. Method: Thirty-six adults diagnosed with a DSM-IV mental disorder who met 2 of 6 established inclusion criteria for high violence risk and a Clinical Global Impressions–Severity of Illness (CGI-S) scale score ? 4 were observed for a maximum of 28 days on the 23-bed case mix acute behavioral health unit of St Luke’s University Hospital, Bethlehem, Pennsylvania, from January 2012 to May 2013. Primary outcome measures were the Modified Overt Aggression Scale (MOAS) and CGI-S; secondary measures were symptom outcome measures and demographic and clinical characteristics data. Analysis was conducted using repeated measures methodology. Results: Younger males with a history of previous violence, psychiatric admissions, and symptoms of severe agitation were more at risk for aggressive behavior. Positive psychotic symptoms, a diagnosis of bipolar disorder, substance use, and comorbid personality disorders also increased risk. Significant improvements from baseline to last visit were observed for the CGI-S and MOAS (P < .001 for both), with a significant correlation between the MOAS and CGI-S at last visit (P < .001). Only the symptom of agitation was significantly correlated to MOAS scores at both baseline and last visit (P < .001). Conclusion: Patients significantly improved over time in both severity of illness and level of aggression. PMID:25317364

Reade, Cynthia; Stoltzfus, Jill; Mittal, Vikrant

2014-01-01

270

A Survey of Student Attitudes Towards Two Vancouver Secondary Schools.  

ERIC Educational Resources Information Center

An informal, non-standardized, 83-item instrument for measuring students' attitudes toward education was administered. Pupils indicated strong agreement, agreement, disagreement, or strong disagreement toward the following aspects of school: teacher, learning, school social structure and climate, peer, and general. Results are listed according to…

Moodie, Allan G.

271

Factors associated with methadone maintenance therapy use among a cohort of polysubstance using injection drug users in Vancouver.  

PubMed

We identified methadone maintenance therapy (MMT) use during follow-up interviews and examined associations between MMT use and socio-demographic and drug-related variables using generalized estimating equations (GEE). Of the 1587 participants recruited into this cohort, 170 (11%) were enrolled in MMT at baseline and additional 498 (31%) initiated MMT during follow-up. Of those ever enrolled in MMT, 406 (61%) ceased MMT and re-initiated MMT on more than one occasion. The median treatment duration was 14.4 months. Factors that were negatively and significantly associated with MMT use in multivariate analyses included: Aboriginal ethnicity (adjusted odds ratio [AOR] = 0.40); recent incarceration (AOR = 0.79); sex trade involvement (AOR = 0.87); syringe lending (AOR = 0.72); heroin injection (AOR = 0.64), whereas female gender (AOR = 2.47), HIV positivity (AOR = 1.57), and crack cocaine smoking (AOR = 1.23) were positively and significantly associated with being on MMT. Unstable housing, syringe borrowing, non-fatal overdose, cocaine injection, and residence in Vancouver's Downtown Eastside were not associated with MMT use in multivariate analyses. Our study demonstrates high rates of initiation of and retention in MMT among local IDUs. While the use of MMT was associated with reductions in heroin use and HIV risk behavior, barriers to Aboriginal IDUs were evident, and the association with increased crack cocaine use deserves further study. PMID:15964714

Kerr, Thomas; Marsh, David; Li, Kathy; Montaner, Julio; Wood, Evan

2005-12-12

272

Esthesioneuroblastoma: an update on the massachusetts eye and ear infirmary and massachusetts general hospital experience with craniofacial resection, proton beam radiation, and chemotherapy.  

PubMed

Objectives?To update the Massachusetts General Hospital (MGH) and Massachusetts Eye and Ear Infirmary (MEEI) experience in the management of esthesioneuroblastoma (ENB) with multimodality therapy and to reassess treatment outcomes and complications in a larger cohort with longer follow-up times. Design?A retrospective chart review. Setting?A tertiary referral center. Participants?All patients presenting with ENB and managed at the MGH and MEEI from 1997 to 2013. Main Outcome Measures?Disease-free and overall survival. Results?Twenty-two patients were identified with an average follow-up of 73 months. Ten patients presented with Kadish stage B disease and 12 with stage C disease. A total of six patients (27%) developed regional metastases. Treatment for all patients included craniofacial resection (CFR) followed by proton beam irradiation with or without chemotherapy. The 5-year disease-free and overall survival rates were 86.4% and 95.2%, respectively, by Kaplan-Meier analysis. Negative margins were a significant factor in disease-free survival. One patient experienced severe late-radiation toxicity. Conclusions?ENB is safely and effectively treated with CFR followed by proton beam irradiation. The high incidence of regional metastases warrants strong consideration for elective neck irradiation. Proton beam radiation is associated with lower rates of severe late-radiation toxicity than conventional radiotherapy. PMID:24498591

Herr, Marc W; Sethi, Rosh K V; Meier, Joshua C; Chambers, Kyle J; Remenschneider, Aaron; Chan, Annie; Curry, William T; Barker, Fred G; Deschler, Daniel G; Lin, Derrick T

2014-02-01

273

[Institutional support as a method of analysis-intervention in the context of public health policies: the experience in a general hospital].  

PubMed

The article addresses the elaboration of a method for analysis/intervention in the sphere of public health policies. It describes the introduction of the National Humanization Policy of the Unified Health System (SUS) in a general hospital. It proposes institutional support expressed as a method for doing things that seeks the creation of group action, work process analysis and involves examining work management methods. It relies on promotion of health, which implies the production of subjects. The promotion of health is a networking process that involves individuals, work processes, knowledge and power. The challenge of supporting this network is to foster the exercise of the role of individuals and summon the inherent creative potential of life for the construction of new ways of work management that are not new forms of subjection. The study aims to show that by means of institutional support it is possible to bring to the fore the forces involved in the promotion of health and thereby summon the groups for an analysis of its implications. The effects produced indicate that this is a powerful strategy for the intervention of work processes within the scope of public health policies. PMID:22124920

Barros, Maria Elizabeth Barros de; Guedes, Carla Ribeiro; Roza, Monica Maria Raphael

2011-12-01

274

Validation of Ottawa ankle rules protocol in Greek athletes: study in the emergency departments of a district general hospital and a sports injuries clinic  

PubMed Central

Objective—To validate the Ottawa ankle rules protocol for predicting ankle and midfoot fractures in Greek athletes. Method—A prospective survey in the emergency departments of a district general hospital and a sports injury clinic in Greece over nine months. A clinical evaluation was made of 122 patients with acute ankle and/or midfoot injury, and then radiographs were taken. Results—Nine ankle and eight midfoot fractures were detected. The sensitivity of the Ottawa ankle rules protocol in predicting fractures in both the malleolar and midfoot zones was 100%. The negative predictive value for each of these areas was also 1.0. Specificity was estimated to be 0.3 for ankle fractures and 0.4 for midfoot fractures. Positive predictive values were 0.16 and 0.28 respectively. A possible reduction of up to 28.7% was found in the need for radiography. Conclusions—Use of the Ottawa ankle rules protocol in evaluating injured Greek athletes resulted in 100% sensitivity when performed by orthopaedic residents or sports medicine doctors, and had the potential to reduce the use of radiography. Key Words: ankle sprains; radiographs; injuries PMID:11726486

Papacostas, E; Malliaropoulos, N; Papadopoulos, A; Liouliakis, C

2001-01-01

275

Female genital mutilation in infants and young girls: report of sixty cases observed at the general hospital of abobo (abidjan, cote d'ivoire, west Africa).  

PubMed

The practice of female genital mutilations continues to be recurrent in African communities despite the campaigns, fights, and laws to ban it. A survey was carried out in infants and young girls at the General Hospital of Abobo in Cote D'Ivoire. The purpose of the study was to describe the epidemiological aspects and clinical findings related to FGM in young patients. Four hundred nine (409) females aged from 1 to 12 years and their mothers entered the study after their consent. The results were that 60/409 patients (15%) were cut. The majority of the young females came from Muslim families (97%); the earlier age at FGM procedure in patients is less than 5 years: 87%. Amongst 409 mothers, 250 women underwent FGM which had other daughters cut. Women were mainly involved in the FGM and their motivations were virginity, chastity, body cleanliness, and fear of clitoris similar to penis. Only WHO types I and II were met. If there were no incidental events occurred at the time of the procedure, the obstetrical future of these young females would be compromised. With FGM being a harmful practice, health professionals and NGOs must unite their efforts in people education to abandon the procedure. PMID:24729789

Plo, Kouie; Asse, Kouadio; Seï, Dohagneron; Yenan, John

2014-01-01

276

Awareness and Practices of Oral Hygiene and its Relation to Sociodemographic Factors among Patients attending the General Outpatient Department in a Tertiary Care Hospital of Kolkata, India  

PubMed Central

Background: Periodontal diseases, dental caries, malocclusion, and oral cancer are the most prevalent dental diseases affecting people in the Indian community. Objective: The study was conducted to assess the awareness and practices on oral hygiene and its association with the sociodemographic factors among patients attending the general Outpatient Department (OPD). Materials and Methods: A cross-sectional study was conducted among 224 patients attending the general OPD of the SSKM Hospital, Kolkata, India, from 1 April to 30 April, 2013. The study tool was a pre-designed and pre-tested semi-structured schedule. Results: About 69.20% of the participants used a toothbrush with toothpaste as a method of cleaning their teeth; 35.71% brushed twice in a day; 33.03% brushed both in the morning and at bedtime; and 8.93% used mouthwash. About 40.62% visited the dentist during the last six months; among them 61.18% attended because of pain. Almost three-fourth of the participants knew that tooth decay and bad breath were the effects of not cleaning the teeth. It was known to 71.42, 63.39, 70.53, and 73.21% of the respondents, respectively, that excess sweet, cold drink, alcohol, and smoking/pan chewing were bad for dental health. Television was the source of knowledge to 57.14% of the participants and 35.71% acquired their knowledge from a dentist. Females, literates, urban residents, users of mouthwash, and regular visitors to the dentist had good oral hygiene practices. Conclusion: Oral health awareness and practices among the study population are poor and need to improve. PMID:25161965

Paul, Bobby; Basu, Mausumi; Dutta, Sinjita; Chattopadhyay, Sita; Sinha, Debasis; Misra, Raghunath

2014-01-01

277

Opportunities and obstacles to collecting wildlife disease data for public health purposes: Results of a pilot study on Vancouver Island, British Columbia  

PubMed Central

Existing sources of wildlife morbidity and mortality data were evaluated and 3 pilot active surveillance projects were undertaken to compare and contrast methods for collecting wildlife disease data on Vancouver Island for public health purposes. Few organizations could collect samples for diagnostic evaluation, fewer still maintained records, and none regularly characterized or reported wildlife disease for public health purposes. Wildlife rehabilitation centers encountered the greatest variety of wildlife from the largest geographic area and frequently received submissions from other organizations. Obstacles to participation included the following: permit restrictions; financial disincentives; staff safety; no mandate to collect relevant data; and lack of contact between wildlife and public health agencies. Despite these obstacles, modest investments in personnel allowed novel pathogens of public health concern to be tracked. Targeted surveillance for known pathogens in specific host species, rather than general surveys for unspecified pathogens, was judged to be a more effective and efficient way to provide useful public health data. PMID:17310627

Stitt, Tyler; Mountifield, Julie; Stephen, Craig

2007-01-01

278

The Veterinary Teaching Hospital at Colorado State University has an opening for a position as an Equine Field Service Veterinarian. Equine Field Service provides general medical care, preventive health, herd  

E-print Network

as an Equine Field Service Veterinarian. Equine Field Service provides general medical care, preventive health, professional integrity, a solid work ethic and a desire to teach veterinary medical students. #12;Reporting Relationship: The Equine Field Service Veterinarian reports directly to the Hospital Director but is expected

279

Difficult decisions in times of constraint: Criteria based Resource Allocation in the Vancouver Coastal Health Authority  

PubMed Central

Objectives The aim of the project was to develop a plan to address a forecasted deficit of approximately $4.65 million for fiscal year 2010/11 in the Vancouver Communities division of the Vancouver Coastal Health Authority. For disinvestment opportunities identified beyond the forecasted deficit, a commitment was made to consider options for resource re-allocation within the Vancouver Communities division. Methods A standard approach to program budgeting and marginal analysis (PBMA) was taken with a priority setting working committee and a broader advisory panel. An experienced, non-vested internal project manager worked closely with the two-member external research team throughout the process. Face to face evaluation interviews were held with 10 decision makers immediately following the process. Results The recommendations of the working committee included the implementation of 44 disinvestment initiatives with an annualized value of CAD $4.9 million, as well as consideration of possible investments if the realized savings match expectations. Overall, decision makers viewed the process favorably and the primary aim of addressing the deficit gap was met. Discussion A key challenge was the tight timeline which likely lead to less evidence informed decision making then one would hope for. Despite this, decision makers felt that better decisions were made then had the process not been in place. In the end, this project adds value in finding that PBMA can be used to cover a deficit and minimize opportunity cost through systematic application of criteria whilst ensuring process fairness through focusing on communication, transparency and decision maker engagement. PMID:21756357

2011-01-01

280

An external evaluation of a peer-run outreach-based syringe exchange in Vancouver, Canada  

PubMed Central

Objective Vancouver, Canada has been the site of an epidemic of human immunodeficiency virus (HIV) among injection drug users (IDU). In response, the Vancouver Area Network of Drug Users (VANDU) initiated a peer-run outreach-based syringe exchange programme (SEP) called the Alley Patrol. We conducted an external evaluation of this programme, using data obtained from the Vancouver Injection Drug Users Study (VIDUS). Methods Using generalised estimating equations (GEE) we examined the prevalence and correlates of use of the SEP among VIDUS participants followed from 1 December 2000 to 30 November 2003. Results Of 854 IDU, 233 (27.3%) participants reported use of the SEP during the study period. In multivariate GEE analyses, service use was positively associated with living in unstable housing (Adjusted Odds Ratio [AOR] = 1.83, 95% Confidence Interval [CI]: 1.39 – 2.40), daily heroin injection (AOR = 1.31, 95% CI: 1.01 – 1.70), daily cocaine injection (AOR = 1.34, 95% CI: 1.03 – 1.73), injecting in public (AOR = 3.07, 95% CI: 2.32 – 4.06), and negatively associated with needle reuse (AOR = 0.65, 95% CI: 0.46 – 0.92). Conclusion The VANDU Alley Patrol SEP succeeded in reaching a group of IDU at heightened risk for adverse health outcomes. Importantly, access to this service was associated with lower levels of needle reuse. This form of peer-based SEP may extend the reach of HIV prevention programmes by contacting IDU traditionally underserved by conventional syringe exchange programmes. PMID:20359877

Hayashi, Kanna; Wood, Evan; Wiebe, Lee; Qi, Jiezhi; Kerr, Thomas

2010-01-01

281

Compare Hospitals  

MedlinePLUS

2014 Leapfrog Hospital Survey Results Now Available Thank you for visiting the Leapfrog Hospital Survey Results Website. These results are based on surveys submitted by hospitals across the country that have demonstrated a commitment ...

282

11. MODEL 200 CRANE, GENERAL ARRANGEMENT & CLEARANCES. Colby Steel ...  

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

11. MODEL 200 CRANE, GENERAL ARRANGEMENT & CLEARANCES. Colby Steel & Engineering Company, Vancouver B.C., Seattle, New York. Two elevations and cab plan. No architect noted, drawn by "Gould." Sheet A2, No. 6365. Scale not given. August 10, 1942. "Proposal no. 318." blueline print - United Engineering Company Shipyard, Crane, 2900 Main Street, Alameda, Alameda County, CA

283

Model 200 crane, general arrangement & clearances. Colby Steel & ...  

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

Model 200 crane, general arrangement & clearances. Colby Steel & Engineering Company, Vancouver B.C., Seattle, New York. Two elevations and cab plan. No architect noted, drawn by Gould. Sheet A2, no 6365. Scaled not given. August 10, 1942. Proposal no. 318. - United Engineering Company Shipyard, Crane, 2900 Main Street, Alameda, Alameda County, CA

284

Case records of the Massachusetts General Hospital: Case 5-2014: 2014: A 59-year-old man with fever, confusion, thrombocytopenia, rash, and renal failure.  

PubMed

A 59-year-old man was admitted to this hospital because of fever, confusion, rash, thrombocytopenia, and renal failure, 10 days after a hunting trip in the Nevada valley. Diagnostic procedures were performed, and diagnostic test results were received from another hospital. PMID:24521112

Baggett, Meridale V; Turbett, Sarah E; Schwartzenberg, Shmuel S; Stone, James R

2014-02-13

285

Dr Robert McKechnie: Vancouver's pioneer surgeon and a patron of British Columbia sports & education.  

PubMed

Robert E. McKechnie, M.D.C.M. (1861-1944), was a distinguished graduate of McGill Medical School and a pioneer in the early days of surgery in Vancouver, Canada. He was a long-standing Canadian leader in both clinical and academic surgery. In addition, he played an important role in the founding of the University of British Columbia. He also commissioned an important challenge cup for the British Columbia rugby championship team in the same time and place as the establishment of hockey's Stanley Cup. PMID:22521046

Carter, Preston L

2012-05-01

286

UBC Social Ecological Economic Development Studies (SEEDS) Student Report Scaling-Up On-Site Composting in the Student Union Building ~UBC Vancouver~  

E-print Network

-Site Composting in the Student Union Building ~UBC Vancouver~ GRS 497B November 01, 2013 282 1667 University-Site Composting in the Student Union Building ~UBC Vancouver~ 2 Conducted by: Emme Lee Email: Phone: Conducted for: November 2013 #12;Author: Emme Lee Scaling-Up On-Site Composting in the Student Union Building ~UBC

287

Hospital Topics: The Hospital Consultant's Secretary  

PubMed Central

Analysis of work done by the secretaries attached to one medical unit in a general hospital showed that much was discretionary in character and entailed making decisions. Work in the unit was made easier and more efficient by this intelligent use of initiative by the secretaries. At present the pay given to medical secretaries in hospital is below a level that would be commensurate with their responsibility. PMID:5069223

Gooch, J. H.; Harcourt, R. A. F.; Ibbetson, J. F. R.; Whitmore, D. A.

1972-01-01

288

Radiation Dose in the Thyroid and the Thyroid Cancer Risk Attributable to CT Scans for Pediatric Patients in One General Hospital of China  

PubMed Central

Objective: To quantify the radiation dose in the thyroid attributable to different CT scans and to estimate the thyroid cancer risk in pediatric patients. Methods: The information about pediatric patients who underwent CT scans was abstracted from the radiology information system in one general hospital between 1 January 2012 and 31 December 2012. The radiation doses were calculated using the ImPACT Patient Dosimetry Calculator and the lifetime attributable risk (LAR) of thyroid cancer incidence was estimated based on the National Academies Biologic Effects of Ionizing Radiation VII model. Results: The subjects comprised 922 children, 68% were males, and received 971 CT scans. The range of typical radiation dose to the thyroid was estimated to be 0.61–0.92 mGy for paranasal sinus CT scans, 1.10–2.45 mGy for head CT scans, and 2.63–5.76 mGy for chest CT scans. The LAR of thyroid cancer were as follows: for head CT, 1.1 per 100,000 for boys and 8.7 per 100,000 for girls; for paranasal sinus CT scans, 0.4 per 100,000 for boys and 2.7 per 100,000 for girls; for chest CT scans, 2.1 per 100,000 for boys and 14.1 per 100,000 for girls. The risk of thyroid cancer was substantially higher for girls than for the boys, and from chest CT scans was higher than that from head or paransal sinus CT scans. Conclusions: Chest CT scans caused higher thyroid dose and the LAR of thyroid cancer incidence, compared with paransal sinus or head CT scans. Therefore, physicians should pay more attention to protect the thyroid when children underwent CT scans, especially chest CT scans. PMID:24608902

Su, Yin-Ping; Niu, Hao-Wei; Chen, Jun-Bo; Fu, Ying-Hua; Xiao, Guo-Bing; Sun, Quan-Fu

2014-01-01

289

Combined proton and photon irradiation for craniopharyngioma: Long-term results of the early cohort of patients treated at Harvard Cyclotron Laboratory and Massachusetts General Hospital  

SciTech Connect

Purpose: We report the results of the early cohort of patients treated for craniopharyngioma with combined proton-photon irradiation at the Massachusetts General Hospital and the Harvard Cyclotron Laboratory. Methods and Materials: Between 1981 and 1988, 15 patients with craniopharyngioma were treated in part or entirely with fractionated 160 MeV proton beam therapy. The group consisted of 5 children (median age, 15.9 years) and 10 adults (median age, 36.2 years). Median dose prescribed to the tumor was 56.9 cobalt Gray equivalent (CGE; 1 proton Gray = 1.1 CGE). The median proton component was 26.9 CGE. Patients were treated after documented recurrence after initial surgery (n = 6) or after subtotal resection or biopsy (n = 9). None had had prior radiation therapy. Results: Median observation period of surviving patients (n = 11) was 13.1 years from radiotherapy. One patient was lost to follow-up with tumor control after 5.2 years. Actuarial 10-year survival rate was 72%. Four patients have died 5-9.1 years after treatment, two from local failure. Actuarial 5- and 10-year local control rates were 93% and 85%, respectively. The functional status of the living adult patients is unaltered from their preradiotherapy status; all of them continued leading normal or near normal working lives. None of the patients treated as a child had experienced recurrence of tumor. One child shows learning difficulties and slight retardation, comparable to his preradiotherapy status. The others have professional achievements within the normal range. Conclusion: Results in terms of survival and local control are comparable with other contemporary series. Although no formal neuropsychological testing was performed, the surrogate measures of lifestyle and professional accomplishments appear to be satisfactory.

Fitzek, Markus M. [Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Radiation Oncology Center, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA (United States); Linggood, Rita M. [Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Department of Radiation Oncology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (United States); Adams, Judy [Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Munzenrider, John E. [Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States)]. E-mail: jmunzenrider@partners.org

2006-04-01

290

Fish communities and life history attributes of English sole (Pleuronectes vetulus) in Vancouver Harbour.  

PubMed

Data on demersal fish abundance, distribution, and spatial variation in community composition are given for Vancouver harbour and a far field reference station in outer Howe Sound. Flatfish (F. Pleuronectidae) were the dominant taxa in the trawl sampling, with the English sole (Pleuronectes vetulus) one of the most abundant species, especially in Port Moody Arm. Cluster and ordination analyses suggested a different community in Port Moody Arm relative to the outer harbour and the reference site. Length data from English sole suggested the Vancouver harbour fish may be from a different population relative to the far field reference station, with more juveniles in the harbour. Both male and female English sole were older and larger in Port Moody Arm and females were more common in this area. Growth rates of female English sole were slower at Port Moody and Indian Arm in comparison to the central harbour. Feeding habits of English sole were different at various parts of the harbour, with possible implications for contaminant uptake. The diet of English sole was dominated by polychaetes in Port Moody Arm and by bivalve molluscs at the far field reference station. Fish from the middle and outer harbour fed on a mixture of polychaetes, bivalve molluscs, and crustaceans enabling multiple pathways for bioaccumulation of pollutants. PMID:12962649

Levings, Colin; Ong, Stacey

2004-01-01

291

Introduced bullfrogs and their parasites: Haematoloechus longiplexus (Trematoda) exploits diverse damselfly intermediate hosts on Vancouver Island.  

PubMed

The lung fluke, Haematoloechus longiplexus, is the most prevalent and abundant parasite of introduced bullfrogs on Vancouver Island, British Columbia, Canada. The ecological success of this trematode in invasive bullfrogs is related to the fluke's ability to utilize native intermediate hosts for transmission. The purpose of this study was to identify the odonate (dragonfly/damselfly) species involved in the transmission of H. longiplexus to the introduced bullfrog. The prevalences and mean intensities of 21 species of odonates (nymphs and adults) were examined for metacercariae infections. Haematoloechus longiplexus is a second intermediate host specialist, being found only in damselflies. Six damselfly species exhibiting the "climber" ecological habit were identified as second intermediate hosts of H. longiplexus. Enallagma carunculatum (prevalence = 75.0%, mean intensity = 17.2 ± 10.8), Ischnura cervula (65.2%, 8.9 ± 4.3), Ischnura perparva (45.5%, 15.4 ± 10.3), and Enallagma boreale (40.7%, 4.8 ± 7.8) were the most commonly infected damselfly species. Metacercariae were absent in damselflies collected from sites lacking bullfrogs. Haematoloechus longiplexus was likely introduced along with the bullfrog, and subsequently adapted to the physid snail and diverse damselfly intermediate hosts present in ponds on Vancouver Island. PMID:22924931

Novak, Colin W; Goater, Timothy M

2013-02-01

292

Statistical and Spatial Analysis of Land Cover Impact on Selected Metro Vancouver, British Columbia Watersheds  

NASA Astrophysics Data System (ADS)

The Greater Vancouver area has undergone significant land use and land cover (LULC) change over the past several decades, often adversely affecting stream health and water quality, particularly in those areas that have undergone the most urbanization. In this study 30 years of historical LULC and water quality data were examined using GIS and statistical analysis to better understand these impacts and to help build a broader understanding of cause and effect relationships of changing LULC, especially since urbanization is increasingly occurring within sensitive watersheds at greater distances from the City of Vancouver. Urban, agriculture, and disturbed LULC data from 1976, 1986, and 2000 were examined within a number of watersheds and related to historical water quality data sampled from streams during similar time frames. Additional higher resolution 2006 LULC data from a smaller number of watersheds were then examined and compared to stream health data to investigate the sensitivity of LULC data resolution on monitoring watershed impact. While LULC impact can be clearly seen at both high and lower resolutions, issues of ambiguous land cover and land use designations can potentially affect the magnitude of the relationship.

Shupe, Scott

2013-01-01

293

Environmental factors associated with reproductive barrier breakdown in sympatric trout populations on Vancouver Island  

PubMed Central

The incidence of hybridization between coastal cutthroat (Oncorhynchus clarki clarki) and rainbow trout (Oncorhynchus mykiss) varies widely among populations. The breakdown of reproductive isolation is of concern to managers, and raises the question: how have the two species retained their genetic and morphological divergence? Using a combination of mitochondrial DNA and nuclear DNA markers coupled with watershed attribute and disturbance data, we determined the distribution and frequency of trout hybridization on Vancouver Island, BC and the environmental factors associated with the hybridization. We found 284 hybrids (among 1004 fish) in 29 of 36 sampled populations. High variation in levels of hybridization was observed among populations, and no single environmental factor was found to dominate in determining hybridization levels. However, logging activity, urban infrastructure development, and stocking of hatchery rainbow trout played significant roles in determining hybridization levels, and populations in small watersheds are more at risk of reproductive barrier breakdown. This study illustrates that cutthroat–rainbow trout reproductive barrier breakdown is widespread on Vancouver Island and that anthropogenic disturbance plays a role in the process. As similar environmental disturbance is common in much of coastal trout habitat, large-scale hybridization may be occurring elsewhere and thus may represent a critical management issue for Pacific trout species.

Heath, Daniel; Bettles, Cory M; Roff, Derek

2010-01-01

294

Gold for ubiquitin in Vancouver: First Conference on Proteomics of Protein Degradation and Ubiquitin Pathways held June 6-8, 2010 in Vancouver, University of British Columbia, organized By Lan Huang, Thibault Mayor, and Peipei Ping.  

PubMed

The rise of proteomics has had tremendous influence on analysis and understanding of the role of post-translational modifications in biological processes. The covalent attachment of small proteins like ubiquitin, SUMO,(1) or other ubiquitin-like proteins (Ubls) is one class of post-translational modifications where proteomics has had notable impact. Various proteomics approaches, but in particular mass spectrometry-based analyses, have influenced the field and enabled significant advances over the past few years. The first meeting dedicated to proteomics of protein degradation and ubiquitin pathways showcased these advances and allowed a glimpse at future contributions of proteomics to this field. With its many attractive drug targets, the ubiquitin and proteasome system, as well as other proteolysis pathways, could offer new therapies for various human diseases including cancer and neurodegenerative disorders. The covalent linkage of ubiquitin to other proteins is catalyzed by the E1-E2-E3 cascade of enzymatic reactions whereby the many different E3 ubiquitin ligases provide substrate specificity to the process of protein ubiquitylation (1). Ubiquitylation is best known for targeting proteins for degradation by the proteasome, but other functions for ubiquitylation independent of proteolysis are also known. Likewise, modifications with SUMO or other Ubls generally do not regulate protein degradation but instead control subcellular localization, protein interactions, or change protein conformation and activity (2). The questions addressed by proteomics approaches to ubiquitylation and Ubl modifications are plentiful. They range from very specific, e.g. determination of the modified residue in a substrate protein, to complex, such as protein dynamics in proteome-wide ubiquitin (or Ubl) modification profiles (3). In either case, the rapid technological advancements (particularly in mass spectrometry instrumentation as well as quantitation and separation technologies) have allowed impressive progress, which was evident in the First Conference on Proteomics of Protein Degradation and Ubiquitin Pathways in Vancouver (http://ppdup.org/) (Fig. 1). PMID:20834021

Kaiser, Peter; Mayor, Thibault

2011-05-01

295

20 CFR 404.632 - Statements filed with a hospital.  

...2014-04-01 false Statements filed with a hospital. 404.632 Section 404.632 Employees...Statement § 404.632 Statements filed with a hospital. A statement (generally a hospital admission form) filed with a hospital...

2014-04-01

296

American Hospital Association  

NSDL National Science Digital Library

Founded in 1898, the American Hospital Association (AHA) is the national umbrella organization that represents a wide range of hospitals and health care networks. While some of the siteâÂÂs contents are designed for health care professionals and executives, the general public and some scholars will find some of the features, such as their quarterly reports on the latest in hospital trends, quite valuable. A good place to start is the Resource Center section of the site, which contains helpful guides to locating the information on the site itself. There are a number of free resources available here, such as a fact sheet about AmericaâÂÂs hospitals and studies, including âÂÂThe State of AmericaâÂÂs Hospitals: Taking the Pulseâ and âÂÂCosts of Caring: Sources of Growth in Spending for Hospital CareâÂÂ.

2005-01-01

297

Patients Hospitalized in General Wards via the Emergency Department: Early Identification of Predisposing Factors for Death or Unexpected Intensive Care Unit Admission--A Historical Prospective  

PubMed Central

Background. To identify, upon emergency department (ED) admission, predictors of unexpected death or unplanned intensive care/high dependency units (ICU/HDU) admission during the first 15 days of hospitalization on regular wards. Methods. Prospective cohort study in a medical-surgical adult ED in a teaching hospital, including consecutive patients hospitalized on regular wards after ED visit, and identification of predictors by logistic regression and Cox proportional hazards model. Results. Among 4,619 included patients, 77 (1.67%) target events were observed: 32 unexpected deaths and 45 unplanned transfers to an ICU/HDU. We identified 9 predictors of the target event including the oxygen administration on the ED, unknown current medications, and use of psychoactive drug(s). All predictors put the patients at risk during the first 15 days of hospitalization. A logistic model for hospital mortality prediction (death of all causes) still comprised oxygen administration on the ED, unknown current medications, and the use of psychoactive drug(s) as risk factors. Conclusion. The “use of oxygen therapy on the ED,” the “current use of psychoactive drug(s)”, and the “lack of knowledge of current medications taken by the patients” were important predisposing factors to severe adverse events during the 15 days of hospitalization on regular wards following the ED visit. PMID:24624300

Boulain, Thierry; Runge, Isabelle; Delorme, Nathalie; Bouju, Angele; Valery, Antoine

2014-01-01

298

Hospital Greenspace Lawson Memorial Hospital,  

E-print Network

H Hospital Greenspace Lawson Memorial Hospital, Golspie ­ Greenspace Case Study Background to hospital greenspace to be carried out in the Highlands. This project is now entering its third phase. Phase of Phase 2. This resulted in the identification of the Lawson Memorial Hospital as the site

299

Germs may be good for babies The Province Vancouver, B.C.:Aug 17, 2004. p. A22  

E-print Network

Germs may be good for babies The Province Vancouver, B.C.:Aug 17, 2004. p. A22 Abstract (Article of bacteria early in life, far from harming babies, may actually help them live longer. Full Text (130 words that a dose of bacteria early in life, far from harming babies, may actually help them live longer

Seroude, Laurent

300

Foraminiferal evidence for the amount of coseismic subsidence during a late holocene earthquake on Vancouver Island, West Coast of Canada  

Microsoft Academic Search

Foraminiferal data from two sites, 6 km apart, on the shores of an inlet near Tofino on the west coast of Vancouver Island, British Columbia, allow estimates to be made of the amount of coseismic subsidence during a large earthquake 100–400 years ago. The sampled sediment succession at the two sites is similar; peat representing a former marsh surface is

Jean-Pierre Guilbault; John J. Clague; Martine Lapointe

1996-01-01

301

El Chichón – influence on aerosol optical depth and direct, diffuse and total solar irradiances at Vancouver, B.C  

Microsoft Academic Search

Solar radiation data for Vancouver, B.C. were used to determine the increase in aerosol optical depth and the changes in the total, direct, diffuse and net short?wave radiation fluxes associated with the presence of aerosol that originated from the eruption of El Chichón (Mexico) in April 1982. The aerosol optical depth increased by 400% resulting in reductions of 33% in

John E. Hay; Robert Darby

1984-01-01

302

Improving Census-based Socioeconomic GIS for Public Policy: Recent Immigrants, Spatially Concentrated Poverty and Housing Need in Vancouver  

Microsoft Academic Search

There are a number of socioeconomic phenomena that are difficult to discern using only census data. We present an innovative approach developed to discern the spatial dimensions of risk for homelessness amongst recent immigrants in Vancouver, Canada. Dasymetric mapping and a postal survey are employed to improve the resolution and utility of census data. The results illustrate the potential for

Rob Fiedler; Nadine Schuurman; Jennifer Hyndman

303

In Workshop on Statistical and Computational Theories of Vision at International Conference on Computer Vision, Vancouver, July 13, 2001.  

E-print Network

not explicitly probabilistic, they motivated recent work on the tracking of roads in satellite images [12 on Computer Vision, Vancouver, July 13, 2001. A Generative Model of Curve Images with a Completely construct a probabilistic, generative model of images of contours that is tractable? Motivated

August, Jonas

304

Evolutionary acceleration in the most endangered mammal of Canada: speciation and divergence in the Vancouver Island marmot (Rodentia, Sciuridae)  

Microsoft Academic Search

The Vancouver Island marmot is the most endangered mammal of Canada. Factors which have brought this population to the verge of extinction have not yet been fully elucidated, but the effects of deforestation and habitat fragmentation on survival rates, as well as those of variation in rainfall, temperature, snowpack depth and snowmelt strongly suggest that marmots on the island are

A. CARDINI; R. W. THORINGTON; P. D. POLLYJ

2007-01-01

305

Birds, Broom, Bunnies, and Biplanes: Conserving a Remnant Population of Coastal Vesper Sparrows at the Nanaimo Airport, Vancouver Island  

Microsoft Academic Search

Extended Abstract: The coastal vesper sparrow (Pooecetes gramineus affinis) forms a disjunct population of the vesper sparrow (Pooecetes gramineus), and breeds from southwestern Vancouver Island, British Columbia (B.C.) south through western Washington and Oregon to the extreme northwest of California (Beauchesne 2003). This subspecies was probably never common in British Columbia, and it is assumed that prior to European settlement,

TRUDY CHATWIN

2004-01-01

306

Establishing a Palliative Care Team (PCT) in Radiation Therapy: The British Columbia Cancer Agency Vancouver Center Experience  

Microsoft Academic Search

The radiation therapy department at the Vancouver Cancer Center, British Columbia, Canada, has introduced a Palliative Care Team (PCT). The PCT consists of a group of radiation therapists dedicated to the care of patients undergoing palliative radiation therapy. The PCT is responsible for the simulation, education, dose calculations, verification system data entry and treatment of each palliative patient. Participation in

Craig Elith

2006-01-01

307

Effects of Habitat Fragmentation and Forest Edges on Predators of Marbled Murrelets and Other Forest Birds on Southwest Vancouver Island  

Microsoft Academic Search

We recorded the occurrence and relative abundance of potential predators of the threatened marbled murrelet (Brachyramphus marmoratus) in the Carmanah, Walbran, and Klanawa Valleys on southwest Vancouver Island, British Columbia. Data covering multiple years (1994-2000) came from two series of dawn surveys used to monitor murrelet activities (45 stations in total), and two series of point counts (190 stations). Steller's

ALAN E. BURGER; MICHELLE M. MASSELINK; ANGELINE R. TILLMANNS; R. SZABO; MATHEW FARNHOLTZ; MARTIN J. KRKOSEK

2004-01-01

308

Emergence of an Invasive Clone of Nontoxigenic Corynebacterium diphtheriae in the Urban Poor Population of Vancouver, Canada  

Microsoft Academic Search

Invasive disease due to Corynebacterium diphtheriae is rare in North America. Here we describe the emergence of a predominant clone of a nontoxigenic strain of C. diphtheriae in the impoverished population of Vancouver's downtown core. This clone has caused significant morbidity and contributed to at least two deaths. Over a 5-year period, seven cases of bacteremia due to C. diphtheriae

M. G. Romney; D. L. Roscoe; K. Bernard; S. Lai; A. Efstratiou; A. M. Clarke

2006-01-01

309

Effect of recycling activities on the heating value of solid waste: case study of the Greater Vancouver Regional District (Metro Vancouver).  

PubMed

Two main goals of the integrated solid waste management system (ISWMS) of Metro Vancouver (MV) include further recycling of waste and energy recovery via incineration of waste. These two very common goals, however, are not always compatible enough to fit in an ISWMS depending on waste characteristics and details of recycling programs. This study showed that recent recycling activities in MV have negatively affected the net heating value (NHV) of municipal solid waste (MSW) in this regional district. Results show that meeting MV's goal for additional recycling of MSW by 2015 will further reduce the NHV of waste, if additional recycling activities are solely focused on more extensive recycling of packaging materials (e.g. paper and plastic). It is concluded that 50% additional recycling of paper and plastic in MV will increase the overall recycling rate to 70% (as targeted by the MV for 2015) and result in more than 8% reduction in NHV of MSW. This reduction translates to up to 2.3 million Canadian dollar (CAD$) less revenue at a potential waste-to-energy (WTE) plant with 500 000 tonnes year(-1) capacity. Properly designed recycling programmes, however, can make this functional element of ISWMS compatible with green goals of energy recovery from waste. Herein an explanation of how communities can increase their recycling activities without affecting the feasibility of potential WTE projects is presented. PMID:22700857

Abedini, Ali R; Atwater, James W; Fu, George Yuzhu

2012-08-01

310

21 CFR 880.5110 - Hydraulic adjustable hospital bed.  

Code of Federal Regulations, 2011 CFR

...2011-04-01 false Hydraulic adjustable hospital bed. 880.5110 Section 880.5110 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2011-04-01

311

21 CFR 880.5140 - Pediatric hospital bed.  

Code of Federal Regulations, 2012 CFR

...2012-04-01 2012-04-01 false Pediatric hospital bed. 880.5140 Section 880.5140 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2012-04-01

312

21 CFR 880.5140 - Pediatric hospital bed.  

Code of Federal Regulations, 2011 CFR

...2011-04-01 2011-04-01 false Pediatric hospital bed. 880.5140 Section 880.5140 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2011-04-01

313

21 CFR 880.5120 - Manual adjustable hospital bed.  

Code of Federal Regulations, 2010 CFR

...2010-04-01 false Manual adjustable hospital bed. 880.5120 Section 880.5120 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2010-04-01

314

21 CFR 880.5110 - Hydraulic adjustable hospital bed.  

...2014-04-01 false Hydraulic adjustable hospital bed. 880.5110 Section 880.5110 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2014-04-01

315

21 CFR 880.5110 - Hydraulic adjustable hospital bed.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 false Hydraulic adjustable hospital bed. 880.5110 Section 880.5110 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2013-04-01

316

21 CFR 880.5110 - Hydraulic adjustable hospital bed.  

Code of Federal Regulations, 2012 CFR

...2012-04-01 false Hydraulic adjustable hospital bed. 880.5110 Section 880.5110 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2012-04-01

317

21 CFR 880.5110 - Hydraulic adjustable hospital bed.  

Code of Federal Regulations, 2010 CFR

...2010-04-01 false Hydraulic adjustable hospital bed. 880.5110 Section 880.5110 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2010-04-01

318

21 CFR 880.5120 - Manual adjustable hospital bed.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 false Manual adjustable hospital bed. 880.5120 Section 880.5120 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2013-04-01

319

21 CFR 880.5140 - Pediatric hospital bed.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 2013-04-01 false Pediatric hospital bed. 880.5140 Section 880.5140 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2013-04-01

320

21 CFR 880.5120 - Manual adjustable hospital bed.  

Code of Federal Regulations, 2011 CFR

...2011-04-01 false Manual adjustable hospital bed. 880.5120 Section 880.5120 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2011-04-01

321

21 CFR 880.5140 - Pediatric hospital bed.  

Code of Federal Regulations, 2010 CFR

...2010-04-01 2010-04-01 false Pediatric hospital bed. 880.5140 Section 880.5140 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2010-04-01

322

21 CFR 880.5120 - Manual adjustable hospital bed.  

Code of Federal Regulations, 2012 CFR

...2012-04-01 false Manual adjustable hospital bed. 880.5120 Section 880.5120 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2012-04-01

323

21 CFR 880.5140 - Pediatric hospital bed.  

...2014-04-01 2014-04-01 false Pediatric hospital bed. 880.5140 Section 880.5140 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2014-04-01

324

General anesthesia  

MedlinePLUS

General anesthesia is a treatment with certain medicines that puts you into a deep sleep so you do not ... You will receive general anesthesia in a hospital or outpatient office. Most times, a doctor called an anesthesiologist will put you to sleep. Sometimes, a ...

325

Rural hospitals  

PubMed Central

The 340B Drug Pricing Program has the potential to reduce outpatient pharmaceutical costs for qualifying hospitals—hut many rural hospital administrators are unaware of their organization’s eligibility. PMID:18637547

Radford, Andrea; Slifkin, Rebecca; Schur, Claudia; Cheung, Karen; Baernholdt, Marianne

2013-01-01

326

Norovirus - hospital  

MedlinePLUS

... be severe, becoming dehydrated (dried out) is common. Hospital patients who are very old, very young, or ... to understand an outbreak (for instance in a hospital setting). This test is done by collecting and ...

327

Injection drug use, HIV/AIDS and incarceration: evidence from the Vancouver Injection Drug Users Study.  

PubMed

The reliance on law enforcement as the dominant drug policy approach has resulted in record incarceration rates in many countries. Human rights advocates and public health researchers have argued that the risks of HIV transmission resulting from injection drug use within Canadian prisons must be addressed. Despite a decade of advocacy and some progress made, this remains an urgent public health crisis. In light of these concerns, researchers working with the Vancouver Injection Drug Users Study (VIDUS) have undertaken a series of studies specific to injection drug use and HIV/AIDS in prisons. This article summarizes the body of evidence generated via VIDUS, discusses briefly the related human rights implications, and concludes with recommendations for action. PMID:16544394

Small, Will; Wood, Evan; Jürgens, Ralf; Kerr, Thomas

2005-12-01

328

Primary deforestation and regrowth on limestone slopes on Vancouver Island, British Columbia  

SciTech Connect

Limestones, well bedded and steeply dipping, are common in northern Vancouver Island. They have been glaciated and host a high density of postglacial karren (dissolution pits, grooves and troughs linked to underlying caves). There is rich, mature forest cover of western hemlock, silver fir and red cedar that is rooted in the karren or in overlying glacial deposits. Logging commenced around 1900 AD, intensifying after 1960 with clear cutting and (often) burning of slash. Impacts were investigated quantitatively by comparing sixteen limestone sites with eight on adjoining volcanic rocks. Some sites on each retained original forest, other were cleared. It was found that soil losses following logging are significantly greater on the limestones because of wash into karren (the epikarst zone). Regrowth is retarded on the limestones also; one site cleared in 1911 had regained approximately 17% of its original volume of timber 75 years later.

Harding, K.A.; Ford, D.C. (McMaster Univ., Hamilton, Ontario (Canada). Dept. of Geography)

1992-01-01

329

Clinical Supporting System in Large-scaled General Hospital with Customized Interface Layer between Electronic Patient Record System and Filemaker Pro  

Microsoft Academic Search

Clinical supporting system (CSS) is the utility software such as the cancer patient database or bedsore patient database designed by hospital staffs. Clinical supporting system is usually constructed and operated separately from electronic patient record (EPR) system, because clinical supporting system needs a flexible formation to fulfill the user's requests which is impossible by using the stiff vender-made EPR system.

Atsuhiko Okagaki; Yukihiro Koretsune; Ryohei Todo; H. Kusuoka

2007-01-01

330

Improving Metabolic and Cardiovascular Health at an Early Psychosis Intervention Program in Vancouver, Canada  

PubMed Central

Psychotic disorders most commonly appear during the late teenage years and early adulthood. A focused and rapid clinical response by an integrated health team can help to improve the quality of life of the patient, leading to a better long-term prognosis. The Vancouver Coastal Health early psychosis intervention program covers a catchment area of approximately 800,000 people in the cities of Vancouver and Richmond, Canada. The program provides a multidisciplinary approach to supporting patients under the age of 30 who have recently experienced first-break psychosis. The program addresses the needs of the treatment environment, medication, and psychological therapies. A critical part of this support includes a program to specifically improve patients’ physical health. Physical health needs are addressed through a two-pronged, parallel approach. Patients receive routine metabolic health assessments during their first year in the program, where standard metabolic parameters are recorded. Based on the results of clinical interviews and laboratory tests, specific actionable interventions are recommended. The second key strategy is a program that promotes healthy lifestyle goal development. Patients work closely with occupational therapists to develop goals to improve cardiometabolic health. These programs are supported by an active research environment, where patients are able to engage in studies with a focus on improving their physical health. These studies include a longitudinal evaluation of the effects of integrated health coaching on maintaining cardiometabolic health in patients recently admitted to the program, as well as a clinical study that evaluates the effects of low versus higher metabolic risk antipsychotic drugs on central adiposity. An additional pharmacogenomic study is helping to identify genetic variants that may predict cardiometabolic changes following treatment with antipsychotic drugs.

Fredrikson, Diane H.; Boyda, Heidi N.; Tse, Lurdes; Whitney, Zachary; Pattison, Mark A.; Ott, Fred J.; Hansen, Laura; Barr, Alasdair M.

2014-01-01

331

Detection and Evaluation of Episodic Tremor and Slip on Vancouver Island with a Superconducting Gravimeter  

NASA Astrophysics Data System (ADS)

In July 2012, the superconducting gravimeter (SG) iGrav001 was installed at the Pacific Geoscience Centre in Sidney, British Columbia, on Vancouver Island. This site is located at the northern part of the Cascadia Subduction Zone where transient surface deformation accompanied by tremor-like seismic signals has been documented with a recurrence interval of 13 to 16 months. This phenomenon, named Episodic Tremor and Slip (ETS), has been interpreted to be associated with slow slip events (silent earthquakes) on the deeper (25-45 km) part of the Cascadia Subduction Zone. Geodetically, these slip events have been indentified primarily via transient horizontal displacements at continuous GPS sites and shear-strain transients recorded by borehole strainmeters of the Plate Boundary Observatory. Absolute gravimeter (AG) measurements have also suggested coincident offsets of several ?Gals (10-8 m/s2) to be associated with ETS. With continuous and high resolution SG monitoring, new insights into the physical processes involved in ETS are expected. Compared to the AG measurements, continuous SG has a higher resolution in recording gravity (about 0.01?Gal in time domain and 1nGal (10-11 m/s2) in frequency domain). With this increased precision and with the fundamental stability of the SG, we hope to resolve low-level gravity transients that may be indicative of mass migration. The next prolonged ETS episode in southern Vancouver Island is expected this fall and the SG will provide the first continuous, stable, high-precision gravity record for an ETS event.

Neumeyer, J.; Kim, J.; Kao, R.; Kabirzadeh, H.; Henton, J.; Dragert, H.

2012-12-01

332

Examining the Impact of Case Management in Vancouver's Downtown Community Court: A Quasi-Experimental Design  

PubMed Central

Background Problem solving courts (PSC) have been implemented internationally, with a common objective to prevent reoffending by addressing criminogenic needs and strengthening social determinants of health. There has been no empirical research on the effectiveness of community courts, which are a form of PSC designed to harness community resources and inter-disciplinary expertise to reduce recidivism in a geographic catchment area. Method We used the propensity score matching method to examine the effectiveness of Vancouver’s Downtown Community Court (DCC). We focused on the subset of DCC participants who were identified as having the highest criminogenic risk and were assigned to a case management team (CMT). A comparison group was derived using one-to-one matching on a large array variables including static and dynamic criminogenic factors, geography, and time. Reductions in offences (one year pre minus one year post) were compared between CMT and comparison groups. Results Compared to other DCC offenders, those triaged to CMT (9.5% of the DCC population) had significantly higher levels of healthcare, social service use, and justice system involvement over the ten years prior to the index offence. Compared to matched offenders who received traditional court outcomes, those assigned to CMT (n?=?249) exhibited significantly greater reductions in overall offending (p<0.001), primarily comprised of significant reductions in property offences (p<0.001). Conclusions Our findings indicate that CMT achieved significantly greater reductions in recidivism than traditional court among offenders with complex needs and high numbers of previous offences. Limitations of this research include a non-experimental design and one year follow up. Strengths include a robust matching process and extensive client level data spanning multiple sectors. Further research is needed to replicate the observed outcomes, to investigate the extension of community courts to settings with divergent offender needs and local resources, and to estimate potential cost avoidance attributable to this intervention. PMID:24599022

Somers, Julian M.; Moniruzzaman, Akm; Rezansoff, Stefanie N.; Patterson, Michelle

2014-01-01

333

What difference does a neurologist make in a general hospital? Estimating the impact of neurology consultations on in-patient care  

Microsoft Academic Search

Background To determine the impact of neurological consultations on the care of hospital in-patients and to ascertain patients’ perceptions, referrals were prospectively recorded over a 6-month period. The neurology team’s view and changes suggested to management were documented. All referred patients’ notes were reviewed at 6 months and the impact of a neurology referral was determined. Results Two hundred and

K. Roberts; D. Costelloe; M. Hutchinson; N. Tubridy

2007-01-01

334

Prevalence and Antimicrobial Susceptibility of Extended-Spectrum Beta-Lactamase-Producing Bacteria in Intensive Care Units of Sanandaj General Hospitals (Kurdistan, Iran)  

Microsoft Academic Search

This study focused on analyzing the spread of extended-spectrum ?-lactamase (ESBL) enzymes among Gram-negative bacteria at intensive care units (ICUs). Between January 2007 and January 2008, 301 consecutive clinical isolates of Gram-negative type were isolated. Of these, 66 strains were collected from patients in ICUs in two major hospitals in Sanandaj (Kurdistan, Iran). The isolates were identified, tested for antimicrobial

Rashid Ramazanzadeh; Mohsen Chitsaz; Nasrin Bahmani

2009-01-01

335

ICUWB 2009 to Focus on Microvave and Millimeter Wave Band Technology, IEEE International Conference on Ultra-Wideband will Meet on 9–11 September 2009 in Vancouver  

Microsoft Academic Search

IEEE International Conference on Ultra-Wideband Will Meet on 9 - 11 September 2009 in Vancouver In Vancouver on 9-11 September, the 2009 IEEE International Conference on Ultra-Wideband will center around the topic of UWB transmission in micro-wave and millimeter wave bands and over power lines. It will focus on the latest advances in UWB technology, current and future applications ranging

Lutz Lampe

2008-01-01

336

Hospital support.  

PubMed

Setting up a successful trauma system requires a significant amount of hospital support. This includes personnel and programs to assist with quality assurance programs, clinical compliance, and rural support and development. It is imperative that orthopaedic trauma surgeons are well versed in the types of hospital support available and the costs associated with each support measure. With this understanding, a strong, sustainable physician-hospital relationship can be created. PMID:24918831

O?Mara, Timothy J; Hill, Austin D; Althausen, Peter L

2014-07-01

337

Hospital diversification.  

PubMed

Hospital diversification and its impact on the operating ratio are studied for 168 hospitals during the period from 1999 to 2004. Diversification and the operating ratio are modeled in a two-stage least squares (TSLS) framework as being jointly dependent. Institutional diversification is found to yield a better financial position, and the better operating ratio allows the institution the wherewithal to diversify. The impact of external government planning and hospital competition are also measured. An institution lifecycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification and divestiture, occasionally leading to closure or merger. Management's attitude concerning risk and reward is considered. PMID:18972998

Eastaugh, Steven R

2005-01-01

338

Patterns of within and between-colony microsatellite variation in the endangered Vancouver Island marmot ( Marmota vancouverensis ): implications for conservation  

Microsoft Academic Search

Among the 14 extant species of the genus Marmota the Vancouver Island marmot (Marmota vancouverensis) is the most endangered. In 2007 as few as 85 individuals were left in the wild, with an additional 162 individuals maintained\\u000a in captivity. To facilitate genetic monitoring of both wild and captive populations, polymorphic genetic markers were identified.\\u000a Thirty-three different microsatellite loci were tested

Luise Kruckenhauser; Andrew A. Bryant; Suzanne C. Griffin; Stephen J. Amish; Wilhelm Pinsker

2009-01-01

339

Lifelines and Earthquake Hazards Along the Interstate 5 Urban Corridor: Cottage Grove, Oregon, to Vancouver, B.C.  

NASA Astrophysics Data System (ADS)

A new map series provides basic graphical representations of lifeline systems in relation to earthquake hazards along the economic and residential artery of the Pacific Northwest: the I-5 corridor from Cottage Grove, Oregon, to Vancouver, B.C. The lifeline systems that support the communities as well as local and regional commerce form a complex web of highways, railroads, pipelines, electrical power facilities, and ports, that cross areas of varying levels of earthquake hazards. This web depends on many components working together to make a functional system. Failure of one critical system component due to a large earthquake or other natural disaster can disable the system. Earthquakes tend to affect many systems at once, and the failure of one system, such as a highway, can impede the recovery of another system, such as an electrical power line. Therefore, understanding the geographical relationships between the lifeline systems, local communities, and earthquake hazards is an important element in the process of not only determining recovery priorities and strategies after an earthquake, but also for future planning purposes. The lifeline maps have a shaded-relief topographic background with integrated regional geology categorized as ground relatively susceptible or not susceptible to ground amplification, liquefaction and/or landslides in the event of an earthquake. The maps also show recent and historically important earthquakes estimated to be greater than magnitude 5. Lifeline systems superimposed on the geologic base are: major electrical transmission lines, water supply pipelines, major sewer pipelines and treatment plants, liquid fuel pipelines, natural gas pipelines, and major ports and airports. Map data are generalized in order to suit the needs of map users, ranging from the specialist to non-specialist. Accordingly, the maps do not provide site-specific information. The map presentation stresses the system nature of lifelines, as opposed to highlighting individual key structures and is meant to serve as an initial step in understanding the complex nature of lifeline systems. The four maps in this series are produced by the collective efforts of the authors and lifeline map users from local, state, and federal agencies, and private lifeline companies in the I-5 Urban Corridor of the Pacific Northwest.

Barnett, E. A.; Weaver, C. S.; Haugerud, R. A.; Ballantyne, D. B.; Wang, Y.; Wang, Z.; Madin, I. P.; Wells, R. E.; Darienzo, M.; Meagher, K. L.

2002-12-01

340

21 CFR 880.5120 - Manual adjustable hospital bed.  

...ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices ...general requirements concerning records, and § 820.198, with...

2014-04-01

341

JOURNAL OF EXPERIMENTAL PSYCHOLOGY: GENERAL 2000, Vol. 129, No. 4, 481-507  

E-print Network

JOURNAL OF EXPERIMENTAL PSYCHOLOGY: GENERAL 2000, Vol. 129, No. 4, 481-507 481 Competition, Department of Psychology, Vancouver, BC, Canada.; Ronald A. Rensink, Nissan Research & Development, Inc to either Vincent DiLollo or James T. Enns, Department of Psychology, University of British Columbia, 2136

Rensink, Ronald A.

342

Clinical activity of ipilimumab for metastatic uveal melanoma: a retrospective review of the Dana-Farber Cancer Institute, Massachusetts General Hospital, Memorial Sloan-Kettering Cancer Center and University Hospital of Lausanne experience  

PubMed Central

Background Uveal melanoma exhibits a high incidence of metastases and no systemic therapy clearly improves outcomes. The anti-CTLA-4 antibody ipilimumab is a standard of care for metastatic melanoma; however, the clinical activity of CTLA-4 inhibition in patients with metastatic uveal melanoma is poorly defined. Methods To assess ipilimumab in this setting, we performed a multicenter, retrospective analysis of four hospitals in the United States and Europe. Clinical characteristics, toxicities and radiographic disease burden as determined by central, blinded radiology review were determined. Results Thirty-nine patients were identified (34 treated with 3 mg/kg and 5 treated with 10 mg/kg). Using the immune-related response criteria and modified WHO criteria, response rate (RR) and combined response plus stable disease (SD) rate were assessed after 12 weeks, 23 weeks and total (median follow-up 50.4 weeks (12.6 months)). At week 12, the RR and response plus SD rate were 2.6% and 46.0%, at week 23: 2.6% and 28.2%. There was one complete response and one late partial response (at 100 weeks after initial SD) for irRR of 5.1%. Immune-related adverse events (irAE) were observed in 28 (71.8%) patients, with seven (17.9%) grade 3-4 events. irAEs were more frequent in patients receiving 10 mg/kg versus 3 mg/kg. The median overall survival from first dose of ipilimumab was 9.6 months (confidence interval 6.3-13.4 months, range: 1.6-41.6 months). Performance status, LDH and absolute lymphocyte count ?1000 cells/?L at week 7 were significantly associated with survival. Conclusions In uveal melanoma, durable responses to ipilimumab and manageable toxicity were observed. PMID:23913718

Luke, Jason J.; Callahan, Margaret K.; Postow, Michael A.; Romano, Emanuela; Ramaiya, Nikhil; Bluth, Mark; Giobbie-Hurder, Anita; Lawrence, Donald P.; Ibrahim, Nageatte; Ott, Patrick A.; Flaherty, Keith T.; Sullivan, Ryan J.; Harding, James J.; D'Angelo, Sandra; Dickson, Mark; Schwartz, Gary K.; Chapman, Paul B.; Wolchok, Jedd D.; Hodi, F. Stephen; Carvajal, Richard D.

2014-01-01

343

[Success factors in hospital management].  

PubMed

The hospital environment of most Western countries is currently undergoing dramatic changes. Competition among hospitals is increasing, and economic issues have become decisive factors for the allocation of medical care. Hospitals therefore require management tools to respond to these changes adequately. The balanced scorecard is a method of enabling development and implementation of a business strategy that equally respects the financial requirements, the needs of the customers, process development, and organizational learning. This method was used to derive generally valid success factors for hospital management based on an analysis of an academic hospital in Switzerland. Strategic management, the focus of medical services, customer orientation, and integration of professional groups across the hospital value chain were identified as success factors for hospital management. PMID:10023551

Heberer, M

1998-12-01

344

Biological characterization of a whale-fall near Vancouver Island, British Columbia, Canada  

NASA Astrophysics Data System (ADS)

Video analysis of a whale-fall discovered in the northeast Pacific Ocean, off Vancouver Island at a depth of 1288 m during ROV diving operations has identified 26 taxa of deep-sea benthic organisms inhabiting the seafloor immediately surrounding remnants of the whale skeleton. A photo-mosaic derived from high-definition video provides a quantitative visual record of the present condition of the site, the species richness, and substrate preference. Only the skull and caudal vertebrae remains of this large whale skeleton are estimated to have been approximately 16.5 m in length. Most organisms identified near the whale-fall are common benthic deep-sea fauna, typical of this water depth and seafloor composition. Much of this species richness comes from sessile suspension feeding cnidarians attached to the numerous glacial dropstones found throughout the area rather than the presence of the whale skeleton. Seep and bone specialists are rare (4 taxa) and may be, in part, a remnant population from a sulphophilic stage of whale-fall decomposition. Evidence of past colonization by Osedax sp. is visible on the remaining bones and we conclude that rapid degradation of the missing bones has occurred at this site as has been observed at whale-falls off central California in Monterey Canyon.

Lundsten, Lonny; Paull, Charles K.; Schlining, Kyra L.; McGann, Mary; Ussler, William, III

2010-07-01

345

Preface: Proceedings of the Workshop on Mechanical Behavior of Glassy Materials (Vancouver, 21 23 July 2007)  

NASA Astrophysics Data System (ADS)

This special issue highlights some of the research topics presented at the workshop on Mechanical Behavior of Glassy Materials, which took place in Vancouver, Canada from 21-23 July 2007. The workshop was organized under the auspices of the Pacific Institute of Theoretical Physics (PITP) with support from the Pacific Institute of Mathematical Sciences (PIMS) and Simon Fraser University (SFU). During this three-day event, 23 invited lectures were presented to an international group of about 40 participants. The full conference program as well as an archive of all presentations can be found online at www.pitp.physics.ubc.ca/confs/glass07/ The aim of the workshop was to bring together theorists and experimentalists working on glassy systems, with mechanical properties as the unifying theme. The talks touched on many aspects of the glass problem, from theories of the glass transition and mode coupling approaches to glassy dynamics, to spin glasses, simulations and theories of amorphous plasticity, the universal origin of ageing and dynamical heterogeneity in glasses, and glassy phenomena in biological systems. The interplay of ideas from high- and low-temperature (quantum) regimes of glasses led to lively discussions that brought researchers in both communities to explore similarities and differences in their respective ideas and physical systems. Progress was made on several fronts, and we hope that everyone involved left with some new perspective on their particular corner of interest in a class of problems that continues to present many challenges.

Rottler, Joerg; Kennett, Malcolm; Stamp, Philip

2008-06-01

346

Late Quaternary dynamics of forest vegetation on northern Vancouver Island, British Columbia, Canada  

NASA Astrophysics Data System (ADS)

Pollen analysis of radiocarbon-dated lake sediment from northern Vancouver Island, southwest British Columbia reveals regional changes in forest vegetation over the last 12,200 14C yr (14,900 cal yr). Between at least 12,200 and 11,700 14C yr BP (14,900-13,930 cal yr BP), open woodlands were dominated by Pinus contorta, Alnus crispa, and various ferns. As P. contorta decreased in abundance, Alnus rubra and more shade-tolerant conifers (i.e., Picea and Tsuga mertensiana) increased. Increases in T. mertensiana, P. contorta, and A. crispa pollen accumulation rates (PARs) between 10,600 and 10,400 14C yr BP (11,660-11,480 cal yr BP) reflect a cool and moist climate during the Younger Dryas chronozone. Orbitally induced warming around 10,000 14C yr BP (11,090 cal yr BP) allowed the northward extension of Pseudotsuga menziesii, although Picea, Tsuga heterophylla, and A. rubra dominated early Holocene forests. By 7500 14C yr BP (8215 cal yr BP), shade-tolerant T. heterophylla was the dominant forest tree. Cupressaceae ( Thuja plicata and Chamaecyparis nootkatensis) was present by 7500 14C yr BP but reached its maximum after 3500 14C yr BP (3600 cal yr BP), when a cooler and wetter regional climate facilitated the development of temperate rainforest. The highest rates of vegetation change are associated with Lateglacial climate change and species with rapid growth rates and short life spans.

Lacourse, Terri

2005-01-01

347

Clay-mineral assemblages from late Quaternary deposits on Vancouver Island, southwestern British Columbia, Canada  

NASA Astrophysics Data System (ADS)

On Vancouver Island, the Dashwood Drift, Cowichan Head Formation, Quadra Sand, and Vashon Drift were deposited during late Pleistocene glacial and interstadial periods and show large variations in clay-mineral contents partly related to changing climatic conditions. Glacial deposits are characterized by iron-rich chlorite, illite (both well crystallized), and smectite with a morphology reflecting rapid derivation from volcanic rocks. The clay mineralogy of nonglacial deposits is more complex, and is marked by the presence of vermiculite, kaolinite, halloysite, and irregular mixed-layer minerals. Nonglacial clay minerals are poorly preserved and show a higher state of alteration due to pedogenesis. Large variations in nonglacial deposits compared to glacial deposits are also due to secondary factors such as selective sorting, soil and rock source variations, differences in sedimentary environment, and diagenesis. These secondary factors do not seem to obliterate significantly the climatic imprint on the clay minerals. These studies also permit the recognition of glacially reworked sediments, the determination of relationships between two units in the same section, and the establishment of the conditions of clay-mineral formation.

Blaise, Bertrand

1989-01-01

348

Self-management of pain among people who inject drugs in Vancouver  

PubMed Central

SUMMARY Aims To evaluate factors and methods associated with self-management of pain among people who inject drugs (IDUs) in Vancouver (Canada). Patients & methods This cross-sectional study used bivariate statistics and multivariate logistic regression to analyze self-reported responses among 483 IDUs reporting moderate-to-extreme pain in two prospective cohort studies from 1 December 2012 to 31 May 2013. Results Median age was 49.6 years (interquartile range: 43.9–54.6 years), 33.1% of IDUs were female and 97.5% reported self-management of pain. Variables independently and positively associated with self-managed pain included having been refused a prescription for pain medication (adjusted odds ratio: 7.83; 95% CI: 1.64–37.3) and having ever been homeless (adjusted odds ratio: 3.70; 95% CI: 1.00–13.7). Common methods of self-management of pain included injecting heroin (52.7%) and obtaining diverted prescription pain medication from the street (65.0%). Conclusion Self-management of pain was common among IDUs who reported moderate-to-extreme pain in this setting, particularly among those who had been refused a prescription for pain medication and those who had ever been homeless. These data highlight the challenges of adequate pain management among IDUs. PMID:24641341

Voon, Pauline; Callon, Cody; Nguyen, Paul; Dobrer, Sabina; Montaner, Julio; Wood, Evan; Kerr, Thomas

2014-01-01

349

Controlling Chaos: The Perceptions of Long-Term Crack Cocaine Users in Vancouver, British Columbia, Canada  

PubMed Central

People who smoke crack cocaine are described as chaotic and more likely to engage in risky sex, polysubstance use and contract infectious diseases. However, little is known about how individuals perceive smoking crack as compared to other forms of cocaine use, especially injection. We explored the lived experience of people who smoke crack cocaine. Six gender-specific focus groups (n = 31) of individuals who currently smoke crack in Vancouver, Canada, were conducted using a semi-structured interview guide. Focus groups were transcribed and analyzed by constant comparative methodology. We applied Rhodes' risk environment to the phenomenological understanding that individuals have regarding how crack has affected their lives. Subjects reported that smoking rather than injecting cocaine allows them to begin “controlling chaos” in their lives. Controlling chaos was self-defined using nontraditional measures such as the ability to maintain day-to-day commitments and housing stability. The phenomenological lens of smoking crack instead of injecting cocaine “to control chaos” contributes a novel perspective to our understanding of the crack-smoking population. This study examines narratives which add to prior reports of the association of crack smoking and increased chaos and suggests that, for some, inhaled crack may represent efforts towards self-directed harm reduction. PMID:24826370

Kuo, Margot; Bungay, Vicky; Buxton, Jane A.

2013-01-01

350

42 CFR 35.1 - Hospital and station rules.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Hospital and station rules. 35.1 Section...SERVICES MEDICAL CARE AND EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.1 Hospital and station rules. The officer in...

2011-10-01

351

3. MAIN HOSPITAL, VIEW OF EAST SIDE AND NORTHEAST CORNER. ...  

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

3. MAIN HOSPITAL, VIEW OF EAST SIDE AND NORTHEAST CORNER. - Presidio of San Francisco, Letterman General Hospital, Building No. 27, Letterman Hospital Complex, Edie Road, San Francisco, San Francisco County, CA

352

15. Photographic copy of historic photograph, Portsmouth Naval Hospital Building, ...  

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

15. Photographic copy of historic photograph, Portsmouth Naval Hospital Building, view of southeast elevation, 1901. (Portsmouth Naval Shipyard Museum, Portsmouth, VA) - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

353

8. Hospital Point, pier and boat house (now Visiting Officer's ...  

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

8. Hospital Point, pier and boat house (now Visiting Officer's Quarters), view to east - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

354

2. MAIN HOSPITAL, VIEW OF SURVIVING PORTION OF QUADRANGLE LOOKING ...  

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

2. MAIN HOSPITAL, VIEW OF SURVIVING PORTION OF QUADRANGLE LOOKING SOUTHEAST FROM EDIE STREET. - Presidio of San Francisco, Letterman General Hospital, Building No. 27, Letterman Hospital Complex, Edie Road, San Francisco, San Francisco County, CA

355

42 CFR 35.1 - Hospital and station rules.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Hospital and station rules. 35.1 Section...SERVICES MEDICAL CARE AND EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.1 Hospital and station rules. The officer in...

2010-10-01

356

6. Hospital Point, stairs at northwest bulkhead, view to north ...  

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

6. Hospital Point, stairs at northwest bulkhead, view to north - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

357

13. Photographic copy of historic photograph, Portsmouth Naval Hospital Building, ...  

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

13. Photographic copy of historic photograph, Portsmouth Naval Hospital Building, ca. 1875-1876. (Portsmouth Naval Shipyard Museum, Portsmouth, VA) - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

358

42 CFR 35.2 - Compliance with hospital rules.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false Compliance with hospital rules. 35.2 Section 35.2 ...SERVICES MEDICAL CARE AND EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.2 Compliance with hospital rules. All patients and...

2011-10-01

359

12. 1960 highrise hospital, front (south) facade, view to northwest ...  

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

12. 1960 high-rise hospital, front (south) facade, view to northwest - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

360

42 CFR 35.2 - Compliance with hospital rules.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 false Compliance with hospital rules. 35.2 Section 35.2 ...SERVICES MEDICAL CARE AND EXAMINATIONS HOSPITAL AND STATION MANAGEMENT General § 35.2 Compliance with hospital rules. All patients and...

2010-10-01

361

Hospital fundamentals.  

PubMed

Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols. PMID:24918827

Althausen, Peter L; Hill, Austin D; Mead, Lisa

2014-07-01

362

Predictors of early hospital readmission in HIV-infected patients with pneumonia  

Microsoft Academic Search

OBJECTIVE: Although hospitalization patterns have been studied, little is known about hospital readmission among HIV-infected patients\\u000a in the era of highly active antiretroviral therapy. We explored the risk factors for early readmission to a tertiary care\\u000a inner-city hospital among HIV-infected patients with pneumonia in Vancouver, Canada.\\u000a \\u000a \\u000a DESIGN: Case-control study.\\u000a \\u000a \\u000a \\u000a \\u000a SETTING: Tertiary care, university-affiliated, inner-city hospital.\\u000a \\u000a \\u000a \\u000a \\u000a PARTICIPANTS: All HIV-infected patients who

Anita Palepu; Huiying Sun; Laura Kuyper; Martin T. Schechter; Michael V. O’Shaughnessy; Aslam H. Anis

2003-01-01

363

Clinical experience and results of ESWL treatment for 3,093 urinary calculi with the Storz Modulith SL 20 lithotripter at the Singapore general hospital.  

PubMed

We study the outcome of 2,700 patients treated for 3,093 urinary calculi over a period of 60 months. All patients underwent Extracorporeal Shock Wave Lithotripsy (ESWL) treatment using the Storz Modulith SL20, predominantly on an outpatient basis (99.9% using intravenous pethidine for analgesia). The treatment outcome of 1,666 renal calculi and 1,427 ureteric calculi were analysed and stratified according to size and site. Follow-up status at 3 months was available for 91.8% of patients. For renal calculi, the overall success rate was 81% (re-treatment rate 29.7%). The majority of failures were stones larger than 2 cm and those situated in the lower pole of the renal calyces. The overall success rate for ureteric calculi is 85% with similar clearance rates throughout the ureter (re-treatment rate 22.8%). Failures were predominantly with stones larger than 2 cm. For the entire series, the morbidity rate requiring hospital admission was 2.9%, there was no mortality. The commonest cause for admission was for pain control (1.8%). To our knowledge, our experience with this lithotriptor is the largest to date. We have demonstrated that ESWL with Storz Modulith SL20 is safe, well tolerated and highly effective for the treatment of urolithiasis. PMID:12487741

Tan, Y M; Yip, S K; Chong, T W; Wong, M Y C; Cheng, C; Foo, K T

2002-01-01

364

Mexican hospitals.  

PubMed

In order to understand current medical and hospital care in Mexico, we need to know first their past and then compare that past to their present situation. We can attempt to glimpse into what their future should be. The evolution of Mexican health services from the time of the Spanish Conquest until the the post-revolutionary period involved the creation of hospitals for both the poor and the rich. This continues to be the present goal. Public and private medical institutions evolved in part along with the legal reforms that were enacted through the passage of the Reform Laws in 1937. The Public Assistance Secretariat was established, which was dedicated to assist hospitals, nurseries, asylums and orphanages. In 1943, this Public Assistance Secretariat joined with the Public Health Department, forming what today is the actual Secretary of Health. The formation of private social health care for major medical needs together with governmental Social Security Health Care brought about a radical improvement in medical and hospital care; however, it is insufficient, overpopulated and outdated. It will be necessary during the coming decades that other alternatives to the models of hospitals and medical care that exist today in Mexico be enacted. The present models have not been able to satisfy the medical and hospital demands for present-day needs of the population. PMID:20433794

Loyo-Varela, Mauro; Díaz-Chazaro, Horacio

2009-01-01

365

Hospital-acquired pneumonia (image)  

MedlinePLUS

Pneumonia acquired in the hospital is a very serious infection because the patient's defense mechanisms are often impaired by illness, and the infecting organisms are more dangerous than the ones generally encountered in the community.

366

Blood lead levels in children aged 24 to 36 months in Vancouver.  

PubMed Central

OBJECTIVES: To determine the blood lead levels in children and to identify risk factors for elevated levels. DESIGN: Cross-sectional study. SETTING: Vancouver. PARTICIPANTS: Random sample of children aged 24 to 36 months, born and still resident in Vancouver. The sample was stratified proportionally by the median annual family income in the census tract where each family resided. OUTCOME MEASURES: Blood lead levels and risk factors for elevated blood lead levels, determined from a questionnaire administered to parents. RESULTS: Of the children in the sample, 42% (178/422) were ineligible or could not be located. Of the remaining children, 73% (177/244) participated and adequate blood specimens were obtained from 172. The mean blood lead level was 0.29 mumol/L (standard deviation 0.13 mumol/L). (A blood lead level of 1 mumol/L is equivalent to 20.7 micrograms/dL.) The lowest level was 0.06 mumol/L, and the highest was 0.85 mumol/L. Of children with adequate samples, 8.1% (14/172) had blood lead levels of 0.48 mumol/L or higher, and 0.6% (1/172) had a level higher than 0.72 mumol/L. The logarithms of the levels were normally distributed, with a geometric mean (GM) of 0.26 mumol/L (geometric standard deviation 1.56). Of approximately 70 possible predictors of blood lead levels analysed, those that showed a statistically significant association (p < 0.05) with increased blood lead levels were soldering performed in the home as part of an electronics hobby (GM blood lead level 0.34 mumol/L, 95% confidence interval [CI] 0.27 to 0.39 mumol/L), aboriginal heritage (GM blood lead level 0.33 mumol/L, 95% CI 0.28 to 0.39 mumol/L), dwelling built before 1921 (GM blood lead level 0.32 mumol/L, 95% CI 0.28 to 0.37 mumol/L), age of water service connection to dwelling (predicted blood lead level 0.00087 mumol/L [95% CI 0.00005 to 0.00169 mumol/L] higher per year since service connection) and decreased stature (predicted blood lead level 0.018 mumol/L [95% CI 0.0353 to 0.0015 mumol/L] higher for every standard deviation below the age-specific mean height). CONCLUSIONS: This study found much lower blood lead levels in children than those found in previous Canadian studies. The authors believe that this result is not an artefact due to differences in population sampling or methods of collection of blood specimens. The study showed no clear risk factors for elevated blood lead levels: although a few factors had a statistically significant association with increased blood lead levels, the differences in levels were small and unimportant. PMID:7712420

Jin, A; Hertzman, C; Peck, S H; Lockitch, G

1995-01-01

367

Diabetic Peripheral Neuropathy in Ambulatory Patients with Type 2 Diabetes in a General Hospital in a Middle Income Country: A Cross-Sectional Study  

PubMed Central

Aim We aimed to estimate the morbidity rate and associated factors for diabetic peripheral neuropathy (DPN) in a low-middle income country setting. Methods Cross-sectional study, data was gathered at Peru's Ministry of Health national specialized hospital for endocrinological conditions through standardized interviews, anthropometric measurements and blood tests for glycated haemoglobin (HbA1c). DPN was evaluated using two techniques: the Semmes-Weinstein monofilament test and the diabetic neuropathy symptom score. Overall prevalence and 95% confidence intervals (95% CI) were calculated. Potential factors related to DPN explored included body mass index, years with disease (<10 vs. ?10 years), glycaemic control (HbA1c <7% vs. ?7%), microalbuminuria, retinopathy, and current pharmacological treatment. Multivariable analysis was performed using Poisson analysis to calculate prevalence ratios. Results DPN was observed in 73/129 (56.6%) patients. In multivariable analysis adjusted by age and sex, the prevalence ratio of neuropathy was 1.4 times higher (95% CI 1.07–1.88) in patients who took insulin plus metformin compared to patients who used one treatment alone, and 1.4 higher (95% CI 1.02–1.93) in patients with ?10 years of disease compared to those with a shorter duration of disease. Also we found some characteristics in foot evaluation associated to neuropathy such as deformities (p<0.001), onychomycosis (p?=?0.012), abnormal Achilles reflex (p<0.001), pain perception (p<0.001) and vibration perception (p<0.001). Conclusion DPN is highly frequent among patients with diabetes in a national specialized facility from Peru. Associated factors to DPN included being a diabetic patient for over ten years, and receiving insulin plus metformin PMID:24789071

Lazo, Maria de los Angeles; Bernabe-Ortiz, Antonio; Pinto, Miguel E.; Ticse, Ray; Malaga, German; Sacksteder, Katherine; Miranda, J. Jaime; Gilman, Robert H.

2014-01-01

368

Mid-Mountain Clouds at Whistler During the Vancouver 2010 Winter Olympics and Paralympics  

NASA Astrophysics Data System (ADS)

A comprehensive study of mid-mountain clouds and their impacts on the Vancouver 2010 Winter Olympics and Paralympics is presented. Mid-mountain clouds were frequently present on the Whistler alpine venue, as identified in an extensive archive of webcam images over a 45-day period from February 5 to March 21, 2010. These clouds posed serious forecast challenges and had significant impacts on some Olympic and Paralympic alpine skiing competitions. Under fair weather conditions, a diurnal upslope (anabatic) flow can work in concert with a diurnal temperature inversion aloft to produce a localized phenomenon known as "Harvey's Cloud" at Whistler. Two detailed case studies in this paper suggest that mid-mountain clouds can also develop in the area as a result of a moist valley flow interacting with a downslope flow descending from the mountaintop. A southerly inflow through the Sea-to-Sky corridor can be channeled by the local topography into a westerly upslope flow toward Whistler Mountain, resulting in orographic clouds on the alpine venue. Under favorable circumstances, these clouds are trapped to the mid-mountain zone by the leeward subsidence of an elevated southerly flow. The presence of the downslope subsidence was manifested by a distinguished dry layer observed on the top of the mid-mountain clouds in both cases. It is the subsidence-induced adiabatic warming that imposes a strong buoyant suppression to trap the mid-mountain cloud. On the other hand, the subsidence-induced dry layer has the potential to trigger evaporative instability to periodically breakup the mid-mountain cloud.

Mo, Ruping; Joe, Paul; Isaac, George A.; Gultepe, Ismail; Rasmussen, Roy; Milbrandt, Jason; McTaggart-Cowan, Ron; Mailhot, Jocelyn; Brugman, Melinda; Smith, Trevor; Scott, Bill

2014-01-01

369

Atmospheric forcing of tsunami-like waves along the coast of Vancouver Island, British Columbia  

NASA Astrophysics Data System (ADS)

A unique set of high-resolution atmospheric and oceanic data is being used to study atmospheric forcing of tsunami-like long-period ocean surface oscillations off southern Vancouver Island, British Columbia, Canada. In this study, the pronounced events of 13 July 2007 and 17 October 2009 are examined using a network of 6 tide gauges and 40 high-resolution meteorological stations, all with sampling intervals of 1 min, spanning an area of 50 ×70 km2.. Atmospheric pressure fluctuations with amplitudes of up to 3 hPa over a 1 minute period are identified as the main forcing mechanism for the observed extreme ocean motions. Atmospheric pressure oscillations capable of generating strong sea level oscillations are found to propagate northward with a speed equal to the speed of long ocean waves in water depths of 40 to 90 m (20 to 30 m/s). The forcing region is limited to 10 to 30 km in the direction of wave propagation and to 25 to 100 km in the direction normal to the direction of propagation. The high correlation between the wind and air pressure fluctuations during the event, combined with the non-dispersive nature of the atmospheric pressure oscillations and the fact that the atmospheric pressure variations propagated for several wavelengths without losing strength, all indicate that the observed air pressure oscillations were trapped atmospheric gravity waves. An analysis of atmospheric vertical profiles supports the thesis that conditions were favorable for wave trapping during both events. The main physical properties of the atmospheric waves and their dispersion characteristics are computed from vertical profiles of air temperature and wind velocity. Good agreement with observations is achieved.

Fine, I.; Sepic, J.; Thomson, R.; Rabinovich, A.

2012-12-01

370

EFFECTS OF POLICE CONFISCATION OF ILLICIT DRUGS AND SYRINGES AMONG INJECTION DRUG USERS IN VANCOUVER  

PubMed Central

Background Drug market policing has been associated with various harms among injection drug users (IDU). However, little is known about instances in which drugs and injecting equipment are confiscated from IDU in the absence of a formal arrest. Methods We examined factors associated with being stopped, searched, or detained by police among participants in the Vancouver Injection Drug Users Study (VIDUS) using logistic regression. We also examined actions taken by study participants immediately following instances in which drugs or syringes were confiscated by police. Results Among 465 active IDU, 130 (28.0%) reported being detained by police in the last six months without being arrested. In multivariate logistic regression analysis, factors associated with being stopped, searched or detained by police included homelessness (Adjusted Odds Ratio [AOR] = 3.96, 95%CI: 1.86 – 8.45), recent incarceration (AOR = 3.52, 95% CI: 1.75 – 7.10), frequent crack use (AOR = 2.24, 95% CI: 1.34 – 3.74), requiring help injecting (AOR = 5.20, 95% CI: 1.21 – 22.39), and lending syringes (AOR = 3.18, 95% CI: 1.09 – 9.30). Of those who reported being detained, 34% participants reported having had drugs confiscated, and 70% of these reported that they immediately acquired more drugs. 51% of participants who reported being detained also reported having had syringes confiscated, and of this group, 6% reported immediately borrowing used syringes. Conclusions Our study demonstrates that the IDU most affected by street-level policing tend to possess various characteristics, such as homeless, that place them at heightened risk for various adverse health outcomes. Our findings also suggest that the confiscation of drugs and/or needles and syringes through discretionary policing practices have potential to exacerbate drug market activity or prompt increased syringe borrowing. These findings indicate the need for ongoing evaluation of the public health impacts of discretionary policing approaches. PMID:17900888

Werb, Daniel; Wood, Evan; Small, Will; Strathdee, Steffanie; Li, Kathy; Montaner, Julio; Kerr, Thomas

2008-01-01

371

Cascadiacarpa spinosa gen. et sp. nov. (Fagaceae): castaneoid fruits from the Eocene of Vancouver Island, Canada.  

PubMed

Documenting the paleodiversity of well-studied angiosperm families serves to broaden their circumscription while also providing a time-specific reference point to mark the first occurrence of characters and appearance of lineages. More than 80 anatomically preserved specimens of spiny, cupulate fruits in various developmental stages have been studied from the Eocene Appian Way locality of Vancouver Island, British Columbia, Canada. Details of internal anatomy and external morphology are known for the cupules, fruits, and pedicels. Cupule spines branch and are often borne in clusters. Cupules lack clear sutures and are adnate to a single nut that is enclosed entirely with the exception of the apical stylar protrusion of the pistil. A central hollow cylinder of vascular tissue can be seen extending up the peduncle to the base of the fruit and along the inner wall of the cupule. The fruit has a sclerotic outer pericarp that grades into a parenchymatous mesocarp and a sclerotic endocarp lining the locules. Early in development, the two locules are divided by a thin septum to which the ovules are attached. Only one seed develops to maturity as evidenced by an embryo occupying the locule alongside an abortive apical ovule. Three-dimensional reconstructions of these fruits have allowed for comparisons to both extinct and extant fagaceous taxa. The Appian Way fruits are most similar to extant Castanopsis species (Fagaceae) but differ in having only two locules. Cascadiacarpa spinosa gen. et sp. nov. Mindell, Stockey et Beard is the first occurence of a bipartite gynoecium and earliest known occurrence of hypogeous fruits in Fagaceae. The appearance of Casacadiacarpa in the Eocene of British Columbia supports a Paleogene radiation of the family. The numerous derived characters of these fruits show that evalvate, spiny, single-fruited cupules of Fagaceae were present in the Paleogene of North America. PMID:21636406

Mindell, Randal A; Stockey, Ruth A; Beard, Graham

2007-03-01

372

Hospitality Menu Royal Infirmary of Edinburgh Hospital  

E-print Network

Hospitality Menu ­ Royal Infirmary of Edinburgh Hospital Version 4 Updated March 2013 BOOKING PROCEDURE CONTACT DETAILS When requesting hospitality from the catering department any written, faxed for conference/meeting support. Hospitality Office 0131 242 7051 / 7052 Hospitality e-mail rie.hospitality

Maizels, Rick

373

Evolutionary acceleration in the most endangered mammal of Canada: speciation and divergence in the Vancouver Island marmot (Rodentia, Sciuridae).  

PubMed

The Vancouver Island marmot is the most endangered mammal of Canada. Factors which have brought this population to the verge of extinction have not yet been fully elucidated, but the effects of deforestation and habitat fragmentation on survival rates, as well as those of variation in rainfall, temperature, snowpack depth and snowmelt strongly suggest that marmots on the island are struggling to keep pace with environmental changes. Genetic analyses, however, seem to indicate that the Vancouver Island marmot may merely represent a melanistic population of its parental species on the mainland. Were it not for its black pelage colour, it is unlikely that it would have attracted much attention as a conservation priority. Our study uses three-dimensional coordinates of cranial landmarks to further assess phenotypic differentiation of the Vancouver Island marmot. A pattern of strong interspecific divergence and low intraspecific variation was found which is consistent with aspects of drift-driven models of speciation. However, the magnitude of shape differences relative to the putatively neutral substitutions in synonymous sites of cytochrome b is too large for being compatible with a simple neutral model. A combination of bottlenecks and selective pressures due to natural and human-induced changes in the environment may offer a parsimonious explanation for the large phenotypic differentiation observed in the species. Our study exemplifies the usefulness of a multidisciplinary approach to the study of biological diversity for a better understanding of evolutionary models and to discover aspects of diversity that may be undetected by using only a few genetic markers to characterize population divergence and uniqueness. PMID:17714301

Cardini, A; Thorington, R W; Polly, P D

2007-09-01

374

Late-Quaternary paleovegetation, paleoclimate and fire disturbance records from subalpine sites on Vancouver Island, British Columbia, Canada  

NASA Astrophysics Data System (ADS)

Analyses of pollen, macrofossils and charcoal from subalpine lakes provide insight into past climatic changes as well as local factors affecting the sites, especially since steep precipitation and temperature gradients typify mountainous regions. Lake and bog cores collected from three sites on southern and central Vancouver Island (Porphyry and Walker lakes and Harris Lake Ridge Bog) were analysed for pollen, macrofossils and charcoal and the resulting data were used to reveal post-glacial changes in vegetation, climate and fire disturbance. The paleovegetation, paleoclimate, and fire disturbance records from Porphyry and Walker Lakes parallel those from low elevations during the post-glacial interval, suggesting that these sites responded strongly to regional forcing and were somewhat less sensitive to local forcing. Of notable interest is the upward migration of lowland taxa to these lakes during the warm dry early-Holocene. A change to cooler and moister conditions in the mid- and late-Holocene is subsequently characterised by downslope movement of species ranges and the establishment of modern subalpine communities. In contrast, Harris Lake Ridge Bog from central Vancouver Island has a more complicated history that exhibits strong local and regional influences. This site is less similar to lowland records despite a relatively similar ecotonal position as the other two sites. In the early-Holocene upslope movement of low elevation species is less obvious than at Porphyry and Walker lakes. In the mid- and late-Holocene forest composition changed around Harris Lake Ridge Bog as conditions cooled and moistened and taxa better suited to nutrient poor soils, such as Tsuga mertensiana and T. heterophylla expanded. At the same time, there is evidence to suggest that local switches between forest and heather communities were initiated by fire. Consequently, records from subalpine wetlands may provide more potential for detailed reconstruction of local in-stand vegetation dynamics than those from lakes. Studies from subalpine sites have application in forestry management, wildlife conservation, and archaeological reconstruction. For example, on Vancouver Island, the Vancouver Island marmot (Marmota vancouverensis) is near extinction and conservation of the species can benefit from understanding habitat dynamic at high elevations.

Fitton, R. J.; Brown, K. J.; Hebda, R. J.

2003-04-01

375

Aerial Measurement of Radioxenon Concentration off the West Coast of Vancouver Island following the Fukushima Reactor Accident  

E-print Network

In response to the Fukushima nuclear reactor accident, on March 20th, 2011, Natural Resources Canada conducted aerial radiation surveys over water just off of the west coast of Vancouver Island. Dose-rate levels were found to be consistent with background radiation, however a clear signal due to Xe-133 was observed. Methods to extract Xe-133 count rates from the measured spectra, and to determine the corresponding Xe-133 volumetric concentration, were developed. The measurements indicate that Xe-133 concentrations on average lie in the range of 30 to 70 Bq/m3.

Sinclair, L E; Fortin, R; Carson, J M; Saull, P R B; Coyle, M J; Van Brabant, R A; Buckle, J L; Desjardins, S M; Hall, R M

2011-01-01

376

Aerial Measurement of Radioxenon Concentration off the West Coast of Vancouver Island following the Fukushima Reactor Accident  

E-print Network

In response to the Fukushima nuclear reactor accident, on March 20th, 2011, Natural Resources Canada conducted aerial radiation surveys over water just off of the west coast of Vancouver Island. Dose-rate levels were found to be consistent with background radiation, however a clear signal due to Xe-133 was observed. Methods to extract Xe-133 count rates from the measured spectra, and to determine the corresponding Xe-133 volumetric concentration, were developed. The measurements indicate that Xe-133 concentrations on average lie in the range of 30 to 70 Bq/m3.

L. E. Sinclair; H. C. J. Seywerd; R. Fortin; J. M. Carson; P. R. B. Saull; M. J. Coyle; R. A. Van Brabant; J. L. Buckle; S. M. Desjardins; R. M. Hall

2011-06-20

377

Tectonic setting of the Portland-Vancouver area, Oregon and Washington: constraints from low-altitude aeromagnetic data  

USGS Publications Warehouse

Seismic activity in the Portland-Vancouver metropolitan area may be associated with various mapped faults that locally offset volcanic basement of Eocene age and younger. This volcanic basement is concealed in most places by young deposits, vegetation, and urban development. The US Geological Survey conducted an aeromagnetic survey in September 1992 to investigate the extent of these mapped faults and possibly to help identify other seismic and volcanic hazards in the area. The survey was flown approximately 240 m above terrain, along flight lines spaced 460 m apart, and over an area about 50 ?? 50 km. -from Authors

Blakely, R.J.; Wells, R.E.; Yelin, T.S.; Madin, I.P.; Beeson, M.H.

1995-01-01

378

Vancouver is the most commonly used style in medical publications. The style is numerical, meaning that the references are numbered in the order in which they appear in the  

E-print Network

Vancouver Vancouver is the most commonly used style in medical publications. The style is numerical in journals Books Books with an editor Chapters in books PhD and Master's theses Web pages Government journal's guidelines for authors. Articles in journals Cite the article in the format that you have used

Johansen, Tom Henning

379

21 CFR 880.5100 - AC-powered adjustable hospital bed.  

Code of Federal Regulations, 2010 CFR

...2010-04-01 false AC-powered adjustable hospital bed. 880.5100 Section 880.5100 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2010-04-01

380

21 CFR 880.5100 - AC-powered adjustable hospital bed.  

Code of Federal Regulations, 2011 CFR

...2011-04-01 false AC-powered adjustable hospital bed. 880.5100 Section 880.5100 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2011-04-01

381

21 CFR 880.5100 - AC-powered adjustable hospital bed.  

...2014-04-01 false AC-powered adjustable hospital bed. 880.5100 Section 880.5100 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2014-04-01

382

21 CFR 880.5100 - AC-powered adjustable hospital bed.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 false AC-powered adjustable hospital bed. 880.5100 Section 880.5100 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2013-04-01

383

21 CFR 880.5100 - AC-powered adjustable hospital bed.  

Code of Federal Regulations, 2012 CFR

...2012-04-01 false AC-powered adjustable hospital bed. 880.5100 Section 880.5100 ...CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices §...

2012-04-01

384

Radioelectric brain stimulation in the treatment of generalized anxiety disorder with comorbid major depression in a psychiatric hospital: a pilot study  

PubMed Central

Background: Generalized anxiety disorder (GAD) is often presented with major depression (MD). GAD-MD can be a chronic and disabling condition, and patients suffering from this disorder often respond poorly to psychopharmacological treatment and experience side effects with medication. Therefore, there is a high demand for effective nonpharmacological therapy for GAD-MD patients. The current study explores the use of a radioelectric asymmetric conveyer (REAC) device in the treatment of GAD-MD. Methods: Participants were 24 patients diagnosed with GAD-MD being treated at a public psychiatric center. All patients were dissatisfied with their current pharmacological treatment. Patients were evaluated using the 21-item Hamilton Depression (HAM-D) rating scale and the Symptom Check List-90-Revised (SCL-90R) before and after REAC brain stimulation treatment cycles. Results: After REAC brain stimulation treatment, all patients experienced a significant reduction in anxiety and depression. These results were confirmed by physician examination, HAM-D scores, and SCL-90R total scores. Conclusion: These results indicate a role for REAC brain stimulation in the management of psychiatric conditions, specifically, GAD-MD comorbidity. REAC treatments are synergistic to drug therapy and appear to be helpful in reducing the side effects of medication. Future studies should evaluate the long-term effects of REAC treatment. PMID:21857785

Olivieri, Elisabetta Bourget; Vecchiato, Caterina; Ignaccolo, Nunziatina; Mannu, Piero; Castagna, Alessandro; Aravagli, Lucia; Fontani, Vania; Rinaldi, Salvatore

2011-01-01

385

Academic Hospitality  

ERIC Educational Resources Information Center

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

Phipps, Alison; Barnett, Ronald

2007-01-01

386

Amazing grace: Vancouver's supervised injection facility granted six-month lease on life  

PubMed Central

Addiction should be a matter, primarily, for the Chief of Medicine rather than the Chief of Police. While internationally renowned for its social kindness, Canada has not been without its share of disgraceful political mistakes in the not too distant past. Regrettably, there are many shameful events in Canada that have unfolded in the name of public policy including the banishment without medical treatment of Chinese Canadians living with leprosy to die on D'Arcy and Bentinck Islands in British Columbia while European Canadians stricken similarly enjoyed healthcare on the mainland as well as the eternally haunting treatment of people of aboriginal ancestry who were without full voting privileges in some parts of Canada until 1965 and abandoned to encampments, reserves, that paralleled South African apartheid. In due course, these public policies have come to be understood as horrific in retrospect. Many have all met with a remorseful fate where a future Prime Minister is held to public account for the sad excesses of an earlier generation. With respect to North America's only supervised injection facility (SIF), a medical program aimed at reducing fatal overdoses and infections (HIV, HCV) in injection drug users, Canada's Prime Minister Stephen Harper holds the ability to forestall a similarly heartrending fate in his political hands. The SIF currently has a temporary exemption from Canada's "Controlled Drugs and Substances Act" in order to operate until June of 2008. As such, the fate of the SIF is politically determined each time behind closed doors by the Prime Minister and his ministers. Sadly, the Prime Minister appears lost at present, content to ignore the scientific and medical evidence on the matter of population health. In light of the vast medical evidence accumulated on Vancouver's SIF, the fate of injection facilities needs to be taken out of the political realm entirely. I am hoping that the Prime Minister will be found, see the light of the scientific evidence, and lead the way towards to provision of a permanent medical exemption for injection facilities from Canada's Controlled Drugs and Substances Act (CDSA). In so doing, the Prime Minister would be on the brink of grace and would rescue a life saving health program from perpetual political interference. PMID:18218101

Small, Dan

2008-01-01

387

A 3D, finite element model for baroclinic circulation on the Vancouver Island continental shelf  

USGS Publications Warehouse

This paper describes the development and application of a 3-dimensional model of the barotropic and baroclinic circulation on the continental shelf west of Vancouver Island, Canada. A previous study with a 2D barotropic model and field data revealed that several tidal constituents have a significant baroclinic component (the K1 in particular). Thus we embarked on another study with a 3D model to study the baroclinic effects on the residual and several selected tidal constituents. The 3D model uses a harmonic expansion in time and a finite element discretization in space. All nonlinear terms are retained, including quadratic bottom stress, advection and wave transport (continuity nonlinearity). The equations are solved as a global and a local problem, where the global problem is the solution of the wave equation formulation of the shallow water equations, and the local problem is the solution of the momentum equation for the vertical velocity profile. These equations are coupled to the advection-diffusion equation for density so that density gradient forcing is included in the momentum equations. However, the study presented here describes diagnostic calculations for the baroclinic residual circulation only. The model is sufficiently efficient that it encourages sensitivity testing with a large number of model runs. In this sense, the model is akin to an extension of analytical solutions to the domain of irregular geometry and bottom topography where this parameter space can be explored in some detail. In particular, the consequences of the sigma coordinate system used by the model are explored. Test cases using an idealized representation of the continental shelf, shelf break and shelf slope, lead to an estimation of the velocity errors caused by interpolation errors inherent in the sigma coordinate system. On the basis of these estimates, the computational grid used in the 2D model is found to have inadequate resolution. Thus a new grid is generated with increased accuracy in the region of the shelf break. However, even with increased resolution, spurious baroclinic circulation seaward of the shelf break and in the vicinity of Juan de Fuca canyon remained a significant problem when the pressure gradient terms were evaluated using the ?? coordinate system and using a realistic density profile. With the new grid, diagnostic calculations of the barotropic and baroclinic residual circulation are performed using forcing from the observed ??t (density) field and from the gradient of this field. ?? 1992.

Walters, R. A.; Foreman, M. G. G.

1992-01-01

388

Quantifying non-indigenous species in accumulated ballast slurry residuals (swish) arriving at Vancouver, British Columbia  

NASA Astrophysics Data System (ADS)

Ballast tank “swish” samples were collected from ships following their arrival at Vancouver (British Columbia, Canada) after undergoing either a trans-oceanic or a Pacific-coastal voyage. The ballast swish consisted of a residual slurry mixture of sediment and water that remained trapped in ballast tanks following water discharge at port. The ballast tanks of 27 ships were sampled and ballast swish was found on 19 of the 27 ships. These ships were categorized according to ballast water management type: (1) Trans-oceanic = 7 trans-oceanic ships undergoing ballast water exchange (BWE) > 200 nm from shore; (2) Coastal-exchange = 7 Pacific-coastal ships traveling from ports south of Cape Blanco, Oregon undergoing coastal exchange > 50 nm from shore south of Cape Blanco; and (3) Coastal-no-exchange = 5 Pacific-coastal ships traveling from ports north of Cape Blanco, Oregon, without undergoing BWE. Invertebrate abundance and taxa richness were directly correlated with ballast-swish turbidity suggesting that highly-productive coastal source waters and ballast tank retention processes contributed to this trend. In turn, invertebrate taxa diversity increased with increasing invertebrate abundance. A Principal Component Analysis of the trans-oceanic data revealed that length of voyage showed a strong inverse relationship with invertebrate abundance for this category. Within the coastal-exchange voyage category, voyage length and ballast water age tended to be of the same magnitude and were directly correlated with both crustacean and nematode taxa. Finally, the coastal-no-exchange PCA results revealed that voyage length and salinity were inversely related due to the high number of river ports located at the southern border of the regulatory BWE exemption zone. Coastal voyages not undergoing BWE and undertaking a direct river-to-river route should be considered risky for the introduction of non-indigenous species, if the source waters contain potentially invasive species. Non-indigenous species were found in all 3 vector pathways, with the highest number of propagules and survivability potential arising from the coastal-no-exchange zone. Ballast “swish” may act as a repository for ballast water organisms within ballast water tanks and may be retained in the tanks over several discharge cycles.

Sutherland, T. F.; Levings, C. D.

2013-08-01

389

Generalized anxiety disorder - self-care  

MedlinePLUS

... TA, Rosenbaum JF, Fava M, et al., eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry . 1st ed. Philadelphia, ... TA, Rosenbaum JF, Fava M, et al., eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry . 1st ed. Philadelphia, ...

390

Outdoor brothel culture: the un/making of a transsexual stroll in Vancouver's West End, 1975–1984.  

PubMed

In the mid-1970s, following a series of police raids on prostitution inside downtown nightclubs, a community of approximately 200 sex workers moved into Vancouver's West End neighborhood, where a small stroll had operated since the early 1970s. This paper examines the contributions made by three male-to-female (MTF) transsexuals of color to the culture of on-street prostitution in the West End. The trans women's stories address themes of fashion, working conditions, money, community formation, violence, and resistance to well-organized anti-prostitution forces. These recollections enable me to bridge and enrich trans history and prostitution history – two fields of inquiry that have under-represented the participation of trans women in the sex industry across the urban West. Acutely familiar with the hazards inherent in a criminalized, stigmatized trade, trans sex workers in the West End manufactured efficacious strategies of harm reduction, income generation, safety planning, and community building. Eschewing the label of “victim”, they leveraged their physical size and style, charisma, contempt towards pimps, earning capacity, and seniority as the first workers on the stroll to assume leadership within the broader constituency of “hookers on Davie Street”. I discover that their short-lived outdoor brothel culture offered only a temporary bulwark against the inevitability of eviction via legal injunction in July 1984, and the subsequent rise in lethal violence against all prostitutes in Vancouver, including MTF transsexuals. PMID:22611581

Ross, Becki

2012-01-01

391

A Content Analysis of Media Coverage of the Introduction of a Smoke-Free Bylaw in Vancouver Parks and Beaches  

PubMed Central

The Board of Parks and Recreation in Vancouver, BC approved a smoke-free bylaw in the city’s parks, beaches and recreational facilities, effective 1 September 2010. We analyzed local news coverage and portrayal of the bylaw to understand the potential influence of news media on public perception of the bylaw in order to inform the media advocacy work of public health interest groups. We compiled a data set of newspaper articles (n = 90) and conducted a quantitative content analysis to examine content related to the outdoor smoke-free policy, including article slant, topics related to smoking and tobacco control, and any equity-related concerns raised. Newspaper coverage in Vancouver was largely supportive of the outdoor smoke-free bylaw. However, concerns over rights were frequently discussed in letters to the editor. Such equity concerns were rarely discussed in news articles, showing a potential disconnect between the concerns expressed in the media by members of the public and the coverage provided by print media. PMID:24052134

Moshrefzadeh, Arezu; Rice, Wendy; Pederson, Ann; Okoli, Chizimuzo T. C.

2013-01-01

392

West Penn Hospital /Allegheny General Hospital Medical Education Consortium  

E-print Network

Responsibilities 34 Patient Care 35 Dress Code 35 Sign Out 35 Working Hours 36 Paging Policy 36 Email Policy 37 Teams 39 Medical Records 40 Death Certificates 40 Coroner's Cases 41 Sabbath Program 41 Resident EVALUATIONS Resident Evaluation 46 Faculty Evaluation 48 DIDACTICS 48 VACATION Sick Days 50 Maternity Leave 50

Juola, Patrick

393

Proceedings of the 36th annual conference of the Canadian Association for Information Science (CAIS), University of British Columbia, Vancouver, June 5-7, 2008  

E-print Network

and the diverse costs generated by its deployment within this particular project. Introduction Several experiences), University of British Columbia, Vancouver, June 5-7, 2008 1 Elements of methodology for designing of Troyes Abstract This paper presents the first elements of a methodology for designing Participative

Boyer, Edmond

394

A research into the attitudes of college students towards a career in the Pulp and Paper Industry in Metro Vancouver, Canada  

Microsoft Academic Search

It is important but difficult for the Pulp and Paper Industry (PPI) to attract college students in Canada including Metro Vancouver. This paper aims to find out the reasons for this difficulty, identify solutions and make recommendations to enhance the attractiveness of PPI to students, using Crosstabulation Analysis in SPSS software and other analytical methods. This paper introduces industry background,

Yang Liu; Harry Nelson

2011-01-01

395

This working paper is made available by the Fisheries Centre, University of British Columbia, Vancouver, BC, V6T 1Z4, Canada.  

E-print Network

Working Paper #2014 - 07 Fishing in Easter Island, a Recent History (1950-2010) La (2014) Fishing in Easter Island, a recent history (1950-2010). Fisheries Centre Working Paper #2014 - 07, Fisheries Centre, University of British Columbia, Vancouver. 19 p. #12;Fishing in Easter Island: recent

Pauly, Daniel

396

Verification of an ENSO-Based Long-Range Prediction of Anomalous Weather Conditions During the Vancouver 2010 Olympics and Paralympics  

NASA Astrophysics Data System (ADS)

A brief review of the anomalous weather conditions during the Vancouver 2010 Winter Olympic and Paralympic Games and the efforts to predict these anomalies based on some preceding El Niño-Southern Oscillation (ENSO) signals are presented. It is shown that the Olympic Games were held under extraordinarily warm conditions in February 2010, with monthly mean temperature anomalies of +2.2 °C in Vancouver and +2.8 °C in Whistler, ranking respectively as the highest and the second highest in the past 30 years (1981-2010). The warm conditions continued, but became less anomalous, in March 2010 for the Paralympic Games. While the precipitation amounts in the area remained near normal through this winter, the lack of snow due to warm conditions created numerous media headlines and practical problems for the alpine competitions. A statistical model was developed on the premise that February and March temperatures in the Vancouver area could be predicted using an ENSO signal with considerable lead time. This model successfully predicted the warmer-than-normal, lower-snowfall conditions for the Vancouver 2010 Winter Olympics and Paralympics.

Mo, Ruping; Joe, Paul I.; Doyle, Chris; Whitfield, Paul H.

2014-01-01

397

Welfare Checks, Drug Consumption, and Health: Evidence from Vancouver Injection Drug Users  

ERIC Educational Resources Information Center

This paper investigates the link between welfare payments and drug use among injection drug users. The authors find an increase in the likelihood of an overdose in the days following check arrival, and in the probability of leaving the hospital against medical advice (AMA) on check day. Using the check arrival date as an instrument, we estimate…

Riddell, Chris; Riddell, Rosemarie

2006-01-01

398

Hospital Size, Complexity, and Formalization  

PubMed Central

Data on 704 United States short-term general hospitals are sorted into a set of dependent variables indicative of organizational formalism and a number of independent variables separately measuring hospital size (number of beds) and various types of complexity commonly associated with size. A series of regressions are performed on the data to determine whether size alone has significant influence on formal organization. The findings are discussed in terms of the probable relation between hospital complexity and professionalization and the possible relation between professionalization and formal bureaucratic mechanisms in organization control. PMID:5508523

Starkweather, David B.

1970-01-01

399

Year 1 Year 2 Year 3 Year 4 Children's Hospital of  

E-print Network

Year 1 Year 2 Year 3 Year 4 July General Pediatric Children's Hospital of Michigan High Risk Obstetrics Hutzel Women's Hospital Biochemical Genetics Lab/Metabolic Clinic Harper Hospital/ Children's Hospital of Michigan Reproductive Genetics Hutzel Women's Hospital August General Pediatric Children

Finley Jr., Russell L.

400

14. Photographic copy of historic photograph, Portsmouth Naval Hospital Building, ...  

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

14. Photographic copy of historic photograph, Portsmouth Naval Hospital Building, view from Hospital Point, 23 March 1901. (Portsmouth Naval Shipyard Museum, Portsmouth, VA) - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

401

23. Photographic copy of historic photograph, view of the hospital ...  

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

23. Photographic copy of historic photograph, view of the hospital complex grounds to the east, showing World War I emergency buildings behind the Portsmouth Naval Hospital Building, 29 November 1918. (Portsmouth Naval Shipyard Museum, Portsmouth, VA) - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

402

22. Photographic copy of historic photograph, view of the hospital ...  

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

22. Photographic copy of historic photograph, view of the hospital complex grounds to the west, showing World War I emergency buildings behind the Portsmouth Naval Hospital Building, 14 November 1918. (Portsmouth Naval Shipyard Museum, Portsmouth, VA) - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

403

11. Hospital Point, view to southwest from southeast bulkhead; background ...  

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

11. Hospital Point, view to southwest from southeast bulkhead; background left to right: 1960 high-rise hospital, Medical Officer's Quarters B, and Medical Officer's Quarters C - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

404

Blood Transfusion Service Massachusetts General Hospital  

E-print Network

, more than 4 wks ago Yes High blood pressure controlled w/ medication Yes Lyme Disease Vaccine, more (viral) No Vaccines Household contact/exposure to hepatitis more than 12 mos ago Yes Chicken Pox Vaccine than 2 wks ago Yes Jaundice after age 11 No Flu Vaccine Yes Malaria: Travel in malarial area more than

Mootha, Vamsi K.

405

Blood Transfusion Service Massachusetts General Hospital  

E-print Network

in malarial area more than 3 yrs ago Yes Lyme Disease 1 year after treatment Yes Tick bite ­ no diagnosis ­ 3 No Heart attack within last 12 months No Hepatitis (viral) No Vaccines Household contact/exposure to hepatitis more than 12 mos ago Yes Chicken Pox Vaccine, more than 4 wks ago Yes High blood pressure

Mootha, Vamsi K.

406

The MASSACHUSETTS GENERAL HOSPITAL SURGICAL SOCIETY  

E-print Network

on the MGH Thoracic Aortic Center was given by Alan Hilgenberg. The sections ofcardiac and vascular surgery as a pediatric surgeon in developing pharmacologic treatments for ovarian cancer. Mark Katlic dis- cussed his by Gregory Hirsch described the Nova Scotia experience in the delivery of cardiac care in a single tier

Mootha, Vamsi K.

407

Safety and Danger in Downtown Vancouver: Understandings of Place among Young People Entrenched in an Urban Drug Scene  

PubMed Central

We undertook this qualitative study to examine young people's understandings of the physical and social landscape of the downtown drug scene in Vancouver, Canada. In-depth interviews were conducted with 38 young people ranging from 16 to 26 years of age. Using the concept of symbolic violence, we describe how one downtown neighborhood in particular powerfully symbolizes ‘risk’ among local youth, and how the idea of this neighborhood (and what happens when young people go there) informs experiences of marginalization in society's hierarchies. We also discuss the complex role played by social networks in transcending the geographical and conceptual boundaries between distinct downtown drug-using neighborhoods. Finally, we emphasize that young people's spatial tactics within this downtown landscape – the everyday movements they employ in order to maximize their safety – must be understood in the context of everyday violence and profound social suffering. PMID:19733496

Fast, Danya; Shoveller, Jean; Shannon, Kate; Kerr, Thomas

2009-01-01

408

Adult Partial Hospitalization JOHN DEMPSEY HOSPITAL  

E-print Network

Adult Partial Hospitalization Program JOHN DEMPSEY HOSPITAL CONTACT US For further information.uchc.edu. The Adult Partial Hospitalization Program is available Monday through Friday from 9 a.m. to 2:05 p.m. OUR LOCATION AND DIRECTIONS The Adult Partial Hospitalization Program is located on the 5th floor of the John

Oliver, Douglas L.

409

21 CFR 880.6890 - General purpose disinfectants.  

...ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Miscellaneous Devices § 880.6890 General purpose disinfectants....

2014-04-01

410

The determinants of hospital profitability.  

PubMed

Although numerous studies related to hospital costs and financial condition have been conducted, no studies have specifically attempted to identify the underlying determinants of hospital profitability. If these factors are identified, hospital executives can focus their efforts on those aspects of operations that most affect profitability, and public policymakers can gain insights into the potential effects of alternative policy decisions on hospital financial viability. Our study uses multiple regression analysis with 22 hypothesized profitability determinants as independent variables and five profitability measures as dependent variables. The data set consists of 1989 data from 169 investor-owned and private not-for-profit general acute care hospitals in the state of Florida. The results provide evidence that selected managerial and patient-mix variables are predictors of profitability. Structural factors that are beyond the control of managers (organizational and community characteristics) appear to be less important in influencing profitability. These findings may be viewed positively by hospital executives since it appears profitability is not dictated by organizational or market factors but more strongly influenced by factors that, to some extent, can be influenced by hospital policies and practices. PMID:10127295

Gapenski, L C; Vogel, W B; Langland-Orban, B

1993-01-01

411

6066 Thunderbird Blvd, Vancouver, BC V6T 1Z3 PH -604-822-6121 FAX 604-822-9562 www.recreation.ubc.ca Credit Card Authorization  

E-print Network

6066 Thunderbird Blvd, Vancouver, BC · V6T 1Z3 · PH -604-822-6121 · FAX ­ 604-822-9562 · www% of balance __________________________________ May 1st , 2014 Remaining Balance Pricing example: If you

Pulfrey, David L.

412

42 CFR 412.23 - Excluded hospitals: Classifications.  

Code of Federal Regulations, 2011 CFR

...facility as of October 1, 2011. (f) Cancer hospitals —(1) General rule. ...following criteria, it is classified as a cancer hospital and is excluded from the prospective...It was recognized as a comprehensive cancer center or clinical cancer research...

2011-10-01

413

42 CFR 412.23 - Excluded hospitals: Classifications.  

Code of Federal Regulations, 2012 CFR

...facility as of October 1, 2011. (f) Cancer hospitals —(1) General rule. ...following criteria, it is classified as a cancer hospital and is excluded from the prospective...It was recognized as a comprehensive cancer center or clinical cancer research...

2012-10-01

414

Effect of Hospital-SNF Referral Linkages on Re-Hospitalization  

PubMed Central

Objective To determine whether the rate of rehospitalization is lower among patients discharged to skilled nursing facilities (SNFs) with which a hospital has a strong linkage. Data Sources/Collection We used national Medicare enrollment, claims and the Minimum Data Set to examine 2.8 million newly discharged patients to 15,063 SNFs from 2,477 general hospitals between 2004 and 2006. Study Design We examined the relationship between the proportion of discharges from a hospital to alternative SNFs on the rehospitalization of patients treated by that hospital-SNF pair using an instrumental variable approach. We used distances to alternative SNFs from residence of the patients of the originating hospital as the instrument. Principal Findings Our estimates suggest that if the proportion of a hospital’s discharges to a SNF were to increase by 10 percentage points, the likelihood of patients treated by that hospital-SNF pair to be re-hospitalized within 30 days would decline by 1.2 percentage points, largely driven by fewer rehospitalizations within a week of hospital discharge. Conclusions Stronger hospital-SNF linkages, independent of hospital ownership, were found to reduce rehospitalization rates. As hospitals are held accountable for patients’ outcomes post-discharge under the Affordable Care Act, hospitals may steer their patients preferentially to fewer SNFs. PMID:24134773

Foster, Andrew D.; Grabowski, David C.; Zinn, Jacqueline S.; Mor, Vincent

2013-01-01

415

2. General view to northeast along Barton Avenue showing central ...  

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

2. General view to northeast along Barton Avenue showing central courtyard and rotunda of hospital - Portsmouth Naval Hospital, Hospital Building, Rixey Place, bounded by Williamson Drive, Holcomb Road, & The Circle, Portsmouth, Portsmouth, VA

416

CNN.com -Vancouver is 'best city to live' -Oct 4, 2005 http://www.cnn.com/2005/WORLD/europe/10/04/eui.survey/index.html 1 of 2 10/09/2006 10:58 AM  

E-print Network

coverage of 9/11/2001 free, in real time. Starting @ 8:30AM. Watch Monday Home Page World U.S. WeatherCNN.com - Vancouver is 'best city to live' - Oct 4, 2005 http://www.cnn.com/2005/WORLD/europe/10/04/eui.survey/index.html 1 of 2 10/09/2006 10:58 AM Vancouver is the world's most livable destination

Hamarneh, Ghassan

417

Effectiveness of Inactivated Influenza Vaccines in Preventing Influenza-Associated Deaths and Hospitalizations among Ontario Residents Aged >=65 Years: Estimates with Generalized Linear Models Accounting for Healthy Vaccinee Effects  

PubMed Central

Background Estimates of the effectiveness of influenza vaccines in older adults may be biased because of difficulties identifying and adjusting for confounders of the vaccine-outcome association. We estimated vaccine effectiveness for prevention of serious influenza complications among older persons by using methods to account for underlying differences in risk for these complications. Methods We conducted a retrospective cohort study among Ontario residents aged ?65 years from September 1993 through September 2008. We linked weekly vaccination, hospitalization, and death records for 1.4 million community-dwelling persons aged ?65 years. Vaccine effectiveness was estimated by comparing ratios of outcome rates during weeks of high versus low influenza activity (defined by viral surveillance data) among vaccinated and unvaccinated subjects by using log-linear regression models that accounted for temperature and time trends with natural spline functions. Effectiveness was estimated for three influenza-associated outcomes: all-cause deaths, deaths occurring within 30 days of pneumonia/influenza hospitalizations, and pneumonia/influenza hospitalizations. Results During weeks when 5% of respiratory specimens tested positive for influenza A, vaccine effectiveness among persons aged ?65 years was 22% (95% confidence interval [CI], ?6%–42%) for all influenza-associated deaths, 25% (95% CI, 13%–37%) for deaths occurring within 30 days after an influenza-associated pneumonia/influenza hospitalization, and 19% (95% CI, 4%–31%) for influenza-associated pneumonia/influenza hospitalizations. Because small proportions of deaths, deaths after pneumonia/influenza hospitalizations, and pneumonia/influenza hospitalizations were associated with influenza virus circulation, we estimated that vaccination prevented 1.6%, 4.8%, and 4.1% of these outcomes, respectively. Conclusions By using confounding-reducing techniques with 15 years of provincial-level data including vaccination and health outcomes, we estimated that influenza vaccination prevented ?4% of influenza-associated hospitalizations and deaths occurring after hospitalizations among older adults in Ontario. PMID:24146855

Ridenhour, Benjamin J.; Campitelli, Michael A.; Kwong, Jeffrey C.; Rosella, Laura C.; Armstrong, Ben G.; Mangtani, Punam; Calzavara, Andrew J.; Shay, David K.

2013-01-01

418

42 CFR 482.2 - Provision of emergency services by nonparticipating hospitals.  

Code of Federal Regulations, 2012 CFR

...emergency services by nonparticipating hospitals. 482.2 Section 482.2 Public...CERTIFICATION CONDITIONS OF PARTICIPATION FOR HOSPITALS General Provisions § 482.2 Provision...emergency services by nonparticipating hospitals. (a) The services of an...

2012-10-01

419

42 CFR 456.101 - UR plan required for inpatient hospital services.  

Code of Federal Regulations, 2011 CFR

...false UR plan required for inpatient hospital services. 456.101 Section 456...UTILIZATION CONTROL Utilization Control: Hospitals Utilization Review (ur) Plan: General...101 UR plan required for inpatient hospital services. (a) A State plan...

2011-10-01

420

42 CFR 456.201 - UR plan required for inpatient mental hospital services.  

Code of Federal Regulations, 2013 CFR

...UR plan required for inpatient mental hospital services. 456.201 Section 456...CONTROL Utilization Control: Mental Hospitals Utilization Review (ur) Plan: General...UR plan required for inpatient mental hospital services. (a) The State plan...

2013-10-01

421

42 CFR 412.109 - Special treatment: Essential access community hospitals (EACHs).  

Code of Federal Regulations, 2013 CFR

...treatment: Essential access community hospitals (EACHs). 412.109 Section 412...PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Special Treatment of Certain...treatment: Essential access community hospitals (EACHs). (a) General rule....

2013-10-01

422

42 CFR 482.2 - Provision of emergency services by nonparticipating hospitals.  

Code of Federal Regulations, 2010 CFR

...emergency services by nonparticipating hospitals. 482.2 Section 482.2 Public...CERTIFICATION CONDITIONS OF PARTICIPATION FOR HOSPITALS General Provisions § 482.2 Provision...emergency services by nonparticipating hospitals. (a) The services of an...

2010-10-01

423

42 CFR 412.109 - Special treatment: Essential access community hospitals (EACHs).  

Code of Federal Regulations, 2012 CFR

...treatment: Essential access community hospitals (EACHs). 412.109 Section 412...PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Special Treatment of Certain...treatment: Essential access community hospitals (EACHs). (a) General rule....

2012-10-01

424

42 CFR 456.201 - UR plan required for inpatient mental hospital services.  

Code of Federal Regulations, 2012 CFR

...UR plan required for inpatient mental hospital services. 456.201 Section 456...CONTROL Utilization Control: Mental Hospitals Utilization Review (ur) Plan: General...UR plan required for inpatient mental hospital services. (a) The State plan...

2012-10-01

425

42 CFR 456.201 - UR plan required for inpatient mental hospital services.  

Code of Federal Regulations, 2011 CFR

...UR plan required for inpatient mental hospital services. 456.201 Section 456...CONTROL Utilization Control: Mental Hospitals Utilization Review (ur) Plan: General...UR plan required for inpatient mental hospital services. (a) The State plan...

2011-10-01

426

26 CFR 1.501(e)-1 - Cooperative hospital service organizations.  

... 2013-04-01 true Cooperative hospital service organizations. 1.501(e...Organizations § 1.501(e)-1 Cooperative hospital service organizations. (a) General...controlling section under which a cooperative hospital service organization can qualify...

2014-04-01

427

42 CFR 456.101 - UR plan required for inpatient hospital services.  

Code of Federal Regulations, 2012 CFR

...false UR plan required for inpatient hospital services. 456.101 Section 456...UTILIZATION CONTROL Utilization Control: Hospitals Utilization Review (ur) Plan: General...101 UR plan required for inpatient hospital services. (a) A State plan...

2012-10-01

428

42 CFR 412.109 - Special treatment: Essential access community hospitals (EACHs).  

Code of Federal Regulations, 2011 CFR

...treatment: Essential access community hospitals (EACHs). 412.109 Section 412...PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Special Treatment of Certain...treatment: Essential access community hospitals (EACHs). (a) General rule....

2011-10-01

429

42 CFR 456.201 - UR plan required for inpatient mental hospital services.  

Code of Federal Regulations, 2010 CFR

...UR plan required for inpatient mental hospital services. 456.201 Section 456...CONTROL Utilization Control: Mental Hospitals Utilization Review (ur) Plan: General...UR plan required for inpatient mental hospital services. (a) The State plan...

2010-10-01

430

42 CFR 482.2 - Provision of emergency services by nonparticipating hospitals.  

Code of Federal Regulations, 2011 CFR

...emergency services by nonparticipating hospitals. 482.2 Section 482.2 Public...CERTIFICATION CONDITIONS OF PARTICIPATION FOR HOSPITALS General Provisions § 482.2 Provision...emergency services by nonparticipating hospitals. (a) The services of an...

2011-10-01

431

42 CFR 412.109 - Special treatment: Essential access community hospitals (EACHs).  

Code of Federal Regulations, 2010 CFR

...treatment: Essential access community hospitals (EACHs). 412.109 Section 412...PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Special Treatment of Certain...treatment: Essential access community hospitals (EACHs). (a) General rule....

2010-10-01

432

42 CFR 456.101 - UR plan required for inpatient hospital services.  

Code of Federal Regulations, 2013 CFR

...false UR plan required for inpatient hospital services. 456.101 Section 456...UTILIZATION CONTROL Utilization Control: Hospitals Utilization Review (ur) Plan: General...101 UR plan required for inpatient hospital services. (a) A State plan...

2013-10-01

433

42 CFR 456.101 - UR plan required for inpatient hospital services.  

Code of Federal Regulations, 2010 CFR

...false UR plan required for inpatient hospital services. 456.101 Section 456...UTILIZATION CONTROL Utilization Control: Hospitals Utilization Review (ur) Plan: General...101 UR plan required for inpatient hospital services. (a) A State plan...

2010-10-01

434

Bibliography for the Hospitality Industry.  

ERIC Educational Resources Information Center

This annotated bibliography is a sample collection of reference materials in the hospitality industry suitable for a small academic library. It is assumed that the library has a general reference collection. Publication dates range from 1992-96, with two publication dates in the 1980s. No periodicals are included. The 41 reference materials are…

Nelson, Elizabeth A.

435

American Hospital Association  

MedlinePLUS

... Health Information Technology Health Reform Moving Forward Teaching Hospitals - Medical Education Quality and Patient Safety Tools & Resources ... Amicus Briefs Legal Resources: Litigation State Issues Forum (Hospital Association Executives Only) Key Initiatives America’s Hospitals: Caring ...

436

Reintroducing endangered Vancouver Island marmots: Survival and cause-specific mortality rates of captive-born versus wild-born individuals  

Microsoft Academic Search

Recovery of the endangered Vancouver Island marmot (Marmota vancouverensis) is contingent upon releases of captive-born marmots into natural habitats. Success of such re-introduction programs largely depends on the ability of released animals to survive in the wild. However, whether and to what extent survival and cause-specific mortality rates of captive-born marmots differ from those of their wild-born counterparts remains unknown.

Kristen Aaltonen; Andrew A. Bryant; Jeffrey A. Hostetler; Madan K. Oli

2009-01-01

437

ECONomics updateA NEWSLETTER FOR ALUMNI AND FRIENDS OF UBC ECONOMICS Issue 2 Summer 2012 ast fall, when Occupy Vancouver  

E-print Network

EaTUrE: THE wIdENINg gap Getting to the root of the problem wElcomE op-Ed: THE EcoNomIcS of clImaTE cHaNgE Kyoto have drowned in debt or lost their jobs. Some who once made up the middle class have slipped down: Editor, Economics Update University of british columbia 997 ­ 1873 East mall Vancouver, bc V6T 1Z1 All

Handy, Todd C.

438

Financial Performance of Academic Medical Center Hospitals.  

ERIC Educational Resources Information Center

A study of major academic medical center hospitals analyzed their financial performance for a five-year period. Results indicate the hospitals have stabilized their short-term financial performance in recent years. However, in general, their financial position is not strong and is threatened by the growing percentage of Medicaid discharges.…

Whitcomb, Michael E.; Cleverly, William O.

1993-01-01

439

Latex allergies - for hospital patients  

MedlinePLUS

Latex products - hospital; Latex allergy - hospital; Latex sensitivity - hospital ... Common hospital items that may contain latex include: Surgical and exam gloves Catheters and other tubing Sticky tape or ...

440

The clinical and integrated management of COPD. An official document of AIMAR (Interdisciplinary Association for Research in Lung Disease), AIPO (Italian Association of Hospital Pulmonologists), SIMER (Italian Society of Respiratory Medicine), SIMG (Italian Society of General Medicine)  

PubMed Central

COPD is a chronic pathological condition of the respiratory system characterized by persistent and partially reversible airflow obstruction, to which variably contribute remodeling of bronchi (chronic bronchitis), bronchioles (small airway disease) and lung parenchyma (pulmonary emphysema). COPD can cause important systemic effects and be associated with complications and comorbidities. The diagnosis of COPD is based on the presence of respiratory symptoms and/or a history of exposure to risk factors, and the demonstration of airflow obstruction by spirometry. GARD of WHO has defined COPD "a preventable and treatable disease". The integration among general practitioner, chest physician as well as other specialists, whenever required, assures the best management of the COPD person, when specific targets to be achieved are well defined in a diagnostic and therapeutic route, previously designed and shared with appropriateness. The first-line pharmacologic treatment of COPD is represented by inhaled long-acting bronchodilators. In symptomatic patients, with pre-bronchodilator FEV1 < 60% predicted and ? 2 exacerbations/year, ICS may be added to LABA. The use of fixed-dose, single-inhaler combination may improve the adherence to treatment. Long term oxygen therapy (LTOT) is indicated in stable patients, at rest while receiving the best possible treatment, and exhibiting a PaO2???55 mmHg (SO2??55%. Respiratory rehabilitation is addressed to patients with chronic respiratory disease in all stages of severity who report symptoms and limitation of their daily activity. It must be integrated in an individual patient tailored treatment as it improves dyspnea, exercise performance, and quality of life. Acute exacerbation of COPD is a sudden worsening of usual symptoms in a person with COPD, over and beyond normal daily variability that requires treatment modification. The pharmacologic therapy can be applied at home and includes the administration of drugs used during the stable phase by increasing the dose or modifying the route, and adding, whenever required, drugs as antibiotics or systemic corticosteroids. In case of patients who because of COPD severity and/or of exacerbations do not respond promptly to treatment at home hospital admission should be considered. Patients with "severe" or "very severe" COPD who experience exacerbations should be carried out in respiratory unit, based on the severity of acute respiratory failure. An integrated system is required in the community in order to ensure adequate treatments also outside acute care hospital settings and rehabilitation centers. This article is being simultaneously published in Sarcoidosis Vasc Diffuse Lung Dis 2014, 31(Suppl. 1);3-21. PMID:25057359

2014-01-01

441

A Theory of Hospital Financial Analysis  

PubMed Central

The problem of determining the financial status of a group of hospitals was posed by the Connecticut Regional Medical Program in 1967 with the question: Are Connecticut's general hospitals financially healthy? The economist assigned to explore the question here describes the economic concepts and the methodology from which models applicable to voluntary hospitals were developed, utilizing the accepted modes of analysis and standards of for-profit business. The basic index of financial health investigated is self-sufficiency, with plant liquidation, revenue control and the role of private payors, and cost control studied as factors affecting the financial status of hospitals. PMID:5799485

Elnicki, Richard A.

1969-01-01

442

General Education GENERAL EDUCATION  

E-print Network

37 General Education GENERAL EDUCATION An undergraduate student whose enrollment in a curriculum occurs after May 15, 2005, must fulfill the general education requirements in effect at that time in curricular or general education requirements shall be considered under the curriculum year change

Stuart, Steven J.

443

General Education GENERAL EDUCATION  

E-print Network

36 General Education GENERAL EDUCATION An undergraduate student whose enrollment in a curriculum occurs after May 15, 2005, must fulfill the general education requirements in effect at that time in curricular or general education requirements shall be considered under the curriculum year change

Stuart, Steven J.

444

General Education GENERAL EDUCATION  

E-print Network

34 General Education 34 GENERAL EDUCATION An undergraduate student whose enrollment in a curriculum occurs after May 15, 2005, must fulfill the general education requirements in effect at that time in curricular or general education requirements shall be considered under the curriculum year change

Bolding, M. Chad

445

General Education GENERAL EDUCATION  

E-print Network

35 General Education GENERAL EDUCATION An undergraduate student whose enrollment in a curriculum occurs after May 15, 2005, must fulfill the general education requirements in effect at that time in curricular or general education requirements shall be considered under the curriculum year change

Stuart, Steven J.

446

Injection drug users’ involvement in drug dealing in the downtown eastside of Vancouver: Social organization and systemic violence  

PubMed Central

Background Illicit drug markets are a key component of the risk environment surrounding injection drug use. However, relatively few studies have explored how injection drug users’ (IDUs) involvement in drug dealing shapes their experiences of drug market-related harm. This exploratory qualitative study aims to understand IDUs’ dealing activities and roles, as well as the perceived benefits and risks related to participation in illicit drug markets, including experiences of drug market violence. Methods Ten IDUs with extensive involvement in drug dealing activities were recruited from the Vancouver Injection Drug User Study (VIDUS) and participated in semi-structured qualitative interviews, which elicited discussion of experiences dealing drugs, perceived benefits and hazards related to dealing, and understandings of drug market violence. Results Participant's involvement in drug market activities included corporate sales, freelance or independent sales, and opportunistic sales termed “middling” as well as drug market-related hustles entailing selling bogus drugs and robbing dealers. Participants primarily dealt drugs to support their own illicit drug use, and we found that arrest and criminal justice involvement, hazards stemming from drug debts, and drug market-related violence were key risks related to dealing activities. Conclusion The challenges of managing personal consumption while selling drugs exacerbates the hazards associated with drug dealing. Efforts to address drug dealing among IDUs should consider both drug dependency and the material conditions that propel drug users towards dealing activities. Interventions should explore the potential of combining enhanced drug treatment programs with low threshold employment and alternative income generation opportunities. PMID:23664788

Small, Will; Maher, Lisa; Lawlor, Jeff; Wood, Evan; Shannon, Kate; Kerr, Thomas

2014-01-01

447

Tracing the influence of sewage discharge on coastal bays of Southern Vancouver Island (BC, Canada) using sedimentary records of phytoplankton  

NASA Astrophysics Data System (ADS)

The impact of sewage and stormwater effluents on phytoplankton is investigated by comparing organic-walled dinoflagellate cyst abundance and diversity from 38 surface sediment samples, flanking southern Vancouver Island. Site locations include those directly adjacent to wastewater outfall at Clover and Macaulay Points and Saanich Peninsula, as well as from a variety of near-shore environments with differing tidal flow influences. Excellently preserved dinoflagellate cyst assemblages have been recovered and 36 cyst taxa were identified. Local assemblages are characterized by a high relative proportion (average 56%) of cysts produced by heterotrophic dinoflagellates, which is typical for regions of high primary production. Relative proportional increases of cysts from heterotrophic species with particular increases of Polykrikos kofoidii/schwartzii and Dubridinium species, known to reflect areas affected by eutrophication, occur directly adjacent to all three sewage outfalls, as well as in the more stagnant waters of Esquimalt and Victoria Harbours and at the mouth of Cadboro Bay. Further effects of an anthropogenic effluent can be seen in the relatively higher concentrations of organic carbon and the diatom production proxy, biogenic opal. Results from this study clearly indicate a much larger impact zone than predicted by a sewage effluent plume model or trends found in monitored benthic biota and sediment chemistry that evidence primary outfall affects <800 m eastward of Macaulay Point and about 200 m eastward of the Clover Point. Enhanced production of cysts from potentially toxic Alexandrium species is also observed near locations of sewage outfalls.

Krepakevich, Alanna; Pospelova, Vera

2010-10-01

448

Setting the stage for chronic health problems: cumulative childhood adversity among homeless adults with mental illness in Vancouver, British Columbia  

PubMed Central

Background It is well documented that childhood abuse, neglect and household dysfunction are disproportionately present in the backgrounds of homeless adults, and that these experiences adversely impact child development and a wide range of adult outcomes. However, few studies have examined the cumulative impact of adverse childhood experiences on homeless adults with mental illness. This study examines adverse events in childhood as predictors of duration of homelessness, psychiatric and substance use disorders, and physical health in a sample of homeless adults with mental illness. Methods This study was conducted using baseline data from a randomized controlled trial in Vancouver, British Columbia for participants who completed the Adverse Childhood Experiences (ACE) scale at 18 months follow-up (n?=?364). Primary outcomes included current mental disorders; substance use including type, frequency and severity; physical health; duration of homelessness; and vocational functioning. Results In multivariable regression models, ACE total score independently predicted a range of mental health, physical health, and substance use problems, and marginally predicted duration of homelessness. Conclusions Adverse childhood experiences are overrepresented among homeless adults with complex comorbidities and chronic homelessness. Our findings are consistent with a growing body of literature indicating that childhood traumas are potent risk factors for a number of adult health and psychiatric problems, particularly substance use problems. Results are discussed in the context of cumulative adversity and self-trauma theory. Trials registration This trial has been registered with the International Standard Randomized Control Trial Number Register and assigned ISRCTN42520374. PMID:24726046

2014-01-01

449

Assimilation and High Resolution Forecasts of Surface and Near Surface Conditions for the 2010 Vancouver Winter Olympic and Paralympic Games  

NASA Astrophysics Data System (ADS)

A dynamical model was experimentally implemented to provide high resolution forecasts at points of interests in the 2010 Vancouver Olympics and Paralympics Region. In a first experiment, GEM-Surf, the near surface and land surface modeling system, is driven by operational atmospheric forecasts and used to refine the surface forecasts according to local surface conditions such as elevation and vegetation type. In this simple form, temperature and snow depth forecasts are improved mainly as a result of the better representation of real elevation. In a second experiment, screen level observations and operational atmospheric forecasts are blended to drive a continuous cycle of near surface and land surface hindcasts. Hindcasts of the previous day conditions are then regarded as today's optimized initial conditions. Hence, in this experiment, given observations are available, observation driven hindcasts continuously ensure that daily forecasts are issued from improved initial conditions. GEM-Surf forecasts obtained from improved short-range hindcasts produced using these better conditions result in improved snow depth forecasts. In a third experiment, assimilation of snow depth data is applied to further optimize GEM-Surf's initial conditions, in addition to the use of blended observations and forecasts for forcing. Results show that snow depth and summer temperature forecasts are further improved by the addition of snow depth data assimilation.

Bernier, Natacha B.; Bélair, Stéphane; Bilodeau, Bernard; Tong, Linying

2014-01-01

450

Hospitalization of Children with Down Syndrome  

PubMed Central

Introduction: Children with Down syndrome present with multiple medical problems in a higher prevalence compared with the general population, which may lead to hospitalizations. Methods: Analysis of 560 hospitalizations of 162 children aged 0–16?years with Down syndrome at Hadassah Medical Center during the years 1988–2007 compared with data on children in the general population, hospitalized at the same period. Data was collected from patient files and statistical data from the Ministry of Health. Results: Respiratory infections were the leading cause for hospitalization of children with Down syndrome. The number of hospitalizations of children with Down syndrome compared to the number of all children, who were hospitalized was surprisingly similar to their proportion in the general population. Eleven children died during their hospitalization (five heart failure, three sepsis, one respiratory tract infection, and one due to complication after surgery). Nine of the 11 had a congenital heart anomaly. Conclusion: Children with Down syndrome can present with complex medical issues and we support the concept of a multidisciplinary team that has experience and knowledge to serve as a “one stop shop” for these individuals and their families, with timely visits in which a comprehensive evaluation is performed, problems attended to and prevention plans applied. In this way, we may prevent morbidity, hospitalizations, and mortality. PMID:24688981

Tenenbaum, Ariel; Hanna, Rana N.; Averbuch, Diana; Wexler, Isaiah D.; Chavkin, Maor; Merrick, Joav

2014-01-01

451

Children's Hospital Medical Center  

E-print Network

WherryHall Veterans Affairs Medical Center VAMC VAMC VAMC VAMC VAMC Holmes CHMC CHMC Children's HospitalUNIVERSITY COMMONS Children's Hospital Medical Center Children's Hospital Medical Research Center Hoxworth Blood Center ShrinersHospital forChildren Shriners Garage Cincinnati Dept of Health Logan

Papautsky, Ian

452

The Young Hospitalized Child.  

ERIC Educational Resources Information Center

This literature review examines the effects of hospitalization on the young child and suggests ways in which parents and hospital personnel can protect children from the potentially harmful emotional and intellectual effects of hospitalization. The history of attitudes toward the hospitalization of children is discussed. Children's emotional…

Winters, Anne

453

Measuring Rural Hospital Quality  

ERIC Educational Resources Information Center

Increased interest in the measurement of hospital quality has been stimulated by accrediting bodies, purchaser coalitions, government agencies, and other entities. This paper examines quality measurement for hospitals in rural settings. We seek to identify rural hospital quality measures that reflect quality in all hospitals and that are sensitive…

Moscovice, Ira; Wholey, Douglas R.; Klingner, Jill; Knott, Astrid

2004-01-01