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1

Dr. G. Ward Wilson 1 Mine ARD G. Ward Wilson  

E-print Network

With Acid Rock Drainage #12;Dr. G. Ward Wilson 2 Mine ARD #12;Dr. G. Ward Wilson 3 Mine ARD #12;Dr. G. Ward Drainage" ARD OR an older term is "Acid Mine Drainage" AMD #12;Dr. G. Ward Wilson 16 Mine ARD General ARD Example of Mine Waste Potential For Acid Rock Drainage Operation: Typical copper/zinc mine

Boisvert, Jeff

2

United States v. Ward.  

PubMed

The U.S. Court of Appeals for the Third Circuit held that a district court order requiring a criminal defendant to provide a blood sample to test for HIV antibodies did not violate his Fourth Amendment rights. Ward, an interstate truck driver, abducted a woman from a New Jersey parking lot and repeatedly raped her in his truck over the next three days until she escaped in Illinois. The court had ordered Ward to provide a blood sample for HIV-AIDS testing under the federal Violence Against Women Act. Under the Act, a blood test is permissible only when the accused is charged with sexual assault that poses a risk of HIV transmission, probable cause exists that the accused committed the assault, the victim requests the test, and the test would provide information necessary for the victim's health. Pursuant to the Act, the lower court also directed that the results would remain confidential except for disclosure to the victim and the defendant and their respective doctors. PMID:11648635

1997-11-13

3

CURRICULUM VITAE GEOFF K. WARD  

E-print Network

.S. Elementary, Middle, and High Schools." Youth Violence and Juvenile Justice Characteristics, and Personal Convictions to Treatment and Punishment Orientations." Crime Justice." Punishment & Society vol. 11, n. 1. J3. Amy Farrell, Geoff Ward

Brody, James P.

4

Solution to the Ward identities for superamplitudes  

E-print Network

Supersymmetry and R-symmetry Ward identities relate on-shell amplitudes in a supersymmetric field theory. We solve these Ward identities for N [superscript K] MHV amplitudes of the maximally supersymmetric =4 and =8 theories. ...

Elvang, Henriette

5

Satisfaction levels about hospital wards' environment among adolescents hospitalized in adult wards vs. pediatric ones  

PubMed Central

Background: Adolescents admitted to hospital are either surrounded by children or adults. However, age-appropriate facilities are often not provided to meet the needs of adolescents, which should be incorporated in the wards. This study compares the satisfaction level about physical environment of the wards among adolescents who have been admitted to pediatric and adult wards. Materials and Methods: In a cross-sectional study, 200 adolescents aged 10-19 were selected from adult and pediatric wards and studied for their level of satisfaction about physical environments of selected wards in Isfahan city. Results: Among the adolescents surveyed in adult and pediatric wards, 44% and 54% reported high satisfaction levels with physical aspects of the ward environment and its facilities, respectively. The average satisfaction level among adolescents in pediatric wards was higher than among adolescents in adult wards (P = 0.04). However, no significant difference was found between age, number, and length of hospital admissions, insurance, and satisfaction levels with physical aspects of the ward environment and facilities. Conclusions: Adolescents reported better satisfaction with the pediatric wards’ environment compared to adults’ ward. They require specialized wards to meet their needs according to their developmental period. If not available, facilities should be provided in pediatric wards where adolescents have reported better satisfaction with the wards’ environment. PMID:23922584

Sadeghi, Narges; Abdeyazdan, Zahra; Motaghi, Minoo; Rad, Marzieh Ziaei; Torkan, Behnaz

2012-01-01

6

Operation Ward's Island, A Guide to the Trees and Other Features of Ward's Island.  

ERIC Educational Resources Information Center

This guide for teachers, students, and adults illustrates how it is possible to use Ward's Island as an outdoor laboratory. It contains a guide to 30 kinds of trees on the island, along with clearly drawn maps and illustrations. The guide helps the user to locate these trees along two nature trails. A section called "Ward's Island Roundup" briefly…

New York City Board of Education, Brooklyn, NY. Bureau of Curriculum Development.

7

Taxonomy, Phylogenetics, and Philip S. Ward  

E-print Network

Chapter 1 Taxonomy, Phylogenetics, and Evolution Philip S. Ward 1.1 Introduction Since their origin features of evolutionary history. Species-level taxonomy has advanced more fitfully than ant phylogenetics and features of their biology are dis- cussed. The state of species-level taxonomy is eval- uated

Ward, Philip S.

8

Henry Ward Beecher: A Nation's Tribune.  

ERIC Educational Resources Information Center

Henry Ward Beecher was America's most prominent 19th century liberal preacher and a major spokesperson for New England Transcendentalism. His philosophy integrated four fundamental themes: the creation of a moral code based on the internalization of values and peer group pressures, the establishment of the reform ideal of the impartial nonpartisan…

Chandler, Daniel Ross

9

Women Staff Members and Ward Atmospheres in a Forensic Hospital  

Microsoft Academic Search

The results of the efforts to employ more women staff on secure wards in a forensic hospital are reported. These efforts were directed at creating equal employment opportunities as well as enhancing the resocialization of patients through more positive ward atmospheres. Ten ward atmosphere qualities identified by Moos were used as measures. The study concentrated on ratings of patients from

John Goldmeier; Stuart B. Silver

1988-01-01

10

Computer-aided geological characterization of a sandstone reservoir, North Ward Estes field, Ward and Winkler Counties, Texas  

Microsoft Academic Search

The North Ward Estes field is located along the western edge of the Central Basin platform in Ward and Winkler Counties, Texas. The field is part of an upper Guadalupian productive trend that extends uninterrupted for 90 mi on the edge of the platform. The North Ward Estes field has produced over 350 million bbl of oil (one third of

A. S. Jr. Wylie; E. K. Davidsen; J. D. Gillespie; R. S. Butler

1988-01-01

11

Artemas Ward House and Its Collections  

NSDL National Science Digital Library

Located in Shrewsbury, Massachusetts, the General Artemas Ward House was the home of General Artemas Ward, who was the first commander-in-chief of the patriot forces in the American Revolution. His descendants lived in the property until 1909, and then it became a house museum until 1925. This digital collection from Harvard University gives the public access to over 6000 images of the house, furnishings, manuscripts, photographs, and related published sources. It's an amazing way to learn about this important historical figure and about the world of a prominent 19th century farm family. Visitors can use the subject index to look around for particular items of note, and they will find some excellent contemporary views of the home's interiors and grounds photographed in 2007. Additionally, visitors can view a number of papers that deal with various renovations performed on the house over the past century.

12

Barriers to nursing care in emergency wards  

PubMed Central

Background: Caring is the essence of nursing. Since care is influenced by cultural, economic, and social factors, various diverse barriers exist in the realization of care. The aim of the study was to clarify barriers to caring in emergency patients based on experiences of nurses and patients and their relatives. Materials and Methods: A qualitative design of content analysis was used to identify the barriers to caring in emergency patients. In-depth interviews were conducted with 18 Iranian nurses working in a university hospital emergency ward and with seven patients. Participants were selected purposefully. Data were analyzed according to qualitative content analysis. Results: After the classification analyses and integration of codes, seven categories were acquired. Finally, following three themes were extracted: Identified barriers to nursing care in emergency wards – the nature of critical ward, performance weakness of nurses, and deficiency in clinical management. Conclusions: According to the results of this study fundamental and management education for nurses, empowerment of nurses, principle and scientific triage, effective supervision, nurses’ support, wage increase, and motivation in nurses are important to achieve the research purpose. PMID:23983745

Mahmoudi, Hosein; Mohmmadi, Eesa; Ebadi, Abbas

2013-01-01

13

Pharmacological Thromboembolic Prophylaxis in a Medical Ward  

PubMed Central

To evaluate the adequacy of pharmacological thromboembolic prevention in the medical ward of a university hospital, we performed a retrospective study in 227 consecutive inpatients. The presence of risk factors, and type, length, and dose of pharmacological prevention were documented by chart review. Only 22% of the 153 risk patients received adequate prevention, whereas 38% of the patients at low risk were given pharmacological prophylaxis. The high prevalence of over- and undertreatment is an indicator of less than optimal care. Quality of care interventions, such as the development of local guidelines, might improve the appropriateness of pharmacological thromboembolic prophylaxis in medical inpatients. PMID:12390555

Aujesky, Drahomir; Guignard, Emmanuele; Pannatier, Andre; Cornuz, Jacques

2002-01-01

14

Regular ward checks raise standards of care.  

PubMed

This article reports on the introduction of intentional rounding at University Hospitals Coventry and Warwickshire NHS Trust. The approach was piloted and implemented on the initiative of two nurses in wards that ranged from orthopaedic to general medical. Intentional rounding aims to put patients at the centre of care and consists of checking on their condition at hourly or two-hourly intervals, recording their nutritional status and skin integrity, and asking if they need pain relief or help with eating. The introduction of the approach follows concerns about failures in care highlighted by a number of recent high-profile reports. PMID:22690424

Dean, Erin

2012-05-01

15

Harrisburg’s Old 8th Ward  

NSDL National Science Digital Library

A great deal of ink has been spilled telling the stories of the urban renewal process in the United States during the 1950s and 1960s. Of course, large-scale demolition and redevelopment projects were not without precedent, as proven by the experience of Harrisburg’s 8th Ward in the second decade of the twentieth century. The area was definitely a bit of hardscrabble by the early 1910s, and it seemed to offend the more genteel sentiments of some of Harrisburg’s important civic leaders and their kind. Much of the area was completely razed over the next few years, and by the early 1920s, the old neighborhood was largely gone. This story is told most effectively in this website, which was a creation of Professor Michael Barton at Pennsylvania State University at Harrisburg along with some of his students, who worked together to locate primary research materials (such as photographs) that could be used to create a documentary history of the area. Visitors to the site can take a virtual walking tour of the old 8th Ward, peruse a resident directory from the period, and also view historic maps and a view of the area. For those who are interested in learning about how the site was created, there is also a document available here that discusses how it all came to fruition.

Barton, Michael; Gilbert, Stephanie P.

16

Ward identity for nonequilibrium Fermi systems  

NASA Astrophysics Data System (ADS)

A nonequilibrium Ward identity (NE WI) connecting the scalar transport vertex correction with one-particle self-energy is derived using the global U(1) symmetry of the fermion nonequilibrium Green’s functions (NGF). The nonperturbative derivation does not depend on the details of the many-body system. A renormalized multiplicative composition rule for the NGF, reflecting time coherence, is obtained and related to the NE WI. Applications involve (i) testing the consistency of approximations shown in the example of a self-consistent Born approximation for disorder scattering, and (ii) in the general quantum transport theory, the formalism permits one to assess routes to generalized master equations, in particular those based on the generalized Kadanoff-Baym ansatz.

Velický, B.; Kalvová, A.; Špi?ka, V.

2008-01-01

17

Dr. G. Ward Wilson 1 Tailings Stability TAILINGS DAM STABILITY  

E-print Network

·construction costs occur over life of mine - lower discounted cash flow, lower cash requirements at startup of mine operator ·planning and scheduling of construction required #12;Dr. G. Ward Wilson 2 TailingsDr. G. Ward Wilson 1 Tailings Stability TAILINGS DAM STABILITY · Construction staged over the life

Boisvert, Jeff

18

Surface mass balance of the Ward Hunt Ice Rise and Ward Hunt Ice Shelf, Ellesmere Island, Nunavut, Canada  

E-print Network

Surface mass balance of the Ward Hunt Ice Rise and Ward Hunt Ice Shelf, Ellesmere Island, Nunavut, Ellesmere Island, Nunavut, Canada, J. Geophys. Res., 109, D22110, doi:10.1029/2004JD004560. 1. Introduction Nunavut Field Unit, Parks Canada, Iqaluit, Nunavut, Canada Received 22 January 2004; revised 29 June 2004

Massachusetts at Amherst, University of

19

Surface mass balance of the Ward Hunt Ice Rise and Ward Hunt Ice Shelf, Ellesmere Island, Nunavut, Canada  

Microsoft Academic Search

The Ward Hunt Ice Rise and Ward Hunt Ice Shelf, located on Ellesmere Island, Canada, are two of the northernmost land ice masses on the North American continent. Surface mass balance measurements (excluding calving and subice processes) began in 1959 on the ice rise and in 1966 on the ice shelf but were frequently interrupted, most recently between 1986 and

Carsten Braun; Douglas R. Hardy; Raymond S. Bradley; Vicky Sahanatien

2004-01-01

20

The Ventilation, Heating and Lighting of Hospital Wards.  

PubMed

History of ventilation in last 100 years, showing reversal of ideas and influence of sanatorium idea.Physiology of cool moving air. How it affects metabolism, heat-loss and heat-production. Relation to sunlight. Reactive capacity of the individual.Practice of these teachings, as illustrated by sanatorium treatment of tuberculosis and by open-air schools. Exposure to cooling air a powerful therapeutic agent. Infrequent occurrence in sanatoria of diseases or complications often ascribed to cold. Dilution of infection. Applicability to diseases other than tuberculosis. Shock and old age.Perflation and diffusion, their relative values. Uniformity or variability of effect desirable? Incompatibility of good ventilation and ordinary standards of heating. Former the more important. Conclusion that ward temperatures may be lowered without harm. Measures necessary to compensate, clothing, classification of patients, small wards. Changing standards of comfort. Psychological effects.Systems of ventilation in hospital wards. Mechanical by propulsion or extraction being displaced by natural system, usually by cross-window ventilation. Supplementary ventilators. Objection to heating of incoming air. Fallibility of human factor in management. Sash versus casement windows. Hoppers. Austral window. Orientation and exposure of wards. Ventilation of small wards. Proportion of window space to solid wall. Balconies. Floor space.Heating of wards. Heating of air or floor or walls. Open fires. Value of radiant heat. Steam or water under low or high pressure. Radiators or pipes.Lighting. Avoidance of glare from windows. Arrangement of beds in wards. Colour of walls. Blinds and curtains. Artificial lighting. PMID:19989481

Watt, J

1933-09-01

21

Pharmacovigilance Among Surgeons and in Surgical Wards: Overlooked or Axiomatic?  

Microsoft Academic Search

To review the status of pharmacovigilance system among surgeons and in surgical wards with recommendations. Literature search\\u000a using MEDLINE, cross-reference of published data and review of World Health Organization—Pharmacovigilance transcripts. Pharmacovigilance\\u000a system is still in its infancy among surgeons and in surgical wards. No major studies have been published addressing this\\u000a issue, till date. Surgeons are professionals least likely to

Gabriel Sunil Rodrigues; Sohil Ahmed Khan

2011-01-01

22

Hospital admission avoidance through the introduction of a virtual ward.  

PubMed

The ageing British population is placing increased demands on the delivery of care in mainstream health-care institutions. While people are living longer, a significant percentage is also living with one or more long-term conditions. These issues, alongside continuing financial austerity measures, require a radical improvement in the care of patients away from hospitals. The Wyre Forest Clinical Commissioning Group introduced a virtual ward model for two main purposes: to save on spiralling costs of hospital admissions, and, secondly, to ensure the preferred wishes of most patients to be cared for and even die at home were achieved. This commentary describes how the virtual ward model was implemented and the impact of preventing unplanned emergency admissions to hospitals. The setting up of enhanced care services and virtual wards in one county is discussed, aiming to highlight success points and potential pitfalls to avoid. The results from the implementation of the virtual ward model show a significant reduction in emergency and avoidable patient admissions to hospital. The success of virtual wards is dependent on integrated working between different health-care disciplines. PMID:25039341

Jones, Joanne; Carroll, Andrea

2014-07-01

23

Food-borne Salmonella outbreak in a single hospital ward.  

PubMed

In June 2012, an outbreak of Salmonella group C gastroenteritis occurred on a single hospital ward among 54.2% (13/24) of volunteers undergoing an unrelated clinical trial and among 14.3% (1/7) hospital ward worker. Food-borne transmission was suspected, so a retrospective cohort study was conducted to identify the vehicle of the outbreak along with implementing outbreak control measures. None of the food items was significantly associated with the outbreak. An epidemic curve suggests a common source of the outbreak. No cases were reported after outbreak control. Food should be stored, cooked and handled using strict hygiene to prevent future outbreaks. PMID:24968679

Luvira, Viravarn; Iamsirithaworn, Sopon; Thantamnu, Narumon; Pitisuttiithum, Punnee

2014-03-01

24

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

25

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

26

Dimensioning hospital wards using the Erlang loss model Corresponding author  

E-print Network

Dimensioning hospital wards using the Erlang loss model Corresponding author: A.M. de Bruin (MSc professionals, hospital consultants, and managers. In these discussions the occupancy rate is of great importance and often used as an input parameter. Most hospitals use the same target occupancy rate for all

27

18. View of north side of East Ward Street at ...  

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

18. View of north side of East Ward Street at the intersection with North Dart Street, facing northwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

28

21. View of south side of East Ward Street midblock ...  

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

21. View of south side of East Ward Street midblock between South McDonald Avenue and Fales Avenue, facing southeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

29

13. View of south side of East Ward Street east ...  

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

13. View of south side of East Ward Street east of Sibett Avenue, facing southwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

30

19. View of southeast corner of East Ward Street and ...  

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

19. View of southeast corner of East Ward Street and South McDonald Avenue, facing southeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

31

2. View of north side of East Ward Street east ...  

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

2. View of north side of East Ward Street east of North Coweta Avenue, facing northeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

32

1. View of north side of East Ward Street west ...  

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

1. View of north side of East Ward Street west of North Coweta Avenue, facing northwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

33

4. View of north side of East Ward Street west ...  

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

4. View of north side of East Ward Street west of Dewey Avenue, facing northeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

34

14. View of southwest corner of East Ward Street and ...  

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

14. View of southwest corner of East Ward Street and South McDonald Avenue, facing southwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

35

5. View of northwest corner of East Ward Street and ...  

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

5. View of northwest corner of East Ward Street and Dewey Avenue, facing northwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

36

11. View of north side of East Ward Street midblock ...  

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

11. View of north side of East Ward Street midblock between Dewey AVenue and North McDonald Avenue, facing northeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

37

7. View of south side of East Ward Street east ...  

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

7. View of south side of East Ward Street east of South Coweta Avenue, facing southwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

38

8. View of south side of East Ward Street midblock ...  

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

8. View of south side of East Ward Street midblock between South Coweta Avenue and Sibett Avenue, facing southwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

39

10. View of north side of East Ward Street midblock ...  

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

10. View of north side of East Ward Street midblock between Dewey Avenue and North McDonald Avenue, facing northeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

40

6. Views of southeast corner of East Ward Street and ...  

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

6. Views of southeast corner of East Ward Street and South Coweta Avenue, facing southeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

41

20. View of south side of East Ward Street east ...  

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

20. View of south side of East Ward Street east of South McDonald Avenue, facing southeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

42

16. View of northeast corner of East Ward Street and ...  

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

16. View of northeast corner of East Ward Street and North McDonald Avenue, facing northeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

43

15. View of north side of East Ward Street at ...  

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

15. View of north side of East Ward Street at the intersection with North McDonald Avenue, facing northeast. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

44

12. View of south side of East Ward Street west ...  

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

12. View of south side of East Ward Street west of Sibett Avenue, facing southwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

45

3. View of north side of East Ward Street midblock ...  

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

3. View of north side of East Ward Street midblock between North Coweta Avenue and Dewey Avenue. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

46

17. View of north side of East Ward Street east ...  

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

17. View of north side of East Ward Street east of North McDonald Avenue, facing northwest. - Gaskin Avenue Neighborhood, Bounded by Dart Street to east, CSX Railroad to south, Pearl & Madison Avenues to west, & Wilson & Gordon Streets to north, Douglas, Coffee County, GA

47

1 | P a g e Faculty name: Adam Ward  

E-print Network

1 | P a g e Faculty name: Adam Ward Department: Earth and Environmental Science Institution to have? Basic coursework in environmental science and/or geology Intern Responsibilities: Conduct field and environmental science. Learn techniques for data analysis. Learn numerical methods to simulate the transport

Casavant, Tom

48

Mobile Task Management for Medical Ward Rounds -The MEDo Approach  

E-print Network

. In the course of a ward round, new tasks are dened and allocated to physicians and nurses. In clinical practice and paper, and their later processing is prone to errors. Furthermore, medical sta must keep track rounds, interviewed medical sta, and considered existing solutions established in clinical practice. Our

Ulm, Universität

49

Bacterial Colonisation of Doppler Probes on Vascular Surgical Wards  

Microsoft Academic Search

Aim: hospital acquired infections cost the NHS £1 billion each year and medical equipment may act both as source and vector of nosocomial infection. This study examined bacterial contamination of Doppler ultrasound probes (USP) in routine use on vascular surgical wards in six hospitals and the knowledge of staff about the potential for cross infection from contaminated probes. Methods: probe

S. M. G Kibria; K. G Kerr; J Dave; M. J Gough; S Homer-Vanniasinkam; A. I. D Mavor

2002-01-01

50

Broadband Microphone Arrays for Speech Acquisition Darren B. Ward  

E-print Network

Broadband Microphone Arrays for Speech Acquisition Darren B. Ward Acoustics and Speech Research-directional microphone, the array provides high spatial directivity, allowing it to attenuate room reverberation acquisition using microphone arrays. In particular we will focus on methods of frequency-invariant beamforming

Botea, Adi

51

Recreation for the Mentally Retarded: A Handbook for Ward Personnel.  

ERIC Educational Resources Information Center

Designed primarily for use by ward personnel in residential facilities for the mentally retarded, the manual presents an overview of recreational services. Four papers introduce the importance of recreation and consider approaches for its provision: "Why Recreation?" (W. Lawler); "The Role of the Attendant in Providing Recreation for the Retarded"…

Southern Regional Education Board, Atlanta, GA.

52

The Innovative Ward Project: promoting innovation in health service delivery  

Microsoft Academic Search

An Innovative Ward Project was undertaken as part of the planning for redevelopment of the Princess Alexandra Hospital. Two inpatient units (one medical and one surgical) became pilot areas for developing, implementing and evaluating innovative approaches to service delivery. The project focused on the key areas related to structural environment, information technology and redesign of work practices. This paper provides

KERRY WINSOR; SANDY BLAKE; LINDSAY PYNE; ALISON JUERS

53

Team clinical supervision in acute hospital wards: a feasibility study.  

PubMed

Clinical supervision provides a strategy to mitigate nurses' workplace stress and enhance retention, but the literature provides little guidance about its implementation beyond mental health nursing. This study explored the feasibility of implementing and evaluating ward-based team clinical supervision for general nurses on two separate wards at one public and one private hospital. Nurses completed the Work Environment Questionnaire pre- (n = 36) and postintervention (n = 27), and focus groups (n = 20) explored their perceptions of supervision. Staff were unfamiliar with clinical supervision, so information sessions were required. The questionnaire may not have been suitable to evaluate this type of intervention. Focus group findings revealed that team supervision improved communication, enhanced working relationships, and empowered nurses to challenge existing practices, which had a positive impact on their perceived stress. This study provides insights to guide implementation and evaluation of clinical supervision in acute settings. PMID:21531902

O'Connell, Bev; Ockerby, Cherene M; Johnson, Susan; Smenda, Helen; Bucknall, Tracey K

2013-03-01

54

[Old picture postcards depicting hospital wards--puzzling similarities].  

PubMed

Picture postcards were as popular in the beginning of the twentieth century as social media is today. Hospital wards were also depicted on them. It is curious to note the similarities between these pictures. This can be explained by developments in the architecture of hospitals. This architecture underwent radical changes in the second half of the nineteenth century: to prevent complications caused by infections, patients were cared for in pavilions. Light, clean air and space did indeed result in a considerable reduction of these complications. The prototype of such a pavilion in the Charité Hospital in Berlin was brought to fruition in many countries. This explains the remarkable uniformity of hospital wards found on old picture postcards. PMID:23899708

Schretlen, Ignace

2013-01-01

55

Rare Earth ? See Rare Earth, by Ward and Brownlee  

E-print Network

for its age How unusual is this? #12;Climate There has been liquid water on Earth for 4.5 Gyr #12;SnowballRare Earth ? See Rare Earth, by Ward and Brownlee #12;N to date N = N* fs fGHZfp nH fl fi fc L/T ·N Earth is "Just Right" Yes, life on Earth has adapted to Earth, but ... Earth has just the right mass

Walter, Frederick M.

56

Preventing falls on an elderly care rehabilitation ward  

Microsoft Academic Search

Objective: Comparison of two flooring types – carpet and vinyl – in the bed areas, and two modes of physiotherapy – conventional therapy and additional leg strengthening exercises – in avoiding falls.Design: Randomized 2 × 2 controlled trial.Setting: Elderly care rehabilitation ward in a community hospital.Subjects: Fifty-four consecutive patients referred for rehabilitation.Outcome measures: The incidence of falls, and the change

I P Donald; K. Pitt; E. Armstrong; H. Shuttleworth

2000-01-01

57

Ventilation assessment of an infectious disease ward housing TB patients  

SciTech Connect

The National Institute for Occupational Safety and Health (NIOSH) assisted the National Center for Infectious Diseases and the National Center for Prevention Services, Centers for Disease Control (CDC), in their investigation of nosocomial transmission of tuberculosis (TB) at a Veterans Administration Medical Center. NIOSH was asked to determine whether ventilation requirements expected of TB patient isolation facilities were being met. In the Infectious Disease ward (513), 24 staff were given a tuberculin skin test (TST) in the summer of 1991. Eleven (46%) were positive then, and 13 were negative. Ten of the 13 testing negative in 1991 were retested within a year, and 5 (50%) converted to a positive TST. NIOSH investigators made ventilation measurements on Ward 5B, an infectious diseases ward housing patients with acquired immune deficiency syndrome (AIDS), two of them with infectious TB, to determine the status of the systems serving the area. Airflow measurements showed that in all the single-patient rooms, exhaust airflow was essentially zero. The average supply airflow varied above and below the designed value. These rooms were all positively pressurized, which would be recommended for the isolation of infectious patients. Based on the measurements made during this evaluation, it was recommended that a separate isolation facility be constructed in the hospital to house infectious patients. Interim corrective measures for the systems in place were also recommended.

Crandall, M.S.; Hughes, R.T.

1996-05-01

58

Medical academia clinical experiences of Ward Round Teaching curriculum  

PubMed Central

Background: Medical students spend most of their time in hospital wards and it is necessary to study clinical educational opportunities. This study was aimed to explore faculty members’ experience on Ward Round Teaching content. Methods and Materials: This qualitative study was conducted by purposive sampling with the maximum variation of major clinical departments faculty members in Isfahan University of Medical Sciences (n = 9). Data gathering was based on deep and semi-structured interviews. Data gathering continued till data saturation. Data was analyzed through the Collaizzi method and validated. Strategies to ensure trustworthiness of data (credibility, dependability, conformability, transferability) were employed (Guba and Lincoln). Results: Basic codes extracted from the analyzed data were categorized into two main themes and related subthemes, including (1) tangible teachings (analytic intelligence, technical intelligence, legal duties) and (2) implied teachings (professionalism, professional discipline, professional difficulties). Conclusion: Ward round teaching is a valuable opportunity for learners to learn not only patient care aspects but also ethical values. By appropriate planning, opportunities can be used to teach capabilities that are expected of general practitioners. PMID:24627858

Haghani, Fariba; Arabshahi, Seyed Kamran Soltani; Bigdeli, Shoaleh; Alavi, Mousa; Omid, Athar

2014-01-01

59

Computer-aided geological characterization of a sandstone reservoir, North Ward Estes field, Ward and Winkler Counties, Texas  

SciTech Connect

The North Ward Estes field is located along the western edge of the Central Basin platform in Ward and Winkler Counties, Texas. The field is part of an upper Guadalupian productive trend that extends uninterrupted for 90 mi on the edge of the platform. The North Ward Estes field has produced over 350 million bbl of oil (one third of the trend's cumulative production) from more than 3000 wells since its discovery in 1929. Production in the field is from back-reef lagoonal siliciclastics (sandstones) of the Yates, Seven Rivers, and Queen Formations. A correlation scheme was developed for the field based on laterally continuous key dolomites that bracket the productive sands and segment the reservoir into discrete mappable units. Applying this scheme, more than 60,000 correlation markers were selected and loaded into a computer database. Computer-generated net isopach maps of the sands display a north-south strike. The sands pinch out into an evaporite facies updip and a carbonate facies downdip. Dip-oriented cross sections illustrate a systematic migration of the sand thicks through time. The depositional model for the field indicates that the siliciclastics were deposited during an overall progradational, shallowing-upward Late Permian event that experienced minor transgressive and regressive cycles.

Wylie, A.S. Jr.; Davidsen, E.K.; Gillespie, J.D.; Butler, R.S.

1988-02-01

60

Computer-aided geological characterization of a sandstone reservoir, North Ward Estes field, Ward and Winkler Counties, Texas  

SciTech Connect

The North Ward Estes field is located along the western edge of the Central Basin platform in Ward and Winkler Counties, Texas. The field is part of an upper Guadalupian productive trend that extends uninterrupted for 90 mi on the edge of the platform. The North Ward Estes field has produced over 350 million bbl of oil (one-third of the trend's cumulative production) from more than 3,000 wells since its discovery in 1929. Production in the field is from back-reef lagoonal siliciclastics (sandstones) of the Yates, Seven Rivers, and Queen Formations. A correlation scheme was developed for the field based on laterally continuous key dolomites that bracket the productive sands and segment the reservoir into discrete mappable units. Applying this scheme, more than 60,000 correlation markers were selected and loaded into a computer database. Concurrently, 15 million curve feet of log data and 30,000 ft of core analysis data were digitized. Core analyses were depth corrected. Logs were normalized using a 60-ft interval of laterally continuous anhydritic dolomite. Core porosity data were cross plotted vs. bulk-density log values to develop equations (transforms) for derivation of porosity. Corrections for hole rugosity, overburden pressure, and lithologic complications were applied to refine the porosity transform. Structure and porosity-feet maps were then merged with fluid contact and water saturation data to calculate volumetrics.

Wylie, A.S. Jr.; Davidsen, E.K.; Gillespie, J.D.; Butler, R.S.

1988-01-01

61

Nurses and heart failure education in medical wards.  

PubMed

Heart failure is a chronic debilitating disease with significant hospitalisation rates. Information and education are foundational elements in making the lifestyle changes required for effective self-management of the symptoms of heart failure. This paper reports a study of medical nurses' education activities with heart failure patients in terms of the topics they addressed and the educational resources they found most useful. A random sample of 540 medical ward nurses were surveyed in 2009 using a postal questionnaire. The response rate was 47% (234 medical ward nurses who cared for patients with heart failure). Quantitative data were analysed using descriptive statistics, qualitative data through a content analysis approach. The majority of respondents (66.7%) cared for patients with heart failure several times each week. The total time spent on educational activities by most respondents (70.6%) was estimated as 20 minutes or less over the hospitalisation. Printed material was the most commonly used education resource although 35 respondents also referred to online information and 84 nurses did not use educational material at all. The most frequent education topics discussed were medication, signs and symptoms and general information about heart failure. Psychological factors and prognosis information were the topics least discussed with patients. Respondent suggestions to improve patient access to heart failure information included more printed information in wards such as pamphlets in various languages, information about useful websites and having key resources available in te reo M?ori. The heart failure educator was identified as an important resource for both nurses and patients. The study highlighted the limited time many respondents spent on educational activities and the need for readily available educational resources to optimise patient heart failure education opportunities. PMID:24575606

Gilmour, Jean; Strong, Alison; Hawkins, Mona; Broadbent, Rachel; Huntington, Annette

2013-11-01

62

Ward identities and chiral anomalies for coupled fermionic chains  

SciTech Connect

Coupled fermionic chains are usually described by an effective model written in terms of bonding and anti-bonding fermionic fields with linear dispersion in the vicinities of the respective Fermi points. We derive for the first time exact Ward Identities (WI) for this model, proving the existence of chiral anomalies which verify the Adler-Bardeen non-renormalization property. Such WI are expected to play a crucial role in the understanding of the thermodynamic properties of the system. Our results are non-perturbative and are obtained analyzing Grassmann functional integrals by means of constructive quantum field theory methods.

Costa, L. C. [Centro de Ciências Naturais e Humanas, Universidade Federal do ABC, 09210-170 Santo André (Brazil)] [Centro de Ciências Naturais e Humanas, Universidade Federal do ABC, 09210-170 Santo André (Brazil); Ferraz, A. [Department of Theoretical and Experimental Physics, International Institute of Physics, Universidade Federal do Rio Grande do Norte, 59012-970 Natal (Brazil)] [Department of Theoretical and Experimental Physics, International Institute of Physics, Universidade Federal do Rio Grande do Norte, 59012-970 Natal (Brazil); Mastropietro, Vieri [Dipartimento di Matematica F. Enriques, Universitá di Milano, Via C. Saldini 50, 20133 Milano (Italy)] [Dipartimento di Matematica F. Enriques, Universitá di Milano, Via C. Saldini 50, 20133 Milano (Italy)

2013-12-15

63

Neonatal abstinence syndrome—postnatal ward versus neonatal unit management  

Microsoft Academic Search

Aim  The aim of this cohort study was to test the hypothesis that caring for infants with neonatal abstinence syndrome (NAS) with\\u000a their mothers on the postnatal ward rather than admit them to the neonatal unit would reduce treatment duration and length\\u000a of hospital stay.\\u000a \\u000a \\u000a \\u000a Results  The outcomes of infants with NAS cared for in 2002–2005 (Group A, n?=?42) and 2006–2007 (Group

Tolulope Saiki; Silke Lee; Simon Hannam; Anne Greenough

2010-01-01

64

Use of emergency observation and assessment wards: a systematic literature review  

PubMed Central

Introduction: Observation and assessment wards allow patients to be observed on a short-term basis and permit patient monitoring and/or treatment for an initial 24–48 hour period. They should permit concentration of emergency activity and resources in one area, and so improve efficiency and minimise disruption to other hospital services. These types of ward go under a variety of names, including observation, assessment, and admission wards. This review aims to evaluate the current literature and discuss assessment/admission ward functionality in terms of organisation, admission criteria, special patient care, and cost effectiveness. Methods: Search of the literature using the Medline and BIDS databases, combined with searches of web based resources. Critical assessment of the literature and the data therein is presented. Results: The advantages and disadvantages of the use of assessment/admission wards were assessed from the current literature. Most articles suggest that these wards improve patient satisfaction, are safe, decrease the length of stay, provide earlier senior involvement, reduce unnecessary admissions, and may be particularly useful in certain diagnostic groups. A number of studies summarise their organisational structure and have shown that strong management, staffing, organisation, size, and location are important factors for efficient running. There is wide variation in the recommended size of these wards. Observation wards may produce cost savings largely relating to the length of stay in such a unit. Conclusion: All types of assessment/admission wards seem to have advantages over traditional admission to a general hospital ward. A successful ward needs proactive management and organisation, senior staff involvement, and access to diagnostics and is dependent on a clear set of policies in terms of admission and care. Many diagnostic groups benefit from this type of unit, excluding those who will inevitably need longer admission. Vigorous financial studies have yet to be undertaken in the UK. Definitions of observation, assessment, and admission ward are suggested. PMID:12642526

Cooke, M; Higgins, J; Kidd, P

2003-01-01

65

Multi-Criteria Knapsack Problem for Disease Selection in an Observation Ward  

NASA Astrophysics Data System (ADS)

The aging population and the introduction of Thailand universal healthcare have increased inpatients and outpatients to public hospitals, particularly to a hospital that provides special and comprehensive health services. Many inpatient wards have experienced large influx of inpatients as the hospitals have to admit all patients regardless their conditions. These overcrowding wards cause stress to medical staffs, block access between medical departments, hospital-acquired infections, and ineffective uses of resources. One way to manage such inundated inpatient is to select some patients whose conditions require less clinical attention or whose lengths of stay are predictable and short and, then, place them at an observation ward. This intermediate ward increases turnover of beds and reduces unnecessary paperwork as patients are considered to be outpatients. In this article, we studied inpatient data of a tertiary care hospital in which an observation ward was considered to alleviate the overcrowding problem at Internal Medicine Department. The analysis of data showed that the hospital can balance inpatient flow by managing a group of patients who is admitted because of treatments ordered by its special clinics. Having explored several alternatives, we suggested patient selection criteria and proposed a layout at an observation ward. The hospital should increase medical beds in a new building ward because the current observation ward can handle 27.3% of total short stay patients, while the observation ward is projected to handle 80% of total short stay patients.

Lurkittikul, N.; Kittithreerapronchai, O.

2014-06-01

66

An Abelian Ward identity and the vertex corrections to the color superconducting gap  

E-print Network

We derive an Abelian-like Ward identity in color superconducting phase and calculate vertex corrections to the color superconducting gap. Making use of the Ward identity, we show that subleading order contributions to the gap from vertices are absent for gapped excitations.

Hao-jie Xu; Qun Wang

2008-10-13

67

Toward Dependency Path based Entailment Rodney D. Nielsen, Wayne Ward and James H. Martin  

E-print Network

Toward Dependency Path based Entailment Rodney D. Nielsen, Wayne Ward and James H. Martin Center of Colorado, Boulder Rodney.Nielsen, Wayne.Ward, James.Martin@Colorado.edu Abstract We present our submission-based Entailment Dekang Lin and Patrick Pantel (2001) propose ex- tracting paraphrases or discovering inference

Martin, James H.

68

Patient safety culture lives in departments and wards: Multilevel partitioning of variance in patient safety culture  

Microsoft Academic Search

BACKGROUND: Aim of study was to document 1) that patient safety culture scores vary considerably by hospital department and ward, and 2) that much of the variation is across the lowest level organizational units: the wards. Setting of study: 500-bed Norwegian university hospital, September-December 2006. METHODS: Data collected from 1400 staff by (the Norwegian version of) the generic version of

Ellen Deilkås; Dag Hofoss

2010-01-01

69

Perceived noise in surgical wards and an intensive care area: an objective analysis  

Microsoft Academic Search

An investigation of noise levels in a hospital ward, a cubicle off the ward, and an intensive therapy unit (ITU) showed that the noise levels in all three areas were higher than internationally recommended levels at all times of day. Loud noises above 70 dB(A) were common in all areas but especially the ITU. The noise pollution levels reached annoying

S Bentley; F Murphy; H Dudley

1977-01-01

70

Authenticity in Learning--Nursing Students' Experiences at a Clinical Education Ward  

ERIC Educational Resources Information Center

Purpose: This study aims to explore and understand first year nursing students' experiences of learning at a clinical education ward. Design/methodology/approach: The setting is a clinical education ward for nursing students at a department of infectious diseases. A qualitative study was carried out exploring students' encounters with patients,…

Manninen, Katri; Henriksson, Elisabet Welin; Scheja, Max; Silen, Charlotte

2013-01-01

71

Comorbid depression in dementia on psychogeriatric nursing home wards: which symptoms are prominent?  

Microsoft Academic Search

OBJECTIVE: To provide insight into the prevalence and clinically relevant symptoms of comorbid depression among dementia patients in psychogeriatric nursing home wards, to enhance depression recognition. DESIGN: Cross-sectional analyses of multicenter diagnostic data. SETTING: Psychogeriatric wards of Dutch nursing homes. PARTICIPANTS: Five hundred and eighteen residents with dementia. MEASUREMENTS: 1) Diagnosis of depression in dementia (Provisional Diagnostic Criteria for Depression

Renate Verkaik; Anneke L. Francke; Berno van Meijel; Miel W. Ribbe; Jozien M. Bensing

2009-01-01

72

LESTER FRANK WARD AS A SOCIOLOGIST OF GENDERA New Look at His Sociological Work  

Microsoft Academic Search

This article analyzes the writings of Lester Frank Ward on relevant topics in the sociology of gender. Although Ward's work on the subjection of women has been largely ignored, a new look at these writings reveals much of interest. His theory of early female superiority in human societies, his association of the rise of male dominance with the discovery of

BARBARA FINLAY

1999-01-01

73

Job stressors and social support behaviors: comparing intensive care units to wards in Jordan.  

PubMed

Studies about nurses' stressors and social support behaviors are limited. This study explored differences between Intensive Care Units (ICUs) and wards in regard to Jordanian nurses' job stressors and social support behaviors as well as predictors of the two concepts. A quantitative research design using a survey method was used. The Nursing Stress Scale (NSS) (Gray-Toft & Anderson 1981) and the Inventory of Social Supportive Behaviors (ISSB) (Barrera, Sandler & Ramsay 1981) were used to collect data from a convenience sample of 228 nurses who were working in 12 ICUs and 235 nurses who were working in nine wards of 13 hospitals, with a total response rate of 66.2%. Stressors in ICUs were higher than those in wards. The ICUs scored higher than wards in 'conflict with physicians' subscale of NSS. The ICUs scored higher than wards in 'emotional support' and 'tangible assistance' subscales of ISSB. Shift worked, model of nursing care, and level of education predicted nurses' job stressors in ICUs and wards. 'Model of nursing care' was a shared predictor of social support behaviors in ICUs and wards. High job stressors and low social support behaviors were evidenced in Jordan. Job stressors were higher in ICUs than those in wards, thus more social support behaviors should be provided to nurses in ICUs. Nurses' stressors should be assessed and managed. In all settings in general and in ICUs in particular, nurse managers should use various social support behaviors to buffer the influence of job stressors on nurses. PMID:19379118

Mrayyan, Majd T

2009-02-01

74

WARD: an exploratory study of an affective sociotechnical framework for addressing medical errors  

Microsoft Academic Search

Aiming to reduce medical errors by 50% by 2010, the Institute of Medicine (IOM) has identified information technology (IT) as an important tool. One potential application of IT would be communicating with clinicians using affective multimodal interfaces. In this paper, we propose an Augmented Cognition (AugCog) related framework, Wearable Avatar Risk Display (WARD), for addressing medical errors. WARD is a

William Lee; Woodrow W. Winchester III; Tonya L. Smith-jackson

2006-01-01

75

Medication errors in hospital: computerized unit dose drug dispensing system versus ward stock distribution system  

Microsoft Academic Search

Aim: The aim of this study was to evaluate the rates and types of drug prescription and administration errors in one pediatric nephrology ward, comparing two dispensing schemes : the first one defined as handwritten prescription plus ward stock distribution system (WSDS), and the second one as computerized prescription plus unit dose drug dispensing system (UDDDS). Method: Data were collected

Jean-Eudes Fontan; Vincent Maneglier; V. X. Nguyen; F. Brion; C. Loirat

2003-01-01

76

Ward Atmosphere, Client Satisfaction, and Client Motivation in a Psychiatric Work Rehabilitation Unit  

Microsoft Academic Search

This study investigated the ward atmosphere of a psychiatric work rehabilitation unit and its relationships to clients' satisfaction with the unit and client motivation, operationalised as proneness to set personal goals for their rehabilitation. The Community-oriented Programs Environment Scale was used and 52 clients participated. Their report of the ward atmosphere was in accordance with recommended levels on 5 sub-scales

Mona Eklund; Lars Hansson

2001-01-01

77

Variability in Costs across Hospital Wards. A Study of Chinese Hospitals  

PubMed Central

Introduction Analysts estimating the costs or cost-effectiveness of health interventions requiring hospitalization often cut corners because they lack data and the costs of undertaking full step-down costing studies are high. They sometimes use the costs taken from a single hospital, sometimes use simple rules of thumb for allocating total hospital costs between general inpatient care and the outpatient department, and sometimes use the average cost of an inpatient bed-day instead of a ward-specific cost. Purpose In this paper we explore for the first time the extent and the causes of variation in ward-specific costs across hospitals, using data from China. We then use the resulting model to show how ward-specific costs for hospitals outside the data set could be estimated using information on the determinants identified in the paper. Methodology Ward-specific costs estimated using step-down costing methods from 41 hospitals in 12 provinces of China were used. We used seemingly unrelated regressions to identify the determinants of variability in the ratio of the costs of specific wards to that of the outpatient department, and explain how this can be used to generate ward-specific unit costs. Findings Ward-specific unit costs varied considerably across hospitals, ranging from 1 to 24 times the unit cost in the outpatient department — average unit costs are not a good proxy for costs at specialty wards in general. The most important sources of variability were the number of staff and the level of capacity utilization. Practice Implications More careful hospital costing studies are clearly needed. In the meantime, we have shown that in China it is possible to estimate ward-specific unit costs taking into account key determinants of variability in costs across wards. This might well be a better alternative than using simple rules of thumb or using estimates from a single study. PMID:24874566

Adam, Taghreed; Evans, David B.; Ying, Bian; Murray, Christopher J. L.

2014-01-01

78

The acoustic environment of intensive care wards based on long period nocturnal measurements.  

PubMed

The patients in the Intensive Care Units are often exposed to excessive levels of noise and activities. They can suffer from sleep disturbance, especially at night, but they are often too ill to cope with the poor environment. This article investigates the acoustic environment of typical intensive care wards in the UK, based on long period nocturnal measurements, and examines the differences between singlebed and multibed wards, using statistical analysis. It has been shown that the acoustic environment differs significantly every night. There are also significant differences between the noise levels in the singlebed and multibed wards, where acoustic ceilings are present. Despite the similar background noises in both ward types, more intrusive noises tend to originate from the multibed wards, while more extreme sounds are likely to occur in the single wards. The sound levels in the measured wards for each night are in excess of the World Health Organization's (WHO) guide levels by at least 20 dBA, dominantly at the middle frequencies. Although the sound level at night varies less than that in the daytime, the nocturnal acoustic environment is not dependant on any specific time, thus neither the noisiest nor quietest period can be determined. It is expected that the statistical analysis of the collected data will provide essential information for the development of relevant guidelines and noise reduction strategies. PMID:23117538

Xie, Hui; Kang, Jian

2012-01-01

79

Suicide amongst psychiatric in-patients who abscond from the ward: a national clinical survey  

PubMed Central

Background Suicide prevention by mental health services requires an awareness of the antecedents of suicide amongst high risk groups such as psychiatric in-patients. The goal of this study was to describe the social and clinical characteristics of people who had absconded from an in-patient psychiatric ward prior to suicide, including aspects of the clinical care they received. Methods We carried out a national clinical survey based on a 10-year (1997-2006) sample of people in England and Wales who had died by suicide. Detailed data were collected on those who had been in contact with mental health services in the year before death. Results There were 1,851 cases of suicide by current psychiatric in-patients, 14% of all patient suicides. 1,292 (70%) occurred off the ward. Four hundred and sixty-nine of these patients died after absconding from the ward, representing 25% of all in-patient suicides and 38% of those that occurred off the ward. Absconding suicides were characterised by being young, unemployed and homeless compared to those who were off the ward with staff agreement. Schizophrenia was the most common diagnosis, and rates of previous violence and substance misuse were high. Absconders were proportionally more likely than in-patients on agreed leave to have been legally detained for treatment, non-compliant with medication, and to have died in the first week of admission. Whilst absconding patients were significantly more likely to have been under a high level of observation, clinicians reported more problems in observation due to either the ward design or other patients on the ward. Conclusion Measures that may prevent absconding and subsequent suicide amongst in-patients might include tighter control of ward exits, and more intensive observation of patients, particularly in the early days of admission. Improving the ward environment to provide a supportive and less intimidating experience may contribute to reduced risk. PMID:20128891

2010-01-01

80

Is enumeration district level an improvement on ward level analysis in studies of deprivation and health?  

PubMed Central

AIM--To investigate whether enumeration district (ED) level data reflect the aggregate characteristics of people living in that district better than ward level analysis. DESIGN AND SETTING--Reanalysis of the fourth national morbidity survey in general practice (MSGP4). Socioeconomic data on patients who had consulted 60 practices over one year were linked via postcode to ED and thence to small area statistics data for that ED and to the corresponding electoral ward. RESULTS AND CONCLUSIONS--There was no evidence that patients were likely to be more representative samples of the population of an ED than of a ward. PMID:8594129

Carr-Hill, R; Rice, N

1995-01-01

81

The Mind-Body Connection - How to Fight Stress and Ward Off Illness  

MedlinePLUS

... Issues The Mind-Body Connection How to Fight Stress and Ward Off Illness Past Issues / Winter 2008 ... system's ability to fight disease." Dangers of Chronic Stress Unhealthy levels of stress come in many guises. ...

82

Rationale for a home dialysis virtual ward: design and implementation  

PubMed Central

Background Home-based renal replacement therapy (RRT) [peritoneal dialysis (PD) and home hemodialysis (HHD)] offers independent quality of life and clinical advantages compared to conventional in-center hemodialysis. However, follow-up may be less complete for home dialysis patients following a change in care settings such as post hospitalization. We aim to implement a Home Dialysis Virtual Ward (HDVW) strategy, which is targeted to minimize gaps of care. Methods/design The HDVW Pilot Study will enroll consecutive PD and HHD patients who fulfilled any one of our inclusion criteria: 1. following discharge from hospital, 2. after interventional procedure(s), 3. prescription of anti-microbial agents, or 4. following completion of home dialysis training. Clinician-led telephone interviews are performed weekly for 2 weeks until VW discharge. Case-mix (modified Charlson Comorbidity Index), symptoms (the modified Edmonton Symptom Assessment Scale) and patient satisfaction are assessed serially. The number of VW interventions relating to eight pre-specified domains will be measured. Adverse events such as re-hospitalization and health-services utilization will be ascertained through telephone follow-up after discharge from the VW at 2, 4, 12 weeks. The VW re-hospitalization rate will be compared with a contemporary cohort (matched for age, gender, renal replacement therapy and co-morbidities). Our protocol has been approved by research ethics board (UHN: 12-5397-AE). Written informed consent for participation in the study will be obtained from participants. Discussion This report serves as a blueprint for the design and implementation of a novel health service delivery model for home dialysis patients. The major goal of the HDVW initiative is to provide appropriate and effective supports to medically complex patients in a targeted window of vulnerability. Trial registration (NCT01912001). PMID:24528505

2014-01-01

83

NitrificationE D I T E D B Y Bess B. Ward  

E-print Network

NitrificationE D I T E D B Y Bess B. Ward Daniel J. Arp Martin G. Klotz ASM PRESS W A S H I N G T O and Overview of the State of the Field Bess B. Ward 3 II AMMONIA-OXIDIZING BACTERIA 9 2. Ammonia-Oxidizing Bacteria: Their Biochemistry and Molecular Biology Luis A. Sayavedra-Soto and DanielJ. Arp 11 3. Diversity

Ward, Bess

84

Cross-year peer tutoring on internal medicine wards: results of a qualitative focus group analysis  

PubMed Central

Background Peer-assisted learning (PAL) has become a well-accepted teaching method within medical education. However, descriptions of on-ward PAL programs are rare. A focus group analysis of a newly established PAL program on an internal medicine ward was conducted to provide insights into PAL teaching from a student perspective. Purpose To provide insights into students’ experiences regarding their on-ward training with and without accompanying PAL tutors. Methods A total of N=168 medical students in their sixth semester participated in the investigation (intervention group: N=88; control group: N=80). The intervention group took part in the PAL program, while the control group received standard on-ward training. There were seven focus groups with N=43 participants (intervention group: four focus groups, N=28 participants; control group: three focus groups, N=15 participants). The discussions were analyzed using content analysis. Results The intervention group emphasized the role of the tutors as competent and well-trained teachers, most beneficial in supervising clinical skills. Tutors motivate students, help them to integrate into the ward team, and provide a non-fear-based working relationship whereby students’ anxiety regarding working on ward decreases. The control group had to rely on autodidactic learning strategies when neither supervising physicians nor final-year students were available. Conclusion On-ward PAL programs represent a particularly valuable tool for students’ support in training clinical competencies on ward. The tutor–student working alliance acts through its flat hierarchy. Nevertheless, tutors cannot represent an adequate substitute for experienced physicians. PMID:25278789

Krautter, Markus; Andreesen, Sven; Kohl-Hackert, Nadja; Hoffmann, Katja; Herzog, Wolfgang; Nikendei, Christoph

2014-01-01

85

An investigation into activity levels of older people on a rehabilitation ward: an observational study  

Microsoft Academic Search

Objectives To investigate the activity levels of older people who were inpatients in a rehabilitation ward.Design Twelve-hour sessions of continuous observation of each subject, over three consecutive weekdays, established activity levels in various categories.Setting Designated older people rehabilitation ward in a Medicine for the Elderly Unit.Participants Convenience sample of six subjects.Main outcome measures Time spent in various, pre-determined activity categories

Fiona Patterson; Valerie Blair; Anne Currie; William Reid

2005-01-01

86

Is clinical competence perceived differently for student daily performance on the wards versus clerkship grading?  

PubMed

Clinical rotations play an important role in the medical curriculum and are considered crucial for student learning. However, competencies that should be learned can differ from those that are assessed. In order to explore which competencies are considered important for daily performance of student on the wards and to what extent clinical teachers consider the same competencies important for clerkship grading, a survey that consisted of 21 different student characteristics was administered to clinical teachers. Two independent factor analyses using structural equation modeling were conducted to abstract underlying latent relationships among the different student characteristics and to define a clinical competence profile for daily performance of students on the wards and clerkship grading. Differences between the degree of importance for student daily ward performance and clerkship grading are considered and discussed. The results of the survey indicate that the degree of importance of competencies are rated different for daily performance of students on the wards and clerkship grades. Competencies related to the diagnostic process are more important for clerkship grading, whereas interpersonal skills, professional qualities, and motivation are more important for daily ward performance. It is concluded that the components of clinical competence considered important for adequate performance are not necessarily in alignment with what is required for grading. Future research should focus on an explanation why clinical educators think differently about the importance of competencies for student examination in contrast to what is required for adequate daily performance on the wards. PMID:17690992

Wimmers, Paul F; Kanter, Steven L; Splinter, Ted A W; Schmidt, Henk G

2008-12-01

87

Exploring the potential impact of hospital ward-based pharmacy interns on drug safety.  

PubMed

Clinical pharmacists play an important role in improving drug safety on hospital wards. However, little is known about the impact of pharmacy interns. The objective of our study was, therefore, to investigate the impact of hospital ward-based pharmacy interns on drug safety. This study was conducted as part of the project "P-STAT 2: Pharmacy interns on the ward" on 14 surgical wards in seven hospitals in Germany and a total of 27 pharmacy interns participated. All patients admitted to the participating wards from 1st June 2008 until 31st October 2008 and from 1st December 2008 till 30th April 2009 were included. The pharmacy interns were involved in medication reconciliation, and identifying, resolving, and preventing drug-related problems (DRPs) using the classification system APS-Doc. A total of 6,551 patients were included. Patients received on average (+/- SD) 4.4 +/- 3.9 drugs. The pharmacy interns detected a total of 4,085 DRPs and on average 0.6 +/- 1.2 DRPs per patient. Most frequently detected DRPs were potential drug-drug interactions (n = 591, 14%), missing drug strength, when different strengths were available (n = 373, 9%), and incomplete medication record (n = 296, 7%). The pharmacy interns conducted an intervention for 98% (n = 4,011) of all DRPs. According to their documentation, 74% of the DRPs (n = 3,038) were solved. Drugs which were most often related with DRPs were simvastatin, diclofenac, and ibuprofen. This is the very first study exploring the potential impact of pharmacy interns on drug safety on surgical wards in Europe. Pharmacy interns can play an important role to improve drug safety on hospital wards. PMID:24791599

Schorr, S G; Eickhoff, C; Feldt, S; Hohmann, C; Schulz, M

2014-04-01

88

Nurse-led ward rounds: a valuable contribution to acute stroke care.  

PubMed

Stroke is a devastating condition. The Royal College of Physicians (2008) highlights that integrated stroke care can improve patient care. Nurses are an integral part of the multidisciplinary team, providing 24/7 stroke care from planning and implementing care to the evaluation of the patient's condition. To improve the way nurses manage stroke patients in an acute setting, a nurse-led ward round was initiated to look at essential nursing care. The Imperial College Healthcare Trust stroke senior nursing team, consisting of a clinical nurse specialist, a ward manager, and a charge nurse, have organised a weekly stroke nurse-led ward round. The team takes rounds to each stroke patient in the ward to examine and evaluate the essentials of nursing care (e.g. oral care, skin integrity, continence, bowel and bladder management), and current stroke outcome measures. During the rounds, the team address nursing issues, make appropriate nursing goals, and discuss their plans with the nurses and other members of the team. A nurse-led ward round has addressed nursing issues in a timely proactive fashion. The initiative has been successful in improving clinical communication between nurses and patient involvement in their care planning. It has also empowered nurses to make decisions within their professional arena, and its contribution has had an impact on patient care and safety through early detection and prevention of stroke complications. PMID:22874780

Catangui, Elmer Javier; Slark, Julia

89

First-class health: amenity wards, health insurance, and normalizing health care inequalities in Tanzania.  

PubMed

In 2008, a government hospital in southwest Tanzania added a "first-class ward," which, unlike existing inpatient wards defined by sex, age, and ailment, would treat patients according to their wealth. A generation ago, Tanzanians viewed health care as a right of citizenship. In the 1980s and 1990s, structural adjustment programs and user fees reduced people's access to biomedical attention. Tanzania currently promotes "amenity" wards and health insurance to increase health care availability, generate revenue from patients and potential patients, and better integrate for-profit care. In this article, I examine people's discussions of these changes, drawing on ethnographic fieldwork in the 2000s and 1990s. I argue that Tanzanians criticize unequal access to care and health insurance, although the systemic structuring of inequalities is becoming normalized. People transform the language of socialism to frame individualized market-based care as mutual interdependence and moral necessity, articulating a new biomedical citizenship. PMID:24753314

Ellison, James

2014-06-01

90

[The role of the psychologist in hospitals and maternity wards in the state of Sergipe].  

PubMed

This article seeks to reflect on the professional activity of the psychologist in the hospital context by examining the role of psychologists working in hospitals and maternity wards in the State of Sergipe. It seeks to identify the specific role of these professionals in hospitals and maternity wards, as well as their motivating forces and the difficulties encountered. This work is part of a broader project that sought to study not only the activity per se, but also training aspects of these professionals. The sample was analyzed using a qualitative and quantitative approach for thematic analysis. Results revealed that the characterization of the role of psychologists has a focus on psychotherapeutic work with patients before and after surgery, as well as the caregivers and family members of critically ill patients in the following units: ICU, ICC, oncology, dialysis and surgical wards, offering support, especially at the pre- and post-surgery phase. PMID:22634812

Santos, Lyvia de Jesus; Vieira, Maria Jésia

2012-05-01

91

'Safety by DEFAULT': introduction and impact of a paediatric ward round checklist  

PubMed Central

Introduction Poor communication is a source of risk. This can be particularly significant in areas of high clinical acuity such as intensive care. Ward rounds are points where large amounts of information must be communicated in a time-limited environment with many competing interests. This has the potential to reduce effective communication and risk patient safety. Checklists have been used in many industries to improve communication and mitigate risk. We describe the introduction of a ward round safety checklist ‘DEFAULT’ on a paediatric intensive care unit. Methods A non-blinded, pre- and post-intervention observational study was undertaken in a 12-bedded Level 3 tertiary PICU between July 2009 and December 2011. Results Ward round stakeholders subjectively liked the checklist and felt it improved communication. Introduction of the ward round checklist was associated with an increase in median days between accidental extubations from 14 (range 2 to 86) to 150 (56 to 365) (Mann–Whitney P <0.0001). The ward round checklist was also associated with an increase in the proportion of invasively ventilated patients with target tidal volumes of <8 ml/kg, which increased from 35 of 71 patients at 08.00 representing a proportion of 0.49 (95% CI 0.38 to 0.60) to 23 of 38 (0.61, 0.45 to 0.74). This represented a trend towards an increased proportion of cases in the target range (z = 1.68, P = 0.09). Conclusions The introduction of a ward round safety checklist was associated with improved communication and patient safety. PMID:24479381

2013-01-01

92

Ratio of Pediatric ICU versus Ward Cardiopulmonary Resuscitation Events is Increasing  

PubMed Central

Objective The aim of this study was to evaluate the relative frequency of pediatric in-hospital CPR events occurring in intensive care units (ICUs) compared to general wards. We hypothesized that the proportion of pediatric CPR provided in ICUs versus general wards has increased over the past decade and this shift is associated with improved resuscitation outcomes. Design Prospective, observational study. Setting Total of 315 hospitals in the American Heart Association’s Get With The Guidelines-Resuscitation (GTWG-R) database. Patients Total of 5,870 pediatric cardiopulmonary resuscitation (CPR) events between January 1, 2000 and September 14, 2010. CPR events were defined as external chest compressions >1minute. Measurements and Results The primary outcome was proportion of total ICU versus general ward CPR events over time evaluated by chi square test for trend. Secondary outcome included return of spontaneous circulation (ROSC) following the CPR event. Among 5870 pediatric CPR events, 5477 (93.3%) occurred in ICUs compared to 393 (6.7%) on inpatient wards. Over time, significantly more of these CPR events occurred in the ICU compared to the wards (test for trend: p<0.01), with a prominent shift noted between 2003 and 2004 (2000-2003: 87 - 91% vs. 2004-2010: 94 - 96%). In a multivariable model controlling for within center variability and other potential confounders, ROSC increased in 2004-2010 compared with 2000-2003 (RR 1.08, 95% confidence interval: 1.03-1.13). Conclusions In-hospital pediatric CPR is much more commonly provided in ICUs vs. Wards and the proportion has increased significantly over the past decade with concomitant increases in return of spontaneous circulation. PMID:23921270

Berg, Robert A.; Sutton, Robert M.; Holubkov, Richard; Nicholson, Carol E.; Dean, J. Michael; Harrison, Rick; Heidemann, Sabrina; Meert, Kathleen; Newth, Christopher; Moler, Frank; Pollack, Murray; Dalton, Heidi; Doctor, Allan; Wessel, David; Berger, John; Shanley, Thomas; Carcillo, Joseph; Nadkarni, Vinay M.

2013-01-01

93

Medical and surgical ward rounds in teaching hospitals of Kuwait University: students' perceptions  

PubMed Central

Background Teaching sessions for medical students during ward rounds are an essential component of bedside teaching, providing students with the opportunity to regard patients as actual people, and to observe their physical conditions directly, allowing a better understanding of illnesses to be developed. We aim to explore medical students’ perceptions regarding medical and surgical ward rounds within the Faculty of Medicine at Kuwait University, and to evaluate whether this teaching activity is meeting the expectation of learners. Methods A pretested questionnaire was used to collect data from 141 medical students during the 2012–2013 academic year. They were asked to provide their current and expected ratings about competencies that were supposed to be gained during ward rounds, on a scale from 1 (lowest) to 5 (highest). Mean scores were calculated, and the Student t-test was used to compare results. P < 0.05 was the cut-off level for significance. Results Only 17 students (12.1%) declined to participate in the study. The students’ current competency scores (for competencies taught within both disciplines – medical and surgical) were significantly lower than the scores indicating students’ expectations (P < 0.001). The best-taught competency was bedside examination, in both medical (mean: 3.45) and surgical (mean: 3.05) ward rounds. However, medical ward rounds were better than surgical rounds in covering some competencies, especially the teaching of professional attitude and approach towards patients (P < 0.001). Conclusion Both medical and surgical ward rounds were deficient in meeting the students’ expectations. Medical educators should utilize the available literature to improve the bedside teaching experience for their students. PMID:24101889

AlMutar, Sara; AlTourah, Lulwa; Sadeq, Hussain; Karim, Jumanah; Marwan, Yousef

2013-01-01

94

Non-therapeutic anti-FXa levels are common among medical ward patients treated with enoxaparin  

Microsoft Academic Search

Thromboembolism is treated with a weight-adjusted enoxaparin dose without the need for laboratory monitoring. This study aims\\u000a to determine the prevalence of sub and supra-therapeutic anti-factor Xa (aFXa) levels among medical ward patients treated\\u000a with enoxaparin, and to identify potential factors associated with non-therapeutic aFXa levels. aFXa levels were measured\\u000a in a cohort of medical ward patients treated with curative

Walid Saliba; Orna Nitzan; Wasseem Rock; Gilat Ron; Luci Zalman; Lee Goldstein; Idit Lavi; Mazen Elias

95

The Romano-Ward syndrome--1964-2014: 50 years of progress.  

PubMed

This year marks the 50th anniversary of publication in the then Journal of the Irish Medical Association of the seminal work by Irish paediatrician Professor Conor Ward entitled 'A new familial Cardiac Syndrome in Children'. The condition soon became known by the eponym Romano-Ward Syndrome and is now recognised as the congenital Long QT Syndrome. Here we review the major developments in the field over the past fifty years, with special mention of the important contributions made by Irish researches. PMID:24834591

Hodkinson, E C; Hill, A P; Vandenberg, J I

2014-04-01

96

Ward Valley: An Examination of Seven Issues in Earth Sciences and Ecology (1995)  

NSDL National Science Digital Library

The full text of the 1995 book Ward Valley: An Examination of Seven Issues in Earth Sciences and Ecology can be viewed online at the National Academies Press Website. The book contains information on the geology, hydrogeology, and ecology of Ward Valley, a proposed low-level radioactive waste disposal site in the Mojave Desert. The format is Open Book, a "browsable, nonproprietary, fully and deeply searchable version of the publication." The National Academies Press notes that it is not intended to replace printed books.

97

Phase Transition Free Regions in the Ising Model via the Kac-Ward Operator  

NASA Astrophysics Data System (ADS)

We provide an upper bound on the spectral radius of the Kac-Ward transition matrix for a general planar graph. Combined with the Kac-Ward formula for the partition function of the planar Ising model, this allows us to identify regions in the complex plane where the free energy density limits are analytic functions of the inverse temperature. The bound turns out to be optimal in the case of isoradial graphs, i.e., it yields criticality of the self-dual Z-invariant coupling constants.

Lis, Marcin

2014-11-01

98

Deprivation in London wards: mortality and unemployment trends in the 1980's.  

PubMed

"This paper describes the use of current estimates of population and economic activity for London's wards in developing small area social indicators. The particular focus is on changes in the spatial pattern of mortality and unemployment differences in the 1980s in relation to the wider incidence of deprivation in wards. A conditional model of change is developed for mortality and unemployment indices to assess whether spatial differences are widening over time and how far changes in these indices are linked to social class and deprivation. The evidence is of widening unemployment differences, and a slight widening in premature mortality." PMID:12179520

Congdon, P

1988-01-01

99

Close Encounters in a Pediatric Ward: Measuring Face-to-Face Proximity and Mixing Patterns with Wearable  

E-print Network

Close Encounters in a Pediatric Ward: Measuring Face-to- Face Proximity and Mixing Patterns.5 meters, and a time resolution of 20 seconds. The study was conducted in a general pediatrics hospital, Cattuto C, Colizza V, et al. (2011) Close Encounters in a Pediatric Ward: Measuring Face-to-Face Proximity

Barrat, Alain

100

Inscribing Memories on Dead Bodies: Sex, Gender, and State Power in the Julie Ward Death in Kenya  

Microsoft Academic Search

This article examines speculations on the circumstances surrounding the 1988 murder of the 28-year-old British tourist Julie Ward in Kenya, with a particular focus on how circulating discourses in Kenyan and British social imaginaries shaped these speculations. The article suggests that Ward's death took place in a discursive landscape marked by deeply layered and intermeshed contours of British and Kenyan

Grace Musila

2008-01-01

101

Legacy Assembler Reengineering and Migration M. P. Ward, H. Zedan and T. Hardcastle  

E-print Network

Legacy Assembler Reengineering and Migration M. P. Ward, H. Zedan and T. Hardcastle Software the FermaT transformation system is used to reengineer assembler systems and migrate from assem- bler to C or predecessor". A legacy assembler system may be defined as any system which: 1. is implemented in assembler

Singer, Jeremy

102

Legacy Assembler Reengineering and Migration M. P. Ward, H. Zedan and T. Hardcastle  

E-print Network

Legacy Assembler Reengineering and Migration M. P. Ward, H. Zedan and T. Hardcastle Software the FermaT transformation system is used to reengineer assembler systems and migrate from assem­ bler to C or predecessor''. A legacy assembler system may be defined as any system which: 1. is implemented in assembler

Singer, Jeremy

103

The prevalence of musculoskeletal pain and fibromyalgia in patients hospitalized on internal medicine wards  

Microsoft Academic Search

Objectives: To estimate the prevalence of nonarticular pain complaints (chronic widespread pain, chronic localized pain, transient pain) and fibromyalgia in hospitalized patients and to study utilization patterns of health services associated with pain related problems. Methods: Five hundred twenty-two patients hospitalized on internal medicine wards were enrolled. Data were collected with a questionnaire covering demographic background, information on pain and

Dan Buskila; Lily Neumann; Lisa R. Odes; Elena Schleifer; Roman Depsames; Mahmoud Abu-Shakra

2001-01-01

104

Using non-invasive ventilation on acute wards: how to provide an effective service.  

PubMed

Non-invasive ventilation is increasingly used on acute wards to treat patients with acute type 2 hypercapnic respiratory failure. This article highlights the main factors that should be considered in providing an acute NIV service outside of a critical care setting. PMID:20698412

Annandaie, Joe

105

Observing the process of care: a stroke unit, elderly care unit and general medical ward compared  

Microsoft Academic Search

Background and purpose: patients on stroke units have better outcomes but it is not known why. We investigated the process of care on a stroke unit, an elderly care unit and a general medical ward. Methods: comparison of the three settings was by non-participant observation of 12 patients in each. Data were analysed using multi-level modelling methods. Results: stroke unit

PANDORA POUND; C AROLINE SABIN; S HAH EBRAHIM

1999-01-01

106

Controlled Confrontation; The Ward Grievance Procedure of the California Youth Authority. An Exemplary Project.  

ERIC Educational Resources Information Center

The Ward Grievance Procedure (WGP) is an Exemplary Project which was developed in California Youth Authority institutions in response to the need of forming administrative procedures for settling inmate grievances. Comprehensive information is provided to aid correctional planners and administrators in their efforts to improve or develop methods…

McGillis, Daniel; And Others

107

[Do-not-resuscitate policy on acute geriatric wards in Flanders, Belgium].  

PubMed

This study describes the historical development and status of a do-not-resuscitate (DNR) policy on acute geriatric wards in Flanders, Belgium. In 2002 (the year Belgium voted a law on euthanasia), a structured mail questionnaire was sent to all head geriatricians of acute geriatric wards in Flanders (N=94). Respondents were asked about the existence, development, and implementation of the DNR policy (guidelines and order forms). The response was 76.6%. Development of DNR policy began in 1985, with a step-up in 1997 and 200l. In 2002, a DNR policy was available in 86.1% of geriatric wards, predominantly with institutional DNR guidelines and individual, patient-specific DNR order forms. The policy was initiated and developed predominantly from an institutional perspective by the hospital. The forms were not standardized and generally lacked room to document patient involvement in the decision making process. Implementation of institutional DNR guidelines and individual DNR order forms on geriatric wards in Flanders lagged behind that of other countries and was still incomplete in 2002. DNR policies varied in content and scope and were predominantly an expression of institutional defensive attitudes rather than a tool to promote patient involvement in DNR and other end-of-life decisions. PMID:18074753

De Gendt, C; Bilsen, J; Vander Stichele, R; Lambert, M; Van Den Noortgate, N; Deliens, L

2007-10-01

108

Suicide amongst psychiatric in-patients who abscond from the ward: a national clinical survey  

Microsoft Academic Search

BACKGROUND: Suicide prevention by mental health services requires an awareness of the antecedents of suicide amongst high risk groups such as psychiatric in-patients. The goal of this study was to describe the social and clinical characteristics of people who had absconded from an in-patient psychiatric ward prior to suicide, including aspects of the clinical care they received. METHODS: We carried

Isabelle M Hunt; Kirsten Windfuhr; Nicola Swinson; Jenny Shaw; Louis Appleby; Nav Kapur

2010-01-01

109

Moving Home: The Experiences of Women with Severe Intellectual Disabilities in Transition from a Locked Ward  

ERIC Educational Resources Information Center

Previous research into deinstitutionalization has largely ignored the perspective of people with intellectual disabilities, especially those with severe intellectual disabilities. This research aimed first to understand how women with severe intellectual disabilities experienced transition from a locked ward of an old long-stay hospital into other…

Owen, Katherine; Hubert, Jane; Hollins, Sheila

2008-01-01

110

Wavelet Transforms in the JPEG-2000 Standard Michael D. Adams and Rabab Ward  

E-print Network

-2000 Part-1 standard (i.e., ISO/IEC 15444-1). The dy- namic range of wavelet transform coefficients interna- tional standard for still image compression. This standard, for- mally known as ISO/IEC 15444Wavelet Transforms in the JPEG-2000 Standard Michael D. Adams and Rabab Ward Dept. of Elec

Adams, Michael D.

111

Conformal Ward identities for Wilson loops and a test of the duality with gluon amplitudes  

Microsoft Academic Search

Planar gluon amplitudes in N=4 SYM are remarkably similar to expectation values of Wilson loops made of light-like segments. We argue that the latter can be determined by making use of the conformal symmetry of the gauge theory, broken by cusp anomalies. We derive the corresponding anomalous conformal Ward identities valid to all loops and show that they uniquely fix

J. M. Drummond; J. Henn; G. P. Korchemsky; E. Sokatchev

2010-01-01

112

Case-based Reasoning for Situation-aware Ambient Intelligence: A Hospital Ward  

E-print Network

Case-based Reasoning for Situation-aware Ambient Intelligence: A Hospital Ward Evaluation Study is on the situation awareness task, and more spec as being able to per- ceive their environment, being aware of the presence of people and other agents

Langseth, Helge

113

"Living My Native Life Deadly": Red Lake, Ward Churchill, and the Discourses of Competing Genocides  

ERIC Educational Resources Information Center

In an attempt to understand how rival narratives of genocide compete even at the cost of disavowing other historical experiences, this article considers how the U.S. national media represented and framed Red Lake in the wake of Ward Churchill's emergence on the national radar. The first section of this article examines how nineteenth-century…

Byrd, Jodi A.

2007-01-01

114

BEAMFORMING FOR A SOURCE LOCATED IN THE INTERIOR OF A SENSOR ARRAY Darren B. Ward  

E-print Network

acquisition where an array of microphones is located randomly on the walls of a room, and the aim is to obtainBEAMFORMING FOR A SOURCE LOCATED IN THE INTERIOR OF A SENSOR ARRAY Darren B. Ward School that is located within the midst of a randomly dis- tributed sensor array. This problem arises in speech acquisi

Botea, Adi

115

Script for the Minor Third video, Feb 10, 2014, Nigel Ward (title side)  

E-print Network

Script for the Minor Third video, Feb 10, 2014, Nigel Ward (title side) Going Beyond Words the rhythm. If you think of it musically there's two bars in three-quarter time, with a rest. So people respond so quickly? There's really no time to think how to respond. But it's okay, because

Ward, Nigel

116

n insidious threat lurks in the dark corners of hospital wards.  

E-print Network

hospital-acquired infections in the United States and Canada (1­3). It is also a growing threat to patientsA n insidious threat lurks in the dark corners of hospital wards. Because of the widespread use spends more than $1.1 billion annually combating these infections (5). Recent work by Giesemann

Feig, Andrew

117

77 FR 10960 - Security Zone, East River and Bronx Kill; Randalls and Wards Islands, NY  

Federal Register 2010, 2011, 2012, 2013

...Randalls and Wards Islands, New York. The purpose of the temporary...States during his visit to New York City. Discussion of Rule The...governmental jurisdictions with populations of less than 50,000...security zone is of limited size and duration....

2012-02-24

118

Factors affecting staff morale on inpatient mental health wards in England: a qualitative investigation  

PubMed Central

Background Good morale among staff on inpatient psychiatric wards is an important requirement for the maintenance of strong therapeutic alliances and positive patient experiences, and for the successful implementation of initiatives to improve care. More understanding is needed of mechanisms underlying good and poor morale. Method We conducted individual and group interviews with staff of a full range of disciplines and levels of seniority on seven NHS in-patient wards of varying types in England. Results Inpatient staff feel sustained in their potentially stressful roles by mutual loyalty and trust within cohesive ward teams. Clear roles, supportive ward managers and well designed organisational procedures and structures maintain good morale. Perceived threats to good morale include staffing levels that are insufficient for staff to feel safe and able to spend time with patients, the high risk of violence, and lack of voice in the wider organisation. Conclusions Increasing employee voice, designing jobs so as to maximise autonomy within clear and well-structured operational protocols, promoting greater staff-patient contact and improving responses to violence may contribute more to inpatient staff morale than formal support mechanisms. PMID:21510852

2011-01-01

119

SPIR-110: U of S RG174 Cable Assembly for CAEN Ward Wurtz and Ru Igarashi  

E-print Network

174 50 coaxial cable Wire cutters Measuring tape 1. As discussed previously, the cable assemblySPIR-110: U of S RG174 Cable Assembly for CAEN 792AA QDC Ward Wurtz and Ru Igarashi 28th August 2003 Contents 1 Introduction 2 2 Diagrams 2 3 Assembly Instructions 5 3.1 Measuring and Cutting Cable

Saskatchewan, University of

120

QSM GRANT RECIPIENTS 2011 -2012 Aimee Cowell Fifth Ward Junior High School St. Tammany  

E-print Network

QSM GRANT RECIPIENTS 2011 - 2012 Aimee Cowell Fifth Ward Junior High School St. Tammany Aleta Overby JonesboroHodge High School Jackson Alexis DeFreese Cypress Springs Elementary Lincoln Alice M Hebert Jennings High School Jefferson Davis Amanda Holland Summerfield Elementary Caddo Amber Perr J

Harms, Kyle E.

121

SPIRAL BENDING WAVES LAUNCHED AT A VERTICAL SECULAR RESONANCE William R. Ward  

E-print Network

SPIRAL BENDING WAVES LAUNCHED AT A VERTICAL SECULAR RESONANCE William R. Ward Department of Space; accepted 2003 February 19 ABSTRACT The excitation of spiral bending waves at a secular vertical resonance propagate radially outward as leading waves from a secular resonance exterior to the perturber, and inward

Hahn, Joseph M.

122

French national survey of inpatient adverse events prospectively assessed with ward staff  

PubMed Central

Objectives To estimate the incidence of adverse events in medical and surgical activity in public and private hospitals, and to assess the clinical situation of patients and the active errors. Design Prospective assessment of adverse events by external senior nursing and doctor investigators with ward staff. Setting Random three?stage stratified cluster sampling of stays or fractions of stay in a 7?day observation period for each ward. Participants 8754 patients observed in 292 wards in 71 hospitals, over 35?234 hospitalisation days. Main outcome measures Number of adverse events in relation to number of days of hospitalisation. Results The incidence density of adverse events was 6.6 per 1000?days of hospitalisation (95% CI 5.7 to 7.5), of which 35% were preventable. Invasive procedures were the source of half the adverse events, of which 20% were preventable. Adverse events related to the psychological sphere and pain were mostly considered as preventable. Ward staff found it difficult to assess the role of care management in the occurrence of adverse events: 41% of adverse events were expected because of the disease itself, and could have occurred in the absence of the related medical management. Conclusion At the national level in France, every year 120?000–190?000 adverse events during hospitalisation can be considered as preventable. Areas such as perioperative period and geriatric units should receive closer attention. As adverse events occurred more commonly in vulnerable patients, who are not specifically targeted by clinical guidance, practising evidence?based medicine is not likely to prevent all cases. Therefore clinical risk management should prioritise empowerment of local staff, provision of favourable conditions within the organisation, and staff training based on simple tools appropriate for ward?level identification and analysis of adverse events. PMID:17913779

Michel, Philippe; Quenon, Jean Luc; Djihoud, Ahmed; Tricaud-Vialle, Sophie; de Sarasqueta, Anne Marie

2007-01-01

123

Safety and security policies on psychiatric acute admission wards: results from a London-wide survey.  

PubMed

Very little research evidence is available regarding current safety and security procedures on acute psychiatric wards. This includes controversial areas such as the temporary removal of personal property, the searching of patients and visitors, the use of alarms and modern technology, and locking of entrances to regulate those entering and leaving. This is also despite widening dismay over increasing violence within a variety of hospital settings, the comparatively high risk of physical assault faced by mental health professionals and an abundance of literature and training in regards to violence management and prevention. To gain an understanding of current safety and security measures, a London-wide survey of acute admission wards was undertaken revealing a wide variety of measures and policies in operation. Over 100 NHS and private wards were sent questionnaires; there was a response rate of 70%. Results show that a significant proportion of acute admission wards are now locked at all times and a small proportion of units have 24-hour security/reception staff on-site and a low level of modern technology usage such as CCTV and electronic access systems. There is wide variation in items banned, restrictions placed on inpatients, and the searching of patients and visitors. Two independently varying emphases of ward security policies were identifiable, the first aimed at preventing harm to patients using door security, banning of item and restrictions on inpatients. The other is aimed at reducing risks to staff via searching of patients, use of security guards and sophisticated alarm systems. There is some preliminary evidence that these security policies are differentially associated with levels of absconding and violent incidents. Further research to guide practice is urgently required. PMID:12164905

Bowers, L; Crowhurst, N; Alexander, J; Callaghan, P; Eales, S; Guy, S; McCann, E; Ryan, C

2002-08-01

124

One day survey by the Mental Health Act Commission of acute adult psychiatric inpatient wards in England and Wales  

PubMed Central

Objectives To provide (via the Mental Health Act Commission’s “national visit”) empirical evidence on ward occupancy levels, use of the Mental Health Act 1983, nurse staffing, and care of female patients on acute adult psychiatric wards. Design One day survey of a stratified random sample. Settings 119/250 (47%) acute adult psychiatric inpatient units in England and Wales. Subjects End sample of 263 acute psychiatric inpatient wards. Main outcome measures Ward occupancy rates; number of patients detained under the Mental Health Act and proportion “absent without leave”; nurse staffing levels, skill mix, and vacancies; proportion of women with self contained, women-only facilities. Results Mean ward occupancy was 99% (95% confidence interval 97% to 102%). A ward mean of 30% (28% to 32%) of patients were detained under the Mental Health Act; of all detained patients, 1% (1% to 2%) were absent without leave. A ward mean of 0.3 (0.29 to 0.31) nurses were on duty per patient at the time of the visit. An estimated ward mean of 31% (30% to 32%) of nurse staffing may have been through casual contracts—higher in inner (48% (43% to 53%)) and outer London (45% (41% to 48%)). On 26% (21% to 32%) of wards, there were no nurses interacting with patients. A ward mean of 36% (30% to 41%) of female patients had self contained, women-only facilities. Conclusions Attention should focus on improving the quality of acute inpatient psychiatric care as well as of community care. Key messagesLeave arrangements on adult psychiatric wards cause considerable difficulties in bed managementAn estimated third of nursing staff on duty are employed on a casual basisNurses spend much of their time engaged in intensive observation of a few patients, but a quarter of wards had no nurse interacting with patients at the time of the national visitOnly a third of female patients had the use of self contained, women-only areasPolicymaking, management, and training must be refocused to improve the quality of acute inpatient psychiatric care PMID:9804713

Ford, Richard; Durcan, Graham; Warner, Lesley; Hardy, Pollyanna; Muijen, Matt

1998-01-01

125

From Paper to PDA: Design and Evaluation of a Clinical Ward Instruction on a Mobile Device  

NASA Astrophysics Data System (ADS)

Mobile devices with small screens and minimal facilities for interaction are increasingly being used in complex human activities for accessing and processing information, while the user is moving. This paper presents a case study of the design and evaluation of a mobile system, which involved transformation of complex text and tables to digital format on a PDA. The application domain was an emergency medical ward, and the user group was junior registrars. We designed a PDA-based system for accessing information, focusing on the ward instruction, implemented a prototype and evaluated it for usability and utility. The evaluation results indicate significant problems in the interaction with the system as well as the extent to which the system is useful for junior registrars in their daily work.

Kanstrup, Anne Marie; Stage, Jan

126

Implementing ward based clinical pharmacy services in an Ethiopian University Hospital  

PubMed Central

Background Clinical pharmacy practice has developed internationally to expand the role of a pharmacist well beyond the traditional roles of compounding, dispensing and supplying drugs to roles more directly in caring for patients. Studies on the activities of the clinical pharmacist in an inpatient ward in resource constrained settings are scarce, however. Objective To assess ward based clinical pharmacy services in an internal medicine ward of Jimma University Specialized Hospital. Methods The study was carried out in the internal medicine ward from March to April, 2011 at Jimma University Specialized Hospital. The study design was a prospective observational study where pharmaceutical care services provided by clinical pharmacists for inpatients were documented over a period of two months. Interventions like optimization of rational drug use and physician acceptance of these recommendations were documented. Clinical significance of interventions was evaluated by an independent team (1 internist, 1 clinical pharmacologist) using a standardized method for categorizing drug related problems (DRPs). Results A total of 149 drug related interventions conducted for 48 patients were documented; among which 133(89.3%) were clinical pharmacists initiated interventions and 16(10.7%) interventions were initiated by other health care professionals. The most frequent DRPs underlying interventions were unnecessary drug therapy, 36(24.2%); needs additional drug therapy, 34(22.8%) and noncompliance, 29(19.5%). The most frequent intervention type was change of dosage/instruction for use, 23(15.4%). Acceptance rate by physicians was 68.4%. Among the interventions that were rated as clinically significant, 46(48.9%) and 25(26.6%) had major and moderate clinical importance respectively. Conclusions Involving trained clinical pharmacists in the healthcare team leads to clinically relevant and well accepted optimization of medicine use in a resource limited settings. This approach can likely be generalized to other health care settings in the country to improve medication outcomes. PMID:24155850

Mekonnen, Alemayehu B.; Yesuf, Elias A.; Odegard, Peggy S.; Wega, Sultan S.

127

Youth Water Camp: Ward County 4-H program educates students about water conservation, quality  

E-print Network

tx H2O | pg. 24 A plant chemist directs Water Camp youth in basic water analysis at a local power plant during a tour. Story by Danielle Supercinski Ward County 4-H program educates students about water conservation, quality In January... 1991, a committee of the Texas Agricultural Extension Service (now Texas AgriLife Extension Service) and Upper Pecos Soil and Water Conservation District person- nel met on the development of a 4-H water camp educating youth on water issues...

Supercinski, Danielle

2008-01-01

128

Problems in the development of a computerized ward monitoring system for a paediatric intensive care unit  

Microsoft Academic Search

A computerised ward monitoring system based on Archimedes PC's at each bedside is under development for the PICU at Killingbeck\\u000a Hospital in Leeds. This work was initiated with a view to reducing the amount of paperwork in the unit. The present paper\\u000a charts have been broken down into sections for the purpose of entry into the computer. The completed charts

K. D. C. Stoodley; D. R. Walker; A. D. Crew; J. S. Marshall

1991-01-01

129

Learning clinical communication on ward-rounds: an ethnographic case study  

E-print Network

explanations, patient presentations and note taking are all relevant learning that students may not recognise. #2; Clinicians can help students by role modelling and discussing what makes for effective clinical communication. Correspondence: Sally Quilligan... communication on the ward-round. We assumed that partici- pation in routine workplace practices was key to learning (Billetts 2011). Sensitising concepts from the disciplinary traditions of the ethnography of communication informed the analysis (Hymes 1996...

Quilligan, Sally

2014-08-26

130

Role of clinical pharmacists’ interventions in detection and prevention of medication errors in a medical ward  

Microsoft Academic Search

Objective Frequency and type of medication errors and role of clinical pharmacists in detection and prevention of these errors were\\u000a evaluated in this study. Method During this interventional study, clinical pharmacists monitored 861 patients’ medical records and detected, reported, and\\u000a prevented medication errors in the infectious disease ward of a major referral teaching hospital in Tehran, Iran. Error was\\u000a defined

Hossein Khalili; Shadi Farsaei; Haleh Rezaee; Simin Dashti-Khavidaki

2011-01-01

131

The effect of increased bed numbers on MRSA transmission in acute medical wards  

Microsoft Academic Search

An 18-month prospective survey was performed to examine the effect of adding a fifth bed to four-bedded bays in three acute medical wards on colonization by methicillin-resistant Staphylococcus aureus (MRSA). Screening procedures were in accordance with the UK national guidelines. All patients newly colonized with MRSA were visited, and their bed location determined. Data from the five-bedded bays were compared

C. C. Kibbler; A. Quick; A.-M. O'Neill

1998-01-01

132

Accumulation of Nitrogen Oxides in Copper-Limited Cultures of Denitrifying Julie Granger; Bess B. Ward  

E-print Network

; Bess B. Ward Limnology and Oceanography, Vol. 48, No. 1, Part 1. (Jan., 2003), pp. 313-318. Stable URL: http://links.jstor.org/sici?sici=0024-3590%28200301%2948%3A1%3C313%3AAONOIC%3E2.0.CO%3B2-W Limnology and Oceanography is currently published by American Society of Limnology and Oceanography. Your use of the JSTOR

Ward, Bess

133

Drinking Water Quality Surveillance in a Vulnerable Urban Ward of Ahmedabad  

PubMed Central

The World Bank estimates that 21% of all communicable diseases in India are related to unsafe water with diarrhoea alone causing more than 0.1 million deaths annually. The WHO drinking water surveillance parameters of quality, quantity, accessibility, affordability and continuity were assessed in one vulnerable ward of Ahmedabad—a fast growing city in Western India. Interviews with key informants of the ward office, health centre and water supply department, secondary analysis and mapping of field test reports and a questionnaire-based survey of different household types were conducted. We found that Ahmedabad Municipal Corporation (AMC) supplies water to the ward intermittently for two hours during the day. Housing society clusters supplement their AMC water supply with untested bore-well water. The water quality surveillance system is designed for a twenty-four-hour piped distribution of treated surface water. However, in order to maintain surveillance over an intermittent supply that includes ground water, the sampling process should include periodic surveys of water actually consumed by the citizens. The laboratory capacity of the Central Water Testing Laboratory should expand to include more refined tests for microbial and chemical contamination.

Iyer, Veena; Choudhury, Nandini; Azhar, Gulrez Shah; Somvanshi, Bhushan

2014-01-01

134

Ramond-Ramond S-matrix elements from T-dual Ward identity  

E-print Network

Recently it has been speculated that the Ward identities associated with the string dualities and the gauge symmetries can be used as guiding principles to find all components of the scattering amplitude of $n$ supergravitons from a given component of the S-matrix. In this paper, we apply the Ward identities associated with the T-duality and the gauge symmetries on the disk-level S-matrix element of one RR $(p-3)$-form, one NSNS and one NS states, to find the corresponding S-matrix elements of the RR $(p-1)$-form, $(p+1)$-form or the RR$(p+3)$-form on the world volume of a D$_p$-brane. Moreover, we apply these Ward identities on the S-matrix element of one RR $(p-3)$-form and two NSNS states to find the corresponding S-matrix elements of the RR $(p-1)$-form, $(p+1)$-form, $(p+3)$-form or the RR $(p+5)$-form.

Komeil Babaei Velni; Mohammad R. Garousi

2013-12-01

135

Detailed Protocol for "Impressions of Dialog Behaviors across Cultures" March 8, 2007, Yaffa Al Bayyari and Nigel Ward  

E-print Network

Bayyari and Nigel Ward Preparation 1. set up speakers and headphones on a laptop 2. position it so the experiments you'll be using headphones." 5. *Subject puts on the headphones. 6. Using examples 1 and 2, show

Ward, Nigel

136

Continuous positive airway pressure for bronchiolitis in a general paediatric ward; a feasibility study  

PubMed Central

Background Continuous positive airway pressure (CPAP) is commonly used to relieve respiratory distress in infants with bronchiolitis, but has mostly been studied in an intensive care setting. Our prime aim was to evaluate the feasibility of CPAP for infants with bronchiolitis in a general paediatric ward, and secondary to assess capillary PCO2 (cPCO2) levels before and during treatment. Methods From May 1st 2008 to April 30th 2012, infants with bronchiolitis at Stavanger University Hospital were treated with CPAP in a general paediatric ward, but could be referred to an intensive care unit (ICU) when needed, according to in-house guidelines. Levels of cPCO2 were prospectively registered before the start of CPAP and at approximately 4, 12, 24 and 48 hours of treatment as long as CPAP was given. We had a continuous updating program for the nurses and physicians caring for the infants with CPAP. The study was population based. Results 672 infants (3.4%) were hospitalized with bronchiolitis. CPAP was initiated in 53 infants (0.3%; 7.9% of infants with bronchiolitis), and was well tolerated in all but three infants. 46 infants were included in the study, the majority of these (n?=?33) were treated in the general ward only. These infants had lower cPCO2 before treatment (8.0; 7.7, 8.6)(median; quartiles) than those treated at the ICU (n?=?13) (9.3;8.5, 9.9) (p?ward) (p?ward, providing sufficient staffing and training, and the possibility of referral to an ICU when needed. PMID:24886569

2014-01-01

137

The ward atmosphere important for the psychosocial work environment of nursing staff in psychiatric in-patient care  

PubMed Central

Background The nursing staff working in psychiatric care have a demanding work situation, which may be reflected in how they view their psychosocial work environment and the ward atmosphere. The aims of the present study were to investigate in what way different aspects of the ward atmosphere were related to the psychosocial work environment, as perceived by nursing staff working in psychiatric in-patient care, and possible differences between nurses and nurse assistants. Methods 93 nursing staff working at 12 general psychiatric in-patient wards in Sweden completed two questionnaires, the Ward Atmosphere Scale and the QPSNordic 34+. Data analyses included descriptive statistics, the Mann-Whitney U-test, Spearman rank correlations and forward stepwise conditional logistic regression analyses. Results The data revealed that there were no differences between nurses and nurse assistants concerning perceptions of the psychosocial work environment and the ward atmosphere. The ward atmosphere subscales Personal Problem Orientation and Program Clarity were associated with a psychosocial work environment characterized by Empowering Leadership. Program Clarity was related to the staff's perceived Role Clarity, and Practical Orientation and Order and Organization were positively related to staff perceptions of the Organizational Climate. Conclusions The results from the present study indicate that several ward atmosphere subscales were related to the nursing staff's perceptions of the psychosocial work environment in terms of Empowering Leadership, Role Clarity and Organizational Climate. Improvements in the ward atmosphere could be another way to accomplish improvements in the working conditions of the staff, and such improvements would affect nurses and nurse assistants in similar ways. PMID:21679430

2011-01-01

138

Depositional environment and reservoir morphology of Guadalupian Bell Canyon sandstones, Scott field, Ward and Reeves counties, Texas  

E-print Network

DEPOSITIONAL ENVIRONMENT AND RESERVOIR MORPHOLOGY OF GUADALUPIAN BELL CANYON SANDSTONES, SCOTT FIELD. WARD AND REEVES COUNTIES, TEXAS A Thesis by GERARD PAUL KASHATUS Submitted to the Graduate College of Texas ASM University in partial... fulfillment of the requirement for the degree of MASTER OF SCIENCE May 1986 Major Subject: Geology DEPOSITIONAL ENVIRONMENT AND RESERVOIR MORPHOLOGY OF GUADALUPIAN BELL CANYON SANDSTONES, SCOTT FIELD, WARD AND REEVES COUNTIES, TEXAS A Thesis by GERARD...

Kashatus, Gerard Paul

2012-06-07

139

Nursing and midwife staffing needs in maternity wards in Burkina Faso referral hospitals  

PubMed Central

Background In 2006, Burkina Faso set up a policy to subsidize the cost of obstetric and neonatal emergency care. This policy has undoubtedly increased attendance at all levels of the health pyramid. The aim of this study was to measure the capacity of referral hospitals’ maternity services to cope with the demand for health services after the implementation of this policy. Methods This study was conducted in three referral health centres (CMAs, CHRs, and CHUs). The CHU Yalgado Ouédraogo (tertiary level) and the CMA in Sector 30 (primary level) were selected as health facilities in the capital, along with the Kaya CHR (secondary level). At each health facility, the study included official maternity ward staff only. We combined the two occupational categories (nurses and midwives) because they perform the same activities in these health facilities. We used the WISN method recommended by WHO to assess the availability of nurses and midwives. Results Nurses and midwives represented 38% of staff at the University Hospital, 65% in the CHR and 80% in the CMA. The number of nurses and midwives needed for carrying out the activities in the maternity ward in the University Hospital and the CMA is greater than the current workforce, with WISN ratio of 0.68 and 0.79 respectively. In the CHR, the current workforce is greater than the number required (WISN ratio = 2). This medical centre is known for performing a high number curative and preventive activities compared to the Kaya CHR. Like the CHU, the delivery room is a very busy unit. This activity requires more time and more staff compared to other activities. Conclusion This study showed a shortage of nurses and midwives in two health facilities in Ouagadougou, which confirms that there is considerable demand. At the Kaya CHR, there is currently enough staff to handle the workload in the maternity ward, which may indicate a need to expand the analysis to other health facilities to determine whether a redistribution of health human resources is warranted.

2014-01-01

140

Medication prescribing errors and associated factors at the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia  

PubMed Central

Background Medication error is common and preventable cause of medical errors and occurs as a result of either human error or a system flaw. The consequences of such errors are more harmful and frequent among pediatric patients. Objective To assess medication prescribing errors and associated factors in the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia. Methods A cross-sectional study was carried out in the pediatric wards of Dessie Referral Hospital from February 17 to March 17, 2012. Data on the prescribed drugs were collected from patient charts and prescription papers among all patients who were admitted during the study period. Descriptive statistics was used to determine frequency, prevalence, means, and standard deviations. The relationship between dependent and independent variables were computed using logistic regression (with significance declared at p-value of 0.05 and 95% confidence interval). Results Out of the 384 Medication order s identified during the study, a total of 223 prescribing errors were identified. This corresponds to an overall medication prescribing error rate of 58.07%. Incomplete prescriptions and dosing errors were the two most common types of prescribing errors. Antibiotics (54.26%) were the most common classes of drugs subjected to prescribing error. Day of the week and route of administration were factors significantly associated with increased prescribing error. Conclusions Medication prescribing errors are common in the pediatric wards of Dessie Referral Hospital. Improving quick access to up to date reference materials, providing regular refresher trainings and possibly including a clinical pharmacist in the healthcare team are recommended. PMID:24826198

2014-01-01

141

Protocol for an exploration of knowledge sharing for improved discharge from a mental health ward  

PubMed Central

Introduction Strategies to reduce hospital admissions for mental health service users have received vast amounts of attention, yet the transfer of care from hospital to the community has been ignored. The discharge process is complex, messy, disjointed and inefficient, relying on cross-agency and organisational working. Focusing on one acute mental health admission ward, we will investigate whether the discharge process for people with severe mental health problems can be enhanced through the creation, implementation and utilisation of a knowledge sharing proforma that is used on their admission to the ward. Methods and analysis The project uses qualitative interviews to understand the complex processes associated with being admitted and discharged from inpatient mental health wards. Practitioners will be asked to identify and map the relevant stakeholders involved in admission and discharge, and discuss any problems with the process. The study team will work with clinicians to develop a knowledge collection proforma, which will be piloted for 2?months. Qualitative interviews will be carried out to collect reflections on the experiences of using the tool, with data used for further refinement of the intervention. Baseline and repeat quantitative measures will be taken to illustrate any changes to length of stay and readmission rates achieved as a result of the study. Ethics and dissemination A key issue is that participants are able to comment frankly on something that is a core part of their work, without fear or reprise. It is equally important that all participants are offered the opportunity to develop and coproduce the knowledge collection proforma, in order that the intervention produced is fit for purpose and usable in the real world, away from a research environment. The study has received ethical approval from Nottingham University Business School ethics committee, and has all appropriate National Health Service research governance clearances. PMID:25273812

Rowley, Emma; Wright, Nicola; Waring, Justin; Gregoriou, Kyri; Chopra, Arun

2014-01-01

142

Chiral Ward identities, automatic O(a) improvement and the gradient flow  

E-print Network

Non-singlet chiral Ward identities for fermionic operators at positive flow-time are derived using standard techniques based on local chiral variations of the action and of local operators. The gradient flow formalism is applied to twisted mass fermions and it is shown that automatic O(a) improvement for Wilson twisted mass fermions at maximal twist is a property valid also at positive flow-time. A definition of the chiral condensate that is multiplicatively renormalizable and automatically O(a) improved is then derived.

Andrea Shindler

2013-12-17

143

Generalized Stirling permutations and forests: Higher-order Eulerian and Ward numbers  

E-print Network

We consider a family of combinatorial problems related to generalized Stirling permutations with fixed number of ascents that can also be understood in terms of ordered trees and forests. They will be solved by introducing a three-parameter generalization of the well-known Eulerian numbers that will be studied in the framework of generating-function methods. By using a non-trivial involution, we map these generalized Eulerian numbers onto a family of generalized Ward numbers for which we also provide a combinatorial interpretation.

J. Fernando Barbero G.; Jesús Salas; Eduardo J. S. Villaseñor

2013-07-22

144

A review of "The Politics of Liberty in England and Revolutionary America." by Lee Ward  

E-print Network

REVIEWS 183 Lee Ward. The Politics of Liberty in England and Revolutionary America. New York: Cambridge University Press, 2004. x + 459 pp. $90.00. Review by GEOFFREY M. VAUGHAN, UNIVERSITY OF MARYLAND, BALTIMORE COUNTY. This is first... this is an unfashionable approach in some quarters of the academy. I happen to be as convinced of this approach, if not in all particulars, as I am compelled by the argument of this book, if not in all particulars. Anyone interested in the political ideas...

Geoffrey M. Vaughan

2005-01-01

145

Comparison of risk prediction scoring systems for ward patients: a retrospective nested case-control study  

PubMed Central

Introduction The rising prevalence of rapid response teams has led to a demand for risk-stratification tools that can estimate a ward patient’s risk of clinical deterioration and subsequent need for intensive care unit (ICU) admission. Finding such a risk-stratification tool is crucial for maximizing the utility of rapid response teams. This study compares the ability of nine risk prediction scores in detecting clinical deterioration among non-ICU ward patients. We also measured each score serially to characterize how these scores changed with time. Methods In a retrospective nested case-control study, we calculated nine well-validated prediction scores for 328 cases and 328 matched controls. Our cohort included non-ICU ward patients admitted to the hospital with a diagnosis of infection, and cases were patients in this cohort who experienced clinical deterioration, defined as requiring a critical care consult, ICU admission, or death. We then compared each prediction score’s ability, over the course of 72 hours, to discriminate between cases and controls. Results At 0 to 12 hours before clinical deterioration, seven of the nine scores performed with acceptable discrimination: Sequential Organ Failure Assessment (SOFA) score area under the curve of 0.78, Predisposition/Infection/Response/Organ Dysfunction Score of 0.76, VitalPac Early Warning Score of 0.75, Simple Clinical Score of 0.74, Mortality in Emergency Department Sepsis of 0.74, Modified Early Warning Score of 0.73, Simplified Acute Physiology Score II of 0.73, Acute Physiology and Chronic Health Evaluation II of 0.72, and Rapid Emergency Medicine Score of 0.67. By measuring scores over time, it was found that average SOFA scores of cases increased as early as 24 to 48 hours prior to deterioration (P = 0.01). Finally, a clinical prediction rule which also accounted for the change in SOFA score was constructed and found to perform with a sensitivity of 75% and a specificity of 72%, and this performance is better than that of any SOFA scoring model based on a single set of physiologic variables. Conclusions ICU- and emergency room-based prediction scores can also be used to prognosticate risk of clinical deterioration for non-ICU ward patients. In addition, scoring models that take advantage of a score’s change over time may have increased prognostic value over models that use only a single set of physiologic measurements. PMID:24970344

2014-01-01

146

Factors affecting staff morale on inpatient mental health wards in England: a qualitative investigation  

Microsoft Academic Search

Background  Good morale among staff on inpatient psychiatric wards is an important requirement for the maintenance of strong therapeutic\\u000a alliances and positive patient experiences, and for the successful implementation of initiatives to improve care. More understanding\\u000a is needed of mechanisms underlying good and poor morale.\\u000a \\u000a \\u000a \\u000a \\u000a Method  We conducted individual and group interviews with staff of a full range of disciplines and levels

Jonathan Totman; Gillian Lewando Hundt; Elizabeth Wearn; Moli Paul; Sonia Johnson

2011-01-01

147

Susceptibility of staphylococci and enterococci to antimicrobial agents at different ward levels in four north European countries.  

PubMed

A multicentre susceptibility study was performed on staphylococci and enterococci isolated from patients at 3 different ward levels: primary care centres (PCCs), general hospital wards (GHWs) and intensive care units (ICUs), in Denmark, Finland, Norway and Sweden. There was a markedly higher incidence of resistance among CoNS in ICUs compared to GHWs and PCCs. Resistance rates were low among S. aureus isolates and no differences were found between the ward levels. Oxacillin resistance was found among 1.6% of S. aureus and 47% of CoNS isolates. 14% of CoNS and 0.9% of S. aureus isolates were glycopeptide intermediate. The prevalence of E. faecium isolates in this study differed significantly between the ward levels with the lowest prevalence found at PCCs. High level gentamicin resistant (HLGR) enterococci occurred in 11-25% of E. faecium and 6-20% of E. faecalis isolates. The HLGR rate was significantly higher among E. faecalis from hospitalized patients (GHWs and ICUs) compared to patients at PCCs. For enterococcal isolates, no other significant differences in antimicrobial resistance were found between the ward levels. All enterococci were teicoplanin susceptible, but decreased susceptibility to vancomycin was found among 2.0% and 0.6% of the E. faecium and E. faecalis isolates, respectively. PMID:17852944

Claesson, Carina; Hällgren, Anita; Nilsson, Maud; Svensson, Erik; Hanberger, Håkan; Nilsson, Lennart E

2007-01-01

148

Patient safety incidents associated with tracheostomies occurring in hospital wards: a review of reports to the UK National Patient Safety Agency  

Microsoft Academic Search

BackgroundTracheostomies are increasingly common in hospital wards due to the rising use of percutaneous and surgical tracheostomies in critical care and bed pressures in these units. Hospital wards may lack appropriate infrastructure to care for this vulnerable group and significant patient harm may result.ObjectivesTo identify and analyse tracheostomy related incident reports from hospital wards between 1 October 2005 and 30

B. A. McGrath; A. N. Thomas

2010-01-01

149

Nature and frequency of medication errors in a geriatric ward: an Indonesian experience  

PubMed Central

Purpose To determine the nature and frequency of medication errors during medication delivery processes in a public teaching hospital geriatric ward in Bali, Indonesia. Methods A 20-week prospective study on medication errors occurring during the medication delivery process was conducted in a geriatric ward in a public teaching hospital in Bali, Indonesia. Participants selected were inpatients aged more than 60 years. Patients were excluded if they had a malignancy, were undergoing surgery, or receiving chemotherapy treatment. The occurrence of medication errors in prescribing, transcribing, dispensing, and administration were detected by the investigator providing in-hospital clinical pharmacy services. Results Seven hundred and seventy drug orders and 7,662 drug doses were reviewed as part of the study. There were 1,563 medication errors detected among the 7,662 drug doses reviewed, representing an error rate of 20.4%. Administration errors were the most frequent medication errors identified (59%), followed by transcription errors (15%), dispensing errors (14%), and prescribing errors (7%). Errors in documentation were the most common form of administration errors. Of these errors, 2.4% were classified as potentially serious and 10.3% as potentially significant. Conclusion Medication errors occurred in every stage of the medication delivery process, with administration errors being the most frequent. The majority of errors identified in the administration stage were related to documentation. Provision of in-hospital clinical pharmacy services could potentially play a significant role in detecting and preventing medication errors. PMID:24940067

Ernawati, Desak Ketut; Lee, Ya Ping; Hughes, Jeffery David

2014-01-01

150

A ward-based writing coach program to improve the quality of nursing documentation.  

PubMed

A ward-based writing coach program was piloted at a metropolitan hospital in Australia to produce a quality improvement in nursing documentation. This paper describes the education program, which consisted of two writing workshops, each of one-hour duration followed by one-to-one coaching of nurses. This program could be carried out in any clinical area as a part of the regular education program. Nurses are encouraged to view their documentation practices in a critical light to ensure that the documentation is meaningful to readers within or outside the profession. The importance of nursing documentation as a communication tool for all health care professionals is emphasised. Barriers to meaning, such as fragmentary language or the use of unofficial abbreviations, are discussed. Nurses are also encouraged to document the patient's condition, care and response to care using defined principles for nursing documentation. This program would be transferrable to any clinical setting looking for a ward-based education program for nursing documentation. PMID:21982050

Jefferies, Diana; Johnson, Maree; Nicholls, Daniel; Lad, Shushila

2012-08-01

151

Bottom-up regulation of a pole-ward migratory predator population.  

PubMed

As the effects of regional climate change are most pronounced at polar latitudes, we might expect polar-ward migratory populations to respond as habitat suitability changes. The southern elephant seal (Mirounga leonina L.) is a pole-ward migratory species whose populations have mostly stabilized or increased in the past decade, the one exception being the Macquarie Island population which has decreased continuously over the past 50 years. To explore probable causes of this anomalous trend, we counted breeding female seals annually between 1988 and 2011 in order to relate annual rates of population change (r) to foraging habitat changes that have known connections with atmospheric variability. We found r (i) varied annually from -0.016 to 0.021 over the study period, (ii) was most effected by anomalous atmospheric variability after a 3 year time lag was introduced (R = 0.51) and (iii) was associated with sea-ice duration (SID) within the seals' foraging range at the same temporal lag. Negative r years may be extrapolated to explain, at least partially, the overall trend in seal abundance at Macquarie Island; specifically, increasing SID within the seals foraging range has a negative influence on their abundance at the island. Evidence is accruing that suggests southern elephant seal populations may respond positively to a reduced sea-ice field. PMID:24619437

van den Hoff, John; McMahon, Clive R; Simpkins, Graham R; Hindell, Mark A; Alderman, Rachael; Burton, Harry R

2014-05-01

152

Evaluation of parenteral nutritional support in the surgical and medical wards of a referral teaching hospital  

PubMed Central

Background and purpose Malnutrition is a common problem in patients who are hospitalized in surgical and medical wards. Surgical patients, geriatric populations and individuals with severe illness are more vulnerable to malnutrition during their hospitalization course. The purpose of this study was evaluation of parenteral nutrition services in a referral teaching hospital, Tehran, Iran. Method Medical records of 72 patients who received parenteral nutrition during one year period in different surgical and medical wards of Imam Khomeini hospital were reviewed retrospectively by clinical pharmacists. Criteria for initiation of parenteral nutrition, selection of appropriate formulation and monitoring parameters were assessed based on the American Society of Parenteral and Enteral Nutrition recommendations. Results Based on the patients' anthropometric parameters and serum albumin levels, 4.2%, 75% and 20.8% of the patients were well-nourished, moderately malnourished and severely malnourished respectively at the hospital admission and before nutritional support. Adequate calorie, protein, carbohydrate and lipid supports were achieved in 21.1%, 32.4%, 23.7% and 10.5% of the patients respectively. About 91% of the patients experienced at least one complication of the nutritional support. Conclusion In this evaluation, several errors in assessment, establishing goals, and monitoring of parenteral nutrition regimens have been detected. Approximately all of the patients did not receive to the trace elements supports goals. PMID:23351175

2012-01-01

153

Estimating the intensity of ward admission and its effect on emergency department access block.  

PubMed

Emergency department access block is an urgent problem faced by many public hospitals today. When access block occurs, patients in need of acute care cannot access inpatient wards within an optimal time frame. A widely held belief is that access block is the end product of a long causal chain, which involves poor discharge planning, insufficient bed capacity, and inadequate admission intensity to the wards. This paper studies the last link of the causal chain-the effect of admission intensity on access block, using data from a metropolitan hospital in Australia. We applied several modern statistical methods to analyze the data. First, we modeled the admission events as a nonhomogeneous Poisson process and estimated time-varying admission intensity with penalized regression splines. Next, we established a functional linear model to investigate the effect of the time-varying admission intensity on emergency department access block. Finally, we used functional principal component analysis to explore the variation in the daily time-varying admission intensities. The analyses suggest that improving admission practice during off-peak hours may have most impact on reducing the number of ED access blocks. PMID:23172783

Luo, Wei; Cao, Jiguo; Gallagher, Marcus; Wiles, Janet

2013-07-10

154

Future: new strategies for hospitalists to overcome challenges in teaching on today's wards.  

PubMed

Changes in the clinical learning environment under resident duty hours restrictions have introduced a number of challenges on today's wards. Additionally, the current group of medical trainees is largely represented by the Millennial Generation, a generation characterized by an affinity for technology, interaction, and group-based learning. Special attention must be paid to take into account the learning needs of a generation that has only ever known life with duty hours. A mnemonic for strategies to augment teaching rounds for hospitalists was created using an approach that considers time limitations due to duty hours as well as the preferences of Millennial learners. These strategies to enhance learning during teaching rounds are Flipping the Wards, Using Documentation to Teach, Technology-Enabled Teaching, Using Guerilla Teaching Tactics, Rainy Day Teaching, and Embedding Teaching Moments into Rounds (FUTURE). Hospitalists serving as teaching attendings should consider these possible strategies as ways to enhance teaching in the post-duty hours era. These techniques appeal to the preferences of today's learners in an environment often limited by time constraints. Hospitalists are well positioned to champion innovative approaches to teaching in a dynamic and evolving clinical learning environment. PMID:23757149

Martin, Shannon K; Farnan, Jeanne M; Arora, Vineet M

2013-07-01

155

Urban land use and ground water vulnerability in Washington, DC: Environmental equity by city ward  

SciTech Connect

The DC WRRC initiated a USGS-funded study on impacts of urban land use on the city's ground water. Its main objective is the development of pollution potential maps using available physical and land use data for the District of Columbia. A second goal is the design of a ground water protection strategy applicable to a heterogeneous urban setting. The multitude of data required for this project were compiled using a Geographic Information System (GIS). GIS maps show the four hydrogeologic settings, traditional land use categories, specific urban pollution sources, and management units. A coding matrix was developed to create a rating hierarchy of the pollution potential of various land use/pollution source combinations. Subsequent superposition with the ground water vulnerability map allowed the city-wide spatial assessment of land use impacts on ground water quality. Preliminary results can be displayed by voting ward and used to educate residents on environmental conditions. Field trips and technical notes coupled with exposure to new laws and historic maps can heighten public and political awareness of the ground water resource. A city-wide GIS based on voting wards can enhance understanding of the dynamic urban hydrologic cycle and thus aid in establishing environmental equity.

Schneider, J.; O'Conner, J.V.; Wade, C.; Chang, F.M. (Univ. of the District of Columbia, Washington, DC (United States))

1992-01-01

156

Nurses' accounts of locked ward doors: ghosts of the asylum or acute care in the 21st century?  

PubMed

The practice of locking acute ward doors in the UK to manage patient care has been reported with increasing frequency in a number of recent official documents; however, there is little research examining the practice. This study explores the perceptions and experiences of mental health nurses working on acute wards where the doors are locked for all or part of a shift. Audio-taped, semi-structured interviews were undertaken with 11 qualified mental health nurses and analysed using content analysis. Six broad categories were identified: policies and documentation, locking and unlocking the doors, communicating the decision, reasons for locking the doors, benefits and concerns. The findings suggest that there is a need for mental health nurses to reflect on the reasons for, and wider implications of locking ward doors before their wholesale implementation is considered in the UK. PMID:18307646

Ashmore, R

2008-04-01

157

The effectiveness of substitution of hospital ward care from medical doctors to physician assistants: a study protocol  

PubMed Central

Background Because of an expected shrinking supply of medical doctors for hospitalist posts, an increased emphasis on efficiency and continuity of care, and the standardization of many medical procedures, the role of hospitalist is increasingly allocated to physician assistants (PAs). PAs are nonphysician clinicians with medical tasks. This study aims to evaluate the effects of substitution of hospital ward care to PAs. Methods/Design In a multicenter matched controlled study, the traditional model in which the role of hospitalist is taken solely by medical doctors (MD model) is compared with a mixed model in which a PA functions as a hospitalist, contingent with MDs (PA/MD model). Twenty intervention and twenty control wards are included across The Netherlands, from a range of medical specialisms. Primary outcome measure is patients’ length of hospital stay. Secondary outcomes include indicators for quality of hospital ward care, patients experiences with medical ward care, patients health-related quality of life, and healthcare providers’ experiences. An economic evaluation is conducted to assess the cost implications and potential efficiency of the PA/MD model. For most measures, data is collected from medical records or questionnaires in samples of 115 patients per hospital ward. Semi-structured interviews with healthcare professionals are conducted to identify determinants of efficiency, quality and continuity of care and barriers and facilitators for the implementation of PAs in the role of hospitalist. Discussion Findings from this study will help to further define the role of nonphysician clinicians and provides possible key components for the implementation of PAs in hospital ward care. Like in many studies of organizational change, random allocation to study arms is not feasible, which implies an increased risk for confounding. A major challenge is to deal with the heterogeneity of patients and hospital departments. Trial registration ClinicalTrials.gov ID NCT01835444 PMID:24472112

2014-01-01

158

Differences in distribution and drug sensitivity of pathogens in lower respiratory tract infections between general wards and RICU  

PubMed Central

Background Lower respiratory tract infections (LRTIs) are common among patients in hospitals worldwide, especially in patients over the age of 60. This study investigates the differences in distribution and drug sensitivity of pathogens in LRTIs. Methods The clinical and laboratory data of 4,762 LRTI patients in the general ward and respiratory intensive care unit (RICU) of Xiangya Hospital (Changsha) were retrospectively analyzed. Results The infection rate of Gram-negative bacteria was significantly higher than that of Gram-positive bacteria in both the general ward and RICU (P<0.05). The incidence of Gram-negative bacteria infection was significantly higher in the RICU than in the general ward (P<0.05), whereas the incidence of Gram-positive bacteria infection is less in the RICU than in the general ward (P<0.05). In the general ward, the incidence of Gram-negative bacteria infection significantly increased (P<0.05) over time, whereas the incidence of Gram-positive bacteria infection significantly decreased from 1996 to 2011 (P<0.05). In the RICU, the incidence of Gram-positive bacteria infection decreased, while Gram-negative bacteria infections increased without statistical significance (P>0.05). Staphylococcus pneumoniae and Staphylococcus aureus were found to be the predominant Gram-positive strains in the general ward (34.70-41.18%) and RICU (41.66-54.87%), respectively (P>0.05). Pseudomonas aeruginosa and Acinetobacter baumannii were the predominant gram negative strains in the general ward (19.17-21.09%) and RICU (29.60-33.88%), respectively (P>0.05). Streptococcus pneumoniae is sensitive to most antibiotics with a sensitivity of more than 70%. Staphylococcus aureus is highly sensitive to vancomycin (100%), linezolid (100%), chloramphenicol (74.36-82.19%), doxycycline (69.57-77.33%), and sulfamethoprim (67.83-72.46%); however, its sensitivity to other antibiotics is low and decreased each year. Sensitivity of Pseudomonas aeruginosa to most ?-lactam, aminoglycoside, and quinolone group antibiotics decreased each year. Conclusions The distribution and drug sensitivity of LRTI pathogens exhibit a high divergence between the general ward and RICU. Streptococcus pneumoniae may not be the predominant pathogen in LRTIs in some areas of China. PMID:25364517

He, Ruoxi; Luo, Bailing; Hu, Chengping; Li, Ying

2014-01-01

159

Nosocomial Outbreak of Salmonella enterica Serovar Typhimurium Primarily Affecting a Pediatric Ward in South Africa in 2012  

PubMed Central

We describe a nosocomial outbreak of diarrheal disease caused by extended-spectrum ?-lactamase-producing multidrug-resistant Salmonella enterica serovar Typhimurium, focused on a pediatric ward in South Africa. The outbreak peaked between May 2012 and July 2012. Person-to-person transmission was the most likely mechanism of spread of the infection, expedited due to a breakdown in hand-washing and hygiene, suboptimal infection control practices, overcrowding of hospital wards, and an undesirable nurse-to-patient ratio. PMID:24478499

Mthanti, Mnikelwa A.; Haumann, Carel; Tyalisi, Nomalungisa; Boon, Gerald P. G.; Sooka, Arvinda; Keddy, Karen H.

2014-01-01

160

[Absconding of a patient from an acute psychiatric ward. Whom do the courts hold liable?].  

PubMed

An involuntarily admitted patient absconds from a mental health hospital, which works on the open-door-system. Two days after leaving, he falls from a balcony on the fifth floor of a residential building and injures himself severely (paraplegia). The court case concerning damages and responsibility for paying the costs of the medical treatment eventually reaches the Kammergericht, the highest court of the state of Berlin. The main question in each trial was whether the hospital had violated its duty and was responsible for the accident and the resulting severe injuries. Relying on the hospital's documentation, the courts noted that closing the door of a ward is actually only one of the various possibilities of preventing absconding. The Kammergericht accepted the arguments of the hospital that prevention of absconding can also be achieved by intensive personal care and that security measures should not disturb the therapeutic alliance with the patient. PMID:20183774

Fähndrich, Erdmann; Munk, Ingrid

2010-03-01

161

An analysis of population and social change in London wards in the 1980s.  

PubMed

"This paper discusses the estimation and projection of small area populations in London, [England] and considers trends in intercensal social and demographic indices which can be calculated using these estimates. Information available annually on vital statistics and electorates is combined with detailed data from the Census Small Area Statistics to derive demographic component based population estimates for London's electoral wards over five year periods. The availability of age disaggregated population estimates permits derivation of small area social indicators for intercensal years, for example, of unemployment and mortality. Trends in spatial inequality of such indicators during the 1980s are analysed and point to continuing wide differentials. A typology of population and social indicators gives an indication of the small area distribution of the recent population turnaround in inner London, and of its association with other social processes such as gentrification and ethnic concentration." PMID:12282380

Congdon, P

1989-01-01

162

The prevalence of nursing staff stress on adult acute psychiatric in-patient wards  

Microsoft Academic Search

Background  Concerns about recent changes in acute in-patient mental healthcare environments have led to fears about staff stress and\\u000a poor morale in acute in-patient mental healthcare staff.\\u000a \\u000a \\u000a \\u000a Aim  To review the prevalence of low staff morale, stress, burnout, job satisfaction and psychological well-being amongst staff\\u000a working in in-patient psychiatric wards.\\u000a \\u000a \\u000a \\u000a Method  Systematic review.\\u000a \\u000a \\u000a \\u000a Results  Of 34 mental health studies identified, 13 were specific to

David A. Richards; Penny Bee; Michael Barkham; Simon M. Gilbody; Jane Cahill; Julie Glanville

2006-01-01

163

Ward mortality after ICU discharge: a multicenter validation of the Sabadell score  

Microsoft Academic Search

Background  Tools for predicting post-ICU patients’ outcomes are scarce. A single-center study showed that the Sabadell score classified\\u000a patients into four groups with clear-cut differences in ward mortality.\\u000a \\u000a \\u000a \\u000a \\u000a Objective and design  To validate the Sabadell score using a prospective multicenter approach.\\u000a \\u000a \\u000a \\u000a Setting  Thirty-one ICUs in Spain.\\u000a \\u000a \\u000a \\u000a Patients and methods  All patients admitted in the 3-month study period. We recorded variables at ICU admission (age,

Rafael Fernandez; Jose Manuel Serrano; Isabel Umaran; Ricard Abizanda; Andres Carrillo; Pedro Rascado; Begoña Balerdi; Borja Suberviola; Gonzalo Hernandez

2010-01-01

164

The Ethnomedicine of the Haya people of Bugabo ward, Kagera Region, north western Tanzania  

PubMed Central

Background The Kagera region, in north western Tanzania, is endowed with a strong culture of traditional medicine that is well supported by a rich diversity of medicinal plants. However, most of the plants in this region have not been documented nor evaluated for safety and efficacy. As an initiative in that direction, this study documented the knowledge on medicinal plant use by traditional healers of Bugabo Ward in Bukoba District. Methods Key informants were selected with the help of local government officials and information on their knowledge and use of plants for therapeutic purposes was gathered using a semi-structured interview format. Results In this study 94 plant species representing 84 genera and 43 families were found to be commonly used in the treatment of a variety of human ailments. The family Asteraceae had the highest number of species being used as traditional medicines. The study revealed that Malaria is treated using the highest number of different medicinal species (30), followed by skin conditions (19), maternal illnesses and sexually transmitted diseases (14), respiratory diseases (11) and yellow fever, Herpes simplex and peptic ulcers (10). Majority of the species are used to treat less than five different diseases/conditions each and leaves were the most commonly used part, comprising 40% of all the reports on use of plant parts. Trees comprised the most dominant growth form among all plants used for medicinal purposes in the study area. Conclusion Bugabo Ward has a rich repository of medicinal plants and this reinforces the need for an extensive and comprehensive documentation of medicinal plants in the area and a concomitant evaluation of their biological activity as a basis for developing future medicines. PMID:19715617

Moshi, Mainen J; Otieno, Donald F; Mbabazi, Pamela K; Weisheit, Anke

2009-01-01

165

District Youth in Brief: Perceived Risk in Binge Drinking In Which Wards Were DC Youth More Likely to Binge  

E-print Network

one-third of DC youth age 12 to 17 in Ward 3 perceived weekly binge drinking a great risk, compared-2008 NSDUH surveys. Key = Perceived Great Risk of Weekly Binge Drinking (Ages 12-17) = Past Month Binge Drinking (Ages 12-17) #12;

Milchberg, Howard

166

An Exploratory Evaluation of the Ward and Hudson Offending Pathways Model with Sex Offenders Who Have Intellectual Disability  

ERIC Educational Resources Information Center

Background: It was predicted that offenders with intellectual disability (ID) categorised according to Ward & Hudson's (1998b) self-regulation theory as having an "Approach" goal would have higher levels of distorted cognitions, less victim empathy, and a history of more prolific offending compared to those with an "Avoidant" goal. Offenders…

Langdon, Peter E.; Maxted, Helen; Murphy, Glynis H.

2007-01-01

167

Effect of mercury reduction of dry batteries on mercury emissions from municipal incinerators in the Ward area of Tokyo, Japan  

Microsoft Academic Search

The types and mercury content of dry batteries in municipal solid wastes and the behavior of mercury emissions from a municipal incinerator were investigated in the Ward area of Tokyo, both when a reduction in the mercury content of dry batteries had just commenced and when reduction had been completed. Most of the dry batteries in the wastes were cylindrical

Noboru Tanikawa; Toshitada Imai; Kunito Tatezono; Takeshi Sugiyama; Kohei Urano

1995-01-01

168

Expectations and needs of persons with family members in an intensive care unit as opposed to a general ward.  

PubMed

The positive effect of family support on the outcome from serious illness that requires intensive care has been recognized by clinicians for decades. We have all seen that family visitation and an intensive care environment more similar to that of a general ward (sunlight, radio, television) can benefit patients with psychosis related to intensive care. The severity of illness of the individual patient exerts a powerful stress on the family unit, but it has been difficult to measure this effect. We used a 40-question family needs survey with a degree of importance scale to compare the intensive care unit (ICU) with the general ward in terms of impact on the family. Five needs were found to discriminate these two environments. The family members of patients in an ICU considered it very important (1) for staff to give directions on what to do at the bedside, (2) to receive more support from their own family unit, (3) to have a place to be alone as a family unit in the hospital, (4) to be informed in advance of any transfer plan, and (5) to have flexibility in the time allowed for visitation. Family members are willing to accept decreased visitation time if the physicians and nurses can equate this decrease with the complexity of care in the ICU. The results of this survey have helped us modify and individualize our approach based on family expectations especially when patients are transferred from the general ward to the ICU or from the ICU to the ward. PMID:8465212

Foss, K R; Tenholder, M F

1993-04-01

169

"Extraordinary Understandings" of Composition at the University of Chicago: Frederick Champion Ward, Kenneth Burke, and Henry W. Sams  

ERIC Educational Resources Information Center

While Richard Weaver, R. S. Crane, Richard McKeon, and Robert Streeter have been most identified with rhetoric at the University of Chicago and its institutional return in the 1950s, the archival record demonstrates that Frederick Champion Ward, dean of the undergraduate "College" from 1947 to 1954, and Henry W. Sams, director of English in the…

Beasley, James P.

2007-01-01

170

The Association of Ward Atmosphere with Burnout and Attitudes of Treatment Team Members in a State Psychiatric Hospital  

Microsoft Academic Search

As part of a Clinical Affiliation Agreement between a major state psychiatric facility and a state university, it was agreed that the hospital's staff would be assessed in terms of: burnout, nursing functioning, and ward atmosphere. The assessment data would be used to examine hospital characteristics as they relate to the strategies necessary to transform an approach of custodial care

Barbara A. Caldwell; Kenneth J. Gill; Elaine Fitzgerald; Michael Sclafani; Peg Grandison

2006-01-01

171

Utilization of Norway's Emergency Wards: The Second 5 Years after the Introduction of the Patient List System  

PubMed Central

Utilization of services is an important indicator for estimating access to healthcare. In Norway, the General Practitioner Scheme, a patient list system, was established in 2001 to enable a stable doctor-patient relationship. Although satisfaction with the system is generally high, people often choose a more accessible but inferior solution for routine care: emergency wards. The aim of the article is to investigate contact patterns in primary health care situations for the total population in urban and remote areas of Norway and for major immigrant groups in Oslo. The primary regression model had a cross-sectional study design analyzing 2,609,107 consultations in representative municipalities across Norway, estimating the probability of choosing the emergency ward in substitution to a general practitioner. In a second regression model comprising 625,590 consultations in Oslo, we calculated this likelihood for immigrants from the 14 largest groups. We noted substantial differences in emergency ward utilization between ethnic Norwegians both in rural and remote areas and among the various immigrant groups residing in Oslo. Oslo utilization of emergency ward services for the whole population declined, and so did this use among all immigrant groups after 2009. Other municipalities, while overwhelmingly ethnically Norwegian, showed diverse patterns including an increase in some and a decrease in others, results which we were unable to explain. PMID:24662997

Goth, Ursula S.; Hammer, Hugo L.; Claussen, Bj?rgulf

2014-01-01

172

Utilization of Norway's emergency wards: the second 5 years after the introduction of the patient list system.  

PubMed

Utilization of services is an important indicator for estimating access to healthcare. In Norway, the General Practitioner Scheme, a patient list system, was established in 2001 to enable a stable doctor-patient relationship. Although satisfaction with the system is generally high, people often choose a more accessible but inferior solution for routine care: emergency wards. The aim of the article is to investigate contact patterns in primary health care situations for the total population in urban and remote areas of Norway and for major immigrant groups in Oslo. The primary regression model had a cross-sectional study design analyzing 2,609,107 consultations in representative municipalities across Norway, estimating the probability of choosing the emergency ward in substitution to a general practitioner. In a second regression model comprising 625,590 consultations in Oslo, we calculated this likelihood for immigrants from the 14 largest groups. We noted substantial differences in emergency ward utilization between ethnic Norwegians both in rural and remote areas and among the various immigrant groups residing in Oslo. Oslo utilization of emergency ward services for the whole population declined, and so did this use among all immigrant groups after 2009. Other municipalities, while overwhelmingly ethnically Norwegian, showed diverse patterns including an increase in some and a decrease in others, results which we were unable to explain. PMID:24662997

Goth, Ursula S; Hammer, Hugo L; Claussen, Bjørgulf

2014-03-01

173

Main clinical features in patients at their first psychiatric admission to Italian acute hospital psychiatric wards. The PERSEO study  

Microsoft Academic Search

BACKGROUND: Few data are available on subjects presenting to acute wards for the first time with psychotic symptoms. The aims of this paper are (i) to describe the epidemiological and clinical characteristics of patients at their first psychiatric admission (FPA), including socio-demographic features, risk factors, life habits, modalities of onset, psychiatric diagnoses and treatments before admission; (ii) to assess the

Andrea Ballerini; Roberto M Boccalon; Giancarlo Boncompagni; Massimo Casacchia; Francesco Margari; Lina Minervini; Roberto Righi; Federico Russo; Andrea Salteri; Sonia Frediani; Andrea Rossi; Marco Scatigna

2007-01-01

174

Feasibility of Progressive Strength Training Implemented in the Acute Ward after Hip Fracture Surgery  

PubMed Central

Importance Patients with a hip fracture lose more than 50% knee-extension strength in the fractured limb within one week of surgery. Hence, immediate progressive strength training following hip fracture surgery may be rational, but the feasibility unknown. Objective To examine the feasibility of in-hospital progressive strength training implemented in the acute ward following hip fracture surgery, based on pre-specified criteria for feasibility. Design, Setting and Patients A prospective cohort study conducted in an acute orthopedic hip fracture unit at a university hospital. A consecutive sample of 36 patients, 18 with a cervical and 18 with a trochanteric hip fracture (27 women and 9 men, mean (SD) age of 79.4 (8.3) years) were included between June and December 2012. Intervention A daily (on weekdays) program of progressive knee-extension strength training for the fractured limb, using ankle weight cuffs in 3 sets of 10 repetition maximum loadings. Main outcomes and Measures The primary outcome was the change in training load (kg) during the knee-extension strength training. The secondary outcomes were changes in hip fracture-related pain and maximal isometric knee-extension strength. Results The strength training was commenced at a mean of 2.4 (0.7) days after surgery. The training loads (kilograms lifted) increased from 1.6 (0.8) to 4.3 (1.7) kg over 4.3 (2.2) training sessions (P<.001). The maximal isometric knee-extension strength of the fractured limb increased from 0.37 (0.2) to 0.61 (0.3) Nm/kg (P<.001), while the average strength deficit in the fractured limb decreased from 50% to 32% (% non-fractured, P<.001). Only 3 of 212 sessions were not performed because of severe hip fracture-related pain. Conclusion and Relevance Progressive knee-extension strength training of the fractured limb commenced in the acute ward seems feasible, and may reduce strength asymmetry between limbs without hip pain interfering. The clinical efficacy needs confirmation in a randomized controlled design. Trial Registration ClinicalTrials.gov ID: NCT01616030 PMID:24699276

Kronborg, Lise; Bandholm, Thomas; Palm, Henrik; Kehlet, Henrik; Kristensen, Morten Tange

2014-01-01

175

Community-Based Wetland Restoration Workshop in the Lower Ninth Ward, New Orleans  

NASA Astrophysics Data System (ADS)

Since 2007 a workshop class of University of Wisconsin-Madison students has participated in a community-based project in New Orleans to investigate the feasibility of restoring the Bayou Bienvenue Wetland Triangle (BBWT), which is adjacent to the Lower 9th Ward in New Orleans. This 440-acre region is currently open water but was a cypress forest until the 1970s. Restoration would provide protection from storm surges, restored ecological services, and recreational use. The workshop introduced students to the multidisciplinary skills needed to work effectively with the complex and interconnected issues within a project involving many stakeholders. The stakeholders included the Center for Sustainable Engagement and Development (CSED), Lower 9th Ward residents, non-profits (e.g., Sierra Club, Environmental Defense, Lake Pontchartrain Basin Foundation, National Wildlife Federation), government agencies (e.g., New Orleans Sewerage and Water Board, Army Corps of Engineers), neighborhood groups (e.g., Holy Cross Neighborhood Association, The Village), and universities (Tulane, U. of New Orleans, LSU, U. Colorado-Denver, Southeastern Louisiana). The course ran initially as a Water Resources Management practicum in the first two summers and then as a broader multidisciplinary project with student expertise in hydrology, social science, law, planning, policy analysis, community development, GIS, public health, environmental education and ecological restoration. The project divided into three main components: wetland science, social science, and land tenure and planning. Principal activities in wetland science were to monitor water levels and water quality, inventory flora and fauna, and plant grasses on small “floating islands.” The principal social science activity was to conduct a neighborhood survey about knowledge of the wetland and interest in its restoration. The land tenure and planning activity was to investigate ownership and transfer of property within the wetland because it had been platted with large areas privately owned. A self-published workshop report was produced each of the first three years. Bayou Bienvenue Wetland Triangle with downtown New Orleans in the background. Photo by Travis Scott, U. of Wisconsin-Madison, 2007.

Wang, H. F.; Craig, L.; Ross, J. A.; Zepeda, L.; Carpenter, Q.

2010-12-01

176

Burdensome situations in everyday nursing: an explorative qualitative action research on a medical ward.  

PubMed

Everyday nursing care is under marked constraint in the current healthcare environment due to decreasing time resources and competing financial demands. Burden along with stress and burnout is increasing. Stress not only does occur on the individual and organizational level, as has been studied, but also is a significant factor at the team level, particularly with regard to interactions at this level. This project aimed at eliciting nurses' view on burden; identifying areas for intervention on team level; and evaluating the interventions implemented at this level. Focus groups were conducted with 2 nursing teams (n = 36). Data were analyzed with Atlas Ti, Version 4.2. On the basis of the results of the focus groups, interventions were developed and implemented observing the tenets of problem-based learning and evidence-based nursing. Verbal feedback was used to evaluate the impact of the interventions on the nursing team. Fourteen themes were identified for each ward as areas for improvement. Oral evaluation of the group-specific interventions revealed a benefit for the nursing team as a whole. Findings indicate that team actions played an important role when addressing stressful nursing situations. To improve stressful nursing situations, team action needs to be considered. PMID:17413507

Shaha, Maya; Rabenschlag, Franziska

2007-01-01

177

Dietary lipids and blood cholesterol: quantitative meta-analysis of metabolic ward studies.  

PubMed Central

OBJECTIVE: To determine the quantitative importance of dietary fatty acids and dietary cholesterol to blood concentrations of total, low density lipoprotein, and high density lipoprotein cholesterol. DESIGN: Meta-analysis of metabolic ward studies of solid food diets in healthy volunteers. SUBJECTS: 395 dietary experiments (median duration 1 month) among 129 groups of individuals. RESULTS: Isocaloric replacement of saturated fats by complex carbohydrates for 10% of dietary calories resulted in blood total cholesterol falling by 0.52 (SE 0.03) mmol/l and low density lipoprotein cholesterol falling by 0.36 (0.05) mmol/l. Isocaloric replacement of complex carbohydrates by polyunsaturated fats for 5% of dietary calories resulted in total cholesterol falling by a further 0.13 (0.02) mmol/l and low density lipoprotein cholesterol falling by 0.11 (0.02) mmol/l. Similar replacement of carbohydrates by monounsaturated fats produced no significant effect on total or low density lipoprotein cholesterol. Avoiding 200 mg/day dietary cholesterol further decreased blood total cholesterol by 0.13 (0.02) mmol/l and low density lipoprotein cholesterol by 0.10 (0.02) mmol/l. CONCLUSIONS: In typical British diets replacing 60% of saturated fats by other fats and avoiding 60% of dietary cholesterol would reduce blood total cholesterol by about 0.8 mmol/l (that is, by 10-15%), with four fifths of this reduction being in low density lipoprotein cholesterol. PMID:9006469

Clarke, R.; Frost, C.; Collins, R.; Appleby, P.; Peto, R.

1997-01-01

178

[Enhancing the capability of medical team to manage aggressive events in acute psychiatric wards].  

PubMed

Incidences of violence in acute psychiatric ward can lead to not only facility destructions, but also mental, physical injuries and even medical disputes. As part of efforts to enhance medical team abilities to manage aggressive events, this study aimed to provide references for reducing both aggressive events and resultant damage. Over two-thirds (69%) of all unanticipated occurrences registered by our unit in 2003-2004 were classed as "aggressive events", i.e. there were 27 occurrences (0.09%) in which 0.04% resulted in staff injury. Events were mainly attributable to psychiatric symptoms, poor impulse control and interpersonal conflicts. For this study, we used several intervention methods, including categorizing patients by "risk of violence" rank, revising the hospital's standard operation processes for handling violence and revising the nursing rules to enhance nurse skills at managing violent events, countering patient violence, helping patients safely vent their anger and physical force, listening to relax music and conducting behavior modification. As a result, aggressive event prediction sensitivity increased from 56% to 100%, with successful prevention rates reaching 80%. The rate of aggressive event occurrence reduced from 0.09% to 0.06% and staff injuries decreased from 0.04% to 0.02%. Intervention methods employed were shown to be quite effective. If medical teams elsewhere enhanced their sensitivity and abilities to avoid aggressive events, injury and damages could be prevented and medical care quality enhanced. PMID:18393210

Chi, Mei-Ting; Jeang, Shiow-Rong; Pan, Chih-Chuan; Leu, Shu-Jen; Chueh, Ching-Mo

2008-04-01

179

Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward  

PubMed Central

Purpose The paper contributes to the conceptualisation of “integrated care” in heterogeneous work practices. A dynamic perspective is developed, emphasising how integrated care is malleable, open, and achieved in practice. Furthermore, we explore the role of nursing plans in integrated care practices, underscoring the inherent difficulties of building one common infrastructural system for integrated care. Methods Empirically, we studied the implementation of an electronic nursing plan in a psychiatric ward at the University Hospital of North Norway. We conducted 80 hours of participant observation and 15 interviews. Results While the nursing plan was successful as a formal tool among the nurses, it was of limited use in practice where integrated care was carried out. In some instances, the use of the nursing plan even undermined integrated care. Conclusion Integrated care is not a constant entity, but is much more situated and temporal in character. A new infrastructural system for integrated care should not be envisioned as replacing most of the existing information sources, but rather seen as an extension to the heterogeneous ensemble of existing ones. PMID:17627295

Ellingsen, Gunnar; Munkvold, Glenn

2007-01-01

180

Added value of pharmacist-acquired drug histories in an orthopaedic ward.  

PubMed

In Belgian hospitals, drug histories of patients taken on admission are generally collected by medical trainees, physicians and nurses. As errors in drug histories may lead to medication errors and adverse drug events, we aimed at comparing the data obtained by a clinical pharmacist with those obtained by the nurses in a surgical orthopaedic ward. In this four months study, 50 patients, with a mean age of 66 years, were included. Out of these 50 drug histories, 107 differences were found when comparing the data gathered by the nurses with the data of the pharmacist. On average, there were 2.1 discrepancies per patient. Omission of a drug and incorrect or unknown dose accounted for 80.3% of the discrepancies, while allergy and/or intolerance, incorrect frequency and addition of a drug accounted for respectively 11.2%, 4.8% and 3.7%. Interestingly, six drug categories represented almost 55% of the drug-related discrepancies.These were, in order of importance: anxiolytic and neuroleptics, antacids and proton pump inhibitors (PPI's), painkillers, antidepressants, aspirin and eye drops. Finally, 27% of the discrepancies concerned "over the counter" drugs. From this study we were able to conclude that the clinical pharmacist performed more complete and more accurate drug histories than nurses in the surgical orthopaedic care unit, especially in patients taking multiple drugs. These results suggest that drug histories taken by a pharmacist may lead to a reduction of potential adverse drug events during hospitalisation. PMID:21837927

Quennery, S; Cornu, O; Sneyers, B; Yombi, J C

2011-01-01

181

Suicide of physicians in the special wards of Tokyo Metropolitan area.  

PubMed

Numerous studies on physician suicide in various countries have been reported but no data from Japan on the issue can be found to date. In this study, physician suicides in the special wards of Tokyo Metropolitan area in 1996-2010 were investigated retrospectively. A total of 87 cases were enrolled. The results suggested that physician suicide has been linked to pre-existing psychiatric illnesses and occupational problems, and that psychiatrists have a relatively higher suicide risk compared to those majoring in other specialities of medicine. A distinctive feature was that 19 cases had used either drugs or devices which were accessible due to their profession some time during the process of committing suicide. Another notable feature was that 4 out of 5 anaesthesiologists enrolled in the study had chosen poisoning for their suicide method, with the drugs frequently used in their speciality. The findings advocate strongly for efficient suicide prevention measures for physicians including an early detection and treatment of psychiatric illnesses, as well as an urgent need for a more effective pharmacy management in applicable institutions together with the implementation of self discipline on each physician. This is the first broad academic study on physician suicide in Japan. PMID:24485419

Hikiji, Wakako; Fukunaga, Tatsushige

2014-02-01

182

Clinical predictive values of extended-spectrum beta-lactamase carriage in patients admitted to medical wards  

Microsoft Academic Search

We aimed to reassess, through clinical items, populations at risk for extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E) carriage at admission to hospital and to assess the risk of further positive clinical culture of ESBL-E among carriers.\\u000a We performed a 5-month cohort study in a medicine ward of a 500-bed university teaching hospital in the Parisian area of France.\\u000a All admitted patients were

E. Ruppé; A. Pitsch; F. Tubach; V. de Lastours; F. Chau; B. Pasquet; J.-C. Lucet; A. Andremont; B. Fantin

183

Characterization of colonizing Staphylococcus aureus isolated from surgical wards' patients in a Nigerian university hospital.  

PubMed

In contrast to developed countries, only limited data on the prevalence, resistance and clonal structure of Staphylococcus aureus are available for African countries. Since S. aureus carriage is a risk factor for postoperative wound infection, patients who had been hospitalized in surgical wards in a Nigerian University Teaching Hospital were screened for S. aureus carriage. All S. aureus isolates were genotyped (spa, agr) and assigned to multilocus sequence types (MLST). Species affiliation, methicillin-resistance, and the possession of pyrogenic toxin superantigens (PTSAg), exfoliative toxins (ETs) and Panton-Valentine Leukocidin (PVL) were analyzed. Of 192 patients screened, the S. aureus carrier rate was 31.8 % (n?=?61). Of these isolates, 7 (11.5%) were methicillin-resistant (MRSA). The isolates comprised 24 spa types. The most frequent spa types were t064, t084, t311, and t1931, while the most prevalent MLST clonal complexes were CC5 and CC15. The most frequent PTSAg genes detected were seg/sei (41.0%) followed by seb (29.5%), sea (19.7%), seh (14.7%) and sec (11.5). The difference between the possession of classical and newly described PTSAg genes was not significant (63.9% versus 59.0% respectively; P?=?0.602). PVL encoding genes were found in 39.3% isolates. All MRSA isolates were PVL negative, SCCmec types I and VI in MLST CC 5 and CC 30, respectively. Typing of the accessory gene regulator (agr) showed the following distribution: agr group 1 (n?=?20), group II (n?=?17), group III (n?=?14) and group IV (n?=?10). Compared to European data, enterotoxin gene seb and PVL-encoding genes were more prevalent in Nigerian methicillin-susceptible S. aureus isolates, which may therefore act as potential reservoir for PVL and PTSAg genes. PMID:23935883

Kolawole, Deboye O; Adeyanju, Adeniran; Schaumburg, Frieder; Akinyoola, Akinyele L; Lawal, Oladejo O; Amusa, Yemisi B; Köck, Robin; Becker, Karsten

2013-01-01

184

Outcome Risk Factors during Respiratory Infections in a Paediatric Ward in Antananarivo, Madagascar 2010-2012  

PubMed Central

Background Acute respiratory infections are a leading cause of infectious disease-related morbidity, hospitalisation and mortality among children worldwide, and particularly in developing countries. In these low-income countries, most patients with acute respiratory infection (ARI), whether it is mild or severe, are still treated empirically. The aim of the study was to evaluate the risk factors associated with the evolution and outcome of respiratory illnesses in patients aged under 5 years old. Materials and Methods We conducted a prospective study in a paediatric ward in Antananarivo from November 2010 to July 2012 including patients under 5 years old suffering from respiratory infections. We collected demographic, socio-economic, clinical and epidemiological data, and samples for laboratory analysis. Deaths, rapid progression to respiratory distress during hospitalisation, and hospitalisation for more than 10 days were considered as severe outcomes. We used multivariate analysis to study the effects of co-infections. Results From November 2010 to July 2012, a total of 290 patients were enrolled. Co-infection was found in 192 patients (70%). Co-infections were more frequent in children under 36 months, with a significant difference for the 19–24 month-old group (OR: 8.0). Sixty-nine percent (230/290) of the patients recovered fully and without any severe outcome during hospitalisation; the outcome was scored as severe for 60 children and nine patients (3%) died. Risk factors significantly associated with worsening evolution during hospitalisation (severe outcome) were admission at age under 6 months (OR?=?5.3), comorbidity (OR?=?4.6) and low household income (OR?=?4.1). Conclusion Co-mordidity, low-income and age under 6 months increase the risk of severe outcome for children infected by numerous respiratory pathogens. These results highlight the need for implementation of targeted public health policy to reduce the contribution of respiratory diseases to childhood morbidity and mortality in low income countries. PMID:24069161

Rajatonirina, Soatiana; Razanajatovo, Norosoa Harline; Ratsima, Elisoa Hariniana; Orelle, Arnaud; Ratovoson, Rila; Andrianirina, Zo Zafitsara; Andriatahina, Todisoa; Ramparany, Lovasoa; Herindrainy, Perlinot; Randrianirina, Frederique; Heraud, Jean-Michel; Richard, Vincent

2013-01-01

185

Characterization of Colonizing Staphylococcus aureus Isolated from Surgical Wards' Patients in a Nigerian University Hospital  

PubMed Central

In contrast to developed countries, only limited data on the prevalence, resistance and clonal structure of Staphylococcus aureus are available for African countries. Since S. aureus carriage is a risk factor for postoperative wound infection, patients who had been hospitalized in surgical wards in a Nigerian University Teaching Hospital were screened for S. aureus carriage. All S. aureus isolates were genotyped (spa, agr) and assigned to multilocus sequence types (MLST). Species affiliation, methicillin-resistance, and the possession of pyrogenic toxin superantigens (PTSAg), exfoliative toxins (ETs) and Panton-Valentine Leukocidin (PVL) were analyzed. Of 192 patients screened, the S. aureus carrier rate was 31.8 % (n?=?61). Of these isolates, 7 (11.5%) were methicillin-resistant (MRSA). The isolates comprised 24 spa types. The most frequent spa types were t064, t084, t311, and t1931, while the most prevalent MLST clonal complexes were CC5 and CC15. The most frequent PTSAg genes detected were seg/sei (41.0%) followed by seb (29.5%), sea (19.7%), seh (14.7%) and sec (11.5). The difference between the possession of classical and newly described PTSAg genes was not significant (63.9% versus 59.0% respectively; P?=?0.602). PVL encoding genes were found in 39.3% isolates. All MRSA isolates were PVL negative, SCCmec types I and VI in MLST CC 5 and CC 30, respectively. Typing of the accessory gene regulator (agr) showed the following distribution: agr group 1 (n?=?20), group II (n?=?17), group III (n?=?14) and group IV (n?=?10). Compared to European data, enterotoxin gene seb and PVL-encoding genes were more prevalent in Nigerian methicillin-susceptible S. aureus isolates, which may therefore act as potential reservoir for PVL and PTSAg genes. PMID:23935883

Kolawole, Deboye O.; Adeyanju, Adeniran; Schaumburg, Frieder; Akinyoola, Akinyele L.; Lawal, Oladejo O.; Amusa, Yemisi B.; Kock, Robin; Becker, Karsten

2013-01-01

186

Review of nursing documentation in nursing home wards - changes after intervention for individualized care.  

PubMed

Using standardized assessment instruments may help staff identify needs, problems and resources which could be a basis for nursing care, and facilitate and improve the quality of documentation. The Resident Assessment Instrument/Minimum Data Set (RAI/MDS) especially developed for the care of elderly people, was used as a basis for individualized and documented nursing care. This study was carried out to compare nursing documentation in three nursing home wards in Sweden, before and after a one-year period of supervised intervention. The review of documentation focused on structure and content in both nursing care plans and daily notes. The greatest change seen after intervention was the writing of care plans for the individual patients. Daily notes increased both in total and within parts of the nursing process used, but reflected mostly temporary situations. Even though the documentation of nursing care increased the most, it was the theme medical treatment which was the most extensive overall. A difference was seen between computer-triggered Resident Assessment Protocol (RAP) items, obtained from the RAI/MDS assessments, and items in the nursing care plans; the former could be regarded as a means of quality assurance and of making staff aware of the need for further discussions. The RAI/MDS instrument seems to be a useful tool for the dynamic process in nursing care delivered and as a basis for documentation. The documentation should communicate a patient's situation and progress, and if staff are to be able to use it in their everyday nursing care activity, it must be well-structured and freely available. The importance of continuing education and supervision in nursing documentation for development of a reliable source of information was confirmed by the present study. PMID:10354242

Hansebo, G; Kihlgren, M; Ljunggren, G

1999-06-01

187

Would artificial neural networks implemented in clinical wards help nephrologists in predicting epoetin responsiveness?  

PubMed Central

Background Due to its strong intra- and inter-individual variability, predicting the ideal erythropoietin dose is a difficult task. The aim of this study was to re-evaluate the impact of the main parameters known to influence the responsiveness to epoetin beta and to test the performance of artificial neural networks (ANNs) in predicting the dose required to reach the haemoglobin target and the monthly dose adjustments. Methods We did a secondary analysis of the survey on Anaemia Management in dialysis patients in Switzerland; a prospective, non-randomized observational study, enrolling 340 patients of 26 centres and in order to have additional information about erythropoietin responsiveness, we included a further 92 patients from the Renal Services of the Ente Ospedaliero Cantonale, Bellinzona, Switzerland. The performance of ANNs in predicting the epoetin dose was compared with that of linear regressions and of nephrologists in charge of the patients. Results For a specificity of 50%, the sensitivity of ANNs compared with linear regressions in predicting the erythropoietin dose to reach the haemoglobin target was 78 vs. 44% (P < 0.001). The ANN built to predict the monthly adaptations in erythropoietin dose, compared with the nephrologists' opinion, allowed to detect 48 vs. 25% (P < 0.05) of the patients treated with an insufficient dose with a specificity of 92 vs. 83% (P < 0.05). Conclusion In predicting the erythropoietin dose required for an individual patient and the monthly dose adjustments ANNs are superior to nephrologists' opinion. Thus, ANN may be a useful and promising tool that could be implemented in clinical wards to help nephrologists in prescribing erythropoietin. PMID:16981983

Gabutti, Luca; Lötscher, Nathalie; Bianda, Josephine; Marone, Claudio; Mombelli, Giorgio; Burnier, Michel

2006-01-01

188

Kubo formulas for viscosity: Hall viscosity, Ward identities, and the relation with conductivity  

E-print Network

We derive from first principles the Kubo formulas for the stress-stress response function at zero wavevector that can be used to define the full complex frequency-dependent viscosity tensor, both with and without a uniform magnetic field. The formulas in the existing literature are frequently incomplete, incorrect, or lack a derivation; in particular, Hall viscosity is overlooked. Our approach begins from the response to a uniform external strain field, which is an active time-dependent coordinate transformation in d space dimensions. These transformations form the group GL(d,R) of invertible matrices, and the infinitesimal generators are called strain generators. These enable us to express the Kubo formula in different ways, related by Ward identities; some of these make contact with the adiabatic transport approach. For Galilean-invariant systems, we derive a relation between the stress response tensor and the conductivity tensor that is valid at all frequencies and in both the presence and absence of a magnetic field. In the presence of a magnetic field and at low frequency, this yields a relation between the Hall viscosity, the q^2 part of the Hall conductivity, the inverse compressibility (suitably defined), and the diverging part of the shear viscosity (if any); this relation generalizes a result found recently. We show that the correct value of the Hall viscosity at zero frequency can be obtained (at least in the absence of low-frequency bulk and shear viscosity) by assuming that there is an orbital spin per particle that couples to a perturbing electromagnetic field as a magnetization per particle. We study several examples as checks on our formulation.

Barry Bradlyn; Moshe Goldstein; N. Read

2012-07-30

189

The Effect of Computerized Physician Order Entry and Decision Support System on Medication Errors in the Neonatal Ward: Experiences from an Iranian Teaching Hospital  

Microsoft Academic Search

Medication dosing errors are frequent in neonatal wards. In an Iranian neonatal ward, a 7.5 months study was designed in three\\u000a periods to compare the effect of Computerized Physician Order Entry (CPOE) without and with decision support functionalities in reducing non-intercepted medication dosing errors in antibiotics and anticonvulsants.\\u000a Before intervention (Period 1), error rate was 53%, which did not significantly change

Alireza Kazemi; Johan Ellenius; Faramarz Pourasghar; Shahram Tofighi; Aref Salehi; Ali Amanati; Uno G. H. Fors

2011-01-01

190

Kubo formulas for viscosity: Hall viscosity, Ward identities, and the relation with conductivity  

NASA Astrophysics Data System (ADS)

Motivated by recent work on Hall viscosity, we derive from first principles the Kubo formulas for the stress-stress response function at zero wave vector that can be used to define the full complex frequency-dependent viscosity tensor, both with and without a uniform magnetic field. The formulas in the existing literature are frequently incomplete, incorrect, or lack a derivation; in particular, Hall viscosity is overlooked. Our approach begins from the response to a uniform external strain field, which is an active time-dependent coordinate transformation in d space dimensions. These transformations form the group GL(d,R) of invertible matrices, and the infinitesimal generators are called strain generators. These enable us to express the Kubo formula in different ways, related by Ward identities; some of these make contact with the adiabatic transport approach. The importance of retaining contact terms, analogous to the diamagnetic term in the familiar Kubo formula for conductivity, is emphasized. For Galilean-invariant systems, we derive a relation between the stress response tensor and the conductivity tensor that is valid at all frequencies and in both the presence and absence of a magnetic field. In the presence of a magnetic field and at low frequency, this yields a relation between the Hall viscosity, the q2 part of the Hall conductivity, the inverse compressibility (suitably defined), and the diverging part of the shear viscosity (if any); this relation generalizes a result found recently by others. We show that the correct value of the Hall viscosity at zero frequency can be obtained (at least in the absence of low-frequency bulk and shear viscosity) by assuming that there is an orbital spin per particle that couples to a perturbing electromagnetic field as a magnetization per particle. We study several examples as checks on our formulation. We also present formulas for the stress response that directly generalize the Berry (adiabatic) curvature expressions for zero-frequency Hall conductivity or viscosity to the full tensors at all frequencies.

Bradlyn, Barry; Goldstein, Moshe; Read, N.

2012-12-01

191

Evaluation of clinical pharmacist recommendations in the geriatric ward of a Belgian university hospital  

PubMed Central

Objective To evaluate the type, acceptance rate, and clinical relevance of clinical pharmacist recommendations at the geriatric ward of the Ghent university hospital. Methods The clinical pharmacist evaluated drug use during a weekly 2-hour visit for a period of 4 months and, if needed, made recommendations to the prescribing physician. The recommendations were classified according to type, acceptance by the physician, prescribed medication, and underlying drug-related problem. Appropriateness of prescribing was assessed using the Medication Appropriateness Index (MAI) before and after the recommendations were made. Two clinical pharmacologists and two clinical pharmacists independently and retrospectively evaluated the clinical relevance of the recommendations and rated their own acceptance of them. Results The clinical pharmacist recommended 304 drug therapy changes for 100 patients taking a total of 1137 drugs. The most common underlying drug-related problems concerned incorrect dose, drug–drug interaction, and adverse drug reaction, which appeared most frequently for cardiovascular drugs, drugs for the central nervous system, and drugs for the gastrointestinal tract. The most common type of recommendation concerned adapting the dose, and stopping or changing a drug. In total, 59.7% of the recommendations were accepted by the treating physician. The acceptance rate by the evaluators ranged between 92.4% and 97.0%. The mean clinical relevance of the recommendations was assessed as possibly important (53.4%), possibly low relevance (38.1%), and possibly very important (4.2%). A low interrater agreement concerning clinical relevance between the evaluators was found: kappa values ranged between 0.15 and 0.25. Summated MAI scores significantly improved after the pharmacist recommendations, with mean values decreasing from 9.3 to 6.2 (P < 0.001). Conclusion In this study, the clinical pharmacist identified a high number of potential drug-related problems in older patients; however, the acceptance of the pharmacotherapy recommendations by the treating physician was lower than by a panel of evaluators. This panel, however, rated most recommendations as possibly important and as possibly having low relevance, with low interrater reliability. As the appropriateness of prescribing seemed to improve with decreased MAI scores, clinical pharmacy services may contribute to the optimization of drug therapy in older inpatients. PMID:23807844

Somers, Annemie; Robays, Hugo; De Paepe, Peter; Van Maele, Georges; Perehudoff, Katrina; Petrovic, Mirko

2013-01-01

192

Mental illness stigma among nurses in psychiatric wards of teaching hospitals in the north-west of Iran  

PubMed Central

Background: Stigma is one of the obstacles in the treatment and regaining the mental health of people with mental illness. The aim was determination of mental illness stigma among nurses in psychiatric wards. This study was conducted in psychiatric wards of teaching hospitals in Tabriz, Urmia, and Ardabil in the north-west of Iran. Materials and Methods: This research is a descriptive analysis study in which 80 nurses participated. A researcher-made questionnaire was used, which measured demographic characteristics and mental illness stigma in the three components of cognitive, emotional, and behavioral. All data were analyzed using SPSS13 software and descriptive and analytical statistics. Results: Majority of nurses (72.5%) had medium level of stigma toward people with mental illness. About half of them (48.8%) had great inclination toward the social isolation of patients. The majority of them (62.5%) had positive emotional responses and 27.5% had stereotypical views. There was a significant correlation between experience of living with and kinship of nurses to person with mental illness, with prejudice toward and discrimination of patients. There was also a significant correlation between interest in the continuation of work in the psychiatric ward and prejudice, and also between educational degree and stereotypical views. Conclusions: The data suggest there is a close correlation between the personal experience of nurses and existence of mental illness stigma among them. Therefore, the implementation of constant educational programs on mental illness for nurses and opportunities for them to have direct contact with treated patients is suggested. PMID:23922602

Ebrahimi, Hossein; Namdar, Hossein; Vahidi, Maryam

2012-01-01

193

The development and implementation of the pathway for improving the care of the dying in general medical wards.  

PubMed

The majority of deaths in Australia occur in general hospital wards and most are neither sudden nor unexpected. The Pathway for Improving the Care of the Dying (PICD) is an adaptation of the Liverpool Care Pathway to the Australian healthcare setting (or 'to Australian conditions') and is designed to help ensure a 'good death' for patients dying outside the palliative care system. PICD consists of a series of prompts, guidelines, revised medical and nursing care plans and a number of medication algorithms. PMID:19849759

Jackson, K; Mooney, C; Campbell, D

2009-10-01

194

Effect of communication skill training using group psychoeducation method on the stress level of psychiatry ward nurses  

PubMed Central

BACKGROUND: Nursing is a dynamic and supportive job, with the main role of taking care of patients. Maintaining appropriate communication of the nurse with the patients is particularly known as the main core of care in mental health. However, in spite of the importance of providing communication, one of the main sources of stress in nurses of psychiatry wards is communication with the patients. Some important reasons for inappropriate relationship between the nurse and patient can be lack of necessary skills to communicate with patients because of insufficient training. Although training communication skills is an important part of the education of medical and paramedical students, in recent studies it has been demonstrated that the communication skills learned in theoretical courses would not necessarily be transferred to clinical settings, and proving training in clinical settings is a must. The present study was carried out to determine the effect of training communication skills using psychoeducation method on the stress level of nurses of psychiatry wards in 2010. METHODS: This is a quasi-experimental study. The participants were 45 nurses; 23 and 22 in the experiment and control groups, respectively, working in psychiatry wards of Noor and Farabi hospitals, Isfahan, Iran. The sampling was carried out by the census method, and then the participants were randomly assigned to the two groups of experiment and control, using random number table. The two groups filled out the demographic data form and also the questionnaire on nurses’ occupational stress, designed by the researcher. The questionnaire was filled out three times; before, immediately after, and one month after the training. Training of communication skills was carried out using group psychoeducation method, in six sessions, each lasted for 1.5 hours. The training sessions of the experiment group were held in Farabi Hospital. RESULTS: The findings indicated that before the intervention, the members of the two groups had a high level of occupational stress. Immediately after the training, the stress level of the experiment group decreased significantly, and the decrease was sustained for the following one month. CONCLUSIONS: Training communicative skills using group psychoeducation method can decrease the occupational stress of psychiatry ward nurses. PMID:22069416

Ghazavi, Zahra; Lohrasbi, Fatemeh; Mehrabi, Tayebeh

2010-01-01

195

Close encounters in a pediatric ward: measuring face-to-face proximity and mixing patterns with wearable sensors  

E-print Network

Nosocomial infections place a substantial burden on health care systems and represent a major issue in current public health, requiring notable efforts for its prevention. Understanding the dynamics of infection transmission in a hospital setting is essential for tailoring interventions and predicting the spread among individuals. Mathematical models need to be informed with accurate data on contacts among individuals. We used wearable active Radio-Frequency Identification Devices to detect face-to-face contacts among individuals with a spatial resolution of about 1.5 meters, and a time resolution of 20 seconds. The study was conducted in a general pediatrics hospital ward, during a one-week period, and included 119 participants. Nearly 16,000 contacts were recorded during the study, with a median of approximately 20 contacts per participants per day. Overall, 25% of the contacts involved a ward assistant, 23% a nurse, 22% a patient, 22% a caregiver, and 8% a physician. The majority of contacts were of brief ...

Isella, L; Barrat, A; Cattuto, C; Colizza, V; Broeck, W Van den; Gesualdo, F; Pandolfi, E; Ravà, L; Rizzo, C; Tozzi, A E; 10.1371/journal.pone.0017144

2011-01-01

196

Quality of Nursing Care in Psychiatric Wards of University Hospitals in Northwest of Iran from the Perceptions of Nurses  

PubMed Central

Introduction: Nursing care is considered as an essential component of health services. Patients’ health improvement depends upon the quality of nursing care. As an important principle, perceptions of nurses as well as their active participation in decision-makings has an important role in the quality of services. This study aimed to determine the percep-tion of nurses toward the quality of nursing care in psychiatric wards. Methods: In this descriptive study, we used census sampling. Seventy-six nurses employed at psychiatric wards of university hospitals in Northwest of Iran participated in this study. Quality Patient Care Scale (QUALPAC) was used to collect data. The score of each aspect and total scores were categorized as desirable, partly desirable and undesirable. The collected data were analyzed using descriptive statistics. Results: Findings showed that 60.5% of nurses perceived the quality of nursing care as desirable, while 65.8% and 53.9% reported the quality of physical and communicational aspects of care as desirable. Moreover, 51.3% of nurses considered the quality of care in psychosocial aspect as partly desirable. Conclusion: Although research findings indicated the desirability of care quality from the perceptions of most nurses, designing and applying educational programs and continuous evaluation are necessary to improve nursing care quality especially in psychosocial aspects in these centers.

Ebrahimi, Hossein; Namdar, Hossein; Vahidi, Maryam

2012-01-01

197

How does the environment impact on the quality of life of advanced cancer patients? A qualitative study with implications for ward design.  

PubMed

It is well recognized that the ward environment has an effect on patients' quality of life and may, therefore, impact on the quality of end of life care. The body of evidence that informs ward design policy recommends single-bedded rooms on grounds of reduced infection risk, noise and versatility. Considering the majority of anticipated patient deaths occurring in hospitals, the quality of life aspects of ward design should also be considered. The aim of this study is to explore the views of patients with advanced cancer on the effect the ward environment has on their overall well-being. Semi-structured interviews exploring the experiences of 12 inpatients at a regional cancer centre were recorded and transcribed verbatim. Transcripts were analysed for emerging themes until theoretical saturation. Four major themes emerged: staff behaviours, the immediate environment, single vs. multi-bedded rooms and contact with the outside environment. The attitude, competence and helpfulness of the staff creates the atmosphere of the ward regardless of layout, furnishings, equipment and décor. The majority of the patients in this study expressed a strong preference for a multi-bedded room when they were well enough to interact and a single cubicle when they were very ill or dying, which opposes the current advice for building new hospitals with all single rooms. Although the current policy recommends the use of single-bedded rooms, this study suggests the need for a mix of multi-bedded wards and single rooms with respect to the impact of the environment on patient quality of life. PMID:18715977

Rowlands, J; Noble, S

2008-09-01

198

Conflicting priorities: evaluation of an intervention to improve nurse-parent relationships on a Tanzanian paediatric ward  

PubMed Central

Background Patient, or parent/guardian, satisfaction with health care provision is important to health outcomes. Poor relationships with health workers, particularly with nursing staff, have been reported to reduce satisfaction with care in Africa. Participatory research approaches such as the Health Workers for Change initiative have been successful in improving provider-client relationships in various developing country settings, but have not yet been reported in the complex environment of hospital wards. We evaluated the HWC approach for improving the relationship between nurses and parents on a paediatric ward in a busy regional hospital in Tanzania. Methods The intervention consisted of six workshops, attended by 29 of 31 trained nurses and nurse attendants working on the paediatric ward. Parental satisfaction with nursing care was measured with 288 parents before and six weeks after the workshops, by means of an adapted Picker questionnaire. Two focus-group discussions were held with the workshop participants six months after the intervention. Results During the workshops, nurses demonstrated awareness of poor relationships between themselves and mothers. To tackle this, they proposed measures including weekly meetings to solve problems, maintain respect and increase cooperation, and representation to administrative forces to request better working conditions such as equipment, salaries and staff numbers. The results of the parent satisfaction questionnaire showed some improvement in responsiveness of nurses to client needs, but overall the mean percentage of parents reporting each of 20 problems was not statistically significantly different after the intervention, compared to before it (38.9% versus 41.2%). Post-workshop focus-group discussions with nursing staff suggested that nurses felt more empathic towards mothers and perceived an improvement in the relationship, but that this was hindered by persisting problems in their working environment, including poor relationships with other staff and a lack of response from hospital administration to their needs. Conclusion The intended outcome of the intervention was not met. The priorities of the intervention – to improve nurse-parent relationships – did not match the priorities of the nursing staff. Development of awareness and empathy was not enough to provide care that was satisfactory to clients in the context of working conditions that were unsatisfactory to nurses. PMID:19549319

Manongi, Rachel N; Nasuwa, Fortunata R; Mwangi, Rose; Reyburn, Hugh; Poulsen, Anja; Chandler, Clare IR

2009-01-01

199

[Drug prescriptions of patients treated in a geriatric outpatient ward of a university hospital: a descriptive cross-sectional study].  

PubMed

The scope of this study was to evaluate drug prescriptions for elderly patients in the geriatric outpatient ward of a hospital. A cross-sectional descriptive study was conducted in a university hospital, with the application of a questionnaire. Patients aged >60 years were interviewed about their drug prescriptions and a total of 208 patients were interviewed. The average number of drugs used per person was 3.8 and the drugs most used were for the cardiovascular system (37%). 406 potential interactions were identified in 140 patients (67.3%), and duplicate therapy was found in two prescriptions. The potentially inappropriate drug most used for the elderly was nifedipine (2.4%). Data from this study support the relevance of the issue of drug use among the elderly, thus reinforcing the importance of the evaluation of the process of the prescription of drugs for this population. PMID:25119075

Cuentro, Vanessa da Silva; Andrade, Marcieni Ataide de; Gerlack, Letícia Farias; Bós, Angelo José Gonçalves; Silva, Marcos Valério Santos da; Oliveira, Alex Ferreira de

2014-08-01

200

[Dealing with parents facing imminent death of their neonate: introducing palliative care in maternity wards and neonatal intensive care units].  

PubMed

Following antenatal diagnosis of a lethal disorder, some parents are so overwhelmed by grief that therapeutic abortion is seen as the least traumatic option. However, the impending death and anticipated mourning create a particularly complex emotional situation. When faced with such dramatic circumstances, some parents seek to restore meaning to their parenthood by accompanying their baby through to the end of its life. Methods derived from hospice care may be appropriate in such situations, considering the unborn child as "a living being among the living ", pregnancy as the first chapter of every life, and death as a natural process. This approach, which may be adopted in maternity wards and neonatal intensive care units, requires the medical team to provide consistent information to the parents and to ensure their close involvement. These new parental demands must be clearly understood if they are to be met as effectively as possible. PMID:21513125

Storme, Laurent; de Mézerac, Isabelle

2010-06-01

201

The effect of music on body-rocking manifested by severely mentally deficient patients in ward environments.  

PubMed

By controlling whether or not music was played in the wards, the effect of music on stereotyped body-rocking was assessed for twelve severely mentally deficient adults who engaged in this behaviour. There were significant differences between male and female patients. While music did not appear to affect rates, but increased the amounts, of body-rocking in both groups, the distribution of this increase was different. These results suggested that the effect of music was to increase the duration of body-rocking sequences. Once the music had been removed there was, for females, a persistence of the increased amount of body-rocking. It was hypothesised that there may be sexual dimorphism in the brain-hemisphere structures which organise rhythmic stimuli. PMID:745225

Tierney, I R; McGuire, R J; Walton, H J

1978-12-01

202

Heterogeneous models for an early discrimination between sepsis and non-infective SIRS in medical ward patients: a pilot study.  

PubMed

The objective of the study was to determine the accuracy of phospholipase A2 group II (PLA2-II), interferon-gamma-inducible protein 10 (IP-10), angiopoietin-2 (Ang-2), and procalcitonin (PCT) plasma levels in early ruling in/out of sepsis among systemic inflammatory response syndrome (SIRS) patients. Biomarker levels were determined in 80 SIRS patients during the first 4 h of admission to the medical ward. The final diagnosis of sepsis or non-infective SIRS was issued according to good clinical practice. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for sepsis diagnosis were assessed. The optimal biomarker combinations with clinical variables were investigated by logistic regression and decision tree (CART). PLA2-II, IP-10 and PCT, but not Ang-2, were significantly higher in septic (n = 60) than in non-infective SIRS (n = 20) patients (P ? 0.001, 0.027, and 0.002, respectively). PLA2-II PPV and NPV were 88 and 86 %, respectively. The corresponding figures were 100 and 31 % for IP-10, and 93 and 35 % for PCT. Binary logistic regression model had 100 % PPV and NPV, while manual and software-generated CART reached an overall accuracy of 95 and 98 %, respectively, both with 100 % NPV. PLA2-II and IP-10 associated with clinical variables in regression or decision tree heterogeneous models may be valuable biomarkers for sepsis diagnosis in SIRS patients admitted to medical ward (MW). Further studies are needed to introduce them into clinical practice. PMID:24362623

Mearelli, Filippo; Fiotti, Nicola; Altamura, Nicola; Zanetti, Michela; Fernandes, Giovanni; Burekovic, Ismet; Occhipinti, Alessandro; Orso, Daniele; Giansante, Carlo; Casarsa, Chiara; Biolo, Gianni

2014-10-01

203

Field Study on Runoff Processes at a Snow-covered Hillslope in Ward Valley, Lake Tahoe Basin  

NASA Astrophysics Data System (ADS)

At the snow covered hillslope in Ward Creek watershed, Lake Tahoe Basin, overland flow, subsurface stormflow, channel flow, atmospheric quantities, and groundwater table underneath the snowpack were measured during the water years, 2000 and 2001. The analyses of the hillslope runoff measurements revealed that majority of the snowmelt water infiltrated into the top soil layer, and that the saturated subsurface flow was the largest contributor to the stream channel flow throughout the observation period. However, it was found that the overland flow or longitudinal flow within the snowpack may still happen even over unfrozen and unsaturated topsoil on a relatively mild hillslope (16 %). Analysis of the major rain-on-snow event of May 7, 2000, showed that the snowmelt water, caused by the energy flux from raindrops, might not be the major contributor to the runoff peak discharge since very little snowmelt was observed during the rain-on-snow event. Consequently, spring storm hydrographs in the Sierra Nevada may be enhanced by the high soil-water in the topsoil due to the daily water supply by snowmelt as well as by overland/within snowpack flow. (A) Observed and simulated snow water equivalence (SWE) and estimated snowmelt rate, (B) observed overland flow, (C) observed rootzone discharge and consolidated discharge, and (D) observed stream discharge and precipitation at Ward Creek observation site. Schematic of hillslope runoff pathways at a riparian cross-section in a snow covered watershed. It may be reasonable to assume that the capillary suction may be able to help sustain some portion of water within the snowpack even over a highly permeable soil.

Ohara, N.; Kavvas, M. L.; Easton, D.; Dogrul, E. C.; Yoon, J.; Chen, Z.

2012-12-01

204

Biological responses to sediment remediation based on thin layer placement near a former pulp mill in Ward Cove, AK (USA).  

PubMed

In 2001, 28 acres of the bottom of Ward Cove, AK (USA) were remediated using thin layer placement, to enhance the natural recovery of contaminated sediments. The remediated areas were part of an 80-acre area of concern identified offshore from the site of a former sulfite pulp mill. The primary chemicals of concern were those commonly associated with organic enrichment near pulp mills: ammonia and 4-methylphenol. The primary remedial objectives were to reduce the toxicity of the contaminated sediments and to stimulate colonization of the remediated areas by benthic macroinvertebrates. In 2004, the initial monitoring event for the remediated areas was conducted, and included evaluations of physical/chemical sediment variables (i.e., total organic carbon, grain size distribution, ammonia, and 4-methylphenol), sediment toxicity (i.e., using the 10-day amphipod survival test with Eohaustorius estuarius), and in situ benthic macroinvertebrate communities. Results of the monitoring event showed that conditions in the remediated areas had improved considerably in the 3 years since thin layer placement had occurred. At most stations, concentrations of both ammonia and 4-methylphenol were very low, and amphipod survival was >or=90%. In addition, benthic macroinvertebrates appeared to be rapidly colonizing the remediated areas, based on evaluations of several community metrics (i.e., taxa richness, diversity, and dominance), as well as key indicator species of organic enrichment and associated transitional areas (i.e., primarily the polychaetes Capitella capitata and Nephtys cornuta, and the bivalve molluscs Axinopsida serricata and Parvilucina tenuisculpta). In general, colonization was consistent with the patterns identified for areas recovering from organic enrichment on the continental shelf of southern California and elsewhere. Based on these results, thin layer placement was considered successful in enhancing the natural recovery of the remediated sediments in Ward Cove. PMID:18677548

Becker, D Scott; Sexton, Jane E; Jacobs, Lucinda A; Hogarty, Barry; Keeley, Karen

2009-07-01

205

The application of heat pipe heat exchangers to improve the air quality and reduce the energy consumption of the air conditioning system in a hospital ward—A full year model simulation  

Microsoft Academic Search

Research was conducted to study the effect of heat pipe heat exchangers on the existing air conditioning system of a hospital ward located in Malaysia, a tropical region. The present research employs the transient system simulation software (TRNSYS) to study the hour-by-hour performance of the system in terms of supply duct air and indoor air conditions in the ward space.

M. Ahmadzadehtalatapeh; Y. H. Yau

2011-01-01

206

Ward-Specific Rates of Nasal Cocolonization with Methicillin-Susceptible and -Resistant Staphylococcus spp. and Potential Impact on Molecular Methicillin-Resistant Staphylococcus aureus Screening Tests  

PubMed Central

We report that the rates of nasal cocolonization with methicillin-susceptible Staphylococcus aureus and methicillin-resistant coagulase-negative staphylococci can vary widely between patients admitted to different wards within a single hospital. Such cocolonization can greatly influence the performance of molecular methicillin-resistant S. aureus (MRSA) screening tests depending on the methods used and targets selected. PMID:23658254

Rasigade, Jean-Philippe; Lustig, Sebastien; Lhoste, Yannick; Valour, Florent; Guerin, Claude; Aubrun, Frederic; Tigaud, Sylvestre; Laurent, Frederic

2013-01-01

207

Incidence of cranial ultrasound abnormalities in apparently well neonates on a postnatal ward: correlation with antenatal and perinatal factors and neurological status  

Microsoft Academic Search

AIMTo evaluate cranial ultrasonography and neurological examination in a cohort of infants regarded as normal; and to determine the prevalence of ultrasound abnormalities and any potential association with antenatal or perinatal factors or deviant neurological signs.METHODSCranial ultrasound findings and neurological status were evaluated in 177 newborns (gestational age 36.3 to 42 weeks), admitted to a postnatal ward directly after birth

Eugenio Mercuri; Lilly Dubowitz; Sara Paterson Brown; Frances Cowan

1998-01-01

208

P1-18 Nutritional status of the cardiac patients hospitalized in cardiology ward of Alzahra Hospital and its comparison with Healthy Eating Index  

Microsoft Academic Search

Cardiovascular diseases are getting epidemic due to social reconstruction, technology advancement and over population in urban areas, inappropriate food habits and immobility. This study has tried to define the indexes of healthy nutrition in cardiac patients hospitalized in cardiac ward of Alzahr a hospital and to compare it with Healthy Eating Index (HEI). Healthy Eating Index has been also designed

N. Bahreini; M. Entezari; A. Hassansadeh; M. Ganjalideshti; M. Jalali

2007-01-01

209

Is methicillin-resistant Staphylococcus aureus (MRSA) contamination of ward-based computer terminals a surrogate marker for nococomial MRSA transmission and handwashing compliance?  

Microsoft Academic Search

A survey of two acute district general hospitals (A and B) was undertaken to investigate the extent of methicillin-resistant Staphylococcus aureus (MRSA) contamination of ward-based computer terminals. Of 25 terminals examined, MRSA was identified in six (24%). Environmental contamination was of a low level. Five of the MRSA positive terminals were from hospital A which had a significantly higher rate

J. Devine; R. P. D. Cooke; E. P. Wright

2001-01-01

210

Microbial Contamination on Used Surgical Masks among Hospital Personnel and Microbial Air Quality in their Working Wards: A Hospital in Bangkok  

PubMed Central

Objective To assess the relationship of bacterial and fungal contamination on used surgical masks worn by the hospital personnel and microbial air quality in their working wards. Methods This is a cross-sectional study of 230 used surgical masks collected from 214 hospital personnel, and 215 indoor air samples collected from their working wards to culture for bacterial and fungal counts. This study was carried out at the hospital in Bangkok. Group or genus of isolated bacteria and fungi were preliminarily identified by Gram’s stain and lacto-phenol cotton blue. Data were analyzed using paired t-test and Pearson’s correlation coefficient at the significant level of p<0.050. Results Means and standard deviation of bacterial and fungal contamination on inside area of the used masks were 47 ± 56 and 15 ± 9 cfu/ml/piece, and on outside area were 166 ± 199 and 34 ± 18 cfu/ml/piece, respectively, p<0.001. The bacterial and fungal contamination on used masks from hospital personnel working in the male and female medical wards and out-patient department, as well as the bacterial and fungal counts of the indoor air sample collected from the same area were relatively higher than the other wards. The predominant isolated bacteria and fungi contaminated on inside and outside areas of the used masks and air samples were similar (Staphylococcus spp. and Aspergillus spp.; respectively). For its relationship, results found that bacterial and fungal counts in air samples showed significantly positive correlation with the bacterial contamination load on outside area of the used masks, r=0.16, p=0.018 and r=0.21, p=0.003, respectively. Conclusion High bacterial contamination on outside area of the used masks was demonstrated, and it showed a significant correlation with microbial air quality of working wards. PMID:25337311

Luksamijarulkul, Pipat; Aiempradit, Natkitta; Vatanasomboon, Pisit

2014-01-01

211

The association between insurance status and in-hospital mortality on the public medical wards of a Kenyan referral hospital  

PubMed Central

Background Observational data in the United States suggests that those without health insurance have a higher mortality and worse health outcomes. A linkage between insurance coverage and outcomes in hospitalized patients has yet to be demonstrated in resource-poor settings. Methods To determine whether uninsured patients admitted to the public medical wards at a Kenyan referral hospital have any difference in in-hospital mortality rates compared to patients with insurance, we performed a retrospective observational study of all inpatients discharged from the public medical wards at Moi Teaching and Referral Hospital in Eldoret, Kenya, over a 3-month study period from October through December 2012. The primary outcome of interest was in-hospital death, and the primary explanatory variable of interest was health insurance status. Results During the study period, 201 (21.3%) of 956 patients discharged had insurance. The National Hospital Insurance Fund was the only insurance scheme noted. Overall, 211 patients (22.1%) died. The proportion who died was greater among the uninsured compared to the insured (24.7% vs. 11.4%, Chi-square=15.6, p<0.001). This equates to an absolute risk reduction of 13.3% (95% CI 7.9–18.7%) and a relative risk reduction of 53.8% (95% CI 30.8–69.2%) of in-hospital mortality with insurance. After adjusting for comorbid illness, employment status, age, HIV status, and gender, the association between insurance status and mortality remained statistically significant (adjusted odds ratio (AOR)=0.40, 95% CI 0.24–0.66) and similar in magnitude to the association between HIV status and mortality (AOR=2.45, 95% CI 1.56–3.86). Conclusions Among adult patients hospitalized in a public referral hospital in Kenya, insurance coverage was associated with decreased in-hospital mortality. This association was comparable to the relationship between HIV and mortality. Extension of insurance coverage may yield substantial benefits for population health. PMID:24560256

Stone, Geren S.; Tarus, Titus; Shikanga, Mainard; Biwott, Benson; Ngetich, Thomas; Andale, Thomas; Cheriro, Betsy; Aruasa, Wilson

2014-01-01

212

Nuclear matter Ward identity and the theory of final-state interactions in inclusive and exclusive reactions  

SciTech Connect

We consider the response of a large nucleus, approximated by nuclear matter, to an electromagnetic probe at intermediate values of the momentum transfer, where nucleon knockout dominates the response. We discuss final-state interactions which may be included in the calculations of ({ital e},{ital e}{prime}) inclusive reactions or ({ital e},{ital e}{prime}{ital p}) reactions, for example. We remark that the standard method for performing these calculations is inconsistent and address the question of the magnitude of the corrections required. We extend the discussion of Bentz, Arima, Hyuga, Shimizu, and Yazaki, who considered the role of the Ward-Takahashi identity in the calculation of the electromagnetic response in nuclear matter, to higher values of the momentum transfer. We suggest specific vertex corrections which should provide a more consistent formalism. We find that these corrections may be small in the vicinity of the quasielastic peak. However, definitive estimates of the corrections suggested here will require rather complex calculations. (It is of interest to note that the vertex correction is complex when the energetics are such that nucleon knockout is possible.)

Celenza, L.S.; Pantziris, A.; Shakin, C.M.; Wang, H. (Brooklyn College of the City University of New York, Brooklyn, New York (USA). Department of Physics Brooklyn College of the City University of New York, Brooklyn, New York (USA). Center for Nuclear Theory)

1991-03-01

213

Nuclear matter Ward identity and the theory of final-state interactions in inclusive and exclusive reactions  

NASA Astrophysics Data System (ADS)

We consider the response of a large nucleus, approximated by nuclear matter, to an electromagnetic probe at intermediate values of the momentum transfer, where nucleon knockout dominates the response. We discuss final-state interactions which may be included in the calculations of (e,e') inclusive reactions or (e,e'p) reactions, for example. We remark that the standard method for performing these calculations is inconsistent and address the question of the magnitude of the corrections required. We extend the discussion of Bentz, Arima, Hyuga, Shimizu, and Yazaki, who considered the role of the Ward-Takahashi identity in the calculation of the electromagnetic response in nuclear matter, to higher values of the momentum transfer. We suggest specific vertex corrections which should provide a more consistent formalism. We find that these corrections may be small in the vicinity of the quasielastic peak. However, definitive estimates of the corrections suggested here will require rather complex calculations. (It is of interest to note that the vertex correction is complex when the energetics are such that nucleon knockout is possible.)

Celenza, L. S.; Pantziris, A.; Shakin, C. M.; Wang, Hui-Wen

1991-03-01

214

The use of typing methods and infection prevention measures to control a bullous impetigo outbreak on a neonatal ward  

PubMed Central

Background We describe an outbreak of Bullous Impetigo (BI), caused by a (methicillin susceptible, fusidic acid resistant) Staphylococcus aureus (SA) strain, spa-type t408, at the neonatal and gynaecology ward of the Jeroen Bosch hospital in the Netherlands, from March-November 2011. Methods We performed an outbreak investigation with revision of the hygienic protocols, MSSA colonization surveillance and environmental sampling for MSSA including detailed typing of SA isolates. Spa typing was performed to discriminate between the SA isolates. In addition, Raman-typing was performed on all t408 isolates. Results Nineteen cases of BI were confirmed by SA positive cultures. A cluster of nine neonates and three health care workers (HCW) with SA t408 was detected. These strains were MecA-, PVL-, Exfoliative Toxin (ET)A-, ETB+, ETAD-, fusidic acid-resistant and methicillin susceptible. Eight out of nine neonates and two out of three HCW t408 strains yielded a similar Raman type. Positive t408 HCW were treated and infection control procedures were reinforced. These measures stopped the outbreak. Conclusions We conclude that treatment of patients and HCW carrying a predominant SA t408, and re-implementing and emphasising hygienic measures were effective to control the outbreak of SA t408 among neonates. PMID:23168170

2012-01-01

215

The politics of black patients' identity: ward-rounds on the 'black side' of a South African psychiatric hospital.  

PubMed

There are many macrosocial studies of the political organisation of health and mental health care in South Africa, and the maldistribution of resources by race is well known. Little attention, however, has been given to the minutiae of the negotiation of power in the clinical setting. This article, which reports on part of a larger study of aspects of culture in South African psychiatry, focuses on interactions in ward-rounds on the 'Black side' of a South African psychiatric hospital. Through analysis of cases, the complexity of interpreting what transpires in such a setting and the central role that the concept of culture has in debates amongst staff members are demonstrated. Close analysis demonstrates the inadequacy of models which seek to locate the institutional racism of apartheid psychiatry in the motives of individual clinicians. Clinicians may simultaneously reproduce and subvert aspects of apartheid practice. A consideration of the social positioning of the clinician both as a South African and as a practitioner of psychiatry is central to the development of psychiatry in a post-apartheid South Africa. PMID:1874004

Swartz, L

1991-06-01

216

Infant feeding policies in maternity wards and their effect on breast-feeding success: an analytical overview.  

PubMed Central

OBJECTIVES. The purpose of this review is to examine the plausibility of a causal relationship between maternity ward practices and lactation success. METHODS. Studies were located with MEDLINE, from our personal files, and by contacting researchers working in this field. Of the 65 studies originally reviewed, 18 met our inclusion criteria (i.e., hospital-based intervention, experimental design with randomization procedures, or quasi-experimental design with adequate documentation). RESULTS. Meta-analysis indicated that commercial discharge packs had an adverse effect on lactation performance. The impact of early mother-infant contact on lactation success was unclear. Rooming-in and breast-feeding guidance in a rooming-in context had a beneficial impact on breast-feeding among primiparae. Breast-feeding on demand was positively associated with lactation success. In-hospital formula supplementation of 48 mL per day was not associated with poor breast-feeding performance. CONCLUSIONS. Hospital-based breast-feeding interventions can have a beneficial effect on lactation success, particularly among primiparous women. PMID:8279619

Perez-Escamilla, R; Pollitt, E; Lonnerdal, B; Dewey, K G

1994-01-01

217

Determinants of Length of Stay in Surgical Ward after Coronary Bypass Surgery: Glycosylated Hemoglobin as a Predictor in All Patients, Diabetic or Non-Diabetic  

PubMed Central

Background: Reports on the determinants of morbidity in coronary artery bypass graft surgery (CABG) have focused on outcome measures such as length of postoperative stay in the Intensive Care Unit (ICU). We proposed that major comorbidities in the ICU hampered the prognostic effect of other weaker but important preventable risk factors with effect on patients’ length of hospitalization. So we aimed at evaluating postoperative length of stay in the ICU and surgical ward separately. Methods: We studied isolated CABG candidates who were not dialysis dependent. Preoperative, operative, and postoperative variables as well as all classic risk factors of coronary artery disease were recorded. Using multivariate analysis, we determined the independent predictors of length of stay in the ICU and in the surgical ward. Results: Independent predictors of extended length of stay in the surgical ward ( > 3 days) were a history of peripheral vascular disease, total administered insulin during a 24-hour period after surgery, glycosylated hemoglobin (HbA1c), last fasting blood sugar of the patients before surgery, and inotropic usage after cardiopulmonary bypass. The area under the Receiver Operating Characteristic Curve (AUC) was found to be 0.71 and Hosmer-Lemeshow (HL) goodness of fit statistic p value was 0.88. Independent predictors of extended length of stay in the ICU ( > 48 hours) were surgeon category, New York Heart Association functional class, intra-aortic balloon pump, postoperative arrhythmias, total administered insulin during a 24-hour period after surgery, and mean base excess of the first 6 postoperative hours (AUC = 0.70, HL p value = 0.94). Conclusion: This study revealed that the indices of glycemic control were the most important predictors of length of stay in the ward after cardiac surgery in all patients, diabetic or non-diabetic. However, because HbA1c level did not change under the influence of perioperative events, it could be deemed a valuable measure in predicting outcome in CABG candidates. PMID:23323078

Najafi, Mahdi; Goodarzynejad, Hamidreza

2012-01-01

218

Localization of Romano-Ward long QT syndrome gene, LQTI, to the interval between tyrosine hydroxylase (TH) and D11S1349  

SciTech Connect

The Romano-Ward long-QT syndrome (RWLQTS) is an autosomal dominant disorder that is characterized by heritable prolongation of the QT interval, syncope, and sudden death. Identification of the gene responsible for this syndrome may aid the diagnosis, management, and treatment of patients with this disease. Furthermore, it may lead to improved understanding of and therapy for other sympathetic-dependent ventricular arrhythmias. 20 refs., 1 fig., 1 tab.

Russell, M.W. [Univ. of Michigan, Ann Arbor, MI (United States)]|[National Institutes of Health, Bethesda, MD (United States); Hulse, J.E.; Campbell, R.M. [Emory Univ., Atlanta, GA (United States)] [and others

1995-08-01

219

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

220

[Clinical psychopathological research on late-onset schizophrenia--mainly patients with schizophrenia from a hospital psychiatric ward].  

PubMed

In the field of clinical psychiatry, cases of late-onset schizophrenia are often observed in the population of 40 years or older. Female patients seem to significantly predominate those diagnosed with late-onset schizophrenia. Generally, paranoid delusions of reference with family members, neighbors, and friends are observed as clinical features of such late-onset schizophrenia conditions. Medical treatment for such a condition is often effective and considered to improve the prognosis. The authors conducted clinical research at Jichi Medical University Hospital psychiatric ward involving 38 late-onset schizophrenia patients (7 males; 31 females) diagnosed over the age of 40 using DSM-IV-TR diagnostic criteria. Subjects were selected from 316 schizophrenia patients (164 males; 152 females) admitted to the hospital for schizophrenia treatment at some time during the 13 years from April 1, 1993 to March 31, 2006. Also, another 14 late-onset schizophrenia patients diagnosed over the age of 40 (1 male; 13 females), with additional investigation, were selected from 130 cases (50 males; 80 females) treated in related facilities at some time during the 2 years from April 1, 2004 to March 31, 2006. The investigation revealed the following results: (1) Cases showing an onset after the age of 40 comprised 12% of the total population. Female cases comprised 20.4%, being significantly higher than that of male cases (4.3%). Within the psychiatric ward, cases showing an onset after 40 made up 10.8% of the total population. Female cases comprised 16.3%, being significantly higher than that of male cases (2.0%). (2) The paranoid type comprised 55.3% of the total population of late-onset cases, being significantly higher than in early-onset cases younger than 40 years old. A total of 55.3% of late-onset cases also showed depressive symptoms, being significantly higher than in early-onset cases. (3) For late-onset, 55.3% of patients showed an introverted premorbid character, while 15.8% of patients exhibited an extroverted premorbid character. Regarding late-onset cases, the number of introverted premorbid character cases significantly lower than in early-onset cases diagnosed at 40 years or younger; however, no significant difference was observed for the extroverted premorbid character. (4) A total of 65.8% of the population of late-onset cases were diagnosed as having psychosocial stresses as their cause. In addition, 36 % of subjects with psychosocial stress recognition had experienced a sense of loss. Of these, 66.6% of the loss experience involved separation from their family members. (5) Cases showing a successful recovery from schizophrenia comprised 55.3 % of the total population. On the other hand, cases with an unsuccessful outcome were observed in 34.2% of the total population, accounting for a relatively large portion. A total of 30.8% of subjects with an unsuccessful outcome were unmarried at the time of onset, and made up 57.1% of the late-onset population. According to the results of this investigation, late-onset schizophrenia represents about 10% of the total cases, and female cases are significantly more common than male cases. For late-onset patients, subjects' self-functions were more developed compared to those of early-onset patients, so they did not seem to clearly show early-onset symptoms during a younger period. The late-onset type has a tendency to show a better rate of successful recovery; however, there are situations where the condition reverts toward the "disorganized type", moving closer toward Kraepelin's early-onset disorganized schizophrenia. PMID:19425390

Yasuda, Manabu; Kato, Satoshi

2009-01-01

221

[Willingness to implement mental health measures among small-scale enterprise employers in Ohta ward, Tokyo, Japan].  

PubMed

Due to the increase in mental health problems among Japanese workers in recent years, effective approaches to address these problems are of growing concern. Although such an effort is now under way in largescale enterprises (LSEs), small-scale enterprises (SSEs) are lagging behind LSEs for a number of reasons. In the present study, to know the reason, the presidents of 263 SSEs (fewer than 50 employees) in the Ohta ward of Tokyo were surveyed with a self-administered questionnaire from October 1999 to March 2000 (response rate, 51.0%). The main business types were manufacturing (71.2%), transportation & storage (6.1%), and construction (5.3%). The results revealed that employers attribute the mental health problems of employees to "Job content/Aptitude for job (78.6%)", "Communication among employees (71.0%)", "Physical problems/Illness (50.4%)", "Family problems (33.6%)". These results are very similar to those obtained in the same enterprises employees survey in 1996, suggesting that employers perceive the factors responsible for employees' mental health problems with substantial accuracy. Sixty-nine point five percent of the employers answered that they need mental health measures for employees. And 62.7% of employers agreed to take mental health measures in their enterprises. Taken together, it is considered that employers are willing to improve their employees' mental health problems. Nevertheless, 95% of employers are doing nothing to improve the situation. The major reasons cited were 1) Cannot obtain a consultant or counselor (44.8%), 2) Lack of time (43.1%), 3) Manpower shortage (41.4%), 4) Difficulty in ensuring employees' privacy (36.2%), and 5) Lack of financial resources (30.2%). The results of the present study suggest that perception of the mental health problems among employers and employees of SSEs in the Ohta area were close to each other. Effective strategies are needed to improve mental health problems in SSEs. PMID:12402465

Ikeda, Tomoko; Nakata, Akinori; Kobori, Shun-ichi; Hojo, Minoru; Sugishita, Chieko

2002-09-01

222

Efficacy of a Low-Cost Bubble CPAP System in Treatment of Respiratory Distress in a Neonatal Ward in Malawi  

PubMed Central

Background Respiratory failure is a leading cause of neonatal mortality in the developing world. Bubble continuous positive airway pressure (bCPAP) is a safe, effective intervention for infants with respiratory distress and is widely used in developed countries. Because of its high cost, bCPAP is not widely utilized in low-resource settings. We evaluated the performance of a new bCPAP system to treat severe respiratory distress in a low resource setting, comparing it to nasal oxygen therapy, the current standard of care. Methods We conducted a non-randomized convenience sample study to test the efficacy of a low-cost bCPAP system treating newborns with severe respiratory distress in the neonatal ward of Queen Elizabeth Central Hospital, in Blantyre, Malawi. Neonates weighing >1,000 g and presenting with severe respiratory distress who fulfilled inclusion criteria received nasal bCPAP if a device was available; if not, they received standard care. Clinical assessments were made during treatment and outcomes compared for the two groups. Findings 87 neonates (62 bCPAP, 25 controls) were recruited. Survival rate for neonates receiving bCPAP was 71.0% (44/62) compared with 44.0% (11/25) for controls. 65.5% (19/29) of very low birth weight neonates receiving bCPAP survived to discharge compared to 15.4% (1/13) of controls. 64.6% (31/48) of neonates with respiratory distress syndrome (RDS) receiving bCPAP survived to discharge, compared to 23.5% (4/17) of controls. 61.5% (16/26) of neonates with sepsis receiving bCPAP survived to discharge, while none of the seven neonates with sepsis in the control group survived. Interpretation Use of a low-cost bCPAP system to treat neonatal respiratory distress resulted in 27% absolute improvement in survival. The beneficial effect was greater for neonates with very low birth weight, RDS, or sepsis. Implementing appropriate bCPAP devices could reduce neonatal mortality in developing countries. PMID:24489715

Kawaza, Kondwani; Machen, Heather E.; Brown, Jocelyn; Mwanza, Zondiwe; Iniguez, Suzanne; Gest, Al; Smith, E. O'Brian; Oden, Maria; Richards-Kortum, Rebecca R.; Molyneux, Elizabeth

2014-01-01

223

Antibiotic Stewardship Ward Rounds and a Dedicated Prescription Chart Reduce Antibiotic Consumption and Pharmacy Costs without Affecting Inpatient Mortality or Re-Admission Rates  

PubMed Central

Background Antibiotic consumption is a major driver of bacterial resistance. To address the increasing burden of multi-drug resistant bacterial infections, antibiotic stewardship programmes are promoted worldwide to rationalize antibiotic prescribing and conserve remaining antibiotics. Few studies have been reported from developing countries and none from Africa that report on an intervention based approach with outcomes that include morbidity and mortality. Methods An antibiotic prescription chart and weekly antibiotic stewardship ward round was introduced into two medical wards of an academic teaching hospital in South Africa between January-December 2012. Electronic pharmacy records were used to collect the volume and cost of antibiotics used, the patient database was analysed to determine inpatient mortality and 30-day re-admission rates, and laboratory records to determine use of infection-related tests. Outcomes were compared to a control period, January-December 2011. Results During the intervention period, 475.8 defined daily doses were prescribed per 1000 inpatient days compared to 592.0 defined daily doses/1000 inpatient days during the control period. This represents a 19.6% decrease in volume with a cost reduction of 35% of the pharmacy’s antibiotic budget. There was a concomitant increase in laboratory tests driven by requests for procalcitonin. There was no difference in inpatient mortality or 30-day readmission rate during the control and intervention periods. Conclusions Introduction of antibiotic stewardship ward rounds and a dedicated prescription chart in a developing country setting can achieve reduction in antibiotic consumption without harm to patients. Increased laboratory costs should be anticipated when introducing an antibiotic stewardship program. PMID:24348995

Boyles, Tom H.; Whitelaw, Andrew; Bamford, Colleen; Moodley, Mischka; Bonorchis, Kim; Morris, Vida; Rawoot, Naazneen; Naicker, Vanishree; Lusakiewicz, Irena; Black, John; Stead, David; Lesosky, Maia; Raubenheimer, Peter; Dlamini, Sipho; Mendelson, Marc

2013-01-01

224

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

225

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

226

'It makes me want to run away to Saudi Arabia': management and implementation challenges for public financing reforms from a maternity ward perspective.  

PubMed

Poor practice by health care workers has been identified as contributing to high levels of maternal mortality in South Africa. The country is undergoing substantial structural and financial reforms, yet the impact of these on health care workers performance and practice has not been studied. This study, which consisted of an ethnography of two labour wards (one rural and one urban), aimed to look at the factors that shaped everyday practice of midwives working in district hospitals in South Africa during the implementation of a public sector reform to improve financial management. The study found that the Public Financing Management Act, that aimed to improve the efficiency and accountability of public finance management, had the unintended consequence of causing the quality of maternal health services to deteriorate in the hospital wards studied. The article supports the need for increased dialogue between those working in the sexual and reproductive health and health systems policy arenas, and the importance of giving a voice to front-line health workers who implement systems changes. However, it cautions that there are no simple answers to how health systems should be organized in order to better provide sexual and reproductive health services, and suggests instead that more attention in the debate needs to be paid to the challenges of policy implementation and the socio-political context and process issues which affect the success or failure of the implementation. PMID:15452017

Penn-Kekana, Loveday; Blaauw, Duane; Schneider, Helen

2004-10-01

227

Patterns of 'balancing between hope and despair' in the diagnostic phase: a grounded theory study of patients on a gastroenterology ward  

PubMed Central

Title Patterns of ‘balancing between hope and despair' in the diagnostic phase: a grounded theory study of patients on a gastroenterology ward Aim The aim of the study was to learn how patients going through the diagnostic phase experienced and handled their situation. Background Many studies report about the stressful diagnostic phase; however, none has presented a conceptual theory where the concepts are sufficiently related to each other. The Theory of Preparative Waiting has previously been published as a descriptive grounded theory and describes the experience of a group of gastroenterology patients going through the diagnostic phase. Method A classical grounded theory design was used, with data derived from 18 in-depth interviews with 15 patients in a gastroenterology ward at a Norwegian University Hospital. Interviews were conducted during 2002–2003. Findings Participants' main concern was found to be how they could prepare themselves for the concluding interview and life after diagnosis. The theoretical code of ‘balancing’ had four patterns; controlling pain, rational awaiting, denial, and accepting. These patterns of ‘balancing’ guided how participants used the categories of ‘Preparative Waiting Theory’‘seeking and giving information’, ‘interpreting clues’, ‘handling existential threats’ and ‘seeking respite’. Patterns were strategies, so one person could use more than one pattern. Conclusion The diagnostic phase was a difficult time for the participants and the ‘Preparative Waiting Theory’ can assist nurses in assessing how patients prepare themselves differently for getting a diagnosis. All patients would find it helpful to be followed up by a designated contact person at the ward; however, patients using mostly the patterns of controlling pain and denial would benefit most from such support. What is already known about this topic Theoretical coding is the least understood part of grounded theory analysis. The ambiguity of the diagnostic phase causes uncertainty and is experienced as the most stressful part of the illness trajectory for patients. The informational needs and different ways of dealing with the emotional challenge of waiting in the diagnostic phase are widely acknowledged. What this paper adds A conceptual grounded theory where the processes of preparing for a diagnosis are related to each other through the theoretical code of ‘balancing’. Articulation of how the four ‘balancing’ patterns of controlling pain, rational awaiting, denial and accepting explain how patients prepare differently for getting a diagnosis. A model which could be used in developing the nursing role for patients in the diagnostic phase. PMID:18352961

Giske, Tove; Artinian, Barbara

2008-01-01

228

Six-year prospective audit of 'scoop and run' for chest-reopening after cardiac arrest in a cardiac surgical ward setting  

PubMed Central

OBJECTIVES The aim of the study was to identify which cardiac surgical ward patients benefit from ‘scoop and run’ to the operating room for chest reopening. METHODS In-hospital arrests in a cardiothoracic hospital were prospectively audited over a 6-year period. The following pieces of information were collected for every patient who was scooped to the operating room following cardiac arrest on the postoperative cardiac surgical wards: type of arrest, time since surgery, patient physiology before arrest, time to chest reopening, location of chest opening, surgical findings on reopening, time to cardiopulmonary bypass (if used) and patient outcomes. Exclusions: arrests in intensive care unit (ICU) and operating rooms. The primary outcome measure was survival to discharge from the hospital. RESULTS There were 99 confirmed ward arrests in 97 cardiac surgical patients. The overall survival rates to discharge and at 1 year were 53.6% (52 of 97 patients) and 44.3% (43 of 97 patients), respectively. Twenty-one of the 97 (21.6%) patients underwent scoop and run to the operating room or ICU. Five of 12 daytime ‘scoop and runs’ survived to discharge, whereas none of nine survived where scoop and run was undertaken at night (P < 0.05). There was a trend towards increased survival when ‘scoop and run’ was undertaken following ventricular fibrillation/pulseless ventricular tachycardia arrests (P = 0.06) and in younger patients (P = 0.12) but neither achieved statistical significance. The median time out from surgery of survivors was 4 days (range 2–14 days). The median time to chest opening in survivors was 22 min. Cardiopulmonary bypass was utilized in four of five survivors. The median ICU and hospital lengths of stay were 176 h (range 34–857) and 28 days (range 13–70), respectively. CONCLUSIONS The key determinant of a favourable ‘scoop and run’ outcome was whether the arrest occurred during daytime or night-time hours (P < 0.05). Despite a median time to chest opening of 22 min, all five survivors were discharged neurologically intact. The median time from surgery in these survivors was 4 days. Because of the risk of hypoxic brain damage, ‘scoop and run’ should be restricted to patients suffering witnessed arrests. The study has potential implications for resuscitation training and out-of-hours medical staffing in cardiothoracic hospitals. PMID:22879359

Lees, Nicholas J.; Powell, Sarah J.; Mackay, Jonathan H.

2012-01-01

229

[Comment on “Labor pains at subduction's birth” by William Ward Maggs, and “Macquarie Earthquake of May 23, 1989” by Barbara Romanowicz and Goran Ekstrom] Earthquake update  

NASA Astrophysics Data System (ADS)

Following the two notes in Eos on the recent great earthquake on the Macquarie Ridge (“Labor Pains at Subduction's Birth,” by William Ward Maggs, June 13, p. 650, and “Macquarie Earthquake of May 23, 1989,” by Barbara Romanowicz and Goran Ekstrom, July 11, p. 700), we would like to put the record straight on minor comments in the articles.Tsunami: Indeed, a tsunami was generated and recorded on at least four tide gages along the coast of southeastern Australia, southeast Tasmania and southeastern New South Wales. The peak-to-trough amplitude was very small, 0.3 m, barely above the normal harbor seiche at each ot the tide gage sites. The duration of the wave train in Sydney harbor was seven hours.

McCue, Kevin

230

Clinical and Organizational Factors Related to the Reduction of Mechanical Restraint Application in an Acute Ward: An 8-Year Retrospective Analysis  

PubMed Central

Background: The purpose of this study was to describe the frequency of mechanical restraint use in an acute psychiatric ward and to analyze which variables may have significantly influenced the use of this procedure. Methods: This retrospective study was conducted in the Servizio Psichiatrico di Diagnosi e Cura (SPDC) of Modena Centro. The following variables of our sample, represented by all restrained patients admitted from 1-1-2005 to 31-12-2012, were analyzed: age, gender, nationality, psychiatric diagnoses, organic comorbidity, state and duration of admission, motivation and duration of restraints, nursing shift and hospitalization day of restraint, number of patients admitted at the time of restraint and institutional changes during the observation period. The above variables were statistically compared with those of all other non-restrained patients admitted to our ward in the same period. Results: Mechanical restraints were primarily used as a safety procedure to manage aggressive behavior of male patients, during the first days of hospitalization and night shifts. Neurocognitive disorders, organic comorbidity, compulsory state and long duration of admission were statistically significantly related to the increase of restraint use (p<.001, multivariate logistic regression). Institutional changes, especially more restricted guidelines concerning restraint application, were statistically significantly related to restraint use reduction (p<.001, chi2 test, multivariate logistic regression). Conclusion: The data obtained highlight that mechanical restraint use was influenced not only by clinical factors, but mainly by staff and policy factors, which have permitted a gradual but significant reduction in the use of this procedure through a multidimensional approach. PMID:25320635

Lorenzo, Rosaria Di; Miani, Fiorenza; Formicola, Vitantonio; Ferri, Paola

2014-01-01

231

Multidrug-Resistant Pseudomonas aeruginosa Strain That Caused an Outbreak in a Neurosurgery Ward and Its aac(6?)-Iae Gene Cassette Encoding a Novel Aminoglycoside Acetyltransferase  

PubMed Central

We characterized multidrug-resistant Pseudomonas aeruginosa strains isolated from patients involved in an outbreak of catheter-associated urinary tract infections that occurred in a neurosurgery ward of a hospital in Sendai, Japan. Pulsed-field gel electrophoresis of SpeI-, XbaI-, or HpaI-digested genomic DNAs from the isolates revealed that clonal expansion of a P. aeruginosa strain designated IMCJ2.S1 had occurred in the ward. This strain possessed broad-spectrum resistance to aminoglycosides, ?-lactams, fluoroquinolones, tetracyclines, sulfonamides, and chlorhexidine. Strain IMCJ2.S1 showed a level of resistance to some kinds of disinfectants similar to that of a control strain of P. aeruginosa, ATCC 27853. IMCJ2.S1 contained a novel class 1 integron, In113, in the chromosome but not on a plasmid. In113 contains an array of three gene cassettes of blaIMP-1, a novel aminoglycoside resistance gene, and the aadA1 gene. The aminoglycoside resistance gene, designated aac(6?)-Iae, encoded a 183-amino-acid protein that shared 57.1% identity with AAC(6?)-Iq. Recombinant AAC(6?)-Iae protein showed aminoglycoside 6?-N-acetyltransferase activity by thin-layer chromatography. Escherichia coli expressing exogenous aac(6?)-Iae showed resistance to amikacin, dibekacin, isepamicin, kanamycin, netilmicin, sisomicin, and tobramycin but not to arbekacin, gentamicins, or streptomycin. Alterations of gyrA and parC at the amino acid sequence level were detected in IMCJ2.S1, suggesting that such mutations confer the resistance to fluoroquinolones observed for this strain. These results indicate that P. aeruginosa IMCJ2.S1 has developed multidrug resistance by acquiring resistance determinants, including a novel member of the aac(6?)-I family and mutations in drug resistance genes. PMID:16127047

Sekiguchi, Jun-ichiro; Asagi, Tsukasa; Miyoshi-Akiyama, Tohru; Fujino, Tomoko; Kobayashi, Intetsu; Morita, Koji; Kikuchi, Yoshihiro; Kuratsuji, Tadatoshi; Kirikae, Teruo

2005-01-01

232

Cluster of Oseltamivir-Resistant 2009 Pandemic Influenza A (H1N1) Virus Infections on a Hospital Ward among Immunocompromised Patients--North Carolina, 2009  

PubMed Central

Background. ?Oseltamivir resistance among 2009 pandemic influenza A (H1N1) viruses (pH1N1) is rare. We investigated a cluster of oseltamivir-resistant pH1N1 infections in a hospital ward. Methods. ?We reviewed patient records and infection control measures and interviewed health care personnel (HCP) and visitors. Oseltamivir-resistant pH1N1 infections were found with real-time reverse-transcription polymerase chain reaction and pyrosequencing for the H275Y neuraminidase (NA) mutation. We compared hemagglutinin (HA) sequences from clinical samples from the outbreak with those of other surveillance viruses. Results. ?During the period 6–11 October 2009, 4 immunocompromised patients within a hematology-oncology ward exhibited symptoms of pH1N1 infection. The likely index patient became febrile 8 days after completing a course of oseltamivir; isolation was instituted 9 days after symptom onset. Three other case patients developed symptoms 1, 3, and 5 days after the index patient. Three case patients were located in adjacent rooms. HA and NA sequences from case patients were identical. Twelve HCP and 6 visitors reported influenza symptoms during the study period. No other pH1N1 isolates from the hospital or from throughout the state carried the H275Y mutation. Conclusions. ?Geographic proximity, temporal clustering, presence of H275Y mutation, and viral sequence homology confirmed nosocomial transmission of oseltamivir-resistant pH1N1. Diagnostic vigilance and prompt isolation may prevent nosocomial transmission of influenza. PMID:21343149

Dailey, Natalie J. M.; Rao, Agam K.; Fleischauer, Aaron T.; Greenwald, Ian; Deyde, Varough M.; Moore, Zack S.; Anderson, Deverick J.; Duffy, Jonathan; Gubareva, Larisa V.; Sexton, Daniel J.; Fry, Alicia M.; Srinivasan, Arjun; Wolfe, Cameron R.

2011-01-01

233

Prolonged clonal spreading and dynamic changes in antimicrobial resistance of Escherichia coli ST68 among patients who stayed in a respiratory care ward.  

PubMed

From 2007 to 2009, we collected a total of 83 bacteraemic isolates of Escherichia coli with reduced susceptibility or resistance to third-generation cephalosporins (TGCs). Isolates were genotyped by PFGE and multilocus sequence typing (MLST). The PFGE patterns revealed two highly correlated clusters (cluster E: nine isolates; cluster G: 22 isolates) associated with this prolonged clonal spreading. Compared with cluster E isolates, cluster G isolates were significantly more likely to harbour aac(6')-Ib-cr (P<0.05), and most of these isolates were isolated during a later year than cluster E isolates (P<0.05). By MLST analysis, 94?% of cluster E and G isolates (29/31) were ST68. Although no time or space clustering could be identified by the conventional hospital-acquired infection monitoring system, E. coli cases caused by cluster E and G isolates were significantly associated with having stayed in our hospital's respiratory care ward (P<0.05). Isolates obtained from patients who had stayed in the respiratory care ward had a significantly higher rate of aac(6')-Ib-cr and blaCTX-M-14 positivity, and were more likely to belong to ST68/S68-like (all P<0.05). To our knowledge, this is the first report of prolonged clonal spreading caused by E. coli ST68 associated with a stay in a long-term care facility. Using epidemiological investigations and PFGE and MLST analyses, we have identified long-term clonal spreading caused by E. coli ST68, with extra antimicrobial-resistance genes possibly acquired during the prolonged spreading period. PMID:25168964

Chen, Chih-Ming; Ke, Se-Chin; Li, Chia-Ru; Chiou, Chien-Shun; Chang, Chao-Chin

2014-11-01

234

Meningitis caused by Escherichia coli producing TEM-52 extended-spectrum beta-lactamase within an extensive outbreak in a neonatal ward: epidemiological investigation and characterization of the strain.  

PubMed

Outbreaks caused by Enterobacteriaceae isolates producing extended-spectrum beta-lactamases (ESBL) in neonatal wards can be difficult to control. We report here an extensive outbreak in a neonatal ward with a case of meningitis caused by an ESBL-producing Escherichia coli strain. Between 24 March and 29 April 2009, among the 59 neonates present in the ward, 26 neonates with ESBL-producing E. coli rectal colonization were detected (44%). One of the colonized neonates developed meningitis with a favorable outcome after treatment combining imipenem, gentamicin, and ciprofloxacin. Despite strict intensification of hygiene and isolation procedures for more than 1 month, ward closure to new admissions was necessary to control the outbreak. Randomly amplified polymorphic DNA and pulsed-field gel electrophoresis analysis performed on 31 isolates recovered from 26 neonates and two mother's milk samples showed a clonal strain. ESBL PCR assays indicated that the strain harbored a TEM-52 ESBL encoded by an IncI1 replicon. Phylogenetic analysis by multilocus sequence typing showed that the strain belonged to rare phylogenetic group C, which is closely related to group B1 but appears as group A by the triplex PCR phylogrouping method. The strain harbored the virulence genes fuyA, aer, and iroN and was virulent in a mouse model of septicemia. This work indicates the high potential of colonization, transmission, and virulence of some ESBL-producing E. coli clones. PMID:20519482

Moissenet, Didier; Salauze, Béatrice; Clermont, Olivier; Bingen, Edouard; Arlet, Guillaume; Denamur, Erick; Mérens, Audrey; Mitanchez, Delphine; Vu-Thien, Hoang

2010-07-01

235

Reiki and related therapies in the dialysis ward: an evidence-based and ethical discussion to debate if these complementary and alternative medicines are welcomed or banned  

PubMed Central

Background Complementary and Alternative Medicines (CAMs) are increasingly practiced in the general population; it is estimated that over 30% of patients with chronic diseases use CAMs on a regular basis. CAMs are also used in hospital settings, suggesting a growing interest in individualized therapies. One potential field of interest is pain, frequently reported by dialysis patients, and seldom sufficiently relieved by mainstream therapies. Gentle-touch therapies and Reiki (an energy based touch therapy) are widely used in the western population as pain relievers. By integrating evidence based approaches and providing ethical discussion, this debate discusses the pros and cons of CAMs in the dialysis ward, and whether such approaches should be welcomed or banned. Discussion In spite of the wide use of CAMs in the general population, few studies deal with the pros and cons of an integration of mainstream medicine and CAMs in dialysis patients; one paper only regarded the use of Reiki and related practices. Widening the search to chronic pain, Reiki and related practices, 419 articles were found on Medline and 6 were selected (1 Cochrane review and 5 RCTs updating the Cochrane review). According to the EBM approach, Reiki allows a statistically significant but very low-grade pain reduction without specific side effects. Gentle-touch therapy and Reiki are thus good examples of approaches in which controversial efficacy has to be balanced against no known side effect, frequent free availability (volunteer non-profit associations) and easy integration with any other pharmacological or non pharmacological therapy. While a classical evidence-based approach, showing low-grade efficacy, is likely to lead to a negative attitude towards the use of Reiki in the dialysis ward, the ethical discussion, analyzing beneficium (efficacy) together with non maleficium (side effects), justice (cost, availability and integration with mainstream therapies) and autonomy (patients’ choice) is likely to lead to a permissive-positive attitude. Summary This paper debates the current evidence on Reiki and related techniques as pain-relievers in an ethical framework, and suggests that physicians may wish to consider efficacy but also side effects, contextualization (availability and costs) and patient’s requests, according also to the suggestions of the Society for Integrative Oncology (tolerate, control efficacy and side effects). PMID:23799960

2013-01-01

236

Nurse managers' perceptions related to their leadership styles, knowledge, and skills in these areas-a viewpoint: case of health centre wards in Finland.  

PubMed

The purpose of this study was to explore nurse managers' perceptions related to their leadership styles, knowledge, and their skills in these areas in health centre wards in Finland. The data were collected from nurse managers (n = 252) in health centre hospitals in Finland using a structured questionnaire (response rate 63%). Six leadership styles-visionary, coaching, affiliate, democratic, commanding, and isolating-were reflected on. Almost all respondents in every age group considered four leadership styles-visionary, coaching, affiliate, and democratic-to be very important or important. Nurse managers estimated their knowledge and skills in leadership styles to be essentially fairly sufficient or sufficient. Nurse managers' abilities to reflect, understand, and, if necessary, change their leadership style influence the work unit's success and employees' job satisfaction. Nurse managers, especially new nurse managers, need more theoretic, evidence-based education to cope with these expectations and to develop their professional abilities. Together with universities, health care organizations should start planning nurse manager education programmes that focus on strategic issues, leadership, job satisfaction, challenging situations in leadership, change management, work unit management (e.g., economy, efficiency, and resources), and how the nurse managers consider their own wellbeing. PMID:23691356

Vesterinen, Soili; Suhonen, Marjo; Isola, Arja; Paasivaara, Leena; Laukkala, Helena

2013-01-01

237

Isolation, identification and antimicrobial susceptibility of Pantoea (Enterobacter) agglomerans isolated from consumed powdered infant formula milk (PIF) in NICU ward: First report from Iran  

PubMed Central

Background and Objectives Pantoea agglomerans is a Gram-negative rod in the Enterobacteriaceae family. It is reported as both commensal and opportunistic pathogen of animals and humans. This organism is potential candidates as powdered infant milk formula-borne opportunistic pathogen. The aim of our study was to perform isolation, identification and antimicrobial susceptibility pattern of Pantoea (Enterobacter) agglomerans strains isolated from consumed powdered infant formula milk (PIF) in NICU ward. Materials and Methods A of total 125 powdered infant formula milk (PIF) samples were purchased from hospital drug stores between June 2011 to March 2012. P. agglomerans was isolated according to FDA method. For final confirmation, biochemical tests embedded in the API-20E system were used. The drug susceptibility test was performed using the disc diffusion method according to CLSI guidelines. Results Out of the 125 samples investigated, 8 (6.4%) samples were positive for P. agglomerans and these were uniformly susceptible to tigecycline, chloramphenicol, cefepime, levofloxacin, minocycline and colistin. Fifty percent of isolates were resistant to cefotaxime, moxifloxacin, cotrimoxazole and ticarcillin. Conclusion Controlling the primary populations of P. agglomerans during the PIF production process and preventing post processing contamination, by using suitable microbiological guidelines, is accessible. Sanitary practices for the preparation of infant formula in both the home and hospitals should be carefully controlled. PMID:24475334

Mardaneh, Jalal; Dallal, Mohammad Mehdi Soltan

2013-01-01

238

Anammox moving bed biofilm reactor pilot at the 26th Ward wastewater treatment plants in Brooklyn, New York: start-up, biofilm population diversity and performance optimization.  

PubMed

New York City Environmental Protection in conjunction with City College of New York assessed the application of the anammox process in the reject water treatment using a moving bed biofilm reactor (MBBR) located at the 26th Ward wastewater treatment plant, in Brooklyn, NY. The single-stage nitritation/anammox MBBR was seeded with activated sludge and consequently was enriched with its own 'homegrown' anammox bacteria (AMX). Objectives of this study included collection of additional process kinetic and operating data and assessment of the effect of nitrogen loading rates on process performance. The initial target total inorganic nitrogen removal of 70% was limited by the low alkalinity concentration available in the influent reject water. Higher removals were achieved after supplementing the alkalinity by adding sodium hydroxide. Throughout startup and process optimization, quantitative real-time polymerase chain reaction (qPCR) analyses were used for monitoring the relevant species enriched in the biofilm and in the suspension. Maximum nitrogen removal rate was achieved by stimulating the growth of a thick biofilm on the carriers, and controlling the concentration of dissolved oxygen in the bulk flow and the nitrogen loading rates per surface area; all three appear to have contributed in suppressing nitrite-oxidizing bacteria activity while enriching AMX density within the biofilm. PMID:25401307

Mehrdad, M; Park, H; Ramalingam, K; Fillos, J; Beckmann, K; Deur, A; Chandran, K

2014-01-01

239

Non-existence of the Luttinger-Ward functional and misleading convergence of skeleton diagrammatic series for Hubbard-like models  

E-print Network

The Luttinger-Ward functional $\\Phi[\\mathbf{G}]$, which expresses the thermodynamic grand potential in terms of the interacting single-particle Green's function $\\mathbf{G}$, is found to be ill-defined for fermionic models with the Hubbard on-site interaction. In particular, we show that the self-energy $\\mathbf{\\Sigma}[\\mathbf{G}] \\propto \\delta\\Phi[\\mathbf{G}]/\\delta \\mathbf{G}$ is \\textit{not} a single-valued functional of $\\mathbf{G}$: in addition to the physical solution for $\\mathbf{\\Sigma}[\\mathbf{G}]$, there exists at least one qualitatively distinct unphysical branch. This result is demonstrated for several models: the Hubbard atom, the Anderson impurity model, and the full two-dimensional Hubbard model. Despite this pathology, the skeleton Feynman diagrammatic series for $\\mathbf{\\Sigma}$ in terms of $\\mathbf{G}$ is found to converge at least for moderately low temperatures. However, at strong interactions, its convergence is to the unphysical branch. This reveals a new scenario of breaking down of diagrammatic expansions. In contrast, the bare series in terms of the non-interacting Green's function $\\mathbf{G}_0$ converges to the correct physical branch of $\\mathbf{\\Sigma}$ in all cases currently accessible by diagrammatic Monte Carlo. Besides their conceptual importance, these observations have important implications for techniques based on the explicit summation of diagrammatic series.

Evgeny Kozik; Michel Ferrero; Antoine Georges

2014-07-21

240

Ten years on(ward)!  

Microsoft Academic Search

At this decennial mark for Social & Cultural Geography, we want to take the opportunity to announce some changes, reiterate some commitments and values, thank some colleagues, and introduce some new ones.

Michael Brown; Matthew Wilson

2009-01-01

241

Bruce R. Ward Fisheries Scientist  

E-print Network

fish tagging and electronic enumeration, fish culture and stocking evaluations, hatchery) committees and workshops, fish-forestry interactions, aquaculture forums, national climate change working, and a recognized level of cooperation with local, national, and international fisheries scientists. This work has

242

Drs Ward and Johannessen comment:  

NASA Astrophysics Data System (ADS)

It is not possible from Captain Gylde?'s contribution to fully explain the phenomenon. It is, however, important to note his experience and to encourage other practical navigators to report similar events. It is essential to have the best possible picture of circumstances when GPS suffers problems, before it is decided to close down alternative systems, which might not be affected in the same way.

Gylde?, Sven

243

Causes and consequences of head injuries among rural inhabitants hospitalised in a Multi-organ Injury Ward. II. Circumstances, types and consequences of head injuries.  

PubMed

The scope of problems concerning head injuries was investigated among rural patients, compared to urban population, from the aspect of their incidence in both populations, as well as an attempt to perform a multi-variable analysis of socio-demographic and geographical risk factors for each of the analysed traits concerning the injury. The study group were patients treated in the Multi-Organ Injury Ward, at Cardinal Stefan Wyszy?ski Regional Hospital in Lublin during the period 1999-2002. The study covered 265 patients. The group of rural inhabitants covered 34% of the total population in the study. The most frequent circumstances of the injury sustained, both among rural and urban patients, was a road accident with the patient either as a passenger or a pedestrian, observed in 30.6% of the total number of people in the study. Female gender was an injury risk factor. The second position among circumstances of injuries was occupied in both sub-populations by road accident with the patient as the driver - this concerned 23% of the total number of patients in the study, and the risk factors were: male gender, place of residence in rural area and better educational status. The majority of patients sustained an injury in the street, with similar frequency among rural and urban inhabitants. Rural patients, significantly more often than urban inhabitants, sustained injuries at home and in the courtyard. The most frequent type of an injury sustained was cerebral concussion, which was noted twice as frequently among urban (59.9%) than rural inhabitants (31.1%). The risk factors of cerebral concussion were: urban place of residence, female gender, and younger age of a patient. Injuries of mesencephalon were placed in the second position with respect to the frequency of occurrence, and more often concerned rural (46.7%) than urban (24.6%) patients. The risk factors for this injury were: living in a rural area, and older age in males. Concomitant injuries were observed in 50% of rural patients and in 57.1% of urban inhabitants. The consequences of injuries in various forms were observed in 87.8% of rural inhabitants, and in a similar percentage of urban patients. Age turned out to be the risk factor for the appearance of the negative consequences of the injury. This was also the risk factor of death during treatment, and in balance disorders. PMID:19572474

Karwat, Irena Dorota; Krupa, Szczepan; Gorczyca, Rafa?

2009-06-01

244

Kinematic history of the retroarc thrust belt in the central Andes of Argentina at 24-25°S: significant Andean shortening and sporadic foreland-ward deformation propagation  

NASA Astrophysics Data System (ADS)

The southward along-strike transition from major thin-skinned shortening of Bolivia to the significantly lower magnitude of thick-skinned shortening in northwestern Argentina has often been attributed to the presence of a thick mid to late Paleozoic section in Bolivia relative to a thin group of correlative rocks in northwestern Argentina that were affected by significant Cretaceous rifting. Despite the Andes being regarded as an archetype of ocean-continent convergence, the northwestern Argentine Andes have remained enigmatic in a structural and tectonic context. This study integrates regional geological mapping, structural analysis, and geo- and thermochronology from the Salta province of northwestern Argentina. Geological mapping in the Cachi range at ~25° S latitude revealed the presence of an ~60° west-dipping package of rocks, passing from low grade phyllites in the eastern part of the range into cordierite-bearing, anatectic and arc-related rocks in the core of the range (one anatectic pluton yielded a U/Pb zircon age of 488 ± 10 Ma). Detrital zircons record U-Pb ages demonstrating that the highest-grade, structurally highest rocks are the oldest (maximum depositional age (MDA) ~548 Ma), rocks at structurally lower levels are younger (MDA ~538 Ma), whereas the structurally lowest rocks are the youngest (MDA ~523 Ma). Double dating some of these same zircons using the low temperature U-Th/He system indicates that at least 6-8 km of Miocene (15.7 ± 0.4 Ma) exhumation occurred in the core of the range at this time, yet exhumation at the eastern range margin was insufficient to reset zircons. U/Pb zircon ages from a tuff within growth strata in the footwall of a major thrust fault ~50 km east of Cachi demonstrate that shortening was ongoing there at 9.4 ± 0.4 Ma, yielding a propagation rate of the thrust belt of ~8 km/Ma. Since ~9 Ma, deformation has jumped ~150 km eastward to the Santa Barbara ranges, yielding an average rate of >30 km/Ma. Many thrust belts are thought to behave in a simple, foreland-propagating manner, with deformation accommodated on faults progressively farther into the retroarc through time, responding to conditions imposed by a critical or supercritical orogenic wedge. Deviations in behavior from this simple model may reflect fundamental processes influencing the orogenic system. These preliminary data from northwestern Argentina suggest that in this region, the Cenozoic thrust belt is not simply a gradual, eastward-propagating system, but rather jumps sporadically, possibly due to feedback among geologic processes elsewhere in the orogen that perturb the orogenic wedge into a supercritical state of taper, promoting rapid foreland-ward propagation of the thrust front.

Pearson, D. M.; Kapp, P. A.; Decelles, P. G.; Reiners, P. W.

2009-12-01

245

An Investigation into Reliability of Knee Extension Muscle Strength Measurements, and into the Relationship between Muscle Strength and Means of Independent Mobility in the Ward: Examinations of Patients Who Underwent Femoral Neck Fracture Surgery  

PubMed Central

[Purpose] The purpose of the present study was to investigate the reliability of isometric knee extension muscle strength measurement of patients who underwent femoral neck fracture surgery, as well as the relationship between independent mobility in the ward and knee muscle strength. [Subjects] The subjects were 75 patients who underwent femoral neck fracture surgery. [Methods] We used a hand-held dynamometer and a belt to measure isometric knee extension muscle strength three times, and used intraclass correlation coefficients (ICCs) to investigate the reliability of the measurements. We used a receiver operating characteristic curve to investigate the cutoff values for independent walking with walking sticks and non-independent mobility. [Results] ICCs (1, 1) were 0.9 or higher. The cutoff value for independent walking with walking sticks was 0.289 kgf/kg on the non-fractured side, 0.193 kgf/kg on the fractured side, and the average of both limbs was 0.238 kgf/kg. [Conclusion] We consider that the test-retest reliability of isometric knee extension muscle strength measurement of patients who have undergone femoral neck fracture surgery is high. We also consider that isometric knee extension muscle strength is useful for investigating means of independent mobility in the ward. PMID:24567667

Katoh, Munenori; Kaneko, Yoshihiro

2014-01-01

246

An assessment of the efficacy of searching in biomedical databases beyond MEDLINE in identifying studies for a systematic review on ward closures as an infection control intervention to control outbreaks  

PubMed Central

Background The purpose of our study is to determine the value and efficacy of searching biomedical databases beyond MEDLINE for systematic reviews. Methods We analyzed the results from a systematic review conducted by the authors and others on ward closure as an infection control practice. Ovid MEDLINE including In-Process & Other Non-Indexed Citations, Ovid Embase, CINAHL Plus, LILACS, and IndMED were systematically searched for articles of any study type discussing ward closure, as were bibliographies of selected articles and recent infection control conference abstracts. Search results were tracked, recorded, and analyzed using a relative recall method. The sensitivity of searching in each database was calculated. Results Two thousand ninety-five unique citations were identified and screened for inclusion in the systematic review: 2,060 from database searching and 35 from hand searching and other sources. Ninety-seven citations were included in the final review. MEDLINE and Embase searches each retrieved 80 of the 97 articles included, only 4 articles from each database were unique. The CINAHL search retrieved 35 included articles, and 4 were unique. The IndMED and LILACS searches did not retrieve any included articles, although 75 of the included articles were indexed in LILACS. The true value of using regional databases, particularly LILACS, may lie with the ability to search in the language spoken in the region. Eight articles were found only through hand searching. Conclusions Identifying studies for a systematic review where the research is observational is complex. The value each individual study contributes to the review cannot be accurately measured. Consequently, we could not determine the value of results found from searching beyond MEDLINE, Embase, and CINAHL with accuracy. However, hand searching for serendipitous retrieval remains an important aspect due to indexing and keyword challenges inherent in this literature. PMID:25387523

2014-01-01

247

34 CFR 97.409 - Wards.  

Code of Federal Regulations, 2010 CFR

34 Education 1 2010-07-01 2010-07-01...97.409 Section 97.409 Education Office of the Secretary, Department of Education PROTECTION OF HUMAN SUBJECTS...associated in any way (except in the role as advocate or member of...

2010-07-01

248

Cruelty in Maternity Wards: Fifty Years Later  

PubMed Central

Fifty years have passed since a scandal broke over inhumane treatment of laboring women in U.S. hospitals, yet first-person and eyewitness reports document that medical care providers continue to subject childbearing women to verbal and physical abuse and even to what would constitute sexual assault in any other context. Women frequently are denied their right to make informed decisions about care and may be punished for attempting to assert their right to refusal. Mistreatment is not uncommon and persists because of factors inherent to hospital social culture. Concerted action on the part of all stakeholders will be required to bring about systemic reform. PMID:21629381

Goer, Henci

2010-01-01

249

Ward Doesn't Live Here Anymore.  

ERIC Educational Resources Information Center

In this paper, reproduced from a speech given before the Communications Network in Philanthropy, the author uses television as a metaphor to explain the role of the family in the United States, focusing on the "Leave It to Beaver" series. An oral picture is used to discuss the changing nature of the family and divorce. First the family life of the…

Coleman, Marion Tolbert

250

11 Ward St. Somerville, MA 02143  

E-print Network

, and Instrumentation for Polymeric Materials PDMS 65% Silica 17% Thixotrol 9% Boric Acid 4% Glycerine 1% Titanium state through thermal vibrations). However due to the Boric acid there are also transient Boron mediated

Colton, Jonathan S.

251

Nicholas Ward (nbw6) Mechanical Engineering  

E-print Network

Engineering GE Energy (Schenectady, NY) Fall `07 During my first co-op term at GE Energy, I worked experience because I was able to adjust to the speed at which things move in the business world, which with housing (beyond a housing stipend) or much in the way of help in finding it. I found my apartment on Craig

Lipson, Michal

252

Genetics Home Reference: Romano-Ward syndrome  

MedlinePLUS

... flow of ions between cells. A disruption in ion transport alters the way the heart beats, leading to ... cell ; cell membrane ; channel ; fainting ; gene ; inherited ; ions ; ion transport ; long QT syndrome ; LQTS ; mutation ; potassium ; protein ; sodium ; ...

253

Ward identities for Lagrangian conformal models.  

National Technical Information Service (NTIS)

Some aspects of conformal theories with Lagrangian representation, are discussed. The study is carried out in the framework of formal perturbative series. The development of the concepts and the problems raised, are illustrated by the free bosonic string....

S. Lazzarini, R. Stora

1989-01-01

254

Handheld Computing Devices in a Surgical Ward.  

E-print Network

among the whole staff (physicians and nurses). The paper documentation (PPR, Paper patient record of handheld computers in medical records keeping and in communication among the surgical staff, ensuring and consistent access to patient data, could help physicians take more precise, rapid and secure decisions

Grasso, Floriana

255

Student life - Your place on the ward.  

PubMed

The first day of your first placement can be a daunting experience, especially for students who may not have worked in a hospital before. The pace can seem very fast and it may be difficult to know where you fit in. PMID:25315575

Watson, Holly Howe

2014-10-15

256

Using Exercise to Ward Off Depression.  

ERIC Educational Resources Information Center

Exercise can be as effective as psychotherapy and antidepressant therapy in treating mild-to-moderate depression, and even more effective when used in conjunction with them. Exercise can also be preventive therapy for those not clinically depressed. The paper explains how best to work exercise into a depressed patient's therapy. (Author/SM)

Nicoloff, George; Schwenk, Thomas L.

1995-01-01

257

Use of the Xpert(R) MTB/RIF assay for diagnosing pulmonary tuberculosis comorbidity and multidrug-resistant TB in obstetrics and gynaecology inpatient wards at the University Teaching Hospital, Lusaka, Zambia  

PubMed Central

OBJECTIVES In high-tuberculosis (TB)-endemic countries, comorbidity of pulmonary TB in hospitalised patients with non-communicable diseases is well documented. In this study, we evaluated the use of the Xpert® MTB/RIF assay for the detection of concomitant pulmonary TB in patients admitted to the University Teaching Hospital, Lusaka, Zambia, with a primary obstetric or gynaecological condition. METHODS The Study population were inpatients admitted with a primary obstetric or gynaecological problem who had a concomitant cough and were able to expectorate a sputum sample. Sputum samples from 94 patients were analysed for the presence of Mycobacterium tuberculosis (M.tb) by standard smear microscopy, MGIT culture, MGIT drug-susceptibility testing (DST) and the Xpert® MTB/RIF assay. The sensitivity and specificity of the Xpert® MTB/RIF assay were evaluated against the culture gold standard. RESULTS Twenty-six of 94 (27.7%) patients had culture-confirmed pulmonary TB. The Xpert® MTB/RIF assay had a sensitivity of 80.8% [95% CI: 60.0–92.7%]) compared against MGIT culture. The Xpert® MTB/RIF assay was more sensitive than sputum smear microscopy (21/26 (80.8%) vs. 13/26 (50.0%), P = 0.02) and detected an additional eight culture-confirmed cases. Culture DST analysis identified two monoresistant M.tb strains: one resistant to rifampicin (rifampicin sensitive by the Xpert® MTB/RIF assay) and one to ethambutol. HIV infection was linked with a 3-fold increase in risk of TB, accounting for 87.5% (21/24) of TB cases. 50% of cases presented as comorbidities with other communicable diseases (CDs) and non-communicable diseases (NCDs). CONCLUSIONS As an alternative to sputum microscopy, the Xpert® MTB/RIF assay provides a sensitive, specific and rapid method for the diagnosis of pulmonary TB in obstetric or gynaecological inpatients. Pulmonary TB is an important cause of concomitant comorbidity to the obstetric or gynaecological condition necessitating admission. TB and HIV comorbidities with other communicable and non-communicable diseases were also common. More proactive screening for TB comorbidity is required in obstetric and gynaecological wards. PMID:23834035

Bates, Matthew; Ahmed, Yusuf; Chilukutu, Lophina; Tembo, John; Cheelo, Busiku; Sinyangwe, Sylvester; Kapata, Nathan; Maeurer, Markus; O'Grady, Justin; Mwaba, Peter; Zumla, Alimuddin

2013-01-01

258

Reservoir characterization of Yates Formation (Permian, Guadalupian), South Ward field, Ward County, Texas  

E-print Network

for facies 3 is 148psia, which is classed as "seal facies". Facies 4 through 6 are also fluid barriers. At a field scale, the Yates Formation is divided into two High Frequency Sequences (HFSS) separated by a prominent erosional unconformity. The lower HFS...

Dronamraju, Sharma

2012-06-07

259

Residential mobility among patients admitted to acute psychiatric wards.  

PubMed

Residential mobility among those with mental disorders is consistently associated with hospital admission. We studied 4485 psychiatric admissions in South London, aiming to describe the prevalence, timing and associations of residential moves occurring in association with admission. Moves tended to cluster around discharge; 15% of inpatients moved during admission or up to 28 days after discharge. The strongest associations were with younger age (especially 16-25 years) and homelessness. Unadjusted effects of gender, marital status and previous service use were mediated by homelessness. Possible mechanisms for the associations with homelessness and younger age are discussed. PMID:21612971

Tulloch, Alex D; Fearon, Paul; David, Anthony S

2011-07-01

260

19th Ward/MCC Effective September 1, 2014  

E-print Network

/Disabled 5-Day Pass $28.00* Senior/Disabled 31-Day Pass $0.50 Children age 6-11 FREE Children age 5 and under (Limit 3 children per fare-paying adult) * Seniors 65+ and persons with disabilities pay half fare a smartphone? � Check the sign at your bus stop and find the ID number � TEXT the ID number to 585

Portman, Douglas

261

Lessons Learned Conducting User Studies in a Dialysis Ward  

E-print Network

, patients were asked about what kind of technology they used (e.g. cell phone, computer) and their feelings A. Siek SURG, Computer Science Dept. Indiana University Bloomington, IN 47405-7104 USA ksiek@cs.indiana.edu Kay H. Connelly SURG, Computer Science Dept. Indiana University Bloomington, IN 47405-7104 USA

Connelly, Kay

262

Data Collection and Feature Extraction for a Smart Ward Application  

Microsoft Academic Search

Agitated behavior is common in people with dementia, and one of the challenges faced by doctors and caregivers is the detailed and continuous monitoring of such people. With the use of modern sensor and networking technology, and system directed observation, objective outcomes may be expected and with removal of the manpower requirement. This paper presents a context aware patient data

Jit Biswas; Victor Foo Siang Fook; Qiang Qiu; Maniyeri Jayachandran; Aung Aung Phyo Wai; Pham Viet Thang; That Mon Htwe

2006-01-01

263

Senile anorexia in acute-ward and rehabilitation settings  

Microsoft Academic Search

The most common pathological change in eating behaviour among older persons is anorexia, which accounts for a large percent\\u000a of undernutrition in older adults. The main research aims are to determine, in a sample of acute and rehabilitation elderly\\u000a subjects, the prevalence of anorexia of aging and the causes most impacting on senile anorexia.Methods: four different Units cooperated to this

L. M. Donini; C. Savina; M. Piredda; D. Cucinotta; A. Fiorito; E. M. Inelmen; G. Sergi; L. J. Dominguez; M. Barbagallo; C. Cannella

2008-01-01

264

Current Biology Vol 16 No 5 Philip S. Ward  

E-print Network

characteristics of ants and in the range of environments to which they have adapted. From deserts to tropical to ants in the form of food and/or shelter in return for protection against herbivores. Nearly all ant

Ward, Philip S.

265

Corroborating indicates nurses' ethical values in a geriatric ward  

PubMed Central

The aim of the study was to identify nurses’ ethical values, which become apparent through their behaviour in the interactions with older patients in caring encounters at a geriatric clinic. Descriptions of ethics in a caring practice are a problem since they are vague compared with the four principles of autonomy, beneficence, non-maleficence, and justice. A Grounded Theory methodology was used. In total, 65 observations and follow-up interviews with 20 nurses were conducted, and data were analysed by constant comparative analysis. Three categories were identified: showing consideration, connecting, and caring for. These categories formed the basis of the core category: “Corroborating.” In corroborating, the focus is on the person in need of integrity and self-determination; that is, the autonomy principle. A similar concept was earlier described in regard to confirming. Corroborating deals more with support and interaction. It is not enough to be kind and show consideration (i.e., to benefit someone); nurses must also connect and care for the older person (i.e., demonstrate non-maleficence) in order to corroborate that person. The findings of this study can improve the ethics of nursing care. There is a need for research on development of a high standard of nursing care to corroborate the older patients in order to maintain their autonomy, beneficence, and non-maleficence. The principal of justice was not specifically identified as a visible nursing action. However, all older patients received treatment, care, and reception in an equivalent manner. PMID:21931577

Jonasson, Lise-Lotte; Liss, Per-Erik; Westerlind, Bjorn; Bertero, Carina

2011-01-01

266

PIECEWISELINEAR DIFFUSION PROCESSES Sid Browne and Ward Whitt  

E-print Network

in optimization problems, which can be analyzed with the aid of symbolic mathematics packages. Since diffusion this approximation is good for the steady­state distribution of birth­and­death processes. We show that the diffusion approximation tends to be good when the differences between the birth and death rates are small compared

Whitt, Ward

267

PIECEWISE-LINEAR DIFFUSION PROCESSES Sid Browne and Ward Whitt  

E-print Network

in optimization problems, which can be analyzed with the aid of symbolic mathematics packages. Since diffusion this approximation is good for the steady-state distribution of birth-and-death processes. We show that the diffusion approximation tends to be good when the differences between the birth and death rates are small compared

Whitt, Ward

268

Molecular phylogenetic analysis of the Microphalloidea Ward, 1901 (Trematoda: Digenea)  

Microsoft Academic Search

Phylogenetic interrelationships of 32 species belonging to 18 genera and four families of the superfamily Microphalloidea were studied using partial sequences of nuclear lsrDNA analysed by Bayesian inference and maximum parsimony. The resulting trees were well resolved at most nodes and demonstrated that the Microphalloidea, as represented by the present data-set, consists of three main clades corresponding to the families

Vasyl V. Tkach; D. Timothy J. Littlewood; Peter D. Olson; J. Mike Kinsella; Zdzislaw Swiderski

2003-01-01

269

WIPP gets thumbs up; Ward Valley time runs out  

SciTech Connect

Legislation passed in late September clears the way for the Department of Energy to begin shipment of national defense transuranic (TRU) radioactive waste to the Waste Isolation Pilot Plant (WIPP), near Carlsbad, NM, as early as November 1997. On September 23, President Clinton signed the Fiscal Year 1997 Defense Authorization Bill, which contained amendments to the 1992 WIPP Land Withdrawal Act. The implementation of the law will help the DOE in its cleanup sites nationwide, and will enhance public health and safety by providing for the disposal of the waste in a 2150-ft underground salt formation, far away from population centers. Key components of the legislation include the following: (1) The US Environmental Protection Agency (EPA) will continue as primary regulator of WIPP. (2) The EPA will have one year to review the Compliance Certification Application, which the DOE was to submit by October 31, 1996. Upon EPA certification (expected in October 1997), the DOE will begin shipping transuranic waste in November 1997. (3) A six-month waiting period for waste shipments has been removed (previously, the DOE was required to wait 180 days after the Energy Secretary`s decision to begin disposal operations). (4) New Mexico will receive $20 million immediately, and annually for 14 years, with the funds to be used for infrastructure and road improvements in the state.

NONE

1996-11-01

270

10 grant and contract aWards Awards Received  

E-print Network

College: "Expanding Career Opportunities for Rural Hispanics: New 2+2 (Associate's to Bachelor's) Degree Support Battalion Culture With LanguagePilot,"$202,500·The Institute of International Education: "ROTC Language and Culture Programs: Cooperation Through CSU CampusConsortia,"$150,836·University of California

Ponce, V. Miguel

271

W. Peter Ward Compiled by Jessica Flank (2012)  

E-print Network

Columbia Archives #12;Table of Contents Fonds Description o Title / Dates of Creation / Physical and the history of human physical growth. His major books are: White Canada Forever: Popular Attitudes and Public Policy Toward Orientals in British Columbia (1978, 1990, 2002), Courtship, Love and Marriage in 19th

Handy, Todd C.

272

TEACHING THE MENTALLY RETARDED, A HANDBOOK FOR WARD PERSONNEL.  

ERIC Educational Resources Information Center

WRITTEN FOR ATTENDANTS, VOLUNTEERS, PROFESSIONAL PEOPLE, AND PARENTS, THIS MANUAL PRESENTS PRINCIPLES AND METHODS FOR TEACHING THE MENTALLY RETARDED TO BE AS INDEPENDENT AS POSSIBLE. THE FIRST SECTION PROVIDES GENERAL INFORMATION ON THE DEVELOPMENTAL CHARACTERISTICS OF NORMAL CHILDREN AND CONTRASTS THESE WITH SOME OF THE NEEDS OF THE RETARDED.…

BENSBERG, GERALD J.

273

Persistent Patterns of International Michael D. Ward2  

E-print Network

; latent space #12;1 Introduction According to the World Trade Organization, the volume of imports in 2003 (World Bank 2002). The 2001 Doha World Trade Organization Ministerial suggested that trade was the engine commerce, augmented to include po- litical as well as institutional influences on bilateral trade. Using

Hoff, Peter

274

Word Association Norms, Mutual Information, and Lexicography Kenneth Ward Church  

E-print Network

and apply informal assertions of this kind in a more rigorous way, and to see what company our words do keep, subjects respond quicker than normal to the word nurse if it follows a highly associated word of interesting linguistic phenomena, ranging from semantic relations of the doctor/nurse type (content word

Church, Kenneth W.

275

Power Systems Engineering Research Center Dennis Ray Ward Jewell  

E-print Network

an overview of the Power Systems Engineering Research Center (PSERC), a National Science Foundation Industry faced in the restructuring of the electric power business. There are eleven university members are collaborative across universities and invite industry involvement from the thirty industrial sponsors. Research

276

MARY WARD'S ENGLISH INSTITUTE: THE APOSTOLATE AS SELF-AFFIRMATION?  

E-print Network

of Protestants. In this document, which she submitted to Rome in her quest for papal approval, the military name. Borrowing her military imagery from the Jesuit lexicon, hal-01060821,version1-5Sep2014 Author

Paris-Sud XI, Université de

277

Item preference in a token economy ward store.  

PubMed

Token spending by 20 schizophrenic patients was monitored over a six-month period. It was found that: (1) token expenditures for cigarettes and "edibles" far surpassed other store item categories; and (2) percentage increases in token expenditures were greatest for categories of items relating to appearance and grooming, strongly suggesting that store purchasing patterns over time may provide an index of program effectiveness. PMID:16795359

Ruskin, R S; Maley, R F

1972-01-01

278

The facies, environments of deposition and cyclicity of the Yates Formation, North Ward-Estes field, Ward County, Texas  

E-print Network

The Yates Formation is part of the Artesia Group, a sequence of interbedded carbonates, clastics and evaporates that was deposited across the back-reef shelves of the Permian basin in Late Permian (Upper Guadalupian) time. The Artesia Group...

Johnson, Ronnie Delane

2012-06-07

279

The facies, depositional environment, and cyclicity of the Queen Formation (Guadalupian, Permian), North Ward-Estes Field, Ward County, Texas  

E-print Network

for the study area provided by Chevron USA in Midland, Texas. Geophysical logs are typically modern dual trace, gamma ray and compensated neutron density, terminating near the base of the Queen. Log data were first correlated to the observed cored intervals... for the study area provided by Chevron USA in Midland, Texas. Geophysical logs are typically modern dual trace, gamma ray and compensated neutron density, terminating near the base of the Queen. Log data were first correlated to the observed cored intervals...

Eide, Michael Gary

2012-06-07

280

Characterization of a recombination event excluding the Harvey-ras-1 (H-ras-1) locus in a Ramano-Ward Long QT syndrome family linked to Chromosome 11q15 and isolation of a polymorphic repeat telomeric to H-ras-1  

SciTech Connect

The Romano-Ward Long QT syndrome (RWLQTS) has been linked to 11p15.5 in several large families but demonstrates genetic heterogeneity, since in other families the RWLQTS phenotype is not linked to 11p15. To date, no recombinants between the H-Ras-1 locus and RWLQTS in families linked to 11p15 have been published. In a large family, we demonstrate linkage of RWLQTS to marker D11S932 on chromosome 11p15.4 with a LOD score of 3.14 ({theta}=0;90% penetrance). An unaffected individual and her two unaffected offspring inherited the affected haplotype for the H-ras-1 region telomeric to D11S932. All three have QTc measurements of {le} 0.40 seconds and no history of syncope, making the diagnosis of RWLQTS extremely unlikely. This suggests that, although the gene for the RWlQTS is linked to 11p15 in this family, a recombination event may have occurred that separated the RWLQTS gene from the affected H-ras-1 region haplotype. To investigate a possible telomeric recombination event, cosmids telomeric to H-ras-1 were isolated. A highly polymorphic, complex CA/CT repeat marker (78% heterozygosity) was characterized and its location telomeric to H-ras-1 verified by interphase FISH. The same three unaffected individuals had the affected allele for this marker, ruling our recombination telomeric to H-ras-1 but proximal to the new marker. As the most telemeric marker on 11p to date, this marker will aid the physical and genetic mapping of the 11p telomere. The potential recombination event in this family apparently excludes H-ras-1 as a candidate gene and may aid the localization of the RWLQTS gene linked to 11p15.5. However, it remains a possibility that another genetic locus on 11p15, in addition to the one near the H-ras-1 gene, can cause the RWLQTS phenotype. This is the first report of recombination between H-ras-1 and RWLQTS in a family linked to 11p15.

Russell, M.W. [Univ. of Michigan, Ann Arbor (United States); Brody, L.C. [National Institutes of Health, Bethesda, MD (United States); Munroe, D. [Massachusetts Institute of Technology, Boston, MA (United States)] [and others

1994-09-01

281

42 ward rounds sesquicentennial 2009 ward rounds sesquicentennial 2009 43 Significant events in the history of Northwestern University's Feinberg School of Medicine have  

E-print Network

Cook County takes over city hospital. 1867 First tunnel built under Lake Michigan brings fresh water from cholera after major rain storm washes sewage into Lake Michigan. 1893 World's Columbian Exhibition Hospital ends affiliation with Rush Medical College and begins its association with the medical department

Engman, David M.

282

Enhancing Fine Motor Skills of Wards with Special Needs Using Cluster Model of Cognition  

Microsoft Academic Search

Technology offers great potential to overcome physical barriers of human race. This paper presents the methods of enhanced learning applicable to children having special needs using better human-computer interaction. The Audio-Visual (AV) effects that the graphic tools or animations help in achieving better learning, understanding, remembering and performance from such students. The 3L-R Cluster Program Model enable them to look

T. R. Gopalakrishnan Nair; N. Sowjanya Rao; Ananda Bukkambudhi

2010-01-01

283

Enhancing Fine Motor Skills of Wards with Special Needs Using Cluster Model of Cognition  

Microsoft Academic Search

Technology offers great potential to overcome physical barriers of human\\u000arace. This paper presents the methods of enhanced learning applicable to\\u000achildren having special needs using better human-computer interaction. The\\u000aAudio-Visual (AV) effects that the graphic tools or animations help in\\u000aachieving better learning, understanding, remembering and performance from such\\u000astudents. The 3L-R Cluster Program Model enable them to look

T. R. Gopalakrishnan Nair; N. Sowjanya Rao; Ananda Bukkambudhi

2010-01-01

284

What type of information do parents need after being discharged directly from the delivery ward?  

PubMed

Early discharge normally means that mother and infant are discharged from the hospital between six hours and three days after delivery. Early discharge with home-visits after normal delivery was introduced at Uppsala University Hospital in 1990. Seventeen percent of the women who gave birth in 2003 in Uppsala used the home-care option as an alternative to postnatal care at the hospital. The home-visiting midwives use a checklist to give and gain information about the health of the child and mother and about how breast-feeding is going. The purpose of this study was to examine the parents' need of information after early discharge after delivery and to compare their needs with the information given according to the checklist for home-visits. Forty-two couples completed the study. They were asked to formulate five questions to the midwife at the home-visit. After the questions were gathered, a content-analysis was done. Three different main groups were identified: questions concerning 1) the child (68%) such as hygiene, bowel movements, burping, vomiting, eating, sleeping and sneezing 2) breast-feeding (21%) questions were asked about position while breast-feeding, nipples and amount of milk 3) the mother (11%) questions concerned afterpains, stitches, eating and drinking. The results show that the checklist worked sufficiently well as a work tool, but can be adjusted further according to the parents' need. This study shows that they needed more information about the care of the infant, primarily concerning hygiene. PMID:15508525

Johansson, Katarina; Darj, Elisabeth

2004-01-01

285

A critical assessment of monitoring practices, patient deterioration, and alarm fatigue on inpatient wards: a review  

PubMed Central

Approximately forty million surgeries take place annually in the United States, many of them requiring overnight or lengthier post operative stays in the over five thousand hospitals that comprise our acute healthcare system. Leading up to this Century, it was common for most hospitalized patients and their families to believe that being surrounded by well-trained nurses and physicians assured their safety. That bubble burst with the Institute of Medicine’s 1999 report: To Err Is Human, followed closely by its 2001 report: Crossing the Quality Chasm. This review article discusses unexpected, potentially lethal respiratory complications known for being difficult to detect early, especially in postoperative patients recovering on hospital general care floors (GCF). We have designed our physiologic explanations and simplified cognitive framework to give our front line clinical nurses a thorough, easy-to-recall understanding of just how these events evolve, and how to detect them early when most amenable to treatment. Our review will also discuss currently available practices in general care floor monitoring that can both improve patient safety and significantly reduce monitor associated alarm fatigue. PMID:25093041

2014-01-01

286

Complicated malaria and other severe febrile illness in a pediatric ward in Libreville, Gabon  

PubMed Central

Background Although a substantial decline of Plasmodium falciparum infection is observed in Africa following implementation of new control strategies, malaria is still considered as the major cause of febrile illness in hospitalized African children. The present study was designed to assess the management of febrile illness and to determine the proportion of children with febrile illness hospitalized for primary diagnosis of malaria who had confirmed complicated malaria after implementation of new malaria control strategies in Libreville, Gabon. Methods Demographic, clinical and biological data from hospitalized children with fever or a history of fever, with a primary diagnosis of clinical malaria, aged less than 18?years old, who benefited from hematological measurements and microscopic malaria diagnosis, were recorded and analyzed during a prospective and observational study conducted in 2008 in the Centre Hospitalier de Libreville. Results A total of 418 febrile children were admitted at hospital as malaria cases. Majority of them (79.4%) were aged below five years. After medical examination, 168 were diagnosed and treated as clinical malaria and, among them, only 56.7% (n?=?95) had Plasmodium falciparum positive blood smears. Age above five years, pallor, Blantyre Coma Score ?2 and thrombocytopenia were predictive of malaria infection. Respiratory tract infections were the first leading cause of hospitalization (41.1%), followed by malaria (22.7%); co-morbidities were frequent (22%). Less than 5% of suspected bacterial infections were confirmed by culture. Global case fatality rate was 2.1% and 1% for malaria. Almost half (46%) of the children who received antimalarial therapy had negative blood smears. Likewise, antibiotics were frequently prescribed without bacteriological confirmation. Conclusions The use of clinical symptoms for the management of children febrile illness is frequent in Gabon. Information, training of health workers and strengthening of diagnosis tools are necessary to improve febrile children care. PMID:22973831

2012-01-01

287

Kendall H. Cortelyou-Ward, PhD University of Central Florida  

E-print Network

, & Williams (2012) Using the Personal Health Record to Improve Health Literacy: A Social Capital Perspective in an Electronic Health Record Module Upgrade: A Case Study. The Health Care Manager, 30 (3), 236- 241. 8. Noblin of Registered Nurses in Florida: A Sample of Hospital Nurses MS-HSA. 2002. Masters of Science in Health Sciences-Health

Wu, Shin-Tson

288

Ward Valley and the Federal Low-Level Radioactive Waste Policy Act  

Microsoft Academic Search

In his State of the Union Address delivered on 23 January 1996, President Clinton said, speaking generally, {open_quotes}Passing a law - even the best possible law - is only a first step. The next step is to make it work.{close_quotes} The president is right, of course; faithful execution of any law is the key. Unfortunately, this lesson appears lost on

Pasternak

1996-01-01

289

CL for CALL in the Primary School Katrina Keogh, Thomas Koller, Monica Ward,  

E-print Network

be used in a project to teach Irish and German to primary school children in Ireland. This paper focuses on the use of Finite State morphological analysis (FST) resources for Irish and Part of Speech (POS) taggers on the CL/NLP technologies we use for primary school students learning Irish and German. 2 CL/NLP in e

van Genabith, Josef

290

ADAPTIVE MONITORING IN ENTERPRISE SOFTWARE SYSTEMS Mohammad Ahmad Munawar and Paul A.S. Ward  

E-print Network

, and present prelim- inary results of our adaptive-monitoring prototype. 1 INTRODUCTION Many businesses today for failing to meet service-level agreements. These systems comprise a set of system and application software enough human ex- perts who are effective in finding relevant information and reasoning under uncertainty

Ward, Paul A.S.

291

Words and Wards: A Model of Reflective Writing and Its Uses in Medical Education  

Microsoft Academic Search

Personal, creative writing as a process for reflection on patient care and socialization into medicine (“reflective writing”) has important potential uses in educating medical students and residents. Based on the authors’ experiences with a range of writing activities in academic medical settings, this article sets forth a conceptual model for considering the processes and effects of such writing. The first

Johanna Shapiro; Deborah Kasman; Audrey Shafer

2006-01-01

292

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards.  

PubMed

This paper contributes to the international literature examining design of inpatient settings for mental health care. Theoretically, it elaborates the connections between conceptual frameworks from different strands of literature relating to therapeutic landscapes, social control and the social construction of risk. It does so through a discussion of the substantive example of research to evaluate the design of a purpose built inpatient psychiatric health care facility, opened in 2010 as part of the National Health Service (NHS) in England. Findings are reported from interviews or discussion groups with staff, patients and their family and friends. This paper demonstrates a strong, and often critical awareness among members of staff and other participants about how responsibilities for risk governance of 'persons' are exercised through 'technical safety' measures and the implications for therapeutic settings. Our participants often emphasised how responsibility for technical safety was being invested in the physical infrastructure of certain 'places' within the hospital where risks are seen to be 'located'. This illuminates how the spatial dimensions of social constructions of risk are incorporated into understandings about therapeutic landscapes. There were also more subtle implications, partly relating to 'Panopticist' theories about how the institution uses technical safety to supervise its own mechanisms, through the observation of staff behaviour as well as patients and visitors. Furthermore, staff seemed to feel that in relying on technical safety measures they were, to a degree, divesting themselves of human responsibility for risks they are required to manage. However, their critical assessment showed their concerns about how this might conflict with a more therapeutic approach and they contemplated ways that they might be able to engage more effectively with patients without the imposition of technical safety measures. These findings advance our thinking about the construction of therapeutic landscapes in theory and in practice. PMID:23916450

Curtis, Sarah; Gesler, Wilbert; Wood, Victoria; Spencer, Ian; Mason, James; Close, Helen; Reilly, Joseph

2013-11-01

293

Trusted Computing for Protecting Ad-hoc Routing Michael Jarrett and Paul Ward  

E-print Network

than many other approaches and can be applied in a wide variety of scenarios. Keywords: ad-hoc networks, routing security in ad-hoc networks, denial of service, trusted computing 1. Introduction Ad-hoc networks their transmission range. Central to the concept of mobile ad-hoc networks are the ideas that nodes are constrained

Ward, Paul A.S.

294

Staff attitudes and thoughts about the use of coercion in acute psychiatric wards  

Microsoft Academic Search

Purpose  Previous research has shown considerable differences in how often coercive measures are used in mental health care between\\u000a groups of patients, institutions and geographical areas. Staff attitudes towards the use of coercion have been put forward\\u000a as a factor that may influence these differences.\\u000a \\u000a \\u000a \\u000a \\u000a Method  This study investigates the attitudes to coercion in 651 staff members within 33 Norwegian acute psychiatric

Tonje Lossius Husum; Johan Haakon Bjørngaard; Arnstein Finset; Torleif Ruud

295

Informed Switching Strongly Decreases the Prevalence of Antibiotic Resistance in Hospital Wards  

E-print Network

microbiological tests, which are performed in order to optimize individual therapy. Thus the strategy proposed Copyright: Ã? 2011 Kouyos et al. This is an open-access article distributed under the terms of the Creative

Bonhoeffer, Sebastian

296

Communication Difficulties in the AIDS WardCan Cultural Theory Help?  

Microsoft Academic Search

Cultural theory claims that there are only five basic ways of life, or worldviews, and that communication difficulties stem from different beliefs about right and wrong. According to cultural theory, communication difficulties experienced between groups can be explained by understanding the participants' views of morality, appropriate behavior, and just consequences for bad acts. Interactions among correctional transport officers, clinic nurses,

KATHRYN KING

1997-01-01

297

Breach in the 9th Ward Levee, New Orleans August 2005 GettyImages  

E-print Network

technical competencies, ideally with a team of peers. · Interview students & extract common misconceptions misconceptions. · Teaches teamwork, creativity, even patience · Integrates social values, societal consequences

Womeldorf, Carole

298

VISUALIZING CHANGES IN 2D AND 3D SHAPES John Rasku Jr. and Matthew O. Ward (*)  

E-print Network

of two shapes which differ to some degree yet retain many key features in common, is an important area. Visualization aims to put that neurological machinery to work. Comparing two N degree polynomials representing, moderately complex 2D test shapes, represented as sequences, were compared using Correla­ tion Images

Ward, Matthew

299

A Simulation-based VR System for Interactive Hairstyling Kelly Ward Nico Galoppo Ming C. Lin  

E-print Network

, including cosmetic prototyping, education and entertain- ment, and cosmetologist training. Accurate virtual clustering of hair strands, and intricate self-shadowing effects. An intuitive virtual hairstyling tool needs: In this paper, we present a physically-based vir- tual reality system that mimics real-world hairstyling

North Carolina at Chapel Hill, University of

300

Comparison of a geriatric unit with a general ward in Mexican elders  

Microsoft Academic Search

There is evidence that geriatric services may be more effective in handling problems of the elderly in acute care. We therefore studied a cohort of matched triplets (age, gender and admission diagnosis), to assess the effect of a geriatric service on elderly problems (falls, pressure ulcers, delirium and functional decline). This is a follow up study; comparing a geriatric unit

Mario Ulises Pérez-Zepeda; Luis Miguel Gutiérez-Robledo; Sergio Sánchez-Garcia; Teresa Juárez-Cedillo; Jose Juan García Gonzalez; Francisco Franco-Marina; Carmen García-Peña

301

Ward Halstead's Contributions to Neuropsychology and the Halstead-Reitan Neuropsychological Test Battery.  

ERIC Educational Resources Information Center

Reviews roots from which Halstead began his investigations, significance of his original collaboration with neurological surgeons, and long-term implications of his practical approach of observing brain-damaged patients in their everyday living situations to identify problems and limitations they experienced. Describes development of…

Reitan, Ralph

1994-01-01

302

FACULTY OFFICES Faculty of Eng. Comp. & Math. Sci. F12 Ingkarni Wardli, L1  

E-print Network

of the Professions R14 Nexus10 Tower, L11 Faculty of Sciences G8 Darling, G LECTURE THEATRES / PERFORMANCE SPACES Engineering North, L1 Darling West Lecture Theatre · G7 Darling West, G Davis Room H13 Engineering Sth, L1

303

Omega-3s in Diet May Help Ward Off Lou Gehrig's Disease  

MedlinePLUS

... 15, 2014 Related MedlinePlus Pages Amyotrophic Lateral Sclerosis Dietary Fats TUESDAY, July 15, 2014 (HealthDay News) -- A diet ... 3 polyunsaturated fatty acids -- an essential type of dietary fat found in vegetable oils and fish -- had a ...

304

An elasmobranch maternity ward: female round stingrays Urobatis halleri use warm, restored estuarine habitat during gestation.  

PubMed

The habitat use and movements of the round stingray Urobatis halleri were compared between shallow restored and natural habitats of the Anaheim Bay Estuary (CA, U.S.A.) in relation to water temperature. Restored habitat remained significantly warmer than natural habitat from spring through to autumn. Strong sexual segregation occurred in the restored habitat with mature female U. halleri forming large unisex aggregations in summer, during months of peak seasonal water temperatures, and males only present during spring. Most mature females collected from restored habitat during months of high abundance were determined to be pregnant using non-invasive field ultrasonography. Tagged females typically spent <14 days in the restored habitat, using the habitat less as seasonal water temperatures decreased. Females tended to emigrate from the estuary by mid-August, coinciding with the time of year for parturition. The elevated water temperatures of the restored habitat may confer an energetic cost to male U. halleri, but females (particularly pregnant females) may derive a thermal reproductive benefit by using warm, shallow habitats for short periods of time during months of peak water temperatures. These findings have management implications for the design of coastal habitat restoration projects and marine protected areas that incorporate thermal environments preferred by aggregating female elasmobranchs. PMID:22497381

Jirik, K E; Lowe, C G

2012-04-01

305

Implementation of a microprocessor-based overcurrent relay / by Ernie Ward McWilliams  

E-print Network

edge of the pulse triggers the second one-shot, This second one-shot then triggers the A/D converter, which causes it to convert the new sample output from the sample-and-hold into a binary number. When the A/D starts converting a new sample point... of current. The maximum error in determining the value of the peak occurs when the peak of the current falls exactly between two sample points, as illustrated in Figure 15. When this occurs, the two sample points on each side of the actual peak of 25...

McWilliams, Ernie Ward

2012-06-07

306

Simulating and Rendering Wet Hair Kelly Ward Nico Galoppo Ming C. Lin  

E-print Network

world, humans interact with water every day and the physical behavior and appearance of hair]. This increased mass significantly alters the physical motion of wet hair strands. The global-skeleton controls in computer graphics due to its importance for modeling virtual humans in various applications. Existing hair

North Carolina at Chapel Hill, University of

307

Very large residual dipolar couplings from deuterated ubiquitin Joshua M. Ward Nikolai R. Skrynnikov  

E-print Network

devised to counter the effect of proton­proton couplings and potentially expand Electronic supplementary approximately -200 to 200 Hz have been measured for ubiquitin under strong alignment condi- tions in Pf1 phage. The measurements are made possible by extensive proton- dilution of the sample, achieved by deuteration

Skrynnikov, Nikolai

308

Estimating Potential Infection Transmission Routes in Hospital Wards Using Wearable Proximity Sensors  

E-print Network

1,2 , Corinne Re�gis2 , Byeul-a Kim7 , Brigitte Comte7 , Nicolas Voirin1,2 * 1 Hospices Civils de, Lyon, France, 7 Hospices Civils de Lyon, Ho^pital Edouard Herriot, Service de ge�riatrie, Lyon, France

Barrat, Alain

309

On the Topicalization of Indefinite NPs* Gregory L. Ward Ellen F. Prince  

E-print Network

to find a buried treasure in their backyard by means of a map. The map refers to an oak tree.] Persimmon trees we got. Cypress trees we got. Oak trees we haven't got. [The Munsters, Grandpa] b. A 'course

Plotkin, Joshua B.

310

Psychiatry Ward Specialist, 10-12. Military Curriculum Materials for Vocational and Technical Education.  

ERIC Educational Resources Information Center

This course, adapted from military curriculum materials for use in vocational and technical education, is designed to train students to perform as assistants to professional personnel in the care and treatment of patients in mental health units. It includes basic concepts of human behavior, the aspects of atypical adjustive reactions, the…

Ohio State Univ., Columbus. National Center for Research in Vocational Education.

311

Enterobacter sakazakii in dried infant formulas and milk kitchens of maternity wards in São Paulo, Brazil.  

PubMed

This study was the first conducted in Brazil to evaluate the presence of Enterobacter sakazakii in milk-based powdered infant formula manufactured for infants 0 to 6 months of age and to examine the conditions of formula preparation and service in three hospitals in São Paulo State, Brazil. Samples of dried and rehydrated infant formula, environments of milk kitchens, water, bottles and nipples, utensils, and hands of personnel were analyzed, and E. sakazakii and Enterobacteriaceae populations were determined. All samples of powdered infant formula purchased at retail contained E. sakazakii at <0.3 [corrected] most probable number (MPN)/100 g. In hospital samples, E. sakazakii was found in one unopened formula can (0.3 MPN/100 g) and in the residue from one nursing bottle from hospital A. All other cans of formula from the same lot bought at a retail store contained E. sakazakii at <0.3 [corrected] MPN/100 g. The pathogen also was found in one cleaning sponge from hospital B. Enterobacteriaceae populations ranged from 10(1) to 10(5) CFU/g in cleaning aids and <5 CFU/g in all formula types (dry or rehydrated), except for the sample that contained E. sakazakii, which also was contaminated with Enterobacteriaceae at 5 CFU/g. E. sakazakii isolates were not genetically related. In an experiment in which rehydrated formula was used as the growth medium, the temperature was that of the neonatal intensive care unit (25 degrees C), and the incubation time was the average time that formula is left at room temperature while feeding the babies (up to 4 h), a 2-log increase in levels of E. sakazakii was found in the formula. Visual inspection of the facilities revealed that the hygienic conditions in the milk kitchens needed improvement. The length of time that formula is left at room temperature in the different hospitals while the babies in the neonatal intensive care unit are being fed (up to 4 h) may allow for the multiplication of E. sakazakii and thus may lead to an increased health risk for infants. PMID:19205461

Palcich, Gabriela; Gillio, Cintia de Moraes; Aragon-Alegro, Lina Casale; Pagotto, Franco J; Farber, Jeffrey M; Landgraf, Mariza; Destro, Maria Teresa

2009-01-01

312

Preliminary report on the lignite resources of the Niobe area, Burke and Ward counties, North Dakota  

USGS Publications Warehouse

Two lignite beds, the Niobe and the Bonus, occur at strippable depths within the Niobe area. The Niobe bed averages 5 feet (1.5 meters) in thickness and the Bonus bed averages 8 feet (2.4 meters) in thickness. These beds lie in the lower part of the Sentinel Butte Member of the Fort Union Formation (Paleocene). The demonstrated resources of both beds combined is 122 million tons (110 million tonnes), all of which are under less than 120 feet (37 meters) of overburden. The overburden consists of glacial till and shale. The lateral continuity of the coal has been locally interrupted by faulting, glacial outwash channels, and erosion. Folding and/or faulting occurs parallel to the Missouri Coteau escarpment and faulting occurs roughly perpendicular to the escarpment.

Owen, Hal E.

1977-01-01

313

Standardized Sign-Out Reduces Intern Perception of Medical Errors on the General Internal Medicine Ward  

Microsoft Academic Search

Background: Prior research on reducing variation in housestaff handoff procedures have depended on proprietary checkout software. Use of low-technology standardization techniques has not been widely studied. Purpose: We wished to determine if standardizing the process of intern sign-out using low-technology sign-out tools could reduce perception of errors and missing handoff data. Methods: We conducted a pre–post prospective study of a

Stephen M. Salerno; Michael V. Arnett; Jeremy P. Domanski

2009-01-01

314

LWG Intergenerational Community Center 1100 Ward Street College of Human Ecology 328-5800  

E-print Network

Library Science Program (MLS), Ragsdale 104-B 328-4373 Fax 252-328-4368 Mail Stop 172 Library, Health - Departmental Phone Directory - L #12;Library Copy Center Joyner 1st Floor 328-2326 Mail Stop 215 Library Science, Dept of (LS) Certificate in Virtual Reality in Education & Training 328-4373 Fax 252

315

Number Forms in the Brain Joey Tang, Jamie Ward, and Brian Butterworth  

E-print Network

number and space. Here we report the first neuroimaging study of number-form synesthesia, investigating on word­color or grapheme­color synesthesia. & INTRODUCTION ``Number forms'' (NFs), mental images, & Umilta, 2002). The conscious merging of spatial and numerical repre- sentations is a form of synesthesia

Butterworth, Brian

316

Why Bangladeshi nurses avoid 'nursing': social and structural factors on hospital wards in Bangladesh.  

PubMed

In response to concerns that nurses spend less than 6% of their time on direct patient care, this study explored factors that influence nurses' behaviour in the provision of 'hands on' care in hospitals in Bangladesh. Through in-depth interviews with female nurses and patients and their co-workers in six hospitals, we identified conflicts between the inherited British model of nursing and Bangladeshi societal norms. This was most evident in the areas of night duty, contact with strangers, and involvement in 'dirty' work. The public was said to associate nursing activities with commercial sex work. As a consequence, their value on the 'bride market' decreases. To minimise the stigma associated with their profession, nurses in government hospitals distance themselves from patients, using nurse surrogates in the form of patients' relatives and hospital support workers to carry out their work. These adaptations are supported and sustained through unofficial activities developed over time within hospitals. In contrast nurses in NGO hospitals give more direct patient care themselves and do not rely on carers as much because of tight supervision and limited visitor hours. Initiatives undertaken to improve the quality of patient care, such as enlarging the nursing workforce or providing clinical instruction, which do not take into account the prevailing culture in hospitals and social conflicts faced by nurses, are unlikely to succeed. Fundamental decisions on how to care for the sick in Bangladesh are required. If the present nursing curriculum is followed, adequate supplies, supervision and accountability are prerequisites for its implementation. PMID:16890336

Hadley, Mary B; Blum, Lauren S; Mujaddid, Saraana; Parveen, Shahana; Nuremowla, Sadid; Haque, Mohammad Enamul; Ullah, Mohammad

2007-03-01

317

Intravascular catheter related infections in children admitted on the paediatric wards of Mulago hospital, Uganda  

Microsoft Academic Search

Introduction: Worldwide use of intravascular catheters (IVC) has been associated with both local and systemic infections. No studies have been done in the sub-Saharan region on IVC related infections. Objective: To determine the prevalence, causative organisms and their antimicrobial susceptibility pattern and the factors associated with infections related to short term peripheral venous catheters in children admitted to the general

Patricia Nahirya; Justus Byarugaba; Sarah Kiguli; Deogratias Kaddu-Mulindwa

318

Geriatric intervention in elderly patients with hip fracture in an orthopedic ward  

PubMed Central

Abstract: Background: Hip fracture is a common cause of long hospital stay in the elderly. Approximately one third of these patients die within the first year. As a consequence geriatric and orthopedic collaboration (orthogeriatrics) has been organized in different ways. The aim of this study is to evaluate the efficiency of a multidisciplinary geriatric in-hospital intervention on patient outcome. Methods: A total of 495 elderly hip fracture patients consecutively admitted to orthopedic surgery, were followed. Data were based on medical records. The intervention group (n=233) was compared to a historical cohort group (n=262) receiving traditional orthopedic treatment. Intervention program was based on initial physical and mental screening and evaluation, geriatric-focused care, and early discharge planning. The intervention was provided by a multidisciplinary geriatric team. After discharge, follow-up home-visits by a physiotherapist were performed, except for patients discharged to nursing homes, due to a 24-hour staff and easy access to the GP. Results: Median length of stay was reduced from 15 to 13 days. More patients began treatment with calcium/vitamin-D and bisphosphonate (p=sig). There was no difference in hemoglobin variation between the time of admission and three to six months post admission, and no difference in three-month readmissions (odds ratio (OR) = 1.09 [95%CI: 0.71;1.67]). Discharge destination was unchanged (OR=0.93 [95%CI: 0.52; 1.65]). In-hospital mortality was 8% in the intervention group vs. 6% (p=0.48), in the control group. Three-month mortality was 16% in the intervention group vs. 15% (p=0.39), in the control group. In the intervention group, residents from nursing homes had a higher three-month mortality (OR=2.37 [95% CI: 0.99; 5.67]), and the risk of new fractures within two years decreased from 9.5% to 7.7%, though not statistically significant. Conclusion: Our study indicates that co-management of hip fracture patients by orthopedic surgeons and geriatricians may be associated with a reduction in length of hospital stay without negatively affecting major patient outcomes. The concept should be further developed particularly among the frail elderly. PMID:21502786

Gregersen, Merete; Metz Mørch, Marianne; Hougaard, Kjeld; Marie Damsgaard, Else

2012-01-01

319

The art of (re)learning to walk: trust on the rehabilitation ward.  

PubMed

Although trust has significant implications for health outcomes, the mechanisms by which its presence or absence influences these outcomes require elucidation. Drawing on ethnographic research conducted in southeast Australia, we explore the tasks of rehabilitation for people who lost a limb because of vascular disease, and the importance of trust in the relationships of patients with their health professionals. Trust underpins procedures and practices designed to minimize problems that might delay rehabilitation or result in the continuing need for medical support and surveillance. Patients develop trust in the rehabilitation team based on three factors: competence, agency, and caring. Our findings emphasize how social skills, as well as technical competence, enable health professionals to gain and maintain their patients' trust. PMID:20555012

Manderson, Lenore; Warren, Narelle

2010-10-01

320

New Orleans and Hurricane Katrina. II: The Central Region and the Lower Ninth Ward  

Microsoft Academic Search

The failure of the New Orleans regional flood protection systems, and the resultant catastrophic flooding of much of New Orleans during Hurricane Katrina, represents the most costly failure of an engineered system in U.S. history. This paper presents an overview of the principal events that unfolded in the central portion of the New Orleans metropolitan region during this hurricane, and

R. B. Seed; R. G. Bea; A. Athanasopoulos-Zekkos; G. P. Boutwell; J. D. Bray; C. Cheung; D. Cobos-Roa; L. Ehrensing; L. F. Harder Jr.; J. M. Pestana; M. F. Riemer; J. D. Rogers

2008-01-01

321

Nosocomial Infections in Medical Ward (Four Months Descriptive Study in a Tertiary Care Hospital)  

Microsoft Academic Search

2 Abstract: The objectives of this Descriptive study were, to determine the frequency of Nosocomial infection in the medical department, to identify the causes of Nosocomial infection and to identify the risk factors for Nosocomial infections. This hospital based descriptive study was conducted at Liaquat University Hospital (a tertiaty care hospital) Hyderabad Sindh Pakistan from September 2007 to December 2007.

B. R. Devrajani; S. Z. Shah; T. Devrajani; G. Ali Qureshi

322

Northwestern University Archives Evanston, Illinois WINIFRED WARD (1884-1975) PAPERS, 1917-1978  

E-print Network

University's School of Oratory and that year began as an instructor and assistant professor, a career which with and for children (creative drama and children's theater) to prospective teachers. In 1924, the elementary schools of Speech. Two years later, in 1927, the elementary schools joined the School of Speech in sponsoring

323

Enhancing Fine Motor Skills of Wards with Special Needs Using Cluster Model of Cognition  

E-print Network

Technology offers great potential to overcome physical barriers of human race. This paper presents the methods of enhanced learning applicable to children having special needs using better human-computer interaction. The Audio-Visual (AV) effects that the graphic tools or animations help in achieving better learning, understanding, remembering and performance from such students. The 3L-R Cluster Program Model enable them to look into pictures and animated objects while listening to the related audio. It also motivates them to do the FMS development activities like drawing, coloring, tracing etc., certain types of games in the clustered model will help the children to improve concentration, thinking, reasoning, cognitive skills and the eye-to hand co-ordination. Here we introduced a novel cluster model along with the methodology described which provides an ample exposure to the effectiveness of the training. Classify the students with similar problems or disability and the associated curriculum of modified tea...

Nair, T R Gopalakrishnan; Bukkambudhi, Ananda

2010-01-01

324

Constraints on the IR behaviour of gluon and ghost propagator from Ward-Slavnov-Taylor identities  

E-print Network

We consider the constraints of the Slavnov-Taylor identity of the IR behaviour of gluon and ghost propagators and their compatibility with solutions of the ghost Dyson-Schwinger equation and with the lattice picture.

Ph. Boucaud; J. P. Leroy; A. Le Yaouanc; J. Micheli; O. Pène; A. Y. Lokhov; J. Rodríguez-Quintero; C. Roiesnel

2007-01-15

325

Ward, P. S. 2007. Edward O. Wilson and his contributions to ant systematics, pp. 3-7. In Snelling, R. R., B. L. Fisher, and P. S. Ward (eds) Advances in ant systematics (Hymenoptera  

E-print Network

of intraspecific variation. It made extensive use of metric measurements and indices, based on large population S. Creighton, most notably in his monumental Ants of North America (1950). Buhs (2000) credits, abandoned the use of subspecies names, and attempted to delineate species while allowing for a measure

Ward, Philip S.

326

Wards in the Sky - The RAF's Remarkable Nursing Service Mackie Mary Wards in the Sky - The RAF's Remarkable Nursing Service 352pp £16.99 The History Press 978 0 7509 5956 8 0750959568 [Formula: see text].  

PubMed

This book is dedicated to 'all the women and men who have so faithfully served, in war and in peace, as members of the Princess Mary's Royal Air Force Nursing Service'. First published in 2001, it has been revised and updated by Mary Mackie, the author of more than 70 fiction and non-fiction books. PMID:25270470

2014-10-01

327

QUANTITATIVE ESTIMATION OF WAKE VORTEX SAFETY USING THE P2P MODEL  

E-print Network

Shortle, jshortle@gmu.edu, George Mason University, Fairfax, Virginia, U.S.A Peter Choroba, peter of a few slots per day at a busy airport would be of great value. Kos and Blom (et al. [5]) warn that wake

328

Relationships among control orientation, the FIRO-B, and the Ward Atmosphere Scale in hospitalized men alcoholics.  

PubMed

Internally oriented patients' scores on Rotter's Internal-External Locus of Control Scale remained the same over treatment but those of externally oriented patients shifted toward greater internal control. PMID:633909

Greenberg, E A; Obitz, F W; Kaye, B W

1978-01-01

329

Photonic crystal borax competitive binding carbohydrate sensing motif Qingzhou Cui, Michelle M. Ward Muscatello and Sanford A. Asher*  

E-print Network

Photonic crystal borax competitive binding carbohydrate sensing motif Qingzhou Cui, Michelle M crystal sensing method for diol containing species such as carbohydrates based on a poly(vinyl alcohol- hydrates.8 Determination of carbohydrates is important in applications such as controlling glycemia

Asher, Sanford A.

330

Timoloqinash: Incorporating Chumash Cultural Self-History into the History of California By Michael K. Ward, MA  

Microsoft Academic Search

interpretive dialogue in American1 and California history that has for several decades attempted to incorporate multiple cultural voices.2 The importance of beginning an account of Native Americans at times prior to the time of European contact and colonization has been noted,3 but the inclusion of Indian self-history presents a few problems that are not often recognized. Of particular relevance in

Douglas Monroy

331

Deriving a Slicing Algorithm via FermaT Transformations M. P. Ward and H. Zedan Software Technology Research Lab  

E-print Network

@dmu.ac.uk November 27, 2009 Abstract In this paper we present a case study in deriving an algorithm from a formal outside the program transformation community. We develop a formal specification for program slicing are: (1) Developing a formal specification for slicing. (2) Expressing the definition of slicing

Singer, Jeremy

332

[Announcing the trisomy 21 diagnosis and care of the infant in the maternity ward: counseling offered to the parents].  

PubMed

Which solutions to child care are proposed to parents just after the diagnosis of Down's syndrome? The situation of Down's syndrome babies born in 1980-89 and abandoned at birth in Paris was studied. Semi-structured interviews were conducted with medical and social staffs of 13 maternity hospitals where 60% of these DS babies were abandoned. In 10 years, 102 DS babies were given up to the Child Welfare Agency and to private adoption agencies. They represent 10% of all abandoned children at birth and 22% of DS live births in Paris. Relations between abandonment, type of maternity hospital and social class of parents are analysed. Several factors influence the parents' decision in planning for the child: handicap, advice and way of presenting alternatives: in 1/3 of the cases, adoption was proposed directly. In the great majority, the child abandonment was decided in a situation of emergency and profound emotional stress, and outside of the legal procedure. Health care workers should listen to parents more so they can be better informed about their child's prognosis and all care alternatives before making their decision. PMID:8964963

Dumaret, A C; Donnelly, A; Rosset, D J

1996-01-01

333

Risk factors for acquisition of vancomycin-resistant enterococci among patients on a renal ward during a community hospital outbreak  

Microsoft Academic Search

Background: During an outbreak of vancomycin-resistant enterococcal (VRE) infection and colonization at a community hospital in Indianapolis, Indiana, we performed a case-control study of patients on the hospital's renal unit to determine risk factors for acquisition of VRE among this potentially high-risk patient population. Methods: Twenty-four renal patients with VRE colonization\\/infection (ie, case-patients) were compared by univariate and multivariate analyses

Elise M. Beltrami; Daniel A. Singer; Laurie Fish; Kelly Manning; Sally Young; Shailen N. Banerjee; Robert Baker; William R. Jarvis

2000-01-01

334

PARAMETERIZED NEIGHBORHOODBASED FLOODING FOR AD HOC WIRELESS NETWORKS Vijay Dheap, Mohammad Ahmad Munawar, Sagar Naik, Paul A.S. Ward  

E-print Network

PARAMETERIZED NEIGHBORHOOD­BASED FLOODING FOR AD HOC WIRELESS NETWORKS Vijay Dheap, Mohammad Ahmad Flooding is a simple routing technique that can be used to transmit data from one node to every other node in a network. The focus of this paper is to investigate im­ provements to flooding techniques used in ad hoc

Ward, Paul A.S.

335

Prospective Multiaxial Motion Correction for fMRI Heidi A. Ward,* Stephen J. Riederer, Roger C. Grimm, Richard L. Ehman,  

E-print Network

degrees of translational freedom. The image acquisition parameters are then immediately altered. Grimm, Richard L. Ehman, Joel P. Felmlee, and Clifford R. Jack, Jr. Corruption of the image time series body motion. By incorporating an orbital navigator (ONAV) echo for each of the sagittal, axial

Gabrieli, John

336

Clinical-physiological characteristics of syncopal states in a prolonged QT interval syndrome (Ward-Romano syndrome)  

Microsoft Academic Search

Syncopal states are the result of diverse pathological processes; in this connection the correct and timely diagnosis of the underlying disease which induces the short-term disturbance in consciousness is of particular significance. Cardiac mechanisms often play a leading role in the pathogenesis of this condition [1, 10]. The prolonged Q-T interval syndrome (PQTIS) is one of the cardiological diseases which

A. M. Vein; S. B. Shvarkov; R. R. Giorgobiani; M. A. Shkol'nikova; M. I. Laan

1992-01-01

337

Mathematical models for assessing the role of airflow on the risk of airborne infection in hospital wards  

PubMed Central

Understanding the risk of airborne transmission can provide important information for designing safe healthcare environments with an appropriate level of environmental control for mitigating risks. The most common approach for assessing risk is to use the Wells–Riley equation to relate infectious cases to human and environmental parameters. While it is a simple model that can yield valuable information, the model used as in its original presentation has a number of limitations. This paper reviews recent developments addressing some of the limitations including coupling with epidemic models to evaluate the wider impact of control measures on disease progression, linking with zonal ventilation or computational fluid dynamics simulations to deal with imperfect mixing in real environments and recent work on dose–response modelling to simulate the interaction between pathogens and the host. A stochastic version of the Wells–Riley model is presented that allows consideration of the effects of small populations relevant in healthcare settings and it is demonstrated how this can be linked to a simple zonal ventilation model to simulate the influence of proximity to an infector. The results show how neglecting the stochastic effects present in a real situation could underestimate the risk by 15 per cent or more and that the number and rate of new infections between connected spaces is strongly dependent on the airflow. Results also indicate the potential danger of using fully mixed models for future risk assessments, with quanta values derived from such cases less than half the actual source value. PMID:19812072

Noakes, Catherine J.; Sleigh, P. Andrew

2009-01-01

338

The rapid disintegration of Arctic sea ice, like the Ward Hunt Ice Shelf in Canada, is a cause for  

E-print Network

industrialized and has a high capability of innovation, should seize this chance to innovate products and move over a year. That region has become more vulnerable and this is a cause for concern. On the other hand

Stocker, Thomas

339

Dialog Prediction for a General Model of Turn-Taking Nigel G. Ward, Olac Fuentes, Alejandro Vega  

E-print Network

- tion. We also discuss the value of predicting not only future speech/silence but also prosodic features unambiguously by longish periods of silence. Human- human dialog is not like this: turn-taking is swifter options for system-side action. This may not have much value for today's system, which at any given point

Fuentes, Olac

340

Photonic Crystal Aqueous Metal Cation Sensing Sanford A. Asher,* Anjal C. Sharma, Alexander V. Goponenko, and Michelle M. Ward  

E-print Network

in the field. Recently, the utility of ion-selective electrodes (ISEs) has increased significantly. ISEs can now selectively detect metal ions such as Pb2+, Ca2+, Cd2+, and K+ in water6 and appear capable of providing the selectivities and sensitivities for trace metal ion determinations required by the EPA.8

Asher, Sanford A.

341

December 2008 As a City Councillor for the St James ward, I know only too well the  

E-print Network

a loud and disruptive party. The hearing led to a `Community Service' punishment issued with Police more to deal with noise nuisance, and whether the Community Patrollers can assist in the early hours of the morning. As Lead Councillor for Environment and Leisure, I am very pleased to announce that the Community

Mumby, Peter J.

342

Implicit attitudes towards romantic partners predict well?being in stressful life conditions: Evidence from the antenatal maternity ward  

Microsoft Academic Search

An idiographic variant of the Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998) was used to investigate how implicit attitudes towards romantic partners are related to explicit attitudes, relationship?related variables such as adult attachment and relationship satisfaction, and psychological well?being as a potential outcome of relationship quality. The validity of the Partner?IAT was investigated using a known group approach

Rainer Banse; Claudia Kowalick

2007-01-01

343

Effect of Frailty on Functional Gain, Resource Utilisation, and Discharge Destination: An Observational Prospective Study in a GEM Ward.  

PubMed

Background. A geriatric evaluation and management unit (GEM) manages elderly inpatients with functional impairments. There is a paucity of literature on frailty and whether this impacts on rehabilitation outcomes. Objectives. To examine frailty score (FS) as a predictor of functional gain, resource utilisation, and destinations for GEM patients. Methods. A single centre prospective case study design. Participants (n = 136) were ?65 years old and admitted to a tertiary hospital GEM. Five patients were excluded by the preset exclusion criteria, that is, medically unstable, severe dementia or communication difficulties after stroke. Core data included demographics, frailty score (FS), and functional independence. Results. The mean functional improvement (FIM) from admission to discharge was 11.26 (95% CI 8.87, 13.66; P < 0.001). Discharge FIM was positively correlated with admission FIM (? = 0.748; P < 0.001) and negatively correlated with frailty score (? = -1.151; P = 0.014). The majority of the patients were in the "frail" group. "Frail" and "severely frail" subgroups improved more on mean FIM scores at discharge, relative to that experienced by the "pre-frail" group. Conclusion. All patients experienced functional improvement. Frailer patients improved more on their FIM and improved relatively more than their prefrail counterparts. Higher frailty correlated with reduced independence and greater resource utilisation. This study demonstrates that FS could be a prognostic indicator of physical independence and resource utilisation. PMID:24695584

Kawryshanker, Sujatha; Raymond, Warren; Ingram, Katharine; Inderjeeth, Charles A

2014-01-01

344

Evaluation of organizational maturity based on people capacity maturity model in medical record wards of Iranian hospitals  

PubMed Central

Context: People capacity maturity model (PCMM) is one of the models which focus on improving organizational human capabilities. Aims: The aim of this model's application is to increase people ability to attract, develop, motivate, organize and retain the talents needed to organizational continuous improvement. Settings and Design: In this study, we used the PCMM for investigation of organizational maturity level in medical record departments of governmental hospitals and determination strengths and weaknesses of their staff capabilities. Materials and Methods: This is an applied research and cross sectional study in which data were collected by questionnaires to investigation of PCMM model needs in medical record staff of governmental hospitals at Isfahan, Iran. We used the questionnaire which has been extracted from PCMM model and approved its reliability with Cronbach's Alpha 0.96. Statistical Analysis Used: Data collected by the questionnaire was analyzed based on the research objectives using SPSS software and in accordance with research questions descriptive statistics were used. Results: Our findings showed that the mean score of medical record practitioners, skill and capability in governmental hospitals was 35 (62.5%) from maximum 56 (100%). There is no significant relevance between organizational maturity and medical record practitioners, attributes. Conclusions: Applying PCMM model is caused increasing staff and manager attention in identifying the weaknesses in the current activities and practices, so it will result in improvement and developing processes. PMID:25077147

Yarmohammadian, Mohammad H.; Tavakoli, Nahid; Shams, Assadollah; Hatampour, Farzaneh

2014-01-01

345

Modeling Hair Using Level-of-Detail Representations Kelly Ward Ming C. Lin Joohi Lee Susan Fisher Dean Macri  

E-print Network

. They are represented using subdivision curves or surfaces, and have the same underlying base skeleton to maintain consistent high-level physical behavior when a transition between different levels-of- detail occurs The ability to model human features has become an essential aspect of 3D graphics for modeling avatars

North Carolina at Chapel Hill, University of

346

John P. Ward John R. King Adrian J. Koerber Julie M. Croft R. Elizabeth Sockett Paul Williams  

E-print Network

pipes and hulls of ships, as well as on teeth and in the gut [5]. Moreover, biofilms have many medical to healthy tissues [9]. Biofilm growth and development is a multi-stage process [8, 39]. In brief, planktonic

347

Documenting the NICU design dilemma: comparative patient progress in open-ward and single family room units  

Microsoft Academic Search

Objective:To test the efficacy of single family room (SFR) neonatal intensive care unit (NICU) designs, questions regarding patient medical progress and relative patient safety were explored. Addressing these questions would be of value to hospital staff, administrators and designers alike.Study Design:This prospective study documented, by means of Institution Review Board-approved protocols, the progress of patients in two contrasting NICU designs.

R Domanico; D K Davis; F Coleman; B O Davis

2011-01-01

348

Rafia R1; Ward S1; Scope A1; Wyld L2 1 The University of Sheffield, Sheffield, United Kingdom,  

E-print Network

, J., Kim, W. et al. Gene expression and benefit of chemotherapy in women with node-negative, estrogen prognostic tools alone in guiding the use of adjuvant chemotherapy in women with oestrogen receptor positive (ER+), lymph node negative (LN­), and HER2 negative (HER2­) early breast cancer (EBC) from a NHS

Oakley, Jeremy

349

Emotional Awareness Deficits in Inpatients of a Psychosomatic Ward: A Comparison of Two Different Measures of Alexithymia  

Microsoft Academic Search

OHLE ,P ROF .D R.M ED. Objective: The TAS 20 has demonstrated strong psychometric properties in a broad variety of studies in healthy populations. Much less work has been done in clinical contexts exploring the validity of the TAS 20 as a measure of the cognitive processing of emotions. The TAS 20, a self-report scale, tends to correlate with self-reported

CLAUDIA SUBIC-WRANA; SUSANNE BRUDER; WALTHER THOMAS; D R. P HIL

2005-01-01

350

Remarks Following the City of Charlottesville's 9/11 Commemoration Ceremony Hon. S. Ward Casscells III, M.D.  

E-print Network

and intelligence community, who, in the past ten years, have broken up 40 plots against targets here in the US "action tank", entrusted by our FBI and Defense Department to perform rapid, sensitive analyses

Acton, Scott

351

Modelling changes in small area disability free life expectancy: trends in London wards between 2001 and 2011.  

PubMed

Existing analyses of trends in disability free life expectancy (DFLE) are mainly at aggregate level (national or broad regional). However, major differences in DFLE, and trends in these expectancies, exist between different neighbourhoods within regions, so supporting a small area perspective. However, this raises issues regarding the stability of conventional life table estimation methods at small area scales. This paper advocates a Bayesian borrowing strength technique to model trends in mortality and disability differences across 625 small areas in London, using illness data from the 2001 and 2011 population Censuses, and deaths data for two periods centred on the Census years. From this analysis, estimates of total life expectancy and DFLE are obtained. The spatio-temporal modelling perspective allows assessment of whether significant compression or expansion of morbidity has occurred in each small area. Appropriate models involve random effects that recognise correlation and interaction effects over relevant dimensions of the observed deaths and illness data (areas, ages), as well as major spatial trends (e.g. gradients in health and mortality according to area deprivation category). Whilst borrowing strength is a primary consideration (and demonstrated by raised precision for estimated life expectancies), so also is model parsimony. Therefore, pure borrowing strength models are compared with models allowing selection of random age-area interaction effects using a spike-slab prior, and in fact borrowing strength combined with random effects selection provides better fit. Copyright © 2014 John Wiley & Sons, Ltd. PMID:25196376

Congdon, Peter

2014-12-20

352

Comparison of the antibacterial efficacy of 4% chlorhexidine gluconate and 1% triclosan handwash products in an acute clinical ward  

Microsoft Academic Search

The antibacterial efficacy of 4% chlorhexidine gluconate (CHG) and 1% triclosan as handwash antiseptics is well established. Few published studies have identified hand bacteria found in glove juice samples, and most studies have used nonclinical study subjects. We report a longitudinal comparative study to determine the effect of 4% CHG and 1% triclosan on the composition of the hand bacterial

Joan L. Faoagali; Narelle George; Jonathan Fong; Jenny Davy; Muriel Dowser

1999-01-01

353

Frequency of Vital Signs Monitoring and its Association with Mortality among Adults with Severe Sepsis Admitted to a General Medical Ward in Uganda  

PubMed Central

Introduction Optimal vital signs monitoring of patients with severe sepsis in resource-limited settings may improve outcomes. The objective of this study was to determine the frequency of vital signs monitoring of patients with severe sepsis and its association with mortality in a regional referral hospital in Uganda. Methods We reviewed medical records of patients admitted to Mbarara Regional Referral Hospital in Southwestern Uganda with severe sepsis defined by the presence of infection plus ?2 of the systemic inflammatory response syndrome criteria, and ?1 organ dysfunction (altered mental state, hypotension, jaundice, or thrombocytopenia). We recorded frequency of vital signs monitoring in addition to socio-demographic, clinical, and outcome data. We analyzed the data using logistic regression. Results We identified 202 patients with severe sepsis. The median age was 35 years (IQR, 25–47) and 98 (48%) were female. HIV infection and anemia was present in 115 (57%) and 83 (41%) patients respectively. There were 67 (33%) in-hospital deaths. The median monitoring frequency per day was 1.1 (IQR 0.9–1.5) for blood pressure, 1.0 (IQR, 0.8–1.3) for temperature and pulse, and 0.5 (IQR, 0.3–1.0) for respiratory rate. The frequency of vital signs monitoring decreased during the course of hospitalization. Patients who died had a higher frequency of vital signs monitoring (p<0.05). The admission respiratory rate was associated with both frequency of monitoring (coefficient of linear regression 0.6, 95% CI 0.5–0.8, p<0.001) and mortality (AOR 2.5, 95% CI 1.3–5.3, p?=?0.01). Other predictors of mortality included severity of illness, HIV infection, and anemia (p<0.05). Conclusions More research is needed to determine the optimal frequency of vital signs monitoring for severely septic patients in resource-limited settings such as Uganda. PMID:24587094

Asiimwe, Stephen B.; Okello, Samson; Moore, Christopher C.

2014-01-01

354

Public health assessment for Vega Baja Solid Waste Disposal, Rio Abajo Ward/La Trocha, Vega Baja County, Puerto Rico, Region 2: CERCLIS Number PRD980512669. Final report  

SciTech Connect

The Vega Baja Waste Disposal Site is a public health hazard because long-term exposure to lead in soil in some yards cause harmful effects in children. Children and especially preschool children who live in yards with elevated levels of soil lead might be exposed to small amounts of lead when they accidentally swallow soil and dust that cling to their hands. The level of lead in garden vegetables from the site is not a public health threat. It is safe for residents to grow and eat garden vegetables. ATSDR recommends that EPA prevent long-term exposure to lead-contaminated soil where lead levels are consistently elevated. ATSDR also recommends that EPA consult with ATSDR officials to ensure that Superfund activities to stop exposure to lead-contaminated soil at the site continues to be protective of public health.

NONE

1998-11-30

355

Graphical Simulation of Early Development of the Cerebral Cortex Elizabeth F. Ryder \\Lambda , Lindsey Bullard, Joel Hone Jonas Olmstead, Matthew O. Ward  

E-print Network

Graphical Simulation of Early Development of the Cerebral Cortex Elizabeth F. Ryder \\Lambda Worcester, MA 01609 Abstract Much experimental data exists concerning the development of the cerebral cortex, which models the early stages of development of the cerebral cortex of the mouse. Version 1.0 of SimCortex

Ward, Matthew

356

PARAMETERIZED NEIGHBORHOOD-BASED FLOODING FOR AD HOC WIRELESS NETWORKS Vijay Dheap, Mohammad Ahmad Munawar, Sagar Naik, Paul A.S. Ward  

E-print Network

PARAMETERIZED NEIGHBORHOOD-BASED FLOODING FOR AD HOC WIRELESS NETWORKS Vijay Dheap, Mohammad Ahmad Flooding is a simple routing technique that can be used to transmit data from one node to every other node in a network. The focus of this paper is to investigate im- provements to flooding techniques used in ad hoc

Ward, Paul A.S.

357

[The diagnosis of neonatal bacterial infections with mother-fetus transmission recorded in 1983-1987 in the Newborn Ward of the Baia Mare County Maternity Hospital].  

PubMed

The diagnosis of infectious bacterial neonatal syndrome (IBNS) was based on 3 arguments: --the suggestive anamnestic investigation of the mother; --clinical signs revealing the infection in the new-born child; --paraclinical data. The evoking anamnestic data during pregnancy and parturition are highly important. Of them, the most frequently met were: premature rupture of the membranes, modified amniotic liquid; with or without premature rupture of the membranes, urinary infections declared but not sufficiently treated, fever and pseudoinfluenza syndrome in the last term of the pregnancy etc. The clinical signs revealing the infection in the new-born are: disturbance in the behaviour and the proper clinical signs. Of the clinical data the authors followed the evolution of the hematologic data, the inflammatory test--serologic and bacteriologic (the greatest importance was given to the blood cultures and seeding in CSF). Therefore, IBNS transmitted through the mother-fetal route can be suspected only in the presence of conclusive anamnestic data. The clinical aspects, sometimes minor, corroborating the clinical evolution and the paraclinical data are of the greatest importance for the physician's decision. The clinical diagnosis based on serious clinico-anamnestic arguments should not be ignored by negative bacteriologic tests. PMID:2512613

Pohl, A; Radu, I; Mesaros, M; Fodoreanu, A; Ro?ca, E; András, S; Surianu, E; Banco?, T; Fîrtea, D

1989-01-01

358

A study of snake bite among children presenting to a paediatric ward in the main Teaching Hospital of North Central Province of Sri Lanka  

PubMed Central

Background Snake bite is a common problem in the North Central province of Sri Lanka. Common krait (Bungarus careuleus), Ceylon krait (Bungarus ceylonicus), Cobra (Naja naja), Russell’s viper (Daboia russelii), Saw-scaled viper (Echis carinatus) and Hump-nosed pit viper (Hypnale hypnale) are the six species of venomous land snakes in Sri Lanka. A significant number of adults and children are bitten by snakes every year. However, the majority of research studies done in Sri Lanka and other countries show adults bitten by snakes and studies describing children bitten by snakes are very sparse. Methods A descriptive cross sectional study was performed in the Teaching Hospital Anuradhapura in the North Central Province of Sri Lanka from May 2010 to 2011 May to describe the characteristics associated with cases of snake bite. Results There were 24 males and 20 females. The highest numbers of bites (48%) were in the range of ages 6-12 years. The majority of the bites occurred between 6 pm to 6 am (59%).The foot was the most common bitten site (48%). Out of all the venomous bites, the Hump-nosed pit viper (Hypnale hypnale) accounted for the highest number (44%) and Russell’s viper (Daboia ruselii) accounted for the second highest number (27%). A significant number of venomous bites occurred indoors while sleeping (22%). Antivenom serum was given to (39%) of venomous bites. Deaths occurred in (11%) of the venomous bites. Conclusions Hump-nosed pit viper (Hypnale hypnale) accounted for the highest number of venomous bites. Majority of the bites occurred between 6 pm and 6 am. Foot was the most common bitten site. A significant number of venomous bites occurred indoor while sleeping. Antivenom serum was given to a significant number of venomous bites. Educating the public on making their houses snake proof and using a torch when going out during night time will help in the prevention of getting bitten by snakes. PMID:25073710

2014-01-01

359

Surface thermal capacity and its effects on the boundary conditions at fluid-fluid interfaces Kausik S. Das and C. A. Ward*  

E-print Network

cannot be sat- isfied during steady-state evaporation of H2O l or D2O l . The c term is possibly that at the funnel throat, buoyancy-driven convec- tion was eliminated, since H2O l has its maximum density at 4 °C

Ward, Charles A.

360

Alcohol use disorders in the emergency ward: choice of the best mode of assessment and identification of at-risk situations  

Microsoft Academic Search

Background  This study aims to identify the prevalence and at-risk situations of alcohol use disorders among patients examined in the\\u000a emergency department and to compare the scales commonly used to identify alcohol use disorders.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  We used the CAGE and AUDIT questionnaires and a structured interview, the MINI.\\u000a \\u000a \\u000a \\u000a Findings  Of the presenting patients, 9.5% met the DSM-IV criteria for alcohol use disorders. The

Charlotte Richoux; Isabelle Ferrand; Enrique Casalino; Benoit Fleury; Christine Ginsburg; Michel Lejoyeux

2011-01-01

361

An Aetiological Survey of Burns in Abusers of Various Kinds of Drugs Admitted to the Tabriz Sina Hospital Burns Ward in Iran  

PubMed Central

Summary A five-year prospective study (March 2003-March 2008) of burn victims hospitalized in a major burns centre in Iran was conducted in order to survey the aetiology and outcome of burns in patients who were drug addicts. Three hundred and thirty patients addicted to drugs were identified and stratified by age, sex, burn size, presence or absence of inhalation injury, kinds of abuse agents, and cause of burn. The mean patient age was 27.9 yr, and the male:female ratio was 7.6:1. There were 60 deaths overall (18.18%), the majority (47) among patients with flame burns. The mortality rate was significantly higher in multi-drug abusers than in single-drug abusers. Except for burn incidence, there were no significant differences between males and females. The mean burn size, 30.9%, was significantly larger in non-survivors than in survivors (57.8% versus 27.8%; p < 0.001). Inhalation injuries were strongly associated with large burns, and were present in all flame-burn fatalities. Flame burns were the most common type of burns in drug-addicted patients: incorrect use of a lighter and match and falling onto a brazier were the most common causes of flames. There were 11 deaths related to electrical injuries. Large burn size was the strongest predictor of mortality followed by the presence of inhalation injury. The most common agent of abuse was opium, followed by heroin and hashish; there was no difference between males and females in relation to the type of agent of which abuse was made PMID:21991223

Maghsoudi, H.; Raghifar, R.

2010-01-01

362

Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report  

PubMed Central

Objective Administering medication to hospitalised infants and children is a complex process at high risk of error. Failure mode and effect analysis (FMEA) is a proactive tool used to analyse risks, identify failures before they happen and prioritise remedial measures. To examine the hazards associated with the process of drug delivery to children, we performed a proactive risk-assessment analysis. Design and setting Five multidisciplinary teams, representing different divisions of the paediatric department at Padua University Hospital, were trained to analyse the drug-delivery process, to identify possible causes of failures and their potential effects, to calculate a risk priority number (RPN) for each failure and plan changes in practices. Primary outcome To identify higher-priority potential failure modes as defined by RPNs and planning changes in clinical practice to reduce the risk of patients harm and improve safety in the process of medication use in children. Results In all, 37 higher-priority potential failure modes and 71 associated causes and effects were identified. The highest RPNs related (>48) mainly to errors in calculating drug doses and concentrations. Many of these failure modes were found in all the five units, suggesting the presence of common targets for improvement, particularly in enhancing the safety of prescription and preparation of endovenous drugs. The introductions of new activities in the revised process of administering drugs allowed reducing the high-risk failure modes of 60%. Conclusions FMEA is an effective proactive risk-assessment tool useful to aid multidisciplinary groups in understanding a process care and identifying errors that may occur, prioritising remedial interventions and possibly enhancing the safety of drug delivery in children. PMID:23253870

Lago, Paola; Bizzarri, Giancarlo; Scalzotto, Francesca; Parpaiola, Antonella; Amigoni, Angela; Putoto, Giovanni; Perilongo, Giorgio

2012-01-01

363

Molecular phylogenetics of Floridosentis ward, 1953 (Acanthocephala: Neoechinorhynchidae) parasites of mullets (Osteichthyes) from Mexico, using 28S rDNA sequences.  

PubMed

Species of Floridosentis (Acanthocephala) are common parasites of mullets (Mugil spp., Mugilidae) found in tropical marine and brackish water in the Americas. Floridosentis includes 2 species distributed in Mexico, i.e., Floridosentis pacifica, restricted to the Pacific Ocean near Salina Cruz, Oaxaca, and Floridosentis mugilis, distributed along the coast of the Pacific Ocean and the Gulf of Mexico. We sampled 18 populations of F. mugilis and F. pacifica (12 from the Pacific and 6 from the Gulf of Mexico) and sequenced a fragment of the rDNA large subunit to evaluate phylogenetic relationships of populations of Floridosentis spp. from Mexico. Species identification of museum specimens of F. mugilis from the Pacific Ocean was confirmed by examination of morphology traits. Phylogenetic trees inferred with maximum parsimony, maximum likelihood, and Bayesian inference indicate that Floridosentis is monophyletic comprising of 2 major well-supported clades, the first clade corresponding to F. mugilis from the Gulf of Mexico, and the second to F. pacifica from the Pacific Ocean. Genetic divergence between species ranged from 7.68 to 8.60%. Intraspecific divergence ranged from 0.14 to 0.86% for F. mugilis and from 1.72 to 4.49% for F. pacifica. Data obtained from diagnostic characters indicate that specimens from the Pacific Ocean in Mexico have differences in some traits among locations. These results are consistent with the phylogenetic hypothesis, indicating that F. pacifica is distributed in the Pacific Ocean in Mexico with 3 major lineages. PMID:22360517

Rosas-Valdez, Rogelio; Morrone, Juan J; García-Varela, Martín

2012-08-01

364

[10] I. Onsager, Ann. N. Y. Acad. Sci. 1949, 51, 627. [11] C. Robinson, J. C. Ward, Nature 1957, 180, 1183.  

E-print Network

of various 1D nano- scale materials, including metals,[3] oxides,[4,5] chalcogenides,[6] nitrides,[7] and carbides.[8] Among them, nanostructured tran- sition metal oxides have been shown to possess many interest�16] Recently, our group has reported the prepara- tion of tungsten oxide nanowires by heating tungsten metal

Liu, Jie

365

"Junior Doctor Decision Making: Isn't that an Oxymoron?" A Qualitative Analysis of Junior Doctors' Ward-Based Decision-Making  

ERIC Educational Resources Information Center

Unacceptable levels of adverse healthcare events, combined with changes to training, have put the spotlight on junior doctor decision-making. This study aimed to describe the decisions made by junior doctors and the contextual factors influencing how decisions were made and justified. Stimulated recall interviews with 20 junior doctors across five…

Bull, Stephanie; Mattick, Karen; Postlethwaite, Keith

2013-01-01

366

Open-area seclusion in the long-term treatment of aggressive and disruptive psychotic patients, an introduction to a ward procedure.  

PubMed

The clinical rationale and procedure of "open-area seclusion" as a treatment modality with psychotic patients is presented. This standard procedure was originally introduced as an alternative to arbitrary measures in response to aggressive and disruptive behavior. The seclusion area is locked, but the patient is never locked up alone in any single room. The method of open-area seclusion is composed of four overlapping phases: (1) assisting the patient to the seclusion area, (2) time for a "calming down" process, (3) debriefing, and (4) reintegration. Verbal confrontation is central in enhancing the secluded patient's reality-testing, for reinforcing responsibility for one's own behavior, and for encouraging alternative problem-solving. A step-by-step description of the procedure of open-area seclusion is presented and illustrated by a case history. PMID:7770561

Bjørkly, S

1995-02-01

367

Assessment of Preference and Its Determinant Factors to Ward Modern Contraceptive Methods among Women of Reproductive Age Group in Shire Indaselassie Town, Northern Ethiopia, 2011  

PubMed Central

Background. Women's preferences for various contraceptive methods attribute vary according to the type of relations and other aspects of their life. The discrepancy between fertility preferences and contraceptive practice is regarded as an indicator of unmet demand for family planning. Objective. To assess modern contraceptive methods preference and its determinant factors among women of reproductive age group in Shire Indaselassie town, Tigray Region, Northern Ethiopia. Method. A community based cross-sectional study design was employed on 367 sampled women. Stratified sampling technique was used to select the study subjects. Then, data was collected using structured questionnaire. Result. In this study, the most commonly preferred modern contraceptive method was injectable contraceptive 202 (55%), the second 61 (16.6%) was oral contraceptives, and the third 47 (12.8%) was Norplant. Condom 31 (8.4%), IUD 14 (3.8%), female sterilization 7 (1.9%), and others were less commonly preferred methods. Some of the reasons for preference were effectiveness of the method, reversibility, fewer side effects, convenience, long duration of use, and no need to remember daily. Conclusion. This study clearly described that women preferences of modern contraceptive methods increased after they had higher number of children and less desire to limit family size. PMID:24396599

Tsehaye, Weyzer T.; Mengistu, Daniel; Birhanu, Emebet; Berhe, Kalayou K.

2013-01-01

368

A model on the dynamics of odontogenic cyst growth John P. Ward BSc MSc PhD, Lecturer, Dept. of Mathematical Sciences, Loughborough  

E-print Network

from the remnants of the tooth-forming organ: rests of Malassez (rests of the root sheath of Hertwig), glands of Serres (rests of the dental lamina) and reduced enamel epithelium (remnants of the enamel organ or tooth resorption, bone expansion, fracture or tooth migration. The most common type of OC

369

"PROCESS": a systems code for fusion power plants -Part 1: M. Kovari*, R. Kemp, PH. Lux, .J. Knight, J. Morris, D.J. Ward  

E-print Network

.................................................................................................................14 9. Pulsed reactors and reactor start.................................................................................................................................................15 9.2. Transformer flux swing

370

Discharged from a mental health admission ward: is it safe to go home? A review on the negative outcomes of psychiatric hospitalization  

PubMed Central

Before psychiatry emerged as a medical discipline, hospitalizing individuals with mental disorders was more of a social stigmatizing act than a therapeutic act. After the birth of the mental health disciplines, psychiatric hospitalization was legitimized and has proven to be indispensable, preventing suicides and helping individuals in need. However, despite more than a century passing since this legitimization occurred, psychiatric hospitalization remains a controversial issue. There is the question of possible negative outcomes after a psychiatric admission ceases to take its protective effect, and even of whether the psychiatric admission itself is related to a negative setback after discharge. This review aims to summarize some of the most important negative outcomes after discharge from a psychiatric institution. These experiences were organized into two groups: those after a brief psychiatric hospitalization, and those after a long-stay admission. The author further suggests possible ways to minimize these adversities, emphasizing the need of awareness related to this important issue. PMID:24812527

Loch, Alexandre Andrade

2014-01-01

371

1CENTER FOR JOURNALISM ETHICS UNIVERSITY OF WISCONSIN-MADISON2  

E-print Network

for Journalism Ethics. Publisher & editor-in-chief Stephen J.A. Ward Editor Wendy Swanberg Series Designer Yael ANTHONY SHADID BIOGRAPHY..................................... 7 STEPHEN J. A. WARD BIOGRAPHY.............................. 9 WELCOMING REMARKS STEPHEN J. A. WARD...............................................10 THE TRUTHS

Liblit, Ben

372

[The forms of the clinical manifestation of a neonatal infectious bacterial syndrome with maternofetal transmission and the therapy used in the Neonatal Ward of the Baia Mare Maternity Hospital in 1983-1987].  

PubMed

Of a total of 24 newborn with neonatal bacterial infectious syndrome (NBIS), in 157 (65.12%) the infection appeared immediately at birth. In the rest of 84, the clinical manifestations appeared in the first 4 days of life followed in decreasing order by systemic manifestation without location on pneumonia and bronchopneumonia were the most frequently diagnosed, an organ, septicemias and meningitis, infectious jaundice, etc. Two antibiotics were associated in the severe forms, and antiinfectious monotherapy was used in the milder ones. In the cases with unfavourable clinical evolution, the antiinfectious treatment was used. The severe forms of NBIS were among the most cases of death at this age. NBIS manifested, therefore, under various forms, imitating other noninfectious affections. During diagnosis, mother's anamnestic data, and very often the clinician's intuition were very important, before the bacteriologic corroboration. PMID:2128719

Pohl, A; Radu, I; Mesaro?, M; Surianu, E; Banco?, T; Fîrtea, D

1990-01-01

373

Trager, J. C., MacGown, J. A., Trager, M. D. 2007. Revision of the Nearctic endemic Formica pallidefulva group, pp. 610-636. In Snelling, R. R., B. L. Fisher, and P. S. Ward (eds). Advances  

E-print Network

. Trager Shaw Nature Reserve P. O. Box 38 / Interstate 44 and Highway 100 Gray Summit, MO 63039, USA james, natural history notes for all species and a key to the workers. As occurs in other groups of closely, natural history, habitat preferences, Nearctic, new species, lectotype designation. #12;Memoirs

Villemant, Claire

374

Public health assessment for V and M/Albaladejo Norte Ward (a/k/a V and M/Albaladejo Farms site), Vega Baja, Vega Baja County, Puerto Rico, Region 2: CERCLIS Number PRD987366101. Final report  

SciTech Connect

The Agency for Toxic Substances and Disease Registry (ATSDR) published a Site Review and Update for the V and M/Albaladejo Farms site on May 7, 1997. The site includes the V and M property and the Albaladejo farm. Total acreage is unknown. Several small plots within the site were formerly used for dumping plastic-coated electrical cables, electrical equipment, car batteries, and transformers. To total quantity of waste brought onto the site and the date when activities began are not known. Some wastes were burned, presumably to recover copper, aluminum, and lead. ATSDR prepared public health consultations in 1995 that concluded that site soils posed a potential health concern and concurred with EPA`s proposed cleanup levels. EPA also will investigate groundwater quality to determine whether remedial activities are needed to protect the aquifer that supplies off-site public wells that serve large numbers of residents in Vega Baja. ATSDR concluded that the site poses no apparent public health hazard. The proposed soil removal and proposed groundwater investigation and any required followup groundwater remediation should minimize the potential for future exposures and adverse human health effects.

NONE

1998-12-30

375

Comparison of susceptibility of cystic-fibrosis-related and non-cystic-fibrosis-related Pseudomonas aeruginosa to chlorine-based disinfecting solutions: implications for infection prevention and ward disinfection.  

PubMed

Multidrug-resistant (MDR) Pseudomonas aeruginosa isolated from cystic fibrosis (CF) sputum was shown to be more tolerant to the most commonly used chlorine-based disinfecting agent in the UK, with approximately 7 out of 10 isolates surviving a residual free chlorine (RFC) concentration of 500 p.p.m., when compared with antibiotic-sensitive invasive P. aeruginosa from a non-CF blood culture source, where 8 out of 10 isolates were killed at a RFC concentration of 100 p.p.m. All CF isolates were killed at 1000 p.p.m. chlorine. Additional studies were performed to examine factors that influenced the concentration of RFC from chlorine-based (sodium dichloroisocyanurate) disinfecting agents in contact with CF sputum and their components (bacterial cells, glycocalyx) to assess the reduction of the bactericidal activity of such disinfecting agents. Pseudomonas glycocalyx had a greater inhibitory effect of chlorine deactivation than bacterial cells. Calibration curves demonstrated the relative deactivating capacity on RFC from clinical soils, in the order pus>CF sputum>wound discharge fluid/synovial fluid>ascites fluid>bile, where quantitatively each 1?% (w/v) CF sputum reduced the RFC by 43 p.p.m. Sublethal stressing of P. aeruginosa with chlorine resulted in lowered susceptibility to colistin (P?=?0.0326) but not to meropenem, tobramycin or ciprofloxacin. In conclusion, heavy contamination of healthcare fomites with CF sputum containing MDR P. aeruginosa may result in exhaustion of RFC, and this, combined with an increased resistance to chlorine with such strains, may lead to their survival and increased antibiotic resistance in such environments. CF infection prevention strategies in such scenarios should therefore target interventions with increased concentrations of chlorine to ensure the eradication of MDR P. aeruginosa from the CF healthcare environment. PMID:24925907

Moore, John E; Rendall, Jacqueline C

2014-09-01

376

Comparison of PCR/Electron spray Ionization-Time-of-Flight-Mass Spectrometry versus Traditional Clinical Microbiology for active surveillance of organisms contaminating high-use surfaces in a burn intensive care unit, an orthopedic ward and healthcare workers  

PubMed Central

Background Understanding nosocomial pathogen transmission is restricted by culture limitations. Novel platforms, such as PCR-based electron spray ionization-time-of-flight-mass spectrometry (ESI-TOF-MS), may be useful as investigational tools. Methods Traditional clinical microbiology (TCM) and PCR/ESI-TOF-MS were used to recover and detect microorganisms from the hands and personal protective equipment of 10 burn intensive care unit (ICU) healthcare workers providing clinical care at a tertiary care military referral hospital. High-use environmental surfaces were assessed in 9 burn ICU and 10 orthopedic patient rooms. Clinical cultures during the study period were reviewed for pathogen comparison with investigational molecular diagnostic methods. Results From 158 samples, 142 organisms were identified by TCM and 718 by PCR/ESI-TOF-MS. The molecular diagnostic method detected more organisms (4.5?±?2.1 vs. 0.9?±?0.8, p?

2012-01-01

377

SECULAR RESONANCE SWEEPING IN A SELFGRAVITATING PLANETESIMAL DISK, WITH APPLICATION TO THE KUIPER BELT. J. M. Hahn, Lunar and Planetary Institute, Houston TX 77058, USA, (hahn@lpi.usra.edu), W. R. Ward,  

E-print Network

SECULAR RESONANCE SWEEPING IN A SELF­GRAVITATING PLANETESIMAL DISK, WITH APPLICATION TO THE KUIPER of another star [3], and sweeping the Kuiper Belt with secular resonances as the solar nebula gas dispersed [4]. Perhaps the most promising mechanism is secular resonance sweeping since this scenario can

Hahn, Joseph M.

378

Astrophysical Supercomputing Using Particles IAU Symposium, Vol. 208, 2001  

E-print Network

. & Ward-Thompson, D. 2001, ApJ, 547, 317 #12;Astrophysical Supercomputing Using Particles IAU Symposium, Vol. 208, 2001 J. Makino and P. Hut, eds. The evolution of triaxial molecular cores Simon P. Goodwin, Anthony P. Whitworth & Derek Ward

Ward-Thompson, Derek

379

Identifying International Networks: Latent Spaces and Imputation  

E-print Network

in international relations have appeared in the lit- erature (Ward and Kirby 1987; Gleditsch and Ward 2001's research is supported by Office of Naval Research grant N00014-02-1-1011. 1 #12;applications

Hoff, Peter

380

77 FR 18143 - Members of a Family for Purpose of Filing a CBP Family Declaration  

Federal Register 2010, 2011, 2012, 2013

...stepchildren, half-siblings, legal wards, other...parentis or guardianship relationship within the definition...the term ``domestic relationship'' includes foster...stepchildren, half- siblings, legal wards, other...parentis or guardianship relationship, and two adults...

2012-03-27

381

78 FR 76529 - Members of a Family for Purpose of Filing CBP Family Declaration  

Federal Register 2010, 2011, 2012, 2013

...NPRM, ``domestic relationships'' would include foster...stepchildren, half-siblings, legal wards, other...the term ``domestic relationship'' includes foster...stepchildren, half-siblings, legal wards, other...parentis or guardianship relationship, and two adults...

2013-12-18

382

JOURNALOF NEUROPHYSIOLOGY Vol. 42, No. 5, September 1979. Printed in U.S.A.  

E-print Network

- rent, four other currents were identified: 2) a fast transient tetrodotoxin-sensitive in- ward current, presumed to be carried by Na+; 2) aslower tetrodotoxin-insensitive in- ward current, presumed to be carried

Byrne, John H.

383

Rehabilitation of Secondary Heating and Cooling Systems - Case Study  

E-print Network

area, central sterile supply, equine medicine ward, equine surgery, equine exam rooms, equine surgery ward, food animal complex, intensive care unit, pharmacy, radiology section, and veterinary classrooms. Figure 1: Front of Large Animal... area, central sterile supply, equine medicine ward, equine surgery, equine exam rooms, equine surgery ward, food animal complex, intensive care unit, pharmacy, radiology section, and veterinary classrooms. Figure 1: Front of Large Animal...

Chen, H.; Deng, S.; Hugghins, J.; Brundidge, T.; Claridge, D.; Turner, W. D.; Bruner, H., Jr.

2002-01-01

384

WETLANDS OF THE FRASER LOWLAND, 1989: Summary Report TECHNICAL REPORT SERIES No. 156  

E-print Network

WETLANDS OF THE FRASER LOWLAND, 1989: Summary Report Peggy Ward TECHNICAL REPORT SERIES No. 156 /'auteur. . #12;Wetlands of the Fraser Lowland, 1989: Summary Report Peggy Ward Technical Report Series 156 Pacific and Yukon Region 1992 Canadian Wildlife Service This series mav be cited as: Ward, Peggy. Wetlands

385

Mon. Not. R. Astron. Soc. 379, 13901400 (2007) doi:10.1111/j.1365-2966.2007.11999.x The dust temperatures of the pre-stellar cores in the Oph main cloud  

E-print Network

Mon. Not. R. Astron. Soc. 379, 1390­1400 (2007) doi:10.1111/j.1365-2966.2007.11999.x The dust for the core mass function Dimitris Stamatellos, Anthony P. Whitworth and Derek Ward-Thompson School of Physics of collapse or already collapsing (e.g. Myers & Ben- son 1983; Ward-Thompson et al. 1994; Ward-Thompson, Motte

Ward-Thompson, Derek

386

Environmental factors determining ammonia-oxidizing organism distribution and diversity in marine  

E-print Network

environmentsemi_2623 714..729 Nicholas J. Bouskill,1 * Damien Eveillard,2 Diana Chien,1 Amal Jayakumar1 and Bess B. Ward1 1 Department of Geosciences, Guyot Hall, Princeton University, Princeton, NJ, USA. 2 to the regeneration of NO3 - in the euphotic zone (Ward et al., 1989; Clark et al., 2008; Gruber, 2008; Ward, 2008

Ward, Bess

387

The initial conditions of isolated star formation V. ISOPHOT imaging and the temperature and energy balance of pre-stellar cores  

E-print Network

and energy balance of pre-stellar cores D. Ward-Thompson,1P P. Andre´2 and J. M. Kirk1 1 Department by Andre´, Ward-Thompson & Barsony (1993, hereafter AWB93), and labelled the Class 0 stage. The subsequent the remnant circumstellar envelope accretes on to the central protostar and disc (Andre´ 1994, 1997; Ward

Ward-Thompson, Derek

388

Mon. Not. R. Astron. Soc. 000, 000000 (0000) Printed 8 November 2007 (MN LATEX style file v2.2) SCUBA and Spitzer observations of the Taurus molecular  

E-print Network

.2) SCUBA and Spitzer observations of the Taurus molecular cloud ­ pulling the bull's tail D. Nutter , J. M. Kirk, D. Stamatellos, D. Ward-Thompson Department of Physics and Astronomy, Cardiff University, Queens (Ward-Thompson et al. 2000; Motte & Andr´e 2001; Onishi et al. 2002; Duch^ene et al. 2004; Kirk, Ward

Ward-Thompson, Derek

389

Environmental factors determining ammonia-oxidizing organism distribution and diversity in marine  

E-print Network

environmentsemi_2623 1..16 Nicholas J. Bouskill,1 * Damien Eveillard,2 Diana Chien,1 Amal Jayakumar1 and Bess B. Ward1 1 Department of Geosciences, Guyot Hall, Princeton University, Princeton, NJ, USA. 2 to the regeneration of NO3 - in the euphotic zone (Ward et al., 1989; Clark et al., 2008; Gruber, 2008; Ward, 2008

Ward, Bess

390

A Principal's Reaction  

ERIC Educational Resources Information Center

This article presents a principal's reaction to Catherine Marshall and Michael Ward's article on research on social justice and training for leadership. The author applauds Marshall and Ward's efforts to address what is undoubtedly among the most fundamentally important issues facing principals today. Marshall and Ward illuminate the importance of…

Zaretsky, Lindy

2004-01-01

391

Little effect of transfer technique instruction and physical fitness training in reducing low back pain among nurses: a cluster randomised intervention study  

Microsoft Academic Search

The aim of this study was to evaluate the effect of a transfer technique education programme (TT) alone or in combination with physical fitness training (TTPT) compared with a control group, who followed their usual routine. Eleven clinical hospital wards were cluster randomised to either intervention (six wards) or to control (five wards). The intervention cluster was individually randomised to

N. E. Ebbehøj; N. Wiese; L. H. Larsen; J. Duckert; H. Tønnesen

2008-01-01

392

Optimizing Restriction Site Placement for Synthetic Genomes  

E-print Network

Ward1 Joondong Kim2 Joseph S. B. Mitchell2 Steven Skiena1 1Department of Computer Science Stony Brook-acid sequence. P. Montes, H. Memelli, C. Ward, J. Kim, J. S. B. Mitchell, and S. Skiena Stony Brook University. Ward, J. Kim, J. S. B. Mitchell, and S. Skiena Stony Brook University Optimizing Restriction Site

Lonardi, Stefano

393

77 FR 31896 - Product List Changes  

Federal Register 2010, 2011, 2012, 2013

...gov. The Commission appoints Natalie Rea Ward to serve as Public Representative in...Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as an officer...Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as an...

2012-05-30

394

Relational practice as the key to ensuring quality care for frail older people: discharge planning as a case example  

Microsoft Academic Search

Discharging frail older people from acute hospital settings has been an issue of concern for over 40 years and recent studies suggest that enduring problems remain. This paper explores the experiences of discharge from three different units: an acute surgical ward, an acute medical ward and a specialist ward for older people. Based on extensive data from interviews with older

Sion Williams; Mike Nolan; John Keady

2009-01-01

395

Parallel distributed processing models using the back-propagation rule for studying analytic and holistic modes of processing in category learning  

E-print Network

an invariant component)". Medin (1983), on the other hand, considers all categories that do not possess a defining feature to be ill-defined. The meaning of well-defined and ill-defined used by Medin will be the one adopted here, as they are in Ward k Scott..., show less of a bias towards learning family-resemblance categories. Recently, however, the conclusions drawn by Kemler Nelson have come under scrutiny by Ward (see Ward & Scott, 1987; Ward, in press). Ward & Scott (1987) ran experiments similar...

Bauer, Niels Konrad

2012-06-07

396

iMu arrayS:The biOMechanicS Of baSeball piTching eric berKSOn Md, ryan aylWard MS, JaMeS zachazeWSKi dpT,aTc, JOSeph paradiSO phd,ThOMaS J. gill Md  

E-print Network

is not limited to professional athletes. Andrews examined 5-year periods within his practice and, comparing, nutrition, and supplements. Changes due to improper mechanics, poor dynamic stability or muscle fatigue

397

1588 B I O C H E M I S T R Y S C O T T , S T O R T I , P A R D L E , A N D R I C H Stollar, B. D., & Ward, M. (1970) J . Biol. Chem. 245, 1261.  

E-print Network

cells is dependent on the presence of rat liver supernatant during cell lysis to inhibit ribonuclease.R.). R.V.S. is the recipient of a postdoctoral fellowship from the National Cancer Institute 60612. of supplements, including rat liver supernatant, have been analyzed. The products of translation

Quake, Stephen R.

398

Applicability of two brief evidence-based interventions to improve sleep quality in inpatient mental health care  

Microsoft Academic Search

The present study explored the applicability of two brief evidence-based interventions to improve sleep quality in inpatient psychiatry. The study involved three comparable admission wards of a psychiatric hospital. Stimulus control was introduced at the first ward, and music-assisted relaxation at the second. At the third ward, no intervention was introduced. A mixed-method study was employed. We found that nurses

G. J. De Niet; B. G. Tiemens; T. van Achterberg; G. Hutschemaekers

2011-01-01

399

Births in two different delivery units in the same clinic - A prospective study of healthy primiparous women  

PubMed Central

Background Earlier studies indicate that midwife-led birth settings are associated with modest benefits, including reduced medical interventions and increased maternal satisfaction. The generalizability of these studies to birth settings with low intervention rates, like those generally found in Norway, is not obvious. The aim of the present study was to compare intervention rates associated with labour in low-risk women who begin their labour in a midwife-led unit and a conventional care unit. Methods Eligible participants were low-risk primiparas who met the criteria for delivery in the midwife-led ward regardless of which cohort they were allocated to. The two wards are localised at the same floor. Women in both cohorts received the same standardized public antenatal care by general medical practitioners and midwifes who were not involved in the delivery. After admission of a woman to the midwife-led ward, the next woman who met the inclusion criteria, but preferred delivery at the conventional delivery ward, was allocated to the conventional delivery ward cohort. Among the 252 women in the midwife-led ward cohort, 74 (29%) women were transferred to the conventional delivery ward during labour. Results Emergency caesarean and instrumental delivery rates in women who were admitted to the midwife-led and conventional birth wards were statistically non-different, but more women admitted to the conventional birth ward had episiotomy. More women in the conventional delivery ward received epidural analgesia, pudental nerve block and nitrous oxide, while more women in the midwife-led ward received opiates and non-pharmacological pain relief. Conclusion We did not find evidence that starting delivery in the midwife-led setting offers the advantage of lower operative delivery rates. However, epidural analgesia, pudental nerve block and episiotomies were less often while non-pharmacological pain relief was often used in the midwife-led ward. PMID:19545412

Eide, Britt Ingeborg; Nilsen, Anne Britt Vika; Rasmussen, Svein

2009-01-01

400

Risk factors for falls in stroke patients during inpatient rehabilitation  

Microsoft Academic Search

Objectives: To assess the incidence and circumstances of falls among stroke patients in a rehabilitation ward, the frequency of fall-related fractures, the relationship between falls and rehabilitation outcomes, and risk factors for falls.Design: Prospective observational study.Setting: Neurological rehabilitation ward.Patients: In total 1155 patients (56% men; mean age 61.5 ± 14.3 years) admitted to the neurological rehabilitation ward after a stroke.

Anna Czernuszenko; Anna Czlonkowska

2009-01-01

401

Independent Scientific Advisory Board for the Northwest Power & Conservation Council, Columbia River Basin Indian Tribes, and NOAA Fisheries  

E-print Network

at Rutgers University. Bruce Ward, Fisheries Scientist, Ministry Of Environment, Aquatic Ecosystem Science, Survival, and Instantaneous Mortality Rates of Yearling Chinook and Steelhead through the Lower Snake

402

Panmixia on a continental scale in a widely distributed colonial waterbird  

E-print Network

. American white pelicans (Pelecanus erythrorhynchos) breed across continental North America ­ Pelecanus erythrorhynchos. INTRODUCTION High mobility may enable long-distance dispersal (Ward, Skibinski

Green, Clay - Department of Biology, Texas State University

403

Volume XX, No. 2 A publication of the U.S. Army Installation Management Command  

E-print Network

............................................................................................. 18-19 Ultra-low-energy homes create new benchmarks, by Justin Ward 19 GSA calls for real property trauma research center, by Elaine Wilson Professional Development

US Army Corps of Engineers

404

St. Lawrence Cattaraugus  

E-print Network

Grove Bolivar Willing Ward Alfred Birdsall Burns Andover Angelica Genesee Rushford Wellsville Granger Napoli Ischua MachiasDayton Olean Red House Freedom Lyndon Hinsdale Franklinville Portville Mansfield

Keinan, Alon

405

[Internal structure of inpatient psychiatric hospital care 22 years after the psychiatry inquest].  

PubMed

Starting with the recommendations of the "Psychiatrie-Enquête", a current empirical stock-taking was undertaken about the structure of care in psychiatric hospital units. 319 treatment units (289 in Germany, 11 in Austria, and 19 in Switzerland) were investigated concerning size of the treatment unit, number of wards, centrality of admission, existence of large observation rooms ("Wachsäle"), specialized wards, single sex wards, regionalization/sectorialization, open-door wards, coercive measures, and intended structural changes. The return rate of questionnaires amounted 59%. The results show that the recommendations of the "Psychiatrie-Enquête" are mostly realized today, but not everywhere. Across countries differences resulted in size of ward, centrality of admission, open-door wards, and coercive measures. Treatment units in the western and eastern parts of germany differed in size of ward and centrality of admission. Differences between psychiatric hospitals, psychiatric departments at general hospitals and psychiatric university hospitals were, though significant, smaller than expected in the light of past controversies. Intended structural changes mainly concerned open-door wards, internal sectorialization, decentralization of admission, and mixing the sexes in single sex wards. PMID:9789271

Gebhardt, R P; Steinert, T

1998-09-01

406

The Structure of the Pre-Lunar Disk  

Microsoft Academic Search

In the giant impact model of lunar formation (Cameron & Ward 1976), the Earth is surrounded by a debris disk composed primarily of silicate material immediately following the impact event (e.g., Canup 2004). The dynamical evolution of the disk is driven by gravitational instabilities that generate an effective viscosity, causing the disk to spread (Ward & Cameron 1978; Takeda &

William R. Ward

2010-01-01

407

Tyran Steward Department of History, University of Michigan  

E-print Network

of race and sport. It analyzes the 1934 benching of Willis Ward, an African-American football player having the same legal sanctions that existed in the South. This project chronicles how racism toward Ward, M.A., History, June 2009 Morehouse College, B.A., Sociology, May 2000 ACADEMIC APPOINTMENTS Visiting

Edwards, Paul N.

408

Safe Ride, ECU Transit 285 Easy St 328-7433  

E-print Network

Athletic Director Ward Sports Medicine Bldg 737-1508 Fax 737-4664 Mail Stop 158 Special Studies Program 328-4363 Mail Stop 165 Sports Medicine Clinic Family Medicine Center 744-4611 Mail Stop 654 Sports 654 Sports Medicine/Training, Athletics, Ward Sports Med. Bldg 737-4560 Mail Stop 158 St. Paul

409

Comparison of the Validities of the Beck, Zung, and MMPI Depression Scales  

Microsoft Academic Search

This investigation compared the validities of three widely used self-report depression measures: the Beck Depression Inventory, the MMPI Depression scale, and the Zung Self-Rating Depression Scale. Each inventory was administered to 101 inpatient psychiatric ward patients and to 99 chemical dependency ward patients. The three scales were correlated with clinicians' global ratings of depression, with scores on five Diagnostic and

Allan Schaefer; Jack Brown; Charles G. Watson; Duane Plemel; John DeMotts; Mary T. Howard; Norman Petrik; Bernard J. Balleweg; Douglas Anderson

1985-01-01

410

Edinburgh Research Explorer The 'Walking for Wellbeing in the West' randomised controlled  

E-print Network

-up Citation for published version: Fitzsimons, C, Baker, G, Wright, A, Nimmo, MA, Ward Thompson, C, Lowry, R, Annemarie Wright1, Myra A Nimmo2,8, Catharine Ward Thompson3, Ruth Lowry1, Catherine Millington3, Rebecca.fitzsimons@strath.ac.uk; Graham Baker - graham-b@sphsu.mrc.ac.uk; Annemarie Wright - Annemarie.wright@strath.ac.uk; Myra A Nimmo

Edinburgh, University of

411

The Effects of Victim and Perpetrator Reputation onThe Effects of Victim and Perpetrator Reputation on Physical Distance:Physical Distance  

E-print Network

The Effects of Victim and Perpetrator Reputation onThe Effects of Victim and Perpetrator Reputation? Ashley WardAshley Ward University of New HampshireUniversity of New Hampshire Undergraduate Research: Reputation of victims and/orReputation of victims and/or perpetrators of acquaintance rape

New Hampshire, University of

412

2012-2013 U B C B A N D S  

E-print Network

Christopher Ward, Assistant Conductor Serenade Derek Bourgeois (b. 1941) Stuart Martin, Assistant Conductor Liang, bass Saxophone Michael Morimoto, alto* Christopher Ward, alto* Kaylar Chan, alto Asa Abbott Vaughan* Piano Kelly Bao* Harp Samantha Ballard* Sheryl Hung Percussion Sean Buckley* Julia Chien Victoria

Pulfrey, David L.

413

OSU-Tulsa Library Alice Giacobbe Readers collection  

E-print Network

OSU-Tulsa Library Alice Giacobbe Readers collection July 2013 Merrill Linguistic Readers. Skills. Gray and May Hill Arbuthot, authors. Keith Ward, illustrator. Scott, Foresman and Company, 1940. Hand. William S. Gray and May Hill Arbuthnot, authors. Ellen B. Segner and Keith Ward, illustrators. Scott

Veiga, Pedro Manuel Barbosa

414

SCIENTIFIC NOTE Phloeoxena signata (Dejean): Northern range extensions to Maryland and Tennessee, U.S.A.,  

E-print Network

and accompanying notes are as follows: ``Tennessee: Hamilton County, Harrison State Park, 19 March 2003, R. D. Ward'' (5), from a copse of trees along the Tennessee River (Chickamauga Lake); ``Tennessee: Hardin County); ``Tennessee: Overton Co., 2 Km W Alpine, 23 May 2005, R. D. Ward'' (1), from a hillside on the Cumberland

Erwin, Terry

415

Some Essential Environmental Ingredients for Sex Offender Reintegration  

ERIC Educational Resources Information Center

Until the systematic work on the Good Lives Model (GLM) produced by Tony Ward, not a great deal of conceptual structure existed to provide sex offender treatment specialists with a theoretical underpinning for their work in helping offenders develop a better life as a way to prevent reoffending. However, the work of Ward and colleagues initially…

Boer, Douglas P.

2013-01-01

416

Abrupt environmental change in Canada's northernmost lake inferred from fossil diatom and pigment stratigraphy  

E-print Network

in Nunavut, Canada revealed striking changes in diatom communities and sedimentary pigment concentrations of the northern hemisphere. Ward Hunt Island is surrounded by the Ward Hunt Ice Shelf, which recently fractured Hunt Island, off the northern coast of Ellesmere Island at the northern limit of North America (83

Vincent, Warwick F.

417

Quantum Field Theories on an Algebraic Curve Dedicated to the memory of Moshe Flato  

E-print Network

a `paradigm' interpreting Ward identities as reciprocity laws. Mathematics Subject Classi¢cations (2000). 14H,Ward identities, reciprocity laws. 1. Introduction 1.1. OVERVIEW Recent development in mathematical physics in terms of central extensions of in¢nite-dimensional Lie algebras and proved A. Weil reciprocity law using

Takhtajan, Leon

418

Mon. Not. R. Astron. Soc. 391, 205214 (2008) doi:10.1111/j.1365-2966.2008.13750.x The initial conditions of star formation VIII. An observational study of  

E-print Network

for the pre-stellar core mass function R. J. Simpson, D. Nutter and D. Ward-Thompson School of PhysicsMon. Not. R. Astron. Soc. 391, 205­214 (2008) doi:10.1111/j.1365-2966.2008.13750.x The initial within pre-stellar cores, which are gravitationally bound cores within the clouds (Ward- Thompson et al

Ward-Thompson, Derek

419

, 20130121, published 27 May 20133682013Phil. Trans. R. Soc. B Maren Voss, Hermann W. Bange, Joachim W. Dippner, Jack J. Middelburg, Joseph P. Montoya and  

E-print Network

, Jack J. Middelburg3, Joseph P. Montoya4 and Bess Ward5 1 Leibniz Institute of Baltic Sea Research, 20130121, published 27 May 20133682013Phil. Trans. R. Soc. B Bess Ward Maren Voss, Hermann W. Bange, Joachim W. Dippner, Jack J. Middelburg, Joseph P. Montoya and and the potential relevance

Ward, Bess

420

Mon. Not. R. Astron. Soc. 374, 14131420 (2007) doi:10.1111/j.1365-2966.2006.11246.x A SCUBA survey of Orion the low-mass end of the core mass function  

E-print Network

Mon. Not. R. Astron. Soc. 374, 1413­1420 (2007) doi:10.1111/j.1365-2966.2006.11246.x A SCUBA survey of Orion ­ the low-mass end of the core mass function D. Nutter and D. Ward-Thompson Department of Physics. Stars are known to form within molecular clouds, or more precisely, within pre-stellar cores (Ward

Ward-Thompson, Derek

421

Star Formation at High Angular Resolution ASP Conference Series, Vol. S-221, 2003  

E-print Network

. Jayawardhana & T.L. Bourke The Structure of Cold Molecular Cloud Cores D. Ward-Thompson & D. J. Nutter Dept of Physics, Cardiff University, PO Box 913, Cardiff, UK J. M. Kirk Dept of Astronomy, University of Illinois Andr´e, Ward-Thompson & Barsony 2000). Many studies of cold cores have been carried out to attempt

Ward-Thompson, Derek

422

Adolescents in Crisis: Children's Perception of Parental Behavior.  

ERIC Educational Resources Information Center

Parents' behavior as perceived by an adolescent population admitted to the adolescent crisis Ward at USC Medical Center is analyzed. The sample consisted of 86 patients who were admitted to the adolescent crisis ward during 1969 and 1970. The population could be divided according to four distinct crisis groups: (1) the suicidal group; (2) the…

Nihira, Kazuo; And Others

423

The Role of the Attending Physician in Clinical Training  

ERIC Educational Resources Information Center

A project to analyze and improve clinical teaching on four general pediatric wards of the Montreal Children's Hospital, the major pediatric teaching hospital affiliated with the Faculty of Medicine at McGill University, is reported. Problems that interfere with effective clinical teaching on the wards are documented. (LBH)

And Others; Collins, George F.

1978-01-01

424

Social Justice Is an Attitude  

ERIC Educational Resources Information Center

This article presents the author's reaction to Catherine Marshall and Michael Ward's article on research on social justice and training for leadership. The author read Marshall and Ward's article carefully, making mental notes in preparation for his reaction. In the midst of his reflection about the study, the author suddenly realized that he was…

Garza, Encarnacion, Jr.

2004-01-01

425

Identification of Psychosomatic and Psychic Disorders in Non-Psychiatric In-Patients  

Microsoft Academic Search

In 322 in-patients from 5 different departments of the hospital of the Hannover Medical School the occurrence and characteristics of psychic disorders were studied. Patients were surveyed on 11 separate wards (medicine: 3; surgery: 2; neurology: 2; ear, nose and throat: 2; orthopaedics: 2). These patients represented about 78% of the actual population of the wards during a 3-week period.

Hans-Werner Künsebeck; Wolfgang Lempa; Hellmuth Freyberger

1984-01-01

426

-..COMPUTER JURISPRUDENCE  

E-print Network

of having computer experts accompany police on these search and seizure forays appeas to be worthwhile. V I PUBLICATIONS, INC. #12;good The search warrant used in Ward v. Superior C o u r t i s a example of the technical specificity that should appear in computer crime search warrants. The Ward warrant specified

Shamos, Michael I.

427

Decision, 1980.  

PubMed

The Court ruled that the right of a woman to custody over her ward is not affected by the fact that she goes out to work if she leaves the ward in the care of a suitably diligent and qualified person during her absence. PMID:12346600

1987-01-01

428

The quality of psychiatric nurses' interactions with patients: an observational study  

Microsoft Academic Search

The behaviour of nursing staff in each ward of a psychiatric hospital was observed at 5-min intervals for between 7 and 10 h per day for 10 days. The nurses' behaviour was equally divided between interacting with patients, interacting with staff, solitary task oriented behaviour and other behaviours. There was less staff-patient interaction in the acute ward than in the

W. G. Lambert; L. Beattie

1995-01-01

429

W I N T E R 2 0 1 0 11 WARDROUNDSW  

E-print Network

Unlocking Health Disparities p.10 Confronting Concussions Cover Story: Ward Rounds' new online issue. p.10 Confronting Concussions The NFL is tackling the long-term effects of head trauma p.14 ROUNDS NEWS RESEARCH FEATURES ALUMNI NEWS PROGRESS NOTES UPCOMING EVENTS Ward Rounds Sports a New Design

Chisholm, Rex L.

430

BehavioralNeuroscience Copyright 1996 by the American PsychologicalAssociation, Inc. 1996, Vol. 110,No. 6, 1469-1477 0735-7044/96/$3.00  

E-print Network

BehavioralNeuroscience Copyright 1996 by the American PsychologicalAssociation, Inc. 1996, Vol. 110 Behavior, but Not Serum Testosterone or LH in Adult Male Rats IngeborgL. Ward,O. Byron Ward, Daniel Mehan or only to stress showed no behavioral deficits. Adult serum T and luteinizing hormone levels were normal

French, Jeffrey A.

431

MATHEMATICAL METHODS IN THE APPLIED SCIENCES Math. Meth. Appl. Sci. 2009; 32:12071245  

E-print Network

Michael Drmota1, Bernhard Gittenberger1, Alois Panholzer1, Helmut Prodinger2 and Mark Daniel Ward3,, 1; tries; pattern matching Correspondence to: Mark Daniel Ward, Department of Statistics, Purdue University structure. Their simplicity makes the study of tree characteristics amenable to a wealth of methods from

Ward, Mark Daniel

432

Can volunteer companions prevent falls among inpatients? A feasibility study using a pre-post comparative design  

Microsoft Academic Search

BACKGROUND: Falls in hospital are frequent and their consequences place an increased burden on health services. We evaluated a falls prevention strategy consisting of the introduction of volunteers to 'sit' with patients identified as being at high risk of falling. METHODS: Two four bed 'safety bays' located on medical wards in two hospitals within southern Adelaide were used. Ward fall

Lynne C Giles; Denise Bolch; Robyn Rouvray; Beth McErlean; Craig H Whitehead; Paddy A Phillips; Maria Crotty

2006-01-01

433

Risk of developing atopic disease after early feeding with cows' milk based formula  

Microsoft Academic Search

A follow up of a cohort of 736 healthy full term children with exposure to cows' milk based formula and breast milk from donors on the maternity ward was performed. The children were divided into three exposure groups according to the feeding patterns on the maternity ward. Group 1 received only mother's milk, group 2 mother's milk and human donors'

D Gustafsson; T Löwhagen; K Andersson

1992-01-01

434

Religious Environment The Church of Jesus Christ of Latter-day Saints sponsors BYU to  

E-print Network

Religious Environment The Church of Jesus Christ of Latter-day Saints sponsors BYU to provide housing may attend either the BYU ward or the residential ward in which they live. Other Religious Denominations Approximately twenty-five other religious denominations are represented in the BYU student body

Hart, Gus

435

1st Advances in Solar Physics Euroconference Advances in the Physics os Sunspots  

E-print Network

of a line shift and a line asymmetry in photo- spheric absorption lines being most pronounced at the outer-wards, on the limb side the line shift is red-wards. Since the signal is strongest for sunspots near the limb, one to be magnetized (Solanki et al. 1994). The line asymmetry can be explained self-consistently by assuming

Schlichenmaier, Rolf

436

Epidemiology of Clostridium difficile in Infants  

Microsoft Academic Search

The epidemiology of Clostridium difficile was studied prospectively in 451 newborn infants by daily screening of fecal samples. Colonization rates in three postnatal wards ranged from 2% to 52%. Many colonizations were sporadic, but on two wards there was evidence of clustering. On one of these occasions prospective environmental sampling yielded C. difficile organisms from a potential common source. Mothers

H. E. Larson; F. E. Barclay; P. Honour; I. D. Hill

1982-01-01

437

UNIVERSITY AFFAIRS COMMITTEE TAB 7.1 NORTH CAROLINA STATE UNIVERSITY Page 1  

E-print Network

, Jim Owens, Chandler Thompson, Susan Ward CALL TO ORDER Norris Tolson, Committee Chair ROLL CALL. Presenter: Provost Warwick Arden (on behalf of Dr. Louis Hunt, University Registrar and Vice Provost Chair Lawrence Davenport Jim Owens Chandler Thompson Susan Ward Barbara Mulkey, Board Chair Others

Buckel, Jeffrey A.

438

Onward participation of a hospital pharmacist in a Dutch intensive care unit reduces prescribing errors and related patient harm: an intervention study  

Microsoft Academic Search

ABSTRACT: INTRODUCTION: Patients admitted to an intensive care unit (ICU) are at high risk for prescribing errors and related adverse drug events (ADEs). An effective intervention to decrease this risk, based on studies conducted mainly in North America, is on-ward participation of a clinical pharmacist in an ICU team. As the Dutch Healthcare System is organized differently and the on-ward

Joanna E Klopotowska; Rob Kuiper; Hendrikus J van Kan; Anne-Cornelie de Pont; Marcel G Dijkgraaf; Loraine Lie-A-Huen; Margreeth B Vroom; Susanne M Smorenburg

2010-01-01

439

Ecological Studies of Wolves on Isle Royale Annual Report 20012002*  

E-print Network

,AndrewWard,KimmyWard,and leader Erin Parker Team 4C: Mike Dundas,Patricia Grillo,Chris Roder,Zak Roder,Jen Selfridge,and leader,setting sun,wild rose,cow moose and calf in June,Middle Pack on a kill in 1994,and hiking on the Minong Ridge

440

Group Therapy with Multiple Therapists in A Large Group.  

ERIC Educational Resources Information Center

The utilization of multiple therapists in large group therapy meetings has been found to be a significant improvement over the traditional ward meeting or patient-staff conference. The initially limited goals of reducing ward tension and acting out by means of patients ventilation were surpassed. Despite the size of the meetings it was often…

Herschleman, Philip; Freundlich, David

441

A multi-center trial of the effects of oral nutritional supplementation in critically ill older inpatients  

Microsoft Academic Search

The purpose of this study was to assess the effect of nutritional supplementation on dietary intake and on pressure ulcer development in critically ill older patients. The multi-center trial involved 19 wards stratified according to speciality and recruitment for critically ill older patients; 9 wards were randomly selected for nutritional intervention (nutritional intervention group), consisting of the daily distribution of

Isabelle Bourdel-Marchasson; Martine Barateau; Virginie Rondeau; Laurence Dequae-Merchadou; Nathalie Salles-Montaudon; Jean-Paul Emeriau; Gerard Manciet; Jean-François Dartigues

2000-01-01

442

advance1@etal.uri.edu http://www.uri.edu/advance  

E-print Network

, B. D., G. F. Steward, S. M. Short, B. B. Ward, and J. P. Zehr. 2004. Fingerprinting diazotroph communities in the Chesapeake Bay by using a DNA macroarray. Applied And Environmental Microbiology 70. Jenkins, B. B. Ward, and J. P. Zehr. 2004. Development and testing of a DNA macroarray to assess

Rhode Island, University of

443

A Weight-Reduction Program for Schizophrenic Patients on a Token Economy Unit: Two Case Studies  

ERIC Educational Resources Information Center

Overweight patients on a token economy psychiatric ward were reinforced with tokens, off ward privileges and social approval for meeting a weight loss criterion of three pounds per week. The progress of two subjects, both chronic paranoid schizophrenics, is described. The procedure appears to be effective. (Author)

Upper, Dennis; Newton, Judith G.

1971-01-01

444

L'échelle de l'atmosphère dans les services psychiatriques (EAS)  

Microsoft Academic Search

The use of a French translation (EAS) of MOOS's “Ward Atmosphere Scale” (WAS C) is reported. This questionnaire (100 items, 10 categories) allows the assessment of consensus between patients and staff members characterizing social climate on psychiatric wards. The elaboration of the WAS C is briefly described, as well as content, administration and evaluation of the EAS. The results obtained

J. P. Dauwalder; D. Chabloz; J. M. Chappuis

1978-01-01

445

A modified McCabe score for stratification of patients after intensive care unit discharge: the Sabadell score  

Microsoft Academic Search

INTRODUCTION: Mortality in the ward after an intensive care unit (ICU) stay is considered a quality parameter, and is described as a source of avoidable mortality. Additionally, the attending intensivist frequently anticipates fatal outcome after ICU discharge. Our objective was to test the ability of a new score to stratify patients according to ward mortality after ICU discharge. METHODS: A

Rafael Fernandez; Francisco Baigorri; Gema Navarro; Antonio Artigas

2006-01-01

446

An observational study of intravenous medication errors in the United Kingdom and in Germany  

Microsoft Academic Search

Objectives: To investigate the incidence and the severity of intravenous (i.v.) drug preparation and administration errors in two countries and three pharmacy services. Method: A disguised observational method was used to record details of the preparation and administration of prescribed i.v. drugs on two wards in each of three teaching hospitals: one with a traditional British ward pharmacy service (TBP)

V. Wirtz; Nick D. Barber; K. taxis

2003-01-01

447

The Natural  

ERIC Educational Resources Information Center

Caroline Ward's energetic enthusiasm for books and children is contagious. In 36 years of library service to children, no librarian, student, or child who has heard her tell a story, give a booktalk, lead a discussion group, or teach a children's literature class is likely to have forgotten the experience. While Ward is cheerfully offhand about…

McClelland, Kate

2005-01-01

448

77 FR 143 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as officer of the Commission...

2012-01-03

449

77 FR 39273 - Express Mail Rates  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in this proceeding. It...July 9, 2012. 3. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as the officer of the...

2012-07-02

450

77 FR 42515 - Product List Change  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as an officer of the...

2012-07-19

451

77 FR 49474 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as officer of the Commission...

2012-08-16

452

77 FR 55233 - Product List Changes  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as an officer of the...

2012-09-07

453

77 FR 49473 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as officer of the Commission...

2012-08-16

454

77 FR 39275 - Product List Changes  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as an officer of the...

2012-07-02

455

77 FR 42779 - Product List Change  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as an officer of the...

2012-07-20

456

77 FR 48178 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as officer of the Commission...

2012-08-13

457

77 FR 47885 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as officer of the Commission...

2012-08-10

458

77 FR 75452 - New International Mail Contract  

Federal Register 2010, 2011, 2012, 2013

...appears at 39 CFR 3007.40. The Commission appoints Natalie Rea Ward to represent the interest of the general public (Public...Pursuant to 39 U.S.C. 505, the Commission designates Natalie Rea Ward to serve as an officer of the Commission (Public...

2012-12-20

459

77 FR 58422 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as an officer of the...

2012-09-20

460

77 FR 304 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as officer of the Commission...

2012-01-04

461

77 FR 42778 - Product List Change  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as an officer of the...

2012-07-20

462

77 FR 4376 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in these dockets. III...in each docket. 2. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as officer of the Commission...

2012-01-27

463

77 FR 1089 - New Postal Product  

Federal Register 2010, 2011, 2012, 2013

...http://www.prc.gov). The Commission appoints Natalie Rea Ward to serve as Public Representative in the captioned filings...January 10, 2012. 3. Pursuant to 39 U.S.C. 505, Natalie Rea Ward is appointed to serve as the officer of the...

2012-01-09

464

List of the Institute's Recognised Hospitals showing class, eligibility and percentage of reimbursement. (New) Name of the Hospital % admissible for  

E-print Network

List of the Institute's Recognised Hospitals showing class, eligibility and percentage of reimbursement. (New) Sr. No. Name of the Hospital % admissible for reimbursement Pay in Pay Band below Rs.7440 Special Ward Day Care Semi Private Semi Private Deluxe 2 Bethany Hospital, Thane (W) 100 % General Ward

Narayanan, H.

465

LLW Notes, Volume 12, Number 2  

SciTech Connect

Contents include the following articles: National Environmental Justice Advisory Council considers Ward Valley resolution; NGA urges Congressional and Presidential support for low-level radioactive waste compacts and transfer of federal land in Ward Valley; RFP issued for SEIS on Ward Valley land transfer; Illinois siting criteria finalized; Consideration of tribal concerns during Ward Valley siting process; State legislators` LLRW working group meets in D.C.; Upcoming state and compact events; Court calendar; Texas compact legislation introduced in Congress; Superfund reform is a priority for 105th Congress; High-level waste bill gets off to an early start; Fort Mojave petition NEJAC for Ward Valley resolution; EPA withdraws cleanup rule from OMB; Board ruling raises doubts about proposed Louisiana enrichment facility; DOE recommends external regulation by NRC; and Supplement--Background on environmental justice.

Norris, C.; Brown, H. [eds.; Colsant, J.; Lovinger, T.; Scheele, L.; Shaker, M.A.

1997-02-01

466

Infrastructure and Contamination of the Physical Environment in Three Bangladeshi Hospitals: Putting Infection Control into Context  

PubMed Central

Objective This paper describes the physical structure and environmental contamination in selected hospital wards in three government hospitals in Bangladesh. Methods The qualitative research team conducted 48 hours of observation in six wards from three Bangladeshi tertiary hospitals in 2007. They recorded environmental contamination with body secretions and excretions and medical waste and observed ward occupant handwashing and use of personal protective equipment. They recorded number of persons, number of open doors and windows, and use of fans. They measured the ward area and informally observed waste disposal outside the wards. They conducted nine focus group discussions with doctors, nurses and support staff. Results A median of 3.7 persons were present per 10 m2 of floor space in the wards. A median of 4.9 uncovered coughs or sneezes were recorded per 10 m2 per hour per ward. Floors in the wards were soiled with saliva, spit, mucous, vomitus, feces and blood 125 times in 48 hours. Only two of the 12 patient handwashing stations had running water and none had soap. No disinfection was observed before or after using medical instruments. Used medical supplies were often discarded in open containers under the beds. Handwashing with soap was observed in only 32 of 3,373 handwashing opportunities noted during 48 hours. Mosquitoes and feral cats were commonly observed in the wards. Conclusions The physical structure and environment of our study hospitals are conducive to the spread of infection to people in the wards. Low-cost interventions on hand hygiene and cleaning procedures for rooms and medical equipment should be developed and evaluated for their practicality and effectiveness. PMID:24586516

Rimi, Nadia Ali; Sultana, Rebeca; Luby, Stephen P.; Islam, Mohammed Saiful; Uddin, Main; Hossain, Mohammad Jahangir; Zaman, Rashid Uz; Nahar, Nazmun; Gurley, Emily S.

2014-01-01

467

[Psychology and psychiatry in the 7th Navy Hospital in the light of its 75th anniversary].  

PubMed

2007 is a year of 75 years' jubilee of VII Navy Hospital in Gda?sk. Reminding of it's history seems to be important element of military psychologists and psychiatrists conference organized by hospital's personnel. SHORT HISTORY OF THE VII NAVY HOSPITAL IN GDANSK: The VII Navy Hospital came into existence in 1st May of 1932 in Gdynia Oksywie and included one hundred beds on surgery and general practice wards. In 1949 the hospital has been connected with general military hospital in Gda?sk and has got it's actual place. There have been fifteen commandants since that time. Commandore Piotr Drabarek is actual commandant of this hospital. The most interesting person in a group of commandants was admiral Wies?aw Lasi?ski, later chancellor of Military Medical Academy in Lód?. NOWADAYS OF THE VII NAVY HOSPITAL: The hospital actually includes twelve wards. There works one professors, fifteen physicians with degree of doctor and few doctors with open doctoral dissertations. Modern equipment, highly qualified medical staff, ensure professional medical care. History of the psychology and psychiatry The VII Navy Hospital in Gda?sk hadn't included psychiatry ward until seventieth years of XX century. Psychosomatic ward came to existence in 1970 and in 1975 has become psychiatry. Actual boss of the ward is doctor Alicja Furma?ska. It is worth to say something about psychosomatic ward which came to existence in 2005 and is lead by Ltd. Ma?gorzata Zychli?ska. It is professional medical base in Polish army. Four hundred patients is treated in this ward in a year on forty beds. In addition, both wards employs five doctors and five psychologists. They control 3500 patients a year. HISTORY REFLECTION: In spite of many historical, political, economical event difficulties the institution which bases on determinations, competence and personal attitude develops constantly. Psychiatry and psychology ward in the VII Navy Hospital in Gda?sk are said "unsinkable". PMID:19025039

Zychli?ska, Ma?gorzata

2008-01-01

468

35. BOILER HOUSE, TRACK FOR COAL CARS LEADING TO COAL ...  

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

35. BOILER HOUSE, TRACK FOR COAL CARS LEADING TO COAL TOWER No. 2 (NOTE: SKYLIGHT ABOVE; COAL CARS IN FAR BACKGROUND) - Delaware County Electric Company, Chester Station, Delaware River at South end of Ward Street, Chester, Delaware County, PA

469

39. BOILER HOUSE, COAL CONVEYOR LEADING FROM COAL TOWER No. ...  

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

39. BOILER HOUSE, COAL CONVEYOR LEADING FROM COAL TOWER No. 1 (WEST) (NOTE: COAL CARS No. 9 & 5 IN BACKGROUND) - Delaware County Electric Company, Chester Station, Delaware River at South end of Ward Street, Chester, Delaware County, PA

470

34. BOILER HOUSE, COAL CONVEYOR AND TURNAROUND TRACK FOR COAL ...  

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

34. BOILER HOUSE, COAL CONVEYOR AND TURN-AROUND TRACK FOR COAL CARS (NOTE: COAL CAR No. 6 IN FAR BACK GROUND) - Delaware County Electric Company, Chester Station, Delaware River at South end of Ward Street, Chester, Delaware County, PA

471

ORIGINAL ARTICLE X chromosome influences sperm length in the  

E-print Network

ORIGINAL ARTICLE X chromosome influences sperm length in the stalk-eyed fly Cyrtodiopsis dalmanni). Similarly, sperm length is strongly influenced by X-linked genes in dung flies (Ward, 2000) and crickets

Wilkinson, Gerald S.

472

INTRODUCTION In order to survive in hypoxic environments, animals must continue  

E-print Network

on the selective pressure driving hypoxia tolerance. For example, the bar-headed goose (Anser indicus) flies over concurrently increase 10- to 15-fold above resting levels in this species to sustain flight (Ward et al., 2002

Schluter, Dolph

473

Starting out - A boy's death in Tanzania taught me that avoidable errors cost lives.  

PubMed

In my final year of nurse training, I undertook a seven-week elective placement in Mbeya, Tanzania, where I worked in a maternity hospital and on a children's ward in a general hospital. PMID:25294471

Penn, Sarah

2014-10-01

474

Novel approaches to investigate behaviors of bacteria by atomic force microscopy and circulating tumor cells through microfluidics  

E-print Network

The adaptability and apparent ingenuity of renegade and intruding cells within the human body present formidable challenges in warding off disease. As the longevity of humans increases, cancer will afflict greater numbers, ...

Gray, David Steven

2014-01-01

475

Inpatient Medicine Clerkship Review 3/20/14 MEC subcommittee: Dr. John Dick, Dr. Hilary Ryder, Dr. Bob Hyde, Dr. Cathy Morrow, Dr. Pinto-  

E-print Network

the treatment for the most common inpatient diagnoses including chest pain, arrhythmia, CHF, COPD, PNA, PE/DVT, delirium (altered mental status), acute pain crisis patients understand treatment options. Performance Evals Skills Form Wards

Myers, Lawrence C.

476

The Powering Sources of the Quadrupolar Molecular Outflow in L723  

E-print Network

. The spectral energy distribution of this source, as obtained from far­infrared, submillimeter (Davidson 1987 0 (Andr'e, Ward­Thompson, & Bar­ sony 1993) object with an estimated bolometric lumi­ nosity

Estalella, Robert

477

8. DETAIL OF QUONSET HUT SHOWING BOARDWALK ON TUNDRA CONNECTING ...  

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

8. DETAIL OF QUONSET HUT SHOWING BOARDWALK ON TUNDRA CONNECTING QUONSET HUTS THAT DID NOT HAVE INTERCONNNECTING WOOD FRAME CORRIDORS - Fort Randall, Neuro-Psychiatric Ward, Northeast of intersection of California Boulevard & Nurse Drive, Cold Bay, Aleutian Islands, AK

478

Eurographics Symposium on Geometry Processing 2014 Thomas Funkhouser and Shi-Min Hu  

E-print Network

[MTS 05], in recent years the interest has shifted to- wards the definition of region (or component a summary of our contribution in Sect. 1.2, we present hereafter a brief review of the most relevant works

Cremers, Daniel

479

Physics 619: Fields II Fall 2013 PREREQUISITES  

E-print Network

and Feynman rules: Feynman rules for QED. Gauge invariance of the scattering amplitudes. Electron vertex: Electron propagator. Electron vertex function. Ward-Takahashi identity. Magnetic moment of the electron Theory: Vacuum polarization: formal structure. Renormalized action and counterterms. Pauli

Glashausser, Charles

480

NUCLEAR FUNCTIONS OF ADENOMATOUS POLYPOSIS COLI: REGULATION OF THE G2-M CELL CYCLE TRANSITION & INTERMEDIATE FILAMENT INTERACTION  

E-print Network

_______________________ Robert J. Coffey _______________________ Yoshiaki Azuma _______________________ Robert S. Cohen _______________________ Erik A. Lundquist _______________________ John D. Robertson... ________________________ Robert S. Cohen ________________________ Erik A. Lundquist ________________________ John D. Robertson ________________________ Robert E. Ward Date approved: 1...

Wang, Yang

2009-01-22