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Sample records for halfa hospital eastern

  1. Morbidity and mortality of severe malnutrition among Sudanese children in New Halfa Hospital, Eastern Sudan.

    PubMed

    Mahgoub, Hyder M; Adam, Ishag

    2012-01-01

    Medical files of children with severe malnutrition admitted at New Halfa hospital, Sudan during 2007-2009 were reviewed. A total of 1097 children (54.9%, 602 male) with severe malnutrition were admitted during the three year period. Oedematous severe malnutrition was found in 179 (16.3%) children. Of these 1097, 796 (72.6%) patients with severe malnutrition were children <2 years old. Out of these 1097 children, 780 (71.1%) and 112 (10.2%) had diarrhoea and malaria, respectively. Sixty-one (5.5%) of these children died, 237 (21.6%) discharged against medical advice and 799 (72.8%) were discharged. Of the 61 children who died 11 (18.0%) had septicaemia following diarrhoea and respiratory tract infections. The case fatality rate was not different with sex or with presence/absence of oedema.

  2. Epidemiology of Schistosomiasis among Villagers of the New Halfa Agricultural Scheme, Sudan

    PubMed Central

    AFIFI, Azzam; AHMED, Abdel-Aziz A.; SULIEMAN, Yassir; PENGSAKUL, Theerakamol

    2016-01-01

    Background: Schistosomiasis is one of the major communicable diseases of public health and socioeconomic importance in developing countries. This study assessed the situation of schistosomiasis among villagers of the New Halfa Agricultural Scheme, Sudan. Methods: An epidemiological survey was carried out in three randomly selected residential sites: Village 19, Village 26 and Talat shagrat Camp, from October to December 2013. Feces and urine samples were collected from 2433 individual (1195 male and 1238 female) and examined for schistosomiasis infection. The prevalence and intensity of infection were calculated according to study sites and participants’ sex and age-group. Results: There was no infection with Schistosoma haematobium among the examined individuals, while the overall prevalence of S. mansoni infection was 27.4% and the mean intensity among those infected was 261.1 eggs per gram (epg). A high prevalence and intensity of infection was found among the residents of Talat shagrat Camp, followed by the other two villages. The prevalence of infection among males was 41.4%, and among females was 13.9%. On the other hand, the intensity of infection among females was 293.4 epg and among males 187.6 epg. A high prevalence of infection was found in the age-groups 11–20 years and > 50 years. High intensity of infection was present in the age-groups 31–40 years and > 50 years. Conclusion: The finding of the study shows the need for an integrated control program against schistosomiasis. Mass treatment, provision of adequate clean-water supply and combating the intermediate snail host are suggested. PMID:27095977

  3. Assessment of Pharmacy Information System Performance in Three Hospitals in Eastern Province, Saudi Arabia

    PubMed Central

    El.Mahalli, Azza; El-Khafif, Sahar H.; Yamani, Wid

    2016-01-01

    The pharmacy information system is one of the central pillars of a hospital information system. This research evaluated a pharmacy information system according to six aspects of the medication process in three hospitals in Eastern Province, Saudi Arabia. System administrators were interviewed to determine availability of functionalities. Then, system users within the hospital were targeted to evaluate their level of usage of these functionalities. The study was cross-sectional. Two structured surveys were designed. The overall response rate of hospital users was 31.7 percent. In all three hospitals studied, the electronic health record is hybrid, implementation has been completed and the system is running, and the systems have computerized provider order entry and clinical decision support. Also, the pharmacy information systems are integrated with the electronic health record, and computerized provider order entry and almost all prescribing and transcription functionalities are available; however, drug dispensing is a mostly manual process. However, the study hospitals do not use barcode-assisted medication administration systems to verify patient identity and electronically check dose administration, and none of them have computerized adverse drug event monitoring that uses the electronic health record. The numbers of users who used different functionalities most or all of the time was generally low. The highest frequency of utilization was for patient administration records (56.8 percent), and the lowest was for linkage of the pharmacy information system to pharmacy stock (9.1 percent). Encouraging users to use different functionalities was highly recommended. PMID:26903780

  4. Assessment of Pharmacy Information System Performance in Three Hospitals in Eastern Province, Saudi Arabia.

    PubMed

    El Mahalli, Azza; El-Khafif, Sahar H; Yamani, Wid

    2016-01-01

    The pharmacy information system is one of the central pillars of a hospital information system. This research evaluated a pharmacy information system according to six aspects of the medication process in three hospitals in Eastern Province, Saudi Arabia. System administrators were interviewed to determine availability of functionalities. Then, system users within the hospital were targeted to evaluate their level of usage of these functionalities. The study was cross-sectional. Two structured surveys were designed. The overall response rate of hospital users was 31.7 percent. In all three hospitals studied, the electronic health record is hybrid, implementation has been completed and the system is running, and the systems have computerized provider order entry and clinical decision support. Also, the pharmacy information systems are integrated with the electronic health record, and computerized provider order entry and almost all prescribing and transcription functionalities are available; however, drug dispensing is a mostly manual process. However, the study hospitals do not use barcode-assisted medication administration systems to verify patient identity and electronically check dose administration, and none of them have computerized adverse drug event monitoring that uses the electronic health record. The numbers of users who used different functionalities most or all of the time was generally low. The highest frequency of utilization was for patient administration records (56.8 percent), and the lowest was for linkage of the pharmacy information system to pharmacy stock (9.1 percent). Encouraging users to use different functionalities was highly recommended.

  5. Evaluation of hospital-learning environment for pediatric residency in eastern region of Saudi Arabia

    PubMed Central

    2015-01-01

    Purpose: No study had been conducted to assess the hospitals’ environment for learning purposes in multicenter sites in Saudi Arabia. It aims to evaluate the environment of hospitals for learning purposes of pediatric residents. Methods: We applied Postgraduate Hospital Educational Environment Measure (PHEEM) to measure the learning environment at six teaching hospitals in the Eastern Region of Saudi Arabia from September to December 2013. Results: The number of respondents was 104 (86.7%) out of 120 residents and 37 females and 67 male residents have responded. The residents’ response scored 100 out of 160 maximum score in rating of PHEEM that showed overall learning environment is favorable for training. There were some items in the social support domain suggesting improvements. There was no significant difference between male and female residents. There was a difference among the participant teaching hospitals (p<0.05). Conclusion: The result pointed an overall positive rating. Individual item scores suggested that their social life during residency could be uninspiring. They have the low satisfactory level and they feel racism, and sexual discrimination. Therefore, there is still a room for improvement. PMID:25959654

  6. Indoor air quality levels in a University Hospital in the Eastern Province of Saudi Arabia

    PubMed Central

    El-Sharkawy, Mahmoud F.; Noweir, Mohamed E. H.

    2014-01-01

    Aim of the Study: The complex hospital environment requires special attention to ensure a healthy indoor air quality (IAQ) to protect patients and healthcare workers against hospital-acquired infections and occupational diseases. Poor hospital IAQ may cause outbreaks of building-related illness such as headaches, fatigue, eye, and skin irritations, and other symptoms. The general objective for this study was to assess IAQ inside a large University hospital at Al-Khobar City in the Eastern Province of Saudi Arabia. Materials and Methods: Different locations representing areas where most activities and tasks are performed were selected as sampling points for air pollutants in the selected hospital. In addition, several factors were studied to determine those that were most likely to affect the IAQ levels. The temperature and relative percent humidity of different air pollutants were measured simultaneously at each location. Results: The outdoor levels of all air pollutant levels, except volatile organic compounds (VOCs), were higher than the indoor levels which meant that the IAQ inside healthcare facilities (HCFs) were greatly affected by outdoor sources, particularly traffic. The highest levels of total suspended particulates (TSPs) and those less than 10 microns (PM10) inside the selected hospital were found at locations that are characterized with m4ore human activity. Conclusions: Levels of particulate matter (both PM10 and TSP) were higher than the Air Quality Guidelines (AQGs). The highest concentrations of the fungal species recorded were Cladosporium and Penicillium. Education of occupants of HCF on IAQ is critical. They must be informed about the sources and effects of contaminants and the proper operation of the ventilation system. PMID:24696632

  7. Deaths Rates in Public Hospitals of Eastern Cape Province of South Africa

    PubMed Central

    Buso, DL; Longo-Mbenza, B; Bovet, P; van den Borne, B; Okwe, A Nge; Mzingelwa, M

    2012-01-01

    Background: South Africa (SA) is experiencing a rapid epidemiologic transition as a consequence of political, economic and social changes. In this study we described, based on hospital data, the mortality patterns of Non communicable Diseases (NCD), Communicable Diseases (CD), the NCD/CD ratios, and the trends of deaths. Methods: We conducted a cross-sectional survey of all deaths occurring in several public hospitals in the Eastern Cape Province of SA between 2002 and 2006. Causes of deaths were coded according to the ICD 10 Edition. Results: A total of 107380 admissions responded to the inclusion criteria between 2002 and 2006. The crude death rate was 4.3% (n=4566) with a mean age of 46±21 years and a sex ratio of 3.1 men (n=3453): 1 woman (n=1113). Out of all deaths, there were 62.9% NCD (n=2872) vs. 37.1% CD (n=1694) with NCD/CD ratio of 1.7. The ratio NCD/CD deaths in men was 1.3 (n=1951/1502) vs. NCD/CD deaths in women of 1.9 (n=735/378). The peak of deaths was observed in winter season. The majority of NCD deaths were at age of 30–64 years, whereas the highest rate of CD deaths was at age< 30 years. The trend of deaths including the majority of NCD, increased from 2002 to 2006. There was a tendency of increase in tuberculosis deaths, but a tendency of decrease in HIV/AIDS deaths was from 2002 to 2006. Conclusion: Non-communicable diseases are the leading causes of deaths in rural Eastern Cape province of SA facing Post-epidemiologic transition stages. We recommend overarching priority actions for the response to the Non-communicable Diseases: policy change, prevention, treatment, international cooperation, research, monitoring, accountability, and re-orientation of health systems. PMID:23641386

  8. Job Satisfaction among Doctors of a Government Medical College and Hospital of Eastern India

    PubMed Central

    Ray, Kuntala; Kumar Roy, Jayanta; Mukherjee, Abhijit; Roy, Hironmoy; Datta, Saikat

    2016-01-01

    Background: Job satisfaction expresses the extent of congruence between an individual’s expectation of the job and the reward that the job provides.Job satisfaction among doctors is an issue that is of utmost importance because offactors like patient relationships and time pressures associated with managed care. The current study was done to determine the level of job satisfaction in doctors posted in a tertiary care hospital of eastern India and to find out the factors associated with it. Materials and Methods: A descriptive cross sectional study was conducted among 255 doctors posted in a tertiary care hospital of eastern India. Data werecollected using a self-reported questionnaire consisting of 49 items addressing the seven domains of job satisfaction, where higher values indicated higher level of satisfaction. The average scores of items were computed to construct factor scores for each individual. Two stage cluster analysis was performed to get the proportion of satisfied doctors and binary logistic regression was used for comparison of predictors of job satisfaction. Results: The proportion of job satisfaction was found to be 59.6% and the most important factor was found to be working space. On adjustment, the odds of being satisfied were found to be higher in the older age groups, among males, doctors posted in preclinical or paraclinical departments and those staying in present setting for 5 years or more. Conclusion: More than half of the doctors were found to be satisfied with their job which can help the policy makers to make necessary strategies to increase the level of satisfaction of the employees. . PMID:27822405

  9. Rationale and design of the cardiorespiratory fitness and hospitalization events in armed forces study in Eastern Taiwan

    PubMed Central

    Lin, Gen-Min; Li, Yi-Hwei; Lee, Chung-Jen; Shiang, Jeng-Chuan; Lin, Ko-Huan; Chen, Kai-Wen; Chen, Yu-Jung; Wu, Ching-Fen; Lin, Been-Sheng; Yu, Yun-Shun; Lin, Felicia; Su, Fung-Ying; Wang, Chih-Hung

    2016-01-01

    AIM To investigate the association between cardiorespiratory fitness and hospitalization events in a cohort of large voluntary arm forces in Taiwan. METHODS The cardiorespiratory fitness and hospitalization events in armed forces (CHIEF) is a retrospective cohort consisting of more than 4000 professional military members aged 18-50 years in Eastern Taiwan. All participants received history taking, physical examination, chest radiography, 12-lead electrocardiography, blood tests for cell counts and fasting glucose, lipid profiles, uric acid, renal function and liver function in the Hualien Armed Forces General Hospital during 2014. In addition, participants were required to undergo two indoor resistant exercise tests including 2-min push-up and 2-min sit-up, both scored by infrared sensing, and one outdoor endurance 3000-m none weight-bearing running test, the main indicator of cardiorespiratory fitness in the Military Physical Training and Testing Center in Eastern Taiwan in 2014. RESULTS Hospitalization events for cardiovascular disease, acute kidney injury, rhabdomyolysis, severe infectious disease, acute psychiatric illness, diabetes, orthopedic surgery and mortality will be identified in the National Insurance Research Database for 10 years. CONCLUSION CHIEF will be among the largest Eastern Asian armed forces cohort, in which physical status was strictly evaluated to follow up the hospitalization events for severe illness. PMID:27621774

  10. Severe Plasmodium falciparum and Plasmodium vivax malaria among adults at Kassala Hospital, eastern Sudan

    PubMed Central

    2013-01-01

    Background There have been few published reports on severe Plasmodium falciparum and Plasmodium vivax malaria among adults in Africa. Methods Clinical pattern/manifestations of severe P. falciparum and P. vivax (according to World Health Organization 2000 criteria) were described in adult patients admitted to Kassala Hospital, eastern Sudan. Results A total of 139 adult patients (80 males, 57.6%) with a mean (SD) age of 37.2 (1.5) years presented with severe P. falciparum (113, 81.3%) or P. vivax (26, 18.7%) malaria. Manifestations among the 139 patients included hypotension (38, 27.3%), cerebral malaria (23, 16.5%), repeated convulsions (18, 13.0%), hypoglycaemia (15, 10.8%), hyperparasitaemia (14, 10.1%), jaundice (14, 10.1%), severe anaemia (10, 7.2%), bleeding (six, 4.3%), renal impairment (one, 0.7%) and more than one criteria (27, 19.4%). While the geometric mean of the parasite count was significantly higher in patients with severe P. vivax than with severe P. falciparum malaria (5,934.2 vs 13,906.6 asexual stage parasitaemia per μL, p = 0.013), the different disease manifestations were not significantly different between patients with P. falciparum or P. vivax malaria. Three patients (2.2%) died due to severe P. falciparum malaria. One had cerebral malaria, the second had renal impairment, jaundice and hypoglycaemia, and the third had repeated convulsions and hypotension. Conclusions Severe malaria due to P. falciparum and P. vivax malaria is an existing entity among adults in eastern Sudan. Patients with severe P. falciparum and P. vivax develop similar disease manifestations. PMID:23634728

  11. Hospital Admission following Induced Abortion in Eastern Highlands Province, Papua New Guinea – A Descriptive Study

    PubMed Central

    Vallely, Lisa M.; Homiehombo, Primrose; Kelly-Hanku, Angela; Kumbia, Antonia; Mola, Glen D. L.; Whittaker, Andrea

    2014-01-01

    Background In Papua New Guinea abortion is restricted under the Criminal Code Act. While safe abortions should available in certain situations, frequently they are not available to the majority of women. Sepsis from unsafe abortion is a leading cause of maternal mortality. Our findings form part of a wider, mixed methods study designed to identify complications requiring hospital treatment for post abortion care and to explore the circumstances surrounding unsafe abortion. Methods Through a six month prospective study we identified all women presenting to the Eastern Highlands Provincial Hospital following spontaneous and induced abortions. We undertook semi-structured interviews with women and reviewed individual case notes, extracting demographic and clinical information. Findings Case notes were reviewed for 56% (67/119) of women presenting for post abortion care. At least 24% (28/119) of these admissions were due to induced abortion. Women presenting following induced abortions were significantly more likely to be younger, single, in education at the time of the abortion and report that the baby was unplanned and unwanted, compared to those reporting spontaneous abortion. Obtained illegally, misoprostol was the method most frequently used to end the pregnancy. Physical and mechanical means and traditional herbs were also widely reported. Conclusion In a country with a low contraceptive prevalence rate and high unmet need for family planning, all reproductive age women need access to contraceptive information and services to avoid, postpone or space pregnancies. In the absence of this, women are resorting to unsafe means to end an unwanted pregnancy, putting their lives at risk and putting an increased strain on an already struggling health system. Women in this setting need access to safe, effective means of abortion. PMID:25329982

  12. Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India

    PubMed Central

    Sen, Arpita; Chowdhury, Satyendranath; Poddar, Indrasish; Bandyopadhyay, Debabrata

    2016-01-01

    Introduction: Dermatology is primarily a non-acute, outpatient-centered clinical specialty, but substantial number of patients need indoor admission for adequate management. Over the years, the need for inpatient facilities in Dermatology has grown manifold; however, these facilities are available only in some tertiary centers. Aims and Objectives: To analyze the characteristics of the diseases and outcomes of patients admitted in the dermatology inpatient Department of a tertiary care facility in eastern India. Materials and Methods: We undertook a retrospective analysis of the admission and discharge records of all patients, collected from the medical records department, admitted to our indoor facility from 2011 to 2014. The data thus obtained was statistically analyzed with special emphasis on the patient's demographic profile, clinical diagnosis, final outcome, and duration of stay. Results and Analysis: A total of 375 patients were admitted to our indoor facility during the period. Males outnumbered females, with the median age in the 5th decade. Immunobullous disorders (91 patients, 24.27%) were the most frequent reason for admissions, followed by various causes of erythroderma (80 patients, 21.33%) and infective disorders (73 patients, 19.47%). Other notable causes included cutaneous adverse drug reactions, psoriasis, vasculitis, and connective tissue diseases. The mean duration of hospital stay was 22.2±15.7 days; ranging from 1 to 164 days. Majority of patients (312, 83.2%) improved after hospitalization; while 29 (7.73%) patients died from their illness. About 133 patients (35.64%) required referral services during their stay, while 8 patients (2.13%) were transferred to other departments for suitable management. Conclusion: Many dermatoses require inpatient care for their optimum management. Dermatology inpatient services should be expanded in India to cater for the large number of cases with potentially highly severe dermatoses. PMID:27688450

  13. Multidisciplinary management of hepatocellular carcinoma with portal vein tumor thrombus - Eastern Hepatobiliary Surgical Hospital consensus statement.

    PubMed

    Cheng, Shuqun; Yang, Jiamei; Shen, Feng; Zhou, Weiping; Wang, Yi; Cong, Wenming; Yang, Guang Shun; Cheng, Hongyan; Hu, Heping; Gao, Chunfang; Guo, Jia; Li, Aijun; Meng, Yan; Jiang, Xiaoqing; Yang, Yefa; Qian, Guojun; Luo, Ming; Hu, Bing; Man, Xiaobo; Zhang, Baohua; Su, Changqing; Zhou, Feiguo; Li, Nan; Shi, Jie; Wang, Meng; Zheng, Yaxin; Guo, Weixing; Sun, Juxian; Wang, Hongyang; Lau, Wan-Yee; Wu, Meng-Chao

    2016-06-28

    Hepatocellular carcinoma (HCC) complicated by portal vein tumor thrombus (PVTT) is associated with poor prognosis, early recurrence of HCC, and limited treatment options. Current guidelines do not have standardized diagnostic and treatment modalities, thus creating a need for a multidisciplinary treatment model for standardization of the treatment. Eastern Hepatobiliary Surgical Hospital (China) convened two working parties of experts from all the departments, to consolidate the current evidence, prevailing vision for the future, and experience of the practicing clinicians engaged in HCC management, so as to develop a consensus for PVTT diagnosis and treatment according to the GRADE system. Based on the quality of the existing evidence and the strength of recommendations, the consensus statements were categorized into 3 evidence levels (A/B/C) and 5 classes (I/II/IIa/IIb/III).The panel discussed and provided clarity on the management and research options in the field of HCC with PVTT. In addition, the panel also assessed the quality of the cited studies and assigned grades to the recommendation statements. Among the group of experts, there was excellent agreement with regard to effective diagnosis and treatment of HCC with PVTT. The recommendations of this consensus will provide guidance to physicians and clinical researchers on the effective management of HCC with PVTT.

  14. Infection control and antibiotic stewardship practices reported by south-eastern Mediterranean hospitals collaborating in the ARMed project.

    PubMed

    Borg, M A; Cookson, B D; Gür, D; Ben, Redjeb S; Rasslan, O; Elnassar, Z; Benbachir, M; Bagatzouni, D P; Rahal, K; Daoud, Z

    2008-11-01

    The prevalence of multiply resistant organisms (MROs) reported from south-eastern Mediterranean hospitals highlights the need to identify possible contributory factors to help design control interventions. This was investigated through a structured questionnaire, which examined infection control and antibiotic stewardship practices in hospitals participating or collaborating with the Antibiotic Resistance SurveilLance & Control in the Mediterranean Region (ARMed) project. A total of 45 hospitals (78.9% of invited institutions) responded to the questionnaire; 60% indicated that they faced periods of overcrowding when available bed complement was insufficient to cope with hospital admissions and 62% reported difficulties in isolating patients with MROs due to lack of available beds. Most hospitals relied mainly on washing to achieve hand hygiene, whether by non-medicated or disinfectant soaps. Dependence on solid bars of soap (28.9%) and cloth towels (37.8%) were among the problems identified as well as inconvenient distances of sinks from patient beds (66.6%). Alcohol hand rub was the predominant hand hygiene product in only 7% of hospitals. Programmes for better antibiotic use were mostly limited in scope; 33.3% reported having antibiotic prescribing guidelines and 53.3% of hospitals fed back resistance rates to prescribers. Auditing of antibiotic consumption, whether institution- or unit-based, was carried out in 37.8% of responding hospitals. Multi-faceted approaches aimed at improving isolation of patients with MROs, increasing the emphasis on hand hygiene by encouraging greater use of alcohol hand rubs and introducing effective antibiotic stewardship programmes should be encouraged in south-eastern Mediterranean hospitals.

  15. Mortality Trends in Patients Hospitalized with the Initial Acute Myocardial Infarction in a Middle Eastern Country over 20 Years

    PubMed Central

    Ahmed, Emad; Al Suwaidi, Jassim; El-Menyar, Ayman; AlBinali, Hajar A. H.; Gehani, A. A.

    2014-01-01

    We aimed to define the temporal trend in the initial Acute Myocardial Infarction (AMI) management and outcome during the last two decades in a Middle Eastern country. A total of 10,915 patients were admitted with initial AMI with mean age of 53 ± 11.8 years. Comparing the two decades (1991–2000) to (2001–2010), the use of antiplatelet drugs increased from 84% to 95%, β-blockers increased from 38% to 56%, and angiotensin converting enzyme inhibitors (ACEI) increased from 12% to 36% (P < 0.001 for all). The rates of PCI increased from 2.5% to 14.6% and thrombolytic therapy decreased from 71% to 65% (P < 0.001 for all). While the rate of hospitalization with Initial MI increased from 34% to 66%, and the average length of hospital stay decreased from 6.4 ± 3 to 4.6 ± 3, all hospital outcomes parameters improved significantly including a 39% reduction in in-hospital Mortality. Multivariate logistic regression analysis showed that higher utilization of antiplatelet drugs, β-blockers, and ACEI were the main contributors to better hospital outcomes. Over the study period, there was a significant increase in the hospitalization rate in patients presenting with initial AMI. Evidence-based medical therapies appear to be associated with a substantial improvement in outcome and in-hospital mortality. PMID:24868481

  16. The impact of chaplaincy services in selected hospitals in the eastern United States.

    PubMed

    Parkum, K H

    1985-09-01

    Surveys a stratified sample of patients in six different hospitals and compares their perceptions of hospital chaplaincy and other pastoral care efforts with related hospital services. Reports the presence of a strong impact of pastoral care services and discusses these findings from the perspective of a theory of expressive and instrumental social orientations as explicated by the sociologist Talcott Parsons.

  17. Adoption and Barriers to Adoption of Electronic Health Records by Nurses in Three Governmental Hospitals in Eastern Province, Saudi Arabia

    PubMed Central

    Mahalli, Azza El.

    2015-01-01

    Although electronic health records (EHRs) have been implemented in many hospitals and healthcare providers benefit from their effective and efficient data processing, their evaluation from nurses has received little attention. This project aimed to assess the adoption and barriers to the use of an EHR system by nurses at three governmental hospitals implementing the same EHR software and functionalities in Eastern Province, Saudi Arabia. The study was a cross-sectional, paper-based questionnaire study. SPSS version 20 was used for data entry and analysis, and descriptive statistics were calculated. The study found underutilization of almost all functionalities among all hospitals and no utilization of any communication tools with patients. In addition, there were no instances of “allowing patients to use the Internet to access parts of their health records.” The most frequently cited barrier among all hospitals was “loss of access to medical records transiently if computer crashes or power fails” (88.6 percent). This was followed by “lack of continuous training/ support from information technology staff in hospital” (85.9 percent), “additional time required for data entry” (84.9 percent), and “system hanging up problem” (83.8 percent). Complexity of technology (81.6 percent) and lack of system customizability (81.1 percent) were also frequently reported problems. The formation of an EHR committee to discuss problems with the system in Saudi hospitals is recommended. PMID:26604875

  18. Incidence of endophthalmitis following intravitreal Bevacizumab injection at a tertiary care hospital in Eastern Province of Saudi Arabia

    PubMed Central

    Cheema, Rizwan A.; Alshihry, Ahmad M.; Cheema, Haider R.

    2014-01-01

    The aim of this communication is to report the incidence of endophthalmitis following the use of intravitreal Bevacizumab (IVB) at a tertiary care hospital in the Eastern province of Saudi Arabia. A total of 2769 intravitreal Bevacizumab injections were carried out between January 2009 and April 2014. During this period, one case of endophthalmitis following IVB injection occurred. The overall incidence of clinical endophthalmitis was 0.036% (1/2769; 95% confidence interval: 0.0001–0.002%). This compares favorably with studies reported from other parts of the world. PMID:25892933

  19. Clinical and molecular epidemiology of hospital Enterococcus faecalis isolates in eastern France.

    PubMed

    Mulin, Blandine; Bailly, Pascale; Thouverez, Michelle; Cailleaux, Vincent; Cornette, Christian; Dupont, Marie-Jeanne; Talon, Daniel

    1999-03-01

    OBJECTIVE: To report on the occurrence of Enterococcus faecalis hospital isolates obtained during 1 year in hospitals in the Franche-Comté region of France. METHODS: Clinical isolates of E. faecalis of different antibiotic susceptibility phenotypes from hospitalized patients were characterized by pulsed-field gel electrophoresis. Patients with positive cultures were investigated by three case-control studies to identify risk factors for colonization/infection. RESULTS: The crude incidence of colonization/infection was 2.37%, and 4-day and 7-day colonization rates after admission were 10.0% and 6.36%, respectively. The rates of high-level resistance to kanamycin (HLKR) and to gentamicin (HLGR) were 47.1% and 7.1%, respectively. No isolate was resistant to glycopeptides or produced beta-lactamase. The 209 hospital isolates obtained during the study yielded 98 major DNA patterns, of which two were major epidemic patterns including HLKR isolates. No single factor was significantly associated with colonization/infection by HLKR isolates. The length of hospitalization before isolation was associated with colonization by HLGR isolates. CONCLUSIONS: The isolation frequency of E. faecalis strains with acquired resistance to aminoglycoside antibiotics, and the wide dissemination of resistant strains with characteristics that allow them to persist and spread, argue for further large prospective surveys of clinical isolates of E. faecalis in hospitals.

  20. A retrospective study on the outcomes of cataract surgery in an Eastern Regional Health Authority hospital of Trinidad and Tobago

    PubMed Central

    Sonron, Ebiakpo-aboere; Bridgemohan, Petra; Sharma, Subash

    2015-01-01

    Background. Worldwide, cataract is a major cause of blindness. The paper aims to evaluate factors associated with borderline and poor outcomes of cataract surgery at an Eastern Regional Health Authority (ERHA) hospital in Trinidad and Tobago. Materials and Methods. A hospital-based, retrospective study was done on 401 patients who had undergone cataract surgery (unilateral and bilateral) at an ERHA Hospital between March 2009 and September 2014. Data was collected on variables concerning demographic, medical history, surgical history, ocular findings and visual acuity (VA). The outcome variable of interest was Snellen’s post-operative (presenting) VA which was transformed into a dichotomous variable with borderline and poor outcomes as one and good outcomes as the other. Data were analysed using univariate and multivariate logistic regression analyses. Results. Good outcome (presenting VA 6/18 or better) was seen in 350 (67%) eyes. The fitted model consisted of ocular co-morbidity (OR =2.133; 95% CI [1.346–3.380]), hypertension (OR = 0.520; 95% CI [0.381–0.928]), surgical procedure (OR = 1.56; 95% CI [1.004–2.425]), good preoperative VA (OR = 0.388, 95% CI [0.211–0.714]), borderline preoperative VA (OR = 0.485; 95% CI = [0.278–0.843]) and year of first visit to clinic (OR = 2.243; 95% CI [1.215–4.141]). Conclusion. There is a need for community-based outreach to increase awareness of eye health and diseases. It is recommended that the general population is encouraged to take responsibility for personal management. The facilities at the Hospital should also be enhanced. PMID:26357596

  1. Antibiotic Susceptibilities of Enterococcus Species Isolated from Hospital and Domestic Wastewater Effluents in Alice, Eastern Cape Province of South Africa

    PubMed Central

    Iweriebor, Benson Chuks; Gaqavu, Sisipho; Obi, Larry Chikwelu; Nwodo, Uchechukwu U.; Okoh, Anthony I.

    2015-01-01

    Background: Antimicrobial resistance in microorganisms are on the increase worldwide and are responsible for substantial cases of therapeutic failures. Resistance of species of Enterococcus to antibiotics is linked to their ability to acquire and disseminate antimicrobial resistance determinants in nature, and wastewater treatment plants (WWTPs) are considered to be one of the main reservoirs of such antibiotic resistant bacteria. We therefore determined the antimicrobial resistance and virulence profiles of some common Enterococcus spp that are known to be associated with human infections that were recovered from hospital wastewater and final effluent of the receiving wastewater treatment plant in Alice, Eastern Cape. Methods: Wastewater samples were simultaneously collected from two sites (Victoria hospital and final effluents of a municipal WWTP) in Alice at about one to two weeks interval during the months of July and August 2014. Samples were screened for the isolation of enterococci using standard microbiological methods. The isolates were profiled molecularly after targeted generic identification and speciation for the presence of virulence and antibiotic resistance genes. Results: Out of 66 presumptive isolates, 62 were confirmed to belong to the Enterococcus genusof which 30 were identified to be E. faecalis and 15 E. durans. The remaining isolates were not identified by the primers used in the screening procedure. Out of the six virulence genes that were targeted only three of them; ace, efaA, and gelE were detected. There was a very high phenotypic multiple resistance among the isolates and these were confirmed by genetic analyses. Conclusions: Analyses of the results obtained indicated that hospital wastewater may be one of the sources of antibiotic resistant bacteria to the receiving WWTP. Also, findings revealed that the final effluent discharged into the environment was contaminated with multi-resistant enterococci species thus posing a health hazard

  2. An observational study of cutaneous manifestations in diabetes mellitus in a tertiary care Hospital of Eastern India

    PubMed Central

    Chatterjee, Nandini; Chattopadhyay, Chandan; Sengupta, Nilanjan; Das, Chanchal; Sarma, Nilendu; Pal, Salil K

    2014-01-01

    Background: Diabetes mellitus and its impact on the human body have been extensively dissected over the years. However, skin which is the largest organ in the body, has received minimum attention. Therefore, this study was designed to analyze the prevalence and pattern of skin disorders among diabetic patients from Eastern region of India. Materials and Methods: This is an observational study, conducted in the General Medicine and Endocrinology departments of a Medical College and Hospital in Eastern India. The data were collected prospectively and systematically in a pre-established proforma designed by us, where clinical findings along with investigations were recorded. Results: Six hundred and eighty (680) diabetic patients were examined, there were (64.8%) male and (35.1%) were female, of them 95.3% were Type 2 diabetics while 4.7% were Type 1. Five hundred and three patients (503) out of six hundred and eighty. i.e. 73.9% were found to have skin lesions. Thirteen (13) (41%) Type1 diabetics demonstrated skin lesions commonest being diabetic xerosis, infections and diabetic hand. Among Type2 diabetics 490(75.61%) showed skin lesions. Here infections, xerosis, hair loss beneath the knees, diabetic dermopathy were the most frequent. Majority of patients (67%) had combination of more than one type of skin lesion. There was statistically significant correlation of skin lesions with duration of diabetes, however similar correlation could not be demonstrated regarding metabolic control. Conclusion: Involvement of skin is inevitable and multifarious in diabetes mellitus. Higher prevalence is seen in Type 2 diabetic population. The duration of diabetes is positively correlated with lesions and infective dermatologic manifestations were associated with higher HbA1C values. PMID:24741520

  3. Illicit substance use among persons admitted to probation polyclinic of a regional mental hospital in the Eastern Anatolia, Turkey

    PubMed Central

    Telo, Selda; Kaman, Dilara; Korkmaz, Sevda

    2016-01-01

    Objectives: To investigate the illicit substance use trends by gender and year in Eastern Turkey, Elazığ. Methods: This is a retrospective study designed to assess the drug use prevalence in persons who admitted to the Probation Policlinic of Elazig Mental Health Hospital between January 2011 and December 2014 in Eastern Turkey, Elazığ. Laboratory screening tests for drugs were studied using the cloned enzyme donor immunoassay technique in urine. Results: The study consisted of 10267 males (95.3%) and 510 females (4.7%), with a mean age of 30.42±10.83 years. Overall prevalence was 32.1% for cannabis, 3.8% for opiate, 0.35% for cocaine and 1.2% for polydrug usage. The prevalence of cannabis was significantly higher in males (32.7%, p=0.000). The prevalence of cannabis use was the lowest in the age group of 50-59 while it was significantly higher in the age groups of 20-29 and 30-39 (p=0.000). The prevalence of opiate use showed a significant difference among the years (p=0.000). There was a significant difference in the prevalence of cocaine use among the years (p=0.02). The prevalence of polysubstance use showed a significant difference among years (p=0.000). Conclusion: Cannabis was the most common illicit drug in the east of the Turkey. Further studies are required for comparing the results of various regions of the country and developing early interventions and treatment facilities. PMID:27381538

  4. Effects of Air Pollution on Hospital Emergency Room Visits for Respiratory Diseases: Urban-Suburban Differences in Eastern China.

    PubMed

    Liu, Peng; Wang, Xining; Fan, Jiayin; Xiao, Wenxin; Wang, Yan

    2016-03-19

    A study on the relationships between ambient air pollutants (PM2.5, SO₂ and NO₂) and hospital emergency room visits (ERVs) for respiratory diseases from 2013 to 2014 was performed in both urban and suburban areas of Jinan, a heavily air-polluted city in Eastern China. This research was analyzed using generalized additive models (GAM) with Poisson regression, which controls for long-time trends, the "day of the week" effect and meteorological parameters. An increase of 10 μg/m³ in PM2.5, SO₂ and NO₂ corresponded to a 1.4% (95% confidence interval (CI): 0.7%, 2.1%), 1.2% (95% CI: 0.5%, 1.9%), and 2.5% (95%: 0.8%, 4.2%) growth in ERVs for the urban population, respectively, and a 1.5% (95%: 0.4%, 2.6%), 0.8% (95%: -0.7%, 2.3%), and 3.1% (95%: 0.5%, 5.7%) rise in ERVs for the suburban population, respectively. It was found that females were more susceptible than males to air pollution in the urban area when the analysis was stratified by gender, and the reverse result was seen in the suburban area. Our results suggest that the increase in ERVs for respiratory illnesses is linked to the levels of air pollutants in Jinan, and there may be some urban-suburban discrepancies in health outcomes from air pollutant exposure.

  5. Multidisciplinary management of hepatocellular carcinoma with portal vein tumor thrombus – Eastern Hepatobiliary Surgical Hospital consensus statement

    PubMed Central

    Cheng, Shuqun; Yang, Jiamei; Shen, Feng; Zhou, Weiping; Wang, Yi; Cong, Wenming; Yang, Guang shun; Cheng, Hongyan; Hu, Heping; Gao, Chunfang; Guo, Jia; Li, Aijun; Meng, Yan; Jiang, Xiaoqing; Yang, Yefa; Qian, Guojun; Luo, Ming; Hu, Bing; Man, Xiaobo; Zhang, Baohua; Su, Changqing; Zhou, Feiguo; Li, Nan; Shi, Jie; Wang, Meng; Zheng, Yaxin; Guo, Weixing; Sun, Juxian; Wang, Hongyang; Lau, Wan-yee; Wu, Meng-chao

    2016-01-01

    Hepatocellular carcinoma (HCC) complicated by portal vein tumor thrombus (PVTT) is associated with poor prognosis, early recurrence of HCC, and limited treatment options. Current guidelines do not have standardized diagnostic and treatment modalities, thus creating a need for a multidisciplinary treatment model for standardization of the treatment. Eastern Hepatobiliary Surgical Hospital (China) convened two working parties of experts from all the departments, to consolidate the current evidence, prevailing vision for the future, and experience of the practicing clinicians engaged in HCC management, so as to develop a consensus for PVTT diagnosis and treatment according to the GRADE system. Based on the quality of the existing evidence and the strength of recommendations, the consensus statements were categorized into 3 evidence levels (A/B/C) and 5 classes (I/II/IIa/IIb/III). The panel discussed and provided clarity on the management and research options in the field of HCC with PVTT. In addition, the panel also assessed the quality of the cited studies and assigned grades to the recommendation statements. Among the group of experts, there was excellent agreement with regard to effective diagnosis and treatment of HCC with PVTT. The recommendations of this consensus will provide guidance to physicians and clinical researchers on the effective management of HCC with PVTT. PMID:27027235

  6. Profile of HIV infected children: A hospital based study at Eastern Nepal

    PubMed Central

    Poudel, Prakash; Pokharel, Rita; Chitlangia, Mohit; Chaudhary, Shipra

    2014-01-01

    Objective To investigate the clinical, laboratory, epidemiological profiles and outcome in human immunodeficiency virus infected Nepalese children. Methods This was a hospital based prospective study. Human immunodeficiency virus-infected children presenting to pediatric immunology clinic at BP Koirala Institute of Health Sciences were enrolled and followed up. Results Median age at diagnosis among 39 enrolled children was 58 months. All children acquired infection vertically. Unsafe sex (74.4%) and intravenous drug use (25.6%) were the major risk behaviors in fathers. At presentation, 20.8% children were asymptomatic, 54.0% were malnourished, 41.0% were in WHO clinical stage 1, 17.9% were in stage 4, 74.4% were anemic, 17.9% had thrombocytopenia and median CD4 count was 543. Fever, lymphadenopathy, hepatosplenomegaly, skin eruptions and oral lesions were common presenting features (16.2%, 16.2%, 13.5%, 10.8%, and 8.1% respectively out of 74 features). Tuberculosis (16.0%), chronic otitis media (12.0%), scabies (10.7%), bacterial pneumonia (9.3%) and oropharyngeal candidiasis (6.7%) were common opportunistic infections. Antiretroviral treatment was started in 18 (46.2%) cases at median age of 67 months. Median change in CD4 count at follow up was significantly different between the groups receiving and not receiving antiretroviral treatment (+192 vs. -72; P=0.045). Conclusions Infection in children is vertical. Undernutrition, anemia, fever, lymphadenopathy, hepatosplenomegaly, skin eruptions, and ear discharge are common presenting features. Opportunistic infections are common and tuberculosis is the most common opportunistic infection followed by chronic ear infection, scabies, candidiasis and bacterial pneumonia. Timely antiretroviral treatment improves immune response.

  7. Hepatitis B and C status among health care workers in the five main hospitals in eastern Libya.

    PubMed

    Elzouki, Abdel-Nasser; Elgamay, Salwa M; Zorgani, Abdeulaziz; Elahmer, Omer

    2014-01-01

    The aim of the present study was to determine the frequency of hepatitis B and C transmission to health care workers (HCWs) in five major hospitals in eastern Libya and to analyze how the risk of these infections are affected by the type of occupation, hospital work place and working period. From July 2008 to June 2009, 601 HCWs (mean age: 32.90 ± 8.85 years) were tested for HBV and HCV markers using ELISA techniques. Polymerase chain reaction (PCR) was performed on all positive samples of HBsAg and Anti-HCV antibody to determine the level of HBV-DNA and HCV-RNA viremia, respectively. The overall frequency of HBsAg positivity was 1.8%. Anti-HBc, HBeAg and Anti-HBe antibodies were found in 8.5%, 0.7% and 8.0% of samples, respectively. The HBV-DNA level was positive in 55% of all HBsAg-positive samples. Approximately half of the HCWs (51.4%) were Anti-HBs antibody positive. The overall positivity rate of Anti-HCV antibodies was 2.0%, and HCV-RNA was positive in 33.3% of these samples. Overall, 52% of HCWs reported receiving full vaccination doses (three doses) against HBV infection. Among them, anti-HBs positivity was approximately 98.0%. 3.9% of those who never received any HBV vaccination dose were HBsAg positive, compared to 1.3% HBsAg positive in those HCWs who had received one or two doses of hepatitis B vaccine (p=0.01 for all comparisons). Nurses and nurse-aides had the highest rates of both HBsAg and Anti-HCV among the studied HCWs (HBsAg: 2.1% and 3.2%; Anti-HCV: 3.2% and 4.9%, respectively). It is noteworthy that doctors also had a relatively high prevalence rate of Anti-HCV (2.2%). Obstetric wards, isolation room, dialysis units and dentist work places had higher frequencies of HBV. HCV was found to be higher in the medical and surgical wards (the prevalence varied between 3% and 5.6%). There was no significant difference between HBsAg status and the work period of HCWs. In conclusion, universal precautions should be applied for the care of all patients

  8. Contraceptive practices among women seeking termination of pregnancy in one public hospital in Eastern Cape, South Africa

    PubMed Central

    Oluwole, Ebenezer O.

    2016-01-01

    Background There is significantly high contraceptive knowledge in South Africa, but the uptake of contraceptives is average to low with resultant soaring of unplanned pregnancy and rising statistics of termination of pregnancy (TOP) services. This study aimed to establish the contraceptive practices among women in the South African population seeking TOP in one public hospital in Eastern Cape, South Africa. Methods A cross-sectional study was carried out among women seeking TOP in a women’s clinic. Self-administered questionnaires were used as data collection tool, and the data collected were entered into SPSS software for analysis, using descriptive statistics to calculate frequencies and percentages while chi-square test was used to determine the associations between the socio-demography and contraceptive practices of the participants. Results Majority of the women were aged between 20 and 29 years, had secondary education, unemployed, single and resided in townships. Contraceptive uptake prior to termination of pregnancy (CTOP) among them was 44.1%, but 85.8% had good contraceptives knowledge. Their contraceptive practices are determined by partner’s opinion, source and availability of contraceptives, previous CTOP, side effect of contraceptives and having children. Age group, educational level and employment status were found to be related to the contraceptive practices of the participants but were not statistically significant. Conclusion To reduce unplanned pregnancies and subsequent number of women seeking CTOP, the socio-economic factors associated with contraceptive practices as well as the programmes, policies and guidelines of contraceptives need to be improved on for any improvement on the factors determining contraceptive practices. PMID:27608676

  9. A SURVEY OF DISPOSITION OF PHYSICIANS TOWARDS PHYSICAL ACTIVITY PROMOTION AT TWO TERTIARY HOSPITALS IN NORTH-EASTERN NIGERIA

    PubMed Central

    Oyeyemi, A.Y; Usman, R.B; Oyeyemi, A.L

    2016-01-01

    Background: A general presumption is that any advice from physicians would likely be taken seriously by patients, and patients are more likely to see their doctors in the event of any health complaints than any other health professionals. The perceptions and practice of Nigerian physicians on their role in physical activity promotion are not well known. This study aimed to determine the knowledge of physical activity message, confidence, role perceptions, barriers and feasibility of physical activity promotion among physicians in two tertiary health institutions in North-Eastern Nigeria. Method: A total of 153 (84.5% response) physicians at the University of Maiduguri Teaching Hospital and Federal Medical Center Yola completed a previously developed questionnaire that elicited information on their knowledge, barrier, feasibility, role and confidence in physical activity promotion. Results: Physicians in this study reported fairly good knowledge (mean score=14.7±2.2/20), minimal or little barrier to physical activity promotion (mean score=24.4±3.5/30), perceived physical activity promotion as their role (mean score=12.9±1.6/15), were confident in their ability to discuss and recommend exercises for physical activity promotion (mean score=7.9±1.3/ 10) and believed promoting physical activity was feasible for them (mean score=15.0±2.5/20). The physicians had good disposition to physical activity promotion (Mean score=78.5±6.7/100), but male physicians showed better disposition than their female counterparts. Conclusion: Overall these cohorts of physicians are somewhat knowledgeable on physical activity promotion and are positively disposed to promoting physical activity among their patients. These findings can be leveraged upon to optimize outcome of campaigns or interventions to change physical activity behaviour in Nigerian populace.

  10. Effects of Air Pollution on Hospital Emergency Room Visits for Respiratory Diseases: Urban-Suburban Differences in Eastern China

    PubMed Central

    Liu, Peng; Wang, Xining; Fan, Jiayin; Xiao, Wenxin; Wang, Yan

    2016-01-01

    A study on the relationships between ambient air pollutants (PM2.5, SO2 and NO2) and hospital emergency room visits (ERVs) for respiratory diseases from 2013 to 2014 was performed in both urban and suburban areas of Jinan, a heavily air-polluted city in Eastern China. This research was analyzed using generalized additive models (GAM) with Poisson regression, which controls for long-time trends, the “day of the week” effect and meteorological parameters. An increase of 10 μg/m3 in PM2.5, SO2 and NO2 corresponded to a 1.4% (95% confidence interval (CI): 0.7%, 2.1%), 1.2% (95% CI: 0.5%, 1.9%), and 2.5% (95%: 0.8%, 4.2%) growth in ERVs for the urban population, respectively, and a 1.5% (95%: 0.4%, 2.6%), 0.8% (95%: −0.7%, 2.3%), and 3.1% (95%: 0.5%, 5.7%) rise in ERVs for the suburban population, respectively. It was found that females were more susceptible than males to air pollution in the urban area when the analysis was stratified by gender, and the reverse result was seen in the suburban area. Our results suggest that the increase in ERVs for respiratory illnesses is linked to the levels of air pollutants in Jinan, and there may be some urban-suburban discrepancies in health outcomes from air pollutant exposure. PMID:27007384

  11. Clinical and Epidemiologic Characteristics of Hospitalized Patients with Laboratory-Confirmed Respiratory Syncytial Virus Infection in Eastern China between 2009 and 2013: A Retrospective Study

    PubMed Central

    Chen, Yu; Lai, Shengjie; Zhang, Zike; Yu, Fei; Zheng, Shufa; Li, Zhongjie; Yu, Hongjie

    2016-01-01

    Respiratory syncytial virus (RSV) is a leading cause of morbidity and mortality worldwide in children aged <5 years and older adults with acute lower respiratory infections (ALRIs). However, few studies regarding the epidemiology of hospitalizations for RSV infection have been performed previously in China. Here, we aimed to describe the clinical and epidemiologic characteristics of hospitalized patients with laboratory-confirmed RSV infection in eastern China. Active surveillance for hospitalized ALRI patients using a broad case definition based on symptoms was performed from 2009–2013 in 12 sentinel hospitals in eastern China. Clinical and epidemiologic data pertaining to hospitalized patients of all ages with laboratory-confirmed RSV infection by PCR assay were collected and analyzed in this study. From 2009 to 2013, 1046 hospitalized patients with laboratory-confirmed RSV infection were enrolled in this study, and 14.7% of patients had subtype A, 24.2% of patients had subtype B, 23.8% of patients with subtype not performed, and 37.3% of patients had RSV coinfections with other viruses. RSV and influenza coinfections (33.3%) were the most common coinfections noted in this study. Moreover, young children aged <5 years (89.1%, 932/1046), particularly young infants aged <1 year (43.3%, 453/1046), represented the highest proportion of patients with RSV infections. In contrast, older adults aged ≥60 years (1.1%, 12/1046) represented the lowest proportion of patients with RSV infections among enrolled patients. The peak RSV infection period occurred mainly during autumn and winter, and 57% and 66% of patients exhibited symptoms such as fever (body temperature ≥38°C) and cough separately. Additionally, only a small number of patients were treated with broad-spectrum antiviral drugs, and most of patients were treated with antimicrobial drugs that were not appropriate for RSV infection. RSV is a leading viral pathogen and a common cause of viral infection in young

  12. Pattern of Sexually Transmitted Infections: A Profile from a Sexually Transmitted Infections Clinic of a Tertiary Care Hospital of Eastern India

    PubMed Central

    Sarkar, S; Shrimal, A; Das, J; Choudhury, SR

    2013-01-01

    Background: Sexually transmitted infections (STIs) are public health problems, which significantly increase the risk of HIV transmission. A proper understanding of the pattern of STIs in different geographical regions is important for proper planning of STI control. Aims: To determine the pattern of sexually transmitted diseases in a tertiary care hospital in Eastern India. Subjects and Methods: This is a hospital-based, cross-sectional study done in a tertiary care hospital of Eastern India. All the consecutive patients attending the STI clinic of a tertiary care hospital from January 2011 to December 2011 were included in the study, irrespective of age and sex. Thorough history was taken; proper clinical examination and relevant laboratory investigations were done. STIs were categorized in different syndromes as depicted by National AIDS Control Organization(NACO) in the syndromic management of STIs. The STIs, which were not included in the syndromic management, were also identified by clinical features and investigations. Partner notification and condom promotion was done. The statistical analysis used was Chi-square test using MedcalcR statistical software Version 9.3 (Belgium). Results: The commonest STI was genital herpes. Viral STIs like genital herpes, condyloma acuminata, molluscum contagiosum were more prevalent than the non-viral ones like genital ulcer disease non-herpetic, syphilis. STIs which were not included in the syndromic management like molluscum contagiosum, condyloma acuminata, genital scabies were common. HIV seropositivity in the study population (4.2%) was more than the NACO estimate. Condom promotion, partner notification, and partner management was not adequate. Occurrence of venereophobia was found to be significantly higher in male than in female attendees of STI clinic. Conclusions: The trend for viral STIs is increasing while that for bacterial STIs is decreasing. Proper training of the health care providers regarding minor STIs

  13. Annual Survey on the Level and Extent of Usage of Electronic Health Records in Government-related Hospitals in Eastern Province, Saudi Arabia

    PubMed Central

    Bah, Sulaiman; Alharthi, Hana; El Mahalli, Azza Ali; Jabali, Abdelkaream; Al-Qahtani, Mona; Al-kahtani, Nouf

    2011-01-01

    This study aims to determine the level and extent of usage of electronic health records (EHRs) in government-related hospitals in Eastern Province, Saudi Arabia. Another aim is to develop a Web site to serve as a forum of exchange on the development of EHRs in Saudi Arabia. All government hospitals (n = 19) in the province were included. The information technology (IT) managers in those hospitals made up the target population. An online questionnaire was developed, and the IT managers in all 19 government hospitals were invited to participate in the survey. The responses from the online survey were downloaded and analyzed using descriptive statistics. Of the 19 hospitals, only three (15.8 percent) use EHRs. These hospitals were established in 1984, 1995, and 2005. All three of these hospitals have implemented the same EHR software and were using it successfully, and all three were using the three core features of laboratory, radiology, and pharmacy electronic modules. Some modules were present in the EHR system but were underutilized. Some of the main challenges faced by the IT managers in implementing EHRs in their hospitals were related to the uncooperative attitudes of some physicians and nurses toward EHRs. In fulfillment of the second aim of the study, a Web site, http://ehr2011.weebly.com, was developed to serve as a forum for exchange of information on the development of EHRs in Saudi Arabia. The government of Saudi Arabia has prioritized the development of eHealth (health information technology) and allocated committed funding for it during 2008–2011. During this period, some sectors of government made highly commendable efforts in developing eHealth services. Along these lines, we had hoped to see higher uptake of EHRs than the 15.8 percent found in this study. The rate of implementing EHRs in government hospitals should be accelerated. The aim should be on achieving some basic EHR functionality in these hospitals, and once this has been achieved

  14. Annual survey on the level and extent of usage of electronic health records in government-related hospitals in Eastern Province, Saudi Arabia.

    PubMed

    Bah, Sulaiman; Alharthi, Hana; El Mahalli, Azza Ali; Jabali, Abdelkaream; Al-Qahtani, Mona; Al-kahtani, Nouf

    2011-01-01

    This study aims to determine the level and extent of usage of electronic health records (EHRs) in government-related hospitals in Eastern Province, Saudi Arabia. Another aim is to develop a Web site to serve as a forum of exchange on the development of EHRs in Saudi Arabia. All government hospitals (n = 19) in the province were included. The information technology (IT) managers in those hospitals made up the target population. An online questionnaire was developed, and the IT managers in all 19 government hospitals were invited to participate in the survey. The responses from the online survey were downloaded and analyzed using descriptive statistics. Of the 19 hospitals, only three (15.8 percent) use EHRs. These hospitals were established in 1984, 1995, and 2005. All three of these hospitals have implemented the same EHR software and were using it successfully, and all three were using the three core features of laboratory, radiology, and pharmacy electronic modules. Some modules were present in the EHR system but were underutilized. Some of the main challenges faced by the IT managers in implementing EHRs in their hospitals were related to the uncooperative attitudes of some physicians and nurses toward EHRs. In fulfillment of the second aim of the study, a Web site, http://ehr2011.weebly.com, was developed to serve as a forum for exchange of information on the development of EHRs in Saudi Arabia. The government of Saudi Arabia has prioritized the development of eHealth (health information technology) and allocated committed funding for it during 2008-2011. During this period, some sectors of government made highly commendable efforts in developing eHealth services. Along these lines, we had hoped to see higher uptake of EHRs than the 15.8 percent found in this study. The rate of implementing EHRs in government hospitals should be accelerated. The aim should be on achieving some basic EHR functionality in these hospitals, and once this has been achieved

  15. Drinking water quality and hospital admissions of elderly people for gastrointestinal illness in Eastern Massachusetts, 1998-2008.

    PubMed

    Beaudeau, Pascal; Schwartz, Joel; Levin, Ronnie

    2014-04-01

    We used a Poisson regression to compare daily hospital admissions of elderly people for acute gastrointestinal illness in Boston against daily variations in drinking water quality over an 11-year period, controlling for weather, seasonality and time trends. The Massachusetts Water Resources Authority (MWRA), which provides non-filtered water to 1.5 million people in the greater Boston area, changed its disinfection method from chlorination to ozonation during the study period so we were also able to evaluate changes in risk associated with the change in disinfection method. Other available water quality data from the MWRA included turbidity, fecal coliforms, UV-absorbance, and planktonic algae and cyanobacteriae concentrations. Daily weather, rainfall data and water temperature were also available. Low water temperature, increases in turbidity and, to a lesser extent, in fecal coliform and cyanobacteriae were associated with a higher risk of hospital admissions, while the shift from chlorination to ozonation has possibly reduced the health risk. The MWRA complied with US drinking water regulations throughout the study period.

  16. Determinants of misconceptions about diabetes among Saudi diabetic patients attending diabetes clinic at a tertiary care hospital in Eastern Saudi Arabia

    PubMed Central

    Alsunni, Ahmed A.; Albaker, Waleed I.; Badar, Ahmed

    2014-01-01

    Objective: To identify the determinants of misconceptions about diabetes in patients registered with a diabetes clinic at a tertiary care hospital in Eastern Saudi Arabia. Materials and Methods: This cross-sectional survey was carried out at a diabetes clinic of a tertiary care hospital in Eastern Saudi Arabia, from January to December 2012. A total of 200 diabetic patients were interviewed using a questionnaire comprising 36 popular misconceptions. The total misconception score was calculated and categorized into low (0-12), moderate (13-24) and high (25-36) scores. The association of misconception score with various potential determinants was calculated using Chi-square test. Step-wise logistic regression was applied to the variables showing significant association with the misconception score in order to identify the determinants of misconceptions. Results: The mean age was 39.62 ± 16.7 and 112 (56%) subjects were females. Type 1 diabetics were 78 (39%), while 122 (61%) had Type 2 diabetes. Insulin was being used by 105 (52.5%), 124 (62%) were self-monitoring blood glucose and 112 (56%) were using diet control. Formal education on diabetes awareness had been received by 167 (83.5%) before the interview. The mean misconception score was 10.29 ± 4.92 with 115 (57.5%) subjects had low misconception scores (<12/36). On the Chi-square test, female gender, rural area of residence, little or no education, <5 or >15 years since diagnosis, no self-monitoring, no dietary control and no diabetes education were all significantly (P < 0.05) associated with higher misconception scores. Step-wise logistic regression suggested that diabetes education, gender, education and time since diagnosis were significant (P < 0.05) predictors of misconception scores. Conclusions: The strongest determinants of misconceptions about diabetes in our study population were female gender, rural area of residence, illiteracy or little education, <5 or >15 years since diagnosis, no self

  17. Patterns of sexual violence in Eastern Democratic Republic of Congo: reports from survivors presenting to Panzi Hospital in 2006

    PubMed Central

    2010-01-01

    Background Despite the signing of international peace agreements, a deadly war continues in the Democratic Republic of Congo (DRC) and sexual violence is a prominent modus operandi of many military groups operating in the region. Methods Retrospective cohort study of women who presented to Panzi Hospital in 2006 requesting post-sexual violence care. Data was extracted and analyzed to describe the patterns of sexual violence. Results A total of 1,021 medical records were reviewed. A majority of attacks occurred in individual homes (56.5%), with the fields (18.4%) and the forest (14.3%) also being frequent locations of attack. In total, 58.9% of all attacks occurred at night. Of the four primary types of sexual violence, gang rape predominated (59.3%) and rape Not Otherwise Specified (NOS) was also common (21.5%). Sexual slavery was described by 4.9% of the survivors and a combination of gang rape and sexual slavery was described by 11.7%. The mean number of assailants per attack was 2.5 with a range of one to > 15. There were several demographic predictors for sexual slavery. Controlling for age, education level and occupation, a marital status of "single" increased the risk of sexual slavery (OR = 2.97, 95% CI = 1.12-7.85). Similarly, after controlling for other variables, age was a significant predictor of sexual slavery with older women being at a slightly reduced risk (OR = 0.96, 95% CI = 0.92-0.99). Women who experienced sexual slavery were 37 times more likely to have a resultant pregnancy in comparison to those who reported other types of sexual violence (OR = 37.50, 95% CI = 14.57-99.33). Conclusions Among sexual violence survivors presenting to Panzi Hospital in 2006, the majority of attacks occurred in women's own homes, often at night. This represents a pattern of violence that differs from other conflict settings and has important implications regarding protection strategies. Sexual violence in South Kivu was also marked with a predominance of gang rape

  18. Prevalence of multidrug resistant uropathogenic bacteria in pediatric patients of a tertiary care hospital in eastern India.

    PubMed

    Mishra, Monali P; Sarangi, Rachita; Padhy, Rabindra N

    2016-01-01

    Today, because systemic infections such as urinary tract infection (UTI) affect even pediatric patients, antibiotic resistant bacteria have become a constant clinical challenge. In the present study, a total of 1054 urine samples were collected from pediatric patients over 18 months. From these samples, 510 isolates of pathogenic bacteria were collected using HiCrome UTI agar. Antibiotic sensitivity tests of isolates were performed using the Kirby-Bauer method. Two Gram-positive bacteria (Enterococcus faecalis and Staphylococcus aureus) and 7 Gram-negative bacteria (Citrobacter freundii, Enterobacter aerogenes, Escherichia coli, Klebsiella oxytoca, K. pneumoniae, Proteus vulgaris and Pseudomonas aeruginosa) were isolated. Antibiograms of isolated bacteria were ascertained using antibiotics of 4 classes: aminoglycosides, β-lactams, fluoroquinolones and 2 stand-alones (co-trimoxazole and nitrofurantoin). Based on percent values of antibiotic resistance, isolated bacteria were (in decreasing order of number of isolated isolates): E. coli (109)>S. aureus (65)>E. faecalis (82)>E. aerogenes (64)>C. freundii (41)>P. aeruginosa (32)>K. pneumoniae (45)>K. oxytoca (50)>P. vulgaris (22). Surveillance results show that MDR isolates of 9 pathogenic bacteria were prevalent in the environment around the hospital. Thus, revisions to the antimicrobial stewardship program in this area of the country are required to increase clinician confidence in empiric therapy, which is often used for UTI cases.

  19. A Prospective Study of Burn Trauma in Adults at the University of Calabar Teaching Hospital, Calabar (South Eastern Nigeria)

    PubMed Central

    Asuquo, Maurice E.; Ekpo, R.; Ngim, Ogbu; Agbor, C.

    2008-01-01

    Background: Burn injuries are among the most devastating injuries seen in the emergency units. The epidemiology of this injury varies from one part of the world to another. This is a 3-year report in an attempt to provide information on the current epidemiology of burns in this center. Method: Patients admitted into the University of Calabar Teaching Hospital, with burn injuries were prospectively studied between February 2005 and January 2008. Results: The 59 patients (33 males and 26 females) accounted for 3.7% of trauma patients and their ages ranged from 15 to 70 years (mean 29.4 years). Flame burn was the commonest injury seen in 48 (81.3%) patients because of petrol and kerosene, whereas chemical burn that involved 7 (11.9%) patients ranked second. Morbidity included burns wound infection in 13 (22%) patients and contractures in 6 (10.2%) patients. The outcome was fatal in 15 (25.4%) patients. Conclusion: The establishment of burn support groups dedicated to publicity on prevention based on areas of risk highlighted in this study and provision of financial aid as well as provision of modern burn care facilities would improve outcome. PMID:18716653

  20. Prevalence of Intestinal Parasitic Infection among HIV Positive Persons Who Are Naive and on Antiretroviral Treatment in Hiwot Fana Specialized University Hospital, Eastern Ethiopia

    PubMed Central

    Teklemariam, Zelalem; Abate, Degu; Mitiku, Habtamu; Dessie, Yadeta

    2013-01-01

    Background. Intestinal parasitic infection affects the health and quality of life of people living with HIV. This study was aimed to determine the prevalence of intestinal parasites among HIV positive individuals who are naive and who are on antiretroviral treatment (ART) in Hiwot Fana Specialized University Hospital, Eastern Ethiopia. Methods. A comparative cross-sectional study was conducted on 371 (112 ART-naive group and 259 on ART) HIV positive individuals. Stool specimens were collected and examined by direct wet mount, formol ether concentration technique, and modified ziehl-Neelsen methods. Results. The overall prevalence of intestinal parasitic infections was 33.7%; it was significantly higher among the study participants who were ART-naive group (45.5%) (AOR: 2.60(1.56,4.34)) and diarrheic (53.3%) (AOR: 2.30(1.34,3.96)) and with CD4 count <200 cells/μL (46%) (AOR: 2.07(1.06,4.04)). The most commonly identified parasites were Entamoeba histolytica/E. dispar (13.5%), Giardia lamblia (8.1%), Strongyloides stercoralis (4.0%), and Cryptosporidium species (2.2%). Conclusion. HIV positive individuals with diarrhea and low CD4 count and ART naive groups were more infected with intestinal parasites than their counterparts. Early stool examination and treatment of intestinal parasites for HIV/AIDS patients is essential. PMID:24052888

  1. Effectiveness of Educational Programs on Nutritional Behavior in Addicts Referring to Baharan Hospital, Zahedan (Eastern of IR Iran)

    PubMed Central

    Karajibani, Mansour; Montazerifar, Farzaneh; Dashipour, Alireza; Lashkaripour, Kobra; Abery, Maryam; Salari, Sajedeh

    2014-01-01

    Background: There are many factors which affect nutritional status of addicted such as lack o f knowledge, incorrect attitude toward modification of food pattern, and careless to food intake. Objectives: The aim of this study was to determine the effectiveness of educational program on nutritional behavior in addicts referring to Baharan hospital in Zahedan. Patients and Methods: Thirty-six addict patients were selected randomly. After recording general demographic data of patients, nutritional behaviors were determined. To determine the effectiveness of nutritional educational program, pre and post-tests were performed. Evaluation of nutritional behavior was determined as poor, fair and satisfactory levels. Statically analysis was performed by SPSS software. Results: Most addict patients had a medium level of education. Improvement in knowledge, attitude and practice (KAP) of patients after intervention was observed as follows; decreasing KAP in poor level (2.8% vs. 30.6%), (3% vs. 50%), (25% vs. 80.6%), respectively; also, increasing KAP in fair level (7% vs. 55.6 %), (15% vs. 15%), (19% vs. 7%), respectively and increasing KAP in satisfactory levels (77.8% vs. 13.8%), (50% vs. 8.3%), and (22.2% vs. 0%), respectively (P < 0.0001). There was a significant difference regarding the grade of KAP in patients based on gender, marital status, and education level after education (P < 0.0001). Conclusions: This study showed that nutritional KAP was improved in addicts. After intervention, there was a significant difference in the score of knowledge, attitude, and practice scores in patients in the current study. KAP was improved in patients after intervention including; decreased KAP in poor level and increased KAP in fair and satisfactory levels. This finding indicates that addict patients would like to modify their life style. PMID:25032162

  2. A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway

    PubMed Central

    2011-01-01

    Background Few studies have evaluated pre-hospital documentation quality. We retrospectively assessed emergency medical service (EMS) documentation of key logistic, physiologic, and mechanistic variables in motor vehicle accidents (MVAs). Methods Records from police, Emergency Medical Communication Centers (EMCC), ground and air ambulances were retrospectively collected for 189 MVAs involving 392 patients. Documentation of Glasgow Coma Scale (GCS), respiratory rate (RR), and systolic blood pressure (SBP) was classified as exact values, RTS categories, clinical descriptions enabling post-hoc inference of RTS categories, or missing. The distribution of values of exact versus inferred RTS categories were compared (Chi-square test for trend). Results 25% of ground and 11% of air ambulance records were unretrieveable. Patient name, birth date, and transport destination was documented in >96% of ambulance records and 81% of EMCC reports. Only 54% of patient encounter times were transmitted to the EMCC, but 77% were documented in ground and 96% in air ambulance records. Ground ambulance records documented exact values of GCS in 48% and SBP in 53% of cases, exact RR in 10%, and RR RTS categories in 54%. Clinical descriptions made post-hoc inference of RTS categories possible in another 49% of cases for GCS, 26% for RR, and 20% for SBP. Air ambulance records documented exact values of GCS in 89% and SBP in 84% of cases, exact RR in 7% and RR RTS categories in 80%. Overall, for lower RTS categories of GCS, RR and SBP the proportion of actual documented values to inferred values increased (All: p < 0.001). Also, documentation of repeated assessment was more frequent for low RTS categories of GCS, RR, and SBP (All: p < 0.001). Mechanism of injury was documented in 80% of cases by ground and 92% of cases by air ambulance. Conclusion EMS documentation of logistic and mechanistic variables was adequate. Patient physiology was frequently documented only as descriptive text. Our

  3. Hepatitis B Virus Infections and Associated Factors among Pregnant Women Attending Antenatal Care Clinic at Deder Hospital, Eastern Ethiopia

    PubMed Central

    Umare, Abdi; Seyoum, Berhanu; Gobena, Tesfaye; Haile Mariyam, Tamirat

    2016-01-01

    Background Hepatitis B virus (HBV) infection is a serious public health problem worldwide. Reports have shown that 68,600 people die of HBV infection and more than 300,000 deaths due to liver cancer secondary to hepatitis B every year globally. Women who are infected with HBV can vertically transmit the infection to their infants. This study aims to determine the prevalence of HBV infection and associated factors among pregnant women. Methods and Findings A hospital-based cross-sectional study was conducted among pregnant women who attended antenatal care clinic (ANC) for routine pregnancy check-up between 18 March 2015 and 15 May 2015. Data were collected by face to face interview using a pre-tested questionnaire. Serum was withdrawn for each study subject and used to test for Hepatitis B Surface Antigen (HBsAg) by an enzyme linked immunosorbent assay (ELISA) test kit. Binary logistic regression analysis was used to examine the association between explanatory variables and outcome variable. The prevalence of HBV infection was found to be 6.9%. Interestingly, the history of abortion (AOR 10.9; 95% CI: 2.2–53.9), nose piercing (AOR 9.1; 95% CI: 1.34–61.79), surgical procedure (AOR 12.8; 95% CI: 1.68–97.06) and history of multiple sexual partners (AOR 16.8; 95% CI: 3.18–89.06) were significant predictors of HBV infection. Conclusions This study determined that the prevalence of HBV infection among pregnant women was 6.9%, implying that it is high-intermediate endemic area, which is important public health issue needs to be addressed. History of abortion, nose piercing, surgical procedures and multiple sexual partners were significantly associated with this viral infection. Accordingly we advocate that health education programs on the mode of HBV transmission, high-risk behaviors and methods of preventions should be instituted at antenatal care clinics to raise the awareness of mothers and limit the spread of infection. It is also advisable to implement

  4. Clinico-radiological profile and outcome of dengue patients with central nervous system manifestations: A case series in an Eastern India tertiary care hospital

    PubMed Central

    Pal, Souren; Sen, Kaushik; Biswas, Nirendra Mohan; Ghosal, Anirban; Rousan Jaman, S. K.; Yashavantha Kumar, K. Y.

    2016-01-01

    Background and Objective: Dengue, an acute viral disease, transmitted by Aedes mosquitoes, has a variable clinical spectrum ranging from asymptomatic infection to life-threatening dengue hemorrhagic fever and dengue shock syndrome. However, neurological complications, in general, are unusual but have been observed more frequently in the recent past, and some studies highlighted varied neurological complications during the course of illness. Although dengue is classically considered a nonneurotropic virus, there is increasing evidence for dengue viral neurotropism. In this study, we have evaluated clinico-radiological profile and outcome of nine serologically confirmed dengue patients having varied manifestations of central nervous system (CNS) involvement. Materials and Methods: All the consecutive patients presented with neurological complications with positive serology for dengue infection (IgM positivity) in Department of Medicine, in a tertiary care hospital in Eastern India from August 2013 to October 2014 were included in the study. These patients were subjected to a detailed clinical evaluation, laboratory assessment including complete hemogram, coagulation profile, liver function test, serum electrolytes, and routine CSF (Cerebrospinal Fluid) study with the exclusion of other common neuroinvasive pathogens. Results: Out of 9 patients with neurological complications associated with confirmed dengue infection, 2 (22%) patients had dengue encephalopathy, 5 (56%) patients have dengue encephalitis, 1 (11%) patient had dengue meningitis, and 1 (11%) patient had postdengue immune-mediated CNS involvement. Conclusion: This case series reaffirms the occurrence of varied CNS manifestations in dengue virus infection and underlines the importance of inclusion of dengue in the differential diagnosis of acute encephalitis syndrome. PMID:26933357

  5. A study investigating the level of satisfaction with the health services provided by the Pharmacist at ENT hospital, Eastern Region Alahsah, Kingdom of Saudi Arabia

    PubMed Central

    Alturki, Mansour; Khan, Tahir M.

    2012-01-01

    The current study aims to evaluate the patient’s level of satisfaction with health care services provided by the pharmacist at Aljaber ENT hospital, Eastern Region Alahsah, Kingdom of Saudi Arabia. A cross sectional study was planned from 1st March 2011 until 31st May 2011. A 27 item questionnaire was used, scoring of the responses was done to classify the patient satisfaction into sublevels. The maximum possible score was 36; those scoring less than twenty were graded as poor satisfaction level followed by moderate satisfaction level 21–25, good satisfaction level 26–30 and high satisfaction level 31–36. Statistical package for social science version 13® was used to analyze data, One-way ANOVA and independent sample t-test were applied to see the differences in the level of satisfaction. Every third patient visiting pharmacy was given a chance to participate in this study. A total of N = 991 patients were randomized using the pharmacy appointment number. Of whom 657 patients have shown willingness to participate in this study. The response rate of this study was 66.30%, most of the respondents 383 (58.1%) were male ranging from the age group of 21–40 years with a mean age of 32 years SD 9.73. The mean score for all patients was 26.15 SD ±3.4. Among all the demographic variables a significant difference in satisfaction level was found among in terms of age (df = 8, F = 8.36, p = <0.001∗), gender (t = −4.089, df = 656, p=<0.001∗) and race (df = 2, F = 8.47, p = <0.001. The satisfaction level among Saudi nationals was least in comparison to Egyptians and others. In general, it is seen that respondents of age 56–60 years were most satisfied with the healthcare services provided by the pharmacist. In addition, the satisfaction level was higher among female patients in comparison to men. PMID:23960841

  6. Doctoring in Eastern Europe

    PubMed Central

    Wilde, Henry

    1983-01-01

    Health care in Eastern Europe has not achieved world standards nor the goals of planners of socialist societies. With luck, perseverance, bribes or good connections, it is possible to obtain good medical and surgical care in Eastern Europe for a major illness. Primary and even secondary care usually are substandard, however, and often completely unacceptable to most Western foreigners. The reasons for this are complex but mainly rooted in different attitudes of health workers towards their patients, poor physical plants, poor salary structures, inadequate advancement opportunities for health care workers, poor social status and professional recognition for nurses and almost complete isolation of the average primary care doctor from hospital medicine. PMID:6659504

  7. Clinical and molecular epidemiology of hospital Enterococcus faecium isolates in eastern France. Members of Réseau Franc-Comtois de Lutte contr les Infections Nosocomiales.

    PubMed

    Bertrand, X; Thouverez, M; Bailly, P; Cornette, C; Talon, D

    2000-06-01

    We carried out a surveillance study of Enterococcus faecium isolates in the Franche-Comtéregion of France over three years. Clinical and epidemiological strains were characterized by antibiotype and genotype (pulsed field gel electrophoresis, PFGE). Three case-control studies were performed to identify risk factors for colonization/infection with three defined resistant phenotypes (amoxycillin, high-level gentamicin and high-level kanamycin). The crude incidence of colonization/infection was 0.156%, and 68.8% of cases were classified as hospital-acquired. Incidence did not differ according to the type of hospitalization (middle term or acute care). The urinary tract was the major site of infection. Resistance rates were: 45.8% (amoxycillin), 18.7% (high-level gentamicin), 61.4% (high-level kanamycin) and 3.1% (vancomycin). No isolate produced b-lactamase and one isolate carried the vanA gene. PFGE revealed two major epidemic patterns each including resistant strains isolated in different hospitals and during different periods in the study. Previous antimicrobial treatment was not identified as a risk factor for colonization/infection with any resistant phenotype. Despite the low frequency of vancomycin-resistant isolates in this study, resistant strains were widely disseminated and had characteristics enabling them to persist and spread. If these strains acquired the vanA gene, the risk of an outbreak would be large. So, the prevalence of vancomycin-resistant E. faecium in hospitals should be carefully monitored in the future.

  8. The secular trend in the incidence of hemorrhagic stroke in the region of Osijek, Eastern Croatia in the period 1988-2000--a hospital based study.

    PubMed

    Kadojić, D; Barac, B; Trkanjec, Z; Kadojić, M

    2002-12-01

    The purpose of the study was to establish the possible environmental influences in the observed peculiar rising and falling oscillations in the numbers of hemorrhagic stroke (HS) in Eastern Croatia (region of Osijek) during the last thirteen-years' period (1988-2000). In this period 1,222 HS were registered and treated. A constant increase in the incidence of HS was observed, from 60 (in 1988) to 139 (in 1998), with an average annual proportion of 16.5% of all stroke cases. A sharp increase in proportion of HS in total stroke incidence was recorded during the war in Croatia (1991-1995), with a peak incidence of 27.4% in 1993. Typical hypertensive intracerebral hemorrhage (ICH) was the most common (57.1%), atypical ICH occurred in 26.4%, subarachnoid hemorrhage (SAH) in 16.5%. Analysis of the annual number of hypertensive-ICH and SAH disclosed peculiar rising and falling oscillations. These variations were in correlation with heavy living conditions. During the war-period the SAH incidence sharply rose. Immediately after the war it suddenly decreased. The authors named this phenomenon a "pool depletion", supposing the relatively stable proportion of the bearers of aneurysms in population. The observed variations seem to be the consequence of the war stress and other negative psychosocial and economic factors in post-war period, which increases the risk for SAH and typical hypertensive-ICH through complex pathophysiological mechanisms.

  9. Anaemia, folate, zinc and copper deficiencies among adolescent schoolgirls in eastern Sudan.

    PubMed

    Abdelrahim, Ishraga I; Mahgoub, Hyder M; Mohamed, Ayoub A; Ali, Naji I; Elbashir, Mustafa I; Adam, I

    2009-12-01

    Anaemia is a widespread problem especially in the tropics. Among adolescent girls, it has negative consequences on growth, school performance, morbidity and reproductive performance. A cross-sectional study was conducted to investigate the prevalence of anaemia, iron, folate, zinc and copper deficiencies amongst adolescent schoolgirls in New Halfa, eastern Sudan, and to examine the relationship of these micronutrients with haemoglobin (Hb) levels. Out of 187 adolescent schoolgirls, 181 (96.8%) had anaemia (Hb<12 g/dl); 21% had mild anaemia (Hb 11.0-11.9 g/dl); 66.8.1% had moderate anaemia (Hb 8.0-10.9 g/dl), and 12.1% had severe anaemia (Hb<8 g/dl), respectively. Iron deficiency (S-ferritin<12 μg/l), iron deficiency anaemia (<12 m/dl and S- ferritin<12 μg/l) and folate deficiency (S-folate<3 ng/ml) were prevalent in 17.6%, 16.5% and 69% of these girls, respectively. Nine percent and 5.9% of these girls had zinc (<75 μg/ml) and copper deficiency (<75 μg/ml), respectively. Twenty-six (14%) girls had ≥ 2 micronutrient deficiencies. S-ferritin and zinc were significantly lower in patients with severe anaemia. Haemoglobin levels were significantly positively correlated with zinc levels (r=0.161, P=0.03) and with copper levels (r=0.151, P=0.03). Thus, interventions are required to prevent and control anaemia in this setting. Further research is needed.

  10. Eastern Alaska

    NASA Technical Reports Server (NTRS)

    2002-01-01

    In this SeaWiFS image of eastern Alaska, the Aleutian Islands, Kodiak Island, Yukon and Tanana rivers are clearly visible. Also visible, but slightly hidden beneath the clouds, is a bloom in Bristol Bay. Credit: Provided by the SeaWiFS Project, NASA/Goddard Space Flight Center, and ORBIMAGE

  11. Factors influencing the exit knowledge of patients for dispensed drugs at outpatient pharmacy of Hiwot Fana Specialized University Hospital, Eastern Ethiopia

    PubMed Central

    Hirko, Nigatu; Edessa, Dumessa

    2017-01-01

    Background A satisfactory counseling process between the patient and pharmacist is critical for rational use of dispensed drug(s) and is highly influenced by many factors including the experience of pharmacist in dispensing process. To improve patients’ knowledge of dispensed drugs, it is necessary to understand the factors that optimize a pharmacist interaction with a patient in each activity of the dispensing process. Therefore, the aim of this study was to identify the pharmacist and patient factors that influence knowledge of dispensed drugs by ambulatory patients at Hiwot Fana Specialized University Hospital, Harar, Ethiopia. Materials and methods A cross-sectional study was conducted on 422 respondents. Data were collected by interviews using a structured questionnaire that measures “exit knowledge” of the ambulatory patients for dispensed drugs. The collected data were analyzed using SPSS Version 20.0. Potential covariates were identified using χ2 test, and logistic regression analyses were undertaken to adjust for the covariates. Results Our findings showed significant proportions of the patients did not recall the name of their dispensed medication (53.6%), major side effects (66.4%), and what to do in case of missed doses (65.4%). Patients’ knowledge of dispensed drugs was significantly associated with their educational level (adjusted odds ratio [AOR]: 1.97; 95% confidence interval [CI]: 1.01–3.84 [primary], AOR: 2.04; 95% CI: 1.04–4.04 [secondary], and AOR: 2.71; 95% CI: 1.35–5.46 [tertiary]); clear instruction from the pharmacist (AOR: 3.36; 95% CI: 1.16–9.72); and the politeness of the pharmacist (AOR: 2.02; 95% CI: 1.04–4.04). Conclusion We found that the majority of patients poorly understood the name of the dispensed medication, side effects, and what to do in case of missed doses. In addition, the formal educational level of the patient, clear instruction from the pharmacist, and the politeness of pharmacist were the factors

  12. North side, eastern section, looking southwest at east ramp and ...

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

    North side, eastern section, looking southwest at east ramp and pavilion in CO-172-BR-17. - Fitzsimons General Hospital, Infirmary, Northwest Corner of East Bushnell Avenue & South Page Street, Aurora, Adams County, CO

  13. Eastern American Indian Communities.

    ERIC Educational Resources Information Center

    Thomas, Robert K.

    Identification of social and cultural commonalities among American Indians of the eastern U.S. reveal 4 geographical areas--(1) the eastern seaboard (the largest group in both number of distinct groups and population); (2) the inland area; (3) Louisiana (a combination of inland and seaboard characteristics); (4) the eastern Great Lakes area…

  14. Norovirus - hospital

    MedlinePlus

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

  15. Eastern Europe's Silicon Rush

    ERIC Educational Resources Information Center

    Woodard, Colin

    2007-01-01

    This article presents how the fast expansion of information technology industry in eastern Slovakia is putting a strain on its labor supply. Suddenly, computer-science graduates have become one of the former Eastern Bloc's greatest assets, attracting multinational technology companies hungry for skilled programmers, technicians, and engineers.…

  16. Understanding hospitality.

    PubMed

    Patten, C S

    1994-03-01

    Bridging patient/"customer" issues and business aspects can be aided through developing a specific nursing basis for hospitality. The ancient practice of hospitality has evolved into three distinct levels: public, personal and therapeutic. Understanding these levels is helpful in integrating various dimensions of guest relations programs in hospitals into a more comprehensive vision. Hospitality issues must become a greater part of today's nursing management.

  17. Early demographic and clinical predictors of developing acute kidney injury in snake bite patients: A retrospective controlled study from an Indian tertiary care hospital in North Eastern Uttar Pradesh India

    PubMed Central

    Singh, R. R.; Uraiya, Dharmendra; Kumar, Anoop; Tripathi, Neeraj

    2016-01-01

    Aims: This study was conducted retrospectively to define early demographic and clinical predictors for acute kidney injury (AKI) among snake bite patients at the time of hospital admission. Materials and Methods: We analyzed 138 cases with a poisonous snake bite. Patients were classified into two groups according to the presence and absence of AKI. The data regarding clinical features and demographic profile of these patients were collected from the hospital records in a prestructured pro forma and statistically compared. Results: Of the 138 patients of venomous snake bite, 62 developed AKI (44.92%). Patients who developed AKI were older in age. Moreover, prolonged bite to anti-snake venom (ASV) time had a significant relationship in developing AKI (P < 0.05). Among the clinical features, there was an independent positive association of AKI with abdomen pain, tenderness and vomiting, cellulitis, bleeding tendencies, myalgia, and black or brown urine (P < 0.05). Neurological features were inversely associated with renal involvement. Conclusion: We found that marked abdominal pain, tenderness and vomiting, myalgia, black or brown urine, bite site cellulitis, bleeding tendencies, and prolonged (>2 h) bite to ASV time were significantly associated with the development of AKI in snake bite patients. PMID:27555694

  18. Pricing objectives in nonprofit hospitals.

    PubMed Central

    Bauerschmidt, A D; Jacobs, P

    1985-01-01

    This article reports on a survey of 60 financial managers of nonprofit hospitals in the eastern United States relating to the importance of a number of factors which influence their pricing decisions and the pricing objectives which they pursue. Among the results uncovered by the responses: that trustees are the single most important body in the price-setting process (doctors play a relatively unimportant role); that hospital pricing goals are more related to target net revenue than profit maximizing; and that regional factors seem to play an important role in management differences. PMID:4008272

  19. Inflammatory Bowel Disease in Children of Middle Eastern Descent

    PubMed Central

    Naidoo, Christina Mai Ying; Leach, Steven T.; Day, Andrew S.; Lemberg, Daniel A.

    2014-01-01

    Increasing rates of inflammatory bowel disease (IBD) are now seen in populations where it was once uncommon. The pattern of IBD in children of Middle Eastern descent in Australia has never been reported. This study aimed to investigate the burden of IBD in children of Middle Eastern descent at the Sydney Children's Hospital, Randwick (SCHR). The SCHR IBD database was used to identify patients of self-reported Middle Eastern ethnicity diagnosed between 1987 and 2011. Demographic, diagnosis, and management data was collected for all Middle Eastern children and an age and gender matched non-Middle Eastern IBD control group. Twenty-four patients of Middle Eastern descent were identified. Middle Eastern Crohn's disease patients had higher disease activity at diagnosis, higher use of thiopurines, and less restricted colonic disease than controls. Although there were limitations with this dataset, we estimated a higher prevalence of IBD in Middle Eastern children and they had a different disease phenotype and behavior compared to the control group, with less disease restricted to the colon and likely a more active disease course. PMID:24987422

  20. Eastern Equine Encephalitis

    MedlinePlus

    ... Facebook Tweet Share Compartir Image of Culiseta melanura mosquito, photo taken by Jason Williams, reproduced by permission from the Virginia Mosquito Control Association. Eastern equine encephalitis virus (EEEV) is ...

  1. Eastern Pacific Ocean Conference

    NASA Astrophysics Data System (ADS)

    The promotion of interaction among investigators of all oceanographic disciplines studying the eastern Pacific Ocean was the goal of the 1990 Eastern Pacific Ocean Conference (EPOC), held October 17-19 on the snow-covered slopes of Mt. Hood, Oreg. Thirty oceanographers representing all disciplines attended.Dick Barber, Duke University Marine Lab, Beaufort, N.C., chaired a session on the eastern equatorial Pacific Ocean, emphasizing issues related to biological activity. Steve Ramp of the Naval Postgraduate School in Montery, Calif., chaired a session on recent results from northern and central California experiments. On October 19, following an early morning earthquake, a business meeting and discussions regarding a collaboration in future experiments were held.

  2. Hospital marketing.

    PubMed

    Carter, Tony

    2003-01-01

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

  3. Hospital philanthropy.

    PubMed

    Smith, Dean G; Clement, Jan P

    2013-01-01

    It remains an open question whether hospital spending on fundraising efforts to garner philanthropy is a good use of funds. Research and industry reports provide conflicting results. We describe the accounting and data challenges in analysis of hospital philanthropy, which include measurement of donations, measurement of fundraising expenses, and finding the relationships among organizations where these cash flows occur. With these challenges, finding conflicting results is not a surprise.

  4. Eastern Frequency Response Study

    SciTech Connect

    Miller, N.W.; Shao, M.; Pajic, S.; D'Aquila, R.

    2013-05-01

    This study was specifically designed to investigate the frequency response of the Eastern Interconnection that results from large loss-of-generation events of the type targeted by the North American Electric Reliability Corp. Standard BAL-003 Frequency Response and Frequency Bias Setting (NERC 2012a), under possible future system conditions with high levels of wind generation.

  5. Hospitality Management.

    ERIC Educational Resources Information Center

    College of the Canyons, Valencia, CA.

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

  6. Hospital finance.

    PubMed

    Herman, M J

    1998-01-01

    This article summarizes key areas of focus for the analysis of risk in the hospital segment of the health care industry. The article is written from a commercial bank lending perspective. Both for-profit (C-corporations) and 501 (c)(3) not-for-profit segments are addressed.

  7. Academic Hospitality

    ERIC Educational Resources Information Center

    Phipps, Alison; Barnett, Ronald

    2007-01-01

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

  8. Eastern Colorado Health Care System (VA Hospital) NPDES Permit

    EPA Pesticide Factsheets

    Under NPDES permit CO-0034991, the U.S. Department of Veterans Affairs (VA) is authorized to discharge from its wastewater treatment facility in Adams County, Colorado, to a storm sewer to Toll Gate Creek, a tributary of Sand Creek.

  9. Volcanism in Eastern Africa

    NASA Technical Reports Server (NTRS)

    Cauthen, Clay; Coombs, Cassandra R.

    1996-01-01

    In 1891, the Virunga Mountains of Eastern Zaire were first acknowledged as volcanoes, and since then, the Virunga Mountain chain has demonstrated its potentially violent volcanic nature. The Virunga Mountains lie across the Eastern African Rift in an E-W direction located north of Lake Kivu. Mt. Nyamuragira and Mt. Nyiragongo present the most hazard of the eight mountains making up Virunga volcanic field, with the most recent activity during the 1970-90's. In 1977, after almost eighty years of moderate activity and periods of quiescence, Mt. Nyamuragira became highly active with lava flows that extruded from fissures on flanks circumscribing the volcano. The flows destroyed vast areas of vegetation and Zairian National Park areas, but no casualties were reported. Mt. Nyiragongo exhibited the same type volcanic activity, in association with regional tectonics that effected Mt. Nyamuragira, with variations of lava lake levels, lava fountains, and lava flows that resided in Lake Kivu. Mt. Nyiragongo, recently named a Decade volcano, presents both a direct and an indirect hazard to the inhabitants and properties located near the volcano. The Virunga volcanoes pose four major threats: volcanic eruptions, lava flows, toxic gas emission (CH4 and CO2), and earthquakes. Thus, the volcanoes of the Eastern African volcanic field emanate harm to the surrounding area by the forecast of volcanic eruptions. During the JSC Summer Fellowship program, we will acquire and collate remote sensing, photographic (Space Shuttle images), topographic and field data. In addition, maps of the extent and morphology(ies) of the features will be constructed using digital image information. The database generated will serve to create a Geographic Information System for easy access of information of the Eastem African volcanic field. The analysis of volcanism in Eastern Africa will permit a comparison for those areas from which we have field data. Results from this summer's work will permit

  10. Eastern European risk management

    SciTech Connect

    Honey, J.A. )

    1992-01-01

    Here the authors assess Eastern European risk management practices through the evaluation of the nuclear power plants in the region. This evaluation is limited to the Soviet-designed and -built VVER-440 pressurized water reactors (PWRs) that are currently operating in Bulgaria, Czechoslovakia, Hungary, Russia, and the Ukraine and until recently operated at Greifswald in the former East Germany. This evaluation is based on the basic design of the plants, a safety evaluation of the Greifswald facility by representatives from the Federal Republic of Germany and personal visits by the author to Greifswald and Loviisa.

  11. Eastern Europe scenario

    SciTech Connect

    Hafele, W.

    1996-12-31

    The Russian situation is key to Eastern Europe if present trends continue. Its strategy for the establishment of the nuclear fuel cycle was conceived decades ago when the former USSR still existed. It was based on the fuel recycle with attention given to the requirements of the military. The former Warsaw Pact Countries (WPC) were not meant to have independent fuel cycles, and their irradiated fuel elements were scheduled to go back to Russian territory. In 1976 a fuel cycle center was built at Mayak/Chelyabinsk, centered on the RT-1 plant with a nominal capacity of 400 tonnes/yr plant for the reprocessing of spent fuel from VVER-440 reactors, fast reactors (BN-350 and BN-600) icebreaker and submarine transport units, research reactors, and other power units. The plan provided for the reprocessing of spent fuel from the WPC all having VVER-440 reactors. All together, 3000 tonnes of spent fuel have been processed there. Nuclear waste went to vitrification. A new reprocessing facility is under construction in the neighborhood of Krasnoyarsk 26, the RT-2 plant. It is scheduled to operate after 2005, and its design capacity is 1500 tonne/yr. A storage for 6000 tonnes of spent fuel from VVER-1000 reactors is in operation since 1985. A second mixed-oxide plant for VVER-1000 reactors is under consideration. Now, there are no fuel cycle facilities in the newly independent countries. The fuel cycle problems in Eastern Europe and Russia are discussed.

  12. From a balcony of building 500, looking northeast. The eastern ...

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

    From a balcony of building 500, looking northeast. The eastern half of building 511 is in the foreground, with the movie theater (building 521) beyond it to the right and the commissary (building 520) is directly beyond 511 to the left of the theater. - Fitzsimons General Hospital, Bounded by East Colfax to south, Peoria Street to west, Denver City/County & Adams County Line to north, & U.S. Route 255 to east, Aurora, Adams County, CO

  13. From a balcony of building 500, looking north. Eastern and ...

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

    From a balcony of building 500, looking north. Eastern and middle portions of building 511 are in the foreground. The movie theater (building 521) and the steam plant (building 215) are to the right rear. The commissary (building 520) is directly behind building 511. - Fitzsimons General Hospital, Bounded by East Colfax to south, Peoria Street to west, Denver City/County & Adams County Line to north, & U.S. Route 255 to east, Aurora, Adams County, CO

  14. New York hospital group striving for brand recognition. HealthStar Network.

    PubMed

    Herreria, J

    1998-01-01

    HealthStar Network established a new concept in its eastern market--a group of hospitals forming one association. Marketers of HealthStar are conducting a branding campaign to distinguish individual expertise under one umbrella company.

  15. Rhinoplasty in Middle Eastern Patients.

    PubMed

    Sajjadian, Ali

    2016-01-01

    Rhinoplasty in patients of Middle Eastern origin requires complete understanding of nasal morphology and an individualized approach to create a racially congruent and aesthetically pleasing outcome. In this article, common anatomic features and characteristics and detailed steps, surgical techniques, and operative maneuvers that can lead to predictable outcome in rhinoplasty of Middle Eastern patients are discussed.

  16. CromixSun: un nuovo strumento per osservare il Sole in luce H-alfa

    NASA Astrophysics Data System (ADS)

    Lugli, Marcello

    2005-08-01

    The paper illustrates the possibility to achieve positive and useful results also beyond any imagination and out of any orthodox scheme. More than true what A. Einstein said: "Imagination is more important than knowledge". Only by using and assembling together the simplest filters that actual technology is able to produce it was possible to create a narrow bandpass H-alpha instrument which has nothing to envy other similar devices and probably, it may offer something more than others.

  17. Eastern Han's Cunning Depiction

    NASA Astrophysics Data System (ADS)

    Chiu, B. C.

    1998-09-01

    It is still only speculation, but an earlier visit to a Han dynasty (202 BC - 220 AD) tomb has started the idea, and a recently found study of another Han tomb has convinced me it is worth pursuing. What it is is that the ancient Chinese Sky Animal which represents North was not the turtle or tortoise until about the time of Han. My own visit was to an Eastern (later period) Han tomb which had been moved to a museum near the ancient capital of Luoyang. The ceiling of the inner chamber was rounded, made of brick. Drawings of a tiger and a red bird were clear to the west and south. A rounded object was at the north. Outside the tomb was a sign which said it was 'cun,' which means village. Chinese characters often have homonyms, but 'cun' has few. I have also visited the neolithic village of Banpo, near the Yellow River in the north. It has noticeably large and deep trenches to keep out wild animals, and one separates the residential area from the business area. This village is dated earlier than 4000 BC. The trenches definitely remind me of later depictions of the turtle with a snake wound about it. The recent findings of a tomb at Puyang with shapes of tiger and dragon have dated it to 3000 BC. Nothing was placed at the south side. Something was at the north, but one might argue about that. Finally, I found this article in Chinese Studies in Archaeology (1979), translated by S. Cahill of UC, Berkeley, called "Analysis of the Western Han Murals in the Luouyang Tomb of Bo Qianqiu" by Sun Zuoyun. Although Western Han is earlier than Eastern, the pictures in the tomb were well preserved. There were tiger, dragon, vermilion bird, and other animals, but no tortoise. Instead, there was a sun with a bird inside, and the moon with a frog. Several hundred miles north of the Yellow River, there is the Amur River. The natives there had robes decorated with snakes, lizards, and frogs, and other animals, but no turtle. Later reasons for having the turtle or tortoise is a separate

  18. Eastern Siberia terrain intelligence

    USGS Publications Warehouse

    ,

    1942-01-01

    The following folio of terrain intelligence maps, charts and explanatory tables represent an attempt to bring together available data on natural physical conditions such as will affect military operations in Eastern Siberia. The area covered is the easternmost section of the U.S.S.R.; that is the area east of the Yenisei River. Each map and accompanying table is devoted· to a specialized set of problems; together they cover such subjects as geology, construction materials, mineral fuels, terrain, water supply, rivers and climate. The data is somewhat generalized due to the scale of treatment as well as to the scarcity of basic data. Each of the maps are rated as to reliability according to the reliability scale on the following page. Considerable of the data shown is of an interpretative nature, although precise data from literature was used wherever possible. The maps and tables were compiled  by a special group from the United States Geological Survey in cooperation with the Intelligence Branch of the Office, Chief of Engineers, War Department.

  19. Antibiotic policies in Central Eastern Europe.

    PubMed

    Cizman, Milan; Beovic, Bojana; Krcmery, Vladimir; Barsic, Bruno; Tamm, Eda; Ludwig, Endre; Pelemis, Mojimir; Karovski, Kliment; Grzesiowski, Pavel; Gardovska, Dace; Volokha, Alla; Keuleyan, Emma; Stratchounski, Leonid; Dumitru, Carstina; Titov, Leonid P; Usonis, Vytantas; Dvorák, Peter

    2004-09-01

    To assess the antibiotic policies in Central Eastern European (CEE) countries, a questionnaire on the prevalence of resistance, antibiotic consumption data for ambulatory and hospital care and antibiotic policies, was mailed to national representatives. Data on antibiotic resistance and consumption of antibiotics at national levels are limited and vary considerably among countries. The importance of surveillance data in altering perceptions of the prevalence of resistance is shown by the comparison of surveillance data and interview data. Interview data without surveillance data produced the widest range of estimates of the prevalence of resistance in streptococcus pneumonia -5% in Lithuania and 82% in Belarus. The average consumption of antibiotics in ambulatory care in eight CEE countries in 2001 was 19.35 defined daily doses (DDD)/1000 inhabitants per day, (range 13.1 - 24.8 DDD) and in hospitals in six CEE countries was 2.2 DDD/1000 inhabitants per day (range 1.3-4.5). Over the counter sales of antibiotics are available in some countries. Antibiotic policy interventions do not exist or only apply to specific problems or interventions. Better implementation of antibiotic interventions and education on antibiotic use should be a high priority in this region. An effective strategy requires close co-operation, consultations and partnership at national and international level in particular, via existing international organisations.

  20. Can hospitals compete on quality? Hospital competition.

    PubMed

    Sadat, Somayeh; Abouee-Mehrizi, Hossein; Carter, Michael W

    2015-09-01

    In this paper, we consider two hospitals with different perceived quality of care competing to capture a fraction of the total market demand. Patients select the hospital that provides the highest utility, which is a function of price and the patient's perceived quality of life during their life expectancy. We consider a market with a single class of patients and show that depending on the market demand and perceived quality of care of the hospitals, patients may enjoy a positive utility. Moreover, hospitals share the market demand based on their perceived quality of care and capacity. We also show that in a monopoly market (a market with a single hospital) the optimal demand captured by the hospital is independent of the perceived quality of care. We investigate the effects of different parameters including the market demand, hospitals' capacities, and perceived quality of care on the fraction of the demand that each hospital captures using some numerical examples.

  1. Changing hospital payments: implications for teaching hospitals.

    PubMed

    Bentley, J D

    1983-09-01

    Hospitals cannot continue to view themselves only as social institutions whose performance will be assessed on the good they do. Teaching hospitals, in particular, cannot view themselves simply as distinctive combinations of social and educational institutions. Under Medicare's prospective pricing system, the hospital's role as production system is enhanced, and all hospitals must learn to balance the new economic realities as they work with their medical staff to adapt to a changed future.

  2. Going to the Hospital

    MedlinePlus

    ... Happens in the Operating Room? Going to the Hospital KidsHealth > For Kids > Going to the Hospital Print ... you flowers, balloons, or other treats! previous continue Hospital People You'll meet lots of people in ...

  3. Critical Access Hospitals (CAH)

    MedlinePlus

    ... use requirements for Critical Access Hospitals related to Electronic Health Records (EHRs)? Critical Access Hospital (CAH) are eligible for Electronic Health Record (EHR) incentive payments and can receive ...

  4. Arboreal spiders in eastern hemlock.

    PubMed

    Mallis, Rachael E; Rieske, Lynne K

    2011-12-01

    Eastern hemlock [Tsuga canadensis (L.) Carrière] is a foundation species in forests of eastern North America that plays a key role in ecosystem function. It is highly susceptible to the exotic invasive hemlock woolly adelgid (Adelges tsugae Annand), which is causing widespread hemlock mortality. We surveyed the spider communities of eastern hemlock and deciduous canopies over 2 yr, collecting over 4,000 spiders from 21 families. We found that eastern hemlock canopies harbored a more abundant, rich, and diverse spider community than did deciduous canopies. Five spider families were present in our hemlock collections that were absent from the deciduous collections, including Mysmenidae, Theridiosomatidae, Mimetidae, Lycosidae, and Agelenidae. In hemlock canopies there were 4× the number of web builders, consisting primarily of the Tetragnathidae and Araneidae, than active hunters, consisting primarily of the Anyphaenidae and the Salticidae. Ours is the first in depth study of the spider community in eastern hemlock. Spider abundance in hemlock canopies suggest that they may play a role regulating herbivore populations, and could possibly affect the invasive hemlock woolly adelgid, either through direct consumption of the adelgids themselves or through interactions with classical biological control agents.

  5. Specialty hospitals: can general hospitals compete?

    PubMed

    Dummit, Laura A

    2005-07-13

    The rapid increase in specialty cardiac, surgical, and orthopedic hospitals has captured the attention of general hospitals and policymakers. Although the number of specialty hospitals remains small in absolute terms, their entry into certain health care markets has fueled arguments about the rules of "fair" competition among health care providers. To allow the smoke to clear, Congress effectively stalled the growth in new specialty hospitals by temporarily prohibiting physicians from referring Medicare or Medicaid patients to specialty hospitals in which they had an ownership interest. During this 18-month moratorium, which expired June 8, 2005, two mandated studies of specialty hospitals provided information to help assess their potential effect on health care delivery. This issue brief discusses the research on specialty hospitals, including their payments under Medicare's hospital inpatient payment system, the quality and cost of care they deliver, their effect on general hospitals and on overall health care delivery, and the regulatory and legal environment in which they have proliferated. It concludes with open issues concerning physician self-referral and the role of general hospitals in providing a range of health care services.

  6. Measuring Rural Hospital Quality

    ERIC Educational Resources Information Center

    Moscovice, Ira; Wholey, Douglas R.; Klingner, Jill; Knott, Astrid

    2004-01-01

    Increased interest in the measurement of hospital quality has been stimulated by accrediting bodies, purchaser coalitions, government agencies, and other entities. This paper examines quality measurement for hospitals in rural settings. We seek to identify rural hospital quality measures that reflect quality in all hospitals and that are sensitive…

  7. Hospital marketing revisited.

    PubMed

    Costello, M M

    1987-05-01

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

  8. Competition among hospitals.

    PubMed

    Noether, M

    1988-09-01

    The traditional view of hospital competition has posited that hospitals compete primarily along 'quality' dimensions, in the form of fancy equipment to attract admitting physicians and pleasant surroundings to entice patients. Price competition among hospitals is thought to be non-existent. This paper estimates the effects of various hospital market characteristics on hospital prices and expenses in an attempt to determine the form of hospital competition. The results suggest that both price and quality competition are greater in markets that are less concentrated, although the net effect of the two on prices is insignificant. It appears, therefore, that, despite important distortions, hospital markets are not immune to standard competitive forces.

  9. Citizenship Norms in Eastern Europe.

    PubMed

    Coffé, Hilde; van der Lippe, Tanja

    2010-05-01

    Research on Eastern Europe stresses the weakness of its civil society and the lack of political and social involvement, neglecting the question: What do people themselves think it means to be a good citizen? This study looks at citizens' definitions of good citizenship in Poland, Slovenia, the Czech Republic and Hungary, using 2002 European Social Survey data. We investigate mean levels of civic mindedness in these countries and perform regression analyses to investigate whether factors traditionally associated with civic and political participation are also correlated with citizenship norms across Eastern Europe. We show that mean levels of civic mindedness differ significantly across the four Eastern European countries. We find some support for theories on civic and political participation when explaining norms of citizenship, but also demonstrate that individual-level characteristics are differently related to citizenship norms across the countries of our study. Hence, our findings show that Eastern Europe is not a monolithic and homogeneous bloc, underscoring the importance of taking the specificities of countries into account.

  10. Fall management of eastern gamagrass

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Recent research has suggested that eastern gamagrass (EGG) may be an effective alternative to chopped straw in the blended diets of dairy heifers and cows. Most extension materials discussing appropriate fall management of EGG recommend avoiding harvest within 6 weeks of first frost. Using this guid...

  11. Eastern New Mexico University. Exemplars.

    ERIC Educational Resources Information Center

    Iannozzi, Maria

    This report describes efforts by Eastern New Mexico University (ENMU) to recast its mission more narrowly while at the same time reducing the sense of remoteness and disconnection, as well as geographic isolation, between the main campus and its branch campuses. In the early 1980s, ENMU suffered from mission drift, in part as a result of its…

  12. Citizenship Norms in Eastern Europe

    ERIC Educational Resources Information Center

    Coffe, Hilde; van der Lippe, Tanja

    2010-01-01

    Research on Eastern Europe stresses the weakness of its civil society and the lack of political and social involvement, neglecting the question: What do people themselves think it means to be a good citizen? This study looks at citizens' definitions of good citizenship in Poland, Slovenia, the Czech Republic and Hungary, using 2002 European Social…

  13. Guide to Choosing a Hospital

    MedlinePlus

    ... your condition? Should you consider a specialty hospital, teaching hospital (usually part of a university), community hospital, ... been approved by Medicare. Hospitals may choose either method of evaluation. You can check with a hospital ...

  14. Language in Education in Eastern Africa.

    ERIC Educational Resources Information Center

    Gorman, T. P., Ed.

    This volume contains the papers given at the first Eastern Africa Conference on Language and Linguistics, held in Dar es Salaam in December 1968, under the auspices of the Survey of Language Use and Language Teaching in Eastern Africa. The chief aim of the Conference was to bring together scholars and teachers working in Eastern Africa interested…

  15. The application of hospitality elements in hospitals.

    PubMed

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

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

  16. [Convent nursing in Polish hospitals from 1939].

    PubMed

    Halat, M

    2000-01-01

    The author, Sister of Charity and Mother Superior of the Children's Home in Tarnów, describes the attitude of the authorities of the Polish People's Republic towards convent nursing in hospitals. The problem is exemplified by the situation of the Cracow Province of the Order of the Sisters of Charity. Apart from this main theme, Sister Mirosława Hałat says a little about the establishment of the Order and the role it played in Polish hospital care. Before presenting the fundamental problems related to the topic of the article, the author presents numerical data showing the Sisters of Charity's involvement in hospital care between World War I and World War II. This facilitates a comparison of the possibilities of providing hospital care by the Sisters of Charity at a later time. The author also describes the persecutions of the Sister of Charity by the German occupiers. Her main reflections are divided into several parts. The period from 1945 to 1949 covers the time when the Sisters of Charity tried to engage actively in the reconstruction of the ruined Polish hospital system. This involved leaving the former Polish eastern borderland and taking up duties in the so-called Regained Territories. The period from 1950 to 1989 describes the conscious, planned and ideologically directed policies of the authorities of the Polish People's Republic to nullify or at least diminish the role of the Sisters of Charity in Polish hospitals. Quoting numerous accounts and documents, the author tries to recreate the atmosphere of those times. She also writes about the Sisters of Charity's preparation for work in hospitals as well as the possibilities of their education after the war. The article presents the Sisters of Charity's activity under very difficult political conditions and is complemented by a great number of figures, graphs and source documents.

  17. Income Tax--Section 501 (c) (3)--Qualification of Hospitals for Tax Exempt Status as Charitable Organizations, Eastern Kentucky Welfare Rights Organization v. Simon, 506 F. 2d 1278 (D.C. Cir. 1974), cert. granted, 95 S. Ct. 1974 (1975) (No. 74-1124)

    ERIC Educational Resources Information Center

    Dwyer, Kevin J.

    1975-01-01

    The Court of Appeals for the District of Columbia upheld the validity of the Internal Revenue Service ruling that allows nonprofit hospitals to qualify as charitable institutions without requiring them to provide services at reduced rates for persons unable to pay. This is a reversal of existing law regarding tax exempt status for charitable…

  18. Help prevent hospital errors

    MedlinePlus

    ... www.ncbi.nlm.nih.gov/pubmed/23330698 . The Joint Commission. Hospital: 2014 National Patient Safety Goals. www.jointcommission. ... October 24, 2014. Accessed October 27, 2016. The Joint Commission. Hospital: 2016 National Patient Safety Goals. Updated January ...

  19. Hospitals as health educators

    MedlinePlus

    ... than your local hospital. From health videos to yoga classes, many hospitals offer information families need to ... care and breastfeeding Parenting Baby sign language Baby yoga or massage Babysitting courses for teens Exercise classes ...

  20. Surviving Your Child's Hospitalization.

    ERIC Educational Resources Information Center

    Cohen, David A.

    1988-01-01

    The parent of a young child who required major open heart surgery shares his suggestions for coping with a young child's hospitalization including parent visitation, relating to the hospital staff, getting answers to questions, and utilizing available services. (DB)

  1. Building A Middle Eastern Alliance

    DTIC Science & Technology

    2015-02-12

    implementation of NATO model to METO by reviewing NATO and suggesting some applications . Thesis This paper proposes building a Middle Eastern alliance to...ranging from terror activity and insurgency to a full- scale conventional war. The US contribution to the alliance may also include extending its...and alliance history is no different. NATO was founded to oppose a Soviet threat. The threat is long gone but NATO is still extremely relevant and

  2. Military Spending in Eastern Europe,

    DTIC Science & Technology

    1987-05-01

    on defense (the sums are less than the corresponding expenditures by the republics) or whether they involve military spending above and beyond that...certain military expenditures on personnel are included in budgetary categories other than defense spending . Transportation of soldiers to their first... expenditures and forces and military spending decisions in Eastern Europe. iii L SUMMARY Although the Soviet Union is the most threatening potential

  3. Hospital Dermatology, Introduction.

    PubMed

    Fox, Lindy P

    2017-03-01

    Inpatient dermatology is emerging as a distinct dermatology subspecialty where dermatologists specialize in caring for patients hospitalized with skin disease. While the main focus of inpatient dermatology is the delivery of top-quality and timely dermatologic care to patients in the hospital setting, the practice of hospital-based dermatology has many additional components that are critical to its success.

  4. Cancers in Eastern Libya: First results from Benghazi Medical Center

    PubMed Central

    Bodalal, Zuhir; Azzuz, Raouf; Bendardaf, Riyad

    2014-01-01

    AIM: To study the pattern of cancer incidence and determine the incidence rates in Eastern Libya (for the first time in a decade). METHODS: A hospital-based registry of cancer patients was formed using records from the primary oncology center in eastern Libya - focusing on those diagnosed in the year 2012. RESULTS: The most common malignancies in men were cancers of the colon (22.3%, n = 90), lung (20.3%, n = 82), prostate (16.1%, n = 65), pancreas (4.2%, n = 17) and liver (4.2%, n = 17). For women, they were found to be cancers of the breast (41.5%, n = 213), colon (16.4%, n = 84), uterus (8%, n = 41), ovary (5.5%, n = 28) and pancreas (3.1%, n = 16). Additionally age-standardized rates (ASR) were determined for Libya. The different cities and towns in eastern Libya were compared for any variation. The city of Beida in particular was found to have a remarkably high incidence of gastric cancer. The different findings were discussed and comparisons were made with past literature as well as the incidence rates for neighbouring countries. The incidence rates given for the eastern region showed differences from previously reported values (i.e., the rate of colon cancer was the highest in North Africa whereas other malignancies occurred less frequently). Potential explanations for the urban-rural difference as well as the difference in incidence rates were put forth. The significance of this study is that it establishes a baseline of cancer incidence which should be the backbone for any future national cancer plan in Libya. CONCLUSION: Proper surveillance programs need to be in place and healthcare policy should be adjusted to take into account the more prevalent and pressing cancers in society. PMID:24876750

  5. Positioning hospitals: a model for regional hospitals.

    PubMed

    Reddy, A C; Campbell, D P

    1993-01-01

    In an age of marketing warfare in the health care industry, hospitals need creative strategies to compete successfully. Lately, positioning concepts have been added to the health care marketer's arsenal of strategies. To blend theory with practice, the authors review basic positioning theory and present a framework for developing positioning strategies. They also evaluate the marketing strategies of a regional hospital to provide a case example.

  6. A Holistic, Person-Centred Care Model for Victims of Sexual Violence in Democratic Republic of Congo: The Panzi Hospital One-Stop Centre Model of Care.

    PubMed

    Mukwege, Denis; Berg, Marie

    2016-10-01

    Denis Mukwege and Marie Berg describe the One Stop Centre at Panzi Hospital in Eastern Democratic Republic of Congo that provides care for girls and women who have been raped in combination with extreme bodily harm.

  7. Habitat Suitability Index Models: Eastern cottontail

    USGS Publications Warehouse

    Allen, Arthur W.

    1984-01-01

    The eastern cottontail (Sylvilagus floridanus) is the most widely distributed cottontail in North America (Chapman et al. 1982). The species is considered to be a generalist that occupies a variety of habitats from southern Canada southward into South America (Chapman et al. 1980). The eastern cottontail's range overlaps that of six other species of cottontails (Sylvilagus spp.) and six species of hares (Lepus spp.). Eastern cottontails have been widely transplanted and are believed to be expanding their range northward, particularly in the Northeast (Chapman et al. 1982). The eastern cottontail has been successfully introduced into portions of Oregon and Washington which are outside of the species' natural range (Chapman and Morgan 1973). The eastern cottontail is primarily nocturnal and is a principal game species in the eastern United States.

  8. Central line infections - hospitals

    MedlinePlus

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

  9. Measuring hospital competition.

    PubMed

    White, S L; Chirikos, T N

    1988-03-01

    This paper appraises the use of the Herfindahl market share index as an exogenous competition variable in empirical studies of the hospital sector. An analysis of cross-sectional Florida data shows that this index itself is significantly influenced by the demand and supply factors commonly included in econometric models of hospital performance. The analysis then illustrates that biased inferences about the effects of market competition on the costs of hospital care may result unless the values of the Herfindahl Index are treated endogenously in hospital cost models.

  10. Outcomes of Children Adopted from Eastern Europe

    ERIC Educational Resources Information Center

    Miller, Laurie; Chan, Wilma; Tirella, Linda; Perrin, Ellen

    2009-01-01

    Behavioral problems are frequent among post-institutionalized Eastern European adoptees. However, risk factors related to outcomes have not been fully delineated. We evaluated 50 Eastern European adoptees, age 8-10 years, with their adoptive families for more than five years. Cognitive and behavioral outcomes and parenting stress were evaluated in…

  11. Eastern Kentucky Teacher and Administrative Stress

    ERIC Educational Resources Information Center

    Wright, Sam; Ballestero, Victor

    2011-01-01

    The purpose of this research was to survey selected Eastern Kentucky Principals (Elementary, Middle, and High School) to collect data about stress in public schools. A stress survey (Appendix C) was sent to randomly selected elementary, middle, and high school principals located in the Eastern Kentucky region serviced by Morehead State University…

  12. Water quality in the eastern Iowa basins

    USGS Publications Warehouse

    Kalkhoff, Stephen J.; Barnes, Kymm K.; Becher, Kent D.; Savoca, Mark E.; Schnoebelen, Douglas J.; Sadorf, Eric M.; Porter, Stephen D.; Sullivan, Daniel J.; Creswell, John

    2001-01-01

    The Eastern Iowa Basins Study Unit includes the Wapsipinicon, Cedar, Iowa, and Skunk River basins and covers approximately 19,500 square miles in eastern Iowa and southern Minnesota. More than 90 percent of the land in the study unit is used for agricultural purposes. Forested areas account for only 4 percent of the land area.

  13. Reduction in Force in Rural Eastern Kentucky.

    ERIC Educational Resources Information Center

    Prickett, R. L.; And Others

    This paper examines factors related to the reduction of certified school personnel in Eastern Kentucky rural school districts. The economy of Eastern Kentucky has relied heavily on the coal industry, which during the past several years has suffered losses resulting in job layoffs and closure of companies. Economic distress caused a declining…

  14. The Soviet Economic Dilemma of Eastern Europe.

    DTIC Science & Technology

    1986-05-01

    terms of trade, overinvestment, the hard currency debt crisis , and problems in adopting and diffusing new technologies. At times Soviet policies have...Surpluses with Eastern Europe ........... 31 10. Soviet Trade Surpluses with East European Countries in Crisis ...trade until 1979, and then again in 1981 dur- ing the Polish crisis . Moreover, Soviet terms of trade with Eastern Europe have improved very rapidly

  15. The Eratosthenes Seamount - Eastern Mediterranean

    NASA Astrophysics Data System (ADS)

    Ehrhardt, A.; Schnabel, M.; Damm, V.

    2012-04-01

    The Eratosthenes Seamount forms a prominent landmark in the Eastern Mediterranean. It is located south of Cyprus with the Levantine Basin on its eastern side, the Herodotus Basin on its western side and the Nile Cone south of the seamount. The Eratosthenes Seamount rises up to 750 m below sea surface and is about 1200 m higher than the surrounding seafloor of the Levantine Basin and the Nile Cone sediments. The Eratosthenes Seamount is considered as a continental fragment of the former African-Nubian Plate that was rifted to its present position relative to Africa during the formation of the Tethyan Ocean. In 2010 a detailed geophysical survey was carried out in the area of the Eratosthenes Seamount by the Federal Institute for Geosciences and Natural Resources of Germany including multichannel seismic (MCS), refraction seismics, magnetic, gravity and magnetotelluric data acquisition. First results show a highly deformed seamount, with a plateau-like top that is impacted by west-east trending graben formation. The slopes of the seamount are eroded showing deep incised ripple patterns and recent submarine landslides. The Eratosthenes Seamount produces also a prominent magnetic and gravity anomaly, both supporting its uniqueness in the area of the Eastern Mediterranean. Velocity information by refraction seismic modeling, as well as the models of the magnetic and gravity data show evidence for a volcanic core of the seamount with carbonate layers on top of the volcanic core. The slopes of the seamount terminate against a conspicuous rim-like escarpment that forms in addition the northern and western termination of the Messinian Evaporites in the study area. The MCS and refraction seismic data show a very deep Levantine Basin with maximum acoustic basement depths of 12 to 14 km very close to the slope of the Eratosthenes Seamount. The deepest sediments resolved by the MCS data are of Lower Cretaceous to Jurassic age. The refraction seismic model shows a 14 km thick

  16. Hospitality Occupations. Curriculum Guide.

    ERIC Educational Resources Information Center

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

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

  17. Hospitality, Tourism, and Recreation.

    ERIC Educational Resources Information Center

    Novachek, James

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

  18. Handbook on Hospital Television.

    ERIC Educational Resources Information Center

    Prynne, T. A.

    Designed for both hospital personnel interested in television and audiovisual personnel entering the medical field, this handbook is a verbal and pictorial survey of what is being done with TV within the medical profession. After an introduction which answers technical questions about medical TV posed during the American Hospital Association's…

  19. Hospitality Services. Curriculum Guide.

    ERIC Educational Resources Information Center

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

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

  20. Hospitality Services Reference Book.

    ERIC Educational Resources Information Center

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

    This reference book provides information needed by employees in hospitality services occupations. It includes 29 chapters that cover the following topics: the hospitality services industry; professional ethics; organization and management structures; safety practices and emergency procedures; technology; property maintenance and repair; purchasing…

  1. Virtual Pediatric Hospital

    MedlinePlus

    ... Thoracopaedia - An Imaging Encyclopedia of Pediatric Thoracic Disease Virtual Pediatric Hospital is the Apprentice's Assistant™ Last revised ... pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com Virtual Pediatric Hospital is curated by Donna M. D' ...

  2. Hospital benefit segmentation.

    PubMed

    Finn, D W; Lamb, C W

    1986-12-01

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

  3. Leading a hospital closure.

    PubMed

    Lucey, Paula A

    2002-01-01

    Hospital closures have become more common. The challenges facing a nursing leader in this situation are complex and difficult. This author suggests that looking for new beginnings rather than focusing on endings created an approach to closing a public hospital. The article includes approaches to employee morale, staffing, and patient care.

  4. Competition among hospitals.

    PubMed

    Gaynor, Martin; Vogt, William B

    2003-01-01

    We examine competition in the hospital industry, in particular the effect of ownership type (for-profit, not-for-profit, government). We estimate a structural model of demand and pricing in the hospital industry in California, then use the estimates to simulate the effect of a merger. California hospitals in 1995 face an average price elasticity of demand of -4.85. Not-for-profit hospitals face less elastic demand and act as if they have lower marginal costs. Their prices are lower than those of for-profits, but markups are higher. We simulate the effects of the 1997 merger of two hospital chains. In San Luis Obispo County, where the merger creates a near monopoly, prices rise by up to 53%, and the predicted price increase would not be substantially smaller were the chains not-for-profit.

  5. Predicting the Eastern Mediterranean Basin

    NASA Astrophysics Data System (ADS)

    Royden, L.

    2011-12-01

    From ~30 Ma onwards, the evolution of the Mediterranean region has been dominated by the rapid migration of thin-skinned thrust-belts. Thrust belt migration has been accommodated by the opening of "back arc type" basins within the upper plate of the thrust belts. Migration of these thrust belts is associated with the migration of subduction systems where subduction and thrusting are driven largely by negative slab buoyancy. Where the subducting slab has large negative buoyancy, thrust belt migration is commonly rapid. Where buoyant continental lithosphere enters the subduction system, subduction ceases quickly. Hence the large-scale tectonic evolution of the Mediterranean basin is largely pre-conditioned by its paleogeography. This can be quantitatively illustrated for the Hellenic subduction system where the post Eocene evolution of the Hellenic thrust belt can be ascribed to the buoyancy of the lithosphere subducted. Entry of the Ionian oceanic lithosphere into a slow-moving trench at 10-15 Ma explains the increase in subduction rate along the central part of the trench, to ~35 mm/yr at present, while subduction rates along strike to the northeast, where continental/transitional crust is subducted, remain less than ~10 mm/yr. Using quantitative modeling of the Hellenic subduction system in post Eocene time, it is possible to approximate how this thrust belt, and the active subduction belt of the eastern Mediterranean, will evolve over the next 10 m.y. This exercise suggests that the large-scale evolution of the eastern Mediterranean basin will be strikingly similar to that of the western Mediterranean basin from 20-0 Ma. This highlights the common dynamic mechanism that shapes the large scale deformation and morphology of the Mediterranean basin.

  6. Seasonal variation and hypertensive disorders of pregnancy in eastern Sudan.

    PubMed

    Ali, A A; Adam, G K; Abdallah, T M

    2015-02-01

    The aim of this study was to investigate the seasonal variation and hypertensive disorders of pregnancy in eastern Sudan, in the period between January 2008 and December 2010. The medical files of women attending at Kassala hospital, eastern Sudan with hypertension, with or without proteinuria were retrospectively retrieved. The data of patients with hypertensive disorders of pregnancy were compared with a similar number of controls that were normotensive and non-proteinuric. During the study period, there were 9,578 deliveries; 153 patients had hypertensive disorders of pregnancy, yielding an incidence rate of 1.6%. Of all cases and controls (306), there were 183 (59.8%) deliveries in winter, 84 (27.5%) in summer and 39 (12.7%) in autumn. The highest rate of pre-eclampsia was in winter (1.1%) (CI = 1.1-2.7, OR = 1.7, p = 0.004) and the lowest rate was in autumn (0.2%) (CI = 0.4-1.8, OR = 0.8, p = 0.758.). Our study revealed significant association between the incidence of hypertensive disorders of pregnancy and the winter season (103 (67.3%) vs 80 (52.3%), p = 0.001). Thus, more attention in the winter season might reduce the morbidity and mortality of hypertensive disorders of pregnancy.

  7. Hospitals' Internal Accountability

    PubMed Central

    Kraetschmer, Nancy; Jass, Janak; Woodman, Cheryl; Koo, Irene; Kromm, Seija K.; Deber, Raisa B.

    2014-01-01

    This study aimed to enhance understanding of the dimensions of accountability captured and not captured in acute care hospitals in Ontario, Canada. Based on an Ontario-wide survey and follow-up interviews with three acute care hospitals in the Greater Toronto Area, we found that the two dominant dimensions of hospital accountability being reported are financial and quality performance. These two dimensions drove both internal and external reporting. Hospitals' internal reports typically included performance measures that were required or mandated in external reports. Although respondents saw reporting as a valuable mechanism for hospitals and the health system to monitor and track progress against desired outcomes, multiple challenges with current reporting requirements were communicated, including the following: 58% of survey respondents indicated that performance-reporting resources were insufficient; manual data capture and performance reporting were prevalent, with the majority of hospitals lacking sophisticated tools or technology to effectively capture, analyze and report performance data; hospitals tended to focus on those processes and outcomes with high measurability; and 53% of respondents indicated that valuable cross-system accountability, performance measures or both were not captured by current reporting requirements. PMID:25305387

  8. Hospital service recovery.

    PubMed

    Gutbezahl, Cary; Haan, Perry

    2006-01-01

    An organization's ability to correct service errors is an important factor in achieving success in today's service economy. This paper examines service recovery in hospitals in the U.S. First is a general review of service recovery theories. Next is a discussion of specific service issues related to the hospital environment. The literature on service recovery is used to make specific recommendations to hospitals for ways to improve their ability to remedy service errors when they occur. Suggestions for future research in the field of service recovery are also made.

  9. Predicting hospital accounting costs

    PubMed Central

    Newhouse, Joseph P.; Cretin, Shan; Witsberger, Christina J.

    1989-01-01

    Two alternative methods to Medicare Cost Reports that provide information about hospital costs more promptly but less accurately are investigated. Both employ utilization data from current-year bills. The first attaches costs to utilization data using cost-charge ratios from the previous year's cost report; the second uses charges from current year's bills. The first method is the more accurate of the two, but even using it, only 40 percent of hospitals had predicted costs within plus or minus 5 percent of actual costs. The feasibility and cost of obtaining cost reports from a small, fast-track sample of hospitals should be investigated. PMID:10313352

  10. Habitat Suitability Index Models: Eastern brown pelican

    USGS Publications Warehouse

    Hingtgen, Terrence M.; Mulholland, Rosemarie; Zale, Alexander V.

    1985-01-01

    A review and synthesis of existing information were used to develop a habitat model for the eastern brown pelican (Pelecanus occidentalis carolinensis). The model is scaled to produce an index of habitat suitability between 0 (unsuitable habitat) and 1.0 (optimal habitat) for coastal areas within the eastern brown pelican's breeding range. Habitat suitability indices are designed for use with the Habitat Evaluation Procedures previously developed by the U.S. Fish and Wildlife Service. Guidelines for application of the eastern brown pelican habitat model and techniques for measuring model variables are described.

  11. Russian romances: emotionalism and spirituality in the writings of "Eastern Front" nurses, 1914-1918.

    PubMed

    Hallett, Christine

    2009-01-01

    The nursing work of the First World War is usually associated with the trench warfare of the Western Front. Nurses were based within fairly permanent casualty clearing stations and field hospitals, and patients were moved "down the line" to base hospitals, and then to convalescent hospitals "at home." The nurses and volunteers who worked on the Eastern Front and offered their services to the letuchka or "flying columns" of the Russian medical services had a very different experience. They worked with highly mobile units, following a rapidly moving "front line." The diaries of three British (one Anglo-Russian) nurses who worked alongside Russian nursing sisterhoods in three different flying columns-Violetta Thurstan (Field Hospital and Flying Column), Florence Farmborough (With the Armies of the Tsar) and Mary Britnieva (One Woman's Story)--stand as an important corpus of nursing writing. Written in a highly romantic style, they take up similar themes around their work on the Eastern Front as a heroic journey through a dreamlike landscape. Each nurse offers a portrayal of the Russian character as fine and noble. The most important themes deal with the romance of nursing itself, in which nursing work is portrayed as both character-testing and a highly spiritual pursuit.

  12. Hospital-acquired thrombocytopenia.

    PubMed

    McMahon, Christine M; Cuker, Adam

    2014-10-01

    The development of thrombocytopenia is common in hospitalized patients and is associated with increased mortality. Frequent and important causes of thrombocytopenia in hospitalized patients include etiologies related to the underlying illness for which the patient is admitted, such as infection and disseminated intravascular coagulation, and iatrogenic etiologies such as drug-induced immune thrombocytopenia, heparin-induced thrombocytopenia, posttransfusion purpura, hemodilution, major surgery, and extracorporeal circuitry. This review presents a brief discussion of the pathophysiology, distinguishing clinical features, and management of these etiologies, and provides a diagnostic approach to hospital-acquired thrombocytopenia that considers the timing and severity of the platelet count fall, the presence of hemorrhage or thrombosis, the clinical context, and the peripheral blood smear. This approach may offer guidance to clinicians in distinguishing among the various causes of hospital-acquired thrombocytopenia and providing management appropriate to the etiology.

  13. Surgery, Hospitals, and Medications

    MedlinePlus

    ... products that are not commonly stocked in hospital pharmacies. Examples include: Salagen ® , Evoxac ® , and Restasis ® Eye drops, ... prescription and OTC medications/products in their labeled pharmacy container or packaging. This is important in case ...

  14. Home versus hospital confinement

    PubMed Central

    Barry, C. N.

    1980-01-01

    The case for hospital rather than home delivery has been powerfully argued, especially in and since the Report of the Peel Committee. Nevertheless, evidence of comparison with other countries, notably the Netherlands, suggests the choice is not necessarily simple. Some general practitioner units are now reporting perinatal mortality rates which are consistently lower than those of specialist units, and recent statistical analyses suggest that the presence of more high risk cases in consultant units does not explain this. The only big controlled home-versus-hospital trial did not lead to a significantly lower perinatal mortality rate in the hospital group. The onus of proof now seems to lie with those who advocate 100 per cent hospital confinement. PMID:7373581

  15. Objections to hospital philosophers.

    PubMed Central

    Ruddick, W; Finn, W

    1985-01-01

    Like morally sensitive hospital staff, philosophers resist routine simplification of morally complex cases. Like hospital clergy, they favour reflective and principled decision-making. Like hospital lawyers, they refine and extend the language we use to formulate and defend our complex decisions. But hospital philosophers are not redundant: they have a wider range of principles and categories and a sharper eye for self-serving presuppositions and implicit contradictions within our practices. As semi-outsiders, they are often best able to take an 'external point of view,' unburdened by routine, details, and departmental loyalties. Their clarifications can temporarily disrupt routine, but can eventually improve staff morale, hence team practice and patient welfare. PMID:3981573

  16. Hospital free cash flow.

    PubMed

    Kauer, R T; Silvers, J B

    1991-01-01

    Hospital managers may find it difficult to admit their investments have been suboptimal, but such investments often lead to poor returns and less future cash. Inappropriate use of free cash flow produces large transaction costs of exit. The relative efficiency of investor-owned and tax-exempt hospitals in the product market for hospital services is examined as the free cash flow theory is used to explore capital-market conditions of hospitals. Hypotheses concerning the current competitive conditions in the industry are set forth, and the implications of free cash flow for risk, capital-market efficiency, and the cost of capital to tax-exempt institution is compared to capital-market norms.

  17. American Hospital Association

    MedlinePlus

    ... Hospitals & Health Networks H & HN Daily Trustee Research & Trends AHA Policy Research Health Research & Educational Trust AHA ... Associations unless otherwise indicated. AHA does not claim ownership of any content, including content incorporated by permission ...

  18. Eastern Renewable Generation Integration Study

    SciTech Connect

    Bloom, Aaron; Townsend, Aaron; Palchak, David; Novacheck, Joshua; King, Jack; Barrows, Clayton; Ibanez, Eduardo; O'Connell, Matthew; Jordan, Gary; Roberts, Billy; Draxl, Caroline; Gruchalla, Kenny

    2016-08-01

    The Eastern Interconnection (EI) is one of the largest power systems in the world, and its size and complexity have historically made it difficult to study in high levels of detail in a modeling environment. In order to understand how this system might be impacted by high penetrations (30% of total annual generation) of wind and solar photovoltaic (PV) during steady state operations, the National Renewable Energy Laboratory (NREL) and the U.S. Department of Energy (DOE) conducted the Eastern Renewable Generation Integration Study (ERGIS). This study investigates certain aspects of the reliability and economic efficiency problem faced by power system operators and planners. Specifically, the study models the ability to meet electricity demand at a 5-minute time interval by scheduling resources for known ramping events, while maintaining adequate reserves to meet random variation in supply and demand, and contingency events. To measure the ability to meet these requirements, a unit commitment and economic dispatch (UC&ED) model is employed to simulate power system operations. The economic costs of managing this system are presented using production costs, a traditional UC&ED metric that does not include any consideration of long-term fixed costs. ERGIS simulated one year of power system operations to understand regional and sub-hourly impacts of wind and PV by developing a comprehensive UC&ED model of the EI. In the analysis, it is shown that, under the study assumptions, generation from approximately 400 GW of combined wind and PV capacity can be balanced on the transmission system at a 5-minute level. In order to address the significant computational burdens associated with a model of this detail we apply novel computing techniques to dramatically reduce simulation solve time while simultaneously increasing the resolution and fidelity of the analysis. Our results also indicate that high penetrations of wind and PV (collectively variable generation (VG

  19. Dust Shrouds the Eastern Mediterranean

    NASA Technical Reports Server (NTRS)

    2002-01-01

    On October 18, 2002, a large dust plume extended across countries bordering the eastern Mediterranean Sea. Information on the horizontal and vertical extent of the dust are provided by these views from the Multi-angle Imaging SpectroRadiometer (MISR). The left-hand panel portrays the scene as viewed by the instrument's vertical-viewing (nadir) camera. Here only some of the dust over eastern Syria and southeastern Turkey can be discerned. The dust is much more obvious in the center panel, which is a view from MISR's most steeply forward-looking camera. In addition, this perspective makes shadows cast by clouds onto the dust layer more apparent, providing a visual clue that the dust is at a lower altitude than these clouds.

    The right-hand panel is an elevation field derived from automated MISR stereoscopic processing, in which the heights of clouds and certain parts of the dust plume are retrieved. Because the stereoscopic approach makes use of features within the images that exhibit spatial contrast, heights for much of the dust plume (as well as the ocean surface) could not be retrieved, and these areas are shown in dark gray. Clouds within the image area are situated between about 2 and 5.5 kilometers above sea level, and the dust is located below most of the cloud, at heights of about 1.5 kilometers or less. When the stereo retrieval determines that a location is at a near-surface altitude, digital terrain elevation data are displayed instead. The highest clouds in this scene appear as the orange and red areas, and mountainous regions are displayed in light blue and green.

    The Multi-angle Imaging SpectroRadiometer observes the daylit Earth continuously from pole to pole, and every 9 days views the entire globe between 82 degrees north and 82 degrees south latitude. These data products were generated from a portion of the imagery acquired during Terra orbit 15072. The panels cover an area of about 380 kilometers x 827 kilometers, and utilize data from

  20. Eastern Floor of Holden Crater

    NASA Technical Reports Server (NTRS)

    2002-01-01

    (Released 15 April 2002) The Science Today's THEMIS image covers territory on the eastern floor of Holden Crater, which is located in region of the southern hemisphere called Noachis Terra. Holden Crater is 154 km in diameter and named after American Astronomer Edward Holden (1846-1914). This image shows a mottled surface with channels, hills, ridges and impact craters. The largest crater seen in this image is 5 km in diameter. This crater has gullies and what appears to be horizontal layers in its walls. The Story With its beautiful symmetry and gullies radially streaming down to the floor, the dominant crater in this image is an impressive focal point. Yet, it is really just a small crater within a much larger one named Holden Crater. Take a look at the context image to the right to see just how much bigger Holden Crater is. Then come back to the image strip that shows the mottled surface of Holden Crater's eastern floor in greater detail, and count how many hills, ridges, channels, and small impact craters can be seen. No perfectly smooth terrain abounds there, that's for sure. The textured terrain of Holden Crater has been particularly intriguing ever since the Mars Orbital Camera on the Mars Global Surveyor spacecraft found evidence of sedimentary rock layers there that might have formed in lakes or shallow seas in Mars' ancient past. This finding suggests that Mars may have been more like Earth long ago, with water on its surface. Holden Crater might even have held a lake long ago. No one knows for sure, but it's an exciting possibility. Why? If water was once on the surface of Mars long enough to form sedimentary materials, maybe it was there long enough for microbial life to have developed too. (Life as we know it just isn't possible without the long-term presence of liquid water.) The question of life on the red planet is certainly tantalizing, but scientists will need to engage in a huge amount of further investigation to begin to know the answer. That

  1. Hospital Ship Replacement

    DTIC Science & Technology

    2011-08-01

    designed to operate primarily when anchored to reduce the effects of roll. Quantum markets two separate zero speed active roll fin models for small ...ships. Feasibility of scaling fins to the size of the hospital ship requires validation. 3.12 Lifeboats and Liferafts The safety appliances designated ...for Innovation in Ship Design Technical Report Hospital Ship Replacement By Hannah Allison, Christopher Mehrvarzi, Rebecca Piks, Beau Lovdahl

  2. Fast tracking hospital construction.

    PubMed

    Quirk, Andrew

    2013-03-01

    Hospital leaders should consider four factors in determining whether to fast track a hospital construction project: Expectations of project length, quality, and cost. Whether decisions can be made quickly as issues arise. Their own time commitment to the project, as well as that of architects, engineers, construction managers, and others. The extent to which they are willing to share with the design and construction teams how and why decisions are being made.

  3. Avoidable hospitalizations and socio-economic status in Galveston County, Texas.

    PubMed

    Begley, C E; Slater, C H; Engel, M J; Reynolds, T F

    1994-10-01

    Population-based hospitalization rates for preventable conditions are derived for a low-income population in Galveston County, Texas using discharge data from four area hospitals and demographic data from the U.S. Census. Comparisons are made with similar rates for the general populations of two eastern states (Maryland and Massachusetts) and New York City. Results support the hypothesis that low-income persons lack access to primary care, leading to higher rates of hospitalization for preventable conditions. Alternative explanations for differences found are examined.

  4. Morbidity pattern among refugees in Eastern Ethiopia.

    PubMed

    Bisrat, F; Berhane, Y; Mamo, A; Asefa, E

    1995-11-01

    The population of refugees in eastern Africa and the health problems affecting them are enormous. This study was conducted to document the morbidity pattern among refugees in eastern Ethiopia. The study was conducted to document the morbidity pattern among refugees in eastern Ethiopia. The study utilized a descriptive cross sectional design. Data were collected using a uniform format from all refugee camps in the eastern Ethiopia. Respiratory tract infection and diarrhoeal diseases were identified to be the major causes of morbidity, accounting for 31.8% and 27.3% respectively in children under five years, and for 34.9% and 8.5% respectively in the other age groups. The findings were consistent with other studies done in refugee populations elsewhere. Universality of the problems was noted and a coordinated multidisciplinary approach is recommended to alleviate the health problems of refugees.

  5. LIMITATIONS TO EASTERN REDCEDAR SURVIVAL AND GROWTH

    EPA Science Inventory

    Invasive woody plant species are degrading the structure and function of rangeland ecosystems throughout the world. A species of particular concern in Great Plains grasslands is eastern redcedar (Juniperus virginiana), which has rapidly spread due to fire suppression and intenti...

  6. Tropical Storm Gilma in Eastern Pacific

    NASA Video Gallery

    An animation of satellite observations shows the progression of Tropical Storm Gilma from August 7-10, 2012, along the coast of the Eastern Pacific Ocean. This visualization was created by the NASA...

  7. The Eastern Region Public Health Observatory.

    PubMed

    Wright, Kerri

    2014-06-03

    The Eastern Region Public Health Observatory (ERPHO) became part of Public Health England on April 1 2013. Its website provides population health data, analysis and interpretation to support healthcare professionals in commissioning, prioritising and improving health outcomes.

  8. 75 FR 45611 - Texas Eastern Transmission LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-03

    ... Energy Regulatory Commission Texas Eastern Transmission LP; Notice of Application July 27, 2010. Take notice that on July 15, 2010, Texas Eastern Transmission (Texas Eastern), P.O. Box 1642, Houston, Texas... Eastern Transmission, LP, P.O. Box 1642, Houston, Texas 77251-1642, or by calling (713)...

  9. 76 FR 38381 - Texas Eastern Transmission, LP; Notice of Amendment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-30

    ... Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Amendment Take notice that on June 13, 2011, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas 77056... Application should be directed to Berk Donaldson, Director, Rates and Certificates, Texas Eastern...

  10. 77 FR 20015 - Texas Eastern Transmission, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-03

    ... Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Application Take notice that on March 19, 2012, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas.... Connolly, General Manager, Rates & Certificates, Texas Eastern Transmission, LP, P.O. Box 1642,...

  11. 78 FR 43874 - Texas Eastern Transmission, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-22

    ... Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Application On July 2, 2013, Texas Eastern Transmission, LP (Texas Eastern) filed with the Federal Energy Regulatory Commission (Commission... Eastern Transmission, LP, P.O. Box 1642, Houston, Texas, 77251-1642, or by calling (713) 627-4102; by...

  12. 76 FR 49760 - Texas Eastern Transmission, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ... Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Application Take notice that on July 29, 2011, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas... directed to Lisa A. Connolly, General Manager, Rates & Certificates, Texas Eastern Transmission, LP,...

  13. 77 FR 26534 - Texas Eastern Transmission, LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... Energy Regulatory Commission Texas Eastern Transmission, LP; Notice of Application Take notice that on April 19, 2012, Texas Eastern Transmission, LP (Texas Eastern), 5400 Westheimer Court, Houston, Texas... directed to Marcy F. Collins, Associate General Counsel, Texas Eastern Transmission, LP, P.O. Box...

  14. Midwifery education in Central-Eastern Europe.

    PubMed

    Mivšek, Polona; Baškova, Martina; Wilhelmova, Radka

    2016-02-01

    Problems in midwifery in many Central-Eastern European countries are very similar; it is possible to speak about the evolving Central-Eastern model of midwifery care. The educational models of this region have a relatively strong theoretical part; however, there is an insufficient practical dimension. Theoretical part of midwifery education in the universities is relatively autonomous and is slowly changing the professional identity of graduates.

  15. Soviet Economic Policy Towards Eastern Europe

    DTIC Science & Technology

    1988-11-01

    with Eastern Europe, Institute of International Studies , University of California, Berkeley, 1983. Marresc, Michael, and Jan Vanous, "Soviet Trade...of Trade with Eastern Europe, Institute of International Studies , University of California, Berkeley, 1983, p. 11. 25. Raimund Dietz, "Advantages...and for political support in international forums, yet it simultaneously wishes to maintain tight control.’ It also faces the economic dilemma of

  16. Alabama successes spur interest in eastern Gulf

    SciTech Connect

    Redden, J.

    1985-11-01

    The shallow waters of the eastern fringe of the Gulf of Mexico are becoming a world-class offshore gas play. Spurred by the success ratio offshore Alabama, the water off Mississippi and Florida are drawing intense interest as oil companies attempt to extend the prolific Norphlet formation. Sitting at the heart of the recent interest in the eastern Gulf are the state and federal waters off Alabama. Exploration and drilling activity in the area are discussed.

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

    PubMed

    Hard, R

    1992-05-20

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

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

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

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

  19. The impact of hospital discharge on inappropriate hospital stay.

    PubMed

    Panis, Lambert J G G; Verheggen, Frank W S M; Pop, Peter; Prins, Martin H

    2004-01-01

    Appropriate hospital stay should be effective, efficient and tailored to patient needs. Previous studies have found that on average 20 per cent of hospital stay is inappropriate. Within obstetrics, inappropriate hospital stay consists mostly of delays in hospital discharge. The specific goals of this study were to reduce inappropriate hospital stay by fine-tuning patient logistics, increasing efficiency and providing more comfortable surroundings. New policies using strict discharge criteria were implemented. Total inappropriate hospital stay decreased from 13.3 to 7.2 per cent. The delay in discharge procedures halved. P-charts showed a decrease in inappropriate hospital stay, indicating the current process to be stable. Concludes that a significant reduction in inappropriate hospital stay was found following the implementation of innovative hospital discharge policies, indicating greater efficiency and accessibility of hospital services.

  20. Evaluation of outpatient service quality in Eastern Saudi Arabia

    PubMed Central

    Fraihi, Khalid J. Al; FAMCO, Dip; FAMCO, Fellow; Latif, Shahid A.

    2016-01-01

    Objectives: To investigate perceptions and expectations of patients regarding hospital outpatient services by using a service quality gap model and factors influencing such gaps. Methods: In this cross-sectional descriptive study conducted between October and November 2014 in the outpatient waiting areas of a hospital in the Eastern Province of Saudi Arabia, a sample of 306 patients was selected by convenience sampling technique. The data was collected through an Arabic version of the service quality (SERVQUAL) questionnaire consisting of 2 parts: patients’ demographic characteristics, and 22 items scales of patients’ expectations and perceptions of SERVQUAL. The data was analyzed by confirmatory factor analysis, independent, and paired t samples tests and one way analysis of variance test. Results: The results showed that the proposed model for service quality dimensions had a good fit by satisfying the recommended values. The patients’ expectations exceeded perceptions in all service quality dimensions indicating statistically significant service quality gaps (t=26.3, p<0.000). Findings revealed that the empathy dimension contributed most patients’ expectations (4.7 ± 0.5) and perceptions (3.7 ± 0.8) scores, and responsiveness contributed least to expectations (4.5 ± 0.6) and perceptions (3.2 ± 0.8) scores. Prompt services showed highest service quality gap, while observation of privacy showed the smallest service quality gap in the statements. The study showed a significant association between gender, age, education, multiple visits, and service quality dimensions. Conclusion: The proposed model is valid and reliable and significant service quality gaps of all 5 dimensions need to be prioritized and addressed by focused improvement efforts of hospital management. PMID:27052285

  1. [Eurothemes. Love, lust and suffering in Eastern Europe].

    PubMed

    Spanjer, J M

    1991-03-23

    In the Soviet Union, Poland, Romania, and Bulgaria contraceptives are often in short supply or unavailable. In Russia alone, 700 women/year suffer the consequences of illegal abortion. In 1988 there were 4.5 million births and 7.5 million abortions performed in state-subsidized hospitals. There are long waiting lists for free abortions, a 3-day stay is customary, and the employer is notified about the cause of hospitalization. Minor-age girls must sign a letter to their parents about how possible harmful effects of abortion in young age. In state hospitals, hygiene is below standard, there is a great need for analgesics, and humane treatment of patients is lacking. Only 1.5 million out of 7.5 million abortions were done by vacuum aspiration, the rest required a more invasive procedure. Condoms are rarely available, and they are expensive. East Germany and Czechoslovakia, the traditional condom exporters in Eastern Europe, have stopped deliveries. Hungary produces condoms under license, and imports them from Japan and the US. Only 11% of the demand in the Soviet Union is met by domestic production according to official data. In 1989, the Armavir condom plant produced only 24 million pieces instead of the 200 million planned. Recently, $7.5 million were arranged for the London Rubber Co. (maker of Durex condoms) to equip[ 2 condom factories in the Soviet Union. Together with a 3rd Japanese plant, an expected 400 million condoms will be manufactured soon. In 1989, the production of Russian-made contraceptive pills was discontinued because of inferior quality. Only 20% of the demand for pills is met mostly from Poland and Hungary. Tampons are not yet available, but they have a reputation among some young people as a wonder agent against pregnancy. Other alternative methods Russian women use are douching with water and lemon after intercourse, or immediately thereafter sitting in a hot bath.

  2. Marketing the hospital library.

    PubMed

    Bridges, Jane

    2005-01-01

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

  3. Tiered hospital networks.

    PubMed

    Yegian, Jill M

    2003-01-01

    As a result of rising health care costs, health plans are experimenting with insurance products that shift greater financial responsibility for medical care to consumers and create incentives for consumers to consider cost differences when choosing among providers. Based on an October 2002 roundtable discussion, this paper discusses insurance product trends, particularly tiered hospital networks. Issues addressed include these product features' potential to reduce system costs, the effect on the hospital-health plan relationship, consumers' ability to consider cost and quality in decision making, and financial barriers to care for the chronically ill.

  4. Eastern and Western Approaches to Medicine

    PubMed Central

    Tsuei, Julia J.

    1978-01-01

    An objective comparison of Eastern and Western approaches to medicine is necessary to further evaluate the validity of Oriental medical techniques such as acupuncture. The development of medicine in Western nations follows the way of hypothetical deduction and the Eastern approach uses the inductive method. The Western approach clearly divides the health from the disease, yet the Eastern approach considers health as a balanced state versus disease as an unbalanced state. The Western approach tends to change the environment and the Eastern way is to prefer to adapt to the environment. There are numerous difficulties in comparing these two approaches. The same terminology may apply to entirely different facts, the teaching and learning methods are quite different, and the evaluation of the treatment is almost not comparable. In order to help understand the Eastern approach better, an understanding is needed of the basic Chinese concepts: the concept of a small universe living in a large universe; the duality concept of yin and yang; the concept of anatomy; the concept of physiology in Chinese medicine—the state of equilibrium expressed by the five elements; the concept of pathophysiology expressed by the external and internal insults; the concept of maintaining and promoting health expressed by the circulation of chi and hsieh; the therapeutic concept in Chinese medicine—the normalization or reestablishment of balance of the body function; the concept of preventive medicine. PMID:664653

  5. Toilet privacy in hospital.

    PubMed

    Logan, Karen

    Good practice in toilet management and continence promotion can help hospital patients to maintain their dignity. This article reports on an audit that highlighted the issues important to patients and nurses in terms of improving privacy and dignity for inpatients using the toilet.

  6. Drama Therapies in Hospitals

    ERIC Educational Resources Information Center

    Goodman, Judith; Prosperi, Mario

    1976-01-01

    Explores the use of drama as a therapeutic tool at various hospitals and records specific therapy groups dialogues. Available from: The Drama Review, 51 West 4th Street, Room 300, New York, N.Y. 10012. Subscription Rates: $12.50 per year. (MH)

  7. Mechanical engineering in hospitals.

    PubMed

    Wallington, J W

    1980-10-01

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

  8. Speech intelligibility in hospitals.

    PubMed

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

    2013-07-01

    Effective communication between staff members is key to patient safety in hospitals. A variety of patient care activities including admittance, evaluation, and treatment rely on oral communication. Surprisingly, published information on speech intelligibility in hospitals is extremely limited. In this study, speech intelligibility measurements and occupant evaluations were conducted in 20 units of five different U.S. hospitals. A variety of unit types and locations were studied. Results show that overall, no unit had "good" intelligibility based on the speech intelligibility index (SII > 0.75) and several locations found to have "poor" intelligibility (SII < 0.45). Further, occupied spaces were found to have 10%-15% lower SII than unoccupied spaces on average. Additionally, staff perception of communication problems at nurse stations was significantly correlated with SII ratings. In a targeted second phase, a unit treated with sound absorption had higher SII ratings for a larger percentage of time as compared to an identical untreated unit. Taken as a whole, the study provides an extensive baseline evaluation of speech intelligibility across a variety of hospitals and unit types, offers some evidence of the positive impact of absorption on intelligibility, and identifies areas for future research.

  9. Innovations in Hospitality Industry

    ERIC Educational Resources Information Center

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

    2016-01-01

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

  10. Going to the Hospital

    MedlinePlus

    ... taking care of you — to explain. continue Your Room Once you're in the hospital, you may have a room all to yourself or you might share one with another kid. Your room will have a bed, usually with buttons to ...

  11. Responsible Hospitality. Prevention Updates

    ERIC Educational Resources Information Center

    Colthurst, Tom

    2004-01-01

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

  12. Hospital perceived value.

    PubMed

    Moliner, Miguel A

    2006-01-01

    The creation, distribution and communication of value have been considered to be the key element of marketing (American Marketing Association, 2004, www.marketingpower.com). The aim of this article is to identify the indicators of perceived value in a hospital context. The results show that perceived quality and emotions are key dimensions of perceived value.

  13. Cost characteristics of hospitals.

    PubMed

    Smet, Mike

    2002-09-01

    Modern hospitals are complex multi-product organisations. The analysis of a hospital's production and/or cost structure should therefore use the appropriate techniques. Flexible functional forms based on the neo-classical theory of the firm seem to be most suitable. Using neo-classical cost functions implicitly assumes minimisation of (variable) costs given that input prices and outputs are exogenous. Local and global properties of flexible functional forms and short-run versus long-run equilibrium are further issues that require thorough investigation. In order to put the results based on econometric estimations of cost functions in the right perspective, it is important to keep these considerations in mind when using flexible functional forms. The more recent studies seem to agree that hospitals generally do not operate in their long-run equilibrium (they tend to over-invest in capital (capacity and equipment)) and that it is therefore appropriate to estimate a short-run variable cost function. However, few studies explicitly take into account the implicit assumptions and restrictions embedded in the models they use. An alternative method to explain differences in costs uses management accounting techniques to identify the cost drivers of overhead costs. Related issues such as cost-shifting and cost-adjusting behaviour of hospitals and the influence of market structure on competition, prices and costs are also discussed shortly.

  14. Reengineering hospital materiel management.

    PubMed

    Giunipero, L C

    1995-08-01

    Reengineering involves significant change and dramatic rethinking of the business process. The expected result of these changed processes is dramatic improvement. Hospital cost pressures and technological change necessitate review or reengineering the process to enhance customer service at a lower cost. Three areas that yield significant results include reducing the cost of purchasing, implementing new technologies, and empowering teams to accomplish customer driven goals.

  15. ICT applications as e-health solutions in rural healthcare in the Eastern Cape Province of South Africa.

    PubMed

    Ruxwana, Nkqubela L; Herselman, Marlien E; Conradie, D Pieter

    2010-01-01

    Information and Communication Technology (ICT) solutions (e.g. e-health, telemedicine, e-education) are often viewed as vehicles to bridge the digital divide between rural and urban healthcare centres and to resolve shortcomings in the rural health sector. This study focused on factors perceived to influence the uptake and use of ICTs as e-health solutions in selected rural Eastern Cape healthcare centres, and on structural variables relating to these facilities and processes. Attention was also given to two psychological variables that may underlie an individual&s acceptance and use of ICTs: usefulness and ease of use. Recommendations are made with regard to how ICTs can be used more effectively to improve health systems at fi ve rural healthcare centres where questionnaire and interview data were collected: St. Lucy&s Hospital, Nessie Knight Hospital, the Tsilitwa Clinic, the Madzikane Ka-Zulu Memorial Hospital and the Nelson Mandela General Hospital.

  16. Improving Hospital Discharge Time

    PubMed Central

    El-Eid, Ghada R.; Kaddoum, Roland; Tamim, Hani; Hitti, Eveline A.

    2015-01-01

    Abstract Delays in discharging patients can impact hospital and emergency department (ED) throughput. The discharge process is complex and involves setting specific challenges that limit generalizability of solutions. The aim of this study was to assess the effectiveness of using Six Sigma methods to improve the patient discharge process. This is a quantitative pre and post-intervention study. Three hundred and eighty-six bed tertiary care hospital. A series of Six Sigma driven interventions over a 10-month period. The primary outcome was discharge time (time from discharge order to patient leaving the room). Secondary outcome measures included percent of patients whose discharge order was written before noon, percent of patients leaving the room by noon, hospital length of stay (LOS), and LOS of admitted ED patients. Discharge time decreased by 22.7% from 2.2 hours during the preintervention period to 1.7 hours post-intervention (P < 0.001). A greater proportion of patients left their room before noon in the postintervention period (P < 0.001), though there was no statistical difference in before noon discharge. Hospital LOS dropped from 3.4 to 3.1 days postintervention (P < 0.001). ED mean LOS of patients admitted to the hospital was significantly lower in the postintervention period (6.9 ± 7.8 vs 5.9 ± 7.7 hours; P < 0.001). Six Sigma methodology can be an effective change management tool to improve discharge time. The focus of institutions aspiring to tackle delays in the discharge process should be on adopting the core principles of Six Sigma rather than specific interventions that may be institution-specific. PMID:25816029

  17. [Leadership in the hospital].

    PubMed

    Schrappe, Matthias

    2009-01-01

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

  18. The frontline hospital.

    PubMed

    Mein, P

    1983-01-01

    This brief description of the planning process for a frontline hospital is intended as a guide only: there will be a variety of approaches depending on local conditions. However, certain of the principles raised have universal relevance for the construction of health facilities where resources are limited. In brief, these: - The changing role of the frontline hospital should not be allowed to obscure the fact that the small hospital still has a significant role to play and that future, as yet undefined, functional changes will take place necessitating generalized designs that can accommodate those changes. - The erection of new buildings is not always the appropriate solution to apparent problems with facilities. Often a more relevant course is to adapt existing buildings or to provide community-level primary health care services not based on facilities. - The development of standardized, though flexible, briefs for hospitals of different sizes is essential, since ther will, for some years to come, be a shortage of the professional manpower needed to enable completely individual designs to be produced for each facility. Standardized briefs are infinitely preferable to standard or type plans, which tend to be inflexible and lead to overbuilding. - Local involvement in the planning process is essential, not only because it provides useful knowledge but primarily because local commitment is the only way of avoiding the construction of inappropriate facilities. - Architectural expertise must be available within the health system, since very often outside consultants are unable or unwilling, because of the system of payment, to design suitable hospital buildings. - The type of construction used should be the simplest and most economical that will provide an effective environment for the health tasks to be carried out so that the limited resources available can be stretched to serve as many people as possible. - Local building materials should always be preferred- to

  19. Burden of rotavirus disease: A population-based study in Eastern Townships, Quebec

    PubMed Central

    Bernard, Sylvain; Valiquette, Louis; De Wals, Philippe; Nault, Vincent; Babakissa, Corentin; Cyr, Claude; Boileau, Thérèse Côté; Gagneur, Arnaud

    2013-01-01

    BACKGROUND: Since July 2010, the National Advisory Committee on Immunization of Canada has recommended rotavirus vaccination for all healthy infants. However, before implementing this vaccine in routine health programs, Canadian provinces need to establish current epidemiological data on rotavirus-associated acute gastroenteritis (AGE). METHODS: A retrospective cohort study of children <5 years of age with AGE from 2002 to 2008 was performed in Eastern Townships, Quebec (population in 2006: 298,780). Data were collected on visits to outpatient clinics, emergency department (ED) visits, hospitalizations (standard and short-stay units) and nosocomial AGE. The winter residual estimation and Brandt methods were used to estimate the proportion of AGE attributable to rotaviruses. RESULTS: During the six-year study period, a total of 1435 hospitalizations, 3631 ED visits and 6220 ambulatory care visits were attributed to AGE. The specific rotavirus burden was estimated to be 449 to 666 for hospitalizations, 1050 to 1361 for ED visits and 1633 to 1687 for outpatient visits. The epidemic curve showed a periodicity with higher incidence in March and April. Short-stay unit hospitalizations represented 58% of all hospitalizations. The annual incidence rate of rotaviruses was estimated to be 50 to 74 per 10,000 children for hospitalizations, 117 to 152 per 10,000 children for ED visits and 182 to 188 per 10,000 children for outpatient visits. CONCLUSION: Most available retrospective studies probably underestimate rotavirus-associated hospitalizations because they do not take into account short-stay unit hospitalizations. Furthermore, these data on emergency and outpatient visits provide an exhaustive appraisal of the rotavirus burden, which serves as crucial information for the evaluation of immunization programs. PMID:24421824

  20. How consumers view hospital advertising.

    PubMed

    Johns, H E; Moser, H R

    1988-01-01

    The purposes of this study were to determine: (a) consumers' attitudes toward advertising by hospitals; (b) which media consumers feel are appropriate for hospital advertising; and (c) whether consumers are seeing hospital advertisements, and if so, through which media. It was found that consumers indeed have a favorable attitude toward hospitals that advertise. It was also found that consumers feel that most media are appropriate for hospital advertising. Finally, it was found that most consumers have seen hospitals advertise their services, especially on television and radio and in the newspaper.

  1. The politics of hospital payment.

    PubMed

    Feder, J; Spitz, B

    1979-01-01

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

  2. Intraplate seismicity in the eastern United States

    SciTech Connect

    Bollinger, G.A.; Ehlers, E.G. Jr.; Moses, M.J.

    1987-07-01

    Causes for intraplate earthquakes in the eastern United States are indeed complex. Spatially, the seismicity occurs in distinct zones superposed on a less active regional background level. Epicentral patterns tend to be linear within the Valley and Ridge Province (Giles County and eastern Tennessee), diffuse in the Piedmont (central Virginia), and cluster in the Coastal Plain Province (Charleston, South Carolina area). Historically, moderate to large earthquakes have occurred within the seismic zones as defined by microseismicity. Recent paleoseismicity studies suggest that these larger earthquakes can reasonably be expected to occur into the future. Earthquake focal depths in the eastern US tend to occur within the upper crust with little relation to the surficial features. Most hypotheses on the causes for seismicity invoke the idea of preexisting zones of weakness favorably oriented with respect to the ambient stress field. Because most eastern US seismic zones are buried in the subsurface, geophysical methods are used to infer the presence of possible causal geologic structures at depth. Gravity data are useful in locating density (lithologic) changes within the crust and seismic activity tends to concentrate within gravity saddles formed at the intersection of northeast and northwest trending gravity anomalies. Seismically important plutons and Triassic basins which are associated with seismic activity have been located by their magnetic signatures. The eastern US is interpreted to be composed of a mosaic of allochthonous suspect terranes. This hypothesis suggests that block boundaries are zones of crustal weakness. Seismicity tends to concentrate along the Avalon-Piedmont boundary in the southeastern US. Many earthquakes in the eastern US occur in paleorift zones and/or at the intersection of multiple tectonic features.

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

    PubMed

    McQuoid-Mason, David

    2012-04-12

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

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

    PubMed

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

    1986-02-01

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

  5. Tectonic Uplift and Eastern Africa Aridification

    NASA Astrophysics Data System (ADS)

    Sepulchre, Pierre; Ramstein, Gilles; Fluteau, Frédéric; Schuster, Mathieu; Tiercelin, Jean-Jacques; Brunet, Michel

    2006-09-01

    The history of Eastern African hominids has been linked to a progressive increase of open grassland during the past 8 million years. This trend was explained by global climatic processes, which do not account for the massive uplift of eastern African topography that occurred during this period. Atmosphere and biosphere simulations quantify the role played by these tectonic events. The reduced topographic barrier before 8 million years ago permitted a zonal circulation with associated moisture transport and strong precipitation. Our results suggest that the uplift itself led to a drastic reorganization of atmospheric circulation, engendering the strong aridification and paleoenvironmental changes suggested by the data.

  6. Acid rain reduced in eastern United States

    SciTech Connect

    Bowersox, V.C.; Lynch, J.A.; Grimm, J.W.

    1997-12-31

    Sulfate and free hydrogen ion concentrations in precipitation decreased 10 to 25 percent over large areas of the eastern United States in 1995. The largest decreases in both ions occurred in and downwind of the Ohio River Valley, the same area where Phase I of the 1990 Clean Air Act Amendments set limitations, effective January 1, 1995, on sulfur dioxide emissions from affected coal-fired sources. Based on our analysis of precipitation chemistry and emissions data, we conclude that substantial declines in acid rain occurred in the eastern United States in 1995 because of large reductions in sulfur dioxide emissions in the same region.

  7. Church Orientations in Central and Eastern Europe

    NASA Astrophysics Data System (ADS)

    Laužikas, Rimvydas

    The objective of this case study is to discuss church orientation in Central and Eastern Europe. Due to its geographical situation, this region is a specific part of European cultural space: it is remote from the main cultural centers, it was the last to adopt Christianity, and it experienced intensive interactions with Byzantine culture. Therefore, we can assess church orientation in Central and Eastern Europe as a tradition affected by multicultural interactions and in which there is an interlacement of Catholicism from Western Europe, Byzantinism, local pagan faiths and, in part, the ideas of conception of geographical space of the Jews, Karaites, and Muslims.

  8. Food habits of bobcats in eastern Tennessee

    SciTech Connect

    Story, J.D.; Galbraith, W.J.; Kitchings, J.T.

    1982-01-01

    Food habits of bobcats (Lynx rufus) in eastern Tennessee were determined from analyzing 176 cat samples collected on the Oak Ridge National Environmental Research Park. Remains of cottontail rabbits (Sylvilagus floridanus) were the most frequently occurring food item. White-tail deer (Odocoileus virginianus) and pine vole (Microtus pinetorum) remains also were found frequently in samples. Data obtained from this study indicated that food preferences for bobcats in eastern Tennessee are similar to those in other southeastern states where the habitat is similar to the Oak Ridge area and somewhat different from those with significantly different habitat.

  9. ANTIGENIC VARIANTS OF EASTERN EQUINE ENCEPHALITIS VIRUS

    PubMed Central

    Casals, Jordi

    1964-01-01

    A study by hemagglutination-inhibition test showed that 19 strains of eastern equine encephalitis virus grouped themselves in two main types, which have been designated North American and South American. The former consists of ten strains from the eastern half of the United States, from Massachusetts to Florida; Jamaica, the Dominican Republic, and, subject to confirmation, Thailand. The South American type comprises nine strains from Panama, Trinidad, British Guiana, Brazil, and Argentina. The strains were isolated from different natural hosts over a period of 30 years. PMID:14151098

  10. [Hospital clinical ethics committees].

    PubMed

    Gómez Velásquez, Luis; Gómez Espinosa, Luis Néstor

    2007-01-01

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

  11. Hospital Library Development. Hospital Library Handbooks No. 2.

    ERIC Educational Resources Information Center

    Cramer, Anne

    Addressed to the administrator of the hospital as well as the librarian, this handbook covers aspects of library service policy and long-range planning. While hospitals of all sizes are discussed, a special effort is made to cover problems of small hospitals (17 to 100 beds) in sparsely-settled regions. Contents: The library as a clinical service,…

  12. Low Seroprevalence Indicates Vulnerability of Eastern and Central Sudan to Infection with Chikungunya Virus.

    PubMed

    Adam, Awadalkareem; Seidahmed, Osama M E; Weber, Christopher; Schnierle, Barbara; Schmidt-Chanasit, Jonas; Reiche, Sven; Jassoy, Christian

    2016-04-01

    Outbreaks of infections with chikungunya virus (CHIKV) have previously been reported from Sudan but the prevalence in the general population is unknown. We investigated the seroprevalence of CHIKV infection in 379 serum samples from patients with fever in the outpatient clinics of three hospitals in eastern and central Sudan. The seroprevalence was 1.8%, indicating that CHIKV infections are rare in these parts of Sudan. As the vector Aedes aegypti is endemic in this area, the population is at risk for a CHIKV epidemic.

  13. Hospitals report on cancer centers.

    PubMed

    Rees, T

    2001-01-01

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

  14. Community Hospital Telehealth Consortium

    DTIC Science & Technology

    2007-04-01

    project involving the purchase of a neonatal retinal camera . This clinic transmits images from Lake Charles Memorial Hospital to a neonatal...ophthalmologist in New Orleans and assists in diagnosing Retinopathy of prematurity ( ROP ), a potentially blinding eye disorder that primarily affects...weeks). The smaller a baby is at birth, the more likely that baby is to develop ROP . This disorder—which usually develops in both eyes—is one of

  15. [Homicide crimes in hospitals].

    PubMed

    Dürwald, W

    1993-02-01

    Report of some cases of willful homicide in hospitals of the former GDR. In no case the patient has wished his death. Besides compassion the cause of the homicide was a large carefully expense and in two cases the attempt to prove the incapability of the competent doctor. The patients were only means to an end. All the cases are discovered by the great number of obscure death.

  16. Eastern Renewable Generation Integration Study: Initial Results (Poster)

    SciTech Connect

    Bloom, A.; Townsend, A.; Hummon, M.; Weekley, A.; Clark, K.; King, J.

    2013-10-01

    This poster presents an overview of the Eastern Renewable Generation Integration Study, which aims to answer critical questions about the future of the Eastern Interconnection under high levels of solar and wind generation penetration.

  17. Relationships between in-hospital and 30-day standardized hospital mortality: implications for profiling hospitals.

    PubMed Central

    Rosenthal, G. E.; Baker, D. W.; Norris, D. G.; Way, L. E.; Harper, D. L.; Snow, R. J.

    2000-01-01

    OBJECTIVE: To examine the relationship of in-hospital and 30-day mortality rates and the association between in-hospital mortality and hospital discharge practices. DATA SOURCES/STUDY SETTING: A secondary analysis of data for 13,834 patients with congestive heart failure who were admitted to 30 hospitals in northeast Ohio in 1992-1994. DESIGN: A retrospective cohort study was conducted. DATA COLLECTION: Demographic and clinical data were collected from patients' medical records and were used to develop multivariable models that estimated the risk of in-hospital and 30-day (post-admission) mortality. Standardized mortality ratios (SMRs) for in-hospital and 30-day mortality were determined by dividing observed death rates by predicted death rates. PRINCIPAL FINDINGS: In-hospital SMRs ranged from 0.54 to 1.42, and six hospitals were classified as statistical outliers (p <.05); 30-day SMRs ranged from 0.63 to 1.73, and seven hospitals were outliers. Although the correlation between in-hospital SMRs and 30-day SMRs was substantial (R = 0.78, p < .001), outlier status changed for seven of the 30 hospitals. Nonetheless, changes in outlier status reflected relatively small differences between in-hospital and 30-day SMRs. Rates of discharge to nursing homes or other inpatient facilities varied from 5.4 percent to 34.2 percent across hospitals. However, relationships between discharge rates to such facilities and in-hospital SMRs (R = 0.08; p = .65) and early post-discharge mortality rates (R = 0.23; p = .21) were not significant. CONCLUSIONS: SMRs based on in-hospital and 30-day mortality were relatively similar, although classification of hospitals as statistical outliers often differed. However, there was no evidence that in-hospital SMRs were biased by differences in post-discharge mortality or discharge practices. PMID:10737447

  18. Library Hospitality: Some Preliminary Considerations

    ERIC Educational Resources Information Center

    Johnson, Eric D. M.; Kazmer, Michelle M.

    2011-01-01

    Library scholars and practitioners have frequently reflected on the various factors that in combination make up a hospitable library, but there has been little theoretical synthesis of the notion of the library as a place of hospitality. The hospitality industry provides a rich vein of theoretical material from which to draw definitions of…

  19. Childrens Hospital Inservice Education Curriculum.

    ERIC Educational Resources Information Center

    Lutz, Joan

    A description is provided of a 15-month, in-service nursing education program at Childrens Hospital (Los Angeles, California). The first sections of the paper describe Childrens Hospital and provide a rationale for the hospital-based program. A listing of program goals and objectives is also provided, indicating that the curriculum is designed to…

  20. Hospitality Services. Student Activity Book.

    ERIC Educational Resources Information Center

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

    This student activity book contains pencil-and-paper activities for use in a hospitality services course focusing on the food and lodging segments of the hospitality and tourism industry. The activities are organized into 29 chapters on the following topics: hospitality services industry; professional ethics; organization/management structures in…

  1. Hospitality Studies: Escaping the Tyranny?

    ERIC Educational Resources Information Center

    Lashley, Conrad

    2015-01-01

    Purpose: The purpose of this paper is to explore current strands in hospitality management education and research, and suggest that future programs should reflect a more social science informed content. Design/methodology/approach: The paper reviews current research in hospitality management education and in the study of hospitality and…

  2. Culture and Language Learning: Middle Eastern Students.

    ERIC Educational Resources Information Center

    Magrath, Douglas

    Middle Eastern students face cultural conflicts in adapting to the western value system. While feeling obligated to maintain their native culture they also need to feel comfortable with the culture of their target language. In attempting to identify with a new group, ESL students may sense a loss of membership in their native group. Culture stress…

  3. CETA in Eastern Massachusetts. Final Report.

    ERIC Educational Resources Information Center

    Barocci, Thomas A.; Myers, Charles A.

    A study regarding the implementation of the Comprehensive Employment and Training Act (CETA) in four eastern Massachusetts prime sponsor areas (Cambridge, Lowell, New Bedford, and the Balance of State) was done to (1) examine the impact of the decisions made during the implementation of CETA on manpower services and institutions, program…

  4. INORGANIC ELEMENTS AND DISTRIBUTION OF EASTERN OYSTERS.

    EPA Science Inventory

    Fisher, William S. In press. Inorganic Elements and Distribution of Eastern Oysters (Abstract). To be presented at the 96th Annual Meeting (Aquaculture 2004) of the National Shellfisheries Association, 1-5 March 2004, Honolulu, HI. 1 p. (ERL,GB R962).

    For over a century w...

  5. Migrant Farmworkers on Virginia's Eastern Shore.

    ERIC Educational Resources Information Center

    Virginia Advisory Committee to the U.S. Commission on Civil Rights, Richmond.

    The living and working conditions of migrant farmworkers on the Eastern Shore of Virginia have been described as deplorable and possibly the worst in the nation. At the same time, growers in this region have complained of duplication, even triplication, of federal and state regulations designed to improve living and working conditions of these…

  6. Astroparticle physics at the Eastern Colombia region

    NASA Astrophysics Data System (ADS)

    Asorey, Hernán; Núñez, Luis A.

    2015-12-01

    We present the emerging panorama of Astroparticle Physics at the Eastern Colombia region, and describe several ongoing projects, most of them related to the Latin American Giant Observatory (LAGO) Project. This research work is carried out at the Grupo de Investigaciones en Relatividad y Gravitacin of Universidad Industrial de Santander.

  7. Eastern Boundary Effects on General Circulation Structure

    NASA Technical Reports Server (NTRS)

    Dewar, William K.

    1997-01-01

    My NASA proposal included plans to examine the dynamics of the eastern oceanic boundary, with a view towards those processes important to the interior. Several relevant tasks have been completed and either have appeared or will appear soon in the refereed literature.

  8. Eastern Europe: Pronatalist Policies and Private Behavior.

    ERIC Educational Resources Information Center

    David, Henry P.

    1982-01-01

    This bulletin reviews recent fertility-related trends in the nine Eastern European socialist countries where official policy is explicitly pronatalist to varying degrees in all but Yugoslavia. That fertility was generally higher here than in Western Europe in the mid-1970s is credited to pronatalist measures undertaken when fertility fell below…

  9. Anemia among school children in eastern Nepal.

    PubMed

    Khatiwada, Saroj; Gelal, Basanta; Gautam, Sharad; Tamang, Man Kumar; Shakya, Prem Raj; Lamsal, Madhab; Baral, Nirmal

    2015-06-01

    Anemia is one of the most common public health problems in developing countries like Nepal. This study was done to find the prevalence of anemia among the children aged 4-13 years in eastern Nepal. A cross-sectional study was conducted in 2012 in four districts (Morang, Udayapur, Bhojpur and Ilam) of eastern Nepal to find the prevalence of anemia among the school children of eastern Nepal. Children aged 4-13 years were selected randomly from different schools of above districts and 618 venous blood samples were collected. Hemoglobin level was estimated by using cyanmethemoglobin method. The mean hemoglobin level was 12.2 ± 1.82 gm/dl. About 37.9% (n = 234) children were found anemic. Anemia prevalence was 42.4% (n = 78), 31.6% (n = 60), 45.3% (n = 48) and 34.8% (n = 48) among school children of Morang, Udayapur, Bhojpur and Ilam district, respectively. The study finds anemia as a significant health problem among the school children of eastern Nepal.

  10. Eastern Equine Encephalitis Treated With Intravenous Immunoglobulins

    PubMed Central

    Mukerji, Shibani S.; Lam, Alice D.

    2016-01-01

    We report the case of a 68-year-old man from southeastern Massachusetts presenting with encephalitis due to eastern equine encephalitis (EEE) virus. Despite the high morbidity and mortality rate of EEE, the patient made a near complete recovery in the setting of receiving early intravenous immunoglobulins. PMID:26740855

  11. Eastern Equine Encephalitis Treated With Intravenous Immunoglobulins.

    PubMed

    Mukerji, Shibani S; Lam, Alice D; Wilson, Michael R

    2016-01-01

    We report the case of a 68-year-old man from southeastern Massachusetts presenting with encephalitis due to eastern equine encephalitis (EEE) virus. Despite the high morbidity and mortality rate of EEE, the patient made a near complete recovery in the setting of receiving early intravenous immunoglobulins.

  12. Subsurface structure of the eastern Arkoma basin

    SciTech Connect

    Vanarsdale, R.B. ); Schweig, E.S. III )

    1990-07-01

    Analysis of 425 km of seismic reflection data in the eastern Arkoma basin reveals a structure and history quite different from those previously reported for the Arkoma basin. The eastern Arkoma basin has three structural styles that formed in the following chronological order: deep, steep normal faults; shallow listric normal faults; and thrust faults. The origin of the structural styles and the Paleozoic history of the eastern Arkoma basin may be summarized as follows. Late Proterozoic or Early Cambrian rifting was followed by deposition of Cambrian through Upper Mississippian strata on a passive plate margin. The Mississippian-Pennsylvanian boundary marks a time of major down-to-the-south normal faulting with coincident folding of the footwall blocks and truncation of the faulted and folded terrain by a pre-Morrowan (Mississippian-Pennsylvanian) unconformity. The unconformity slopes southward and steepens locally across the erosionally truncated footwall blocks. During the Pennsylvanian, down-to-the-south listric normal faults cut the Atokan and Morrowan sections and merged with, but did not displace, the steeper segments of the sub-Morrowan unconformity. Surface folds north of the Ross Creek thrust are rollover anticlines overlying these listric normal faults. Major deformation in the eastern Arkoma basin terminated with emplacement of the Ross Creek thrust in the Late Pennsylvanian. 4 figs., 1 tab.

  13. Laptop Circulation at Eastern Washington University

    ERIC Educational Resources Information Center

    Munson, Doris; Malia, Elizabeth

    2008-01-01

    In 2001, Eastern Washington University's Libraries began a laptop circulation program with seventeen laptops. Today, there are 150 laptops in the circulation pool, as well as seventeen digital cameras, eleven digital handycams, and thirteen digital projectors. This article explains how the program has grown to its present size, the growing pains…

  14. Reforms in Higher Education Disappoint Eastern Europeans.

    ERIC Educational Resources Information Center

    Bollag, Burton

    1999-01-01

    Reviews changes in higher education in Eastern Europe since the fall of communism and finds less than expected change, although enrollment has increased and there is minimal government interference. Obstacles to change include lack of quality controls, falling financial support, and emigration of scholars to other countries or business fields. (DB)

  15. The Lamaholot Language of Eastern Indonesia

    ERIC Educational Resources Information Center

    Nagaya, Naonori

    2011-01-01

    This study presents the grammar of the Lewotobi dialect of Lamaholot, an Austronesian language spoken in the eastern part of Flores Island and neighboring islands of Indonesia. Lamaholot belongs to the Central Malayo-Polynesian subgroup of Austronesian, within which it is in a subgroup with the languages of Timor and Roti. The number of speakers…

  16. Pathogenic Hantaviruses, Northeastern Argentina and Eastern Paraguay

    PubMed Central

    Martinez, Valeria P.; Bellomo, Carla; Maidana, Silvina; San Juan, Jorge; Tagliaferri, Paulina; Bargardi, Severino; Vazquez, Cynthia; Colucci, Norma; Estévez, Julio; Almiron, María

    2007-01-01

    We describe the first, to our knowledge, cases of hantavirus pulmonary syndrome in northeastern Argentina and eastern Paraguay. Andes and Juquitiba (JUQ) viruses were characterized. JUQV was also confirmed in 5 Oligoryzomys nigripes reservoir species from Misiones. A novel Akodon-borne genetic hantavirus lineage was detected in 1 rodent from the Biologic Reserve of Limoy. PMID:17953094

  17. Educational Film Guide for Middle Eastern Studies.

    ERIC Educational Resources Information Center

    Greenman, Joseph; Joachim, Ann

    This annotated guide lists 16mm. films on the Middle East for use in grades K-12 and with adults. The Middle East refers to a vast area extending from eastern Afghanistan and the northern Caucasus to the western coast of Morocco and the southern periphery of the Sahara. The guide does not list films according to their merits. Rather, it includes…

  18. Eastern Canadian Gastrointestinal Cancer Consensus Conference 2014

    PubMed Central

    Tsvetkova, E.; Sud, S.; Aucoin, N.; Biagi, J.; Burkes, R.; Samson, B.; Brule, S.; Cripps, C.; Colwell, B.; Falkson, C.; Dorreen, M.; Goel, R.; Halwani, F.; Maroun, J.; Michaud, N.; Tehfe, M.; Thirlwell, M.; Vickers, M.; Asmis, T.

    2015-01-01

    The annual Eastern Canadian Colorectal Cancer Consensus Conference was held in Montreal, Quebec, 23–25 October 2014. Expert radiation, medical, and surgical oncologists and pathologists involved in the management of patients with gastrointestinal malignancies participated in presentations and discussions resulting in consensus statements on such hot topics as management of neuroendocrine tumours, advanced and metastatic pancreatic cancer, and metastatic colorectal cancer. PMID:26300681

  19. Termination and the Eastern Band of Cherokees.

    ERIC Educational Resources Information Center

    Finger, John R.

    1991-01-01

    During the 1940s and 1950s, local factors helped the Eastern Cherokees to resist termination of tribal status and federal responsibilities in Indian affairs. Factors include the belief that area tourism depended on Cherokee tribal identity, reluctance of local public schools to accept Indian students, and the band's complex legal status and…

  20. Temperature Relationships in Eastern Skunk Cabbage

    ERIC Educational Resources Information Center

    Nicholson, Barbara J.; Halkin, Sylvia L.

    2007-01-01

    A laboratory exercise is presented in which students determine where metabolic heat is primarily generated in blooming eastern skunk cabbage ("Symplocarpus foetidus") plants. Students consider how color, shape, and orientation of spathes, and stage of flower maturation, may affect metabolic heat production and retention of both metabolic and solar…

  1. Mineralogy of Saudi Arabian soils: eastern region

    SciTech Connect

    Lee, S.Y.; Dixon, J.B.; Aba-Husayn, M.M.

    1983-03-01

    Mineralogical properties of soils along a 500 km east-west transect of an eastern province of Saudi Arabia were examined. Mineralogical composition of soils along the eastern coastal playa near Al Qatif is mostly gypsum or calcite in the whole soil, and smectite among layer silicate minerals in the clay fraction (<2mm). In soils of the Harad area palygorskite and smectite are the major layer silicate minerals. In the Al Kharj area kaolinite and smectite are the major clay minerals. Small amounts of chlorite occur in all soils studied although it varies in thermal stability and the amount is very small in Al Kharj 11 and Al Kharj Mountain surface soils. In the entire eastern region mica and vermiculite are present in the soil clays. The results of transmission electron microscpoy and x-ray diffraction analyses show that acicular palygorskite is widely distributed in the eastern-region soils. Palygorskite is believed to originate from the underlying Mio-Pliocene limestone in the basin, and to be redistributed by alluvial and eolian processes.

  2. AIR QUALITY OVER THE EASTERN UNITED STATES

    EPA Science Inventory

    Atmospheric concentrations of ozone and fine particulate matter continue to exceed their standards in many parts of the eastern United States. However, the peak concentration levels and number of ozone exceedances have decreased substantially in recent years due, in part, to the...

  3. Commercial Spanish at Eastern Michigan University.

    ERIC Educational Resources Information Center

    Voght, Geoffrey M.

    The commercial Spanish courses at Eastern Michigan University, examinations in commercial Spanish, and cooperative education exchange programs are described, and the university's new programs that combine the study of foreign language and business are briefly addressed. A six-course sequence offered on the junior, senior, and graduate levels cover…

  4. Susceptibility of Peruvian Mosquitoes to Eastern Equine Encephalitis virus

    DTIC Science & Technology

    2008-07-01

    VECTOR/PATHOGEN/HOST INTERACTION, TRANSMISSION Susceptibility of Peruvian Mosquitoes to Eastern Equine Encephalitis Virus M. J. TURELL,1 M. L...the Amazon Basin, near Iquitos, Peru, and used in experimental studies to evaluate their susceptibility to strains of eastern equine encephalitis virus...enzootic vector of EEEV in this region. KEY WORDS Peru, eastern equine encephalitis virus, transmission, mosquito Eastern equine encephalitis virus (EEEV

  5. Epidemiologic characteristics of 10 years hospitalized patients with glaucoma at shanghai eye and ear, nose, and throat hospital.

    PubMed

    Zheng, Yingying; Zhang, Yuqiu; Sun, Xinghuai

    2016-07-01

    To analyze the epidemiologic characteristics of hospitalized patients with glaucoma at Shanghai Eye and Ear, Nose, and Throat Hospital in the relative well economic condition area Eastern China.Researchers reviewed the 10 years charts of patients with a discharge diagnosis of glaucoma at this hospital from January 2004 to December 2013. With the criteria used for diagnoses of different types of glaucoma, the constitution of this disease between the first and last 5 years was compared and analyzed.A total of 11,864 cases were enrolled according to the criteria of diagnoses for 10 years. Primary angle-closure glaucoma (PACG) was the main type (51.69%) followed by secondary glaucoma (SG, 28.14%), primary open-angle glaucoma (POAG) (10.41%), and congenital glaucoma (7.16%). Other glaucoma types were less prevalent (2.61%). PACG has seen a declining trend (from 57.75% to 48.41%), while the proportion of SG has increased (from 23.68% to 34.21%). For the POAG group, there is no increasing trend and the same is true of CG. The mean age of PACG patients was 62.28 year-old, while it was 46 year-old for the POAG and SG groups. The patients of PACG had more women than men (M/F ratio: 1:1.92). The reverse was the case with regard to POAG (M/F ratio: 1.97:1).In Eastern China, although PACG has some decreased, but still is the most commonly encountered type of glaucoma, while SG has significantly increased, and POAG has slightly decreased in hospitalized patients during recent 10 years.

  6. Management of ischemic stroke in Central and Eastern Europe.

    PubMed

    Budincevic, Hrvoje; Tiu, Cristina; Bereczki, Daniel; Kõrv, Janika; Tsiskaridze, Alexander; Niederkorn, Kurt; Czlonkowska, Anna; Demarin, Vida

    2015-10-01

    Stroke is one of the leading causes of disability in Europe. Central and Eastern European countries have the highest incidence and mortality rates through Europe. The improvements in stroke prevention and treatment in Central and Eastern European countries did not completely reach the quality parameters present in Western European countries. We present features of current management of stroke in Central and Eastern European countries.

  7. Pachybrachis (Coleoptera, Chrysomelidae, Cryptocephalinae) of Eastern Canada

    PubMed Central

    Barney, Robert J.; LeSage, Laurent; Savard, Karine

    2013-01-01

    Abstract Seventeen Pachybrachis species occurring in eastern Canada [Ontario (ON), Québec (QC), New Brunswick (NB), Nova Scotia (NS), and Prince Edward Island (PE)] are treated by the authors. Two new national records were discovered, both from southernmost Ontario: P. cephalicus Fall and P. luctuosus Suffrian. Four species were new provincial records: P. cephalicus (ON), P. luctuosus (ON, QC), P. obsoletus Suffrian (NB), P. peccans (PE). A fully illustrated key to the Pachybrachis of eastern Canada is provided and supported with extensive photographs, distribution maps, and plant associations. Three species were distributed from southern Ontario into at least one province in the Maritimes (P. nigricornis (Say), P. obsoletus Suffrianand P. peccans Suffrian). Six species were distributed along the shores of the Great Lakes (Erie, Michigan, and Ontario) and rivers (Ottawa, Saguenay and St. Lawrence), but unknown from central and northern ON and QC (P. bivittatus (Say), P. hepaticus hepaticus (F. E. Melsheimer), P. othonus othonus (Say), P. pectoralis (F. E. Melsheimer), P. spumarius Suffrianand P. trinotatus (F. E. Melsheimer)). Seven species were rare, five being found exclusively from southern ON (P. calcaratus Fall, P. cephalicus, P. luridus (Fabricius), P. subfasciatus (J. E. LeConte)and P. tridens (F. E. Melsheimer)), with two having, in addition, a disjunct population in QC (P. atomarius (F. E. Melsheimer)and P. luctuosus). One species was found to be the northern most extension of an eastern United States (US) distribution into the eastern townships of QC (P. m-nigrum (F. E. Melsheimer)). There were no Pachybrachis that could be considered arctic, subarctic, or boreal species; no specimens were found from Labrador and Newfoundland, and all species had southern affinities. Pachybrachis atomarius, P. calcaratus, P. luridus, P. subfaciatus, and P. tridens, not seen over the last 30–70 years, may be extirpated from eastern Canada. PMID:24163583

  8. Hospital mergers and market overlap.

    PubMed Central

    Brooks, G R; Jones, V G

    1997-01-01

    OBJECTIVE: To address two questions: What are the characteristics of hospitals that affect the likelihood of their being involved in a merger? What characteristics of particular pairs of hospitals affect the likelihood of the pair engaging in a merger? DATA SOURCES/STUDY SETTING: Hospitals in the 12 county region surrounding the San Francisco Bay during the period 1983 to 1992 were the focus of the study. Data were drawn from secondary sources, including the Lexis/Nexis database, the American Hospital Association, and the Office of Statewide Health Planning and Development of the State of California. STUDY DESIGN: Seventeen hospital mergers during the study period were identified. A random sample of pairs of hospitals that did not merge was drawn to establish a statistically efficient control set. Models constructed from hypotheses regarding hospital and market characteristics believed to be related to merger likelihood were tested using logistic regression analysis. DATA COLLECTION: See Data Sources/Study Setting. PRINCIPAL FINDINGS: The analysis shows that the likelihood of a merger between a particular pair of hospitals is positively related to the degree of market overlap that exists between them. Furthermore, market overlap and performance difference interact in their effect on merger likelihood. In an analysis of individual hospitals, conditions of rivalry, hospital market share, and hospital size were not found to influence the likelihood that a hospital will engage in a merger. CONCLUSIONS: Mergers between hospitals are not driven directly by considerations of market power or efficiency as much as by the existence of specific merger opportunities in the hospitals' local markets. Market overlap is a condition that enables a merger to occur, but other factors, such as the relative performance levels of the hospitals in question and their ownership and teaching status, also play a role in influencing the likelihood that a merger will in fact take place. PMID

  9. Mother-baby friendly hospital.

    PubMed

    Aragon-choudhury, P

    1996-01-01

    In Manila, the Philippines, the Dr. Jose Fabella Memorial Hospital has been a maternity hospital for 75 years. It averages 90 deliveries a day. Its fees are P200-P500 for a normal delivery and P800-P2000 for a cesarean section. Patients pay what they can and pay the balance when they can. The hospital provides a safe motherhood package that encompasses teaching responsible parenthood, prenatal care, labor, delivery, postpartum care, breast feeding, family planning, and child survival. In 1986, the hospital introduced innovative policies and procedures that promote, protect, and support breast feeding. It has a rooming-in policy that has saved the hospital P6.5 million so far. In the prenatal stage, hospital staff inform pregnant women that colostrum protects the newborn against infections, that suckling stimulates milk production, and that there is no basis to the claim of having insufficient breast milk. Sales representatives of milk substitutes are banned from the hospital. Staff confiscate milk bottles or formula. A lactation management team demonstrates breast feeding procedures. Mothers also receive support on the correct way of breast feeding from hospital staff, volunteers from the Catholic Women's League, consumer groups, and women lawyers. The hospital's policy is no breast milk, no discharge. This encourages mothers to motivate each other to express milk immediately after birth. The hospital has received numerous awards for its breast feeding promotion efforts. UNICEF has designated Fabella Hospital as a model of the Baby-Friendly Hospital Initiative. The hospital serves as the National Lactation Management Education Training Center. People from other developing countries have received training in lactation management here. The First Lady of the Philippines, the First Lady of the US, and the Queen of Spain have all visited the hospital. The hospital has also integrated its existing services into a women's health care center.

  10. Why Telestroke networks? Rationale, implementation and results of the Stroke Eastern Saxony Network.

    PubMed

    Bodechtel, Ulf; Puetz, Volker

    2013-09-01

    Stroke is the third leading cause of death and the leading cause of acquired long-term disability in Europe and North America. Intravenous (IV) thrombolysis with alteplase and organized inpatient (stroke unit) care have been shown to improve stroke patients' functional outcomes. However, stroke unit care is not area-wide available and thrombolysis rates are low, partly due to limited stroke thrombolysis expertise in smaller community hospitals. Telemedical stroke networks (Telestroke network) with remote video assessment of patients and brain computed tomography (CT) scans by stroke neurologists have been shown to increase IV thrombolysis rates and functional outcomes of patients in smaller community hospitals. Our article summarizes the rationale, clinical, and currently published scientific results of Telestroke networks with special respect to the telemedical Stroke Eastern Saxony Network (SOS-NET), which has been established by the Dresden University Stroke Center (DUSC) in July 2007. From July 2007 to December 2012, 3416 teleconsultations have been performed within the SOS-NET.

  11. Phylogeography of Eastern Grey Kangaroos, Macropus giganteus, Suggests a Mesic Refugium in Eastern Australia

    PubMed Central

    2015-01-01

    Phylogeographic studies around the world have identified refugia where fauna were able to persist during unsuitable climatic periods, particularly during times of glaciation. In Australia the effects of Pleistocene climate oscillations on rainforest taxa have been well studied but less is known about the effects on mesic-habitat fauna, such as the eastern grey kangaroo (Macropus giganteus). The eastern grey kangaroo is a large mammal that is common and widespread throughout eastern Australia, preferring dry mesic habitat, rather than rainforest. As pollen evidence suggests that the central-eastern part of Australia (southeast Queensland and northern New South Wales) experienced cycles of expansion in mesic habitat with contraction in rainforests, and vice versa during glacial and interglacial periods, respectively, we hypothesise that the distribution of the eastern grey kangaroo was affected by these climate oscillations and may have contracted to mesic habitat refugia. From 375 mitochondrial DNA control region sequences from across the distribution of eastern grey kangaroos we obtained 108 unique haplotypes. Phylogenetic analysis identified two clades in Queensland, one of which is newly identified and restricted to a small coastal region in southern Queensland north of Brisbane, known as the Sunshine Coast. The relatively limited geographic range of this genetically isolated clade suggests the possibility of a mesic habitat refugium forming during rainforest expansion during wetter climate cycles. Other potential, although less likely, reasons for the genetic isolation of the highly distinct clade include geographic barriers, separate northward expansions, and strong local adaptation. PMID:26024370

  12. Hospital closure and economic efficiency.

    PubMed

    Capps, Cory; Dranove, David; Lindrooth, Richard C

    2010-01-01

    We present a new framework for assessing the effects of hospital closures on social welfare and the local economy. While patient welfare necessarily declines when patients lose access to a hospital, closures also tend to reduce costs. We study five hospital closures in two states and find that urban hospital bailouts reduce aggregate social welfare: on balance, the cost savings from closures more than offset the reduction in patient welfare. However, because some of the cost savings are shared nationally, total surplus in the local community may decline following a hospital closure.

  13. Interdepartmental Dermatology: Characteristics and Impact of Dermatology Inpatient Referrals at a Teaching Hospital in Eastern India

    PubMed Central

    Chowdhury, Satyendra Nath; Podder, Indrasish; Saha, Abanti; Bandyopadhyay, Debabrata

    2017-01-01

    Background: Dermatology is primarily considered to be an outpatient-centered specialty. However, several inpatient admissions to other specialties require dermatologic consultation for optimum management. Aims: To analyze the causes of inpatient dermatology referrals, departments sending referrals, and impact of dermatology consultation on patient management. Materials and Methods: We conducted a cross-sectional study by analyzing the records of 486 patient referrals over a 4-year period. The demographic details, specialties requesting consultation, cause of referral, and dermatological advice have been recorded and analyzed. Results: Dermatology consultation changed the dermatologic diagnosis and treatment of almost two-thirds of patients. General medicine requested the maximum number of referrals, “skin rash” being the most common cause for referral. Accurate diagnosis on referrals was provided by only 30.2% of nondermatologists. Common dermatological disorders were often misdiagnosed by these physicians, and dermatology referrals had significant impact on the diagnosis and subsequent management of these patients. Conclusion: While dermatologic referral leads to improved patient care, there is a need for better training of nondermatologists enabling them to recognize and treat common dermatoses. PMID:28216722

  14. [Success factors in hospital management].

    PubMed

    Heberer, M

    1998-12-01

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

  15. Hospital clowning: a paediatrician's view.

    PubMed

    van Venrooij, Lennard T; Barnhoorn, Pieter C

    2017-02-01

    This study investigates the current position of hospital clowns from the perspective of paediatricians and paediatric residents. A total of 14 attending paediatricians and paediatric residents participated in two focus group sessions. Data were analysed using Atlas.ti 5.0. In general, physicians reported positive experiences regarding the interaction between hospital clowns and paediatric patients on the ward. Physicians were more interested in research on children's perception of hospital clowns than in research on the clinical efficacy of hospital clowning. No direct collaboration between physicians and hospital clowns was reported. However, physicians proposed conditions which may streamline their encounters with hospital clowns such as clear communication prior to hospital clown visits, and the condition that visits do not impede medical interventions.

  16. Incidence of mandibular fractures in Eastern part of Libya.

    PubMed

    Elgehani, Rafa-Abdelsalam; Orafi, Maraai-Idris

    2009-10-01

    The objective of this retrospective study is to evaluate the incidence of mandibular fractures in the eastern part of Libya and to present our experience in treating this type of facial fracture. We analyzed factors such as the incidence of age, sex, time distribution, cause and site of the fracture and the associated injuries in 493 patients presenting a total of 666 mandibular fractures. These patients were treated at Al-Jala Trauma Hospital, Benghazi-Libya between 2000 and 2006. The results were obtained from 432 males and 61 females, for which the ages ranged from 8 months to 72 years. The maximum number of the patients was recorded in 2004, and the busiest month was May. The most common cause of fracture was road traffic accidents and the most common site was the parasymphysis. Among those treated with closed reduction were 241 patients, whereas 201 patients were treated with open reduction. In conclusion, we found that the results were similar to most studies from developing countries and were in contrast to other studies. This may be due factors such as geography, socioeconomic trends, religion, road traffic legislation and seasons, which differ from one country to another. The period during which there was an embargo in Libya also appears to have affected the results.

  17. Correlation of measles and dengue infection in Kassala, Eastern Sudan.

    PubMed

    Abdalla, Tajeldin M; Karsany, Mubarak S; Ali, AbdelAziem A

    2015-01-01

    Using the clinical case definition adopted by the World Health Organization, a total of 275 suspected cases of measles were enrolled in this study during January-March 2012 in Kassala Teaching Hospital, Eastern Sudan. Various clinical manifestations (fever, headache, cough, coryza, conjunctivitis, skin rash, vomiting, diarrhoea, convulsion, and hemorrhagic manifestations) were reported among these patients. Blood was withdrawn from the first 64 (23.3%) patients. Two samples were hemolyzed and only 60 samples (21.8%) were investigated for measles and dengue IgM antibodies. Antibodies for measles, dengue, and co-infection were detected in the plasma of 12 (20%), seven (11.7%), and 10 (16.7%) samples, respectively. Although there was no significant difference in age, residence, occupation, and vaccination status among the different groups, a high proportion of male patients (P = 0.011), severe cases (P = 0.004), and death ((P = 0.001) were reported among co-infected cases.

  18. PEDIATRIC OCULAR TOXOCARIASIS IN JIANGSU PROVINCE, EASTERN CHINA.

    PubMed

    Zhang, Hai-Fang; Hua, Hai-Yong; Wang, Wei

    2015-01-01

    Ocular toxocariasis is caused by migration of a Toxocara larva through the posterior eye. We report the first case of pediatric ocular toxocariasis caused by T. canis in Jiangsu Province, eastern China. A 6-year-old girl presented to Suzhou Municipal Children's Hospital with a complaint of right eye redness, minimal white discharge, no photophobia, eye pain, visual impairment, fever or arthralgia. She was initially diagnosed as having conjunctivitis; however, a 2-month treatment with lomefloxacin 0.3% eye drops gave no improvements. The diagnosis was made based on medical history (contact with dogs), clinical features and detection of T. canis IgG antibodies with an enzyme-linked immunosorbent assay (ELISA). Anthelmintic therapy with albendazole in combination with prednisolone resulted in improvement of the ocular symptoms. Ocular toxocariasis is rarely reported in China. However, the rapid economic development in China, could mean an increase in pet dogs with the potential increased risk of contracting toxocariasis if no control measures are taken. Disposal of pet litter, deworming of infected pets, complete cooking of meats, thorough rinsing of fruits and vegetables, and good hand-washing may help prevent human infections. Ocular toxocariasis should be considered in the differential diagnosis of patients with conjunctivitis that does not resolve with treatment.

  19. Referral hospitals in the Democratic Republic of Congo as complex adaptive systems: similar program, different dynamics

    PubMed Central

    Karemere, Hermès; Ribesse, Nathalie; Kahindo, Jean-Bosco; Macq, Jean

    2015-01-01

    Introduction In many African countries, first referral hospitals received little attention from development agencies until recently. We report the evolution of two of them in an unstable region like Eastern Democratic Republic of Congo when receiving the support from development aid program. Specifically, we aimed at studying how actors’ network and institutional framework evolved over time and what could matter the most when looking at their performance in such an environment. Methods We performed two cases studies between 2006 and 2010. We used multiple sources of data: reports to document events; health information system for hospital services production, and “key-informants” interviews to interpret the relation between interventions and services production. Our analysis was inspired from complex adaptive system theory. It started from the analysis of events implementation, to explore interaction process between the main agents in each hospital, and the consequence it could have on hospital health services production. This led to the development of new theoretical propositions. Results Two events implemented in the frame of the development aid program were identified by most of the key-informants interviewed as having the greatest impact on hospital performance: the development of a hospital plan and the performance based financing. They resulted in contrasting interaction process between the main agents between the two hospitals. Two groups of services production were reviewed: consultation at outpatient department and admissions, and surgery. The evolution of both groups of services production were different between both hospitals. Conclusion By studying two first referral hospitals through the lens of a Complex Adaptive System, their performance in a context of development aid takes a different meaning. Success is not only measured through increased hospital production but through meaningful process of hospital agents’” network adaptation. Expected

  20. Hospitality and Collegial Community: An Essay.

    ERIC Educational Resources Information Center

    Bennett, John B.

    2000-01-01

    Explains a collegial ethic of hospitality as a cardinal academic virtue and suggests a way of building a "collegium," the covenantal community of academe. Discusses how academicians can develop hospitable teaching, hospitable scholarship, and hospitable service. (Author/SLD)

  1. Decadal variability in the Eastern North Atlantic

    NASA Astrophysics Data System (ADS)

    Köllner, Manuela; Klein, Birgit; Kieke, Dagmar; Klein, Holger; Rhein, Monika; Roessler, Achim; Denker, Claudia

    2016-04-01

    The strong warming and salinification of the Eastern North Atlantic starting in the mid 1990s has been attributed to a westward contraction of the subpolar gyre and stronger inflow of waters from the subtropical gyre. Temporal changes in the shape and strength of the two gyres have been related to the major mode of atmospheric variability in the Atlantic sector, the NAO. Hydrographic conditions along the Northwest European shelf are thus the result of different processes such as variations in transports, varying relative contributions of water masses from the two gyres and property trends in the source water masses. We examine the decadal variability in the eastern North Atlantic based on Argo data from 2000-2015 and have constructed time series for four water masses (Subpolar Mode Water (SPMW), Intermediate Water (IW), upper Labrador Sea Water (uLSW) and deep Labrador Sea Water (dLSW)) at selected locations along the Northwest European shelf. Data from the Rockall Trough and the Iceland Basin are chosen to represent advective pathways in the subpolar gyre at two major branches of the North Atlantic Current towards the Nordic Seas and the Arctic Ocean. Temporal variability of subtropical waters transported northward along the eastern boundary is studied at Goban Spur around 48°N. The Argo data are extended in time with long-term hydrographic observations such as the Extended Ellet Line data and other climatological sources in the region. For the study of transport fluctuations time series from the RACE (Regional circulation and Global change) program (2012-2015) and predecessor programs have been used. These programs have monitored the subpolar gyre in the western basin and provide time series of transports and hydrographic anomalies from moored instruments at the western flank of the Mid Atlantic Ridge (MAR). First results show that the temperatures and salinities remained at high levels for the upper waters (SPMW and IW) until 2010 and have been decreasing since

  2. [Molecular characterization of carbapenem-resistant Pseudomonas aeruginosa from four hospitals of Venezuela].

    PubMed

    Guevara, Armando; Sierra R, Carmen I; de Waard, Jacobus

    2012-12-01

    We analyzed 17 strains of Pseudomonas aeruginosa resistant to carbapenems isolated in four hospitals in eastern and southern Venezuela collected between 2007 and 2010. Combined disk method showed production of metallo־β־lactamases (MBLs) in all strains. PCR and sequencing of genes encoding IMP, VIM and SPM metallo־β־lactamase families confirmed the presence of VIM-2 MMBL in all strains. Pulsed field gel electrophoresis classified the strains into three similarity groups. The largest group, group A included 13 strains with over 83% similarity between them and was found in four hospitals. Two strains of Cumana hospital formed the group B and other two the Group C with similitary of 73% and 65% respectively with Group A. These results confirmed that hospitals in eastern and southern Venezuela, circulating strains of P. aeruginosa producing VIM-2 type MBLs with a common clonal origin. On the other hand, carbapenem-resistant P. aeruginosa circulating in Cumana city hospital had polyclonal origin.

  3. Quebec's ice storm '98: "all cards wild, all rules broken" in Quebec's shell-shocked hospitals.

    PubMed

    Hamilton, J

    1998-02-24

    The remarkable ice storm that brought life to a standstill in most of Eastern Ontario and Quebec in January had a huge impact on medical services. Hospitals that lost power found themselves serving as shelters not only for patients but also for staff members and nearby residents. Doctors' offices were forced to close and a large number of operations were cancelled. The 2 articles that follow detail the huge impact the "ice storm of the century" had on health care.

  4. [Satisfaction of hospitalized patients in a hospital in Apurimac, Peru].

    PubMed

    Sihuin-Tapia, Elsa Yudy; Gómez-Quispe, Oscar Elisban; Ibáñez-Quispe, Vladimiro

    2015-01-01

    In order to determine the satisfaction of hospitalized patients in the Sub-regional Hospital of Andahuaylas, 175 patients were surveyed using the Servqual multidimensional model. The estimate of variables associated with the satisfaction of the hospitalized patients was performed by using bivariate and multivariate logistic regression analysis. We found 25.0% satisfaction. Lower levels of satisfaction were associated with having a secondary level education (aOR: 0.05; 95% CI: 0.01 to 0.64) and with having been hospitalized in the surgery department (aOR 0.14, CI: 95%: 0.04 to 0.53). It was concluded that there was a low level of satisfaction with the quality of care received by hospitalized patients and this was associated with the level of education and type of hospital department.

  5. Electronic Cigarettes on Hospital Campuses

    PubMed Central

    Meernik, Clare; Baker, Hannah M.; Paci, Karina; Fischer-Brown, Isaiah; Dunlap, Daniel; Goldstein, Adam O.

    2015-01-01

    Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes) and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121) to assess what proportion of hospitals have developed e-cigarette policies, how policies have been implemented and communicated, and what motivators and barriers have influenced the development of e-cigarette regulations. Seventy-five hospitals (62%) completed the survey. Over 80% of hospitals reported the existence of a policy regulating the use of e-cigarettes on campus and roughly half of the hospitals without a current e-cigarette policy are likely to develop one within the next year. Most e-cigarette policies have been incorporated into existing tobacco-free policies with few reported barriers, though effective communication of e-cigarette policies is lacking. The majority of hospitals strongly agree that e-cigarette use on campus should be prohibited for staff, patients, and visitors. Widespread incorporation of e-cigarette policies into existing hospital smoke and tobacco-free campus policies is feasible but needs communication to staff, patients, and visitors. PMID:26729142

  6. Electronic Cigarettes on Hospital Campuses.

    PubMed

    Meernik, Clare; Baker, Hannah M; Paci, Karina; Fischer-Brown, Isaiah; Dunlap, Daniel; Goldstein, Adam O

    2015-12-29

    Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes) and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121) to assess what proportion of hospitals have developed e-cigarette policies, how policies have been implemented and communicated, and what motivators and barriers have influenced the development of e-cigarette regulations. Seventy-five hospitals (62%) completed the survey. Over 80% of hospitals reported the existence of a policy regulating the use of e-cigarettes on campus and roughly half of the hospitals without a current e-cigarette policy are likely to develop one within the next year. Most e-cigarette policies have been incorporated into existing tobacco-free policies with few reported barriers, though effective communication of e-cigarette policies is lacking. The majority of hospitals strongly agree that e-cigarette use on campus should be prohibited for staff, patients, and visitors. Widespread incorporation of e-cigarette policies into existing hospital smoke and tobacco-free campus policies is feasible but needs communication to staff, patients, and visitors.

  7. Quantifying the Anthropogenic Footprint in Eastern China

    NASA Astrophysics Data System (ADS)

    Meng, Chunlei; Dou, Youjun

    2016-04-01

    Urban heat island (UHI) is one of the most focuses in urban climate study. The parameterization of the anthropogenic heat (AH) is crucial important in UHI study, but universal method to parameterize the spatial pattern of the AH is lacking now. This paper uses the NOAA DMSP/OLS nighttime light data to parameterize the spatial pattern of the AH. Two experiments were designed and performed to quantify the influences of the AH to land surface temperature (LST) in eastern China and 24 big cities. The annual mean heating caused by AH is up to 1 K in eastern China. This paper uses the relative LST differences rather than the absolute LST differences between the control run and contrast run of common land model (CoLM) to find the drivers. The heating effect of the anthropogenic footprint has less influence on relatively warm and wet cities.

  8. Quantifying the Anthropogenic Footprint in Eastern China

    PubMed Central

    Meng, Chunlei; Dou, Youjun

    2016-01-01

    Urban heat island (UHI) is one of the most focuses in urban climate study. The parameterization of the anthropogenic heat (AH) is crucial important in UHI study, but universal method to parameterize the spatial pattern of the AH is lacking now. This paper uses the NOAA DMSP/OLS nighttime light data to parameterize the spatial pattern of the AH. Two experiments were designed and performed to quantify the influences of the AH to land surface temperature (LST) in eastern China and 24 big cities. The annual mean heating caused by AH is up to 1 K in eastern China. This paper uses the relative LST differences rather than the absolute LST differences between the control run and contrast run of common land model (CoLM) to find the drivers. The heating effect of the anthropogenic footprint has less influence on relatively warm and wet cities. PMID:27067132

  9. Paleoceanography of the tropical eastern pacific ocean.

    PubMed

    Grigg, R W; Hey, R

    1992-01-10

    The East Pacific Barrier (EPB) is the most effective marine barrier to dispersal of tropical shallow-water fauna in the world today. The fossil record of corals in the eastern Pacific suggests this has been true throughout the Cenozoic. In the Cretaceous, the EPB was apparently less effective in limiting dispersal. Equatorial circulation in the Pacific then appears to have been primarily east to west and the existence of oceanic atolls (now drowned guyots) in the eastern Pacific probably aided dispersal. Similarly, in the middle and early Mesozoic and late Paleozoic, terranes in the central tropical Pacific likely served as stepping stones to dispersal of tropical shelf faunas, reducing the isolating effect of an otherwise wider Pacific Ocean (Panthalassa).

  10. Adequacy and pattern of blood donations in north-eastern Nigeria: the implications for blood safety.

    PubMed

    Ahmed, S G; Ibrahim, U A; Hassan, A W

    2007-12-01

    In a retrospective analysis, the quantities, patterns and adequacy of blood donations made, between 1984 and 2006, at the University of Maiduguri Teaching Hospital in north-eastern Nigeria were explored and related to blood safety in the study area. The types of blood donor were reviewed and the annual increments in the number of donations made were estimated and compared with the annual increments in the numbers of in-patients managed at the study hospital. The mean annual increment in the number of blood donations (4%) fell well below the mean annual increment in in-patient numbers (11%). The blood donations received at the hospital fell into four types: voluntary, family-replacement, commercial and pre-deposit autologous donations. Over the study period, the percentage of donations falling into the voluntary and family-replacement categories fell from 31% to 5% and from 49% to 23%, respectively. These falls were matched by increases in the percentages of donations categorised as commercial and autologous, which rose from 20% to 63%, and from 1% to 9%, respectively. By the end of the study period, the quantity of blood being donated at the hospital was grossly inadequate and predominantly derived from family and commercial donors, who were found to be generally inferior, in terms of blood safety, to voluntary donors. There is an urgent need to rectify this situation by setting up a functional and national blood-transfusion service in Nigeria.

  11. Economic Burden of Road Traffic Accidents; Report from a Single Center from South Eastern Iran

    PubMed Central

    Sargazi, Aliyeh; Sargazi, Atefeh; Nadakkavukaran Jim, Prigil Kumar; Danesh, HoseinAli; Aval, ForoughSargolzaee; Kiani, Zohre; Lashkarinia, AmirHosein; Sepehri, Zahra

    2016-01-01

    Objective: To determine the economic burden of road traffic accidents (RTAs) in patients admitted to a single center in south eastern Iran. Methods: This cross-sectional study was conducted in Amir-Al-Momenin hospital of Zabol affiliated with Zabol University of Medical Sciences during a 12-month period from April 2012 to April 2013. All the RTAs patients who were admitted to our emergency department were included. The direct expenses of hospital care were recorded according to their medical charts and the accountant registration information. Data are presented according to different RTAs characteristics. Results: Overall 1155 patients were included in the current study with mean age of 36.7 ± 5.14 years among whom there were 673(58.3%) men and 482 (41.7%) women. The annual incidence of RTAs were calculated to be 288 per 100,000 population. The RTAs economic burden in our center was 589,448.49 USD which accounted for 10.4% of total hospital expenses during the study period. The money spend on RTAs in our center was 130 times more than gross national income per capita. Cost of each patient in road traffic was 15 times more than cost of an average patient of the hospital in other sections. Conclusion: With considerable high ratio of accidents in Zabol, proper intervention is needed for controlling and preventing RTAs in order to decrease its injuries, impact and the associated economic burden. PMID:27162926

  12. Venus - Impact Crater in Eastern Navka Region

    NASA Technical Reports Server (NTRS)

    1991-01-01

    This Magellan image, which is 50 kilometers (31 miles) in width and 80 kilometers (50 miles) in length, is centered at 11.9 degrees latitude, 352 degrees longitude in the eastern Navka Region of Venus. The crater, which is approximately 8 kilometers (5 miles) in diameter, displays a butterfly symmetry pattern. The ejecta pattern most likely results from an oblique impact, where the impactor came from the south and ejected material to the north.

  13. box modeling of the eastern mediterranean sea

    NASA Astrophysics Data System (ADS)

    Ashkenazy, Y.; Stone, P. H.

    2003-04-01

    Recently (~1990) a new source of deep water formation in the Eastern Mediterranean was found in the southern part of the Aegean sea. Till then, the only source of deep water formation in the Eastern Mediterranean was in the Adriatic sea; the rate of the deep water formation of the new Aegean source is 1Sv=10^6m^3/s, three times larger then the Adriatic source. We develop a simple 3 box-model to study the stability of the thermohaline circulation of the Eastern Mediterranean sea. The 3 boxes represent the Adriatic sea, Aegean sea, and the Ionian sea. The boxes exchange heat and salinity and may be described by a set of nonlinear differential equations. We analytically analyze these equations and find that the system may have one, two, or four stable flux states. We consider two cases for which the temperatures of the boxes are (i) fixed or (ii) variable. After setting the parameters to correspond to the Eastern Mediterranean we find that the system has two stable states, one with (i) two thermally dominant sources of deep water formation in the Adriatic and Aegean and the other with (ii) a salinity dominant source of deep water formation in the Adriatic and a thermally dominant source in the Aegean. While the Adriatic thermally dominant source is comparable to the observed flux of 0.3Sv the Aegean source has much smaller flux than the observed value. This situation is analogous to the state of the thermohaline circulation pre 1990 where the only source of deep water formation was in the Adriatic. If we decrease the atmospheric temperature of the Aegean box by 2C in accordance with recent observations, we find that the deep water formation of the Aegean increases significantly to a value comparable to the recently observed flux.

  14. Seismic hazard in the eastern United States

    USGS Publications Warehouse

    Mueller, Charles; Boyd, Oliver; Petersen, Mark D.; Moschetti, Morgan P.; Rezaeian, Sanaz; Shumway, Allison

    2015-01-01

    The U.S. Geological Survey seismic hazard maps for the central and eastern United States were updated in 2014. We analyze results and changes for the eastern part of the region. Ratio maps are presented, along with tables of ground motions and deaggregations for selected cities. The Charleston fault model was revised, and a new fault source for Charlevoix was added. Background seismicity sources utilized an updated catalog, revised completeness and recurrence models, and a new adaptive smoothing procedure. Maximum-magnitude models and ground motion models were also updated. Broad, regional hazard reductions of 5%–20% are mostly attributed to new ground motion models with stronger near-source attenuation. The revised Charleston fault geometry redistributes local hazard, and the new Charlevoix source increases hazard in northern New England. Strong increases in mid- to high-frequency hazard at some locations—for example, southern New Hampshire, central Virginia, and eastern Tennessee—are attributed to updated catalogs and/or smoothing.

  15. Temporal labyrinths of eastern Eurasian Pleistocene humans

    PubMed Central

    Wu, Xiu-Jie; Crevecoeur, Isabelle; Liu, Wu; Xing, Song; Trinkaus, Erik

    2014-01-01

    One of the morphological features that has been identified as uniquely derived for the western Eurasian Neandertals concerns the relative sizes and positions of their semicircular canals. In particular, they exhibit a relatively small anterior canal, a relatively larger lateral one, and a more inferior position of the posterior one relative to the lateral one. These discussions have not included full paleontological data on eastern Eurasian Pleistocene human temporal labyrinths, which have the potential to provide a broader context for assessing Pleistocene Homo trait polarities. We present the temporal labyrinths of four eastern Eurasian Pleistocene Homo, one each of Early (Lantian 1), Middle (Hexian 1), and Late (Xujiayao 15) Pleistocene archaic humans and one early modern human (Liujiang 1). The labyrinths of the two earlier specimens and the most recent one conform to the proportions seen among western early and recent modern humans, reinforcing the modern human pattern as generally ancestral for the genus Homo. The labyrinth of Xujiayao 15 is in the middle of the Neandertal variation and separate from the other samples. This eastern Eurasian labyrinthine dichotomy occurs in the context of none of the distinctive Neandertal external temporal or other cranial features. As such, it raises questions regarding possible cranial and postcranial morphological correlates of Homo labyrinthine variation, the use of individual “Neandertal” features for documenting population affinities, and the nature of late archaic human variation across Eurasia. PMID:25002467

  16. Late Quaternary mammalian zoogeography of eastern Washington

    NASA Astrophysics Data System (ADS)

    Lyman, R. Lee; Livingston, Stephanie D.

    1983-11-01

    The late Quaternary mammalian zoogeographic history of eastern Washington as revealed by archaeological and paleontological research conforms to a set of past environmental conditions inferred from botanical data. During the relatively cool and moist late Pleistocene and early Holocene, Cervus cf. elaphus, Ovis canadensis, Vulpes vulpes, Martes americana, Alopex lagopus, and perhaps Rangifer sp., taxa with ecological preferences for mesic steppe habitats, were present in the now xeric Columbia Basin. As the climate became progressively warmer and drier during the late Pleistocene and early Holocene, Antilocapra americana, Onychomys leucogaster, Spermophilus townsendii, and Neotoma cinerea, taxa with ecological preferences for xeric steppe habitats, appear in the Columbia Basin. Bison sp. and Taxidea taxus may have been present in eastern Washington for the last 20,000 yr. Middle and late Holocene records for Oreamnos americanus, Spermophilus columbianus, S. townsendii, Lagurus curtatus, and Urocyon cinereoargenteus in central eastern Washington suggest fluctuations in the ranges of these taxa that conform to a middle Holocene period of less effective precipitation and a ca. 3500-yr-old period of more effective precipitation before essentially modern environmental conditions prevailed.

  17. Union Density and Hospital Outcomes.

    PubMed

    Koys, Daniel J; Martin, Wm Marty; LaVan, Helen; Katz, Marsha

    2015-01-01

    The authors address the hospital outcomes of patient satisfaction, healthcare quality, and net income per bed. They define union density as the percentage of a hospital's employees who are in unions, healthcare quality as its 30-day acute myocardial infraction (AMI; heart attack) mortality rate, and patient satisfaction as its overall Hospital Consumer Assessment of Healthcare Providers and Systems score. Using a random sample of 84 union and 84 nonunion hospitals from across the United States, multiple regression analyses show that union density is negatively related to patient satisfaction. Union density is not related to healthcare quality as measured by the AMI mortality rate or to net income per bed. This implies that unions per se are not good or bad for hospitals. The authors suggest that it is better for hospital administrators to take a Balanced Scorecard approach and be concerned about employee satisfaction, patient satisfaction, healthcare quality, and net income.

  18. Strategies and performance in hospitals.

    PubMed

    Madorrán García, Cristina; de Val Pardo, Isabel

    2004-01-01

    Today, more than ever in the past, the variables within the health care environment (demand, costs, system deregulation) are undergoing such rapid change that hospital administrators are finding it necessary to develop and implement competitive strategies in order to survive in the increasingly competitive hospital environment. The primary aim of this paper is to answer the following question: Is it possible to transfer strategic management research from other sectors into the hospital industry? The first objective was to identify strategies in hospital management. A questionnaire was designed and sent to hospital CEOs and the data extracted were used to construct the variables needed to identify strategies and perform the subsequent analyses. The second aim was to try to identify groups of organizations using similar strategies and, finally, analyse the impact of these on hospital performance.

  19. Does outsourcing affect hospital profitability?

    PubMed

    Danvers, Kreag; Nikolov, Pavel

    2010-01-01

    Organizations outsource non-core service functions to achieve cost reductions and strategic benefits, both of which can impact profitability performance. This article examines relations between managerial outsourcing decisions and profitability for a multi-state sample of non-profit hospitals, across 16 states and four regions of the United States. Overall regression results indicate that outsourcing does not necessarily improve hospital profitability. In addition, we identify no profitability impact from outsourcing for urban hospitals, but somewhat positive effects for teaching hospitals. Our regional analysis suggests that hospitals located in the Midwest maintain positive profitability effects with outsourcing, but those located in the South realize negative effects. These findings have implications for cost reduction efforts and the financial viability of non-profit hospitals.

  20. The ice storm in eastern Canada 1998 KAMEDO-Report No. 74.

    PubMed

    Riddex, L; Dellgar, U

    2001-01-01

    This is a report of the impact of the ice storm that struck eastern Canada on 04-09 January 1998. The storm deposited ice some 100 mm thick on the ground and on the electric power lines and eventually left 1.4 million households and much of the infrastructure without electrical power. Data were obtained through non-structured interviews of those involved. Most of the larger hospitals were equipped with emergency generating equipment and were able to provide most essential services. For most hospitals, non-emergency services were compromised. Many other medical facilities, including clinics had to be shut down, and smaller hospitals were forced to transfer some patients to larger institutions. In addition, hospitals experienced a marked increase in the number of emergency department visits including an increase in the number of persons with injuries, respiratory tract infections, or heart problems. A marked increase in carbon-monoxide intoxication was observed: 50 persons required the use of hyperbaric oxygen and six persons died of CO poisoning. Prehospital services not only experienced a marked increase in the number of emergency responses, but also were utilized to provide transportation of non-ill or injured persons, equipment, and supplies. Home care was interrupted and many patients dependent upon power had to be transported to hospitals. Many hospitals opened their buildings to provide shelter to the families of many of their employees and medical staff. This helped to keep staffing at a better level than if they had to find shelter and essential services elsewhere. The transmission and sharing of information was severely limited due in part to the loss of power and inability to access television. This led to the distribution of misleading or incorrect information. This storm was exemplary of our dependence upon electrical power and that we are not prepared to cope with the loss of electricity.

  1. Cross hospital bed management system.

    PubMed

    Abedian, S; Kazemi, H; Riazi, H; Bitaraf, E

    2014-01-01

    The lack of adequate numbers of hospital beds to accommodate the injured is a main problem in public hospitals. For control of occupancy of bed, we design a dynamic system that announces status of bed when it change with admission or discharge of a patient. This system provide a wide network in country for bed management, especially for ICU and CCU beds that help us to distribute injured patient in the hospitals.

  2. Controlling hospital library theft.

    PubMed

    Cuddy, Theresa M; Marchok, Catherine

    2003-04-01

    At Capital Health System/Fuld Campus (formerly Helene Fuld Medical Center), the Health Sciences Library lost many books and videocassettes. These materials were listed in the catalog but were missing when staff went to the shelves. The hospital had experienced a downsizing of staff, a reorganization, and a merger. When the library staff did an inventory, $10,000 worth of materials were found to be missing. We corrected the situation through a series of steps that we believe will help other libraries control their theft. Through regularly scheduling inventories, monitoring items, advertising, and using specific security measures, we have successfully controlled the library theft. The January 2002 inventory resulted in meeting our goal of zero missing books and videocassettes. We work to maintain that goal.

  3. Controlling hospital library theft

    PubMed Central

    Cuddy, Theresa M.; Marchok, Catherine

    2003-01-01

    At Capital Health System/Fuld Campus (formerly Helene Fuld Medical Center), the Health Sciences Library lost many books and videocassettes. These materials were listed in the catalog but were missing when staff went to the shelves. The hospital had experienced a downsizing of staff, a reorganization, and a merger. When the library staff did an inventory, $10,000 worth of materials were found to be missing. We corrected the situation through a series of steps that we believe will help other libraries control their theft. Through regularly scheduling inventories, monitoring items, advertising, and using specific security measures, we have successfully controlled the library theft. The January 2002 inventory resulted in meeting our goal of zero missing books and videocassettes. We work to maintain that goal. PMID:12883573

  4. Hospital Ethics Committees in Poland.

    PubMed

    Czarkowski, Marek; Kaczmarczyk, Katarzyna; Szymańska, Beata

    2015-12-01

    According to UNESCO guidelines, one of the four forms of bioethics committees in medicine are the Hospital Ethics Committees (HECs). The purpose of this study was to evaluate how the above guidelines are implemented in real practice. There were 111 hospitals selected out of 176 Polish clinical hospitals and hospitals accredited by Center of Monitoring Quality in Health System. The study was conducted by the survey method. There were 56 (50%) hospitals that responded to the survey. The number of HECs members fluctuated between 3 and 16 members, where usually 5 (22% of HECs) members were part of the board committee. The composition of the HECs for professions other than physicians was diverse and non-standardized (nurses-in 86% of HECs, clergy-42%, lawyers-38%, psychologists-28%, hospital management-23%, rehab staff-7 %, patient representatives-3%, ethicists-2%). Only 55% of HECs had a professional set of standards. 98% of HECs had specific tasks. 62% of HECs were asked for their expertise, and 55% prepared <6.88% of the opinions were related to interpersonal relations between hospital personnel, patients and their families with emphasis on the interactions between superiors and their inferiors or hospital staff and patients and their families. Only 12% of the opinions were reported by the respondents as related to ethical dilemmas. In conclusion, few Polish hospitals have HECs, and the structure, services and workload are not always adequate. To ensure a reliable operation of HECs requires the development of relevant legislation, standard operating procedures and well trained members.

  5. Wearing gloves in the hospital

    MedlinePlus

    Infection control - wearing gloves; Patient safety - wearing gloves; Personal protective equipment - wearing gloves; PPE - wearing gloves; Nosocomial infection - wearing gloves; Hospital acquired infection - wearing gloves

  6. [Hospitals and surgeons: Madrid 1940].

    PubMed

    de Quevedo, Francisco Vázquez

    2007-01-01

    The history of the hospitals and general surgeons that best represent the centres in Madrid are here in reviewed, comprising the period between 1940 and the closure of the Hospital Clinico (1957) as well as the Hospital General (General Hospital) (1967), both in Atocha. Other hospitals which are reviewed and highlighted are: the H. de la Princesa (the Princess Hospital), the H. del Nifio Jesus (Hospital of the Child Jesus), the H. Militar (Military Hospital) and the Cruz Roja (Red Cross). Data is provided on the permanent surgeons in the following centres: H. General: J. Goyanes, J. Die, J. de la Villa, T. Rodriguez, E. Diaz, G. Bueno e H. Huerta; H. Clinico: L. de la Peña, L. Cardenal, L. Olivares, R. Argüelles, J. Estella y M. F. Zumel; H. Militar: M. G. Ulla, M. Bastos, M. G. Durán, J. S. Galindo, y A. G. Durán; Hospital de la Cruz Roja: V. M. Noguera, L. Serrada, F. Luque y L. L. Durán; H. de la Princesa: P. Cifuentes, P. G. Duarte, L. Estella y R. Aiguabella; H. del Niño Jesús: J. Garrido Lestache; H. Clinico, last time, Atocha: F. M. Lagos, R. Vara y A. de la Fuente.

  7. Seismicity of the eastern Hellenic Subduction Zone

    NASA Astrophysics Data System (ADS)

    Bruestle, A.; Kueperkoch, L.; Rische, M.; Meier, T.; Friederich, W.; Egelados Working Group

    2012-04-01

    The Hellenic Subduction Zone (HSZ) is the seismically most active region of Europe. The African plate is subducting beneath the Aegean lithosphere with a relative velocity of 4 cm per year. A detailed picture of the microseismicity of the eastern HSZ was obtained by the recordings of the temporary networks CYCNET (September 2002 - September 2005) and EGELADOS (October 2005 - March 2007). In total, nearly 7000 earthquakes were located with a location uncertainty of less than 20 km. The SE Aegean is dominated by (1) shallow intraplate seismicity within the Aegean plate, by (2) interplate seismicity at the plate contact and by (3) intermediate deep seismicity along the subducting African slab. Strong shallow seismicity in the upper plate is observed along the Ptolemy graben south of Crete extending towards the Karpathos Basin, indicating intense recent deformation of the forearc. In contrary, low shallow seismicity around Rhodes indicates only minor seismic crustal deformation of the upper plate. An almost NS-striking zone of microseismicity has been located, running from the Karpathos basin via the Nisyros volcanic complex towards the EW striking Gökova graben. In the SE Aegean the geometry of the Wadati-Benioff-Zone (WBZ) within the subducting African plate is revealed in detail by the observed microseismicity. Between about 50 to 100 km depth a continuous band of intermediate deep seismicity describes the strongly curved geometry of the slab. From the central to the eastern margin of the HSZ, the dip direction of the WBZ changes from N to NW with a strong increase of the dip angle beneath the eastern Cretan Sea. The margin of the dipping African slab is marked by an abrupt end of the observed WBZ beneath SW Anatolia. Below 100 km depth, the WBZ of the eastern HSZ is dominated by an isolated cluster of intense intermediate deep seismicity (at 100-180 km depth) beneath the Nisyros volcanic complex. It has an extension of about 100x80 km and is build up of 3 parallel

  8. Closure of a home hospital program: impact on hospitalization rates.

    PubMed

    Jacobs, Jeremy M; Cohen, Aaron; Rozengarten, Ora; Meiller, Ludmila; Azoulay, Daniel; Hammerman-Rozenberg, Robert; Stessman, Jochanan

    2007-01-01

    Home hospitalization (HH), as a substitute to in-patient care, is an area of growing interest, particularly amongst the elderly. Debate nonetheless exists concerning its economic justification. This study describes a natural experiment that arose following spending cuts and closure of the 400 patient Jerusalem HH program. It examines the hypothesis that HH closure would cause increasing geriatric and general medical hospital utilization amongst the 45,000 beneficiaries of the Jerusalem Clalit Health Fund (HMO) aged 65 years and over. Hospitalization rates were measured prior to and following HH closure, and analysis of variance confirmed the significance of the differences in both geriatric (p<0.0001) and general medical hospitalization rates (p=0.02) over the study period. Linear regression analyses of the hospitalization rates prior to HH closure were performed to determine the expected trajectory of hospitalization rates following HH closure. The observed hospital utilization in the year following HH closure cost 6.2 million US dollars in excess of predicted expenditure; closure of the HH resulted in the saving of 1.3 million USdollars. The ratio of direct increased costs to savings was 5:1 thus confirming the hypothesis that HH closure would result in increased hospital utilization rates among the local elderly population.

  9. Pre-hospital emergency medicine.

    PubMed

    Wilson, Mark H; Habig, Karel; Wright, Christopher; Hughes, Amy; Davies, Gareth; Imray, Chirstopher H E

    2015-12-19

    Pre-hospital care is emergency medical care given to patients before arrival in hospital after activation of emergency medical services. It traditionally incorporated a breadth of care from bystander resuscitation to statutory emergency medical services treatment and transfer. New concepts of care including community paramedicine, novel roles such as emergency care practitioners, and physician delivered pre-hospital emergency medicine are re-defining the scope of pre-hospital care. For severely ill or injured patients, acting quickly in the pre-hospital period is crucial with decisions and interventions greatly affecting outcomes. The transfer of skills and procedures from hospital care to pre-hospital medicine enables early advanced care across a range of disciplines. The variety of possible pathologies, challenges of environmental factors, and hazardous situations requires management that is tailored to the patient's clinical need and setting. Pre-hospital clinicians should be generalists with a broad understanding of medical, surgical, and trauma pathologies, who will often work from locally developed standard operating procedures, but who are able to revert to core principles. Pre-hospital emergency medicine consists of not only clinical care, but also logistics, rescue competencies, and scene management skills (especially in major incidents, which have their own set of management principles). Traditionally, research into the hyper-acute phase (the first hour) of disease has been difficult, largely because physicians are rarely present and issues of consent, transport expediency, and resourcing of research. However, the pre-hospital phase is acknowledged as a crucial period, when irreversible pathology and secondary injury to neuronal and cardiac tissue can be prevented. The development of pre-hospital emergency medicine into a sub-specialty in its own right should bring focus to this period of care.

  10. Faculty Internships for Hospitality Instructors

    ERIC Educational Resources Information Center

    Lynn, Christine; Hales, Jonathan A; Wiener, Paul

    2007-01-01

    Internships can help hospitality faculty build industry relationships while also ensuring the best and most current training for their students. Many hospitality organizations have structured faculty internships available or are willing to work with faculty to provide individualized internship opportunities. Career and technical educators in…

  11. Suicidal Behavior in Hospitalized Schizophrenics.

    ERIC Educational Resources Information Center

    Prasad, Ashoka Jahnavi; Kumar, Nirmal

    1988-01-01

    Compared 131 hospitalized schizophrenics who had attempted suicide within past year to 70 hospitalized schizophrenics who had not attempted suicide, using the Present State Examination depressive symptoms. Found that schizophrenics who had attempted suicide had significantly higher number of symptoms indicative of a depressive disorder. (Author/NB)

  12. Hospitality Management Education and Training.

    ERIC Educational Resources Information Center

    Brotherton, Bob, Ed.; And Others

    1995-01-01

    Seven articles on hospitality management training discuss the following: computerized management games for restaurant manager training, work placement, real-life exercises, management information systems in hospitality degree programs, modular programming, service quality concepts in the curriculum, and General National Vocational Qualifications…

  13. Management of the Hospital Environment

    ERIC Educational Resources Information Center

    Turner, Alvis G.

    1976-01-01

    Hospital studies indicate the need for an environmental/sanitarian specialist for control of nosocomial infection and maintenance of a quality environment. The author recommends these requirements for certification as a hospital environmentalist: academic studies including toxicology, epidemiology, hygiene, management, and an internship in…

  14. Segmentation in local hospital markets.

    PubMed

    Dranove, D; White, W D; Wu, L

    1993-01-01

    This study examines evidence of market segmentation on the basis of patients' insurance status, demographic characteristics, and medical condition in selected local markets in California in the years 1983 and 1989. Substantial differences exist in the probability patients may be admitted to particular hospitals based on insurance coverage, particularly Medicaid, and race. Segmentation based on insurance and race is related to hospital characteristics, but not the characteristics of the hospital's community. Medicaid patients are more likely to go to hospitals with lower costs and fewer service offerings. Privately insured patients go to hospitals offering more services, although cost concerns are increasing. Hispanic patients also go to low-cost hospitals, ceteris paribus. Results indicate little evidence of segmentation based on medical condition in either 1983 or 1989, suggesting that "centers of excellence" have yet to play an important role in patient choice of hospital. The authors found that distance matters, and that patients prefer nearby hospitals, moreso for some medical conditions than others, in ways consistent with economic theories of consumer choice.

  15. Occupational hazards to hospital personnel

    SciTech Connect

    Patterson, W.B.; Craven, D.E.; Schwartz, D.A.; Nardell, E.A.; Kasmer, J.; Noble, J.

    1985-05-01

    Hospital personnel are subject to various occupational hazards. Awareness of these risks, compliance with basic preventive measures, and adequate resources for interventions are essential components of an occupational health program. Physical, chemical, and radiation hazards; important infectious risks; and psychosocial problems prevalent in hospital workers are reviewed. A rational approach to managing and preventing these problems is offered. 370 references.

  16. [Obstetric analgesia in Norwegian hospitals].

    PubMed

    Dahl, V; Hagen, I E; Raeder, J C

    1998-04-30

    We report the results of a questionnaire sent to anaesthetists and midwives on the use of obstetric analgesia and anaesthesia in Norwegian hospitals in 1996. 95% of the 49 hospitals involved responded to the questionnaire, representing a total of 56,884 births. The use of epidural analgesia in labour varied from 0 to 25% in the different hospitals with a mean value of 15%. Epidural analgesia was much more widely used in university and regional hospitals than in local hospitals (p < 0.001). Five of the local hospitals did not offer epidural analgesia during labour at all. The combination of low-dose local anaesthetic and an opioid (either sufentanil or fentanyl) had not been introduced in nine of the hospitals (20%). The optimal use of epidural analgesia to relieve labour pain was judged to be more frequent by the anaesthetists than by the midwives (19% versus 11%, p < 0.01). In response to what factors limited the frequency of epidural analgesia, the anaesthetists specified factors related to the attitude of the midwife, and the midwives specified factors related to the anaesthetist. Only five of the hospitals provided written information on the various analgesic methods that could be employed during labour. The majority of midwives considered the analgesic methods employed on their maternity ward to be good or excellent. The frequency of Caesarean section was 12%; spinal anaesthesia was used in 55%, epidural anaesthesia in 17%, and general anaesthesia in 28% of the cases.

  17. Comparing Candidate Hospital Report Cards

    SciTech Connect

    Burr, T.L.; Rivenburgh, R.D.; Scovel, J.C.; White, J.M.

    1997-12-31

    We present graphical and analytical methods that focus on multivariate outlier detection applied to the hospital report cards data. No two methods agree which hospitals are unusually good or bad, so we also present ways to compare the agreement between two methods. We identify factors that have a significant impact on the scoring.

  18. Practicing Hospitality in the Classroom

    ERIC Educational Resources Information Center

    Burwell, Rebecca; Huyser, Mackenzi

    2013-01-01

    This article explores pedagogical approaches to teaching students how to practice hospitality toward the other. Using case examples from the college classroom, the authors discuss the roots of Christian hospitality and educational theory on transformative learning to explore how students experience engaging with others after they have…

  19. [Hospitals as vital links].

    PubMed

    Klink, A

    2013-01-01

    The reform of the system in 2006 aimed at reducing waiting lists in an efficient manner. Performance-linked funding and regulated competition did indeed lead to improved efficiency. The other side of the coin is overtreatment, and expensive and not infrequently damaging growth in volume. In order to control costs, three strategies have been determined: agreements with an annual cap on volume; (b) collaboration of regional health-care providers with the mission of improving results in health care (with profit-sharing if costs fall); and (c) fusions reducing the number of hospitals which reduces the burden of injuries (supply no longer creates its own demand). This article comments on these strategies. The author argues for a fourth approach: if the quality of health care improves, the number of complications will fall, overtreatment will decline and the outcome will be a decrease in burden of injuries. This requires the health care insurers to modify the way they manage their contracts and methods of payment, and stimulates competition based on quality.

  20. The single-hospital county: is its hospital at risk?

    PubMed

    Chang, C F; Tuckman, H P

    1991-06-01

    This article focuses on a hospital group that has not received adequate attention in the literature: the sole provider of short-term, acute hospital care located in a county. In Tennessee, SPHs (single provider hospitals) are fewer in number but are present in more counties than multiprovider hospitals (MPHs). They are smaller in size, less labor and capital intensive, more likely to be a government hospital, and more likely to be in a rural area with low income and limited health care resources. SPHs operate with lower costs, charge patients less, and have lower revenue write-offs than MPHs. As a result, their cash flow is sufficient to fund their depreciation and they consistently earn modest returns. Between 1982 and 1988, a total of 16 hospitals failed in Tennessee but only 3 were SPHs. While SPHs have not been profitable enough to make them ideal candidates for takeover by major hospital systems, they are not a population that is unduly at risk.

  1. National survey of hospital patients.

    PubMed Central

    Bruster, S.; Jarman, B.; Bosanquet, N.; Weston, D.; Erens, R.; Delbanco, T. L.

    1994-01-01

    OBJECTIVE--To survey patients' opinions of their experiences in hospital in order to produce data that can help managers and doctors to identify and solve problems. DESIGN--Random sample of 36 NHS hospitals, stratified by size of hospital (number of beds), area (north, midlands, south east, south west), and type of hospital (teaching or non-teaching, trust or directly managed). From each hospital a random sample of, on average, 143 patients was interviewed at home or the place of discharge two to four weeks after discharge by means of a structured questionnaire about their treatment in hospital. SUBJECTS--5150 randomly chosen NHS patients recently discharged from acute hospitals in England. Subjects had been patients on medical and surgical wards apart from paediatric, maternity, psychiatric, and geriatric wards. MAIN OUTCOME MEASURES--Patients' responses to direct questions about preadmission procedures, admission, communication with staff, physical care, tests and operations, help from staff, pain management, and discharge planning. Patients' responses to general questions about their degree of satisfaction in hospitals. RESULTS--Problems were reported by patients, particularly with regard to communication with staff (56% (2824/5020) had not been given written or printed information); pain management (33% (1042/3162) of those suffering pain were in pain all or most of the time); and discharge planning (70% (3599/5124) had not been told about warning signs and 62% (3177/5119) had not been told when to resume normal activities). Hospitals failed to reach the standards of the Patient's Charter--for example, in explaining the treatment proposed and giving patients the option of not taking part in student training. Answers to questions about patient satisfaction were, however, highly positive but of little use to managers. CONCLUSIONS--This survey has highlighted several problems with treatment in NHS hospitals. Asking patients direct questions about what happened

  2. Hospitals: Soft Target for Terrorism?

    PubMed

    De Cauwer, Harald; Somville, Francis; Sabbe, Marc; Mortelmans, Luc J

    2017-02-01

    In recent years, the world has been rocked repeatedly by terrorist attacks. Arguably, the most remarkable were: the series of four coordinated suicide plane attacks on September 11, 2001 on buildings in New York, Virginia, and Pennsylvania, USA; and the recent series of two coordinated attacks in Brussels (Belgium), on March 22, 2016, involving two bombings at the departure hall of Brussels International Airport and a bombing at Maalbeek Metro Station located near the European Commission headquarters in the center of Brussels. This statement paper deals with different aspects of hospital policy and disaster response planning that interface with terrorism. Research shows that the availability of necessary equipment and facilities (eg, personal protective clothing, decontamination rooms, antidotes, and anti-viral drugs) in hospitals clearly is insufficient. Emergency teams are insufficiently prepared: adequate and repetitive training remain necessary. Unfortunately, there are many examples of health care workers and physicians or hospitals being targeted in both political or religious conflicts and wars. Many health workers were kidnapped and/or killed by insurgents of various ideology. Attacks on hospitals also could cause long-term effects: hospital units could be unavailable for a long time and replacing staff could take several months, further compounding hospital operations. Both physical and psychological (eg, posttraumatic stress disorder [PTSD]) after-effects of a terrorist attack can be detrimental to health care services. On the other hand, physicians and other hospital employees have shown to be involved in terrorism. As data show that some offenders had a previous history with the location of the terror incident, the possibility of hospitals or other health care services being targeted by insiders is discussed. The purpose of this report was to consider how past terrorist incidents can inform current hospital preparedness and disaster response planning

  3. Emigration dynamics of eastern African countries.

    PubMed

    Oucho, J O

    1995-01-01

    This examination of emigration dynamics focuses on 13 countries extending from Eritrea to Zimbabwe and Mozambique on the eastern African mainland and on 5 Indian Ocean island nations. The first part of the study looks at the temporal, spatial, and structural perspectives of emigration dynamics. Part 2 considers international migration in the region according to Appleyard's typology (permanent settlers, labor migration, refugees, and illegal migrants) with the additional category of return migration. Measurement issues in emigration dynamics are discussed in part 3, and the demographic/economic setting is the topic of part 4. The demographic factors emphasized include spatial distribution, population density, population structure, population dynamics, demographic transition, and the relationship between internal and international migration. Other major topics of this section of the study are the economic base, the human resource base, population and natural resources, the sociocultural context (emigration, chain migration, return migration, and migration linkages and networks), political factors (including human rights, minority rights and security, regional integration and economic cooperation, and the impact of structural adjustment programs), and a prediction of future emigration dynamics. It is concluded that refugee flows remain a major factor in eastern African countries but the development of human resources in the northern portion of the region indicates development of potential labor migration from this area. Data constraints have limited measurement of emigration in this region and may contribute to the seeming indifference of most eastern African countries to emigration policies. Emigration in this region has been triggered by deteriorating economic and political conditions and is expected to increase.

  4. Modelling the shelf circulation off eastern Tasmania

    NASA Astrophysics Data System (ADS)

    Oliver, Eric C. J.; Herzfeld, Mike; Holbrook, Neil J.

    2016-11-01

    The marine waters across Tasmanian's eastern continental shelf are biologically productive and home to economically important fisheries and aquaculture industries. However, the marine climate there is poorly understood. We use a high-resolution (∼2 km in the horizontal), three-dimensional ocean model for eastern Tasmania (ETAS) to examine the simulated mean state and seasonal cycle of temperature, salinity and three-dimensional flow field, and the evaluation of daily model outputs against in situ and remote observations for the 1993-2014 period. We also use the model to examine the roles of river input and tidal forcing. The model is evaluated against remotely-sensed sea surface temperature and in-situ observations of sea level and subsurface temperature, salinity, and currents. The mean state demonstrates the influence of two well-known boundary currents (the East Australian Current, EAC, and the Zeehan Current, ZC) as well as the effects of local freshwater input from river runoff. The EAC is dominant in summer and the ZC in winter; the influence of the EAC also increases northwards and in the offshore direction. In addition, the model indicates the presence of a semi-permanent subsurface (50-100 m depth) northward flow trapped near the coast. Cool freshwater runoff from the Derwent and Huon Rivers directly impacts the temperature and salinity in their estuaries but has little influence further across the shelf. Tidal forcing impacts the mean state through tide-river interactions which flush Frederick Henry Bay and Norfolk Bay with freshwater. Tidal forcing also impacts the variability of temperature all along the coastline, most likely due to changes in the turbulent mixing near to the coast. The ETAS model output data are available as a high-resolution representation of the mean state, seasonal variations, and interannual variability of Tasmania's eastern continental shelf marine climate.

  5. ALPASS: Teleseismic Tomography of the Eastern Alps

    NASA Astrophysics Data System (ADS)

    Brueckl, E.; Mitterbauer, U.; Lippitsch, R.; Behm, M.; ALPASS Working Group

    2007-12-01

    The Eastern Alps were formed by the north-south directed collision of the Adriatic (African) and European plates and a subsequent tectonic escape of crustal fragments to the unconstrained margin in the east, represented by the Pannonian Basin. Recent controlled source seismic experiments (TRANSALP, CELEBRATION 2000, and ALP 2002) revealed significant internal structures of the crust and the Moho topography. However, deeper plate tectonic structures (e.g. subducting slab) are still under debate. ALPASS is a passive seismic monitoring project aiming to reveal lower lithosphere and upper mantle beneath the wider Eastern Alpine region, and to contribute to a better understanding of the geodynamic processes at work. By cooperation of Austria, Croatia, Finland, Hungary, Poland, and USA 57 temporary seismic recording stations were deployed from May 2005 until May 2006. The layout was designed to extend the efforts of earlier experiments (e.g. TRANSALP) and to support two other passive seismic experiments (BOHEMA, Carpathian Basin Project), which are overlapping in the investigation area. Additionally, data from permanent networks was collected to improve coverage of the investigation area. 144 events (50% with M > 5.6) from epicentre distances between 30° and 100° were selected for teleseismic inversion. Travel time picking of P-wave arrivals has been done by a semi-automatic correlation technique. Crustal corrections benefit from the high resolution velocity model of the crust and the new Moho map derived from CELEBRATION 2000 and ALP 2002 data. First results of teleseismic inversion will be presented and discussed with respect to crustal structures revealed by the controlled source experiments, tomographic models generated during earlier studies, and their consequences for the conception of plate tectonics in the Eastern Alps.

  6. Episodic growth of topography in eastern Tibet

    NASA Astrophysics Data System (ADS)

    Kirby, E.; Furlong, K.; Wang, E.; Shi, X.; van Soest, M.; Xu, G.; Kamp, P.; Hodges, K.

    2012-04-01

    High topography associated with the eastern portions of the Tibetan Plateau is thought to have developed as eastward flow of deep crust from beneath central Tibet drove crustal thickening and attendant surface uplift along the periphery of the plateau. The onset of rapid Late Miocene exhumation (ca. 10-15 Ma) in deep canyons of eastern Tibet is inferred to herald surface uplift which enabled rapid fluvial incision and the development of high topographic relief. Although consistent with geophysical data, this model struggles to explain the timing and amount of Cenozoic shortening adjacent to the Sichuan Basin. Here we report cooling histories of rocks currently exposed along a ~3 km vertical section adjacent to the Sichuan Basin derived from multiple low-temperature thermochronologic systems including apatite and zircon fission-track and (U-Th)/He. Our results reveal that this margin of the plateau was subject to slow, steady exhumation during early Cenozoic time, requiring that limited topographic relief (<1000m) was present prior to initial collision of India and Asia. Moreover, thermal models of exhumation-driven cooling demonstrate that subsequent exhumation of >10 km occurred in two temporally-distinct episodes, during Oligocene (~30-25 Ma) and Late Miocene (~10-15 Ma) time, separated by a hiatus of at least 10 Ma. These results challenge the notion that the plateau in eastern Tibet developed as a singular consequence of lower crustal flow. Rather, our findings require a punctuated history of mountain building that potentially reconciles conflicting models for relative roles of upper crustal shortening and lower crustal flow in the development of topography adjacent to the Sichuan Basin.

  7. Crustal Structure in Central-Eastern Greenland

    NASA Astrophysics Data System (ADS)

    Shulgin, A.; Thybo, H.

    2013-12-01

    We present the seismic structure in the interior of Greenland based on the first measurements by the seismic refraction/wide angle reflection method. Previous seismic surveys have only been carried out offshore and near the coast of Greenland, where the crustal structure is affected by oceanic break-up and may not be representative of the interior of the island. Acquisition of geophysical data onshore Greenland is logistically complicated by the presence of an up to 3.4 km thick ice sheet, permanently covering most of the land mass. The seismic data was acquired by a team of six people during a two-month long experiment in summer of 2011 on the ice cap in the interior of central-eastern Greenland. The EW-trending profile extends 310 km inland from the approximate edge of the stable ice cap near Scoresby Sund across the centre of the ice cap. The planned extension of the profile by use of OBSs and air gun shooting in Scoresbysund Fjord to the east coast of Greenland was unfortunately cancelled, because navigation was prevented by ice drift. 350 Reftek Texan receivers recorded high-quality seismic data from 8 equidistant shots along the profile. Explosive charge sizes were 1 ton at the ends and ca. 500 kg along the profile, loaded with about 100 kg at 35-85 m depth in individual boreholes. Two-dimensional velocity model based on forward ray tracing and tomography modelling shows a decrease of crustal thickness from 47 km below the centre of Greenland in the western part to 40 km in the eastern part of the profile. Earlier studies show that crustal thickness further decreases eastward to ca. 30 km below the fjord system, but details of the changes are unknown. Relatively high lower crustal velocities (Vp 6.8 - 7.3) in the western part of the TopoGreenland profile may indicate past collision tectonics or may be related or to the passage of the Iceland mantle plume. The origin of the pronounced circum-Atlantic mountain ranges in Norway and eastern Greenland, which have

  8. Implementing safe obstetric anesthesia in Eastern Europe.

    PubMed

    Kuczkowski, Krzysztof M; Kuczkowski, Krzysztof M

    2009-08-01

    The position of woman in any civilization is an index of the advancement of that civilization; the position of woman is gauged best by the care given her at the birth of her child. Obstetric anesthesia, by definition, is a subspecialty of anesthesia devoted to peripartum, perioperative, pain and anesthetic management of women during pregnancy and the puerperium. Today, obstetric anesthesia has become a recognized subspecialty of anesthesiology and an integral part of practice of most anesthesiologists. Perhaps, no other subspecialty of anesthesiology provides more personal gratification than the practice of obstetric anesthesia. This article reviews the challenges associated with implementing safe obstetric anesthesia practice in Eastern Europe.

  9. Eastern Canadian Gastrointestinal Cancer Consensus Conference 2016

    PubMed Central

    Bossé, D.; Ng, T.; Ahmad, C.; Alfakeeh, A.; Alruzug, I.; Biagi, J.; Brierley, J.; Chaudhury, P.; Cleary, S.; Colwell, B.; Cripps, C.; Dawson, L.A.; Dorreen, M.; Ferland, E.; Galiatsatos, P.; Girard, S.; Gray, S.; Halwani, F.; Kopek, N.; Mahmud, A.; Martel, G.; Robillard, L.; Samson, B.; Seal, M.; Siddiqui, J.; Sideris, L.; Snow, S.; Thirwell, M.; Vickers, M.; Goodwin, R.; Goel, R.; Hsu, T.; Tsvetkova, E.; Ward, B.; Asmis, T.

    2016-01-01

    The annual Eastern Canadian Gastrointestinal Cancer Consensus Conference 2016 was held in Montreal, Quebec, 5–7 February. Experts in radiation oncology, medical oncology, surgical oncology, and infectious diseases involved in the management of patients with gastrointestinal malignancies participated in presentations and discussion sessions for the purpose of developing the recommendations presented here. This consensus statement addresses multiple topics: ■ Follow-up and survivorship of patients with resected colorectal cancer■ Indications for liver metastasectomy■ Treatment of oligometastases by stereotactic body radiation therapy■ Treatment of borderline resectable and unresectable pancreatic cancer■ Transarterial chemoembolization in hepatocellular carcinoma■ Infectious complications of antineoplastic agents PMID:28050151

  10. Environmental Regulation Impacts on Eastern Interconnection Performance

    SciTech Connect

    Markham, Penn N; Liu, Yilu; Young II, Marcus Aaron

    2013-07-01

    In the United States, recent environmental regulations will likely result in the removal of nearly 30 GW of oil and coal-fired generation from the power grid, mostly in the Eastern Interconnection (EI). The effects of this transition on voltage stability and transmission line flows have previously not been studied from a system-wide perspective. This report discusses the results of power flow studies designed to simulate the evolution of the EI over the next few years as traditional generation sources are replaced with environmentally friendlier ones such as natural gas and wind.

  11. Wooden Calendar Sticks in Eastern Europe

    NASA Astrophysics Data System (ADS)

    Koleva, Vesselina; Koleva, Svetlana

    Wooden calendar sticks have preserved an archaic time-keeping tradition, which, during the Middle Ages, was one of the tools for establishing and disseminating Christian chronology and the liturgical calendars of the Western and Eastern Churches. The calendars vary in size and shape, type of signs, and structure of the record. Christian symbols interwoven with signs and pictograms mark days of importance in the ritual and economic year cycle. The wooden calendars are considered one of the proofs of the syncretism between the pagan tradition and Christian rites in folk cultures.

  12. Eastern mosquitofish resists invasion by nonindigenous poeciliids through agonistic behaviors

    USGS Publications Warehouse

    Thompson, Kevin A.; Hill, Jeffrey E.; Nico, Leo G.

    2012-01-01

    Florida is a hotspot for nonindigenous fishes with over 30 species established, although few of these are small-bodied species. One hypothesis for this pattern is that biotic resistance of native species is reducing the success of small-bodied, introduced fishes. The eastern mosquitofish Gambusia holbrooki is common in many freshwater habitats in Florida and although small-bodied (<50 mm), it is a predator and aggressive competitor. We conducted four mesocosm experiments to examine the potential for biotic resistance by eastern mosquitofish to two small-bodied nonindigenous fishes, variable platyfish (Xiphophorus variatus) and swordtail (X. hellerii). Experiments tested: (1) effect of eastern mosquitofish density on adult survival, (2) effect of eastern mosquitofish on a stage-structured population, (3) role of habitat structural complexity on nonindigenous adult survival, and (4) behavioral effects of eastern mosquitofish presence and habitat complexity. Eastern mosquitofish attacked and killed non-native poeciliids with especially strong effects on juveniles of both species. Higher eastern mosquitofish density resulted in greater effects. Predation on swordtails increased with increasing habitat complexity. Eastern mosquitofish also actively drove swordtails from cover, which could expose non-native fish to other predators under field conditions. Our results suggest that eastern mosquitofish may limit invasion success.

  13. Naval Computer & Telecommunications Area Master Station, Eastern Pacific, Radio ...

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

    Naval Computer & Telecommunications Area Master Station, Eastern Pacific, Radio Transmitter Facility Lualualei, Marine Barracks, Intersection of Tower Drive & Morse Street, Makaha, Honolulu County, HI

  14. 7. DETAIL, NORTH FRONT, EASTERN PORTION OF MAIN BLOCK, WINDOWS ...

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

    7. DETAIL, NORTH FRONT, EASTERN PORTION OF MAIN BLOCK, WINDOWS - Smithsonian Institution Building, 1000 Jefferson Drive, between Ninth & Twelfth Streets, Southwest, Washington, District of Columbia, DC

  15. Urinary calculous disease in south-eastern Nigeria.

    PubMed

    Ekwere, P D

    1995-09-01

    Prospective observations are reported on 96 South Eastern Nigerians with urinary calculi, during a five year period. An overall hospital incidence of 19.1 per 100,000, and male: female ratio of 2.7:1, were obtained. There were 79% upper-urinary tract stones and 21% lower-tract stones. Thirty-two per cent of the patients were idiopathic stone formers. Other associated aetiologic factors include obstructive uropathy (29%), UTI (30%) prolonged catheterisation (9%), hyperuricaemia (6%), foreign body in the bladder (3.8%) and hyperparathyroidism (2.5%). The lower socio-economic group accounted for 55% of the patients. Fifty three (55%) stones were removed surgically whilst 38% (45%) were passed spontaneously. Mean size of the latter was 6.3 mm +/- 1.6 mm, and of the former 17.7 mm +/- 9.5 mm. Five patients did not know when they passed the stones. Clinical features were similar to other reported series but six females had pyonephrosis, one with nephrocutaneous fistula. One urethral stone was recovered from a periurethral abscess. Infection and dietary intake appear to be important aetiologic agents. Ninety-eight per cent of stones contained calcium. Other components were similar to other reported series, but it was not possible to detect any case of cystinuria. The relatively high incidence in contrast to most other Nigerian centres may be due to high consumption of calcium/magnesium-rich sea foods and vegetables, as well as the soft water of the South-East. Endemic bladder stones were absent in the series. The close similarity with caucasian stone patterns is a curiosity and of particular interest, deserving further elucidation.

  16. Occupation and renal cell cancer in Central and Eastern Europe

    PubMed Central

    Heck, Julia E; Charbotel, Barbara; Moore, Lee E; Karami, Sara; Zaridze, David G; Matveev, Vsevolod; Janout, Vladimir; Kollárová, Helena; Foretova, Lenka; Bencko, Vladimir; Szeszenia-Dabrowska, Neonila; Lissowska, Jolanta; Mates, Dana; Ferro, Gilles; Chow, Wong-Ho; Rothman, Nathaniel; Stewart, Patricia; Brennan, Paul; Boffetta, Paolo

    2010-01-01

    Objective Central and Eastern Europe has among the highest rates of renal cell cancer worldwide. Few studies have been conducted in these areas to investigate the possible role of occupational exposures in renal cell cancer etiology. The purpose of this study was to examine the association of renal cell cancer with employment in specific occupations and industries. Methods From 1999–2003, we conducted a hospital-based case-control study in seven areas of the Czech Republic, Poland, Romania and Russia. A detailed occupational history was collected from renal cell cancer cases and controls, together with information on potential confounders. Odds ratios (OR) and 95% confidence intervals (CI) of cancer risk were calculated for having ever been employed in selected jobs and industries, with follow-up analyses examining duration of employment. Results A total of 992 histologically confirmed incident renal cell cancer cases and 1,465 controls were included in the analysis. An increased risk of renal cell cancer was observed for workers in agricultural labor and animal husbandry (OR=1.43, 95% CI 1.05, 1.93), particularly among women employed as general farm workers (OR=2.73, 95% CI 1.05, 7.13). Risk gradients for agricultural work increased with longer employment. An overall increased risk of renal cell cancer was seen among architects and engineers (OR=1.89, 95% CI 1.35, 2.65), and mechanical engineers (OR=1.71, 95% CI 1.03, 2.84). Conclusions Our data suggest an association between renal cell cancer and agricultural work, particularly among female workers. PMID:19737732

  17. Pattern of motor neurone disease in eastern India.

    PubMed

    Saha, S P; Das, S K; Gangopadhyay, P K; Roy, T N; Maiti, B

    1997-07-01

    A clinical study about the pattern of motor neurone disease in eastern India was carried out from July 1993 to June 1995 at Bangur Institute of Neurology, Calcutta and SSKM Hospital, Calcutta. A total of 110 cases were studied and they constituted 0.11% of all neurological cases seen in the general OPD. Of 110 cases, amyotropic lateral sclerosis (ALS) constituted 43.6%, progressive muscular atrophy (PMA) 10.9%, post-polio progressive muscular atrophy (PPMA) 1.8%, spinal muscular atrophy (SMA) 20%, atypical form Madras pattern of MND (MMND) 0.9% and monomelic amyotrophy (MMA) 22.7% of cases. Disease is more common in males than females and average duration of symptoms before presentation varied from 1 to 12 months. Most of the patients were either agricultural labourers or manual workers in ALS variety whereas MMA variety was evenly distributed in both hard labourers and sedentary workers. Most of the patients in MMA and SMA groups presented before 30 years of age whereas ALS and PMA group presented after 30 years. Trauma was the commonest antecedent event in ALS and MMA followed by electrocution in the same two groups. Family history was found to be absent in SMA group though the disease is considered as a hereditary one. Weakness of the limbs and wasting of the muscles were common presenting symptoms and signs. Bulbar symptoms and signs were found only in the ALS group. EMG showed neurogenic pattern and mixed pattern in most of the patients in all groups. Only a few patients showed myopathic pattern. Neuroimaging study helped in exclusion of compressive lesion excepting two cases of MMA where facetal hypertrophy was present. Monomelic amyotrophy, a special variety of motor neurone disease, is not rare in this part as compared to other parts of India and Asia.

  18. 76 FR 28972 - Eastern Shore Natural Gas Company; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-19

    ...\\ under Eastern Shore's maximum FT Zone One and Zone Two Tariff Rates on file with the Commission. Eastern... Federal Energy Regulatory Commission Eastern Shore Natural Gas Company; Notice of Request Under Blanket Authorization Take notice that on April 28, 2011, Eastern Shore Natural Gas Company (Eastern Shore),...

  19. Eastern Carolina Asthma Prevention Program (ECAPP): An Environmental Intervention Study Among Rural and Underserved Children with Asthma in Eastern North Carolina

    PubMed Central

    Kearney, Gregory D; Johnson, Lisa C; Xu, Xiaohui; Balanay, Jo Anne G; Lamm, Kevin M; Allen, Daniel L

    2014-01-01

    OBJECTIVE Asthma is the most common chronic childhood condition affecting 6.3 million (US) children aged less than 18 years. Home-based, multi-component, environmental intervention studies among children with asthma have demonstrated to be effective in reducing asthma symptoms. In this study, a local hospital and university developed an environmental intervention research pilot project, Eastern Carolina Asthma Prevention Program (ECAPP), to evaluate self-reported asthma symptoms, breathing measurements, and number of asthma-related emergency department (ED) visits among low-income, minority children with asthma living in rural, eastern North Carolina. Our goal was to develop a conceptual model and demonstrate any asthma respiratory improvements in children associated with our home-based, environmental intervention. METHODS This project used a single cohort, intervention design approach to compare self-reported asthma-related symptoms, breathing tests, and ED visits over a 6 month period between children with asthma in an intervention study group (n = 12) and children with asthma in a control study group (n = 7). The intervention study group received intense asthma education, three home visits, 2 week follow-up telephone calls, and environmental intervention products for reducing asthma triggers in the home. The control group received education at baseline and 2 week calls, but no intervention products. RESULTS At the end of the study period, significant improvements were observed in the intervention group compared with the control group. Overall, the intervention group experienced a 58% (46 ± SD 26.9) reduction in self-reported asthma symptoms; 76% (34 ± SD 29.7) decrease in rescue medicine; 12% (145 ± SD 11.3) increase in controller medicine; 37% decrease in mean exhaled nitric oxide levels and 33% fewer ED asthma-related visits. CONCLUSION As demonstrated, a combination of efforts appeared effective for improving asthma respiratory symptoms among children in

  20. [Hospitals' evolution through the ages].

    PubMed

    de Micheli, Alfredo

    2005-01-01

    The predecessor institutions of modern hospitals--Byzantine nosocómeion, European hospitale and Islamic maristan--were dissimilar both in their patients and their aims. The first charitable organizations in West Europe (Rome) and in the East (Cesarea in Cappadocia) were rather hospices. After the collapse of the Western Roman Empire (476 A.D.), some monastic centers were prepared to provide medical assistance to religious and secular patients. Since the XI and XII Centuries in all of Christian Europe the charitable institutions, designated as hospitale, multiplied. Among the Italian ones, the Roman Santo Spirito (Holy Ghost) Hospital, built in the 1201-1204 period, reached a preeminet position. This one soon became the most important of the entire Christendom (archihospital), with a lot of affiliated hospitals in Europe and later in America. The first American hospital, Saint Nicholas Hospital, opened on December 29, 1503 in Santo Domingo, obtained in 1541 its affiliation to the Santo Spirito archihospital. Regarding continental America, the first health centers were established in Mexico: the Immaculate Conception Hospital and the Saint Lazarus Hospital, both established by Hernán Cortés. For its part, clinical teaching was systematized at the Saint Francis Hospital in Padua and by there moved to Leyden. In Mexico, the chair of medical clinics or practical medicine was established in 1806 at the Saint Andrew Hospital. During the XX century, Dr. Ignacio Chávez was the driving force behind the creation of the modern Mexican Health Institutes. These ones are dedicated to the treatment of poor patients, as well as to medical teaching and research.

  1. The Status of Hospital Information Systems in Iranian Hospitals

    PubMed Central

    Jahanbakhsh, Maryam; Sharifi, Mohammed; Ayat, Masar

    2014-01-01

    Background: The area of e-Health is broad and has an excellent growth potential. An increasing number of experts believe that e-Health will fuel the next breakthroughs in health system improvements throughout the world, but there is frequent evidence of unsustainable use of e-Health systems in medical centres, particularly hospitals, for different reasons in different countries. Iran is also a developing country which is presently adopting this promising technology for its traditional healthcare delivery but there is not much information about the use of e-Health systems in its hospitals, and the weakness and opportunities of utilization of such Hospital Information Systems (HIS). Methods: For this research, a number of Hospitals from Isfahan, Iran, are selected using convenient sampling. E-health research professionals went there to observe their HIS and collect required data as a qualitative survey. The design of interview questions was based on the researchers’ experiences and knowledge in this area along with elementary interviews with experts on HIS utilization in hospitals. Results: Efficient administration of e-health implementation improves the quality of healthcare, reduces costs and medical errors, makes healthcare resources available to rural areas, etc. However, there are numerous issues affecting the successful utilization of e-health in Hospitals, such as a lack of a perfect HIS implementation plan and well-defined strategy, inadequate IT-security for the protection of e-health-related data, improper training and educational issues, legal challenges, privacy concerns, improper documentation of lessons learned, resistance to the application of new technologies, and finally a lack of recovery plan and disaster management. These results along with some informative stories are extracted from interview sessions to uncover associated challenges of HIS utilization in Iranian hospitals. Conclusion: The utilization of e-health in Iranian hospitals

  2. Energy conservation opportunities in Eastern Europe

    SciTech Connect

    Zellhoeffer, J.W.

    1996-05-01

    Today, Eastern Europe and the member countries of the NIS are facing energy shortages and cost increases of a scale never experienced in America. Even during the energy crisis of the 70`s, when oil prices tripled over a two year period. our economy was not exposed to the problems now facing this region of the world. This paper covers the challenges and opportunities facing those individuals and companies involved in energy efficiency and other technologies that benefit the environment. Unfortunately, the social and economic stress caused by, the five fold average increases in energy costs since 1990 in most Eastern European countries has not been offset by improved living standards, the increased availability of quality goods, or even the ability of citizens to travel freely, In reality, food and raw material costs have gone up so dramatically that most individuals are worse off today than they were six years ago. Compounding this situation is the fact that most school age children have little ambition to continue with their education as a result of the general collapse of most of the more prestigious large industrial and commercial enterprises.

  3. Tsunami Catalogues for the Eastern Mediterranean - Revisited.

    NASA Astrophysics Data System (ADS)

    Ambraseys, N.; Synolakis, C. E.

    2008-12-01

    We critically examine examine tsunami catalogues of tsunamis in the Eastern Mediterranean published in the last decade, by reference to the original sources, see Ambraseys (2008). Such catalogues have been widely used in the aftermath of the 2004 Boxing Day tsunami for probabilistic hazard analysis, even to make projections for a ten year time frame. On occasion, such predictions have caused panic and have reduced the credibility of the scientific community in making hazard assessments. We correct classification and other spurious errors in earlier catalogues and posit a new list. We conclude that for some historic events, any assignment of magnitude, even on a six point intensity scale is inappropriate due to lack of information. Further we assert that any tsunami catalogue, including ours, can only be used in conjunction with sedimentologic evidence to quantitatively infer the return period of larger events. Statistical analyses correlating numbers of tsunami events derived solely from catalogues with their inferred or imagined intensities are meaningless, at least when focusing on specific locales where only a handful of tsunamis are known to have been historically reported. Quantitative hazard assessments based on scenario events of historic tsunamis for which -at best- only the size and approximate location of the parent earthquake is known should be undertaken with extreme caution and only with benefit of geologic studies to enhance the understanding of the local tectonics. Ambraseys N. (2008) Earthquakes in the Eastern Mediterranean and the Middle East: multidisciplinary study of 2000 years of seimicity, Cambridge Univ. Press, Cambridge (ISBN 9780521872928).

  4. Extensive Quaternary glaciations in eastern Turkey

    NASA Astrophysics Data System (ADS)

    Yeşilyurt, Serdar; Akçar, Naki; Doǧan, Uǧur; Yavuz, Vural; Ivy-Ochs, Susan; Vockenhuber, Christof; Schlunegger, Fritz; Schlüchter, Christian

    2016-04-01

    During cold periods in the Quaternary, global ice volume increased and as a result valley glaciers advanced and the vice versa occurred during the warm periods. Quaternary glacier fluctuations had been also recorded in the Turkish mountains. Recently, the chronology of Late Quaternary advances in the northern and western Turkish mountains was reconstructed by surface exposure dating. However, these advances in the eastern Turkey are not dated yet. In this study, we investigated paleoglaciations in Kavuşşahap Mountains, which is located to the south of Lake Van in eastern Turkey. These mountains are one of the extensively glaciated areas in Turkey. Glacial activity is evidenced by more than 20 U-shaped valleys. For instance, one of the prominent and well-preserved glacial landscapes of Turkey is situated in the Narlıca valley system. Lateral and terminal moraines in the valley system indicate more than 10 glacial advances. To build their chronology, 39 erratic carbonaceous boulders were sampled for surface exposure dating with cosmogenic 36Cl. We also reconstructed the ice margin reconstruction of the Narlıca paleoglacier using the accumulation area ratio and area-altitude balance ratio approaches. We estimated an equilibrium line altitude (ELA) of ca. 2900 m above sea level based on the maximum ice extend, which implied ca. 800 m decrease in the ELA during the Late Quaternary in comparison to the lower bound of the modern ELA estimate. The first results of the surface exposure dating will be presented.

  5. Acid rain reduced in Eastern United States

    SciTech Connect

    Lynch, J.A.; Bowersox, V.C.; Grimm, J.W.

    2000-03-15

    Concentrations of sulfate (SO{sub 4}{sup 2{minus}}) and free hydrogen ions (H{sup +}) in precipitation decreased from 10% to 25% over a large area of the Eastern US from 1995 through 1997 as compared to the previous 12-year (1983--1994) reference period. These decreases were unprecedented in magnitude and spatial extent. In contrast, nitrate (NO{sub 3}{sup {minus}}) concentrations generally did not change over this period. The largest decreases in both H{sup +} and SO{sub 4}{sup 2{minus}} concentrations, which nearly mimicked one another, occurred in and downwind of the Ohio River Valley, the same area where Title 4 of the 1990 Clean Air Act Amendments (CAAA) set limitations on sulfur dioxide (SO{sub 2}) emissions from a large number of utility-owned coal-fired sources. Phase 1 of the CAAA required that these limitations be met by January 1, 1995. On the basis of their analysis of precipitation chemistry and emissions data, the authors conclude that significant declines in acid rain occurred in many parts of the Eastern US from 1995 through 1997 because of large reductions in SO{sub 2} emissions in this region and a corresponding reduction in SO{sub 4}{sup 2{minus}} concentrations in precipitation.

  6. Cenozoic diapiric traps in eastern China

    SciTech Connect

    Xie-Pei, W.; Qi, F.; Jia-Hua, Z.

    1985-12-01

    Diapiric traps, including diapirs of salt and mud or igneous intrusives, have recently been found in many places in the Cenozoic petroliferous basins in eastern China, and most of them produce oil and gas. During the Eocene-early Oligocene, salt-lake basins evolved extensively. Plastic source materials for diapirism were deposited in the basins in great thickness. We have found that the diapiric traps of salt and mud in eastern China are unpierced or slightly pierced structures. The diapiric materials are a mixture of salt, gypsum, and mudstone, but mudstone is the main component of the plastic bodies. Based on an analysis of the structural features of the diapirs and the regional tectonic setting, we believe that the diapiric traps are caused by a combination of horizontal stress due to regional tectonic movement and vertical stress due to gravitational instability. Some diabase diapirs are arranged in a series of small anticlinal traps along the regional faults in the Subei basin of Jiangsu province. Oil and gas have been found in certain of these diapirs. 16 figures.

  7. The Altai Mountains environmental disaster (Eastern Kazakhstan)

    NASA Astrophysics Data System (ADS)

    Akhmadiyeva, Z. K.

    2009-12-01

    The space centre "Baikoniyr" (Kazakhstan) has had substantial affects on the environment. During the past several decades as a result of the launching of carrier rockets, such as "Proton" that use as fuel the asymmetrical dimethylhydrazine (ASDH), more well-known as "heptyl", the unique mountain landscapes in Eastern Kazakhstan have been subjected to pollution. In 2004, RSE "Kazakh research Institute of Ecology and Climate" carried out the complex geochemical and radiation researches in East Kazakhstan that is an impact area of second stages of carrier rockets. Such detailed examinations of this area were conducted for the first time because the Eastern Kazakhstan Mountains are difficult for human access. The landscape-geochemical research over the natural landscapes covered the ridge, low, and middle mountains with fir forests. The research results have shown the presence of heptyl in the samples of the soil, plants, and rivers’ bottom sediments. The findings of the influence of space activity on environment of the Kazakhstan part of the Altai Mountains confirm and complement the Russian scientific research results over the territory of the neighbouring Altai Krai. Though the heptyl pollution in the investigated region is of a local nature and highly spatially inhomogeneous, nevertheless, this anthropogenic effect intensifying from year to year increases the load on the natural ecosystems. In particular, it strengthens the desertification process of mountain regions of East Kazakhstan.

  8. Late Cenozoic intraplate faulting in eastern Australia

    NASA Astrophysics Data System (ADS)

    Babaahmadi, Abbas; Rosenbaum, Gideon

    2014-12-01

    The intensity and tectonic origin of late Cenozoic intraplate deformation in eastern Australia is relatively poorly understood. Here we show that Cenozoic volcanic rocks in southeast Queensland have been deformed by numerous faults. Using gridded aeromagnetic data and field observations, structural investigations were conducted on these faults. Results show that faults have mainly undergone strike-slip movement with a reverse component, displacing Cenozoic volcanic rocks ranging in ages from ˜31 to ˜21 Ma. These ages imply that faulting must have occurred after the late Oligocene. Late Cenozoic deformation has mostly occurred due to the reactivation of major faults, which were active during episodes of basin formation in the Jurassic-Early Cretaceous and later during the opening of the Tasman and Coral Seas from the Late Cretaceous to the early Eocene. The wrench reactivation of major faults in the late Cenozoic also gave rise to the occurrence of brittle subsidiary reverse strike-slip faults that affected Cenozoic volcanic rocks. Intraplate transpressional deformation possibly resulted from far-field stresses transmitted from the collisional zones at the northeast and southeast boundaries of the Australian plate during the late Oligocene-early Miocene and from the late Miocene to the Pliocene. These events have resulted in the hitherto unrecognized reactivation of faults in eastern Australia.

  9. Eastern Europe and Community of Independent States.

    PubMed

    Axmann, A

    1998-01-01

    This article reviews the literature on migration, HIV/AIDS, and sexually transmitted diseases in Eastern Europe and the Community of Independent States (CIS): Bulgaria, Czechoslovakia, Hungary, Poland, Romania, and the former Yugoslavian countries; and Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Moldova, Russian Federation, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan. There is little in-depth research on the prevalence of HIV/AIDS. After the collapse of the USSR, the opening up of borders presented greater options for the spread of HIV. During 1991-1996, HIV-infected persons increased from 0.3/100,000 to 7.8/100,000. Syphilis and gonorrhea also spread in the 1990s. The increased prevalence is attributed to changes in sexual behavior due to increased travel and migration, disruption among families, and changes in sexual mores; and changes in the structure, availability, and effectiveness of health services. Many migrants in the CIS are young people. Mobile populations in the CIS include labor migrants, refugees, persons displaced by armed conflicts, repatriates, forced migrants, resettlement of formerly deported persons, and ecological migrants. It is general knowledge that migrants are poorly informed about HIV/AIDS. Condoms are not readily available in the CIS. Eastern Europe has high rates of HIV among migrant sex workers.

  10. Alphaviral equine encephalomyelitis (Eastern, Western and Venezuelan).

    PubMed

    Aréchiga-Ceballos, N; Aguilar-Setién, A

    2015-08-01

    Summary Alphaviral equine encephalomyelitis is a mosquito-borne infection that causes severe neurological disease and fatalities in horses and humans in the Americas. Consequently, the equine alphaviruses (Eastern, Western and Venezuelan) are of considerable concern worldwide and are notifiable to the World Organisation for Animal Health. In addition, these diseases are considered a potent potential biological weapon, emphasising the need to develop an effective vaccine. Alphaviral equine encephalomyelitis is caused by Eastern equine encephalomyelitis virus (EEEV), Western equine encephalomyelitis virus (WEEV) or Venezuelan equine encephalomyelitis virus (VEEV), which are related members of the Alphavirus genus in the Togaviridae family. Although related, the three viruses are genetically and antigenically distinct. The disease is characterised by fever, anorexia, depression and clinical signs of encephalomyelitis, and may be fatal in up to 90% of cases, for both humans and horses, particularly in the case of EEE. Surviving horses develop lifelong immunity but may have permanent neuropathology. The aim of this paper is to analyse the scientific information available on the evolution of EEE, WEE and VEE, and any potential vaccines.

  11. Potential for Hospital Based Corneal Retreival in Hassan District Hospital

    PubMed Central

    Melsakkare, Suresh Ramappa; Manipur, Sahana R.; Acharya, Pavana; Ramamurthy, Lakshmi Bomalapura

    2015-01-01

    Context In developing countries, corneal diseases are the second leading cause of blindness. This corneal blindness can be treated through corneal transplantation. Though the present infrastructure is strong enough to increase keratoplasty numbers at a required rate, India has largest corneal blind population in the world. So a constant supply of high quality donor corneal tissue is the key factor for reduction of prevalence of corneal blindness. Considering the magnitude of corneal blindness and shortage of donor cornea, there is a huge gap in the demand and supply. Aim To study the potential for hospital based retrieval of donor corneal tissue in Hassan district hospital after analysing the indicated and contraindicated causes of deaths, so that hospital corneal retrieval program in Hassan district hospital can be planned. Materials and Methods The cross-sectional, retrospective and record-based study included all hospital deaths with age group more than two years occurred during one year period (January 2014 to December 2014). Data regarding demographic profile, cause of death, treatment given and presence of any systemic diseases were collected. The causes of deaths which are contraindicated for the retrieval of corneas were analysed and noted. The contraindications were based on the NPCB guidelines for standard of eye banking in India 2009. Results Out of 855 deaths, number of deaths in males (565) was greater than females (290). Numbers of deaths were highest between 41-60 years age group (343). Deaths due to HIV, septicaemia, meningitis, encephalitis, disseminated malignancies were contraindicated for corneal retrieval. Corneas could be retrieved from 736 deaths out of 855. Potential for corneal retrieval in a period of one year in Hassan District hospital was 86%. Conclusion Hospital corneal retrieval program has got a great potential to bridge the gap between the need for the cornea and actually collected corneas which will contribute enormously in

  12. Internet connectivity for hospitals and hospital libraries: strategies.

    PubMed

    Fuller, S S

    1995-01-01

    Access to Internet resources and communications has rapidly become a necessity in many hospitals nationally. The results of a Pacific Northwest pilot Intenet connections project provides important evidence of the value of librarians in establishing such connections in their institutions The pilot project has resulted in a wealth of information regarding approaches to promoting the utility of the Internet to health professionals in hospitals. Roles that librarians are playing in support of such connections include facilitator, negotiator, provider, publisher, integrator, and educator.

  13. Multinational operations of US for-profit hospital chains: trends and implications.

    PubMed Central

    Berliner, H S; Regan, C

    1987-01-01

    The expansion of United States for-profit hospital chains into the international arena is a new and important development. Experiences with contract management of middle eastern hospitals in the early 1970s gave the American firms impetus to pursue ownership of health facilities in other parts of the world. US companies now operate over 95 foreign hospitals. The reasons for this involvement include the political receptivity of the government of the host nation; the potential for rapid growth and profits; the lack of indigenous competition; and the ability to occupy a distinct niche within the extant health services organization. The political and ideological implications of the growth of private medicine, particularly in the United Kingdom, in terms of its effects on the National Health Service are discussed. Questions for future research are posed. PMID:3631360

  14. Survey of clinical engineering effectiveness in developing world hospitals: equipment resources, procurement and donations.

    PubMed

    Mullally, Shauna; Frize, Monique

    2008-01-01

    This paper presents preliminary findings of a study of clinical engineering effectiveness within developing world hospitals. To date, 169 responses have been collected from 43 countries, primarily from Africa, Latin America and Asia, with some representation from the Middle East and Eastern Europe as well. Data is presented on: 1) hospital and clinical engineering department profiles; 2) human and equipment resources; and 3) equipment procurement and donation processes, with a focus on the role of the clinical engineering department. This is the first study to collect and analyze data on the complexity and state of hospital equipment across the developing world; additionally it is the first to collect significant responses from Africa. Prior to this study, only 10 developing countries had been profiled in international studies.

  15. A computerized hospital maintenance system.

    PubMed

    Kresch, E; Katz, P; Schwartz, H; Hamarman, H

    1985-01-01

    The Biomedical Instrumentation Department at Thomas Jefferson University Hospital maintains most of the clinical equipment owned by the hospital and provides support to six other hospitals, as well. In order to document these services, a computerized support system has been developed. This system maintains the inventory of equipment, documents the occurrence of repair and preventive maintenance procedures, generates lists of items due for maintenance and inspection, and prints reports and summaries of all activities performed by department staff. The system was designed for ease of use and requires a minimum of training for personnel who use it.

  16. Assessment of human resources management practices in Lebanese hospitals

    PubMed Central

    2009-01-01

    responsibilities and who can continuously improve the status of employees at their organizations. The upcoming accreditation survey of Lebanese hospitals (2010-2011) presents an opportunity to strengthen HR management and enhance competencies of existing HR managers. Recognizing HR challenges and the importance of effective HR strategies should become a priority to policy makers and top managers alike. Study findings may extend to other countries in the Eastern Mediterranean region. PMID:19909527

  17. Hospital Room Floors May Harbor 'Superbugs'

    MedlinePlus

    ... fullstory_163886.html Hospital Room Floors May Harbor 'Superbugs' But that area often overlooked when it comes ... Hospital room floors may be more of a "superbug" threat than many hospital staffers realize, new research ...

  18. Improve Hospital-to-Home Transitions

    MedlinePlus

    ... to the hospital. One study found that seniors hospitalized with heart failure often have multiple medical conditions, and they have the highest hospital readmission rate of all adult patient groups. This indicates a serious breakdown during the ...

  19. Feline leptospirosis serosurvey from a Quebec referral hospital

    PubMed Central

    Lapointe, Catherine; Plamondon, Isabelle; Dunn, Marilyn

    2013-01-01

    Epidemiologic studies have linked interactions with cats as a risk factor for human leptospirosis, but serosurveys of feline Leptospira spp. infection are scarce in the veterinary literature. The objective of this study was to conduct a serosurvey of Leptospira spp. infection in cats presenting to an eastern Canadian veterinary teaching hospital (VTH). All serum samples collected from cats presented to the VTH were tested by the microscopic agglutination test (MAT) for the Leptospira serovars Canicola, Grippotyphosa, Icterohaemorrhagiae, Bratislava, Pomona, and Autumnalis. Ten of 40 cats [25%; 95% confidence interval (CI): 12.7% to 41.2%] tested had positive antibody titers (≥ 1:100). All 10 cats with positive titers were positive for Bratislava and 2 were also positive for Autumnalis. This high incidence of seropositivity for Leptospira spp. may suggest that the disease could be of more clinical importance than previously recognized. PMID:24155435

  20. Feline leptospirosis serosurvey from a Quebec referral hospital.

    PubMed

    Lapointe, Catherine; Plamondon, Isabelle; Dunn, Marilyn

    2013-05-01

    Epidemiologic studies have linked interactions with cats as a risk factor for human leptospirosis, but serosurveys of feline Leptospira spp. infection are scarce in the veterinary literature. The objective of this study was to conduct a serosurvey of Leptospira spp. infection in cats presenting to an eastern Canadian veterinary teaching hospital (VTH). All serum samples collected from cats presented to the VTH were tested by the microscopic agglutination test (MAT) for the Leptospira serovars Canicola, Grippotyphosa, Icterohaemorrhagiae, Bratislava, Pomona, and Autumnalis. Ten of 40 cats [25%; 95% confidence interval (CI): 12.7% to 41.2%] tested had positive antibody titers (≥ 1:100). All 10 cats with positive titers were positive for Bratislava and 2 were also positive for Autumnalis. This high incidence of seropositivity for Leptospira spp. may suggest that the disease could be of more clinical importance than previously recognized.

  1. 77 FR 34326 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... 0938-AR12 Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates; Hospitals' Resident... Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term...

  2. Hospital financial performance trends to watch.

    PubMed

    Schuhmann, Thomas M

    2008-07-01

    Hospitals may wish to compare their performance with that of their peers to identify areas for possible improvement. Comparing financial indicators over five years shows directional trends and the influence of environmental factors such as regulatory change. For-profit hospitals appear to outperform their not-for-profit counterparts. Rural hospitals generally exhibit better financial performance than urban hospitals. Nonteaching hospitals show more desirable operating margins than teaching hospitals.

  3. Preventing Infections in the Hospital

    MedlinePlus

    ... and your doctor discuss the best way to control your blood sugar before, during, and after your hospital stay. High blood sugar increases the risk of infection noticeably. If you are overweight, losing weight will ...

  4. Public policy regarding specialty hospitals.

    PubMed

    Dowd, Bryan E

    2008-10-01

    Why do we need "public policy" regarding specialty hospitals? What is the rationale for government involvement in decisions by the private sector to invest in specialty hospitals? Two possibilities are reduced access to services primarily by the uninsured (a fairness concern) and changes in the types of patients receiving care resulting from poor consumer information (an efficiency concern). The fairness argument faces logical and empirical difficulties, and even if it proved to be true, it is not clear that limiting the growth of specialty hospitals would be an efficient way to address the problem. However, there is some empirical evidence to support the efficiency concern, and if specialty hospitals result in the treatment of patients with lower expected net benefits from treatment, then it is possible that physician-owned facilities could result in an increasingly inefficient allocation of health care resources, higher insurance premiums, and higher rates of uninsurance.

  5. Facts about Hospital Worker Safety

    MedlinePlus

    ... discount. Many hospitals are self-insured, so they bear the entire cost of workers’ compensation losses directly. ... satisfied patients or their families. All of society bears the cost of workplace injuries. All of society ...

  6. Health Hazards of Hospital Personnel

    PubMed Central

    Clever, Linda Hawes

    1981-01-01

    Health care workers historically have faced serious health problems, such as exposure to patients with tuberculosis. For hospital personnel today, a number of hazards exist. These range from toxic substance exposure to safety hazards presented by patients themselves. PMID:7281652

  7. Recommendations for managing hospital closure.

    PubMed

    van der Wal, R; Bouthillette, F; Havlovic, S J

    1998-01-01

    An acute care hospital was closed by the British Columbia Ministry of Health in 1993. A research study was conducted to investigate the ways closure of the hospital affected hospital employees and to identify ways to facilitate the closure/reorganization process. Unstructured interviews were conducted with 25 employees around the time of closure and six months after the closure. In the category Living with Closure, six themes arose from the qualitative analysis. They related to (1) provision of information; (2) effect of closure on the working environment and colleagues; (3) perceived stress; (4) recognition of one's worth; (5) provision of support services; and (6) the process of having a new job. The authors offer recommendations stemming from the analysis, which are intended to assist others planning for future hospital reorganizations or closures.

  8. 78 FR 48900 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-12

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of filing of plat of survey; New York. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM-Eastern States office...

  9. 75 FR 54910 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-09

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of filing of plat of survey; Wisconsin. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM-Eastern States office...

  10. 75 FR 33635 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-14

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior ACTION: Notice of filing of plat of survey; Minnesota. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM--Eastern States office...

  11. 78 FR 54482 - Eastern States: Filing of Plats of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... Bureau of Land Management Eastern States: Filing of Plats of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of filing of plat of survey; North Carolina, stay lifted. SUMMARY: On Thursday... notice entitled ``Eastern States: Filing of Plats of Survey, North Carolina''. Said notice referenced...

  12. 76 FR 65533 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of filing of plat of survey; North Carolina. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the land described below in the BLM-Eastern States office...

  13. 75 FR 54910 - Eastern States: Filing of Plats of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-09

    ... Bureau of Land Management Eastern States: Filing of Plats of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of filing of plat of survey; Minnesota, stayed. SUMMARY: On Friday, July 9, 2010... ``Eastern States: Filing of Plats of Survey''. In said notice was a plat depicting the dependent resurvey...

  14. 76 FR 55700 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Filing of Plat of Survey; Minnesota. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM-Eastern States office...

  15. 76 FR 48882 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice Of Filing Of Plat Of Survey; Wisconsin. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM-Eastern States office...

  16. 75 FR 42459 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-21

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of filing of plat of survey; Louisiana. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM-Eastern States office...

  17. 76 FR 2133 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-12

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of filing of plat of survey; Virginia. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM-Eastern States office...

  18. 77 FR 37919 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the... Management-Eastern States, 7450 Boston Boulevard, Springfield, Virginia 22153. Attn: Cadastral...

  19. 76 FR 2133 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-12

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Filing of Plat of Survey; Michigan. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM-Eastern States office...

  20. 76 FR 55700 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Filing of Plat of Survey; Louisiana. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM--Eastern States office...

  1. Optimizing eastern gamagrass forage harvests using growing degree days

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Tripsacum dactyloides (L.) L., commonly known as eastern gamagrass is useful for grazing, stored forage, soil amelioration and conservation, and potentially as a biofuel feedstock. Our goal was to calculate accumulated growing degree days (GDD) from existing datasets collected for eastern gamagrass...

  2. 76 FR 33342 - Eastern States; Filing of Plats of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... Bureau of Land Management Eastern States; Filing of Plats of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Filing of Plat Of Survey; Minnesota, Stay Lifted. SUMMARY: On Thursday... notice entitled ``Eastern States: Filing of Plats of Survey''. Said notice referenced the stay of...

  3. 77 FR 58575 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-21

    ... Bureau of Land Management Eastern States: Filing of Plat of Survey AGENCY: Bureau of Land Management, Interior. ACTION: Notice. SUMMARY: The Bureau of Land Management (BLM) will file the plat of survey of the... Management-Eastern States, 7450 Boston Boulevard, Springfield, Virginia 22153. Attn: Cadastral...

  4. Eastern Kentucky Teacher and Administrative Stress: Part II

    ERIC Educational Resources Information Center

    Wright, Sam; Ballestero, Victor

    2012-01-01

    The purpose of this research was to survey selected Eastern Kentucky Teachers (Elementary, Middle, and High School) to collect data about stress in public schools. This was a continuation study for Eastern Kentucky that collected data on how men and women teachers and men and women administrators handle stress. A stress survey (Appendix C) was…

  5. Eastern Kentucky Teacher and Administrative Stress: Part III

    ERIC Educational Resources Information Center

    Wright, Sam; Ballestero, Victor

    2012-01-01

    The purpose of this research was to survey randomly selected Eastern Kentucky Superintendents to collect data about stress in public schools. This was the third year of a continuation study for Eastern Kentucky that collected data on how men and women teachers and men and women administrators handle stress. A stress survey (Appendix A) was sent to…

  6. 27 CFR 9.135 - Virginia's Eastern Shore.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... “Virginia's Eastern Shore.” (b) Approved maps. The appropriate maps for determining the boundaries of the “Virginia's Eastern Shore” viticultural area are 3 U.S.G.S. Quadrangle (1:250,000 Series) maps. They are... Greenbackville on the Salisbury, MD., U.S.G.S. map; (2) From the beginning point, the boundary follows...

  7. The Artist Residency Program in Eastern Oregon: Emphasizing the Rural.

    ERIC Educational Resources Information Center

    Davis, Doug

    During a 1979-1980 pilot project, 13 nine-week residencies by professional artists were sponsored in 10 eastern Oregon school districts with Eastern Oregon State College serving as liaison, the Northwest Area Foundation of St. Paul (Minnesota) contributing $33,500, and participating school districts adding a total of $8,000 in funding. This low…

  8. 33 CFR 167.153 - Off New York: Eastern approach.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Off New York: Eastern approach. 167.153 Section 167.153 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY... Schemes and Precautionary Areas Atlantic East Coast § 167.153 Off New York: Eastern approach. (a)...

  9. 14 CFR 95.13 - Eastern United States Mountainous Area.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 2 2013-01-01 2013-01-01 false Eastern United States Mountainous Area. 95.13 Section 95.13 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... Eastern United States Mountainous Area. All of the following area excluding those portions specified...

  10. 14 CFR 95.13 - Eastern United States Mountainous Area.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Eastern United States Mountainous Area. 95.13 Section 95.13 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... Eastern United States Mountainous Area. All of the following area excluding those portions specified...

  11. 14 CFR 95.13 - Eastern United States Mountainous Area.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Eastern United States Mountainous Area. 95.13 Section 95.13 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... Eastern United States Mountainous Area. All of the following area excluding those portions specified...

  12. Tectonic Evolution of the Eastern Hemisphere of Mars

    NASA Technical Reports Server (NTRS)

    Pounders, E.; Anderson, R. C.; Dohm, J. M.; Haldemann, A. F. C.; Golombek, M. P.

    2002-01-01

    The magmatic-tectonic history of Mars is largely dominated by the Tharsis magmatic complex of the western hemisphere and the Elysium rise of the eastern hemisphere. In order to address the history of Mars, the tectonic history of the eastern hemisphere must also be unraveled. Additional information is contained in the original extended abstract.

  13. Ticks Carrying Lyme Disease Confirmed in Eastern National Parks

    MedlinePlus

    ... html Ticks Carrying Lyme Disease Confirmed in Eastern National Parks U.S. National Park Service and CDC advise using insect repellents on ... Planning a hiking trip in an eastern U.S. national park? Better pack tick repellent -- a new study found ...

  14. The Soviet Union and Eastern Europe. Teachers' Guide.

    ERIC Educational Resources Information Center

    Indiana Univ., Bloomington. Russian and East European Inst.

    Basic material on the Soviet Union and Eastern Europe is presented in this teachers' guide in such a way that teachers can incorporate it into the daily curriculum or utilize it through special units or projects. The guide is divided into two sections, one covering the Soviet Union, the other Eastern Europe. The Soviet Union section discusses…

  15. Eastern Europe in Western Civilization Textbooks: The Example of Poland

    ERIC Educational Resources Information Center

    Kulczycki, John J.

    2005-01-01

    Over a decade ago the newsletter of the American Historical Association "Perspectives" carried a long lead article entitled "Teaching 'Eastern Europe' without the Iron Curtain." Referring to the challenge posed by the revolutions of 1989 in Eastern Europe to the teaching of European history, the author, Larry Wolff, saw it as…

  16. Education and Social Transformation in Central and Eastern Europe

    ERIC Educational Resources Information Center

    Halász, Gábor

    2015-01-01

    This article evaluates the outcomes of the efforts of Central and Eastern European (CEE) countries to make their education systems more effective in enhancing broader social and economic goals. It focuses on those 11 Central and Eastern European countries which became members of the EU in 2004 or following this date. First, it presents a short…

  17. Spatiotemporal monthly rainfall forecasting for south-eastern and eastern Australia using climatic indices

    NASA Astrophysics Data System (ADS)

    Montazerolghaem, Maryam; Vervoort, Willem; Minasny, Budiman; McBratney, Alex

    2014-05-01

    Knowledge about future rainfall would significantly benefit land, water resources and agriculture management, as this assists with planning and management decisions. Forecasting spatiotemporal monthly rainfall is difficult, especially in Australia where there is a complex interaction between topography and the effect of Indian and Pacific Ocean. This study describes a method for spatiotemporal monthly rainfall forecasting in south-eastern and eastern part of Australia using climatic and non-climatic variables. Rainfall data were obtained from Bureau of Meteorology (BoM) from 136 high quality weather stations from the south-eastern and eastern part of Australia with monthly rainfall records from 1879 to 2012. To reduce spatial complexity of the area and improve model accuracy, spatial classification (regionalization) was considered as first step. Significant predictors for each sub-region among lagged climatic input variables were selected using Fuzzy Ranking Algorithm (FRA). Climate classification: 1) discovered homogenous sub-regions with a similar rainfall patterns and investigated spatiotemporal rainfall variations in the area, 2) allowed selection of significant predictors with a fine resolution for each area, 3) improved the prediction model and increased model accuracy. PCA was used to reduce the dimensions of the dataset and to remove the rainfall time series correlation. K-means clustering was used on the loadings of PCs describing 93% of long-term monthly rainfall variations. The analysis was repeated for different numbers of sub-regions (3 - 8) to identify the best number of clusters to improve the forecast model performance. Subsequently, a Fuzzy Ranking Algorithm (FRA) was applied to the lagged climatic predictors and monthly rainfall in each sub-region to identify the best predictors. After these two stages of pre-processing, a Neural Network model was developed and optimized for each of the sub-regions as well as for the entire area. It is concluded

  18. Air handling units for hospitals.

    PubMed

    Amoroso, V; Gjestvang, R

    1989-10-01

    Air handling units should provide proper quality and conditioned air to various hospital areas. Unit capacity should be able to meet limited space functionality or load changes as well as any smoke control requirements. System components should be readily accessible and appropriate for spaces served. In summary, engineers should consider the following: Environmental design criteria for area being served Components desired Unit type required Economic issues affecting design. Using this approach, design engineers can design hospital air handling units methodically and logically.

  19. Facility management in German hospitals.

    PubMed

    Gudat, H

    2000-04-01

    Facility management and optimum building management offer for hospitals a chance to reduce costs and to increase quality, process sequences, employee motivation and customer satisfaction. Some years ago simple services such as cleaning, catering or laundry were outsourced. Now, German hospitals progress to more complex fields such as building and medical technology, clinical support processes such as pharmacy, central laboratory and sterilization, goods and logistics services.

  20. 77 FR 65542 - Eastern Shore Natural Gas Company; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-29

    ... October 12, 2012, Eastern Shore Natural Gas Company (Eastern Shore), 1110 Forrest Avenue, Dover, Delaware..., Vice-President, Eastern Shore Natural Gas Company, 1110 Forrest Avenue, Suite 201, Dover,...

  1. 75 FR 13524 - Eastern Shore Natural Gas Company; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-22

    .... Take notice that on March 5, 2010, Eastern Shore Natural Gas Company, (Eastern Shore), 1110 Forrest... to Glen DiEleuterio, Project Manager, Eastern Shore Natural Gas Company, 1110 Forrest Avenue,...

  2. Foodborne listeriosis acquired in hospitals.

    PubMed

    Silk, Benjamin J; McCoy, Morgan H; Iwamoto, Martha; Griffin, Patricia M

    2014-08-15

    Listeriosis is characterized by bacteremia or meningitis. We searched for listeriosis case series and outbreak investigations published in English by 2013, and assessed the strength of evidence for foodborne acquisition among patients who ate hospital food. We identified 30 reports from 13 countries. Among the case series, the median proportion of cases considered to be hospital-acquired was 25% (range, 9%-67%). The median number of outbreak-related illnesses considered to be hospital-acquired was 4.0 (range, 2-16). All patients were immunosuppressed in 18 of 24 (75%) reports with available data. Eight outbreak reports with strong evidence for foodborne acquisition in a hospital implicated sandwiches (3 reports), butter, precut celery, Camembert cheese, sausage, and tuna salad (1 report each). Foodborne acquisition of listeriosis among hospitalized patients is well documented internationally. The number of listeriosis cases could be reduced substantially by establishing hospital policies for safe food preparation for immunocompromised patients and by not serving them higher-risk foods.

  3. Transfer of advanced manufacturing technologies to eastern Kentucky industries

    SciTech Connect

    Gillies, J.A.; Kruzich, R.

    1988-05-01

    This study concludes that there are opportunities to provide assistance in the adoption of manufacturing technologies for small- and medium-sized firms in eastern Kentucky. However, the new markets created by Toyota are not adequate to justify a directed technology transfer program targeting the auto supply industry in eastern Kentucky because supplier markets have been determined for some time, and manufacturers in eastern Kentucky were not competitive in this early selection process. The results of the study strongly reinforce a reorientation of state business-assistance programs. The study also concludes that the quality and quantity of available labor is a pervasive problem in eastern Kentucky and has particular relevance as the economy changes. The study also investigated what type of technology-transfer programs would be appropriate to assist manufacturing firms in eastern Kentucky and if there were a critical number of firms to make such a program feasible.

  4. Wildfires in Eastern U.S.

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Drought conditions have plagued the Appalachian Mountains in October and November, and low relative humidity combined with dry leaves on the ground has created extreme fire danger in many eastern states. This true-color MODIS image made from data collected on November 13, 2001, shows smoke from numerous fires (indicated in red), predominantly in southern West Virginia (image center), Kentucky (to the southwest), and Tennessee (south). The fires, at least some of which are likely the result of arson, have burned thousands of acres throughout the region. Unfortunately for those people fighting the fires, the fire danger is likely to remain high, with no significant rain expected in the near term. South of Lake Erie, the southernmost of the Great Lakes, numerous aircraft contrails crisscross Ohio. Water vapor emitted with engine exhaust condenses in the cold, dry air at high altitudes, leaving behind a trail of condensation--a contrail. Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

  5. Eastern Europe: USSR aims to improve production

    SciTech Connect

    Rigassi, D.A.

    1986-08-01

    This article details the perspectives for Eastern European petroleum development. Observations include: Oil output in Russia declined 2.6% last year, a drop more than twice as bad as 1984; Gorbachev cleaned house in 1985 after inspecting production problems in West Siberia; USSR exploratory/appraisal drilling the next five years should exceed 1981-85 by 40%; Gas output in USSR for '85 was 57.5 bcfd. A peak of 64 bcfd was reached last February; Poland hit a major offshore oil and gas find in the Baltic Sea during October 1985; Cash-short Yugoslavia plans to develop Ivana offshore gas field in the Adriatic Sea; Faced with stumbling domestic oil production, Romania turns to the USSR to fill the gap; Gas production in Hungary may drop despite added production from new and old fields.

  6. The Near Eastern origin of cat domestication.

    PubMed

    Driscoll, Carlos A; Menotti-Raymond, Marilyn; Roca, Alfred L; Hupe, Karsten; Johnson, Warren E; Geffen, Eli; Harley, Eric H; Delibes, Miguel; Pontier, Dominique; Kitchener, Andrew C; Yamaguchi, Nobuyuki; O'brien, Stephen J; Macdonald, David W

    2007-07-27

    The world's domestic cats carry patterns of sequence variation in their genome that reflect a history of domestication and breed development. A genetic assessment of 979 domestic cats and their wild progenitors-Felis silvestris silvestris (European wildcat), F. s. lybica (Near Eastern wildcat), F. s. ornata (central Asian wildcat), F. s. cafra (southern African wildcat), and F. s. bieti (Chinese desert cat)-indicated that each wild group represents a distinctive subspecies of Felis silvestris. Further analysis revealed that cats were domesticated in the Near East, probably coincident with agricultural village development in the Fertile Crescent. Domestic cats derive from at least five founders from across this region, whose descendants were transported across the world by human assistance.

  7. Project management of DAG: Eastern Anatolia Observatory

    NASA Astrophysics Data System (ADS)

    Keskin, Onur; Yesilyaprak, Cahit; Yerli, Sinan K.; Zago, Lorenzo; Guver, Tolga; Alis, Sinan

    2016-08-01

    The four meter DAG (Eastern Anatolia Observatory in Turkish) telescope is not only the largest telescope in Turkey but also the most promising telescope in the northern hemisphere with a large potential to offer scientific observations with its cutting edge technology. DAG is designed to be an AO telescope which will allow both infrared and visible observations with its two Nasmyth platforms dedicated to next generation focal plane instruments. In this paper, status updates from DAG telescope will be presented in terms of; (i) in house optical design of DAG, (ii) tender process of telescope, (iii) tender process of enclosure, and (iv) tender process of the observatory building. Also status updates from the focal plane instruments project and possible collaboration activities will be presented.

  8. Eastern Band of Cherokee Strategic Energy Plan

    SciTech Connect

    Souther Carolina Institute of energy Studies-Robert Leitner

    2009-01-30

    The Eastern Band of Cherokee Indians was awarded a grant under the U.S. Department of Energy Tribal Energy Program (TEP) to develop a Tribal Strategic Energy Plan (SEP). The grant, awarded under the “First Steps” phase of the TEP, supported the development of a SEP that integrates with the Tribe’s plans for economic development, preservation of natural resources and the environment, and perpetuation of Tribal heritage and culture. The Tribe formed an Energy Committee consisting of members from various departments within the Tribal government. This committee, together with its consultant, the South Carolina Institute for Energy Studies, performed the following activities: • Develop the Tribe’s energy goals and objectives • Establish the Tribe’s current energy usage • Identify available renewable energy and energy efficiency options • Assess the available options versus the goals and objectives • Create an action plan for the selected options

  9. Public water supplies in eastern Texas

    USGS Publications Warehouse

    Sundstrom, Raymond W.; Hastings, W.W.; Broadhurst, W.L.

    1948-01-01

    This report gives a summarized description of the public water supplies in 77 counties of eastern Texas, extending from the Louisiana boundary to a northsouth line approximately along the ninety-seventh meridian. It gives the available data as follows for each of 323 communities: The population of the community; the name of the official from whom the information was obtained; the ownership of the waterworks, whether private or municipal; the source of supply, whether ground or surface water; the amount of water consumed; the facilities for storage; the number of customers served; the character of the chemical and sanitary treatment of the water, if any; and the chemical analyses of the water. Where ground water is used the following is also given: Records of wells, including drillers' logs; character of the pumping equipment; yield of the wells and water level records where they are available.

  10. Dow agrees on pipeline in eastern Germany

    SciTech Connect

    Thomas, N.

    1996-05-01

    The often fragile relationship between Dow Europe and eastern Germany strengthened this week with an agreement to build a feedstock pipeline from the Baltic Sea to the Buna BSL petrochemical complex at Boehlen. Dow recently agreed to go ahead with its 80% investment in the BSL venture following fears it might withdraw from the project because of European Commission cuts in the amount of state aid available. The multi-feedstock liquid pipeline is expected to transport naphtha, crude oil, and, possibly, liquid petroleum gas from Rostock on the Baltic to the Boehlen site. Besides Dow, the participants are BSL Olefinverbund and Elf subsidiary Mider. Dow is expected to contribute DM450 million toward the investment.

  11. [Evaluation of satisfaction of patients hospitalized at the Kairouan Hospital].

    PubMed

    Mtiraoui, Ali; Alouini, Borhane

    2002-03-01

    The patients' satisfaction studies are more and more utilized to underline the health centers' deficiencies and consequently set improvement action plans. Our survey aims to measure inpatients' satisfaction in its different dimensions. A survey centered around a transversal inquiry has been conducted during a period going from February to April 2000 and reached a total number of 817 patients hospitalized in six service units at kairouan hospital. The data has been gathered by structured interviews led by a previously trained social worker. The investigation tool was a standardized questionnaire prepared by a group of experts from WHO in the Oriental Mediterranean region. The main results are as follow: High satisfaction level concerning the global evaluation of the hospital service units was recorded (score = 70%). The patient who are more satisfied are those who have the feeling that their health situation has considerably improved, and who will probably recommend this hospital to their surroundings. Big proportion of the patients (77%) was expecting better services. The main reason behind their unhappiness is the information emanated whether from the nurses or the doctors, the comfort and the cleanness of waiting room, linen, room comfort, food and the emergency. These results showed that the quality of care improvements priorities, according to patient expectations are especially in relation with the quality of information, the relational aspects and the hospital stay conditions.

  12. Hospital network performance: a survey of hospital stakeholders' perspectives.

    PubMed

    Bravi, F; Gibertoni, D; Marcon, A; Sicotte, C; Minvielle, E; Rucci, P; Angelastro, A; Carradori, T; Fantini, M P

    2013-02-01

    Hospital networks are an emerging organizational form designed to face the new challenges of public health systems. Although the benefits introduced by network models in terms of rationalization of resources are known, evidence about stakeholders' perspectives on hospital network performance from the literature is scanty. Using the Competing Values Framework of organizational effectiveness and its subsequent adaptation by Minvielle et al., we conducted in 2009 a survey in five hospitals of an Italian network for oncological care to examine and compare the views on hospital network performance of internal stakeholders (physicians, nurses and the administrative staff). 329 questionnaires exploring stakeholders' perspectives were completed, with a response rate of 65.8%. Using exploratory factor analysis of the 66 items of the questionnaire, we identified 4 factors, i.e. Centrality of relationships, Quality of care, Attractiveness/Reputation and Staff empowerment and Protection of workers' rights. 42 items were retained in the analysis. Factor scores proved to be high (mean score>8 on a 10-item scale), except for Attractiveness/Reputation (mean score 6.79), indicating that stakeholders attach a higher importance to relational and health care aspects. Comparison of factor scores among stakeholders did not reveal significant differences, suggesting a broadly shared view on hospital network performance.

  13. Electrical resistivity survey in eastern Jeju Island

    NASA Astrophysics Data System (ADS)

    Jung, H.

    2010-12-01

    Electrical resistivity survey was conducted to acquire basic geological layer information for regional hydrogeologic application by our own developed system in eastern Jeju island. The system mainly consists of a stand-alone TX(transmitter) module, of which the excitation current into the earth has been increased very much using a portable AC generator instead of batteries, a digital stacking RX(receiver), and a pair of programmable synchronization clock modules to achieve the initial synchronization between TX and RX. The waveform of the excitation current into the earth at transmitter side is double bipolar, and the power is 1000V-1A or 800V-5A with a portable AC generator. At the receiver part controlled through a notebook PC's serial port, the operator can observe the exact waveform and the averaged value with 24-bit A/D resolution and gain 1-10-100. The small portable synchronization clocks, operated by 12V/2A sealed battery, provides the precise basic measurement cycles and initial triggering. The control and measurement software which acquires the earth resistivity data was developed user-interactively. The system was field-tested in eastern part of Jeju Island with dipole spacing a=300m and 600m, to n=10, and stations=43, by the array of which the exploration depth has been increased to about 2,400 m. By the developed portable system we could conduct very easy and fast field work and acquire very satisfactory data. The inversion of measured data gave us the useful information about the sub-surface resistivity structure to about 2,400 m depth along a 13km survey profile. Further study will be focused on simultaneous multi receiver data acquisition system.

  14. Middle Holocene thermal maximum in eastern Beringia

    NASA Astrophysics Data System (ADS)

    Kaufman, D. S.; Bartlein, P. J.

    2015-12-01

    A new systematic review of diverse Holocene paleoenvironmental records (Kaufman et al., Quat. Sci. Rev., in revision) has clarified the primary multi-centennial- to millennial-scale trends across eastern Beringia (Alaska, westernmost Canada and adjacent seas). Composite time series from midges, pollen, and biogeochemical indicators are compared with new summaries of mountain-glacier and lake-level fluctuations, terrestrial water-isotope records, sea-ice and sea-surface-temperature analyses, and peatland and thaw-lake initiation frequencies. The paleo observations are also compared with recently published simulations (Bartlein et al., Clim. Past Discuss., 2015) that used a regional climate model to simulate the effects of global and regional-scale forcings at 11 and 6 ka. During the early Holocene (11.5-8 ka), rather than a prominent thermal maximum as suggested previously, the newly compiled paleo evidence (mostly sensitive to summer conditions) indicates that temperatures were highly variable, at times both higher and lower than present, although the overall lowest average temperatures occurred during the earliest Holocene. During the middle Holocene (8-4 ka), glaciers retreated as the regional average temperature increased to a maximum between 7 and 5 ka, as reflected in most proxy types. The paleo evidence for low and variable temperatures during the early Holocene contrasts with more uniformly high temperatures during the middle Holocene and agrees with the climate simulations, which show that temperature in eastern Beringia was on average lower at 11 ka and higher at 6 ka than at present (pre-industrial). Low temperatures during the early Holocene can be attributed in part to the summer chilling caused by flooding the continental shelves, whereas the mid-Holocene thermal maximum was likely driven by the loss of the Laurentide ice sheet, rise in greenhouse gases, higher-than-present summer insolation, and expansion of forest over tundra.

  15. Comparative phylogeography of unglaciated eastern North America.

    PubMed

    Soltis, Douglas E; Morris, Ashley B; McLachlan, Jason S; Manos, Paul S; Soltis, Pamela S

    2006-12-01

    Regional phylogeographical studies involving co-distributed animal and plant species have been conducted for several areas, most notably for Europe and the Pacific Northwest of North America. Until recently, phylogeographical studies in unglaciated eastern North America have been largely limited to animals. As more studies emerge for diverse lineages (including plants), it seems timely to assess the phylogeography across this region: (i) comparing and contrasting the patterns seen in plants and animals; (ii) assessing the extent of pseudocongruence; and (iii) discussing the potential applications of regional phylogeography to issues in ecology, such as response to climatic change. Unglaciated eastern North America is a large, geologically and topographically complex area with the species examined having diverse distributions. Nonetheless, some recurrent patterns emerge: (i) maritime - Atlantic vs. Gulf Coast; (ii) Apalachicola River discontinuity; (iii) Tombigbee River discontinuity; (iv) the Appalachian Mountain discontinuity; (v) the Mississippi River discontinuity; and (vi) the Apalachicola River and Mississippi River discontinuities. Although initially documented in animals, most of these patterns are also apparent in plants, providing support for phylogeographical generalizations. These patterns may generally be attributable to isolation and differentiation during Pleistocene glaciation, but in some cases may be older (Pliocene). Molecular studies sometimes agree with longstanding hypotheses of glacial refugia, but also suggest additional possible refugia, such as the southern Appalachian Mountains and areas close to the Laurentide Ice Sheet. Many species exhibit distinct patterns that reflect the unique, rather than the shared, aspects of species' phylogeographical histories. Furthermore, similar modern phylogeographical patterns can result from different underlying causal factors operating at different times (i.e. pseudocongruence). One underemphasized

  16. Prospective Frontier basins off eastern Australia

    SciTech Connect

    Falvey, D.A.; Hinz, K.; Willcox, J.B.; Exon, N.F.; Symonds, P.A.; Williamson, P.E.

    1986-07-01

    Eleven thousand kilometers of high-quality multichannel seismic reflection data have been gathered in four poorly known, but prospective areas off eastern Australia. The Otway basin has an area of 100,000 km/sup 2/, more than half of which is in depths exceeding 500 m. Its Cretaceous and Cenozoic sedimentary sequence is up to 10,000 m thick and is cut by large coast-parallel normal faults. The oldest marine strata are Cenomanian. The basinal area off west Tasmania covers 40,000 km/sup 2/, two-thirds of it in offshelf depths. It contains up to 6000 m of Cretaceous and Cenozoic sequences similar to those of the Otway basin. The Lord Howe Rise is a ribbon of continent off eastern Australia, about 2000 km long and 400 km wide. Much of its crest lies in water depths of 750-1200 m. Up to 4500 m of Mesozoic and Cenozoic sequences has been identified, and extensive faulting, related to the formation of the Tasman Sea, has formed rift basins and horst and graben areas. Simple extension was apparently dominant in the south, and oblique extension in the north. The Queensland Plateau covers 200,000 km/sup 2/, half of which is in water shallower than 1000 m. The plateau behaved as a stable block during and after the Paleogene spreading episode, which formed the Coral Sea to the northeast. About 1000 m of latest Cretaceous and Cenozoic sequences are present above a planated surface on the plateau, and up to 5000 m in the flanking Queensland and Townsville Troughs to the southwest. The sequence beneath the planated surface is believed to contain Cretaceous rift-fill sediments in places.

  17. Systematics of wolves in eastern North America

    USGS Publications Warehouse

    Nowak, R.; Federoff, N.E.

    1996-01-01

    Cranial morphology of Recent wolves throughout northern and western North America is remarkably consistent. Statistical analysis indicates the presence of four subspecies of gray wolf (Canis lupus) there, which are always distinguishable from the sympatric coyote (C. latrans). A fifth gray wolf subspecies, lycaon, occurs in southeastern Canada, and the red wolf (C. rufus), is found in the southeast. During the early 1900s the coyote moved east of the prairies and hybridized with the native wolves, thereby creating much confusion. Nonetheless, analysis of every available specimen of wild Canis, dating from before the coyote invasion in the region east of the Mississippi River and south of Wisconsin, Michigan, and New York, does indicate the presence of a small wolf, distinct from the coyote and showing the statistical consistency of other wolf populations. That series also has close affinity to specimens of the red wolf collected in Louisiana and Missouri prior to 1925, and to Pleistocene fossils from the east. There was a sharp line of morphological distinction between the wolves of the eastern United States and those of the prairies, but a closer approach by the former to the subspecies lycaon, which in turn intergrades with gray wolf populations in western Ontario and Minnesota. Although gaps in our knowledge remain, a reasonable hypothesis is that the entire forested region from southeastern Canada to the Gulf Coast originally was inhabited by populations of small wolves, with a subspecific or specific line just south of the eastern Great Lakes. There is no evidence that southeastern North America ever was occupied by large gray wolves and coyotes that hybridized to form the red wolf.

  18. Impact of sexual violence on children in the Eastern Democratic Republic of Congo.

    PubMed

    Nelson, Brett D; Collins, Lisa; VanRooyen, Michael J; Joyce, Nina; Mukwege, Denis; Bartels, Susan

    2011-01-01

    The conflict in the Eastern Democratic Republic of Congo (DRC) has been particularly devastating for children and has been typified by high levels of sexual and gender-based violence (SGBV). In this study, we seek to characterize the patterns and impact of sexual violence on children in the Eastern DRC. Semi-structured questionnaires were administered among a convenience sample of women <18 years of age presenting for post-sexual-violence care at Panzi Hospital in South Kivu, DRC. Analysis included quantitative and qualitative methods to describe the characteristics of the violence, perpetrators, and survivors and to illuminate common themes within the narratives. A total of 389 survivors of SGBV under the age of 18 were interviewed between 2004 and 2008. These paediatric survivors were more likely than adult survivors to have experienced gang rape, been attacked by a civilian perpetrator, and been assaulted during the day. Survivor and perpetrator characteristics were further stratified by type of attack. Reports of violence perpetrated by civilians increased 39-fold while reports of violence perpetrated by armed combatants decreased by 70% between 2004 and 2008. Qualitative analysis of the narratives revealed common themes, such as physical signs and symptoms among SGBV survivors (23.9%), pregnancy resulting from rape (19.3%), perpetrators being brought to justice (18.3%), and neighbourhood men as perpetrators (17.7%). Children in the Eastern DRC continue to face significant threats of sexual violence. By understanding the patterns of this violence, local and international approaches could be more effectively implemented to protect these vulnerable children.

  19. Jurassic petroleum trends in eastern Gulf Coastal Plain and central and eastern Gulf of Mexico

    SciTech Connect

    Mancini, E.A.; Mink, R.M.; Bearden, B.L.

    1986-05-01

    Three Jurassic petroleum trends can be delineated in Mississippi, Alabama, and Florida, and in the central and eastern Gulf of Mexico. These trends are recognized by characteristic petroleum traps, reservoirs, and hydrocarbon types. The source for the Jurassic hydrocarbons is Smackover algal mudstones. The Jurassic oil trend includes the area north of the regional peripheral fault systems in the tri-state area, and extends into the area north of the Destin anticline. Traps are basement highs and salt anticlines, with Smackover grainstones and dolostones and Norphlet marine, eolian, and wadi sandstones as reservoirs. This trend has potential for Jurassic oil accumulations in the eastern Gulf of Mexico. The Jurassic oil and gas-condensate trend includes the onshore area between the regional peripheral fault systems and Wiggins arch and extends into the area of the Destin anticline. Traps are basement highs, salt related anticlines, and extensional faults. Cotton Valley fluvial-deltaic sandstones, Haynesville carbonates and fluvial-deltaic sandstones, Smackover grainstones, packstones, dolostones, and marine sandstones, and Norphlet marine, eolian, and wadi sandstones serve as reservoirs. This trend contains most of the Jurassic fields in the eastern Gulf coastal plain. The trend has high potential for significant petroleum accumulations in the eastern Gulf of Mexico. The Jurassic deep natural gas trend includes the onshore area south of the Wiggins arch and extends into the Mississippi-Alabama shelf. Traps are faulted salt anticlines with basement highs as potential traps. Cotton Valley deltaic-strandplain sandstones and Norphlet eolian sandstones are the reservoirs. Several gas discoveries below 20,000 ft have been made in this trend in Mississippi and offshore Alabama. The trend has excellent potential for major gas accumulations in coastal Alabama and central Gulf of Mexico.

  20. Viral aetiology and clinico-epidemiological features of acute encephalitis syndrome in eastern India.

    PubMed

    Rathore, S K; Dwibedi, B; Kar, S K; Dixit, S; Sabat, J; Panda, M

    2014-12-01

    This study reports clinico-epidemiological features and viral agents causing acute encephalitis syndrome (AES) in the eastern Indian region through hospital-based case enrolment during April 2011 to July 2012. Blood and CSF samples of 526 AES cases were investigated by serology and/or PCR. Viral aetiology was identified in 91 (17·2%) cases. Herpes simplex virus (HSV; types I or II) was most common (16·1%), followed by measles (2·6%), Japanese encephalitis virus (1·5%), dengue virus (0·57%), varicella zoster virus (0·38%) and enteroviruses (0·19%). Rash, paresis and cranial nerve palsies were significantly higher (P < 0·05) with viral AES. Case-fatality rates were 10·9% and 6·2% in AES cases with and without viral aetiology, respectively. Simultaneous infection of HSV I and measles was observed in seven cases. This report provides the first evidence on viral aetiology of AES viruses from eastern India showing dominance of HSV that will be useful in informing the public health system.

  1. Poor practice and knowledge among traditional birth attendants in Eastern Sudan.

    PubMed

    Ali, A A; Siddig, M F

    2012-11-01

    To identify and understand knowledge and practice among traditional birth attendants (TBAs), a total of 111 TBAs were interviewed at Kassala, Eastern Sudan between March and April 2011. Hand-washing prior to the delivery was a universal practice but only 25.2% of the interviewed TBAs used sterilised equipment. TBAs in this study appeared to have a low level of awareness about when a mother should be referred to hospital, and lacked basic information on family planning and HIV/AIDS. None of these 111 TBAs knew or used equipment for neonatal resuscitation (such as bag, tube and mask) or knew neonatal signs that needed extra attention such as change in skin colour, weak suckling and respiratory distress, and nearly one-third (28.8%) of the respondents believed in a few days delay in milk production. Thus, substantial effort is needed to improve the knowledge and practice among TBAs in Eastern Sudan, including training programmes, and this might be the best hope to achieve the Millennium Development Goals.

  2. Reporting hospital adverse events using the Alfred Hospital's morbidity data.

    PubMed

    Carroll, Rhonda; McLean, Jenny; Walsh, Michael

    2003-01-01

    Hospital morbidity data were analysed to determine their usefulness for reporting adverse events. The entire ICD-10-AM classification system was reviewed in conjunction with the Australian Coding Standards to identify external cause codes and code prefixes associated with adverse events. For the 50,712 separations registered at The Alfred from July 2000-June 2001, 4,740 external cause codes were associated with adverse events. Place of occurrence code CY92.22 was considered the best indicator of the number of separations associated with adverse events. Approximately 4% of all separations were associated with adverse events occurring during an episode of care. Results suggest that hospital morbidity data are useful for monitoring adverse events at hospital level. Reliable reporting across the health care industry requires consistent reporting requirements at state and national levels and the adoption of standard code prefixes nationally.

  3. Gender differences in risk profile and outcome of Middle Eastern patients undergoing percutaneous coronary intervention

    PubMed Central

    Jarrah, Mohamad I.; Hammoudeh, Ayman J.; Al-Natour, Dalal B.; Khader, Yousef S.; Tabbalat, Ramzi A.; Alhaddad, Imad A.; Kullab, Susan M.

    2017-01-01

    Objectives: To determine the gender differences in cardiovascular risk profile and outcomes among patients undergoing percutaneous coronary intervention (PCI). Methods: In a prospective multicenter study of consecutive Middle Eastern patients managed with PCI from January 2013 to February 2014 in 12 tertiary care centers in Amman and Irbid, Jordan. Clinical and coronary angiographic features, and major cardiovascular events were assessed for both genders from hospital stay to 1 year. Results: Women comprised 20.6% of 2426 enrolled patients, were older (mean age 62.9 years versus 57.2 years), had higher prevalence of hypertension (81% versus 57%), diabetes (66% versus 44%), dyslipidemia (58% versus 46%), and obesity (44% versus 25%) compared with men, p<0.001. The PCI for ST-segment elevation myocardial infarction was indicated for fewer women than men (23% versus 33%; p=0.001). Prevalence of single or multi-vessel coronary artery disease was similar in women and men. More women than men had major bleeding during hospitalization (2.2% versus 0.6%; p=0.003) and at one year (2.5% versus 0.9%; p=0.007). There were no significant differences between women and men in mortality (3.1% versus 1.7%) or stent thrombosis (2.1% versus 1.8%) at 1 year. Conclusion: Middle Eastern women undergoing PCI had worse baseline risk profile compared with men. Except for major bleeding, no gender differences in the incidence of major adverse cardiovascular events were demonstrated. PMID:28133687

  4. Internet connectivity for hospitals and hospital libraries: strategies.

    PubMed Central

    Fuller, S S

    1995-01-01

    Access to Internet resources and communications has rapidly become a necessity in many hospitals nationally. The results of a Pacific Northwest pilot Intenet connections project provides important evidence of the value of librarians in establishing such connections in their institutions The pilot project has resulted in a wealth of information regarding approaches to promoting the utility of the Internet to health professionals in hospitals. Roles that librarians are playing in support of such connections include facilitator, negotiator, provider, publisher, integrator, and educator. PMID:7703936

  5. Measuring nutritional risk in hospitals

    PubMed Central

    Rasmussen, Henrik H; Holst, Mette; Kondrup, Jens

    2010-01-01

    About 20%–50% of patients in hospitals are undernourished. The number varies depending on the screening tool amended and clinical setting. A large number of these patients are undernourished when admitted to the hospital, and in most of these patients, undernutrition develops further during hospital stay. The nutrition course of the patient starts by nutritional screening and is linked to the prescription of a nutrition plan and monitoring. The purpose of nutritional screening is to predict the probability of a better or worse outcome due to nutritional factors and whether nutritional treatment is likely to influence this. Most screening tools address four basic questions: recent weight loss, recent food intake, current body mass index, and disease severity. Some screening tools, moreover, include other measurements for predicting the risk of malnutrition. The usefulness of screening methods recommended is based on the aspects of predictive validity, content validity, reliability, and practicability. Various tools are recommended depending on the setting, ie, in the community, in the hospital, and among elderly in institutions. The Nutrition Risk Screening (NRS) 2002 seems to be the best validated screening tool, in terms of predictive validity ie, the clinical outcome improves when patients identified to be at risk are treated. For adult patients in hospital, thus, the NRS 2002 is recommended. PMID:21042553

  6. 46 CFR 108.209 - Hospital spaces.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Hospital spaces. 108.209 Section 108.209 Shipping COAST... Construction and Arrangement Accommodation Spaces § 108.209 Hospital spaces. (a) Each unit carrying twelve or more persons on a voyage of more than three days must have a hospital space. (b) Each hospital...

  7. 46 CFR 108.209 - Hospital spaces.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Hospital spaces. 108.209 Section 108.209 Shipping COAST... Construction and Arrangement Accommodation Spaces § 108.209 Hospital spaces. (a) Each unit carrying twelve or more persons on a voyage of more than three days must have a hospital space. (b) Each hospital...

  8. 46 CFR 108.209 - Hospital spaces.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Hospital spaces. 108.209 Section 108.209 Shipping COAST... Construction and Arrangement Accommodation Spaces § 108.209 Hospital spaces. (a) Each unit carrying twelve or more persons on a voyage of more than three days must have a hospital space. (b) Each hospital...

  9. Hospital pricing policies: the simple economics.

    PubMed

    Robison, G A; Robison, H D

    1986-10-01

    Changes in hospital reimbursement structures and the shrinking inpatient service market are forcing hospitals to reexamine their pricing strategies. This article examines historical hospital pricing, the effect of pricing in a competitive market and considerations for hospitals moving toward competitive pricing for services.

  10. A conflict of interest policy for hospitals.

    PubMed

    McClure, A E

    1993-01-01

    As the environment in which community hospitals operate becomes ever more complex, the opportunity for conflict of interest between the hospital and members of its governing board increases. This article examines the duties and responsibilities of hospital trustees and the ways in which hospitals can identify and manage conflict of interest.

  11. Report: hospitals need more sophisticated planning efforts.

    PubMed

    Anderson, H J

    1990-09-20

    Sophisticated planning efforts are increasing among hospitals. However, hospital planners and marketers still have far to go before they can match their counterparts in industry. This is according to a report on hospital planning recently released by the Society for Healthcare Planning and Marketing of the American Hospital Association, Chicago.

  12. 46 CFR 108.209 - Hospital spaces.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Hospital spaces. 108.209 Section 108.209 Shipping COAST... Construction and Arrangement Accommodation Spaces § 108.209 Hospital spaces. (a) Each unit carrying twelve or more persons on a voyage of more than three days must have a hospital space. (b) Each hospital...

  13. 46 CFR 108.209 - Hospital spaces.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Hospital spaces. 108.209 Section 108.209 Shipping COAST... Construction and Arrangement Accommodation Spaces § 108.209 Hospital spaces. (a) Each unit carrying twelve or more persons on a voyage of more than three days must have a hospital space. (b) Each hospital...

  14. Appropriate measures of hospital market areas.

    PubMed Central

    Garnick, D W; Luft, H S; Robinson, J C; Tetreault, J

    1987-01-01

    As public and private policymakers turn to market-oriented strategies to control hospital prices, it is necessary to understand the conceptual underpinnings of hospital market area measurement. This article provides a framework for evaluating which definitions of hospital market areas are suitable for various types of analyses. Hospital market areas can be defined from two perspectives: an individual hospital perspective and that of the overall market. From each perspective, empirical definitions can be based on geopolitical boundaries, distance between hospitals, and patient-origin data. In this article, market areas are compared based on various descriptions using data on California hospitals and patient discharge abstracts. PMID:3570813

  15. Enterprise resource planning for hospitals.

    PubMed

    van Merode, Godefridus G; Groothuis, Siebren; Hasman, Arie

    2004-06-30

    Integrated hospitals need a central planning and control system to plan patients' processes and the required capacity. Given the changes in healthcare one can ask the question what type of information systems can best support these healthcare delivery organizations. We focus in this review on the potential of enterprise resource planning (ERP) systems for healthcare delivery organizations. First ERP systems are explained. An overview is then presented of the characteristics of the planning process in hospital environments. Problems with ERP that are due to the special characteristics of healthcare are presented. The situations in which ERP can or cannot be used are discussed. It is suggested to divide hospitals in a part that is concerned only with deterministic processes and a part that is concerned with non-deterministic processes. ERP can be very useful for planning and controlling the deterministic processes.

  16. SARS in Hospital Emergency Room

    PubMed Central

    Chen, Yee-Chun; Huang, Li-Min; Chan, Chang-Chuan; Su, Chan-Ping; Chang, Ying-Ying; Chen, Mei-Ling; Hung, Chien-Ching; Chen, Wen-Jone; Lin, Fang-Yue; Lee, Yuan-Teh

    2004-01-01

    Thirty-one cases of severe acute respiratory syndrome (SARS) occurred after exposure in the emergency room at the National Taiwan University Hospital. The index patient was linked to an outbreak at a nearby municipal hospital. Three clusters were identified over a 3-week period. The first cluster (5 patients) and the second cluster (14 patients) occurred among patients, family members, and nursing aids. The third cluster (12 patients) occurred exclusively among healthcare workers. Six healthcare workers had close contact with SARS patients. Six others, with different working patterns, indicated that they did not have contact with a SARS patient. Environmental surveys found 9 of 119 samples of inanimate objects to be positive for SARS coronavirus RNA. These observations indicate that although transmission by direct contact with known SARS patients was responsible for most cases, environmental contamination with the SARS coronavirus may have lead to infection among healthcare workers without documented contact with known hospitalized SARS patients. PMID:15200809

  17. The Impact of the 2013 Eastern China Smog on Outpatient Visits for Coronary Heart Disease in Shanghai, China

    PubMed Central

    Huang, Fang; Chen, Renjie; Shen, Yuetian; Kan, Haidong; Kuang, Xingya

    2016-01-01

    There have been relatively few opportunities to examine the cardiovascular effects of an extreme air pollution event in China. We aimed to examine the impact of the 2013 Eastern China Smog occurring from 2 to 9 December 2013, on outpatient visits for coronary heart diseases (CHD) in a typical hospital in Shanghai, China. We used the over-dispersed, generalized additive model to estimate the relative risk (RR) of the 2013 Eastern China Smog on the outpatient visits by comparing the smog period (2–9 December 2013; 8 days) to the non-smog period (1 November–1 December 2013, and 10 December–28 February 2014; 112 days). This model also controlled for time trends, days of the week, holidays, and meteorological factors. A stratification analysis was performed to estimate sex- and age-specific RRs. The daily average PM2.5 (fine particulate matter with an aerodynamic diameter less than 2.5 μm) concentrations during the smog period were 212 μg/m3, which were three times higher than during the non-smog period (76 μg/m3). The smog in Eastern China in 2013 was significantly associated with an increased risk of outpatient visits for CHD. For example, the RR was 1.18 (95% CI: 1.04, 1.32) on lag 0 day. There were similar effects on males and females. Our analyses provided preliminary evidence that smog constituted a significant risk factor of CHD in China. PMID:27347983

  18. The Impact of the 2013 Eastern China Smog on Outpatient Visits for Coronary Heart Disease in Shanghai, China.

    PubMed

    Huang, Fang; Chen, Renjie; Shen, Yuetian; Kan, Haidong; Kuang, Xingya

    2016-06-23

    There have been relatively few opportunities to examine the cardiovascular effects of an extreme air pollution event in China. We aimed to examine the impact of the 2013 Eastern China Smog occurring from 2 to 9 December 2013, on outpatient visits for coronary heart diseases (CHD) in a typical hospital in Shanghai, China. We used the over-dispersed, generalized additive model to estimate the relative risk (RR) of the 2013 Eastern China Smog on the outpatient visits by comparing the smog period (2-9 December 2013; 8 days) to the non-smog period (1 November-1 December 2013, and 10 December-28 February 2014; 112 days). This model also controlled for time trends, days of the week, holidays, and meteorological factors. A stratification analysis was performed to estimate sex- and age-specific RRs. The daily average PM2.5 (fine particulate matter with an aerodynamic diameter less than 2.5 μm) concentrations during the smog period were 212 μg/m³, which were three times higher than during the non-smog period (76 μg/m³). The smog in Eastern China in 2013 was significantly associated with an increased risk of outpatient visits for CHD. For example, the RR was 1.18 (95% CI: 1.04, 1.32) on lag 0 day. There were similar effects on males and females. Our analyses provided preliminary evidence that smog constituted a significant risk factor of CHD in China.

  19. Stream Bank Stability in Eastern Nebraska

    USGS Publications Warehouse

    Soenksen, Phillip J.; Turner, Mary J.; Dietsch, Benjamin J.; Simon, Andrew

    2003-01-01

    Dredged and straightened channels in eastern Nebraska have experienced degradation leading to channel widening by bank failure. Degradation has progressed headward and affected the drainage systems upstream from the modified reaches. This report describes a study that was undertaken to analyze bank stability at selected sites in eastern Nebraska and develop a simplified method for estimating the stability of banks at future study sites. Bank cross sections along straight reaches of channel and geotechnical data were collected at approximately 150 sites in 26 counties of eastern Nebraska. The sites were categorized into three groups based on mapped soil permeability. With increasing permeability of the soil groups, the median cohesion values decreased and the median friction angles increased. Three analytical methods were used to determine if banks were stable (should not fail even when saturated), at risk (should not fail unless saturated), or unstable (should have already failed). The Culmann and Agricultural Research Service methods were based on the Coulomb equation and planar failure; an indirect method was developed that was based on Bishop's simplified method of slices and rotational failure. The maximum angle from horizontal at which the bank would be stable for the given soil and bank height conditions also was computed with the indirect method. Because of few soil shear-strength data, all analyses were based on the assumption of homogeneous banks, which was later shown to be atypical, at least for some banks. Using the Culmann method and assuming no soil tension cracks, 67 percent of all 908 bank sections were identified as stable, 32 percent were at risk, and 1 percent were unstable; when tension cracks were assumed, the results changed to 58 percent stable, 40 percent at risk, and 1 percent unstable. Using the Agricultural Research Service method, 67 percent of all bank sections were identified as stable and 33 percent were at risk. Using the indirect

  20. Geomorphological development of Eastern Mongolian plain, Mongolia

    NASA Astrophysics Data System (ADS)

    khukhuudei, Ulambadrakh; otgonbayar, Orolzodmaa

    2016-04-01

    Several summaries and investigations of the geomorphological description and feature for Eastern Mongolian plain (EMP), the one of the largest geomorphological district, fully covering east side of Mongolia (Murzayev, 1949; Vlodavets, 1950, 1955; Marinov, Khasin, 1954; Marinov, 1966; Nikolayeva, 1971; Selivanov, 1972; Chichagov, 1974, 1976; Grigorov, 1975; Korjuyev, 1982; Syirnev, 1982, 1984) had been publishing continuously. But literature for geomorphology of EMP have been not appeared during over the past 20 years. However, we re-combine the geomorphological development of EMP, according to the results of many publications for surrounding regions of Russia and China and unpublished maps. Main morphology of EMP has the plain, containing with aeolian, fluvial and lacustrine landforms. Plain morphology defined that denudation plains to North Kherlen, South Kherlen, Baruun Urt, Uulbayan, Delgerekh and other which developed on the Paleozoic rocks, layered plain to Choibalsan, Tamsag, Ongon, Gert, Sumiin nuur and Torey- on the Late Cretaceous and Neogene sediments and accumulation plain with alluvial and lacustrine origin such as Menen, Buir nuur, Tamsagbulag, Khalzan and other. These plains of EMP related with tectonics and structure of region and inherited the development of the Mesozoic, particularly Late Mesozoic structure. Large basins of EMP are Tamsag, Choibalsan and Torey and other small basins - from 7-10 km to 25-30 km width and rather a several 10 km extend, cutting a basement. The origin of plain morphology for EMP is interpreted as two main stages of the geomorphological development model, based on geology. In first stage or Late Jurassic (?) - Lower Cretaceous period, there was developed rift basin, then, in second stage or since Late Cretaceous period, plain morphology originated from the intermountain basin that dominated by exogenic process and kept in current EMP area. Data relevant to the development history of EMP are following. 1. Rift volcanism

  1. [The future of hospitals and the hospitals in the future].

    PubMed

    Illés, S Tamás

    2016-07-01

    By the end of the 20th century the vertically organized hospitals formed into a closed hierarchical system, in which the healthcare supply significantly fragmented. The existing hospitals in the current organization are not prepared for the increase in longevity, nor for the high growth in the number of chronic and long-term illnesses and the multi-morbidity since they were not designed for extended carry treatments. The fast incorporation of high-tech and very expensive technologies into healthcare generates an economic crisis. Solving the supply and economic crisis at the same time cannot be achieved without changing the structure of hospitals. Future hospitals will be organized in a network, conducting special treatments according to disease profiles. According to present knowledge, this is the only structure that allows for economies in scale, the proper spending of the ever-shrinking resources, and to ensure the effective patient care required after the changing of disorder structures and patient corporate identities. Orv. Hetil., 2016, 157(28), 1099-1104.

  2. Field guide to hospital cafeterias.

    PubMed

    Smith, R P

    1986-09-01

    We have all faced the problem of whether or not to venture into that gastronomic wasteland known as the hospital cafeteria. Hospital cafeterias have developed a reputation, deserved or otherwise, as less than ideal places to eat. Many people overlook the fact that this is a direct result of trying to provide patient meals that are salt-free, sugar-free, fiber-free, and taste-free. (Some faint traces of color may, occasionally, be found.) How then does one go about choosing whether to venture in, and how does one survive the encounter once there? The following guide has been assembled to help the reader through this difficult process.

  3. Evaluation methods for hospital projects.

    PubMed

    Buelow, Janet R; Zuckweiler, Kathryn M; Rosacker, Kirsten M

    2010-01-01

    The authors report the findings of a survey of hospital managers on the utilization of various project selection and evaluation methodologies. The focus of the analysis was the empirical relationship between a portfolio of project evaluation(1) methods actually utilized for a given project and several measures of perceived project success. The analysis revealed that cost-benefit analysis and top management support were the two project evaluation methods used most often by the hospital managers. The authors' empirical assessment provides evidence that top management support is associated with overall project success.

  4. Plankton respiration in the Eastern Atlantic Ocean

    NASA Astrophysics Data System (ADS)

    Robinson, Carol; Serret, Pablo; Tilstone, Gavin; Teira, Eva; Zubkov, Mikhail V.; Rees, Andrew P.; Woodward, E. Malcolm S.

    2002-05-01

    Concurrent measurements of dark community respiration (DCR), gross production (GP), size fractionated primary production ( 14C PP), nitrogen uptake, nutrients, chlorophyll a concentration, and heterotrophic and autotrophic bacterial abundance were collected from the upper 200 m of a latitudinal (32°S-48°N) transect in the Eastern Atlantic Ocean during May/June 1998. The mean mixed layer respiration rate was 2.5±2.1 mmol O 2 m -3 d -1 ( n=119) for the whole transect, 2.2±1.1 mmol O 2 m -3 d -1 ( n=32) in areas where chlorophyll a was <0.5 mg m -3 and 1.5±0.7 mmol O 2 m -3 d -1 ( n=10) where chlorophyll a was <0.2 mg m -3. These values lie within the range of published data collected in comparable waters, they co-vary with indicators of heterotrophic and autotrophic biomass (heterotrophic bacterial abundance, chlorophyll a concentration, beam attenuation and particulate organic carbon concentration) and they can be reconciled with accepted estimates of total respiratory activity. The mean and median respiratory quotient (RQ), calculated as the ratio of dissolved inorganic carbon production to dissolved oxygen consumption, was 0.8 ( n=11). At the time of the study, plankton community respiration exceeded GP in the picoautotroph dominated oligotrophic regions (Eastern Tropical Atlantic [15.5°S-14.2°N] and North Atlantic Subtropical Gyre [21.5-42.5°N]), which amounted to 50% of the stations sampled along the 12,100 km transect. These regions also exhibited high heterotrophic: autotrophic biomass ratios, higher turnover rates of phytoplankton than of bacteria and low f ratios. However, the carbon supply mechanisms required to sustain the rates of respiration higher than GP could not be fully quantified. Future research should aim to determine the temporal balance of respiration and GP together with substrate supply mechanisms in these ocean regions.

  5. Modeling Site Amplification in Eastern North America

    NASA Astrophysics Data System (ADS)

    Braganza, S.; Atkinson, G. M.; Ghofrani, H.; Hassani, B.

    2015-12-01

    A critical component in the understanding and interpretation of earthquake ground motions is the role that site effects play. In many parts of eastern North America, the soil layers which overlie glaciated bedrock produce strong and highly variable site responses. We use horizontal-to-vertical (H/V) response spectral ratios as the indicator variable by which to characterize the salient characteristics of site response in eastern Canada. We show that site response can be modeled using two descriptive variables that are readily obtainable: (i) peak resonant frequency (fpeak), as determined from H/V or depth-to-bedrock; and (ii) overall soil type (or stiffness). We use these variables to create a model of site amplification that can be used in the development of ground-motion prediction equations (GMPEs) and in real-time interactive ground-motion (IGM) map applications. The key to the site characterization is the relationship between fpeak and drift thickness (depth-to-bedrock), which we derive using H/V data from earthquakes in the region, combined with a detailed digital drift thickness map available online from the Ontario Geological Survey (OGS). The OGS map also provides information on soil type, which is correlated with peak amplitudes (Apeak) of response. We extend the study area to the city of Montreal using similar information from Chouinard and Rosset (2012). H/V spectral shapes may be associated with four main soil categories, which in decreasing order of stiffness are: bedrock, till, sand/clay, and organic soil/fill. The value of Apeak increases as stiffness decreases. We model site response by defining a generic site amplification curve, which is dependent only on fpeak and soil type. The generic curve enables an estimate of site amplification to be made over the entire frequency band of 0.1 to 50 Hz, knowing just the soil thickness and type. These site amplification curves can be applied in the development of regional GMPEs, and in the construction of

  6. High Resolution Velocity Structure in Eastern Turkey

    NASA Astrophysics Data System (ADS)

    Pasyanos, M. E.; Gok, R.; Zor, E.; Walter, W. R.

    2004-12-01

    We investigate the crust and upper mantle structure of eastern Turkey where the Anatolian, Arabian and Eurasian Plates meet, forming a complex tectonic regime. The Bitlis suture is a continental collision zone between the Anatolian plateau and the Arabian plate. Broadband data available through the Eastern Turkey Seismic Experiment (ETSE) provide a unique opportunity for studying the high resolution velocity structure of the region. Zor et al. (2003) found an average 46 km thick crust in the Anatolian plateau using a six-layered grid search inversion of the ETSE receiver functions. Receiver functions are sensitive to the velocity contrast of interfaces and the relative travel time of converted and reverberated waves between those interfaces. The interpretation of receiver functions alone, however, may result in an apparent depth-velocity trade-off [Ammon et al., 1990]. In order to improve upon this velocity model, we have combined the receiver functions with surface wave data using the joint inversion method of Julia et al. (2000). In this technique, the two sets of observations are combined into a single algebraic equation and each data set is weighted by an estimate of the uncertainty in the observations. The receiver functions are calculated using an iterative time-domain deconvolution technique. We also consider azimuthal changes in the receiver functions and have stacked them into different groups accordingly. We are improving our surface wave model by making Love and Rayleigh dispersion measurements at the ETSE stations and incorporating them into a regional group velocity model for periods between 10 and 100 seconds. Preliminary results indicate a strong trend in the long period group velocities toward the northeast, indicating slow upper mantle velocities in the area consistent with Pn, Sn and receiver function results. Starting models used for the joint inversions include both a 1-D model from a 12-ton dam shot recorded by ETSE [Gurbuz et al., 2004] and

  7. High Resolution Velocity Structure in Eastern Turkey

    SciTech Connect

    Pasyanos, M; Gok, R; Zor, E; Walter, W

    2004-09-03

    We investigate the crustal and upper mantle structure of eastern Turkey where the Anatolian, Arabian and Eurasian Plates meet and form a complex tectonic structure. The Bitlis suture is a continental collision zone between the Anatolian plateau and the Arabian plate. Broadband data available through the Eastern Turkey Seismic Experiment (ETSE) provided a unique opportunity for studying the high resolution velocity structure. Zor et al. found an average 46 km thick crust in Anatolian plateau using six-layered grid search inversion of the ETSE receiver functions. Receiver functions are sensitive to the velocity contrast of interfaces and the relative travel time of converted and reverberated waves between those interfaces. The interpretation of receiver function alone with many-layered parameterization may result in an apparent depth-velocity tradeoff. In order to improve previous velocity model, we employed the joint inversion method with many layered parameterization of Julia et al. (2000) to the ETSE receiver functions. In this technique, the receiver function and surface-wave observations are combined into a single algebraic equation and each data set is weighted by an estimate of the uncertainty in the observations. We consider azimuthal changes of receiver functions and have stacked them into different groups. We calculated the receiver functions using iterative time-domain deconvolution technique and surface wave group velocity dispersion curves between 10-100 sec. We are making surface wave dispersion measurements at the ETSE stations and have incorporated them into a regional group velocity model. Preliminary results indicate a strong trend in the long period group velocity in the northeast. This indicates slow upper mantle velocities in the region consistent with Pn, Sn and receiver function results. We started with both the 1-D model that is obtained with the 12 tones dam explosion shot data recorded by ETSE network and the existing receiver function

  8. Tuberculous Lymphadenitis in South-Eastern Nigeria; A 15 Years Histopathologic Review (2000-2014)

    PubMed Central

    Ukekwe, FI; Olusina, DB; Banjo, AAF; Akinde, OR; Nzegwu, MA; Okafor, OC; Ocheni, S

    2016-01-01

    Background: The human immunodeficiency virus (HIV) pandemic has brought about a resurgence in tuberculosis (TB), especially in developing countries. Previous studies on TB lymphadenitis (TBLN) in South-Eastern Nigeria were done before the advent of the HIV pandemic making a review pertinent. Aim: To evaluate the role of TBLN as a cause of superficial lymphadenopathy in the post-HIV/acquired immune deficiency syndrome (AIDS) era of South-Eastern Nigeria. Materials and Methods: This is a 15 years (2000-2014) retrospective review of all superficial lymph node biopsies (SLNBs) received at the Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Ituku-Ozalla Enugu, Nigeria. Results: One hundred and seventy-two cases of TBLN were identified in this study constituting 14.6% (172/1,180) of SLNBs received at our Hospital's Morbid Anatomy Department during the 15 years period under review. Twenty-eight cases of TBLN were clinically screened for HIV, 23 of which tested positive, representing 82.1% (23/28) of clinically screened cases. Acid fast bacilli demonstration was positive in 15.1% (26/172) of cases using Ziehl-Neelsen stain. 48.8% (84/172) of TBLN cases were males, and 51.2% (88/172) were females with most (22) cases received in 2012 and least (5) cases in 2000. Most TBLN occurred in the 21-25 years age group with a total of 21.5% (37/172) of cases and a male to female ratio of 1:1.5 The most common biopsy site for TBLN was the cervical group followed by the axillary and inguinal groups with 73.8% (127/172), 14% (24/172), and 4.7% (8/172) of cases, respectively. Conclusions: There is a remarkable decline in the prevalence of TB lymphadenitis in South-Eastern Nigeria indicating a change in trend from the pre- to the post-HIV/AIDS era with slightly more females now presenting with TBLN and most TB lymphadenitis patients now presenting with associated HIV/AIDS disease. There is an urgent need to provide modern diagnostic facilities in our medical

  9. 42 CFR 486.322 - Condition: Relationships with hospitals, critical access hospitals, and tissue banks.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition: Relationships with hospitals, critical... Measures § 486.322 Condition: Relationships with hospitals, critical access hospitals, and tissue banks. (a... Medicaid participating hospitals and critical access hospitals in its service area that have both...

  10. 42 CFR 447.280 - Hospital providers of NF services (swing-bed hospitals).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Hospital providers of NF services (swing-bed... Inpatient Hospital and Long-Term Care Facility Services Swing-Bed Hospitals § 447.280 Hospital providers of NF services (swing-bed hospitals). (a) General rule. If the State plan provides for NF...

  11. 42 CFR 447.280 - Hospital providers of NF services (swing-bed hospitals).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Hospital providers of NF services (swing-bed... Inpatient Hospital and Long-Term Care Facility Services Swing-Bed Hospitals § 447.280 Hospital providers of NF services (swing-bed hospitals). (a) General rule. If the State plan provides for NF...

  12. Establishment of the South-Eastern Norway Regional Health Authority Resource Center for Children with Prenatal Alcohol/Drug Exposure

    PubMed Central

    Løhaugen, Gro C. C.; Flak, Marianne Møretrø; Gerstner, Thorsten; Sundberg, Cato; Lerdal, Bjørn; Skranes, Jon

    2015-01-01

    This paper presents a new initiative in the South-Eastern Health Region of Norway to establish a regional resource center focusing on services for children and adolescents aged 2–18 years with prenatal exposure to alcohol or other drugs. In Norway, the prevalence of fetal alcohol spectrum (FAS) is not known but has been estimated to be between 1 and 2 children per 1000 births, while the prevalence of prenatal exposure to illicit drugs is unknown. The resource center is the first of its kind in Scandinavia and will have three main objectives: (1) provide hospital staff, community health and child welfare personnel, and special educators with information, educational courses, and seminars focused on the identification, diagnosis, and treatment of children with a history of prenatal alcohol/drug exposure; (2) provide specialized health services, such as diagnostic services and intervention planning, for children referred from hospitals in the South-Eastern Health Region of Norway; and (3) initiate multicenter studies focusing on the diagnostic process and evaluation of interventions. PMID:26692762

  13. Eastern Guaymas Basin: laminated but not anoxic

    NASA Astrophysics Data System (ADS)

    Cheshire, H.; Thurow, J. W.

    2009-12-01

    Site MD02-2513, eastern Guaymas Basin, challenges the accepted hypothesis about the circumstances and sequence of events leading to the occurrence of annually laminated (varved) sediment. By convention, under a climate regime of strong seasonal contrast, high productivity in a restricted basin enhances a preformed OMZ and inhibits bioturbation, resulting in the preservation of varves. The comparison of the high-resolution log of the sediment fabric and continuous XRF data from Core MD02-2513 reveal that laminated intervals over the last ~90 ka BP are characterised by an increase of oxygenation above background levels and are accompanied by lows of terrestrial and biogenic flux indicating that the preserving factor is rapid burial rather than high sedimentation rate (ie high seasonality and low rainfall). Intervals of diffuse/discontinuous laminations are times of high terrestrial and biogenic flux indicating comparatively low seasonality and high rainfall. Brief periods of relatively high anoxic conditions occur within homogeneous intervals and are accompanied by exceptionally high biogenic flux, indicating there was no seasonal contrast. Long homogenous intervals occur during the last glacial due to lowered sea level and the consequent removal of the upwelling cell offshore. The changes in Guaymas Basin seasonality are most probably caused by alterations to the migration pattern of the North Pacific Subtropical High due to the growth and decay of the North American ice sheets.

  14. Mississippian facies relationships, eastern Anadarko basin, Oklahoma

    SciTech Connect

    Peace, H.W. ); Forgotson, J.M. )

    1991-08-01

    Mississippian strata in the eastern Anadarko basin record a gradual deepening of the basin. Late and post-Mississippian tectonism (Wichita and Arbuckle orogenies) fragmented the single large basin into the series of paired basins and uplifts recognized in the southern half of Oklahoma today. Lower Mississippian isopach and facies trends (Sycamore and Caney Formations) indicate that basinal strike in the study area (southeastern Anadarko basin) was predominantly east-west. Depositional environment interpretations made for Lower Mississippian strata suggest that the basin was partially sediment starved and exhibited a low shelf-to-basin gradient. Upper Mississippian isopach and facies trends suggest that basinal strike within the study area shifted from dominantly east-west to dominantly northwest-southeast due to Late Mississippian and Early Pennsylvanian uplift along the Nemaha ridge. Within the study area, the Chester Formation, composed of gray to dove-gray shales with interbedded limestones deposited on a carbonate shelf, thins depositionally into the basin and is thinnest at its facies boundary with the Springer Group and the upper portion of the Caney Formation. As basin subsidence rates accelerated, the southern edge of the Chester carbonate shelf was progressively drowned, causing a backstepping of the Chester Formation calcareous shale and carbonate facies. Springer Group sands and black shales transgressed northward over the drowned Chester Formation shelf.

  15. Geologic and structural map of eastern Asia

    SciTech Connect

    Letouzey, J.; Sage, L.

    1986-07-01

    A synthesis of the onshore and offshore geologic data of eastern Asia, prepared by the Institut Francais du Petrole (IFP), has allowed the construction of geologic and structural maps for this region. These maps include three color sheets (scale = 1:2.5 million) and three plates of geologic and structural cross sections. Located between lat. 4/sup 0/ and 35/sup 0/N, and long. 106/sup 0/ and 132/sup 0/E, the maps cover the following geographic areas: East and South China Sea, Sulu Sea, West Philippine basin and onshore neighboring terrains, Kyushu and Ryukyu Islands, the China margin, Taiwan Island, Vietnam, North West Borneo, and the Philippines. The maps synthesize seismic interpretations, oil well data, geologic work in south Japan, Taiwan, Borneo, and the Philippines, and recent data published between 1976 and 1985. Twenty-four geologic cross sections (scale = 1:1.25 million, vertical exaggeration x 6) intersect ocean margins, important basins, and the different structural domains. They are based on seismic profiles, well data, and available onshore and offshore geologic data. These cross sections show basement composition and structures, different tectonic and sedimentary domains, and the structure and thickness of different sedimentary deposits (such as age, unconformities, and geologic structures). Maps and cross sections will be published in early 1987.

  16. Ambient Noise Tomography in the Eastern Caribbean

    NASA Astrophysics Data System (ADS)

    Arnaiz-Rodriguez, M. S.; Niu, F.; Schmitz, M.

    2013-05-01

    We investigate the upper mantle velocity structure beneath the eastern Caribbean with ambient seismic noise data recorded by broadband stations deployed around the region. We first compute the Rayleigh wave Green's functions between each pair of stations by cross-correlating ambient seismic noises. We then estimate fundamental mode group velocities with the FTAN analysis technique. The group velocities are further inverted into 0.5x0.5 degrees rectangular mesh grids. Finally, the dispersion curve of each grid point is linearly inverted into shear wave velocity at different depths. The shear wave variations show a high velocity anomaly in the center of the Venezuela Basin that can be related to a previously unreported igneous body. Two different sections of the mantle wedge related to the Atlantic subduction are identified. One is highly developed under the northern portion of the Lesser Antilles Arc. Another one is which is poorly developed on the southern portion of the arc. The differentiation of the mantle wedge could be attributed to segmentation of the slab produced by the Tiburon Transform Fault Zone. Finally, a low velocity anomaly at 100 km depth could be related to a small hydrous cold plume formed on the northern side of the Atlantic slab.

  17. Sprite climatology in the Eastern Mediterranean Region

    NASA Astrophysics Data System (ADS)

    Yair, Yoav; Price, Colin; Katzenelson, Dor; Rosenthal, Neta; Rubanenko, Lior; Ben-Ami, Yuval; Arnone, Enrico

    2015-04-01

    We present statistical analysis of 436 sprites observed in 7 winter campaigns from 2006/7-2012/13. Results show a clear peak in the frequency of sprite detections, with maximum values (< 40% of events) between 00:30 and 02:15 LST (22:30-00:15 UT; LST = UT + 2). The detection times of sprites are well-correlated with a relative increase in the fraction of + CG strokes, which exhibit maxima between 00:00 and 02:00 LST. The morphological distribution of 339 sprites, that we were able to clearly identify, is dominated by column sprites (49.3%), with angels (33.0%) and carrots (25.7%) being less frequent. This is similar to reports of winter sprites over the Sea of Japan and summer ones in Central Europe. Other shapes such as trees, wishbones, etc. appear quite rarely. Single element events constitute 16.5% of observations, with 83.5% containing 2 elements or more. Clusters of homogenous types are slightly more frequent than mixed ones (55%). Our observations suggest winter Mediterranean thunderstorms to have a vertical structure in between high tropical convective systems and the lower cloud-top cells in Japan. The climatology shows the Eastern Mediterranean to be a major sprite producer in Northern Hemisphere winter, and offers ground-based coverage for future space missions.

  18. Sprite Climatology in the Eastern Mediterranean Region

    NASA Astrophysics Data System (ADS)

    Yair, Yoav; Price, Colin; Katzenelson, Dor; Rosenthal, Neta; Rubanenko, Lior; Ben-Ami, Yuval; Arnone, Enrico

    2015-04-01

    We present statistical analysis of 436 sprites observed in 7 winter campaigns from 2006/7-2012/13. Results show a clear peak in the frequency of sprite detections, with maximum values (< 40% of events) between 00:30-02:15 LST (22:30-00:15 UT; LST=UT+2). The detection times of sprites are well-correlated with a relative increase in the fraction of +CG strokes, which exhibit maxima between 00:00-02:00 LST. The morphological distribution of 339 sprites, that we were able to clearly identify, is dominated by column sprites (49.3%), with angels (33.0%) and carrots (25.7%) being less frequent. This is similar to reports of winter sprites over the Sea of Japan and summer ones in central Europe. Other shapes such as trees, wishbones, etc. appear quite rarely. Single element events constitute 16.5% of observations, with 83.5% containing 2 elements or more. Clusters of homogeneous types are slightly more frequent than mixed ones (55%). Our observations suggest winter East Mediterranean thunderstorms to have a vertical structure that is an intermediate type between high tropical convective systems and the lower cloud-top cells in winter thunderstorms over the Sea of Japan. The climatology shows that the Eastern Mediterranean is a major sprite producer during Northern Hemisphere winter, and thus the existing and future optical observation infrastructure in Israel offers ground-based coverage for upcoming space missions that aim to map global sprite activity.

  19. View of eastern coast of Sicily area

    NASA Technical Reports Server (NTRS)

    1973-01-01

    A vertical view of the eastern coast of Sicily area is seen in this Skylab 3 Earth Resources Experiments Package S190-B (five-inch earth terrain camera) infrared photograph taken from the Skylab space station in Earth orbit. Mount Etna, the highest volcano in Europe (10,958 feet), is still active as evidenced by the thin plume of smoke emaneting from its crest. On the flanks of Etna recent lava flows appear black in contrast to the older flows and volcanic debris that are red. Numerous small, circular cinder cones on the flanks represent sites of previous eruptions. Catania, on the Mediterranean coast south of Etna, is the largest of several cities and villages which appear as light-gray patches on the lower slopes of the volcano. Plano de Catania, south of the city of Catania, is outlined by polygonal light and dark agricultural tracts. Several lakes, the largest of which is Lake Pozzillo, show up as dark blue in the photograph. The unusual colors in the picture are due to the use of

  20. Eastern equine encephalitis: a classical case.

    PubMed

    Baig, Basarat; Mehta, Tapan; Khalid, Nauman; Chhabra, Lovely

    2014-10-01

    We present the case of a 40-year-old man with rapidly deteriorating acute meningoencephalitis, finally diagnosed as eastern equine encephalitis (EEE). The course and timing in this patient are quite characteristic. EEE is an arthropod borneviral illness in which the mosquito serves as the vector. It is amongst the most severe of the arbovirus encephalitides and has a high mortality and morbidity. In nonfatal cases, residual neurological deficits are often severe and permanent. North American lineage of EEE is mainly found in the northeast especially along the coastal areas. EEE is primarily found in horses and other domestic mammals that remain outdoors nocturnally. In humans, symptoms range from nonspecific constitutional features to catastrophic neurological sequelae including death. Hyponatremia and increased cerebrospinal fluid (CSF) white blood cell count are independent predictors of poor outcomes. Diagnosis is suggestive by demonstrating IgM antibody in blood or CSF samples and can be confirmed by other serologic assay including immunohistochemistry and polymerase chain reaction (PCR). Measures recommended by the Center for Disease Control (CDC) for prevention include using repellents, protective clothing, screens, and eradication of mosquito breeding areas. EEE remains without cure and prevention is the best medicine.

  1. Index medicus for the Eastern Mediterranean region

    PubMed Central

    Al-Shorbaji, Najeeb

    2008-01-01

    The study provides the rationale, history and current status of the Index Medicus for the World Health Organization Eastern Mediterranean Region. The Index is unique in combining the geographic coverage of peer-reviewed health and biomedical journals (408 titles) from the 22 countries of the Region. Compiling and publishing the Index coupled with a document delivery service is an integral part of the WHO Regional Office's knowledge management and sharing programme. In this paper, bibliometric indicators are presented to demonstrate the distribution of journals, articles, languages, subjects and authors as well as availability in printed and electronic formats. Two countries in the Region (Egypt and Pakistan) contribute over 50% of the articles in the Index. About 90% of the articles are published in English. Epidemiology articles represent 8% of the entire Index. 15% of the journals in the Index are also indexed in MEDLINE, while 7% are indexed in EMBASE. Future developments of the Index will include covering more journals and adding other types of health and biomedical literature, including reports, theses, books and current research. The challenges and lessons learnt are discussed. PMID:18826568

  2. Geochemistry and petrogenesis of Eastern Pyrenean peridotites

    SciTech Connect

    Bodinier, J.L.; Dupuy, C. ); Dostal, J. )

    1988-12-01

    The high-temperature peridotite bodies of the Eastern Pyrenees (France), which are composed of spinel peridotites containing bands of pyroxenites and veins of amphilbole-bearing ultrabasic rocks, have gone through a multi-stage evolution. The peridotites underwent partial melting in the stability field of garnet resulting in major variations of Mg, Al, Ca, Na, Ti, Sc, V, Ni and HREE. Then the peridotite residue was invaded by basaltic melts. The pyroxenite bands in the peridotites are high-pressure crystal segregates from these melts. Subsequently, after cooling in subcontinental lithospheric conditions, the peridotites interacted with alkali magma which was probably associated with the Cretaceous alkali magmatism of the Pyrenees. In addition to the crystallization of amphibole-rich ultrabasic rocks in vein-conduits and the re-equilibrium of the wall-rock peridotites leading to LREE, Ti and Fe enrichments, this event was accompanied by extensive metasomatic processes. The metasomatism locally affected Iherzolites, producing an increase of the modal proportions of cliopyroxene ({plus minus} amphibole) (Caussou Massif). The metasomatism was more widespread in the harzburgites where it produced an enrichment of LREE relative to HREE without a significant change in the modal composition.

  3. Tectonic architecture of central Georgia Eastern Piedmont

    SciTech Connect

    Maher, H.D. Jr.; Brueggemann, M.; Pospisil, M. . Dept. of Geography and Geology); Boland, I.; Pray, J.; Secor, D.T.; Steinke, T.; West, T. . Dept. of Geological Sciences); Sacks, P. . Dept. of Geology)

    1992-01-01

    Recent work suggests the following for the tectonic architecture of the central Georgia Eastern Piedmont. The Alleghenian-age, Modoc fault zone (MZ), first defined in S. Carolina, continues along strike (c. S60W) at least to the Ocmulgee R. (net length = 250 km), where it converges with the Ocmulgee (OF) and Goat Rock (GR) faults. Diverging to the S from the MZ is a sharp contact between migmatitic amphibolites and gneisses of the Sinclair Lake terrane (SLt) and lower grade metapelites and metapsammites of the Milledgeville terrane (Mt). Both are introduced by post-kinematic granites (likely Alleghanian). A previously undescribed, 10 km long ultramafite belt within SLt, the Shoulderbone zone (Sz), is concordantly foliated with respect to surrounding rocks--hence emplacement is considered as pre- or synkinematic. Numerous smaller ultramafite bodies exist within SLt, Metavolcanic rocks N of SLt and the intervening MZ are interpreted as Carolina slate belt (CSB) rocks extending farther SW than often depicted. Arc volcanism and plutonism, terrane amalgamation and subsequent Alleghanian plutonism, dextral shear zones (some with extensional components), and local tight folding contributed to the present architecture. Locally, accretionary wedge material may exist, but the authors find published views and maps describing the entire area as primarily an accretionary wedge thrust stack to be inappropriate.

  4. Ground Motion Modeling in the Eastern Caucasus

    NASA Astrophysics Data System (ADS)

    Pitarka, Arben; Gok, Rengin; Yetirmishli, Gurban; Ismayilova, Saida; Mellors, Robert

    2016-08-01

    In this study, we analyzed the performance of a preliminary three-dimensional (3D) velocity model of the Eastern Caucasus covering most of the Azerbaijan. The model was developed in support to long-period ground motion simulations and seismic hazard assessment from regional earthquakes in Azerbaijan. The model's performance was investigated by simulating ground motion from the damaging Mw 5.9, 2012 Zaqatala earthquake, which was well recorded throughout the region by broadband seismic instruments. In our simulations, we use a parallelized finite-difference method of fourth-order accuracy. The comparison between the simulated and recorded ground motion velocity in the modeled period range of 3-20 s shows that in general, the 3D velocity model performs well. Areas in which the model needs improvements are located mainly in the central part of the Kura basin and in the Caspian Sea coastal areas. Comparisons of simulated ground motion using our 3D velocity model and corresponding 1D regional velocity model were used to locate areas with strong 3D wave propagation effects. In areas with complex underground structure, the 1D model fails to produce the observed ground motion amplitude and duration, and spatial extend of ground motion amplification caused by wave propagation effects.

  5. Veterinary parasitology teaching in eastern Australia.

    PubMed

    Gasser, R B; Beveridge, I; Sangster, N C; Coleman, G

    2002-10-02

    There are tendencies in universities globally to change undergraduate teaching in veterinary parasitology. To be able to give considered advice to universities, faculties, governmental bodies and professional societies about a discipline and to establish how particular changes may impact on the quality of a course, is the requirement to record and review its current status. The present paper contributes toward this objective by providing a "snap-shot" of the veterinary parasitology courses at the Universities of Melbourne, Sydney and Queensland in eastern Australia. It includes a description of the veterinary science curriculum in each institution, and provides an outline of its veterinary parasitology course, including objectives, topics covered, course delivery, student examination procedures and course evaluation. Student contact time in veterinary parasitology during the curriculum is currently higher in Melbourne (183 h) compared with Sydney and Queensland (106-110 h). In the teaching of parasitology, Melbourne adopts a taxonomic approach (in the pre-clinical period) followed by a combined disciplinary and problem-based approach in the clinical semesters, whereas both Sydney and Queensland focus more on presenting parasites on a host species-basis followed by a problem-based approach.

  6. Rainbow Pool, Eastern portion of West Potomac Park; bounded by ...

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

    Rainbow Pool, Eastern portion of West Potomac Park; bounded by Elm Walks to the north and south, Seventeenth Street to the east and the Reflecting Pool to the west, Washington, District of Columbia, DC

  7. 35. Parapet detail, northern parapet near eastern end, typical expansion ...

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

    35. Parapet detail, northern parapet near eastern end, typical expansion joint; view to north. - Fifth Street Bridge, Spanning MBTA Fitchburg Commuter Rail Line tracks, Conrail Fitchburg Secondary Line & North Nashua River, Fitchburg, Worcester County, MA

  8. Issues in Health Care of Middle Eastern Patients

    PubMed Central

    Lipson, Juliene G.; Meleis, Afaf I.

    1983-01-01

    Relationships between Middle Eastern patients and Western health care professionals are often troubled by mutual misunderstanding of culturally influenced values and communication styles. Although Middle Easterners vary ethnically, they do share a core of common values and behavior that include the importance of affiliation and family, time and space orientations, interactional style and attitudes toward health and illness. Problems in providing health care involve obtaining adequate information, “demanding behavior” by a patient's family, conflicting beliefs about planning ahead and differing patterns of communicating grave diagnoses or “bad news.” There are guidelines that will provide an understanding of the cultural characteristics of Middle Easterners and, therefore, will improve rather than impede their health care. A personal approach and continuity of care by the same health care professional help to bridge the gap between Middle Eastern cultures and Western medical culture. In addition, periodic use of cultural interpreters helps ameliorate the intensity of some cultural issues. PMID:6364575

  9. 19. Interior view of eastern segment of Roundhouse showing clerestory ...

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

    19. Interior view of eastern segment of Roundhouse showing clerestory lighting and locomotive smoke flues. - Central of Georgia Railway, Savannah Repair Shops & Terminal Facilities, Roundhouse, Site Bounded by West Broad, Jones, West Boundary & Hull, Savannah, Chatham County, GA

  10. 20. Interior view of eastern segment of Roundhouse looking straight ...

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

    20. Interior view of eastern segment of Roundhouse looking straight on locomotive smoke flue - Central of Georgia Railway, Savannah Repair Shops & Terminal Facilities, Roundhouse, Site Bounded by West Broad, Jones, West Boundary & Hull, Savannah, Chatham County, GA

  11. 17. SOUTH SIDE, EAST HALF, PART 3, SHOWING THE EASTERN ...

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

    17. SOUTH SIDE, EAST HALF, PART 3, SHOWING THE EASTERN PART OF THE OFFICES AND BUILDING NO. 12 IN THE DISTANCE BEYOND THE EAST END. - United Engineering Company Shipyard, Inspection & Repair Shops, 2900 Main Street, Alameda, Alameda County, CA

  12. EAST END FROM MID SPAN OF EASTERN SPAN (THREE DIFFERENT ...

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

    EAST END FROM MID SPAN OF EASTERN SPAN (THREE DIFFERENT TRUSSES, EAST SOUTHEAST 110 DEGREES) - Honey Run Bridge, Spanning Butte Creek, bypassed section of Honey Run Road (originally Carr Hill Road), Paradise, Butte County, CA

  13. Netherlands to Aid Central, Eastern Europe in Halting Pollution Effects.

    ERIC Educational Resources Information Center

    O'Sullivan, Dermot A.

    1991-01-01

    Discussed are efforts originating in the Netherlands to assist the Soviet Union and Eastern European counties to form and carry out significant air and water pollution improvement policies. Examples of proposals and programs being formed are described. (CW)

  14. Eastern portal, looking W. Note hipped roof covered with wood ...

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

    Eastern portal, looking W. Note hipped roof covered with wood shingles, added in 1993. The hipped roof is unique in U.S. covered bridges. - Doe River Bridge, Spanning Doe River, Third Avenue, Elizabethton, Carter County, TN

  15. Satellite Movie Shows Three Tropical Cyclones in Eastern Pacific

    NASA Video Gallery

    This animation of NOAA's GOES-Wast satellite imagery from August 2 through 4 shows the movement of Tropical Depression Genevieve (left) southwest of Hawaii, Hurricane Iselle (center) in the Eastern...

  16. 3. OBLIQUE PERSPECTIVE OF EASTERN FACADE OF UNITY PLANT SHOWING ...

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

    3. OBLIQUE PERSPECTIVE OF EASTERN FACADE OF UNITY PLANT SHOWING LANDSCAPING AND HILL. NOTE THE CORBELED BRICK SUPPORT FOR THE FIRE WALL BETWEEN SECTIONS OF THE MILL. - Unity Spinning Mill, 1402 Austin Street, La Grange, Troup County, GA

  17. 55. VIEW LOOKING NORTHNORTHEAST AT THE EASTERN WING OF THE ...

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

    55. VIEW LOOKING NORTH-NORTHEAST AT THE EASTERN WING OF THE DENNIS HOTEL AND THE WEST ELEVATION OF THE BLENHEIM HOTEL - Marlborough, Blenheim & Dennis Hotels (aerial views), Between Park Place, Michigan Avenue & Boardwalk, Atlantic City, Atlantic County, NJ

  18. General view looking west from eastern edge of complex. Kilns ...

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

    General view looking west from eastern edge of complex. Kilns have been demolished but kiln stacks still stand. - Harbison-Walker Refractories Company, West end of Shirley Street, Mount Union, Huntingdon County, PA

  19. VIEW OF NORTHERN AND EASTERN SIDES FROM PARKING LOT ADJACENT ...

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

    VIEW OF NORTHERN AND EASTERN SIDES FROM PARKING LOT ADJACENT TO BUILDING 199 (POLICE STATION) - U.S. Naval Base, Pearl Harbor, Post Office, Avenue A near Eleventh Avenue, Pearl City, Honolulu County, HI

  20. Age of the floor of the eastern Indian ocean.

    PubMed

    Heirtzler, J R; Veevers, J V; Bolli, H M; Carter, A N; Cook, P J; Krasheninnikov, V A; McKnight, B K; Proto-Decima, F; Renz, G W; Robinson, P T; Rocker, K; Thayer, P A

    1973-06-01

    Deep sea drilling in the eastern Indian Ocean shows that the oceanic crust off Western Australia is approximately 140 million years old and becomes younger to the west; this dates the initial opening of the Indian Ocean.

  1. Interior view looking down concrete room in eastern portion of ...

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

    Interior view looking down concrete room in eastern portion of bomb shelter, view facing west - U.S. Naval Base, Pearl Harbor, Splinterproof Shelter, Seventh Street between Avenues E & G, Pearl City, Honolulu County, HI

  2. 27 CFR 9.135 - Virginia's Eastern Shore.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... (revised 1969). (3) Richmond VA.; MD., 1973. (c) Boundary. The Virginia's Eastern Shore viticultural area..., again following the coastline around Cherrystone Inlet on the Richmond, VA., U.S.G.S. map; (4)...

  3. 27 CFR 9.135 - Virginia's Eastern Shore.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... (revised 1969). (3) Richmond VA.; MD., 1973. (c) Boundary. The Virginia's Eastern Shore viticultural area..., again following the coastline around Cherrystone Inlet on the Richmond, VA., U.S.G.S. map; (4)...

  4. 49. EASTERN VIEW OF DORROLIVER VACUUM DRUM FILTER ASSEMBLY IN ...

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

    49. EASTERN VIEW OF DORR-OLIVER VACUUM DRUM FILTER ASSEMBLY IN THE FILTER CAKE HOUSE. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

  5. INTERIOR OF EASTERN ROOM OF PAINT SHOP PORTION OF BUILDING, ...

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

    INTERIOR OF EASTERN ROOM OF PAINT SHOP PORTION OF BUILDING, FACING SOUTHWEST - Vancouver Barracks, Paint Shop and Central Heating Plant, East Fifth Street southeast of McLoughlin Road, Vancouver, Clark County, WA

  6. 11. EASTERN END OF ZEOLITE BUILDING. NOTE DIAL TO LEFT ...

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

    11. EASTERN END OF ZEOLITE BUILDING. NOTE DIAL TO LEFT OF CLOCK GAUGING TOTAL ZEOLITE INFLUENT IN MILLIONS OF GALLONS PER DAY. - F. E. Weymouth Filtration Plant, 700 North Moreno Avenue, La Verne, Los Angeles County, CA

  7. 75 FR 4412 - Eastern States: Filing of Plat of Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-27

    ...The Bureau of Land Management (BLM) will file the plat of survey of the lands described below in the BLM-Eastern States office in Springfield, Virginia, 30 calendar days from the date of publication in the Federal...

  8. Eastern North America as an independent center of plant domestication.

    PubMed

    Smith, Bruce D

    2006-08-15

    The status of eastern North America as an independent center of plant domestication has recently been called into question by a number of genetic and archaeological studies, which suggest that the region may not have witnessed the independent domestication of local crop plants, but rather may have been on the receiving end of domesticated crop plants introduced from Mexico. Here, I provide a synthesis of the currently available archaeological and genetic evidence from both eastern North America and Mexico regarding the spatial and temporal context of initial domestication of the four plant species identified as potential eastern North American domesticates: marshelder (Iva annua), chenopod (Chenopodium berlandieri), squash (Cucurbita pepo), and sunflower (Helianthus annuus). Genetic and archaeological evidence provides strong support for the independent domestication of all four of these plant species in the eastern United States and reconfirms the region as one of the world's independent centers of domestication.

  9. VIEW OF EASTERN PARTITION OF FRONT BAY ROOM, FACING SOUTH ...

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

    VIEW OF EASTERN PARTITION OF FRONT BAY ROOM, FACING SOUTH - Cape Canaveral Air Force Station, Launch Complex 34, Operations Support Building, Freedom Road, Southwest of Launch Stand CX-34, Cape Canaveral, Brevard County, FL

  10. VIEW OF EASTERN PARTITION OF FRONT BAY ROOM, FACING NORTHWEST ...

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

    VIEW OF EASTERN PARTITION OF FRONT BAY ROOM, FACING NORTHWEST - Cape Canaveral Air Force Station, Launch Complex 34, Operations Support Building, Freedom Road, Southwest of Launch Stand CX-34, Cape Canaveral, Brevard County, FL

  11. 3. EASTERN VIEW OF HOISTING RIG FOR OXYGEN LANCES ON ...

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

    3. EASTERN VIEW OF HOISTING RIG FOR OXYGEN LANCES ON THE FLUX STORAGE FLOOR OF THE FURNACE AISLE IN THE BOP SHOP. - U.S. Steel Duquesne Works, Basic Oxygen Steelmaking Plant, Along Monongahela River, Duquesne, Allegheny County, PA

  12. 12. GENERAL VIEW OF EASTERN PORTION OF VIADUCT, SOUTH SIDE, ...

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

    12. GENERAL VIEW OF EASTERN PORTION OF VIADUCT, SOUTH SIDE, SHOWING CROSSING FOR STORM DRAINAGE, LOOKING NORTH. - Grand Avenue Viaduct, U.S. Highway 20, Business & State Highway 12, Sioux City, Woodbury County, IA

  13. INFLUENCE OF ALTERED FRESHWATER FLOWS ON EASTERN OYSTERS

    EPA Science Inventory

    Abstract for National Shellfisheries Association

    Eastern oysters Crassostrea virginica are prominent in Gulf of Mexico estuaries. Valued both commercially and ecologically, oyster populations are threatened by human activity, including dredging, harvesting, and upstream al...

  14. PATTERNS OF ENDEMISM OF THE EASTERN NORTH AMERICAN CAVE FAUNA

    EPA Science Inventory

    Over 250 species of obligate terrestrial cave-dwelling animals (troglobionts) are known from single caves in the eastern United States. We investigate their geographic distribution, especially in relation to other troglobionts. We relate these patterns to taxonomic group, oppor...

  15. 75. VIEW OF CONTROL PANEL ON THE EASTERN SIDE OF ...

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

    75. VIEW OF CONTROL PANEL ON THE EASTERN SIDE OF THE EAST SERVICE BUILDING OF DOROTHY SIX BLAST FURNACE. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

  16. 3. Oblique view of south side of eastern end of ...

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

    3. Oblique view of south side of eastern end of raised drawbridge and operator's house, facing west. - Palm Valley Bridge, County Road 210 spanning Intracoastal Waterway, Ponte Vedra Beach, St. Johns County, FL

  17. 10. Area of landslide on eastern section of Foothills Parkway ...

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

    10. Area of landslide on eastern section of Foothills Parkway looking NE. - Great Smoky Mountains National Park Roads & Bridges, Foothills Parkway, From Chilowee to Walland & from Cosby to I-40, Gatlinburg, Sevier County, TN

  18. 14. Fabrication of the Gault Bridge in the Eastern United ...

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

    14. Fabrication of the Gault Bridge in the Eastern United States (exact location not known). Source: City Hall, Nevada City, California. - Gault Bridge, Spanning Deer Creek at South Pine Street, Nevada City, Nevada County, CA

  19. Bibliography for the Hospitality Industry.

    ERIC Educational Resources Information Center

    Nelson, Elizabeth A.

    This annotated bibliography is a sample collection of reference materials in the hospitality industry suitable for a small academic library. It is assumed that the library has a general reference collection. Publication dates range from 1992-96, with two publication dates in the 1980s. No periodicals are included. The 41 reference materials are…

  20. Antidepressants in the general hospital.

    PubMed Central

    Gelenberg, A. J.

    1979-01-01

    An approach to the use of antidepressant medication in the general hospital is presented. The type of depression most likely to respond to chemotherapy is described, categories of available antidepressant agents are discussed, and relevant pharmacologic aspects are outlined. This paper suggests clinical guidelines for the use of these drugs, particularly in medical and surgical patients. PMID:455184

  1. Emergency contraception and Catholic hospitals.

    PubMed

    Bucar, L; Nolan, D

    1999-01-01

    The "Ethical and Religious Directives for Catholic Health Care," which outline policies for Catholic hospitals in the US, are ambiguous on the topic of emergency contraception. Recent evidence suggests that, in the absence of definitive guidelines, Catholic hospitals are erring on the side of not providing emergency contraception. A survey of 589 US Catholic hospitals conducted by Catholics for a Free Choice found that 82% refused to supply emergency contraception--even to rape victims. Directive 36, which governs cases of sexual assault, could be argued to sanction the provision of emergency contraception. It states, "A female who has been raped should be able to defend herself against a potential conception from the sexual assault. If, after appropriate testing, there is no evidence that conception has occurred already, she may be treated with medications that would prevent ovulation, sperm capacitation, or fertilization. It is not permissible, however, to initiate or to recommend treatments that have as their purpose or direct effect the removal, destruction, or interference with the implantation of a fertilized ovum." Because the process of conception takes approximately 2 days, it would be consistent with the Catholic Church's position to offer emergency contraception within 24 hours of a rape. Since no currently available test can confirm or deny conception as early as 72 hours after unprotected intercourse, the timetable for emergency contraception, Catholic hospitals should be able to provide this service to all women and still abide by the directives.

  2. The Johns Hopkins Hospital Network

    PubMed Central

    Tolchin, Stephen G.; Barta, Wendy; Harkness, Kenneth

    1985-01-01

    The Johns Hopkins Hospital has initiated an ambitious program to apply modern technologies to the development of a new, comprehensive clinical information system. One component of this system is a networking technology for supporting the integration of diverse and functionally distinct information systems. This paper discusses the selection of the networking technology implemented at JHH, issues and problems, networking concepts, protocols and reliability.

  3. The PSRO hospital review system.

    PubMed

    Goran, M J; Roberts, J S; Kellogg, M A; Fielding, J; Jessee, W

    1975-04-01

    The 1972 Social Security amendments contained the landmark Professional Standards Review Organization (PSRO) provisions as well as several sections upgrading existing utilization review (UR) requirements under Medicare and Medicaid. With issuance of the PSRO Program Manual and the recent publication of the new UR regulations, HEW for the first time has brought Medicare and Medicaid hospital review requirements into conformity and made them compatible with and supportive of the PSRO program. This article defines the PSRO hospital review system, describes how the three major components-concurrent review, medical care evaluation studies, and profile analysis-interrelate and provides examples of each of these components. Under utilization review requirements or PSRO, hospitals will be required to implement an integrated system of review designed to assure appropriate utilization practices and improve the quality of care. These aims are to be accomplished through the application of concepts of peer review, the use of norms, criteria, and standards, the identification of deficiencies in the quality, administration, or appropriateness of health care services, and their correction through linkage with programs of continuing medical education. Although PSROs are initially responsible for review in hospitals, they will likely provide the locus for a community-wide system of peer review for all services provided under National Health Insurance.

  4. Social Group Work in Hospitals.

    ERIC Educational Resources Information Center

    Stambler, Moses

    This literature review focuses on social group work in the hospital setting. The first section addresses the need for a holistic approach within a typology of illness, and discusses the social work role and intervention tasks required at different stages of illness, i.e., diagnosis, adaptation to long-term illness, and the ending of the illness…

  5. Hospital autopsy: Endangered or extinct?

    PubMed Central

    Turnbull, Angus; Osborn, Michael; Nicholas, Nick

    2015-01-01

    Aim To determine the hospital autopsy rate for the UK in 2013. Methods A study of data from a ‘Freedom of Information’ request to all (n=186) acute NHS Trusts within England (n=160), NHS Boards in Scotland (n=14) and Wales (n=7) and Social Care Trusts in Northern Ireland (n=5). Hospital autopsy rates were calculated from the number of hospital autopsies performed in 2013 as a percentage of total inpatient deaths in the Trust that year. Results The UK response rate was 99% (n=184), yielding a mean autopsy rate of 0.69%. The mean rates were 0.51% (England), 2.13% (Scotland), 0.65% (Wales) and 0.46% (Northern Ireland). 23% (n=38) of all included respondents had a rate of 0% and 86% (n=143) a rate less than 1%. Conclusions The decline in hospital autopsy has continued relentlessly and, for better or for worse, the practice is on the verge of extinction in the UK. The study highlights to health professionals and policy makers the magnitude of this decline. Further research should investigate the impact of this on patient safety, clinical audit, public health and medical education. PMID:26076965

  6. Hospital mutual aid evacuation plan.

    PubMed

    Phillips, R

    1997-02-01

    Health care facilities need to be prepared for disasters such as floods, tornadoes and earthquakes. Rochester, NY, and its surrounding communities devised a hospital mutual aid evacuation plan in the event a disaster occurs and also to comply with the Joint Commission. This document discusses the plan's development process and also provides the end result.

  7. Hospital hygiene in Great Britain.

    PubMed

    Emmerson, A M

    1996-12-01

    ICT's in the UK are experienced, well trained and are enthusiastic. However, their efforts are frustrated through lack of resources. Infection Control is now a quality issue and defined separate budgets are being established and hospital contracts now contain elements of infection control as part of the service. Infection control is coming of age in the UK after 25 years of earnest effort.

  8. National hospital input price index.

    PubMed

    Freeland, M S; Anderson, G; Schendler, C E

    1979-01-01

    The national community hospital input price index presented here isolates the effects of prices of goods and services required to produce hospital care and measures the average percent change in prices for a fixed market basket of hospital inputs. Using the methodology described in this article, weights for various expenditure categories were estimated and proxy price variables associated with each were selected. The index is calculated for the historical period 1970 through 1978 and forecast for 1979 through 1981. During the historical period, the input price index increased an average of 8.0 percent a year, compared with an average rate of increase of 6.6 percent for overall consumer prices. For the period 1979 through 1981, the average annual increase is forecast at between 8.5 and 9.0 per cent. Using the index to deflate growth in expenses, the level of real growth in expenditures per inpatient day (net service intensity growth) averaged 4.5 percent per year with considerable annual variation related to government and hospital industry policies.

  9. Antidepressant adherence after psychiatric hospitalization

    PubMed Central

    Zivin, Kara; Ganoczy, Dara; Pfeiffer, Paul N.; Miller, Erin M.; Valenstein, Marcia

    2010-01-01

    Objective Depressed patients discharged from psychiatric hospitalizations face increased risks for adverse outcomes including suicide, yet antidepressant adherence rates during this high-risk period are unknown. Using Veterans Affairs (VA) data, we assessed antidepressant adherence and predictors of poor adherence among depressed veterans following psychiatric hospitalization. Method We identified VA patients nationwide with depressive disorders who had a psychiatric hospitalization between April 1, 1999 and September 30, 2003, received antidepressant medication, and had an outpatient appointment following discharge. We calculated medication possession ratios (MPRs), a measure of medication adherence, within three and six months following discharge. We assessed patient factors associated with having lower levels of adherence (MPRs <0.8) after discharge. Results 20,931 and 23,182 patients met criteria for three and six month MPRs. The mean three month MPR was 0.79 (s.d.=0.37). The mean six month MPR was 0.66 (s.d.=0.40). Patients with poorer adherence were male, younger, non-white, and had a substance abuse disorder, but were less likely to have PTSD or other anxiety disorders. Conclusion Poor antidepressant adherence is common among depressed patients after psychiatric hospitalization. Efforts to improve adherence at this time may be critical in improving the outcomes of these high-risk patients. PMID:19609666

  10. Markets for hospital services in Zambia.

    PubMed

    Nakamba, Pamela; Hanson, Kara; McPake, Barbara

    2002-01-01

    Hospital reforms involving the introduction of measures to increase competition in hospital markets are being implemented in a range of low and middle-income countries. However, little is understood about the operation of hospital markets outside the USA and the UK. This paper assesses the degree of competition for hospital services in two hospital markets in Zambia (Copperbelt and Midlands), and the implications for prices, quality and efficiency. We found substantial differences among different hospital types in prices, costs and quality, suggesting that the hospital service market is a segmented market. The two markets differ significantly in their degree of competition, with the high cost inpatient services market in Copperbelt relatively more competitive than that in the Midlands market. The implications of these differences are discussed in terms of the potential for competition to improve hospital performance, the impact of market structure on equity of access, and how the government should address the problem of the mine hospitals.

  11. Sulphate and desertification signals in Middle Eastern temperature trends

    SciTech Connect

    Nasrallah, H.A.; Balling, R.C. Jr.

    1994-12-31

    Analysis of Middle Eastern annual temperature anomalies over the past 40 years reveals statistically significant warming over this time period of 0.07 C per decade. The warming is most pronounced over the spring season and least apparent in the winter season. Spatial analysis reveals a positive relationship between Middle Eastern warming and the degree of human-induced desertification and a negative relationship between local warming and the atmospheric concentration of sulphate.

  12. Evaluating drivers of Pleistocene eastern tropical Pacific sea surface temperature

    NASA Astrophysics Data System (ADS)

    Dyez, K. A.; Ravelo, A. C.; Mix, A. C.

    2016-08-01

    Sea surface temperature (SST) of the eastern equatorial Pacific is a key component of tropical oceanic and atmospheric circulation with global teleconnections. Forcing factors such as local and high-latitude insolation changes, ice sheet size and albedo feedbacks, and greenhouse gas radiation have been proposed as controls of long-term eastern tropical Pacific SST, though the precise role each mechanism plays is not fully known on glacial-interglacial or longer timescales. Here proposed mechanisms are evaluated by comparing orbital-scale records of eastern Pacific SST with forcing variability over the past 1.5 Ma. The primary SST records are a compilation of new and existing data from Ocean Drilling Program Site 1239 at the northeastern margin of the modern eastern Pacific cold tongue and Site 846 SST within the cold tongue. Using time series analysis, we test previously proposed mechanisms for control of long-term tropical SST change and SST gradients in the eastern Pacific. We find that within statistical uncertainties, in the precession band eastern Pacific SST is consistent with direct forcing by equatorial radiation changes in the tropical cold season (summer-fall) rather than inversely correlated as previously suggested. In the obliquity band high-latitude solar forcing leads or is in phase with eastern equatorial Pacific SST, while in the eccentricity band atmospheric greenhouse gas concentrations are closely associated with cold tongue SST. Pleistocene eastern Pacific SST gradients indicate that the gradient on the northern margin of the cold tongue strengthened through the mid-Pleistocene transition, a result compatible with the cold tongue becoming more focused at ~900-650 ka.

  13. Developing Generic Dynamic Models for the 2030 Eastern Interconnection Grid

    SciTech Connect

    Kou, Gefei; Hadley, Stanton W; Markham, Penn N; Liu, Yilu

    2013-12-01

    The Eastern Interconnection Planning Collaborative (EIPC) has built three major power flow cases for the 2030 Eastern Interconnection (EI) based on various levels of energy/environmental policy conditions, technology advances, and load growth. Using the power flow cases, this report documents the process of developing the generic 2030 dynamic models using typical dynamic parameters. The constructed model was validated indirectly using the synchronized phasor measurements by removing the wind generation temporarily.

  14. Susceptibility of two turtle species to eastern equine encephalitis virus.

    PubMed

    Smith, A L; Anderson, C R

    1980-10-01

    Two species of turtle collected in southern New England were inoculated subcutaneously with eastern equine encephalitis virus. The spotted turtles (Clemmys guttata) developed viremia and neutralizing antibody after exposure to 3 logs or more of virus. Viremia was not detected in the eastern painted turtles (Chrysemys picta), and neutralizing antibody was detected in only 1 of 15 inoculated C. picta; however, since pre-inoculation serum was not obtained from this animal, the possibility of natural infection cannot be eliminated.

  15. Measuring efficiency among US federal hospitals.

    PubMed

    Harrison, Jeffrey P; Meyer, Sean

    2014-01-01

    This study evaluates the efficiency of federal hospitals, specifically those hospitals administered by the US Department of Veterans Affairs and the US Department of Defense. Hospital executives, health care policymakers, taxpayers, and federal hospital beneficiaries benefit from studies that improve hospital efficiency. This study uses data envelopment analysis to evaluate a panel of 165 federal hospitals in 2007 and 157 of the same hospitals again in 2011. Results indicate that overall efficiency in federal hospitals improved from 81% in 2007 to 86% in 2011. The number of federal hospitals operating on the efficiency frontier decreased slightly from 25 in 2007 to 21 in 2011. The higher efficiency score clearly documents that federal hospitals are becoming more efficient in the management of resources. From a policy perspective, this study highlights the economic importance of encouraging increased efficiency throughout the health care industry. This research examines benchmarking strategies to improve the efficiency of hospital services to federal beneficiaries. Through the use of strategies such as integrated information systems, consolidation of services, transaction-cost economics, and focusing on preventative health care, these organizations have been able to provide quality service while maintaining fiscal responsibility. In addition, the research documented the characteristics of those federal hospitals that were found to be on the Efficiency Frontier. These hospitals serve as benchmarks for less efficient federal hospitals as they develop strategies for improvement.

  16. Peptic ulcers: mortality and hospitalization.

    PubMed

    Riley, R

    1991-01-01

    This study analyzes data on peptic ulcer disease based on deaths for 1951-1988 and hospital separations for 1969-1988. The source of the data are mortality and morbidity statistics provided to Statistics Canada by the provinces. The age-standardized mortality rates (ASMR) for peptic ulcer disease decreased from 1951 to 1988 by 69.4% for men (8.5 to 2.6 per 100,000 population), and 31.8% for women (2.2 to 1.5). Separation rates from hospitals during 1969-1988 for peptic ulcer disease also decreased by 59.8% for men (242.7 to 97.6 per 100,000 population) and 35.6% for women (103.2 to 66.5). Age-specific rates for both mortality and hospital separations increased with age. Epidemiological studies indicate that the incidence of peptic ulcer disease is declining in the general population. The downward trends in mortality and hospitalization rates for peptic ulcer disease reflect this change in incidence, but additional factors probably contribute as well to this decline. Male rates for both mortality and hospital separations were much higher than female rates at the beginning of the study period; but toward the end, the gap between the sexes narrowed considerably, mainly because the male rates declined substantially while the female rates decline moderately. The slower decline in the rates for women may be related to such factors as the increasing labour force participation among women and the slower decline in the population of female smokers.

  17. Nursing: the hospital's competitive edge.

    PubMed

    Shaffer, F A; Preziosi, P

    1988-09-01

    The health care marketplace is becoming increasingly competitive. The hospital has a built-in marketing force with the nursing department, because nurses are in constant, direct contact with the customer. Nursing must identify the case mix profile of the community and focus the hospital product lines to meet community needs. The nursing department should decentralize, change, measure, and innovate the staff mix needed to operationalize these product lines. The development of nursing practice standards for the case mix will help to identify the staff mix needed and create systems to efficiently manage the product lines. Nursing management must become aware of cross-subsidization and downward skill substitution of nursing personnel. Nursing information systems must generate quality reports that invoke cost consciousness on the part of nursing staff. Quality assurance programs must become unit based and complete with frequent audits to correlate length of stay with nursing quality. Correlations must be determined between nursing productivity and case mix to determine the hospital's niche in the marketplace. The transformation of health care into a competitive business industry has created many opportunities for nursing. The health care industry's incentives for efficiency along with the decreasing demand for inpatient hospital services will be the forces driving health care toward a competitive marketplace. The hospital's nursing department should be strategically positioned to become accountable for increasing market share and enhancing quality patient outcomes. The focus has shifted from the theoretical to the tactical, which is a step in the right direction, particularly for nursing. Nursing, if strategically positioned, will not only thrive but will also excel in this chaotic environment by capturing the opportunities and being innovative.

  18. An epidemiological analysis of patients with abdominal trauma in an eastern Indian metropolitan city.

    PubMed

    Ghosh, Parthasarathi; Halder, Sandip Kumar; Paira, Susil Kumar; Mukherjee, Ramanuj; Kumar, Soumen Kanti; Mukherjee, Saibal Kumar

    2011-01-01

    The profile and pattern of abdominal trauma is changing with progressing civilisation. We are lacking epidemiological data from most parts of the world. This study was conducted to prepare a database in our set up and look into the pattern of abdominal trauma, make an aetiological correlation of abdominal trauma with the types of injuries, identify the preventable factors causing delay in intervention and, compare the data with the other available national and international data. This prospective, observational study was done in a teaching hospital in a metropolitan city of eastern India. Records of patients with abdominal trauma were collected in predesigned forms, from admission to discharge. Data were analysed applying standard statistical techniques. Males (87.3%) predominated with the age range between 21 and 30 years, and the majority (73.5%) had blunt abdominal trauma. Compression injury (57.3%) commonly caused blunt trauma and stab injuries caused majority of penetrating trauma. The commonest organ injured both in blunt and penetrating trauma was small bowel (30.7% and 33.3% respectively). It was found that prehospital trauma care is virtually non-existent in this region. We are lacking a uniform protocol for the management of abdominal trauma across the hospitals. With the availability of better investigational modalities we are moving more towards a conservative approach to the abdominal trauma patients, especially the blunt abdominal trauma patients with solid organ injuries.

  19. Schistosomiasis Sustained Control Program in Ethnic Groups Around Ninefescha (Eastern Senegal).

    PubMed

    N'Diaye, Monique; Dioukhane, Elhadji M; Ndao, Babacar; Diedhiou, Kemo; Diawara, Lamine; Talla, Idrissa; Vernet, Charlotte; Bessin, François; Barbier, Dominique; Dewavrin, Patrick; Klotz, Francis; Georges, Pierre

    2016-09-07

    Schistosomiasis is the second most significant parasitic disease in children in several African countries. For this purpose, the "Programme National de Lutte contre les Bilharzioses" (PNLB) was developed in partnership with the World Health Organization (WHO) to control this disease in Senegal. However, geographic isolation of Bedik ethnic groups challenged implementation of the key elements of the schistosomiasis program in eastern Senegal, and therefore, a hospital was established in Ninefescha to improve access to health care as well as laboratory support for this population. The program we have implemented from 2008 in partnership with the PNLB/WHO involved campaigns to 1) evaluate schistosomiasis prevalence in children of 53 villages around Ninefescha hospital, 2) perform a mass drug administration following the protocol established by the PNLB in school-aged children, 3) monitor annual prevalence, 4) implement health education campaigns, and 5) oversee the building of latrines. This campaign led to a drop in schistosomiasis prevalence but highlighted that sustainable schistosomiasis control by praziquantel treatment, awareness of the use of latrines, and inhabitants' voluntary commitment to the program are crucial to improve Schistosoma elimination. Moreover, this study revealed that preschool-aged children, for whom praziquantel was not recommended until 2014 in Senegal, constituted a significant reservoir for the parasite.

  20. Molecular phylogenetic analysis of Fasciola flukes from eastern India.

    PubMed

    Hayashi, Kei; Ichikawa-Seki, Madoka; Mohanta, Uday Kumar; Singh, T Shantikumar; Shoriki, Takuya; Sugiyama, Hiromu; Itagaki, Tadashi

    2015-10-01

    Fasciola flukes from eastern India were characterized on the basis of spermatogenesis status and nuclear ITS1. Both Fasciola gigantica and aspermic Fasciola flukes were detected in Imphal, Kohima, and Gantoku districts. The sequences of mitochondrial nad1 were analyzed to infer their phylogenetical relationship with neighboring countries. The haplotypes of aspermic Fasciola flukes were identical or showed a single nucleotide substitution compared to those from populations in the neighboring countries, corroborating the previous reports that categorized them in the same lineage. However, the prevalence of aspermic Fasciola flukes in eastern India was lower than those in the neighboring countries, suggesting that they have not dispersed throughout eastern India. In contrast, F. gigantica was predominant and well diversified, and the species was thought to be distributed in the area for a longer time than the aspermic Fasciola flukes. Fasciola gigantica populations from eastern India were categorized into two distinct haplogroups A and B. The level of their genetic diversity suggests that populations belonging to haplogroup A have dispersed from the west side of the Indian subcontinent to eastern India with the artificial movement of domestic cattle, Bos indicus, whereas populations belonging to haplogroup B might have spread from Myanmar to eastern India with domestic buffaloes, Bubalus bubalis.

  1. Hospital advertising in California, 1991-1997.

    PubMed

    Town, Robert J; Currim, Imran

    2002-01-01

    This paper examines the advertising behavior of California hospitals from 1991 to 1997. Using highly detailed hospital-level information, we found that hospital advertising in California increased dramatically: annual spending on advertising grew (inflation adjusted) more than sixfold over the period. In addition, advertising expenditures varied significantly across hospitals. We found that hospital advertising increased with market concentration; with the number of nearby potential patients; with the percentage of nearby patients insured through Medicare, health maintenance organizations (HMOs), and indemnity insurance; and with chain affiliation. For-profit hospitals were not found to advertise more than their not-for-profit counterparts.

  2. Malnutrition among hospitalized patients in King Khalid University Hospital, Riyadh.

    PubMed

    Bani, I A; Al-Kanhal, M A

    1998-09-01

    The present study was undertaken to determine the incidence of malnutrition among hospitalized patients. A cross-sectional study of patients were evaluated for findings suggestive of protein calorie malnutrition (PCM). Hundred and sixty patients admitted to the medical and surgical wards over a period of five months were studied. Anthropometrics and biochemical measurements were used. Nutrition status was calculated based on some nutrition parameters weight for height, midarm, circumference, serum albumin and total lymphocyte count. Anthropometric measurements, weight for height and midarm circumference reflected malnutrition (PCM) of 33.8% and 30% respectively. The overall prevalence of obesity was 21%. A higher proportion (23.9%) of medical cases were found to be obese compared to surgical cases (19.7%). If malnutrition can be documented on hospital admission, attempts can be made to reverse malnutrition in the high risk patients.

  3. Spatiotemporal monthly rainfall forecasts for south-eastern and eastern Australia using climatic indices

    NASA Astrophysics Data System (ADS)

    Montazerolghaem, Maryam; Vervoort, Willem; Minasny, Budiman; McBratney, Alex

    2016-05-01

    Knowledge about future rainfall is important for agriculture management and planning in arid and semi-arid regions. Australia has complex variations in rainfall patterns in time and space, arising from the combination of the geographic structure and the dual effects of Indian and Pacific Ocean. This study aims to develop a forecasting model of spatiotemporal monthly rainfall totals using lagged climate indices and historical rainfall data from 1950-2011 for south-eastern and eastern Australia. Data were obtained from the Australian Bureau of Meteorology (BoM) from 136 high-quality weather stations. To reduce spatial complexity, climate regionalization was used to divide the stations in homogenous sub-regions based on similarity of rainfall patterns and intensity using principal component analysis (PCA) and K-means clustering. Subsequently, a fuzzy ranking algorithm (FRA) was applied to the lagged climatic predictors and monthly rainfall in each sub-region to identify the best predictors. Selected predictors by FRA were found to vary by sub-region. After these two stages of pre-processing, an artificial neural network (ANN) model was developed and optimized separately for each sub-region and the entire area. The results indicate that climate regionalization can improve a monthly spatiotemporal rainfall forecast model. The location and number of sub-regions were important for ranking predictors and modeling. This further suggests that the impact of climate variables on Australian rainfall is more variable in both time and space than indicated thus far.

  4. Evolution of biogeographic disjunction between eastern Asia and eastern North America in Phryma (Phrymaceae).

    PubMed

    Nie, Ze-Long; Sun, Hang; Beardsley, Paul M; Olmstead, Richard G; Wen, Jun

    2006-09-01

    This study examines molecular and morphological differentiation in Phryma L., which has only one species with a well-known classic intercontinental disjunct distribution between eastern Asia (EA) and eastern North America (ENA). Phylogenetic analysis of nuclear ribosomal ITS and chloroplast rps16 and trnL-F sequences revealed two highly distinct clades corresponding to EA and ENA. The divergence time between the intercontinental populations was estimated to be 3.68 ± 2.25 to 5.23 ± 1.37 million years ago (mya) based on combined chloroplast data using Bayesian and penalized likelihood methods. Phylogeographic and dispersal-vicariance (DIVA) analysis suggest a North American origin of Phryma and its migration into EA via the Bering land bridge. Multivariate analysis based on 23 quantitative morphological characters detected no geographic groups at the intercontinental level. The intercontinental populations of Phryma thus show distinct molecular divergence with little morphological differentiation. The discordance of the molecular and morphological patterns may be explained by morphological stasis due to ecological similarity in both continents. The divergence of Phryma from its close relatives in the Phrymaceae was estimated to be at least 32.32 ± 4.46 to 49.35 ± 3.18 mya.

  5. Crust-mantle mechanical coupling in Eastern Mediterranean and Eastern Turkey

    PubMed Central

    Sinan Özeren, M.

    2012-01-01

    Present-day crust-mantle coupling in the Eastern Mediterranean and eastern Turkey is studied using the Global Positioning System (GPS) and seismic anisotropy data. The general trend of the shear wave fast-splitting directions in NE Turkey and Lesser Caucaus align well with the geodetic velocities in an absolute plate motion frame of reference pointing to an effective coupling in this part of the region of weak surface deformation. Farther south, underneath the Bitlis Suture, however, there are significant Pn delays with E-W anisotropy axes indicating significant lateral escape. Meanwhile, the GPS reveals very little surface deformation. This mismatch possibly suggests a decoupling along the suture. In the Aegean, the shear wave anisotropy and the Pn anisotropy directions agree with the extensional component of the right-lateral shear strains except under the Crete Basin and other parts of the southern Aegean Sea. This extensional direction matches perfectly also with the southward pulling force vectors across the Hellenic trench; however, the maximum right-lateral shear directions obtained from the GPS data in the Aegean do not match either of these anisotropies. Seismic anisotropy from Rayleigh waves sampled at 15 s, corresponding to the lower crust, match the maximum right-lateral maximum shear directions from the GPS indicating decoupling between the crust and the mantle. This decoupling most likely results from the lateral variations of the gravitational potential energies and the slab-pull forces. PMID:22592788

  6. Mapping capacity to conduct health technology assessment in Central, Eastern and South-Eastern Europe

    PubMed Central

    Olry de Labry Lima, Antonio; García Mochón, Leticia; Caro Martínez, Araceli; Martín Ruiz, Eva; Espín Balbino, Jaime

    2016-01-01

    Aim To provide insights into the capacity to conduct health technology assessment (HTA) in Central, Eastern, and South-Eastern Europe (CESEE), taking account of technical, financial, networking, and human resources. Methods An e-mail survey of 257 CESEE key informants involved in HTA was undertaken between March and April 2014. Contact e-mail addresses were identified from the internet. The survey questionnaire consisted of 3 sections: i) characteristics of the organization performing HTA, (ii) networking in HTA, and (iii) resources allocated for HTA. Results The survey was completed by 41 respondents representing a wide range of institutions from CESEE countries (response rate of 19.8%). Less than a quarter of respondents reported that their institutions had HTA-specific budgets, whereas the majority indicated that their institutions participated in HTA networks either at domestic or international levels. Although almost half of respondents indicated that their institutions offered HTA training, a shortage in skills training was suggested as the main barrier to HTA. Conclusion This is the first survey to thoroughly assess the state of HTA capacity in the CESEE region. To strengthen HTA capacity, CESEE countries should increase financial, technical, and training resources. To strengthen collaboration, the European Union and other international bodies should assist existing HTA networks in fulfilling their regional activities through leadership, advocacy to local policymakers, funding, and technical assistance. PMID:26935616

  7. Crust-mantle mechanical coupling in Eastern Mediterranean and eastern Turkey.

    PubMed

    Özeren, M Sinan

    2012-05-29

    Present-day crust-mantle coupling in the Eastern Mediterranean and eastern Turkey is studied using the Global Positioning System (GPS) and seismic anisotropy data. The general trend of the shear wave fast-splitting directions in NE Turkey and Lesser Caucaus align well with the geodetic velocities in an absolute plate motion frame of reference pointing to an effective coupling in this part of the region of weak surface deformation. Farther south, underneath the Bitlis Suture, however, there are significant Pn delays with E-W anisotropy axes indicating significant lateral escape. Meanwhile, the GPS reveals very little surface deformation. This mismatch possibly suggests a decoupling along the suture. In the Aegean, the shear wave anisotropy and the Pn anisotropy directions agree with the extensional component of the right-lateral shear strains except under the Crete Basin and other parts of the southern Aegean Sea. This extensional direction matches perfectly also with the southward pulling force vectors across the Hellenic trench; however, the maximum right-lateral shear directions obtained from the GPS data in the Aegean do not match either of these anisotropies. Seismic anisotropy from Rayleigh waves sampled at 15 s, corresponding to the lower crust, match the maximum right-lateral maximum shear directions from the GPS indicating decoupling between the crust and the mantle. This decoupling most likely results from the lateral variations of the gravitational potential energies and the slab-pull forces.

  8. Modes of active deformation in Eastern Hispaniola

    NASA Astrophysics Data System (ADS)

    García-Senz, J.; Pérez-Estaún, A.

    2012-04-01

    Eastern Hispaniola and the Puerto Rico Island are the emerged part of a doubly vergent thrust wedge formed by oblique arc-continent collision with subduction and underthrusting of the North America Plate in the Puerto Rico trench and underthrusting of the Caribbean crust in The Muertos trough (Dolan et al. 1998, Mann et al., 2002, ten Brink et al. 2010). In the relatively small area of Eastern Hispaniola several types of active crustal deformation have been recognized: 1) At the prowedge of the orogene, the rear of the accretionary prism is cut by the strike-slip Septentrional Fault, bounding a sliver plate (Mann et al, 2002). Recent detailed mapping and aeromagnetic surveys in the onshore part of the prism (Samaná Peninsula and Septentrional Cordillera, Sysmin Team) revealed that the internal structure of the sliver is made of parallel bands of sigmoidal, left-lateral, NW-SE thrust splays, bounded by steep strike-slip faults. We interpreted these structures as transpressional strike-slip duplex. It is worth to note the similarity between the strike and dip of the thrust splays and the 303, 62, 74 focal mechanism calculated by Russo and Villaseñor (1995) for the thrust event of the August 4, 1946 Hispaniola earthquake. 2) The uplifted core of the orogen extends between the accretionary prism and the beginning of the Muertos retrowedge. Half of this area is occupied by the Oriental Cordillera, a recent uplift of cretaceous island-arc rocks arching the Late Neogene reef. The rest of the territory is the Caribbean Coastal Plain modelled on the Late Neogene reef. The Oriental Cordillera is made of two en echelon left-stepping uplifts: the domal-shaped Haitises and the rhombohedral-shaped Seibo (García-Senz et al, 2007); the latter share structural similarities and scaling relations with the 90° neutral stepover model of McClay and Bonora (2001). Therefore we interpret it as a restraining stepover developed over a blind splay of the Septentrional Fault, and the main

  9. Anaemia among adults in Kassala, Eastern Sudan

    PubMed Central

    2012-01-01

    Background The increased heterogeneity in the distribution of social and biological risk factors makes the epidemiology of anaemia a real challenge. A cross-sectional study was conducted at Kassala, Eastern Sudan during the period of January — March 2011 to investigate the prevalence and predictors of anaemia among adults (> 15 years old). Findings Out of 646, 234 (36.2%) adults had anaemia; 68 (10.5%); 129 (20.0%) and 37 (5.7%) had mild, moderate and severe anaemia, respectively. In logistic regression analyses, age (OR = 1.0, CI = 0.9–1, P = 0.7), rural vs. urban residency (OR = 0.9, CI = 0.7–1.3, P = 0.9), female vs. male gender (OR = 0.8, CI = 0.6–1.1, P = 0.3), educational level ≥ secondary level vs. < secondary level (OR = 1.0, CI = 0.6–1.6, P = 0.8) and Hudandawa vs. non-Hudandawa ethnicity (OR = 0.8, CI = 0.6–1, P = 0.1) were not associated with anaemia. Conclusion There was a high prevalence of anaemia in this setting, anaemia affected adults regardless to their age, sex and educational level. Therefore, anaemia is needed to be screened for routinely and supplements have to be employed in this setting. PMID:22537662

  10. Lightning climatology over the eastern Mediterranean

    NASA Astrophysics Data System (ADS)

    Galanaki, Elissavet; Lagouvardos, Kostas; Kotroni, Vassiliki; Argyriou, Athanassios

    2015-04-01

    In the frame of TALOS project, the lightning activity for a 10-year period (2005-2014) over the eastern Mediterranean (16-320E, 34-460N) is analysed. The study is based on the use of cloud-to-ground lightning activity data from ZEUS system, a Very-Low-Frequency Lightning detection network operated by the National Observatory of Athens. The spatial and temporal (seasonal and diurnal) variability of the lightning activity is examined. Lightning is modulated by the diurnal cycle of insolation and the underlying topographic features of the region. CG lightning activity is dominant over land and coastal areas during summer and spring, while during the cold period of the year is dominant over the sea and is significantly stronger over the mainland than over the sea. The maximum of the lightning activity is observed in June and mostly in the afternoon. The CG variability is consistent with the global lightning activity observations. The effect of elevation, terrain slope and vegetation on the distribution of the CG flashes is also investigated. The orography and the terrain slope favour the lightning activity. Throughout the year, the potential of producing CG flashes ("lightning yield") over bareground is low while during the warm period of the year, the forested areas have increased "lightning yield". Additional analysis focuses on the links of CG lightning with indices related with the atmospheric instability such as the Convective Available Potential Energy (CAPE). CAPE is known as the driving force for thunderstorm development. The analysis showed that the lightning density increases with increasing values of CAPE.

  11. Cenozoic diapiric traps in eastern China

    SciTech Connect

    Qi, F.; Xie-Pei, W.; Jia-Hua, Z.

    1984-04-01

    Genetically, there are 2 types of Cenozoic diapiric traps in the oil fields in eastern China. One type is produced by cold diapirism owing to the rise of evaporites and soft mudstone. This type can be divided into 3 patterns. The first pattern is the faulted ridge with 1000 m (3300 ft) closure and flanks dipping up to 30/sup 0/. A complex graben system is developed on the top. The amplitude of the core of the anticline is about 3000 m (9800 ft). The Xiangzheng structure in the Shengli oil field and the Wang-cung structure in the Qian-jiang depression are examples. The second pattern is the gentle anticline or dome with 50-300 m (160-985 ft) closure and 3/sup 0/-10/sup 0/ dip on the flanks. The incompetent strata beneath it are about 1000 m (3300 ft) thick. The Tuocung-Shengli structure in the Shengli oil field is an example. The third pattern is a nose-like structure with less than 50 m (160 ft) closure. This pattern is usually located near the zero edge of incompetent strata. The Serniusi structure in the Dagang oil field is an example. Another type of Cenozoic diapiric trap results from hot diapirism associated with the intrusion of gabbro or diabase. Such traps are typically small, round domes. The dip of the flanking strata generally increases with depth as the diapir is approached. A graben system is developed on top of the diapir. The distribution of these traps is related usually to regional fault zones and coincides with the distribution of the magmatism. The Matouzung structure in the Jinhu depression is one of the examples.

  12. Cenozoic diapiric traps in eastern China

    SciTech Connect

    Qi, F.; Xie-Pei, W.; Jia-Hua, Z.

    1984-04-01

    Genetically, there are 2 types of Cenozoic diapiric traps in the oil fields in eastern China. One type is produced by cold diapirism owing to the rise of evaporites and soft mudstone. This type can be divided into 3 patterns. The first pattern is the faulted ridge with 1000 m (3300 ft) closure and flanks dipping up to 30/sup 0/. A complex graben system is developed on the top. The amplitude of the core of the anticline is about 3000 m (9800 ft). The Xiangzheng structure in the Shengli oil field and the Wang-atcung structure in the Qian-jiang depression are examples. The second pattern is the gentle anticline or dome with 50-300 m (160-985 ft) closure and 3/sup 0/-10/sup 0/ dip on the flanks. The incompetent strata beneath it are about 1000 m (3300 ft) thick. The Tuocung-Shengli structure in the Shengli oil field is an example. The third pattern is a nose-like structure with less than 50 m (160 ft) closure. This pattern is usually located near the zero edge of incompetent strata. The Serniusi structure in the Dagang oil field is an example. Another type of Cenozoic diapiric trap results from hot diapirism associated with the intrusion of gabbro or diabase. Such traps are typically small, round domes. The dip of the flanking strata generally increases with depth as the diapir is approached. A graben system is developed on top of the diapir. The distribution of these traps is related usually to regional fault zones and coincides with the distribution of the magmatism. The Matouzung structure in the Jinhu depression is one of the examples.

  13. The Plio Quaternary Ambon arc, Eastern Indonesia

    NASA Astrophysics Data System (ADS)

    Honthaas, Christian; Maury, René C.; Priadi, Bambang; Bellon, Hervé; Cotten, Joseph

    1999-01-01

    Plio-Quaternary lavas and granites have been collected from Ambon, Seram, Kelang, Haruku, Saparua, Ambelau and Banda Api islands, Eastern Indonesia. They include low-K calc-alkaline basalts, andesites, dacites and rhyolites and high-K calc-alkaline andesites, dacites, rhyolites and granites. All these rocks present the usual chemical characteristics of island-arc magmas. The high-K suite of Ambon is mostly represented by cordierite-bearing dacites (known as ambonites) and granites. Low-K and high-K magmas were emplaced in neighbouring islands or even in the same island (Ambon), often concomitantly, during two magmatic pulses at 5-3.2 Ma and 2.3-1 Ma, respectively. We propose that the low-K suite results from the evolution of basaltic magmas derived from mantle melting above the Western Irian Jaya plate which subducts along the Seram trough. Intermediate and acidic rocks of the high-K suite (e.g. ambonites) are thought to derive from low-K mafic magmas through massive assimilation of the Seram-Ambon continental crust, as originally proposed by Van Bemmelen in 1949. The timing of magmatic events and the geochemical features of the studied lavas are clearly different from those of the southern part of the Banda arc, in which the low-K suite is lacking. In agreement with earlier seismic evidence for two different slabs subducting beneath the Seram-Ambon continental block and beneath the southern Banda arc (from Wetar to Manuk), respectively, we propose to recognise a new Plio-Quaternary island arc, i.e. the Ambon arc, extending west-east from Ambelau to the Banda Archipelago active low-K volcanoes through Kelang, southwestern Seram, Ambon, Haruku and Saparua.

  14. Mold remediation in a hospital.

    PubMed

    Lee, Tang G

    2009-01-01

    As occupants in a hospital, patients are susceptible to air contaminants that can include biological agents dispersed throughout the premise. An exposed patient can become ill and require medical intervention. A consideration for patients is that they may have become environmentally sensitive and require placement in an environment that does not compromise their health. Unfortunately, the hospital environment often contains more biological substances than can be expected in an office or home environment. When a hospital also experiences water intrusion such as flooding or water leaks, resulting mold growth can seriously compromise the health of patients and others such as nursing staff and physicians (Burge, Indoor Air and Infectious Disease. Occupational Medicine: State of the Art Reviews, 1980; Lutz et al., Clinical Infectious Diseases 37: 786-793, 2003). Micro-organism growth can propagate if the water is not addressed quickly and effectively. Immunocompromised patients are particularly at risk when subjected to fungal infection such that the US Center for Disease Control issued guideline for building mold in health care facilities (Centers for Disease and Control [CDC], Centers for Disease and Control: Questions and Answers on Stachybotrys chartarum and Other Molds, 2000). This paper is based on mold remediation of one portion of a hospital unit due to water from construction activity and inadequate maintenance, resulting in mold growth. A large proportion of the hospital staff, primarily nurses in the dialysis unit, exhibited health symptoms consistent with mold exposure. Unfortunately, the hospital administrators did not consider the mold risk to be serious and refused an independent consultant retained by the nurse's union to examine the premise (Canadian Broadcasting Corporation [CBC], Nurses file complaints over mold at Foothills. Canadian Broadcasting Corporation, 2003). The nurse's union managed to have the premise examined by submitting a court order of

  15. [Historical exploration of Acapulco hospitals, Guerrero, Mexico].

    PubMed

    Fajardo-Ortiz, Guillermo; Salcedo-Alvarez, Rey Arturo

    2006-01-01

    This study attempts to recount the history of the main hospitals of the port of Acapulco from colonial times until the end of the 20th century. The Augustine friars began hospital care at the end of the first part of the 16th century. Later, Bernardino Alvarez (1514?-1584), with the support of the Spanish crown, founded the first formal hospital in Acapulco called Hospital de Nuestra Señora de la Consolación (Our Lady of Consolation Hospital). During the 16th and 17th centuries, the sick were attended by friars, and by the end of the 19th century there were physicians and surgeons. From the end of the Independence War until the end of the 19th century, the port did not have any true hospital. The first degreed physicians and surgeons arrived and resided in Acapulco in 1920. In 1938, the Hospital Civil Morelos (Morelos Civil Hospital) began providing services. It was replaced by the Hospital General de Acapulco (General Hospital of Acapulco). At the fourth decade of the past century the Cruz Roja (Red Cross) was created. In 1957 the hospital services of the Instituto Mexicano del Seguro Social (IMSS, Mexican Institute of Social Security), which was founded in 1963, was inaugurated with the Unidad Medico/Social (Medical and Social Unit) of the IMSS in Acapulco. This began the journey of modernity in Acapulco. In 1992, Hospital Regional Vicente Guerrero (Regional Hospital Vicente Guerrero) of the IMSS, initiated its services. In 1960, medical services for civil workers and their families were housed in the Hospital Civil Morelos (Morelos Civil Hospital). Shortly afterwards, the Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado (ISSSTE, Security and Social Services Institute for State Employees) had their own hospital. During the 20th century, Acapulco has added other hospital services to care for members of the navy and armed forces, as well as for those persons with financial resources for private care.

  16. Childhood burns in south eastern Nigeria.

    PubMed

    Archibong, A E; Antia, U E; Udosen, J

    1997-06-01

    In a ten year retrospective study of burns in children in University of Calabar Teaching Hospital (UCTH), Calabar, the main causes were hot water, hot soup or oil (56.6%) involving children mostly in the one to three year age group. The relative safety of the home environment seen in other forms of paediatric trauma is not observed in burns in children. A changing pattern of burns in children has emerged within the region with naked flames/bush fire coming second and affecting 22.7% of the children. Chemical burns hitherto a rare occurrence is now frequent because of the storage of caustic soda and acids in living rooms by soap making parents. Burns affecting the perineum, axilla and buttocks are difficult to keep clean and frequently lead to infections, with associated increased morbidity. Causes of childhood burns are largely preventable requiring active social/medical education and public enlightenment campaigns on the various methods of prevention.

  17. Magmatism and Geodynamics of Eastern Turkey

    NASA Astrophysics Data System (ADS)

    Keskin, Mehmet; Oyan, Vural; Sharkov, Evgenii V.; Chugaev, Andrey V.; Genç, Ş. Can; Ünal, Esin; Aysal, Namık; Duru, Olgun; Kavak, Orhan

    2013-04-01

    Eastern Turkey has been an active collision zone for the last 15 My between the Arabian Plate and Eurasian continent. The collision initiated after the closure of the southern branch of the Neotethys Ocean by northward subduction beneath E Anatolia at ~15 Ma. The collision-related volcanism started immediately after the closure of the ocean (again at around 15 Ma) in the north of the present day Lake Van with the eruption of mostly intermediate to acid lavas displaying distinct subduction characteristics. Both continental collision and the magmatism are still active, because the Arabian plate still converges to Anatolia with a velocity of ~2.5 cm/y. The overriding Anatolian block experienced a major uplift event around 10 Ma. The region once resided below the sea level merged as a widespread plateau ~2 km above the sea level as part of a regional dome structure with ~1000 km diameter, extending from Central Anatolia in the West to Azerbaijan in the East. The first alkaline lavas derived from a relatively more enriched source erupted to the surface in the N of Lake Van coeval with the initiation of the uplift at around 10 Ma. The underthrusting Arabian platform, on the other hand, was deformed as a result of both crustal-scale east-west folds adjacent to the major thrust zone and extensional deformations perpendicular to the suture zone. Alkaline within-plate lavas with no subduction component erupted through these extension zones. This intraplate volcanism focused on the Karacadaǧ volcanic complex that covers an area of ~10,000 km2. Early Stage volcanism of Karacadaǧ was dominated by magmas derived from a shallower metasomatized (litospheric) mantle source, while magmas of the later stages were derived from deeper (asthenospheric) sources. The Karacadaǧ volcanic area of SE Anatolia was sourced by a garnet bearing, deep asthenospheric mantle which is similar to that of Afar in terms of its Pb isotopic ratios. This brings into question whether the mantle material

  18. Variability of the recent climate of eastern Africa

    NASA Astrophysics Data System (ADS)

    Schreck, Carl J., III; Semazzi, Fredrick H. M.

    2004-05-01

    The primary objective of this study is to investigate the recent variability of the eastern African climate. The region of interest is also known as the Greater Horn of Africa (GHA), and comprises the countries of Burundi, Djibouti, Eritrea, Ethiopia, Kenya, Rwanda, Somalia, Sudan, Uganda, and Tanzania.The analysis was based primarily on the construction of empirical orthogonal functions (EOFs) of gauge rainfall data and on CPC Merged Analysis of Precipitation (CMAP) data, derived from a combination of rain-gauge observations and satellite estimates. The investigation is based on the period 1961-2001 for the short rains season of eastern Africa of October through to December. The EOF analysis was supplemented by projection of National Centers for Environmental Prediction wind data onto the rainfall eigenmodes to understand the rainfall-circulation relationships. Furthermore, correlation and composite analyses have been performed with the Climatic Research Unit globally averaged surface-temperature time series to explore the potential relationship between the climate of eastern Africa and global warming.The most dominant mode of variability (EOF1) based on CMAP data over eastern Africa corresponds to El Niño-southern oscillation (ENSO) climate variability. It is associated with above-normal rainfall amounts during the short rains throughout the entire region, except for Sudan. The corresponding anomalous low-level circulation is dominated by easterly inflow from the Indian Ocean, and to a lesser extent the Congo tropical rain forest, into the positive rainfall anomaly region that extends across most of eastern Africa. The easterly inflow into eastern Africa is part of diffluent outflow from the maritime continent during the warm ENSO events. The second eastern African EOF (trend mode) is associated with decadal variability. In distinct contrast from the ENSO mode pattern, the trend mode is characterized by positive rainfall anomalies over the northern sector of

  19. RADIATION PROTECTION IN AN INTERVENTIONAL LABORATORY: A COMPARATIVE STUDY OF AUSTRALIAN AND SAUDI ARABIAN HOSPITALS.

    PubMed

    Alahmari, Mohammed Ali S; Sun, Zhonghua; Bartlett, Andrew

    2016-12-01

    This study aimed to investigate whether the use of protection devices and attitudes of interventional professionals (including radiologists, cardiologists, vascular surgeons, medical imaging technicians and nurses) towards radiation protection will differ between Saudi Arabian and Australian hospitals. Hard copies of an anonymous survey were distributed to 10 and 6 clinical departments in the Eastern province of Saudi Arabia and metropolitan hospitals in Western Australia, respectively. The overall response rate was 43 % comprising 110 Australian participants and 63 % comprising 147 Saudi participants. Analysis showed that Australian respondents differed significantly from Saudi respondents with respect to their usages of leaded glasses (p < 0.001), ceiling-suspended lead screen (p < 0.001) and lead drape suspended from the table (p < 0.001). This study indicates that the trained interventional professionals in Australia tend to adhere to benefit from having an array of tools for personal radiation protection than the corresponding group in Saudi Arabia.

  20. Establishing strategic alliance among hospitals through SAIS: a case study in Taiwan.

    PubMed

    Hung, Won-Fu; Hwang, Hsin-Ginn; Liao, Chechen

    2005-01-01

    Due to a reformed healthcare insurance system and a gradually decreasing public affairs' budget by the government year by year, Central Taiwan Office (CTO), the Department of Health (DOH) in Taiwan, initiated a strategic alliance project of the hospitals subordinated to the DOH in November, 2001. This project was a five-year plan with an attempt to expand and develop three more strategic alliances covering the northern, southern and eastern regions of Taiwan respectively. Through a cooperative system, such an alliance allows the following: resource sharing, technique collaboration, marketing affiliations and so on. In order to decrease operation management costs and improve the quality of service at hospitals, the strategic alliance practice is supported by IS. We call this alignment the IS-enabled strategic alliance. All the IS-enabled functions are supported by the Strategic Alliance Information System (SAIS). In this article, the SAIS developed by the CTO of the DOH is introduced.