Sample records for john dempsey hospital

  1. 76 FR 23580 - Dempsey Ridge Wind Farm, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-27

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER11-3391-000] Dempsey Ridge Wind Farm, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket... Ridge Wind Farm, LLC's application for market-based rate authority, with an accompanying rate tariff...

  2. Sustaining Reliability on Accountability Measures at The Johns Hopkins Hospital.

    PubMed

    Pronovost, Peter J; Holzmueller, Christine G; Callender, Tiffany; Demski, Renee; Winner, Laura; Day, Richard; Austin, J Matthew; Berenholtz, Sean M; Miller, Marlene R

    2016-02-01

    In 2012 Johns Hopkins Medicine leaders challenged their health system to reliably deliver best practice care linked to nationally vetted core measures and achieve The Joint Commission Top Performer on Key Quality Measures ®program recognition and the Delmarva Foundation award. Thus, the Armstrong Institute for Patient Safety and Quality implemented an initiative to ensure that ≥96% of patients received care linked to measures. Nine low-performing process measures were targeted for improvement-eight Joint Commission accountability measures and one Delmarva Foundation core measure. In the initial evaluation at The Johns Hopkins Hospital, all accountability measures for the Top Performer program reached the required ≥95% performance, gaining them recognition by The Joint Commission in 2013. Efforts were made to sustain performance of accountability measures at The Johns Hopkins Hospital. Improvements were sustained through 2014 using the following conceptual framework: declare and communicate goals, create an enabling infrastructure, engage clinicians and connect them in peer learning communities, report transparently, and create accountability systems. One part of the accountability system was for teams to create a sustainability plan, which they presented to senior leaders. To support sustained improvements, Armstrong Institute leaders added a project management office for all externally reported quality measures and concurrent reviewers to audit performance on care processes for certain measure sets. The Johns Hopkins Hospital sustained performance on all accountability measures, and now more than 96% of patients receive recommended care consistent with nationally vetted quality measures. The initiative methods enabled the transition of quality improvement from an isolated project to a way of leading an organization.

  3. Changing Environment and the Academic Medical Center: The Johns Hopkins Hospital.

    ERIC Educational Resources Information Center

    Heyssel, Robert M.

    1989-01-01

    Johns Hopkins Hospital expanded its health care delivery capabilities and strengthened its position in the marketplace by acquisitions of and mergers with other hospitals and a health maintenance organization. The resulting conglomerate has achieved its goals of expanding patient care, broadening the patient base, and enlarging the asset base and…

  4. Neurology Falls. Patient Falls Risk Assessment, Neurology Clinic, Johns Hopkins Hospital, Baltimore, MD

    DTIC Science & Technology

    2009-07-06

    currently valid ()MB control number. PLEASE DO NOT RETURN YOf IR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY) 21 JUL 2008 2. REPORT TYPE Final...Hospital, Baltimore, MD 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) LT John M Gardner, MSC, USN 5d. PROJECT...NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES) Johns Hopkins Hospital, Baltimore, MD Residency Site

  5. Undeclared exposure to St. John's Wort in hospitalized patients

    PubMed Central

    Martin-Facklam, Meret; Rieger, Karin; Riedel, Klaus-Dieter; Burhenne, Jürgen; Walter-Sack, Ingeborg; Haefeli, Walter E

    2004-01-01

    Aim The herbal medicine St. John's Wort (SJW) causes substantial decreases in the plasma concentrations of a range of co-administered drugs. Therefore, we evaluated the extent of systemic exposure to hyperforin and hypericin, two of the main constituents of SJW, in patients on admission and during hospital stay, and compared the results with known use of SJW as documented in the drug chart and detected in additional interviews. Methods One hundred and fifty patients aged ≥ 18 years and admitted, between August 2000 and February 2002, to an internal medicine ward of a large German university hospital were included. Hyperforin and hypericin was determined in plasma by a sensitive liquid chromotography/mass spectometry (LC/MS/MS) method. To assess undeclared use of SJW the data were compared to information obtained from drug charts and from up to three interviews that had a particular focus on intake of herbal medicines and self-medication during hospitalization. Results Hyperforin was detected in 12 patients (plasma concentration on the first day of hospitalization = 12–100 ng ml−1 in five patients and <3 ng ml−1 in seven), and hypericin in five patients (0.5–4.3 ng ml−1). Nine patients (6%) were taking/had taken SJW without the knowledge of the medical team and the pharmacist, who conducted the additional interviews, and 11 (7.3%) were taking/had taken SJW without the knowledge of the medical team alone. Seven of these patients were treated concurrently with drugs that can interact with SJW. Conclusions Unrecognized use of SJW is frequent and may have an important influence on the effectiveness and safety of drug therapy during hospital stay. PMID:15373938

  6. Special Operations Doctrine: Is it Needed

    DTIC Science & Technology

    2016-12-07

    and School . Ronald Dempsey is Chief Warrant Officer Three for C Co, 1st BN, 3rd Special Forces Group (Airborne). CLEVELAND, LINDER, AND DEMPSEY 6...Operations doctrine. Sixty years after the Army’s first special operations units were formed, the time had arrived for writing how Army special operations...at the urging of the then Commanding General of the Army’s John F. Kennedy Special Warfare Center and School , Major General Bennet SPECIAL

  7. A retrospective analysis of eye conditions among children attending St. John Eye Hospital, Hebron, Palestine.

    PubMed

    Banayot, Riyad G

    2016-04-05

    Eye diseases are important causes of medical consultations, with the spectrum varying in different regions. This hospital-based descriptive study aimed to determine the profile of childhood eye conditions at St. John tertiary Eye hospital serving in Hebron, Palestine. Files of all new patients less than 16 years old who presented to St. John Eye Hospital-Hebron, Palestine between January 2013 and December 2013 were retrospectively reviewed. Age at presentation, sex, and clinical diagnosis were extracted from medical records. Data were stored and analyzed using Wizard data analysis version 1.6.0 by Evan Miller. The Chi square test was used to compare variables and a p value of less than 0.05 was considered statistically significant. We evaluated the records of 1102 patients, with a female: male ratio of 1:1.1. Patients aged 0-5 years old were the largest group (40.2%). Refractive errors were the most common ocular disorders seen (31.6%), followed by conjunctival diseases (23.7%) and strabismus and amblyopia (13.8%). Refractive errors were recorded more frequently and statistically significant (p < 0.001) among (11-15) age group. Within the conjunctival diseases category, conjunctivitis and dry eyes was more prominent and statistically significant (p < 0.001) among the 6-10 year old age group. Within the strabismus and amblyopia category, convergent strabismus was more common and statistically significant among the youngest age group (0-5 years old). The most common causes of ocular morbidity are largely treatable or preventable. These results suggest the need for awareness campaigns and early intervention programs.

  8. The Johns Hopkins Hospital: identifying and addressing risks and safety issues.

    PubMed

    Paine, Lori A; Baker, David R; Rosenstein, Beryl; Pronovost, Peter J

    2004-10-01

    At The Johns Hopkins Hospital (JHH), a culture of safety refers to the presence of characteristics such as the belief that harm is untenable and the use of a systems approach to analyzing safety issues. The leadership of JHH provides strategic planning guidance for safety and improvement initiatives, involves the patient safety committee in capital investment allocation decisions and in designing and planning new hospital facilities, and ensures that safety and quality head the agenda of board-of-trustees meetings. Although JHH takes a systems approach, structures such as monitoring staff behavior trends are used to hold people accountable for job performance. JHH encountered three major hurdles in implementing and sustaining a culture of safety. First, JHH's decentralized organizational structure contributes to a silo effect that limits the spread of ideas, practices, and culture. JHH intends to create an internal collaborative of departmental safety initiatives to foster opportunities for units to share ideas and results. Second, in response to the challenge of encouraging teams to think and act in an interdisciplinary fashion, communication and teamwork training are being used to enhance the effectiveness of interdisciplinary teams. Further development of valid and meaningful safety-related measurement and data collection methodologies is JHH's largest remaining challenge.

  9. The development of pediatric critical care medicine at The Children's Hospital of Philadelphia: an interview with Dr. John J. 'Jack' Downes.

    PubMed

    Mai, Christine L; Schreiner, Mark S; Firth, Paul G; Yaster, Myron

    2013-07-01

    Dr. John J. 'Jack' Downes (1930-), the anesthesiologist-in-chief at The Children's Hospital of Philadelphia (1972-1996), has made numerous contributions to pediatric anesthesia and critical care medicine through a broad spectrum of research on chronic respiratory failure, status asthmaticus, postoperative risks of apnea in premature infants, and home-assisted mechanical ventilation. However, his defining moment was in January 1967, when The Children's Hospital of Philadelphia inaugurated its pediatric intensive care unit--the first of its kind in North America. During his tenure, he and his colleagues trained an entire generation of pediatric anesthesiologists and intensivists and set a standard of care and professionalism that continues to the present day. Based on an interview with Dr. Downes, this article reviews a career that advanced pediatric anesthesia and critical care medicine and describes the development of that first pediatric intensive care unit at The Children's Hospital of Philadelphia. © 2013 John Wiley & Sons Ltd.

  10. Walter E. Dandy: his contributions to pituitary surgery in the context of the overall Johns Hopkins Hospital experience

    PubMed Central

    Corsello, Andrea; Di Dalmazi, Giulia; Pani, Fabiana; Chalan, Paulina; Salvatori, Roberto

    2017-01-01

    Background Walter E. Dandy (1886–1946) was an outstanding neurosurgeon who spent his entire career at the Johns Hopkins Hospital. After graduating from medical school in 1910, he completed a research fellowship in the Hunterian laboratory with Harvey Cushing and then joined the Department of Surgery as resident, rising to the rank professor in 1931. Dandy made several contributions that helped building the neurosurgical specialty, most famously the introduction of pneumo-ventriculography to image brain lesions for which he received a Nobel prize nomination. He also performed many pituitary surgeries, although his role in this area is less known and overshadowed by that of Cushing’s. Purpose This retrospective cohort study was designed to unveil Dandy’s pituitary work and place it in the context of the overall pituitary surgeries performed at the Johns Hopkins Hospital. Methods Pituitary surgery data were obtained by screening the paper and electronic surgical pathology records of the Department of Pathology, as well as the general operating room log books of the Johns Hopkins Hospital housed in the Chesney Medical Archives. Results A total of 3211 pituitary surgeries associated with a pathological specimen were performed between February 1902 and July 2017 in 2847 patients. Most of the surgeries (2875 of 3211 89%) were done by 21 neurosurgeons. Dandy ranks 4th as number of surgeries, with 287 pituitary operations in 35 years of activity. He averaged 8 pituitary surgeries per year, a rate that positions him 6th among all Hopkins neurosurgeons. With the exception of his first operation done in July 1912 while Cushing was still at Hopkins, Dandy approached the pituitary gland transcranially, rather than transphenoidally. The majority of Dandy’s pituitary patients had a pathological diagnosis of pituitary adenomas, followed by craniopharyngiomas and sellar cysts. In the decades Dandy operated, pituitary surgeries represented 0.56% of the total Johns Hopkins

  11. The History of Heart Surgery at The Johns Hopkins Hospital.

    PubMed

    Patel, Nishant D; Alejo, Diane E; Cameron, Duke E

    2015-01-01

    Johns Hopkins has made many lasting contributions to cardiac surgery, including the discovery of heparin and the Blalock-Taussig Shunt, which represents the dawn of modern cardiac surgery. Equally important, Johns Hopkins has trained some of the world's leaders in academic cardiac surgery, and is committed to training the future leaders in our specialty. Copyright © 2015. Published by Elsevier Inc.

  12. On the shoulders of giants: Harvey Cushing's experience with acromegaly and gigantism at the Johns Hopkins Hospital, 1896-1912.

    PubMed

    Pendleton, Courtney; Adams, Hadie; Salvatori, Roberto; Wand, Gary; Quiñones-Hinojosa, Alfredo

    2011-03-01

    A review of Dr. Cushing's surgical cases at Johns Hopkins Hospital revealed new information about his early operative experience with acromegaly. Although in 1912 Cushing published selective case studies regarding this work, a review of all his operations for acromegaly during his early years has never been reported. We uncovered 37 patients who Cushing treated with surgical intervention directed at the pituitary gland. Of these, nine patients who presented with symptoms of acromegaly, and one with symptoms of gigantism were selected for further review. Two patients underwent transfrontal 'omega incision' approaches, and the remaining eight underwent transsphenoidal approaches. Of the 10 patients, 6 were male. The mean age was 38.0 years. The mean hospital stay was 39.4 days. There was one inpatient death during primary interventions (10%) and three patients were deceased at the time of last follow-up (33%). The mean time to death, calculated from the date of the primary surgical intervention, and including inpatient and outpatient deaths, was 11.3 months. The mean time to last follow-up, calculated from the day of discharge, was 59.3 months. At the time of last follow-up, two patients reported resolution of headache; four patients reported continued visual deficits, and two patients reported ongoing changes in mental status. This review analyzes the outcomes for 10 patients who underwent surgical intervention for acromegaly or gigantism, and offers an explanation for Cushing's transition from the transfrontal "omega incision" to the transsphenoidal approach while practicing at the Johns Hopkins Hospital.

  13. John Hughlings-Jackson: a sesquicentennial tribute.

    PubMed

    Swash, M

    1986-09-01

    One hundred and fifty years have elapsed since the birth of John Hughlings-Jackson, a pivotal figure in the development of clinical neuroscience. In this review the origin of Jackson's postulate of a hierarchical organisation of function in the nervous system is described in the context of his education and his contacts with contemporaries, both in his clinical practice at The London Hospital and at the National Hospital, Queen Square, and in relation to the evolutionary approach to the organisation and ideas on biology and society set out by the philosopher Herbert Spencer.

  14. Hashimoto's Thyroiditis: Celebrating the Centennial Through the Lens of the Johns Hopkins Hospital Surgical Pathology Records

    PubMed Central

    De Remigis, Alessandra; Chuang, Kelly; Dembele, Marieme; Iwama, Akiko; Iwama, Shintaro

    2013-01-01

    Hashimoto's thyroiditis is now considered the most prevalent autoimmune disease, as well as the most common endocrine disorder. It was initially described in 1912, but only rarely reported until the early 1950s. To celebrate this centennial, we reviewed the surgical pathology archives of the Johns Hopkins hospital for cases of Hashimoto's thyroiditis, spanning the period from May 1889 to October 2012. Approximately 15,000 thyroidectomies were performed at this hospital over 124 years. The first surgical case was reported in 1942, 30 years after the original description. Then, 867 cases of Hashimoto's thyroiditis were seen from 1942 to 2012, representing 6% of all thyroidectomies. Hashimoto's thyroiditis was the sole pathological finding in 462 cases; it accompanied other thyroid pathologies in the remaining 405 cases. The most commonly associated pathology was papillary thyroid cancer, an association that increased significantly during the last two decades. The most common indication for thyroidectomy was a thyroid nodule that was cytologically suspicious for malignancy. Hashimoto's thyroiditis remains a widespread, intriguing, and multifaceted disease of unknown etiology one century after its description. Advances in the understanding of its pathogenesis and preoperative diagnosis will improve recognition and treatment of this disorder, and may one day lead to its prevention. PMID:23151083

  15. Harvey Cushing's Treatment of Skull Base Infections: The Johns Hopkins Experience

    PubMed Central

    Somasundaram, Aravind; Pendleton, Courtney; Raza, Shaan M.; Boahene, Kofi; Quinones-Hinojosa, Alfredo

    2012-01-01

    Objectives In this report, we review Dr. Cushing's early surgical cases at the Johns Hopkins Hospital, revealing details of his early operative approaches to infections of the skull base. Design Following institutional review board (IRB) approval, and through the courtesy of the Alan Mason Chesney Archives, we reviewed the Johns Hopkins Hospital surgical files from 1896 to 1912. Setting The Johns Hopkins Hospital, 1896 to 1912. Participants Eleven patients underwent operative treatment for suspected infections of the skull base. Main Outcome Measures The main outcome measure was operative approach, postoperative mortality, and condition recorded at the time of discharge. Results Eleven patients underwent operative intervention for infections of the skull base. The mean age was 30 years (range: 9 to 63). Of these patients, seven (64%) were female. The mean length of stay was 16.5 days (range: 4 to 34). Postoperatively eight patients were discharged in “well” or “good” condition, one patient remained “unimproved,” and two patients died during their admission. Conclusion Cushing's careful preoperative observation of patients, meticulous operative technique, and judicious use of postoperative drainage catheters contributed to a remarkably low mortality rate in his series of skull base infections. PMID:24083129

  16. 76 FR 23320 - Combined Notice of Filings #2

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-26

    ...: Dempsey Ridge Wind Farm, LLC. Description: EWG Self-Certification Dempsey Ridge Wind Farm, LLC. Filed Date.... Eastern Time on Tuesday, May 10, 2011. Docket Numbers: ER11-3391-000. Applicants: Dempsey Ridge Wind Farm, LLC. Description: Dempsey Ridge Wind Farm, LLC submits tariff filing per 35.12: Application for Market...

  17. Sellar door: Harvey Cushing's entry into the pituitary gland, the unabridged Johns Hopkins experience 1896-1912.

    PubMed

    Pendleton, Courtney; Adams, Hadie; Mathioudakis, Nestoras; Quiñones-Hinojosa, Alfredo

    2013-02-01

    To review the original surgical records from the Johns Hopkins Hospital, and analyze the records of patients Cushing treated for pituitary disorders from 1896 to 1912. Following IRB approval, and through the courtesy of the Alan Mason Chesney Archives, we reviewed the original surgical files from the Johns Hopkins Hospital. Patients presenting with pituitary-related symptoms, who underwent surgical treatment directed at the pituitary gland, were selected for further review. Thirty-seven patients who underwent surgical intervention for pituitary disorders were found. Of these patients, 12 were mentioned only briefly in Cushing's 1912 monograph, whereas 6 were not described at all. The remaining 19 were documented by Cushing in his 1912 monograph. Cushing used three main surgical approaches to the pituitary: transsphenoidal, transcranial, and the subfrontal "omega incision." There were 6 inpatient deaths. The mean time to last follow-up was 41.0 months. At follow-up, headache was the most common unresolved symptom. This review highlights Cushing's accomplishments in the surgical treatment of suspected pituitary pathology during his early career as a young attending at Johns Hopkins Hospital. It reveals new information about patients whom Cushing did not include in his publications detailing his surgical experience at the Johns Hopkins Hospital. Copyright © 2013 Elsevier Inc. All rights reserved.

  18. Sellar Door: Harvey Cushing’s Entry into the Pituitary Gland, the Unabridged Johns Hopkins Experience 1896-1912

    PubMed Central

    Pendleton, Courtney; Adams, Hadie; Mathioudakis, Nestoras; Quiñones-Hinojosa, Alfredo

    2014-01-01

    OBJECTIVE To review the original surgical records from the Johns Hopkins Hospital, and analyze the records of patients Cushing treated for pituitary disorders from 1896 to 1912. METHODS Following IRB approval, and through the courtesy of the Alan Mason Chesney Archives, we reviewed the original surgical files from the Johns Hopkins Hospital. Patients presenting with pituitary-related symptoms, who underwent surgical treatment directed at the pituitary gland, were selected for further review. RESULTS Thirty-seven patients who underwent surgical intervention for pituitary disorders were found. Of these patients, 12 were mentioned only briefly in Cushing’s 1912 monograph, whereas 6 were not described at all. The remaining 19 were documented by Cushing in his 1912 monograph. Cushing used three main surgical approaches to the pituitary: transsphenoidal, transcranial, and the subfrontal “omega incision.” There were 6 inpatient deaths. The mean time to last follow-up was 41.0 months. At follow-up, headache was the most common unresolved symptom. CONCLUSION This review highlights Cushing’s accomplishments in the surgical treatment of suspected pituitary pathology during his early career as a young attending at Johns Hopkins Hospital. It reveals new information about patients whom Cushing did not include in his publications detailing his surgical experience at the Johns Hopkins Hospital. PMID:22079823

  19. Welfare effects of reduced milk production associated with Johne's disease on Johne's-positive versus Johne's-negative dairy operations.

    PubMed

    Losinger, Willard C

    2006-08-01

    An examination of the economic impacts of reduced milk production associated with Johne's disease on Johne's-positive and Johne's-negative dairy operations indicated that, if Johne's disease had not existed in US dairy cows in 1996, then the economic surplus of Johne's-negative operations would have been $600 million+/-$530 million lower, while the economic surplus of Johne's-positive operations would have been higher by $28 million+/-$79 million, which was not significantly different from zero. The data available for projecting changes in surplus were not sufficiently precise to allow an exact statement on whether Johne's-positive operations would have been better or worse off economically, in terms of the value received for producing more milk if they had not been affected by Johne's disease. The changes in producer surplus, based upon eliminating specific epidemiological risk factors for Johne's disease, were disaggregated between Johne's-positive dairy operations exposed to the risk factor and all other US dairy operations. Eliminating the risk factor of having any cows not born on the operation would have had a significant positive effect on the economic surplus of Johne's-positive operations that had any cows not born on the operation.

  20. Obituary: John Louis Perdrix, 1926-2005

    NASA Astrophysics Data System (ADS)

    Orchiston, D. Wayne

    2006-12-01

    journals appeared under the banner of his own publishing house, Astral Press, until 2005 when JAH2 was transferred to the Centre of Astronomy at James Cook University. When cancer was first diagnosed, this did not deter John, and he continued to pursue his astronomical and editorial interests. Early in 2005 the cancer was in remission and John decided to make one final overseas trip, a long-anticipated visit to St. Petersburg. It was while he was returning to Australia that the illness aggressively reappeared, and he was taken off the airplane at Dubai and died peacefully in Rashid Hospital three days later. He was just three days short of his seventy-ninth birthday. Always the consummate gentleman, John Perdrix had a keen sense of humor and was wonderful company. He will be greatly missed by all who knew him. Our condolences go to his six children, Louise, John, Timothy, Fleur, Lisa and Angella.

  1. Reconfiguration of acute care hospitals in post-socialist Serbia: spatial distribution of hospital beds.

    PubMed

    Matejic, Marko

    2017-04-01

    In the context of healthcare reforms in post-socialist Serbia, this research analyses the reconfiguration of acute care hospitals from the aspect of the spatial distribution of hospital beds among and within state-owned hospitals. The research builds a relationship between the macro or national level and the micro or hospital level of the spatial distribution of hospital beds. The aim of the study is to point out that a high level of efficiency in hospital functionality is difficult to achieve within the current hospital network and architectural-urban patterns of hospitals, and to draw attention to the necessity of a strategically planned hospital spatial reconfiguration, conducted simultaneously with other segments of the healthcare system reform. The research analyses published and unpublished data presented in tables and diagrams. The theoretical platform of the research covers earlier discussions of the Yugoslav healthcare system, its post-socialist reforms and the experiences of developed countries. The results show that the hospital bed distribution has not undergone significant changes, while the hospital spatial reconfiguration has either not been carried out at all or, if it has, only on a small scale. All this has contributed to overall inadequate, inflexible, inefficient, defragmented and unequal bed distribution. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  2. Financial impact of surgical site infections on hospitals: the hospital management perspective.

    PubMed

    Shepard, John; Ward, William; Milstone, Aaron; Carlson, Taylor; Frederick, John; Hadhazy, Eric; Perl, Trish

    2013-10-01

    Surgical site infections (SSIs) may increase health care costs, but few studies have conducted an analysis from the perspective of hospital administrators. To determine the change in hospital profit due to SSIs. Retrospective study of data from January 1, 2007, to December 31, 2010. The study was performed at 4 of The Johns Hopkins Health System acute care hospitals in Maryland: Johns Hopkins Bayview (560 beds); Howard County General Hospital (238 beds); The Johns Hopkins Hospital (946 beds); and Suburban Hospital (229 beds). Eligible patients for the study included those patients admitted to the 4 hospitals between January 1, 2007, and December 31, 2010, with complete data and the correct International Classification of Diseases, Ninth Revision code, as determined by the infection preventionist. Infection preventionists performed complete medical record review using National Healthcare Safety Network definitions to identify SSIs. Patients were stratified using the All Patient Refined Diagnosis Related Groups to estimate the change in hospital profit due to SSIs. Surgical site infections. The outcomes of the study were the difference in daily total charges, length of stay (LOS), 30-day readmission rate, and profit for patients with an SSI when compared with patients without an SSI. The hypothesis, formulated prior to data collection, that patients with an SSI have higher daily total costs, a longer LOS, and higher 30-day readmission rates than patients without an SSI, was tested using a nonpaired Mann-Whitney U test, an analysis of covariance, and a Pearson χ2 test. Hospital charges were used as a proxy for hospital cost. RESULTS The daily total charges, mean LOS, and 30-day readmission rate for patients with an SSI compared with patients without an SSI were $7493 vs $7924 (P = .99); 10.56 days vs 5.64 days (P < .001); and 51.94 vs 8.19 readmissions per 100 procedures (P < .001). The change in profit due SSIs was $2 268 589. The data suggest that

  3. 76 FR 32185 - Combined Notice of Filings #2

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-03

    .... Eastern Time on Friday, June 17, 2011. Docket Numbers: ER11-3391-001. Applicants: Dempsey Ridge Wind Farm, LLC. Description: Dempsey Ridge Wind Farm, LLC submits tariff filing per 35.17(b): Supplement to... transmission tariff filings: Docket Numbers: OA11-8-000. Applicants: Dempsey Ridge Wind Farm, LLC. Description...

  4. John Twysden and John Palmer: 17th-century Northamptonshire astronomers

    NASA Astrophysics Data System (ADS)

    Frost, M. A.

    2008-01-01

    John Twysden (1607-1688) and John Palmer (1612-1679) were two astronomers in the circle of Samuel Foster (circa 1600-1652), the subject of a recent paper in this journal. John Twysden qualified in law and medicine and led a peripatetic life around England and Europe. John Palmer was Rector of Ecton, Northamptonshire and later Archdeacon of Northampton. The two astronomers catalogued observations made from Northamptonshire from the 1640s to the 1670s. In their later years Twysden and Palmer published works on a variety of topics, often astronomical. Palmer engaged in correspondence with Henry Oldenburg, the first secretary of the Royal Society, on topics in astronomy and mathematics.

  5. John Lewis | NREL

    Science.gov Websites

    Lewis John Lewis John Lewis Researcher IV-Chemical Engineering John.Lewis@nrel.gov | 303-275-3021 Education Ph.D. Chemical Engineering, California Institute of Technology, Pasadena, CA, 1996 M.S. Chemical Engineering, California Institute of Technology, Pasadena, CA, 1993 B.S. Chemical Engineering, Texas A&M

  6. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital.

    PubMed

    Uhlig, Paul N; Brown, Jeffrey; Nason, Anne K; Camelio, Addie; Kendall, Elise

    2002-12-01

    The Cardiac Surgery Program at Concord Hospital (Concord, NH) restructured clinical teamwork for improved safety and effectiveness on the basis of theory and practice from human factors science, aviation safety, and high-reliability organization theory. A team-based, collaborative rounds process--the Concord Collaborative Care Model--that involved use of a structured communications protocol was conducted daily at each patient's bedside. The entire care team agreed to meet at the same time each day (8:45 AM to 9:30 AM) to share information and develop a plan of care for each patient, with patient and family members as active participants. The cardiac surgery team developed a structured communications protocol adapted from human factors science. To provide a forum for discussion of team goals and progress and to address system-level concerns, a biweekly system rounds process was established. Following implementation of collaborative rounds, mortality of Concord Hospital's cardiac surgery patients declined significantly from expected rates. Satisfaction rates of open heart patients scores were consistently in the 97th-99th percentile nationally. A quality of work life survey indicated that in every category, providers expressed greater satisfaction with the collaborative care process than with the traditional rounds process. Practice patterns in the Cardiac Surgery Program at Concord Hospital have changed to a much more collaborative and participatory process, with improved outcomes, happier patients, and more satisfied practitioners. A culture of continuous program improvement has been implemented that continues to evolve and produce benefits.

  7. Commemorating John Dyson

    NASA Astrophysics Data System (ADS)

    Pittard, Julian M.

    2015-03-01

    John Dyson was born on the 7th January 1941 in Meltham Mills, West Yorkshire, England, and later grew up in Harrogate and Leeds. The proudest moment of John's early life was meeting Freddie Trueman, who became one of the greatest fast bowlers of English cricket. John used a state scholarship to study at Kings College London, after hearing a radio lecture by D. M. McKay. He received a first class BSc Special Honours Degree in Physics in 1962, and began a Ph.D. at the University of Manchester Department of Astronomy after being attracted to astronomy by an article of Zdenek Kopal in the semi-popular journal New Scientist. John soon started work with Franz Kahn, and studied the possibility that the broad emission lines seen from the Orion Nebula were due to flows driven by the photoevaporation of neutral globules embedded in a HII region. John's thesis was entitled ``The Age and Dynamics of the Orion Nebula`` and he passed his oral examination on 28th February 1966.

  8. Obituary: John Leroy Climenhaga, 1916-2008

    NASA Astrophysics Data System (ADS)

    Scarfe, Colin

    2009-01-01

    and interested in new discoveries that might be reported to him by visiting colleagues. On 29 September 1943 John married Margaret Grace Garratt, who remained with him until her death on 17 August 2001. They had two children, Joan and David, who survive him, along with their spouses and David's two daughters, to whom John was a proud and loving grandfather. Their home was always a warm, welcoming, and hospitable one to the younger colleagues who joined the Department of Physics (now Physics and Astronomy) during John's tenure as Head and Dean. On 26 July 2003, John was married again, to Ila Buffam, whose gentle care softened his last years, and who survives him. I am indebted to Harry Dosso, a colleague for many years to both John and myself, for providing some of the above details, particularly those of John's early life.

  9. St. John Health integrating new corporate identity, brand. Brand/logo to be rolled out over two-year period.

    PubMed

    Rees, Tom

    2003-01-01

    St. John Health, Warren, Mich., is integrating a new corporate identity and brand strategy for its network of nine wholly-owned and two affiliated hospital, along with more than 100 physician offices and specialty centers in southeast Michigan. "A new identity is a great rallying cry. It automatically says. 'We have a new mission. We have a new system. We are reaching new people,'" said Eunice O'Loughlan, VP, corporate communications for St. John Health.

  10. [Epilepsy treatment in Serbian medieval monastery hospitals].

    PubMed

    Ilić-Tasić, Slobodanka; Pantović, Mihailo; Jović, Nebojsa; Ravanić, Dragan; Obradović, Dejan; Sretenović, Srdjan; Pantović, Maja; Pantović, Vesna

    2009-01-01

    Emperor John III Ducas Vatatzes (ruled from 1222-1254) and his son Theodore II Lascaris (ruled from 1254-1258) both suffered from epilepsy. On his journeys to Nicaea, St Sava visited emperors Theodore I Lascaris (ruled from 1204-1222) and John II Vatatzes, who richly rewarded him, which was probably of crucial importance for the foundation of hospitals in the Monastery of Hilandar and the Monastery of Studenica These hospitals had special departments for the treatment of patints with epilepsy. According to researches conducted up-to-date, these departments are considered to be the oldest institutions for epilepsy treatment. Monastery hospitals in the West served primarily as a shelter for the poor and patients with chronic incurable diseases. The development of Serbian monastery hospitals was a long process and it included institutions that lasted for a long time (for over two centuries) in which, among others, those affected by epilepsy were cured.

  11. An undergraduate placemement at the St John Eye Hospital, Jerusalem.

    PubMed

    Dickinson, Ruth

    2017-06-08

    The elective placement is an opportunity for nursing undergraduates to independently decide where to go and what to do to widen their clinical experience. Being able to decide on and participate in an elective placement provides student nurses with a chance to work in a different area and explore personal ambitions. This reflective account examines a student nurse's experiences while on an elective placement at an eye hospital in East Jerusalem and the West Bank.

  12. Foreword: Sir John Pendry FRS Sir John Pendry FRS

    NASA Astrophysics Data System (ADS)

    Inglesfield, John; Echenique, Pedro

    2008-07-01

    John Pendry John Inglesfield and Pedro Echenique write: John Pendry's 65th birthday is on 4 July 2008, and this issue of the Journal of Physics: Condensed Matter is dedicated to him, with articles by friends, colleagues, and former students. By any standards, John Pendry is a great scientist, who has made—and continues to make—an enormous contribution to physics; the wide range of his interests is reflected in the scope of these articles. Not many scientists can establish a completely new and unexpected area of research, but this has been John's achievement in the last few years in the field of metamaterials, materials whose electromagnetic properties depend on their structure rather than the materials of which the structure is built. In this way, structures with effectively negative electrical permittivity and negative magnetic permeability can be constructed, demonstrating negative refraction; through metamaterials scientists now have access to properties not found in nature, and never previously explored experimentally. Never a week goes by without a potential new application of metamaterials, whether it is perfect lensing, or the cloak of invisibility. This has certainly led to tremendous visibility for John himself, with guest lectures all over the world, and radio and television appearances. John Pendry's first paper was published exactly 40 years ago, 'Analytic properties of pseudopotentials' [1], and since then he has published 310 articles at the latest count. But this first paper already reflected something of the way John works. His PhD project, with Volker Heine at the Cavendish Laboratory, was to interpret the scattering of low energy electrons from surfaces, the technique of LEED which was to become the method of choice for determining surface structure. Although the energy of the electrons in LEED is relatively low—say 50 eV—it is much higher than the energy of the conduction electrons, for which pseudopotentials had been devised, and John

  13. St. John's Wort (image)

    MedlinePlus

    The herb St. John's Wort is believed to be helpful in relieving mild to moderate depression, but should only be taken under a physician's supervision. St. John's Wort may clash with other medications or ...

  14. Does It Pay to Penalize Hospitals for Excess Readmissions? Intended and Unintended Consequences of Medicare's Hospital Readmissions Reductions Program.

    PubMed

    Mellor, Jennifer; Daly, Michael; Smith, Molly

    2017-08-01

    To incentivize hospitals to provide better quality care at a lower cost, the Affordable Care Act of 2010 included the Hospital Readmissions Reduction Program (HRRP), which reduces payments to hospitals with excess 30-day readmissions for Medicare patients treated for certain conditions. We use triple difference estimation to identify the HRRP's effects in Virginia hospitals; this method estimates the difference in changes in readmission over time between patients targeted by the policy and a comparison group of patients and then compares those difference-in-differences estimates in patients treated at hospitals with readmission rates above the national average (i.e., those at risk for penalties) and patients treated at hospitals with readmission rates below or equal to the national average (those not at risk). We find that the HRRP significantly reduced readmission for Medicare patients treated for acute myocardial infarction (AMI). We find no evidence that hospitals delay readmissions, treat patients with greater intensity, or alter discharge status in response to the HRRP, nor do we find changes in the age, race/ethnicity, health status, and socioeconomic status of patients admitted for AMI. Future research on the specific mechanisms behind reduced AMI readmissions should focus on actions by healthcare providers once the patient has left the hospital. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  15. Jasper Johns' Painted Words.

    ERIC Educational Resources Information Center

    Levinger, Esther

    1989-01-01

    States that the painted words in Jasper Johns' art act in two different capacities: concealed words partake in the artist's interrogation of visual perception; and visible painted words question classical representation. Argues that words are Johns' means of critiquing modernism. (RS)

  16. John G. Bartlett: Contributions to the discovery of Clostridium difficile antibiotic-associated diarrhea.

    PubMed

    Gorbach, Sherwood L

    2014-09-15

    In 1975 John Bartlett began trials investigating the problem of antibiotic-associated diarrhea and pseudomembranous colitis. His work led the discovery of Clostridium difficile and he identified it as the leading cause of hospital-associated infections. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  17. Maniac Talk - John Mather

    NASA Image and Video Library

    2014-11-19

    John Mather Maniac Lecture, November 19, 2014 Nobel Laureate John Mather presented a Maniac Talk entitled "Creating the Future: Building JWST, what it may find, and what comes next?" In this lecture, John takes a rear view look at how James Webb Space Telescope was started, what it can see and what it might discover. He describes the hardware, what it was designed to observe, and speculate about the surprises it might uncover. He also outlines a possible future of space observatories: what astronomers want to build, what we need to invent, and what they might find, even the chance of discovering life on planets around other stars.

  18. “I’LL DIE WITH THE HAMMER IN MY HAND”: JOHN HENRYISM AS A PREDICTOR OF HAPPINESS

    PubMed Central

    Angner, Erik; Hullett, Sandral; Allison, Jeroan

    2011-01-01

    This paper examines the association between John Henryism – a behavioral predisposition to cope actively with psychosocial environmental stressors – and happiness. On the basis of previous research on aspiration and goal regulation, we predicted that John Henryism would be negatively associated with happiness when controlling for demographic factors and attainment in various domains of life. We tested the prediction in a sample of hypertensive participants (n=758) drawn from an inner-city, mainly African-American, safety-net hospital in Jefferson County, Alabama. Bivariate analysis revealed no association between John Henryism and attainment in six domains of life: marriage, children, education, employment, income, and health. However, a significant negative association between John Henryism and happiness was found both in bivariate analysis (Spearman’s ρ= −0.335; p<.001) and when controlling for demographic factors and attainment using ordinal logistic regression analysis. There was a significant interaction effect between John Henryism and gender: being male was positively associated with happiness among participants with low John Henryism, but negatively associated with happiness among participants with high John Henryism. While further study would be required in order to establish the extent to which these findings can be generalized as well as their causal underpinnings, the results indicate that John Henryism is negatively associated with happiness, especially among men, and underscore the limitations of using self-reported measures of happiness as proxies for well-being for purposes of public policy. PMID:21666864

  19. John Dewey, an Appreciation

    ERIC Educational Resources Information Center

    Clopton, Robert W.

    2015-01-01

    The subject of the annual Presidential address of Phi Kappa Phi, presented on May 8, 1962, was John Dewey. Dewey is identified in the public mind chiefly as an educational philosopher. In this address, the author describes the life and work of John Dewey as an indefatigable student of life whose interests ranged, like those of Aristotle, over the…

  20. Art in wartime: The First Wounded, London Hospital, August 1914.

    PubMed

    Park, M P; Park, R H R

    2011-06-01

    John Lavery's The First Wounded, London Hospital, August 1914 records a memorable event in the First World War. This painting and the archives of the Royal London Hospital provide a fascinating insight into the nursing and medical care of these early war casualties.

  1. Conceptions of Childhood in the Educational Philosophies of John Locke and John Dewey

    ERIC Educational Resources Information Center

    Bynum, Gregory Lewis

    2015-01-01

    This article compares progressive conceptions of childhood in the educational philosophies of John Locke and John Dewey. Although the lives of the two philosophers were separated by an ocean and two centuries of history, they had in common the following things: (1) a relatively high level of experience working with, and observing, children that is…

  2. Psychometric validation of the Chinese version of the Johns Hopkins Fall Risk Assessment Tool for older Chinese inpatients.

    PubMed

    Zhang, Junhong; Wang, Min; Liu, Yu

    2016-10-01

    To culturally adapt and evaluate the reliability and validity of the Chinese version of the Johns Hopkins Fall Risk Assessment Tool among older inpatients in the mainland of China. Patient falls are an important safety consideration within hospitals among older inpatients. Nurses need specific risk assessment tools for older inpatients to reliably identify at-risk populations and guide interventions that highlight fixable risk factors for falls and consequent injuries. In China, a few tools have been developed to measure fall risk. However, they lack the solid psychometric development necessary to establish their validity and reliability, and they are not widely used for elderly inpatients. A cross-sectional study. A convenient sampling was used to recruit 201 older inpatients from two tertiary-level hospitals in Beijing and Xiamen, China. The Johns Hopkins Fall Risk Assessment Tool was translated using forward and backward translation procedures and was administered to these 201 older inpatients. Reliability of the tool was calculated by inter-rater reliability and Cronbach's alpha. Validity was analysed through content validity index and construct validity. The Inter-rater reliability of Chinese version of Johns Hopkins Fall Risk Assessment Tool was 97·14% agreement with Cohen's Kappa of 0·903. Cronbach's α was 0·703. Content of Validity Index was 0·833. Two factors represented intrinsic and extrinsic risk factors were explored that together explained 58·89% of the variance. This study provided evidence that Johns Hopkins Fall Risk Assessment Tool is an acceptable, valid and reliable tool to identify older inpatients at risk of falls and falls with injury. Further psychometric testing on criterion validity and evaluation of its advanced utility in geriatric clinical settings are warranted. The Chinese version of Johns Hopkins Fall Risk Assessment Tool may be useful for health care personnel to identify older Chinese inpatients at risk of falls and falls

  3. Celebrating John Glenn’s Legacy

    NASA Image and Video Library

    2012-03-02

    Sen. John Glenn, left, shakes hands with former Astronaut Steve Lindsey as NASA Administrator Charles Bolden smiles at an event celebrating John Glenn's legacy and 50 years of americans in orbit held at the Cleveland State University Wolstein Center on Friday, March 3, 2012 in Cleveland, Ohio. In 1998 Lindsey flew onboard the space shuttle Discovery along with then 77 year-old Sen. John Glenn for the STS-95 mission. Glenn became the first American to orbit Earth in 1962. Photo Credit: (NASA/Bill Ingalls)

  4. SCI Hospital in Home Program: Bringing Hospital Care Home for Veterans With Spinal Cord Injury.

    PubMed

    Madaris, Linda L; Onyebueke, Mirian; Liebman, Janet; Martin, Allyson

    2016-01-01

    The complex nature of spinal cord injury (SCI) and the level of care required for health maintenance frequently result in repeated hospital admissions for recurrent medical complications. Prolonged hospitalizations of persons with SCI have been linked to the increased risk of hospital-acquired infections and development or worsening pressure ulcers. An evidence-based alternative for providing hospital-level care to patients with specific diagnoses who are willing to receive that level of care in the comfort of their home is being implemented in a Department of Veterans Affairs SCI Home Care Program. The SCI Hospital in Home (HiH) model is similar to a patient-centered interdisciplinary care model that was first introduced in Europe and later tested as part of a National Demonstration and Evaluation Study through Johns Hopkins School of Medicine and School of Public Health. This was funded by the John A. Hartford Foundation and the Department of Veterans Affairs. The objectives of the program are to support veterans' choice and access to patient-centered care, reduce the reliance on inpatient medical care, allow for early discharge, and decrease medical costs. Veterans with SCI who are admitted to the HiH program receive daily oversight by a physician, daily visits by a registered nurse, access to laboratory services, oxygen, intravenous medications, and nursing care in the home setting. In this model, patients may typically access HiH services either as an "early discharge" from the hospital or as a direct admit to the program from the emergency department or SCI clinic. Similar programs providing acute hospital-equivalent care in the home have been previously implemented and are successfully demonstrating decreased length of stay, improved patient access, and increased patient satisfaction.

  5. Soft Budget Constraints in Public Hospitals.

    PubMed

    Wright, Donald J

    2016-05-01

    A soft budget constraint arises when a government is unable to commit to not 'bailout' a public hospital if the public hospital exhausts its budget before the end of the budget period. It is shown that if the political costs of a 'bailout' are relatively small, then the public hospital exhausts the welfare-maximising budget before the end of the budget period and a 'bailout' occurs. In anticipation, the government offers a budget to the public hospital that may be greater than or less than the welfare-maximising budget. In either case, the public hospital treats 'too many' elective patients before the 'bailout' and 'too few' after. The introduction of a private hospital reduces the size of any 'bailout' and increases welfare. Copyright © 2015 John Wiley & Sons, Ltd.

  6. Children's Hospital visit

    NASA Image and Video Library

    2011-02-04

    NASA senior staff members from John C. Stennis Space Center traveled to Children's Hospital in New Orleans on Feb. 4 for a morning of educational outreach, offering interactive demonstrations and activities for children. Staff members offered cryogenic demonstrations, informative and interactive exhibits and a chance for children to take photos 'wearing' a space suit. Children also had a chance to interact with Stennis' astronaut mascot.

  7. The Impact of Hospital Payment Schemes on Healthcare and Mortality: Evidence from Hospital Payment Reforms in OECD Countries.

    PubMed

    Wubulihasimu, Parida; Brouwer, Werner; van Baal, Pieter

    2016-08-01

    In this study, aggregate-level panel data from 20 Organization for Economic Cooperation and Development countries over three decades (1980-2009) were used to investigate the impact of hospital payment reforms on healthcare output and mortality. Hospital payment schemes were classified as fixed-budget (i.e. not directly based on activities), fee-for-service (FFS) or patient-based payment (PBP) schemes. The data were analysed using a difference-in-difference model that allows for a structural change in outcomes due to payment reform. The results suggest that FFS schemes increase the growth rate of healthcare output, whereas PBP schemes positively affect life expectancy at age 65 years. However, these results should be interpreted with caution, as results are sensitive to model specification. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  8. Sources and dynamics of fluorescent particles in hospitals.

    PubMed

    Pereira, M L; Knibbs, L D; He, C; Grzybowski, P; Johnson, G R; Huffman, J A; Bell, S C; Wainwright, C E; Matte, D L; Dominski, F H; Andrade, A; Morawska, L

    2017-09-01

    Fluorescent particles can be markers of bioaerosols and are therefore relevant to nosocomial infections. To date, little research has focused on fluorescent particles in occupied indoor environments, particularly hospitals. In this study, we aimed to determine the spatial and temporal variation of fluorescent particles in two large hospitals in Brisbane, Australia (one for adults and one for children). We used an Ultraviolet Aerodynamic Particle Sizer (UVAPS) to identify fluorescent particle sources, as well as their contribution to total particle concentrations. We found that the average concentrations of both fluorescent and non-fluorescent particles were higher in the adults' hospital (0.06×10 6 and 1.20×10 6  particles/m 3 , respectively) than in the children's hospital (0.03×10 6 and 0.33×10 6  particles/m 3 , respectively) (P<.01). However, the proportion of fluorescent particles was higher in the children's hospital. Based on the concentration results and using activity diaries, we were able to identify sources of particle production within the two hospitals. We demonstrated that particles can be easily generated by a variety of everyday activities, which are potential sources of exposure to pathogens. Future studies to further investigate their role in nosocomial infection are warranted. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. The past, present, and future of paediatric cardiology training at the Johns Hopkins Hospital, in the tradition of Dr Helen Taussig.

    PubMed

    Beasley, Gary S; Murphy, Anne M; Brenner, Joel I; Ravekes, William J

    2016-12-01

    Johns Hopkins has been a leader in paediatric cardiology for over 85 years. In the 1940s, Dr Helen Taussig began training fellows in paediatric cardiology at Johns Hopkins at a time when the diagnosis and treatment of CHD were in the earliest stage. Under her leadership, the fellowship developed a strong foundation that has continued to evolve to meet the current needs of learners and educators. In the current era, the Johns Hopkins programme implements the current theories of adult education and actively engages our fellows in learning as well as teaching. The programme uses techniques such as flipped classroom, structured case-based small-group learning, observed and structured clinical examination, simulations, and innovative educational technology. These strategies combined with our faculty and rich history give our fellows a unique educational experience.

  10. Defense.gov Special Report: Warrior Games 2012

    Science.gov Websites

    Department of Defense Submit Search April 2012 Warrior Games Once on the battlefield, now on the playing challenges amplify all of you." First Lady Michelle Obama Warrior Games Opening Ceremonies, April 30 Cycling Events Photo Essay: Mrs. Obama, Dempsey Attend Opening for 2012 Warrior Games Mrs. Obama, Dempsey

  11. Defense.gov Special Report: Travels with Hagel - September 2013

    Science.gov Websites

    Security, Defense Cooperation In a joint statement, U.S. and Japanese diplomatic and military leaders Shutdown Looms Seoul's Prosperity Shows Success of U.S.-South Korean Alliance Hagel Praises 60-year-old U.S Leaders in Tokyo Hagel, Dempsey Attend Security Meeting in South Korea Hagel, Dempsey Attend Command

  12. The Effect of Viral Suppression on Cross Sectional Incidence Testing in the Johns Hopkins Hospital Emergency Department

    PubMed Central

    Laeyendecker, Oliver; Rothman, Richard E.; Henson, Charlamaine; Jo Horne, Bobbi; Ketlogetswe, Kerunne S.; Kraus, Chadd K.; Shahan, Judy; Kelen, Gabor. D.; Quinn, Thomas C.

    2009-01-01

    Objective(s) To determine the effect of viral suppression on cross sectional incidence testing. Methods In 2001 and 2003, patients entering the Johns Hopkins Hospital Emergency Department (JHHED) were enrolled into an interview based, identity unlinked serosurvey. All HIV positive samples were tested by the Vironostika-less sensitive (LS) EIA and an avidity assay to determine recent HIV infection. Additionally 16 samples from 8 previously characterized elite suppressors (ES) were tested by cross sectional incidence assays. Results HIV prevalence was 12% for the 2001 survey and 11% for the 2003 survey. Of the HIV infected subjects 18% did not know they were infected. Vironostika-LS EIA determined that 6% (11/183) and 7% (17/243) of HIV+ individuals in 2001and 2003, respectively, were recently infected. Avidity testing confirmed 6 of 11 in 2001, and 5 of 17 in 2003 were newly infected, leaving 17 discrepant samples. All 17 discrepant samples were western blot positive, viral load undetectable and 7/17 had antiretroviral drugs (ARVs) in their serum. Ten individuals were virally suppressed without ARVs, appeared incident by Vironostika-LS EIA but chronic by avidity. These 10 subjects had similar testing profiles to the known 16 ES samples, as 9 of 16 were incident by Vironostika-LS EIA, and 0/16 were incident by avidity. Conclusions By removing the viral load negative individuals and by confirming the initial Vironostika-LS EIA results by avidity, the incidence estimate was lowered from 1.73 to 0.94 percent/year in 2001 and from 1.90 to 0.56 percent/year in 2003. Viral suppression affects the performance of the cross sectional incidence tests which rely on antibody titer. In additional 2% (10/426) of all HIV infected individuals who use the JHHED for medical care appear to suppress HIV to undetectable levels without ARVs. PMID:18520680

  13. Developing hospital accreditation standards in Uganda.

    PubMed

    Galukande, Moses; Katamba, Achilles; Nakasujja, Noeline; Baingana, Rhona; Bateganya, Moses; Hagopian, Amy; Tavrow, Paula; Barnhart, Scott; Luboga, Sam

    2016-07-01

    Whereas accreditation is widely used as a tool to improve quality of healthcare in the developed world, it is a concept not well adapted in most developing countries for a host of reasons, including insufficient incentives, insufficient training and a shortage of human and material resources. The purpose of this paper is to describe refining use and outcomes of a self-assessment hospital accreditation tool developed for a resource-limited context. We invited 60 stakeholders to review a set of standards (from which a self-assessment tool was developed), and subsequently refined them to include 485 standards in 7 domains. We then invited 60 hospitals to test them. A study team traveled to each of the 40 hospitals that agreed to participate providing training and debrief the self-assessment. The study was completed in 8 weeks. Hospital self-assessments revealed hospitals were remarkably open to frank rating of their performance and willing to rank all 485 measures. Good performance was measured in outreach programs, availability of some types of equipment and running water, 24-h staff calls systems, clinical guidelines and waste segregation. Poor performance was measured in care for the vulnerable, staff living quarters, physician performance reviews, patient satisfaction surveys and sterilizing equipment. We have demonstrated the feasibility of a self-assessment approach to hospital standards in low-income country setting. This low-cost approach may be used as a good precursor to establishing a national accreditation body, as indicated by the Ministry's efforts to take the next steps. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  14. John Bahcall and the Solar Neutrino Problem

    NASA Astrophysics Data System (ADS)

    Bahcall, Neta

    2016-03-01

    ``I feel like dancing'', cheered John Bahcall upon hearing the exciting news from the SNO experiment in 2001. The results confirmed, with remarkable accuracy, John's 40-year effort to predict the rate of neutrinos from the Sun based on sophisticated Solar models. What began in 1962 by John Bahcall and Ray Davis as a pioneering project to test and confirm how the Sun shines, quickly turned into a four-decade-long mystery of the `Solar Neutrino Problem': John's models predicted a higher rate of neutrinos than detected by Davis and follow-up experiments. Was the theory of the Sun wrong? Were John's calculations in error? Were the neutrino experiments wrong? John worked tirelessly to understand the physics behind the Solar Neutrino Problem; he led the efforts to greatly increase the accurately of the solar model, to understand its seismology and neutrino fluxes, to use the neutrino fluxes as a test for new physics, and to advocate for important new experiments. It slowly became clear that none of the then discussed possibilities --- error in the Solar model or neutrino experiments --- was the culprit. The SNO results revealed that John's calculations, and hence the theory of the Solar model, have been correct all along. Comparison of the data with John's theory demanded new physics --- neutrino oscillations. The Solar Neutrino saga is one of the most amazing scientific stories of the century: exploring a simple question of `How the Sun Shines?' led to the discovery of new physics. John's theoretical calculations are an integral part of this journey; they provide the foundation for the Solar Neutrino Problem, for confirming how the Sun shines, and for the need of neutrino oscillations. His tenacious persistence, dedication, enthusiasm and love for the project, and his leadership and advocacy of neutrino physics over many decades are a remarkable story of scientific triumph. I know John is smiling today.

  15. Harvey Cushing at Johns Hopkins.

    PubMed

    Long, D M

    1999-11-01

    Harvey Cushing began surgical training with William Halsted at Johns Hopkins in 1896. Cushing joined the Johns Hopkins faculty in 1900 and spent 1 year in Europe in the laboratory of Theodore Kocher. He returned to Johns Hopkins, where he founded neurosurgery as an independent specialty, established the concept of the clinician scientist, discovered the hormonal properties of the pituitary gland and founded endocrinology, introduced intraoperative x-rays into surgical practice, introduced blood pressure monitoring into the operating room, and wrote the first definitive text on neurosurgery. Although there have been many pioneers in our field, Cushing, more than anyone else, developed neurosurgery as a specialty and left a legacy of talented neurosurgeons to develop and expand the field.

  16. Marcel Breuer at Saint John's

    ERIC Educational Resources Information Center

    Carlson, Scott

    2008-01-01

    A visitor to Saint John's University and Saint John's Abbey, in north-central Minnesota, sees something of Gothic heritage while standing in front of the abbey church, designed and built around 1960. The church's 112-foot campanile--a trapezoidal slab made of 2,500 tons of steel and concrete--stands boldly in front of a huge concrete honeycomb…

  17. Demythologizing John Dewey

    ERIC Educational Resources Information Center

    Bhattacharya, N. C.

    1974-01-01

    This article takes a brief but critical look at John Dewey's version of pragmatism, his contribution to philosophical scholarship generally as well as his theory and practice of liberalism. (Author/RK)

  18. Hospital admissions for dental treatment among children with cleft lip and/or palate born between 1997 and 2003: an analysis of Hospital Episode Statistics in England.

    PubMed

    Fitzsimons, Kate J; Copley, Lynn P; Smallridge, Jacqueline A; Clark, Victoria J; van der Meulen, Jan H; Deacon, Scott A

    2014-05-01

    Children with clefts have an increased tendency for dental anomalies and caries. To determine the pattern of hospital admissions for dental treatment during primary dentition among children with clefts. Cohort study based on Hospital Episode Statistics, an administrative database of all admissions to National Health Service hospitals in England. Patients born alive between 1997 and 2003 who had both a cleft diagnosis and cleft repair were included. The number of hospital admissions for surgical removal of teeth, simple extraction of teeth, and restoration of teeth before the age of seven was examined. Eight hundred and fifty-eight hospital admissions for dental treatment among 6551 children (<7 year) with a cleft were identified. 66.4% of admissions were primarily for caries and 95.6% involved extractions. 11.4% of children had at least one admission for dental treatment. The presence of additional anomalies, having a more severe cleft type, and living in relatively deprived areas increased the risk of hospital admission. Factors increasing the risk of hospital admission among cleft children should be taken into account when planning services. Efforts to reduce the number of hospital admissions should be focused on disease prevention, particularly among those most at risk of caries. © 2013 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. John Leask Lumley: Whither Turbulence?

    NASA Astrophysics Data System (ADS)

    Leibovich, Sidney; Warhaft, Zellman

    2018-01-01

    John Lumley's contributions to the theory, modeling, and experiments on turbulent flows played a seminal role in the advancement of our understanding of this subject in the second half of the twentieth century. We discuss John's career and his personal style, including his love and deep knowledge of vintage wine and vintage cars. His intellectual contributions range from abstract theory to applied engineering. Here we discuss some of his major advances, focusing on second-order modeling, proper orthogonal decomposition, path-breaking experiments, research on geophysical turbulence, and important contributions to the understanding of drag reduction. John Lumley was also an influential teacher whose books and films have molded generations of students. These and other aspects of his professional career are described.

  20. Logos Announced the Light of Salvation: Interpreting How John Presented His Message in John 1:1-18, According to Functional Grammar

    ERIC Educational Resources Information Center

    Pollinger, Seth

    2014-01-01

    This study of John 1:1-18 describes how John (the speaker) presented his message to his audience within their activity of verbal communication. By focusing on verbal meaning, this interpretation analyzes how John presented and expressed his meanings through language by interpreting this text based on the seamless interrelation between John's…

  1. Obituary: John W. Firor (1927-2007)

    NASA Astrophysics Data System (ADS)

    Gilman, Peter A.

    2009-12-01

    John W. Firor, a former Director of the High Altitude Observatory and the National Center for Atmospheric Research, and a founder of the Solar Physics Division of the American Astronomical Society, died of Alzheimer's disease in Pullman, Washington on November 5, 2007, he was 80. He was born in Athens Georgia on October 18, 1927, where his father was a professor of agricultural economics. John had an unusually diverse scientific career. His interest in physics and astrophysics began while serving in the army, during which time he was assigned to the Los Alamos National Laboratory, where he guarded highly radioactive materials (many have heard him describe how informal the protections were compared to later times). After his service he returned to college and graduated in physics from Georgia Tech in 1949. He received his Ph.D. from the University of Chicago in 1954, writing his thesis on cosmic rays under John Simpson. John Firor would later remark that: "If you needed cosmic rays to actually do anything, you are sunk." That thought, partly in jest, may help explain his motivation for moving to so many new scientific and management pursuits. John moved from cosmic ray physics to radio astronomy (particularly of the Sun) when he began work at the Carnegie Institution of Washington's Department of Terrestrial Magnetism, where he remained until 1961. During this time, he met Walter Orr Roberts, then the Director of the High Altitude Observatory (HAO) in Boulder, Colorado. HAO was then affiliated with the University of Colorado. In 1959, a movement began to upgrade the atmospheric sciences in the United States by establishing a National Center, where the largest, most important atmospheric research problems could be addressed. Roberts became the first Director of NCAR, as well as the first president of the University Corporation for Atmospheric Research (UCAR), the consortium of universities that was commissioned to manage and staff the new Center. HAO became a

  2. Exceptional Scholarship and Democratic Agendas: Interviews with John Goodlad, John Hoyle, Joseph Murphy, and Thomas Sergiovanni

    ERIC Educational Resources Information Center

    Mullen, Carol A.

    2006-01-01

    This portraiture study of four exceptional scholars in education--John Goodlad, John Hoyle, Joseph Murphy, and Thomas Sergiovanni--provides insight into their scholarly work and life habits, direction and aspirations, assessment and analysis of major trends in the profession, and advice for aspiring leaders and academics. Telephone interviews with…

  3. Exceptional Scholarship and Democratic Agendas: Interviews with John Goodlad, John Hoyle, Joseph Murphy, and Thomas Sergiovanni

    ERIC Educational Resources Information Center

    Mullen, Carol A.

    2009-01-01

    This portraiture study of four exceptional scholars in education--John Goodlad, John Hoyle, Joseph Murphy, and Thomas Sergiovanni--provides insight into their scholarly work and life habits, direction and aspirations, assessment and analysis of major trends in the profession, and advice for aspiring leaders and academics. Telephone interviews with…

  4. Hospitalization costs and complications in hospitalized patients with type 2 diabetes mellitus in Beijing, China.

    PubMed

    Bao, Xiaoyuan; Yang, Chao; Fang, Kai; Shi, Moye; Yu, Guopei; Hu, Yonghua

    2017-04-01

    The aim of the present study was to investigate hospitalization costs, diabetes complications, and their relationships using a large dataset in Beijing, China. Data for 2006-10 from the 38 top-ranked (Grade 3 A) hospitals in Beijing, obtained from electronic Hospitalization Summary Reports (HSRs), were analyzed for hospitalization costs and diabetic complications. Patient demographics, types of costs, and length of hospital stay (LOS) were also evaluated. During the period evaluated, 62 523 patients with diabetes were hospitalized, of which 41 875 (67.0 %) had diabetes-associated complications. The median cost of hospitalization for diabetic patients was 7996.11 RMB. Prescribed drugs and laboratory tests were two major contributors to hospitalization costs, accounting for 36.2 % and 22.4 %, respectively. Hospitalization costs were significantly associated with LOS, number of complications, age, year of admission, admission status, sex, and medical insurance (P < 0.001). Both hospitalization costs and LOS increased substantially with an increase in the number of complications (P < 0.001). The highest hospitalization costs were seen in those diabetic patients with foot complications. Diabetic complications have a significant effect on increases in hospitalization costs and LOS in patients with type 2 diabetes mellitus. © 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

  5. Celebrating John Glenn’s Legacy

    NASA Image and Video Library

    2012-03-02

    Former NASA Astronaut Steve Lindsey gives remarks at an event celebrating John Glenn's legacy and 50 years of americans in orbit held at the Cleveland State University Wolstein Center on Friday, March 3, 2012 in Cleveland, Ohio. In 1998 Lindsey flew onboard the space shuttle Discovery along with then 77 year-old Sen. John Glenn for the STS-95 mission. Glenn became the first American to orbit Earth in 1962. Photo Credit: (NASA/Bill Ingalls)

  6. Celebrating John Glenn’s Legacy

    NASA Image and Video Library

    2012-03-02

    Wife of former astronaut and Senator John Glenn, Annie Glenn, listens intently to Cleveland State University Master of Music Major James Binion Jr. as he sings a musical tribute during an event celebrating John Glenn's legacy and 50 years of americans in orbit held at the university's Wolstein Center on Friday, March 3, 2012 in Cleveland, Ohio. Glenn became the first American to orbit Earth in 1962. Photo Credit: (NASA/Bill Ingalls)

  7. John N Bahcall (1934 2005)

    NASA Astrophysics Data System (ADS)

    Bergström, Lars; Botner, Olga; Carlson, Per; Hulth, Per Olof; Ohlsson, Tommy

    2005-01-01

    John Norris Bahcall, passed away on August 17, 2005, in NewYork City, USA. He was born on December 30, 1934, in Shreveport, Louisiana, USA. He was Richard Black Professor of Astrophysics in the School of Natural Sciences at the Institute forAdvanced Study (IAS) in Princeton, New Jersey, USA and a recipient of the National Medal of Science. In addition, he was President of the American Astronomical Society, President-Elect of the American Physical Society, and a prominent leader of the astrophysics community. John had a long and prolific career in astronomy and astrophysics, spanning five decades and the publication of more than five hundred technical articles, books, and popular papers. John's most recognized scientific contribution was the novel proposal in 1964, together with Raymond Davis Jr, that scientific mysteries of our Sun `how it shines, how old it is, how hot it is' could be examined by measuring the number of neutrinos arriving on Earth from the Sun. Measuring the properties of these neutrinos tests both our understanding of how stars shine and our understanding of fundamental particle physics. However, in the 1960s and 1970s, the observations by Raymond Davis Jr showed a clear discrepancy between John's theoretical predictions, based on standard solar and particle physics models, and what was experimentally measured. This discrepancy, known as the `Solar Neutrino Problem', was examined by hundreds of physicists, chemists, and astronomers over the subsequent three decades. In the late 1990s through 2002, new large-scale neutrino experiments in Japan, Canada, Italy, and Russia culminated in the conclusion that the discrepancy between John's theoretical predictions and the experimental results required a modification of our understanding of particle physics: neutrinos must have a mass and `oscillate' among different particle states. In addition to neutrino astrophysics, John contributed to many areas of astrophysics including the study of dark matter in

  8. Obituary: John Louis Africano III, 1951-2006

    NASA Astrophysics Data System (ADS)

    Barker, Edwin, S.

    2007-12-01

    The orbital debris, space surveillance, and astronomical communities lost a valued and beloved friend when John L. Africano passed away on July 27, 2006, at the young age of 55. John passed away in Honolulu, Hawaii, from complications following a heart attack suffered while playing racquetball, which was his avocation in life. Born on February 8, 1951, in Saint Louis, Missouri, John graduated with a B.S. in Physics from the University of Missouri at Saint Louis in 1973, and received a Master's degree in Astronomy from Vanderbilt University in 1974. John had a real love for astronomical observing and for conveying his many years of experience to others. He encouraged many young astronomers and mentored them in the basics of photometry and astronomical instrumentation. John was author or co-author on nearly one-hundred refereed publications ranging from analyses of cool stars to the timing of occultations to space surveillance. He was honored for his contributions to minor planet research when the Jet Propulsion Laboratory named Minor Planet 6391 (Africano) after him. John held operational staff positions at several major observatories including McDonald Observatory in Texas, Kitt Peak National Observatory in Arizona, and the Cloudcroft Telescope Facility in New Mexico. He observed at numerous observatories worldwide, including Cerro Tololo Inter-American Observatory (CTIO) in Chile, developing a world-wide network of friends and colleagues. John's ability to build diverse teams through his managerial and technical skills, not to mention his smiling personality, resulted in numerous successes in the observational astronomy and space surveillance arenas. As an astronomer for Boeing LTS Inc., he worked for many years at the Advanced Maui Optical and Space Surveillance site (AMOS) on Maui, Hawaii, where he contributed his operational and instrumental expertise to both the astronomy and space surveillance communities. He was also the co-organizer of the annual AMOS

  9. John locke on personal identity.

    PubMed

    Nimbalkar, Namita

    2011-01-01

    John Locke speaks of personal identity and survival of consciousness after death. A criterion of personal identity through time is given. Such a criterion specifies, insofar as that is possible, the necessary and sufficient conditions for the survival of persons. John Locke holds that personal identity is a matter of psychological continuity. He considered personal identity (or the self) to be founded on consciousness (viz. memory), and not on the substance of either the soul or the body.

  10. Obituary: John Sulston (1942-2018).

    PubMed

    White, John

    2018-05-08

    John Sulston, a pioneer in the developmental studies of the nematode C. elegans who went on to spearhead the sequencing of the genome of this organism and ultimately the human genome, died on 6th March 2018, shortly after being diagnosed with stomach cancer. Here, I reflect on John's life and work, with a particular focus on his time working on the developmental genetics and lineage of C. elegans . © 2018. Published by The Company of Biologists Ltd.

  11. SETI group let by Barney Oliver, John Wolfe and John Billingham (in middle standing) lead a 1976

    NASA Technical Reports Server (NTRS)

    1976-01-01

    SETI group let by Barney Oliver, John Wolfe and John Billingham (in middle standing) lead a 1976 discussion on the best strategies in the Search for Extraterrestrial Intelligence. Joining the discussion are L-R; Charles Seeger, Dario Black, Mary Connors, (Oliver, Wolfe, Billingham) and Larry Lesyna, (seated) Mark Stull.

  12. What hospitals need to know about guidelines-A mixed-method analysis of guideline implementation in Dutch hospitals.

    PubMed

    Blume, Louise H K; van Weert, Nico J H W; Busari, Jamiu O; Stoopendaal, Annemiek M V; Delnoij, Diana M J

    2017-12-01

    This study provides insight into how Dutch hospitals ensure that guidelines are used in practice and identifies what key messages other hospitals can learn from existing practices. We examine current practices in handling compliance and, therefore, focus on hospitals that reported that they do not experience problems in the implementation of guidelines. A survey of Dutch hospital boards and 9 semistructured interviews were conducted with a purposive sample of 3 hospitals. Interviews were held with 3 representatives of each hospital, specifically, with a member of the board of directors, a member of the executive medical staff, and the manager of the quality and safety department. Hospitals find guidelines necessary and useful. Hospitals have the power to improve implementation if boards of directors and medical staff are committed, intrinsically motivated, cooperate with each other, and use guidelines pragmatically. Even then, they prioritize guidelines, as resources are scarce. Despite their good work, all hospitals in this study appeared to struggle to adhere to guidelines. If hospitals experience problems with guideline implementation, they tend to focus more on external expectations, leading to defensive behaviour. Hospitals that do not experience implementation problems focus more on integrating guidelines into their own policies. © 2017 John Wiley & Sons, Ltd.

  13. John Collins Warren: Master educator and pioneer surgeon of ether fame.

    PubMed

    Toledo, Alexander Horacio

    2006-01-01

    John Collins Warren (1778-1856) represented the apex of surgery and medicine of the first half of nineteenth century Boston. Educated at Harvard College where he obtained a Bachelor of Arts in 1797, he contemplated the idea of a business career prior to setting sail for a traditional medical education at Europe's finest universities. From 1799 to 1802, he attended prestigious medical and surgical lectures in London, Edinburgh, and Paris. Warren received an honorary MD from Scotland's St. Andrews University in 1802. He then returned to Boston and joined his father's practice. In 1815, he followed his accomplished father as the Hersey Professor of Anatomy and Surgery at Harvard Medical School. He held this position with great distinction until 1847 when he retired as professor emeritus. From 1816 to 1819 he served as Harvard Medical School dean and received an honorary medical degree at the end of his term.John Collins Warren had numerous surgical accomplishments during his illustrious career. Clinically, he was active and varied in his practice, operating on strangulated hernias, tumors, and cataracts, in addition to performing vascular surgery and amputations. He published many articles and books of widespread circulation. Professor Warren also performed the first reported case of ether anesthesia administered by William T. Morton on October 16, 1846. Outside the operating theatre, Doctor Warren and his colleagues were revered for founding the Massachusetts General Hospital in 1821, and years before, in 1812, Warren and his associates established the New England Journal of Medicine and Surgery. In light of his varied contributions, John Collins Warren is remembered as a dedicated and innovative surgeon, as well as a committed medical educator, able administrator and effective leader.

  14. Celebrating John Glenn’s Legacy

    NASA Image and Video Library

    2012-03-02

    Cleveland State University Master of Music Major James Binion Jr. sings a musical tribute during an event celebrating John Glenn's legacy and 50 years of americans in orbit held at the university's Wolstein Center on Friday, March 3, 2012 in Cleveland, Ohio. In 1998 Lindsey flew onboard the space shuttle Discovery along with then 77 year-old Sen. John Glenn for the STS-95 mission. Glenn became the first American to orbit Earth in 1962. Photo Credit: (NASA/Bill Ingalls)

  15. A to Z with Jasper Johns

    ERIC Educational Resources Information Center

    Kirker, Sara Schmickle

    2008-01-01

    One contemporary artist that kindergarten students can easily relate to is Jasper Johns. In this article, the author discusses how she introduced John's numeric and alphabetic paintings to her kindergarten students. The young artists were amazed that art can be created from the familiar symbols that they are learning to make in their regular…

  16. John Henry--The Steel Driving Man

    ERIC Educational Resources Information Center

    Murphy, David E.; Gulley, Laura L.

    2005-01-01

    The story of John Henry provided the setting for sixth-grade class to participate in a John Henry Day of mathematics experiments. The students collected data from experiments where students competed against machines and technology. The student analyzed the data by comparing two box plots, a box plot of human data, and a box plot of machine or…

  17. John C. Mather, the Big Bang, and the COBE

    Science.gov Websites

    Additional Information * Videos John C. Mather Courtesy of NASA "Dr. John C. Mather of NASA's Goddard excerpt from NASA Scientist Shares Nobel Prize for Physics 2Edited excerpt from John Mather: The Path to a Spacecraft Courtesy of Lawrence Berkeley National Laboratory Additional Web Pages: Dr. John C Mather, NASA

  18. Lean healthcare in developing countries: evidence from Brazilian hospitals.

    PubMed

    Costa, Luana Bonome Message; Filho, Moacir Godinho; Rentes, Antonio Freitas; Bertani, Thiago Moreno; Mardegan, Ronaldo

    2017-01-01

    The present study evaluates how five sectors of two Brazilian hospitals have implemented lean healthcare concepts in their operations. The main characteristics of the implementation process are analyzed in the present study: the motivational factor for implementation, implementation time, form (consultancy or internal), team (hospital and consultants), lean implementation continuity/sustainability, lean healthcare tools and methods implemented, problems/improvement opportunities, lean healthcare barriers faced during the implementation process, and critical factors that affected the implementation and the results obtained in each case. The case studies indicate that reducing patient lead times and costs and making financial improvements were the primary factors that motivated lean healthcare implementation in the hospitals studied. Several tools and methods were used in the cases studied, especially value stream mapping and DMAIC. The barriers found in both hospitals are primarily associated with the human factor. Additionally, the results obtained after implementation were analyzed and improvements in financial aspects, productivity and capacity, and lead time reduction of the analyzed sectors were observed. Further, this study also exhibited four propositions elaborated from the results obtained from the cases that highlighted barriers and challenges to lean healthcare implementation in developing countries. Two of these barriers are hospital organizational structure (and, consequently, how the senior management works with medical staff), and outsourcing hospital activities. This study also concluded that the initialization and maintenance of lean healthcare implementation rely heavily on external support because lean healthcare subject knowledge is not yet available in the healthcare organization, which represents a challenge. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  19. 33 CFR 110.183 - St. Johns River, Florida.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false St. Johns River, Florida. 110.183... ANCHORAGE REGULATIONS Anchorage Grounds § 110.183 St. Johns River, Florida. (a) The anchorage grounds—(1... anchor in the St. Johns River, as depicted on NOAA chart 11491, between the entrance buoy (STJ) and the...

  20. 33 CFR 110.73 - St. Johns River, Fla.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false St. Johns River, Fla. 110.73... ANCHORAGE REGULATIONS Special Anchorage Areas § 110.73 St. Johns River, Fla. (a) Area A. The waters lying within an area bounded by a line beginning at a point located at the west bank of St. Johns River at...

  1. 46 CFR 7.90 - St. Johns River, FL.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false St. Johns River, FL. 7.90 Section 7.90 Shipping COAST... § 7.90 St. Johns River, FL. A line drawn from the southeasternmost extremity of Little Talbot (Spike) Island to latitude 30°23.8′ N. longitude 81°20.3′ W. (St. Johns Lighted Whistle Buoy “2 STJ”); thence to...

  2. St. John's wort: a new alternative for depression?

    PubMed

    Josey, E S; Tackett, R L

    1999-03-01

    The primary purpose of this article is to review the existing literature concerning the therapeutic uses, adverse effects, and possible drug interactions of St. John's wort (Hypericum perforatum) as compared to other antidepressant medications. Reference material was obtained through database searches with time restrictions of 1985 to the present. Studies selected were those written in the English language which compared the role of St. John's wort, tricyclic antidepressants, monoamine oxidase inhibitors, and serotonin-selective reuptake inhibitors in the treatment of depression. Other studies were selected based on their evaluation of the safety and efficacy of St. John's wort as an antidepressant for a minimum of four weeks. A review of existing literature recognized nine clinical trials that reported the efficacy of St. John's wort as compared to placebo and to other antidepressant medications. Of these nine, four controlled studies were chosen based upon their large patient populations and their consistency in brand and dosage of St. John's wort used. These four studies demonstrated that St. John's wort was as effective as other antidepressant medications and more effective than placebo, as the clinical symptoms of depression greatly decreased upon administration of H. perforatum. The side-effect profile of H. perforatum at this time appears to be superior to any current U.S.-approved antidepressant medication. From the existing literature, St. John's wort appears to be a safe and effective alternative in the treatment of depression. Tricylic antidepressants and monoamine oxidase inhibitors can produce serious cardiac side-effects, such as tachycardia and postural hypotension, and many unwanted anticholinergic side-effects, including dry mouth and constipation. St. John's wort has proven to be free of any cardiac, as well as anticholinergic, side-effects normally seen with antidepressant medications. Based upon limited studies, St. John's wort appears to be an

  3. Price Changes in Regulated Healthcare Markets: Do Public Hospitals Respond and How?

    PubMed

    Verzulli, Rossella; Fiorentini, Gianluca; Lippi Bruni, Matteo; Ugolini, Cristina

    2017-11-01

    This paper examines the behaviour of public hospitals in response to the average payment incentives created by price changes for patients classified in different diagnosis-related groups (DRGs). Using panel data on public hospitals located within the Italian region of Emilia-Romagna, we test whether a 1-year increase in DRG prices induced public hospitals to increase their volume of activity and whether a potential response is associated with changes in waiting times and/or length of stay. We find that public hospitals reacted to the policy change by increasing the number of patients with surgical treatments. This effect was smaller in the 2 years after the policy change than in later years, and for providers with a lower excess capacity in the pre-policy period, whereas it did not vary significantly across hospitals according to their degree of financial and administrative autonomy. For patients with medical DRGs, instead, there appeared to be no effect on inpatient volumes. Our estimates also suggest that an increase in DRG prices had no impact on the proportion of patients waiting more than 6 months. Finally, we find no evidence of a significant effect on patients' average length of stay. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  4. John Carroll University

    ERIC Educational Resources Information Center

    Dean, Kathleen Lis; Rombalski, Patrick; O'Dell, Kyle

    2009-01-01

    John Carroll University (JCU) is a Jesuit Catholic institution located in University Heights, approximately 10 miles east of Cleveland, Ohio. Founded in 1888, the university has a population of 3,400 undergraduates and 800 graduate students. The Division of Student Affairs at JCU comprises 11 units. The mission of the division is the same as that…

  5. 33 CFR 117.325 - St. Johns River.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false St. Johns River. 117.325 Section 117.325 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Florida § 117.325 St. Johns River. (a) The drawspan...

  6. Hospital agenda to prioritize. Interview by Donald E. Johnson..

    PubMed

    Forsyth, J D

    1991-09-01

    How does a teaching hospital balance the needs of patient care with its educational mission? What changes in focus must the CEO make to accommodate reductions in federal funding while maintaining academic excellence? In the following interview with Health Care Strategic Management's Donald E. L. Johnson, John D. Forsyth, executive director of the University of Michigan Hospitals, discusses the challenges facing his institution. The interview focuses on many topics including setting priorities, funding researchers and countering any "anti-science" perceptions.

  7. Obituary: John J. Hillman, 1938-2006

    NASA Astrophysics Data System (ADS)

    Chanover, Nancy

    2007-12-01

    John J. Hillman, a dedicated NASA civil servant, spectroscopist, astrophysicist, planetary scientist, and mentor, died on February 12, 2006 of ocular melanoma at his home in Columbia, Maryland. His professional and personal interests were wide-reaching and varied, and he devoted his career to the advancement of our understanding of the beauty and wonder in the world around us. His love of nature, art, and science made him a true Renaissance man. John was born in Fort Jay, New York, on November 22, 1938, and was raised in Washington, D.C. He received his B.S., M.S., and Ph.D. degrees in Physics from American University in 1967, 1970, and 1975, respectively. He began working at NASA's Goddard Space Flight Center, then in its infancy, in 1969, juggling a full-time position as a Research Physicist, the completion of his M.S. and Ph.D. degrees, and a young family. His background in molecular spectroscopy enabled him to apply his skills to numerous disciplines within NASA: infrared and radio astronomy; electronic, vibrational, and rotational structure of interstellar molecules; solar and stellar atmospheres; and planetary atmospheres. He published more than 70 journal papers in these disciplines. He was a frequent contributor to the Ohio State University International Symposium on Molecular Spectroscopy, and possessed a rare ability to bridge the gap between laboratory and remote sensing spectroscopy, bringing scientists from different disciplines together to understand our Universe. The last fifteen years of John's career were devoted to the development of acousto-optic tunable filter (AOTF) cameras. He championed this technology as a low-cost, low-power alternative to traditional imaging cameras for in situ or remotely sensed planetary exploration. It was within this context that I got to know John, and eventually worked closely with him on the demonstration and application of this technology for planetary science using ground-based telescopes in New Mexico, California

  8. Genealogy of John and Charles Bell: their relationship with the children of Charles Shaw of Ayr.

    PubMed

    Kaufman, M

    2005-11-01

    The Reverend William Bell had six children who survived infancy. Two of his sons entered the legal profession and two other sons became distinguished anatomists and surgeons--John Bell, said for 20 years to have been the leading operating surgeon in Britain and throughout the world--and Sir Charles Bell, possibly the most distinguished anatomist and physiologist of his day. Information is not known about the fifth son or their sister. Charles Shaw, a lawyer of Ayr, had four sons and two daughters who survived infancy. Two of his sons, John and Alexander, became anatomists and later surgeons at the Middlesex Hospital, and both worked closely with Charles Bell at the Great Windmill Street School of Anatomy. His third son entered the law and his fourth son became a distinguished soldier. The two daughters of Charles Shaw married into the Bell family: Barbara married George Joseph Bell and Marion married Mr (later Sir) Charles Bell.

  9. In memoriam - John M. Young (1942-2013)

    USDA-ARS?s Scientific Manuscript database

    It is with sadness that friends and colleagues of John Young learnt of his death at home in Auckland, New Zealand on 30th September 2013. John began his scientific career at the Plant Diseases Division (PDD) of the Department of Scientific and Industrial Research (DSIR), New Zealand after completing...

  10. General medicine advanced training: lessons from the John Hunter training programme.

    PubMed

    Jackel, D; Attia, J; Pickles, R

    2014-03-01

    Recent years have seen a rapid growth in the number of advanced trainees pursuing general medicine as a specialty. This reflects an awareness of the need for broader training experiences to equip future consultant physicians with the skills to manage the healthcare challenges arising from the demographic trends of ageing and increasing comorbidity. The John Hunter Hospital training programme in general medicine has several characteristics that have led to the success in producing general physicians prepared for these challenges. These include support from a core group of committed general physicians, an appropriate and sustainable funding model, flexibility with a focus on genuine training and developing awareness of a systems approach, and strong links with rural practice. © 2014 The Authors; Internal Medicine Journal © 2014 Royal Australasian College of Physicians.

  11. The Johns Hopkins Venous Thromboembolism Collaborative: Multidisciplinary team approach to achieve perfect prophylaxis.

    PubMed

    Streiff, Michael B; Lau, Brandyn D; Hobson, Deborah B; Kraus, Peggy S; Shermock, Kenneth M; Shaffer, Dauryne L; Popoola, Victor O; Aboagye, Jonathan K; Farrow, Norma A; Horn, Paula J; Shihab, Hasan M; Pronovost, Peter J; Haut, Elliott R

    2016-12-01

    Venous thromboembolism (VTE) is an important cause of preventable harm in hospitalized patients. The critical steps in delivery of optimal VTE prevention care include (1) assessment of VTE and bleeding risk for each patient, (2) prescription of risk-appropriate VTE prophylaxis, (3) administration of risk-appropriate VTE prophylaxis in a patient-centered manner, and (4) continuously monitoring outcomes to identify new opportunities for learning and performance improvement. To ensure that every hospitalized patient receives VTE prophylaxis consistent with their individual risk level and personal care preferences, we organized a multidisciplinary task force, the Johns Hopkins VTE Collaborative. To achieve the goal of perfect prophylaxis for every patient, we developed evidence-based, specialty-specific computerized clinical decision support VTE prophylaxis order sets that assist providers in ordering risk-appropriate VTE prevention. We developed novel strategies to improve provider VTE prevention ordering practices including face-to-face performance reviews, pay for performance, and provider VTE scorecards. When we discovered that prescription of risk-appropriate VTE prophylaxis does not ensure its administration, our multidisciplinary research team conducted in-depth surveys of patients, nurses, and physicians to design a multidisciplinary patient-centered educational intervention to eliminate missed doses of pharmacologic VTE prophylaxis that has been funded by the Patient Centered Outcomes Research Institute. We expect that the studies currently underway will bring us closer to the goal of perfect VTE prevention care for every patient. Our learning journey to eliminate harm from VTE can be applied to other types of harm. Journal of Hospital Medicine 2016;11:S8-S14. © 2016 Society of Hospital Medicine. © 2016 Society of Hospital Medicine.

  12. Patient goal setting as a method for program improvement/development in partial hospitalization programs.

    PubMed

    Gates, A

    1991-12-01

    Data were collected from a study of 49 patients in 1990 and 106 patients in 1991 admitted into Country View Treatment Center and Green Country Counseling Center. Country View is a 30-bed chemical dependency residential center operating under St. John Medical Center in Tulsa, Oklahoma. Green Country is an evening partial hospital chemical dependency program operating under St. John Medical Center in Tulsa, Oklahoma, The tools used in this study were the Country View Patient Self-Reporting Questionnaire, the global Rating Scale, and the Model of Recovering Alcoholics Behavior Stages and Goal Setting (Wing, 1990). These assessments were specifically designed to measure the patient's perceptions of goal setting and the patient's perspective on treatment outcome. The study outcome resulted in program improvement (Green Country evening partial hospital program) and the development of the Country View Substance Abuse Intermediate Link (SAIL) Program (day partial hospital).

  13. Improved data illustration in complex multi-ligament knee reconstruction surgery: using the historical principles of Florence Nightingale and John Venn.

    PubMed

    Meyers, Paul D; McNicholas, Mike J

    2008-04-01

    The collection of multi-ligament knee reconstruction procedure data generates long tabulated lists of featureless abbreviations, which are often difficult to interpret and present. As demonstrated with the launch of the Scandinavian anterior cruciate ligament registries, such data are under increasing scrutiny. When developing a visual tool to improve the interpretation, presentation, and ongoing collection of data within this field, much can be learnt from the historical teachings of Florence Nightingale and John Venn. Unknown to many, Florence Nightingale was a pioneer of graphic data illustration, becoming a Fellow of the Royal Statistical Society in 1858. Further advances in the visualization of complex data relations were made by John Venn, who introduced the Venn diagram in 1880. With this background in mind, the present work has been based upon the senior author's case series of 70 patients undergoing complex knee-ligament reconstruction at Warrington Hospital, from 2001 to the present time. Although obviously not negating the need for tabulated data, the graphic representation put forward here successfully supplements featureless tabulated lists of abbreviations and can be updated easily and regularly. Providing a clear, bright illustration that is free from patient identifiers, it can be used in presentations and publications, and freely accessed by a multidisciplinary team. It assists in the identification of injury patterns, can accommodate illustration of associated factors such as meniscal injury, and clearly demonstrates each hospital's multi-ligament knee reconstruction experience. This facilitates comparison and collaboration between hospitals and promotes research.

  14. Quality competition and hospital mergers-An experiment.

    PubMed

    Han, Johann; Kairies-Schwarz, Nadja; Vomhof, Markus

    2017-12-01

    On the basis of a Salop model with regulated prices, we investigate quality provision behaviour of competing hospitals before and after a merger. For this, we use a controlled laboratory experiment where subjects decided on the level of treatment quality as head of a hospital. We find that the post-merger average quality is significantly lower than the average pre-merger quality. However, for merger insiders and outsiders, average quality choices are significantly higher than predicted for pure profit-maximising hospitals. This upward deviation is potentially driven by altruistic behaviour towards patients. Furthermore, we find that in the case where sufficient cost synergies are realised by the merged hospitals, there is a significant increase in average quality choices compared to the scenario without synergies. Finally, we find that our results do not change when comparing individual decisions to team decisions. Copyright © 2017 John Wiley & Sons, Ltd.

  15. Cost efficiency of US hospitals: a stochastic frontier approach.

    PubMed

    Rosko, M D

    2001-09-01

    This study examined the impact of managed care and other environmental factors on hospital inefficiency in 1631 US hospitals during the period 1990-1996. A panel, stochastic frontier regression model was used to estimate inefficiency parameters and inefficiency scores. The results suggest that mean estimated inefficiency decreased by about 28% during the study period. Inefficiency was negatively associated with health maintenance organization (HMO) penetration and industry concentration. It was positively related with Medicare share and for-profit ownership status. Copyright 2001 John Wiley & Sons, Ltd.

  16. John Kotter on Leadership, Management and Change.

    ERIC Educational Resources Information Center

    Bencivenga, Jim

    2002-01-01

    Excerpts from interview with John Kotter, Konosuke Matsushita Professor of Leadership at the Harvard Business School, about his thoughts on the role of the superintendent as leader and manager. Describes his recent book "John P. Kotter on What Leaders Really Do," 1999. Lists eight-step change process from his book "Leading Change," 1996. (PKP)

  17. Struggle for the Soul: John Lawrence Childs

    ERIC Educational Resources Information Center

    Stallones, Jared

    2010-01-01

    John Lawrence Childs was born in Eau Claire, Wisconsin on January 11, 1889, the second child of John Nelson Childs and Helen Janette (Nettie) Smith. In childhood Childs absorbed the values of industry, democracy, and a traditional, but socially conscious, religion. Childs was a Methodist and an intensely private person not given to talking about…

  18. In memoriam: John Warren Aldrich, 1906-1995

    USGS Publications Warehouse

    Banks, Richard C.

    1997-01-01

    John Aldrich was born in Providence, Rhode Island, on 23 February 1906, and went to the Providence public schools. He developed a broad interest in natural history at an early age, being stimulated by his mother, a kindergarten teacher, who introduced him to nature books. His interest was strengthened by Harold L. Madison, Director of the Park Museum in Providence, an Associate ( = member) of the AOU. As a high school student, John taught nature study at the Rhode Island Boy Scout Camp in summers. John was President of his class at Classical High School, and manager of the school's football team in his senior year. Also in that year, 1923, John published his first paper, a note in Bird-Lore on the occurrence of the Mockingbird in Rhode Island. That paper is a literary gem, showing that his skill in writing developed as early as his knowledge of birds. His early interest in football continued as well; he was a devoted fan of the Washington Redskins in his later years.

  19. Dedication: John Reuben Clark.

    USDA-ARS?s Scientific Manuscript database

    Volume 40 of Horticultural reviews is dedicated to John Reuben Clark (University of Arkansas) for his outstanding contributions to horticulture. While known particularly for his impact on blackberry, blueberry, table grape, and peach cultivar development, he has also been a strong and enthusiastic v...

  20. Fostering a Culture of Engagement. (Military Review, September-October 2009)

    DTIC Science & Technology

    2009-10-01

    the publication of any information that could even remotely be considered to aid the enemy.”8 A year later, the Sedition Act made criticism of the...Kenneth Payne, “The Media as an Instrument of War,” Parameters (Spring 2005), 81-93. 31. Transcript of speech given by GEN Martin E. Dempsey, Commanding...General TRADOC, to the U.S. Army War College, Carlisle Barracks, PA, 25 March 2009. <www.tradoc.army.mil/pao/ Speeches /Gen%20Dempsey%202008-09/AWC%20

  1. John Dewey: Su filosofia y filosofia de la educacion (John Dewey: His Philosophy and Philosophy of Education). Working Paper.

    ERIC Educational Resources Information Center

    Zoreda, Margaret Lee

    This paper forms part of an investigation about how the philosophy of John Dewey (1859-1952) can illuminate the practice of the teaching of English as a foreign language. The paper seeks to interpret and synthesize John Dewey's philosophical works to construct a "Deweyian lens" with which to analyze and evaluate the field of the teaching…

  2. Hospital CIO Explains Blockchain Potential: An Interview with Beth Israel Deaconess Medical Center's John Halamka.

    PubMed

    Mertz, Leslie

    2018-01-01

    Work is already underway to bring blockchain technology to the healthcare industry, and hospital administrators are trying to figure out what it can do for them, their clinicians, and their patients. That includes administrators at Beth Israel Deaconess Medical Center, a leading academic medical center located in Boston.

  3. Photocopy of photograph (from Mrs. Martin, grandniece of John French, ...

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

    Photocopy of photograph (from Mrs. Martin, grandniece of John French, Clinton, Missouri) Circa 1900, photographer unknown JOHN AND ALMIRA FRENCH IN FRONT OF WEST AND SOUTH FACADES - John French Farm, South Grand River, Deepwater, Henry County, MO

  4. The association of hospital governance with innovation in Taiwan.

    PubMed

    Yang, Chen-Wei; Yan, Yu-Hua; Fang, Shih-Chieh; Inamdar, Syeda Noorein; Lin, Hsien-Cheng

    2018-01-01

    Hospitals in Taiwan are facing major changes and innovation is increasingly becoming a critical factor for remaining competitive. One determinant that can have a significant impact on innovation is hospital governance. However, there is limited prior research on the relationship between hospital governance and innovation. The purpose of this study is to propose a conceptual framework to hypothesize the relationship between governance mechanisms and innovation and to empirically test the hypotheses in hospital organizations. We examine the relationship between governance mechanisms and innovation using data on 102 hospitals in Taiwan from the Taiwan Joint Commission on Hospital Accreditation and Quality Improvement. We model governance mechanisms using board structure, information transparency and strategic decision-making processes. For our modeling and data analysis we use measurement and structural models. We find that in hospital governance, information transparency and strategic decision making did impact innovation. However, governance structure did not. To facilitate innovation, hospital boards can increase information transparency and improve the decision-making process when considering strategic investments in innovative initiatives. To remain competitive, hospital boards need to develop and monitor indices that measure hospital innovation to ensure ongoing progress. Copyright © 2017 John Wiley & Sons, Ltd.

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

    PubMed

    Young, Robert H; Louis, David N

    2011-10-01

    To celebrate the bicentennial of the 1811 charter to establish the Massachusetts General Hospital, we tell the stories of the physicians and surgeons of the hospital who practiced pathology until the discipline was more firmly established with the recruitment of James Homer Wright who became the first full-time pathologist at the hospital in 1896. One of the two co-founders of the hospital, John Collins Warren (famed primarily for being the surgeon at the first public demonstration of ether anesthesia) had a major interest in pathology; he published a book focused on gross pathology (1837) and began the important specimen collection subsequently known as the Warren Anatomical Museum at Harvard Medical School (HMS). An early physician, John Barnard Swett Jackson, became the first professor of pathology in the United States (1847) and was a noted collector whose specimens were added to the Warren Museum. Dr Jackson showed no interest in microscopy when it became available, but microscopy was promoted from circa the late 1840s at Harvard and likely at the hospital by Oliver Wendell Holmes, the famed essayist who was on the staff of the hospital and faculty at the medical school. Microscopy was probably first used at the Hospital with any frequency on examination of fluids by the first officially designated 'Microscopist,' John Bacon Jr, in 1851, and after the mid-1850s by Calvin Ellis on anatomic specimens; Ellis went on to pioneering reform of the HMS curriculum. Reginald Heber Fitz succeeded Ellis in 1871 and was the first to be officially designated as 'Pathologist' at the hospital. Fitz is remembered for two major contributions: his paper showing the nature of, and potential surgical cure for, the disease that he termed 'appendicitis'; and his description of acute pancreatitis. With the microscope now firmly entrenched and with the increase in surgery after Fitz's work on appendicitis, surgical pathology grew quickly. J Collins Warren, the grandson of the co

  6. Obituary: John Daniel Kraus, 1910-2004

    NASA Astrophysics Data System (ADS)

    Kraus, John D., Jr.; Marhefka, Ronald J.

    2005-12-01

    John Daniel Kraus, 94, of Delaware, Ohio, director of the Ohio State University "Big Ear" Radio Observatory, physicist, inventor, and environmentalist died 18 July 2004 at his home in Delaware, Ohio. He was born on 28 June 1910 in Ann Arbor, Michigan. He received a Bachelor of Science in 1930, a Master of Science in 1931, and a PhD in physics in 1933 (at 23 years of age), all from the University of Michigan, Ann Arbor. During the 1930s at Michigan, he was involved in physics projects, antenna consulting, and in atomic-particle-accelerator research using the University of Michigan's premier cyclotron. Throughout the late 1920s and the 1930s, John was an avid radio amateur with call sign W8JK. He was back on the air in the 1970s. In 2001 the amateur radio magazine CQ named him to the inaugural class of its Amateur Radio Hall of Fame. He developed many widely used innovative antennas. The "8JK closely spaced array" and the "corner reflector" were among his early designs. Edwin H. Armstrong wrote John in July 1941 indicating in part, "I have read with interest your article in the Proceedings of the Institute on the corner reflector...Please let me congratulate you on a very fine piece of work." Perhaps John's most famous invention, and a product of his intuitive reasoning process, is the helical antenna, widely used in space communications, on global positioning satellites, and for other applications. During World War II, John was in Washington, DC as a civilian scientist with the U.S. Navy responsible for "degaussing" the electromagnetic fields of steel ships to make them safe from magnetic mines. He also worked on radar countermeasures at Harvard University's Radio Research Laboratory. He received the U.S. Navy Meritorious Civilian Service Award for his war work. In 1946 he took a faculty position at Ohio State University, becoming professor in 1949, and retiring in 1980 as McDougal Professor Emeritus of Electrical Engineering and Astronomy. Even so, he never retired

  7. John Ross, Cherokee Chief.

    ERIC Educational Resources Information Center

    Moulton, Gary Evan

    Emphasizing the dedication with which John Ross (1790-1866) labored to achieve Cherokee social and political cohesion, this biography details the historical and political events which influenced Ross's attempts to make the U.S. honor its treaty obligations and thwart the Federal "Removal Policy" (removal of American Indians from their…

  8. Is the hospital decision to seek accreditation an effective one?

    PubMed

    Grepperud, Sverre

    2015-01-01

    The rapid expansion in the number of accredited hospitals justifies inquiry into the motives of hospitals in seeking accreditation and its social effectiveness. This paper presents a simple decision-theoretic framework where cost reductions and improved quality of care represent the endpoint benefits from accreditation. We argue that hospital accreditation, although acting as a market-signaling device, might be a socially inefficient institution. First, there is at present no convincing evidence for accreditation causing output quality improvements. Second, hospitals could seek accreditation, even though doing so is socially inefficient, because of moral hazard, consumer misperceptions, and nonprofit motivations. Finally, hospitals that seek accreditation need not themselves believe in output quality improvements from accreditation. Consequently, while awaiting additional evidence on accreditation, policy makers and third-party payers should exercise caution in encouraging such programs. Copyright © 2014 John Wiley & Sons, Ltd.

  9. 75 FR 5803 - John Day/Snake Resource Advisory Council; Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ...] John Day/Snake Resource Advisory Council; Meetings AGENCY: Bureau of Land Management, Interior. ACTION: Meeting Notice for the John Day/Snake Resource Advisory Council. SUMMARY: Pursuant to the Federal Land..., Bureau of Land Management (BLM) John Day/Snake Resource Advisory Council (JDSRAC) will meet as indicated...

  10. What do we know about noise in hospitals

    NASA Astrophysics Data System (ADS)

    West, James E.; Busch-Vishniac, Ilene

    2005-09-01

    Little is known about noise levels inside hospitals and its effect on healing, safety, staff, and doctors. Many independent studies of noise levels in a wide range of hospital venues in many countries have been reported in the literature authored mainly by physicians and nurses. The World Health Organization (WHO) has set guidelines for noise levels in hospitals, but none of the reported studies meet WHO guidelines. In most cases noise levels are more then 15 dB A-weighted higher then those specified by WHO guidelines. Since 1960 the average noise levels in hospitals has increased an average of 0.38 dB per year during daytime hours and 0.42 dB during the night. This talk reviews the state of the art on interior hospital noise control and the remaining challenging issues. Equivalent sound pressure levels as a function of location, frequency and time of day were measured in five different venues at the Johns Hopkins Hospital in Baltimore Maryland. Results of our measurements, which confirm the trends seen in prior studies, will be used to describe patterns of hospital interior noise and avenues ripe for further investigation.

  11. Astronaut John H. Glenn

    NASA Technical Reports Server (NTRS)

    1959-01-01

    Astronaut John H. Glenn, one of the original seven astronauts for Mercury Project selected by NASA on April 27, 1959. The MA-6 mission, boosted by the Mercury-Atlas vehicle, was the first manned orbital launch by the United States, and carried Astronaut Glenn aboard the Friendship 7 spacecraft to orbit the Earth.

  12. Conversations with John Williams

    ERIC Educational Resources Information Center

    Sullivan, Jack

    2007-01-01

    In this article, the author shares the views of John Williams, Hollywood's premier composer, who has written more than 300 scores, about the future of classical and film music. A gregarious person in a field requiring monklike isolation, Williams values the "association with the soloists, and the wonderful inspiration from players." His…

  13. Who Killed John Keats?

    ERIC Educational Resources Information Center

    Leal, Amy

    2007-01-01

    Two months before he died, John Keats claimed he had been poisoned. Although most scholars and biographers have attributed Keats's fears of persecution, betrayal, and murder to consumptive dementia, Keats's suspicions had begun long before 1820 and were not without some justification. In this article, the author talks about the death of John…

  14. Chemistry of St. John's Wort: Hypericin and Hyperforin

    ERIC Educational Resources Information Center

    Vollmer, John J.; Rosenson, Jon

    2004-01-01

    The appeal as natural antidepressant is the major selling point of St. John's Wort, which is referred to as "Prozac from the plant kingdom". Hypericin and hyperforin, two major constituents with significant biological activity of St. John's Wort and which are complex molecules with unusual features, are examined.

  15. Impact of hospital volume on hospital mortality, length of stay and total costs after pancreaticoduodenectomy.

    PubMed

    Yoshioka, R; Yasunaga, H; Hasegawa, K; Horiguchi, H; Fushimi, K; Aoki, T; Sakamoto, Y; Sugawara, Y; Kokudo, N

    2014-04-01

    High morbidity and mortality rates after pancreaticoduodenectomy (PD) have led to concentration of this surgery in high-volume centres, with improved outcomes. The extent to which better outcomes might be apparent in a healthcare system where the mortality rate is already low is unclear. The Japanese Diagnosis Procedure Combination database was used to identify patients undergoing PD between 2007 and 2010. Patient data included age, sex, co-morbidities at admission, type of hospital, type of PD, and the year in which the patient was treated. Hospital volume was defined as the number of PDs performed annually at each hospital, and categorized into quintiles: very low-, low-, medium-, high- and very high-volume groups. The Charlson co-morbidity index was calculated using the International Classification of Diseases, tenth revision, codes of co-morbidities. A total of 10 652 patients who underwent PD in 848 hospitals were identified. The overall in-hospital mortality rate after PD was 3·3 per cent (350 of 10 652), and for the groups ranged from 5·0 per cent for the very low-volume group to 1·4 per cent for the very high-volume group (P < 0·001). Multivariable analysis revealed a significant linear relationship between higher hospital volume and shorter postoperative length of stay compared with the very low-volume group, and between increasing hospital volume and lower total costs. A significant relationship exists between increasing hospital volume, lower in-hospital mortality, shorter length of stay and lower costs for patients undergoing PD in Japan. Centralization of PD in this healthcare system is therefore justified. © 2014 BJS Society Ltd. Published by John Wiley & Sons Ltd.

  16. 33 CFR 110.73 - St. Johns River, Fla.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false St. Johns River, Fla. 110.73 Section 110.73 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.73 St. Johns River, Fla. (a) Area A. The waters lying...

  17. 33 CFR 110.73 - St. Johns River, Fla.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false St. Johns River, Fla. 110.73 Section 110.73 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.73 St. Johns River, Fla. (a) Area A. The waters lying...

  18. 33 CFR 110.73 - St. Johns River, Fla.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false St. Johns River, Fla. 110.73 Section 110.73 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.73 St. Johns River, Fla. (a) Area A. The waters lying...

  19. 33 CFR 110.73 - St. Johns River, Fla.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false St. Johns River, Fla. 110.73 Section 110.73 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.73 St. Johns River, Fla. (a) Area A. The waters lying...

  20. John Newsom-Davis: clinician-scientist and so much more

    PubMed Central

    2011-01-01

    John Newsom-Davis was born in 1932 and died, aged 74, in 2007. After national service in the Royal Air Force, he read Natural Sciences at Cambridge. Following clinical studies at the Middlesex Hospital, he began research into respiratory neurophysiology with Tom Sears at the National Hospital, Queen Square, in London, and spent 1 year with Fred Plum at Cornell University in New York. After neurology specialist training at Queen Square, he became the director of the Batten Unit, continuing his interest in respiratory physiology. There he began to work on myasthenia gravis in collaboration with Ricardo Miledi at University College London and in 1978, after performing the first studies on plasma exchange in that disease, he established a myasthenia gravis research group at the Royal Free Hospital. There he investigated the role of the thymus in this disease and demonstrated an autoimmune basis for the Lambert Eaton myasthenic syndrome and ‘seronegative’ myasthenia. He was awarded the first Medical Research Council Clinical Research Professorship in 1979 but moved to Oxford in 1987 when he was elected Action Research Professor of Neurology. While at Oxford, he continued to run a very successful multidisciplinary group, researched further into the thymic abnormalities and cellular immunology of myasthenia, identified antibody-mediated mechanisms in acquired neuromyotonia, and began the molecular work that identified the genetic basis for many forms of congenital myasthenic syndrome. Meanwhile, he was also involved in university and college governance and contributed widely to the Medical Research Council, government committees, research charities and the Association of British Neurologists. Among many honours, he was elected Fellow of the Royal Society in 1991, appointed Commander of the British Empire in 1996 and made a Foreign Associate Member of the Institute of Medicine of the United States in 2001. Nearing and following retirement from Oxford, where he

  1. Talking theory, talking therapy: Emmy Gut and John Bowlby.

    PubMed

    Ross, Lynda R

    2006-06-01

    Emmy Gut was a psychotherapist who developed, in her later years, a unique theory distinguishing between "productive" and "unproductive" depression. Dr. John Bowlby was a leading psychoanalyst famous for his work on attachment theory. After the death of her second husband, Emmy contacted John because his work on mourning and grief spoke to her own depressed state. Although her views of the world and of her relationship with John were clearly coloured by bouts of depression, she was profoundly influenced by her personal, therapeutic, and intellectual involvement with him. Evidence of his influence is seen in the volumes of correspondence flowing between them beginning in 1971 and continuing until John's death in 1990. During that time, Emmy wrote more than 100-some very lengthy-letters to John. Much of her correspondence was devoted to discussions about their often ambiguous and conflicted therapeutic relationship. Through an analysis of attachment theory and the nature of the client-therapist alliance, this paper offers insights into the effects that imbalances in power, expectations, and shifting needs can play in the recovery process.

  2. Peter Pindar (John Wolcot).

    ERIC Educational Resources Information Center

    Vales, Robert L.

    This book is designed as an introduction to John Wolcot's works for the general reader, the college student, and the college teacher. Wolcot, whose pen name was Peter Pindar, wrote topical satire on public personalities of the eighteenth century, and his methods of criticism are the motif which guides each chapter and which unites all the satires…

  3. A conditional approach for modelling patient readmissions to hospital using a mixture of Coxian phase-type distributions incorporating Bayes' theorem.

    PubMed

    Gordon, Andrew S; Marshall, Adele H; Cairns, Karen J

    2016-09-20

    The number of elderly patients requiring hospitalisation in Europe is rising. With a greater proportion of elderly people in the population comes a greater demand for health services and, in particular, hospital care. Thus, with a growing number of elderly patients requiring hospitalisation competing with non-elderly patients for a fixed (and in some cases, decreasing) number of hospital beds, this results in much longer waiting times for patients, often with a less satisfactory hospital experience. However, if a better understanding of the recurring nature of elderly patient movements between the community and hospital can be developed, then it may be possible for alternative provisions of care in the community to be put in place and thus prevent readmission to hospital. The research in this paper aims to model the multiple patient transitions between hospital and community by utilising a mixture of conditional Coxian phase-type distributions that incorporates Bayes' theorem. For the purpose of demonstration, the results of a simulation study are presented and the model is applied to hospital readmission data from the Lombardy region of Italy. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  4. Magic moments with John Bell

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bertlmann, Reinhold A.

    John Bell, with whom I had a fruitful collaboration and warm friendship, is best known for his seminal work on the foundations of quantum physics, but he also made outstanding contributions to particle physics and accelerator physics.

  5. Geology of St. John, U.S. Virgin Islands

    USGS Publications Warehouse

    Rankin, Douglas W.

    2002-01-01

    The rocks of St. John, which is located near the eastern end of the Greater Antilles and near the northeastern corner of the Caribbean plate, consist of Cretaceous basalt, andesite, keratophyre, their volcaniclastic and hypabyssal intrusive equivalents, and minor calcareous rocks and chert. These rocks were intruded by Tertiary mafic dikes and tonalitic plutons. The oldest rocks formed in an extensional oceanic environment characterized by abundant keratophyre and sheeted dikes. Subduction-related volcanism of the east-west-trending marine Greater Antilles volcanic arc began on St. John near the transition between the Early and Late Cretaceous. South-directed compression, probably caused by the initial collision between the Greater Antilles arc of the Caribbean plate and the Bahama platform of the North American plate, deformed the Cretaceous strata into east-west-trending folds with axial-plane cleavage. Late Eocene tonalitic intrusions, part of the Greater Antilles arc magmatism, produced a contact aureole that is as much as two kilometers wide and that partly annealed the axial-plane cleavage. East-west compression, possibly related to the relative eastward transport of the Caribbean plate in response to the beginning of spreading at the Cayman Trough, produced long-wavelength, low-amplitude folds whose axes plunge gently north and warp the earlier folds. A broad north-plunging syncline-anticline pair occupies most of St. John. The last tectonic event affecting St. John is recorded by a series of post-late Eocene sinistral strike-slip faults related to the early stages of spreading at the Cayman Trough spreading center and sinistral strike-slip accommodation near the northern border of the Caribbean plate. Central St. John is occupied by a rhomb horst bounded by two of these sinistral faults. Unlike other parts of the Greater Antilles, evidence for recent tectonic movement has not been observed on St. John.

  6. The impact on hospital resource utilisation of treatment of hepatic encephalopathy with rifaximin-α.

    PubMed

    Orr, James G; Currie, Craig J; Berni, Ellen; Goel, Anurag; Moriarty, Kieran J; Sinha, Ashish; Gordon, Fiona; Dethier, Anne; Dillon, John F; Clark, Katie; Richardson, Paul; Middleton, Paul; Patel, Vishal; Shawcross, Debbie; Preedy, Helen; Aspinall, Richard J; Hudson, Mark

    2016-09-01

    Rifaximin-α reduces the risk of recurrence of overt hepatic encephalopathy. However, there remain concerns regarding the financial cost of the drug. We aimed to study the impact of treatment with rifaximin-α on healthcare resource utilisation using data from seven UK liver treatment centres. All seven centres agreed a standardised data set and data characterising clinical, demographic and emergency hospital admissions were collected retrospectively for the time periods 3, 6 and 12 months before and following initiation of rifaximin-α. Admission rates and hospital length of stay before and during therapy were compared. Costs of admissions and drug acquisition were estimated using published sources. Multivariate analyses were carried out to assess the relative impact of various factors on hospital length of stay. Data were available from 326 patients. Following the commencement of rifaximin, the total hospital length of stay reduced by an estimated 31-53%, equating to a reduction in inpatient costs of between £4858 and £6607 per year. Taking into account drug costs of £3379 for 1-year treatment with rifaximin-α, there was an estimated annual mean saving of £1480-£3228 per patient. Initiation of treatment with rifaximin-α was associated with a marked reduction in the number of hospital admissions and hospital length of stay. These data suggest that treatment of patients with rifaximin-α for hepatic encephalopathy was generally cost saving. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. Possibility of using salivary ultra-weak chemiluminescence as a biomarker for feelings of anxiety in hospital settings.

    PubMed

    Hiramatsu, Mitsuo; Chida, Kingo; Hashimoto, Dai; Takamoto, Hisayoshi; Honzawa, Katsu; Okada, Hiroyuki; Nakamura, Kimitsugu; Takagi, Kuniaki

    2016-11-01

    The aim of this study was to assess whether a particular value of noninvasive salivary ultra-weak chemiluminescence (UCL) could be used as a biomarker of psychological stress. Our study covered two groups. Group 1 comprised six healthy volunteers who stayed in a hospital for one night and group 2 comprised 15 patients with lung cancer and 24 patients with respiratory diseases other than lung cancer who were in hospital for an extended stay. First, we evaluated the UCL of saliva from six healthy volunteers before and after one night in hospital. Immunoglobulin A (IgA) concentrations were also measured. The integrated intensity value of UCL was correlated with the IgA concentration (correlation coefficient 0.90). Second, in the case of a long hospital stay, we found that the maximum salivary UCL intensities were higher in patients with lung cancer than in those with respiratory diseases other than lung cancer or in 28 healthy controls. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  8. Readiness for hospital discharge: A concept analysis.

    PubMed

    Galvin, Eileen Catherine; Wills, Teresa; Coffey, Alice

    2017-11-01

    To report on an analysis on the concept of 'readiness for hospital discharge'. No uniform operational definition of 'readiness for hospital discharge' exists in the literature; therefore, a concept analysis is required to clarify the concept and identify an up-to-date understanding of readiness for hospital discharge. Clarity of the concept will identify all uses of the concept; provide conceptual clarity, an operational definition and direction for further research. Literature review and concept analysis. A review of literature was conducted in 2016. Databases searched were: Academic Search Complete, CINAHL Plus with Full Text, PsycARTICLES, Psychology and Behavioural Sciences Collection, PsycINFO, Social Sciences Full Text (H.W. Wilson) and SocINDEX with Full Text. No date limits were applied. Identification of the attributes, antecedents and consequences of readiness for hospital discharge led to an operational definition of the concept. The following attributes belonging to 'readiness for hospital discharge' were extracted from the literature: physical stability, adequate support, psychological ability, and adequate information and knowledge. This analysis contributes to the advancement of knowledge in the area of hospital discharge, by proposing an operational definition of readiness for hospital discharge, derived from the literature. A better understanding of the phenomenon will assist healthcare professionals to recognize, measure and implement interventions where necessary, to ensure patients are ready for hospital discharge and assist in the advancement of knowledge for all professionals involved in patient discharge from hospital. © 2017 John Wiley & Sons Ltd.

  9. Values and strategies: management of radical organizational change in a university hospital.

    PubMed

    Orvik, Arne

    2017-04-01

    Managers' experiences of radical change were studied in a Norwegian university hospital, which was relocated from a traditional building to a new, high-tech building. The university hospital was also accredited as a health promoting hospital. Thirteen managers at different levels in the organization and a personnel safety representative were interviewed as part of a trailing research project. The aim of the study was to elucidate the managers' value orientation and strategies for dealing with value tensions. A combination of a hermeneutical, reflective method and a template for quality, efficiency and integrity guided the analysis. The template was based not only on the main findings but also on the core values of a model of organizational health. The results show that clinical managers focus on quality and top managers, not unexpectedly, focus on efficiency. Managers at both levels were concerned about their own integrity, and also about the integrity of their clinician colleagues, as well as showing concern for the hospital's mission, in terms of organizational effectiveness. The discussion was conducted in terms of dominance, cycling and balancing strategies, of which the last was the most prevalent. However, sustainable strategies for dealing with value tensions also call for value-based management and value-conscious leadership. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  10. John Hennessey, Barrier Breaker

    ERIC Educational Resources Information Center

    Nelson, Stephen J.

    2018-01-01

    John Hennessey lived a remarkable, full life as a professor, as a leader in his field of management and business, and moral, ethical leadership, and as dean at Dartmouth College's Tuck School of Business and provost at the University of Vermont. He was extraordinary on many fronts, a great man who lived in tumultuous times marked by world war as a…

  11. Public hospital autonomy in China in an international context.

    PubMed

    Allen, Pauline; Cao, Qi; Wang, Hufeng

    2014-01-01

    Following decades of change in health care structures and modes of funding, China has recently been making pilot reforms to the governance of its public hospitals, primarily by increasing the autonomy of public hospitals and redefining the roles of the health authorities. In this paper, we analyse the historical evolution and current situation of public hospital governance in China, focussing the range of governance models being tried out in pilot cities across China. We then draw on the experiences of public hospital governance reform in a wide range of other countries to consider the nature of the Chinese pilots. We find that the key difference in China is that the public hospitals in the pilot schemes do not receive sufficient funding from government and are able to distribute profits to staff. This creates incentives to charge patients for excessive treatment. This situation has undermined public service orientation in Chinese public hospitals. We conclude that the pilot reforms of governance will not be sufficient to remedy all the problems facing these hospitals, although they are a step in the right direction. Copyright © 2013 John Wiley & Sons, Ltd.

  12. Informal caregivers in hospitals: Opportunities and threats.

    PubMed

    Amiresmaili, Mohammadreza; Emrani, Zahra

    2018-05-20

    High hospital costs are a challenge that health system face. Additionally, studies identified manpower deficiency as a problem in health system. Hospital is a place where patients with different physical and mental conditions come to. Their families and friends' companionship can facilitate this situation for them. This study illustrates the roles of informal caregivers in hospital. This is a phenomenological qualitative study. Data were gathered through semistructured interviews. We interviewed 22 informal caregivers and 9 nurse staffs from different departments of hospital. They were selected through purposeful and snowball sampling approach. The framework method was used for data analysis. We found 3 main themes including (a) roles of informal caregivers, (b) opportunities of presence of the informal caregivers in the hospital, and (c) threats of presence of informal caregivers. This study shows some roles for informal caregivers including mental supports, consultation, decision-making, and care roles. Concerning the shortage of manpower in Iran's hospitals, nurses have less time to take care of each patient; therefore, using informal caregivers as an implicit strategy to overcome nursing shortage and to reduce hospital costs seems to be beneficial. We suggest that an appropriate plan is necessary to make use of them for filling this gap to some extent, as well as providing training sessions and facilities for companions acting as informal caregivers. Copyright © 2018 John Wiley & Sons, Ltd.

  13. John Bell (1763-1820): brother artist and anatomist.

    PubMed

    Gardner-Thorpe, Christopher

    2013-01-01

    John Bell, brother-surgeon of Charles Bell, was, like Charles, an outstanding surgeon and a good artist. John was one of the few who illustrated his work with their own drawings in the days before audiovisual aids were available and without the benefit of reliable drawing aids, photography and computer-aided design. Charles, on the other hand, was the better artist and illustrated much of the normal anatomy of the nervous system. Each brother undertook extensive surgery of men who had been wounded in war; John Bell left us his engravings from the textbooks, more numerous perhaps than Charles, but Charles left us a series of oil paintings and watercolours in addition to the illustrations in his textbooks. © 2013 Elsevier B.V. All rights reserved.

  14. Selection of asset investment models by hospitals: examination of influencing factors, using Switzerland as an example.

    PubMed

    Eicher, Bernhard

    2016-10-01

    Hospitals are responsible for a remarkable part of the annual increase in healthcare expenditure. This article examines one of the major cost drivers, the expenditure for investment in hospital assets. The study, conducted in Switzerland, identifies factors that influence hospitals' investment decisions. A suggestion on how to categorize asset investment models is presented based on the life cycle of an asset, and its influencing factors defined based on transaction cost economics. The influence of five factors (human asset specificity, physical asset specificity, uncertainty, bargaining power, and privacy of ownership) on the selection of an asset investment model is examined using a two-step fuzzy-set Qualitative Comparative Analysis. The research shows that outsourcing-oriented asset investment models are particularly favored in the presence of two combinations of influencing factors: First, if technological uncertainty is high and both human asset specificity and bargaining power of a hospital are low. Second, if assets are very specific, technological uncertainty is high and there is a private hospital with low bargaining power, outsourcing-oriented asset investment models are favored too. Using Qualitative Comparative Analysis, it can be demonstrated that investment decisions of hospitals do not depend on isolated influencing factors but on a combination of factors. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  15. Inpatient hospital burden of hepatitis C-diagnosed patients with decompensated cirrhosis.

    PubMed

    McDonald, Scott A; Innes, Hamish A; Aspinall, Esther J; Hayes, Peter C; Alavi, Maryam; Valerio, Heather; Goldberg, David J; Hutchinson, Sharon J

    2017-12-30

    To describe the burden on inpatient hospital resources over time from patients diagnosed with hepatitis C virus (HCV) infection and who have reached the decompensated stage of cirrhosis (DC), as existing estimates of hospital stay in these patients are limited. A retrospective longitudinal dataset was formed via record-linkage between the national HCV diagnosis database and inpatient/daycase hospitalisation and death registers in Scotland. The study population consisted of HCV-diagnosed patients with a first DC admission in 1996-2013, with follow-up available until 31 May 2014. We investigated and quantified the mean cumulative length of hospital stay, distributions over discharge diagnosis categories, and trends in admission rates. Among our study population (n = 1543), we identified 10 179 admissions with any diagnosis post-first DC admission. Between 1996 and 2013 there was a 16-fold rise in annual total admissions (from 112 to 1791) and an 11-fold rise in hospital stay (719-8045). When restricting minimum possible follow-up to 2 years, DC patients (n = 1312) had an overall admission rate of 7.3 per person-year, and spent on average 43 days (26 days during first 6 months) in hospital; for all liver-related, liver-related other than HCC/DC, and non-liver related only admissions, this was 39, 14, and 5 days respectively. HCV-infected DC patients impose a considerable inpatient hospital burden, mostly from DC- and other liver-related admissions, but also from admissions associated with non-liver comorbidities. Estimates will be useful for monitoring the impact of prevention and treatment, and for computing the cost-effectiveness of new therapies. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  16. Hospitalization and other risk factors for depressive and anxious symptoms in oncological and non-oncological patients.

    PubMed

    De Fazio, Pasquale; Cerminara, Gregorio; Ruberto, Stefania; Caroleo, Mariarita; Puca, Maurizio; Rania, Ornella; Suffredini, Elina; Procopio, Leonardo; Segura-Garcìa, Cristina

    2017-04-01

    Depression and anxiety are common in hospitalized patients. In particular, oncological patients might be vulnerable to depression and anxiety. The aim of this study is to assess and compare different variables and the prevalence of anxiety and depression symptoms between oncological and medically ill inpatients and to identify variables that can influence depressive and anxious symptoms during hospitalization of patients. A total of 360 consecutive hospitalized patients completed the following questionnaires: Hospital Anxiety and Depression Scale (HADS), Patients Health Questionnaire-9, General Health Questionnaire (GHQ-12), 12-Item Short-Form Survey: physical component summary (PCS), and mental component summary (MCS). Patients were divided into oncological patients and non-oncological patients: groups 1 and 2. Only two significant differences were evident between the groups: the PCS of 12-item Short-form Survey was higher in non-oncological patient (p < 0.000), and the GHQ total score was higher in oncological patients. Variables significantly associated with HADS-D ≥ 8 were lower MCS, higher GHQ-12 score, lower PCS, more numerous previous hospitalizations, longer duration of hospitalization, and positive psychiatric family history. Variables significantly associated with HADS-A ≥ 8 were lower MCS, higher GHQ-12 score, positive psychiatric family history, longer duration of hospitalization, and younger age. Anxiety and depression symptoms in concurrent general medical conditions were associated with a specific sociodemographic profile, and this association has implications for clinical care. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  17. Hospital competition and financial performance: the effects of ambulatory surgery centers.

    PubMed

    Carey, Kathleen; Burgess, James F; Young, Gary J

    2011-05-01

    Ambulatory surgery centers (ASCs), limited-service alternatives for treating surgery patients not requiring an overnight stay, are a health-care service innovation that has proliferated in the U.S. and other countries in recent years. This paper examines the effects of ASC competition on revenues, costs, and profit margins of hospitals that also provided these services as a subset of their general services in Arizona, California, and Texas during the period 1997-2004. We identified all ASCs operating during the period in the 49 Dartmouth Hospital Referral Regions in the three states. The results of fixed effects models suggested that ASCs are meaningful competitors to general hospitals. We found downward pressure on revenues, costs, and profits in general hospitals associated with ASC presence. Copyright © 2010 John Wiley & Sons, Ltd.

  18. Chemistry of St. John's Wort: Hypericin and Hyperforin

    NASA Astrophysics Data System (ADS)

    Vollmer, John J.; Rosenson, Jon

    2004-10-01

    St. John's wort is a common plant that has been used medicinally for over 20 centuries. This herb is currently used by millions of people, primarily as natural antidepressant; yet, its efficacy is still under constant debate. St. John's wort contains a large aromatic molecule, hypericin, twisted by steric interactions into the shape of a propeller. For use as antidepressant, St. John's wort is standardized to the content of hypericin, but this molecule was recently found not to be the active ingredient. A totally different bicyclic molecule with complex substitution pattern, hyperforin, was then studied as the causative agent. Both molecules are strongly active in biological systems. Hypericin has shown antiviral activity and is a potent natural photosensitizer that has been used in photodynamic therapy against cancer and against HIV in stored blood. Hyperforin was found to activate a particular receptor in the liver that induces the production of an enzyme used for the metabolism of medications. This effect causes more rapid breakdown of many prescription medications and can interfere with their effectiveness. This finding should prompt a reevaluation of regular use of St. John's wort.

  19. A New Reading of Shakespeare's King John.

    NASA Astrophysics Data System (ADS)

    Usher, Peter D.

    1995-12-01

    Shakespeare wrote King John c.1594, six years after the defeat of the Spanish Armada, and ~ 50 years after publication of the Copernican heliocentric hypothesis. It is said to be the most unhistorical of the History Plays, ``anomalous'', ``puzzling'', and ``odd'', and as such it has engendered far more than the customary range of interpretive opinion. I suggest that the play alerts Elizabethans not just to military and political threats, but to a changing cosmic world view, all especially threatening as they arise in Catholic countries. (a) Personification characterizes the play. John personifies the old order, while Arthur and the Dauphin's armies personify the new. I suggest that Shakespeare decenters King John just as Copernicus decentered the world. (b) Hubert menaces Arthur's eyes for a whole scene (4.1), but the need for such cruelty is not explained and is especially odd as Arthur is already under sentence of death (3.3.65-66). This hitherto unexplained anomaly suggests that the old order fears what the new might see. (c) Eleanor's confession is made only to Heaven and to her son the King (1.1.42-43), yet by echoing and word play the Messenger from France later reveals to John that he is privy to it (4.2.119-124). This circumstance has not been questioned heretofore. I suggest that the Messenger is like the wily Hermes (Mercury), chief communicator of the gods and patron of the sciences; by revealing that he moves in the highest circles, he tells John that he speaks with an authority that transcends even that of a king. The message from on high presages more than political change; it warns of a new cosmic and religious world order (d) Most agree that John is a weak king, so Shakespeare must have suspected flaws in the old ways. He would have known that Tycho Brahe's new star of 1572, the comet of 1577, and the 1576 model of his compatriot Thomas Digges, were shattering old ideas. (e) The tensions of the play are not resolved because in 1594 the new order was

  20. The Role of Learning in Health Technology Assessments: An Empirical Assessment of Endovascular Aneurysm Repairs in German Hospitals.

    PubMed

    Varabyova, Yauheniya; Blankart, Carl Rudolf; Schreyögg, Jonas

    2017-02-01

    Changes in performance due to learning may dynamically influence the results of a technology evaluation through the change in effectiveness and costs. In this study, we estimate the effect of learning using the example of two minimally invasive treatments of abdominal aortic aneurysms: endovascular aneurysm repair (EVAR) and fenestrated EVAR (fEVAR). The analysis is based on the administrative data of over 40,000 patients admitted with unruptured abdominal aortic aneurysm to more than 500 different hospitals over the years 2006 to 2013. We examine two patient outcomes, namely, in-hospital mortality and length of stay using hierarchical regression models with random effects at the hospital level. The estimated models control for patient and hospital characteristics and take learning interdependency between EVAR and fEVAR into account. In case of EVAR, we observe a significant decrease both in the in-hospital mortality and length of stay with experience accumulated at the hospital level; however, the learning curve for fEVAR in both outcomes is effectively flat. To foster the consideration of learning in health technology assessments of medical devices, a general framework for estimating learning effects is derived from the analysis. © 2017 The Authors. Health Economics published by John Wiley & Sons, Ltd. © 2017 The Authors. Health Economics published by John Wiley & Sons, Ltd.

  1. A Hospital Local Area Communication Network—The First Year's Experience

    PubMed Central

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

    1982-01-01

    A local area communications network has been implemented at the University of California, San Francisco Hospital to integrate major components of the hospital's information system. This microprocessor-based network technology was developed by The Applied Physics Laboratory of the Johns Hopkins University. The first year's experience has demonstrated the basic feasibility of this technology in simplifying the integration of diverse hardware and software systems. Four minicomputer-based UCSF systems now use the network to synchronize key patient identification and registration information among the systems. Clinical uses of the network will begin during the second year of the project.

  2. Hospital admissions for anaphylaxis in Istanbul, Turkey.

    PubMed

    Cetinkaya, F; Incioglu, A; Birinci, S; Karaman, B E; Dokucu, A I; Sheikh, A

    2013-01-01

    There are very limited data characterizing the epidemiology of anaphylaxis from low- and middle-income country settings. We aimed to estimate the frequency of anaphylaxis admissions to hospitals in Istanbul. We obtained data from all 45 hospitals in Istanbul over a 12-month period and used ICD-10 codes to extract data on those admitted with a recorded primary diagnosis of anaphylaxis. Because of concerns about possible under-coding, we undertook an additional analysis to identify patients admitted with two or more clinical codes for symptoms and/or signs suggestive of, but not coded as having, anaphylaxis. A total of 114 cases (79 people with anaphylaxis codes and 35 with symptoms and signs suggestive of anaphylaxis) were identified, giving an overall estimate of 1.95 cases per 100 000 person-years. The novel two-stage identification approach employed suggests significant under-recording of anaphylaxis in those admitted to hospitals in Istanbul. © 2012 John Wiley & Sons A/S.

  3. 77 FR 419 - Drawbridge Operation Regulation; St. Johns River, Jacksonville, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-05

    ... Operation Regulation; St. Johns River, Jacksonville, FL AGENCY: Coast Guard, DHS. ACTION: Notice of... bridge across the St. Johns River, mile 24.9, in Jacksonville, Florida. The regulation is set forth in 33... automated railroad bridge over the St. Johns River in Jacksonville, Florida. This temporary deviation will...

  4. Contribution of case-mix classification to profiling hospital characteristics and productivity.

    PubMed

    Kuwabara, Kazuaki; Matsuda, Shinya; Fushimi, Kiyohide; Ishikawa, Koichi B; Horiguchi, Hiromasa; Hayashida, Kenshi; Fujimori, Kenji

    2011-01-01

    Case-mix classification has made it possible to analyze acute care delivery case volumes and resources. Data arising from observed differences have a role in planning health policy. Aggregated length of hospital stay (LOS) and total charges (TC) as measures of resource use were calculated from 34 case-mix groups at 469 hospitals (1,721,274 eligible patients). The difference between mean resource use of all hospitals and the mean resource use of each hospital was subdivided into three components: amount of variation attributable to hospital practice behavior (efficiency); amount attributable to hospital case-mix (complexity); and amount attributable to the interaction. Hospital characteristics were teaching status (academic or community), ownership, disease coverage, patients, and hospital volume. Multivariate analysis was employed to determine the impact of hospital characteristics on efficiency. Mean LOS and TC were greater for academic than community hospitals. Academic hospitals were least associated with LOS and TC efficiency. Low disease coverage was a predictor of TC efficiency while low patient volume was a predictor of unnecessarily long hospital stays. There was an inverse correlation between complexity and efficiency for both LOS and TC. Policy makers should acknowledge that differentiation of hospital function needs careful consideration when measuring efficiency. Copyright © 2010 John Wiley & Sons, Ltd.

  5. 76 FR 4940 - John G. Costino, D.O.; Dismissal of Proceeding

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-27

    ... DEPARTMENT OF JUSTICE Drug Enforcement Administration John G. Costino, D.O.; Dismissal of... to Show Cause to John G. Costino, D.O. (Respondent), of North Wildwood, New Jersey. The Show Cause... Show Cause issued to John G. Costino, D.O., be, and it hereby is, dismissed. Dated: January 18, 2011...

  6. 33 CFR 165.721 - Safety Zone: St. Johns River, Jacksonville, FL.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety Zone: St. Johns River... Zone: St. Johns River, Jacksonville, FL. (a) Location. The following area is established as a safety... barges during the storage, preparation, and launching of fireworks in the St. Johns River between the...

  7. Implementing hospital innovation in Taiwan: the perspectives of institutional theory and social capital.

    PubMed

    Yang, Chen-Wei

    2015-01-01

    The main purpose of this study is to develop an innovation model for hospital organisations. For this purpose, this study explores and examines the determinants, capabilities and performance in the hospital sector. First, this discusses three categories of determinants that affect hospitals' innovative capability studies: (1) knowledge stock; (2) social ties; and (3) institutional pressures. Then, this study examines the idea of innovative hospital capabilities, defined as the ability of the hospital organisation to innovate their knowledge. Finally, the hospital evaluation rating, which identifies performance in the hospital sector, was examined. This study empirically tested the theoretical model at the organisation level. The findings suggest that a hospital's innovative capabilities are influenced by its knowledge stock, social ties, institutional pressures and the impact of hospital performance. However, in attempts to keep hospitals aligned with their highly institutionalised environments, it may prove necessary for hospital administrators to pay more attention to both existing knowledge stock and the process of innovation if the institutions are to survive. Finally, implications for theory and practitioners complete this study. Copyright © 2014 John Wiley & Sons, Ltd.

  8. Hospital financial condition and the quality of patient care.

    PubMed

    Bazzoli, Gloria J; Chen, Hsueh-Fen; Zhao, Mei; Lindrooth, Richard C

    2008-08-01

    Concerns about deficiencies in the quality of care delivered in US hospitals grew during a time period when an increasing number of hospitals were experiencing financial problems. Our study examines a six-year longitudinal database of general acute care hospitals in 11 states to assess the relationship between hospital financial condition and quality of care. We evaluate two measures of financial performance: operating margin and a broader profitability measure that encompasses both operating and non-operating sources of income. Our model specification allows for gradual adjustments in quality-enhancing activities and recognizes that current realizations of patient quality may affect future financial performance. Empirical results suggest that there is a relationship between financial performance and quality of care, but not as strong as suggested in earlier research. Overall, our results suggest that deep financial problems that go beyond the patient care side of business may be important to prompting quality problems. Copyright (c) 2007 John Wiley & Sons, Ltd.

  9. John Sawhill: Academe's Crisis Manager.

    ERIC Educational Resources Information Center

    Chernow, Ron

    1979-01-01

    John C. Sawhill became president of New York University (NYU) and balanced its budget in a year. His administration of the university, his personality, NYU's financial situation and the subsequent reforms, fund raising, faculty morale and governance, and efforts to improve the university's academic reputation are discussed. (JMD)

  10. Col John Boyds Innovative DNA

    DTIC Science & Technology

    2015-09-01

    Steve Jobs put it, why do some people seem to “think different”? Why are some people more successful innovators than others? Dyer, Gregersen, and...identifies the five traits of successful innovators and then determines how well John Boyd exem- plified those traits.2 As Apple Computer’s founder

  11. 33 CFR 165.722 - Security Zone: St. Johns River, Jacksonville, Florida.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Security Zone: St. Johns River....722 Security Zone: St. Johns River, Jacksonville, Florida. (a) Location. The water located within the following area is established as a security zone: beginning at the shoreline of the St. Johns River at the...

  12. 76 FR 39867 - Russell, John G.; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-07

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ID-6309-001] Russell, John G.; Notice of Filing Take notice that on June 29, 2011, John G. Russell submitted for filing, an application for authority to hold interlocking positions, pursuant to section 305(b) of the Federal Power Act, 16...

  13. Press Site Auditorium dedicated to John Holliman

    NASA Technical Reports Server (NTRS)

    1999-01-01

    NASA Administrator Daniel S. Goldin hands Mrs. Dianne Holliman a plaque honoring her late husband, John Holliman, a CNN national correspondent. Standing behind Goldin is Center Director Roy Bridges. At right is Tom Johnson, news group chairman of CNN. A ceremony dedicated the KSC Press Site auditorium as the John Holliman Auditorium to honor the correspondent for his enthusiastic, dedicated coverage of America's space program. The auditorium was built in 1980 and has been the focal point for new coverage of Space Shuttle launches. The ceremony followed the 94th launch of a Space Shuttle, on mission STS-96, earlier this morning.

  14. The Research of John Edmond: A Brief History

    NASA Astrophysics Data System (ADS)

    Boyle, E. A.

    2001-12-01

    John Edmond left his undergraduate solution chemistry background in damp Scotland for the sunny shores of La Jolla, where Ed Goldberg attempted to interest him in sediment chemistry (his response upon seeing messy marine sediments was not enthusiastic). Charles Keeling also attempted to interest John in CO2 manometry (too many stopcocks to grease). So John evolved into one of those graduate students at Scripps who it was hard to tell from the faculty, and financed by an International Nickel Fellowship and the ONR grant of his nominal thesis supervisor Mel Peterson (who was moving into directorship of the Deep Sea Drilling Project), John parlayed a hot tip from L.G. Sillen on Gran titrations into a thesis on the CO2 system (alkalinity and SCO2) in seawater. He produced fine data coveted by SIO faculty members and set the stage for CO2 system efforts by the GEOSECS program. Perhaps influenced by a summer fellowship at WHOI working on trace elements in Eel Pond (with Derek Spencer), John became interested in oceanic trace metal distributions and collected water samples from the Southern Ocean. This work led to papers on the oceanic Si cycle and a GEOSECS-based study of the relationship between Ra, Ba, and Si. He also became interested in the role of particulate elemental transport in the ocean and river chemistry, and so he set his first batch of graduate students on investigators of oceanic trace metals, marine particle fluxes, and New England river and estuarine chemistry. This line of investigation also extended to studies of African lake chemistry in collaboration with Ray Weiss and Harmon Craig. These studies led John to develop a laboratory with a diverse set of tools for the elemental analysis of freshwater and seawater samples. At the same time, he was talking to heat flow geophysicists who were predicting that hydrothermal springs should be found on the seafloor at mid-ocean ridge crests. So it was no accident when he seized the opportunity to join his old

  15. Hospital competition and inpatient services efficiency in Taiwan: a longitudinal study.

    PubMed

    Chu, Chiao-Lee; Chiang, Tung-Liang; Chang, Ray-E

    2011-10-01

    There is no consistent evidence of the relationship between market competition and hospital efficiency. Some studies indicated that more competition led to a faster patient turnover rate, higher hospital costs, and lower hospital efficiency. Since the 1980s some studies found market competition could increase the efficiency of inpatient services. However, there were few studies testing the market competition during a hospital's earlier stages on its efficiency during later stages, or the dynamic of efficiency. In this study, we examined the effect of early-stage market competition on later-stage hospital efficiency in Taiwan, and we determine the efficiency change using longitudinal study design. The data for the analysis came from the annual national hospital survey of 1996 and 2001 provided by the Department of Health. There were 102 teaching hospital be analysed. The results show that no evidence supports the proposition that higher market competition would improve the efficiency of hospitals in delivering inpatient services in Taiwan. Importantly, neither was the inefficiency score nor the Malmquist productivity index of inpatient services associated with the level of hospital market competition, regardless of the adjustment for hospital characteristics. However, the results may be related with the hospital increasing beds investment behavior. Copyright © 2010 John Wiley & Sons, Ltd.

  16. John Dewey--Philosopher and Educational Reformer

    ERIC Educational Resources Information Center

    Talebi, Kandan

    2015-01-01

    John Dewey was an American philosopher and educator, founder of the philosophical movement known as pragmatism, a pioneer in functional psychology, and a leader of the progressive movement in education in the United States.

  17. An Interview with John Liontas

    ERIC Educational Resources Information Center

    Sadeghi, Karim

    2017-01-01

    John I. Liontas, Ph.D. is an associate professor of foreign languages, English for speakers of other languages (ESOL), and technology in education and second language acquisition (TESLA), and director and faculty of the TESLA doctoral program at the University of South Florida. Dr. Liontas is a distinguished thought leader, author, and…

  18. Trust-based or performance-based management: a study of employment contracting in hospitals.

    PubMed

    Pettersen, Inger Johanne

    2011-01-01

    Hospitals are frequently changing managerial practices due to numerous public sector reforms taking place. In general, these reforms include the making and monitoring of contracts that regulate relations between the hospitals and their professional staffs. The aim of this paper is to discuss some main characteristics of the contracts that regulate the perceived relations between physicians as employees and the public hospital as employer. The theoretical framework is based on a contract theory approach. The empirical data is based on survey data from full-time employed physicians in the medical and surgical divisions in one of the largest university hospitals in Norway. This study shows that perceived obligations and psychological contracts indicate high degree of relational contracts between the hospital and the physicians. These socio-cultural elements should be recognized as important mechanisms of coordination and communication when policy makers and hospital managers are designing hospital management control systems. Copyright © 2009 John Wiley & Sons, Ltd.

  19. 77 FR 27766 - Jamar, John P.; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ID-6870-000] Jamar, John P.; Notice of Filing Take notice that on May 3, 2012, John P. Jamar submitted for filing, an application for... , or call (866) 208-3676 (toll free). For TTY, call (202) 502-8659. Comment Date: 5 p.m. Eastern Time...

  20. Preparing for the introduction of hospital autonomy in Laos: an assessment of current situation and suggestions for policy-making.

    PubMed

    Geng, Jinsong; Yu, Hao; Chen, Yingyao

    2016-04-01

    The National Assembly of Lao People's Democratic Republic (Laos) approved the Health Sector Reform Strategy in 2012, which called for an assessment as to whether Laos should introduce hospital autonomy, and if so, in which ways. The purpose of this study is to assess the status quo of hospital governance in Laos and propose policy suggestions for hospital autonomy in the country. We formulated an analytic framework for hospital autonomy based on previous work by other researchers, collected qualitative data through key informant interviews and focus group discussions, and also performed secondary data analysis. Public hospitals in Laos enjoyed some informal autonomy with little accountability and Laos is facing key challenges of hospital governance. As a result, introducing hospital autonomy in Laos could bring risks, benefits and debates. Before Laos decides on granting autonomy to its public hospitals, we strongly suggest that the government do pilot in selected public hospitals with well-regulated governance framework first and conduct rigorous evaluations to examine whether the granted autonomy leads to the intended social goals of equity, quality, efficiency and sustainability. We recommend residual claimants should be monitored by the government and by the society with open and transparent approach, and active measures should be taken to improve performance and ensure social functions. The study findings may also provide some suggestions for low- and middle-income countries, which are contemplating the introduction of hospital autonomy in the public sector. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  1. John B. Watson's Alleged Sex Research: An Appraisal of the Evidence

    ERIC Educational Resources Information Center

    Benjamin, Ludy T. Jr.; Whitaker, Jodi L.; Ramsey, Russell M.; Zeve, Daniel R.

    2007-01-01

    In 1974, a story was published about clandestine research done by John B. Watson that was judged to be so reprehensible that it was offered as the real reason he was fired from his faculty position at Johns Hopkins University in 1920, at perhaps the peak of his academic career. Watson's dismissal from Johns Hopkins may have been the most important…

  2. Tribes of Men: John Joseph Mathews and Indian Internationalism

    ERIC Educational Resources Information Center

    Lutenski, Emily

    2012-01-01

    In this article, the author discusses John Joseph Mathews and Indian internationalism. As an old man, Osage intellectual, writer, and historian, John Joseph Mathews recalled his expatriation from the United States during the 1920s. After growing up in Pawhuska, Oklahoma, seat of the Osage Nation, where he had been born in 1894 to a white mother…

  3. Original Mercury Astronauts with Col. John A. (Shorty) Powers

    NASA Technical Reports Server (NTRS)

    1961-01-01

    Photo of the original Mercury Astronauts with Col. John A. (Shorty) Powers seated around a table talking to the news media. From left to right are: L. Gordon Cooper, Donald K. Slayton, John H. Glenn, Jr., Col. Powers, Alan B. Shepard Jr., M. Scott Carpenter, and Walter M. Schirra Jr. Virgil I. Grissom is out of the frame.

  4. Familiar-Strange: Teaching the Scripture as John Would Teach

    ERIC Educational Resources Information Center

    Ha, Tung-Chiew

    2014-01-01

    The Gospel of John teaches through telling the story of Jesus in light of the familiar Hebrew faith stories. It is an interpretive task that presents Jesus to his audience and teaches them adequate faith. John the Teacher skillfully uses narrative skills to create the familiar-strange effect in his storytelling. Each story is followed by a…

  5. John Milton's Rainbow: Sonnet XIX.

    ERIC Educational Resources Information Center

    Scher, Amy

    John Milton presented a wide spectrum of materials and ideas illuminating the literary landscape like a rainbow which critics and authors have been discussing for centuries. One example of the multiple layers of meaning in Milton's poems is found in Sonnet XIX, which can be useful for both forensic discussion as well as for composition…

  6. John Milton Oskison and Assimilation

    ERIC Educational Resources Information Center

    Larre, Lionel

    2013-01-01

    John Milton Oskison (1874-1947) was a Cherokee writer, journalist, and activist and the author of novels and biographies as well as numerous short stories, essays, and articles about a great variety of subjects. Oskison thought of himself as "an interpreter to the world, of the modern, progressive Indian." The kind of representation Oskison gave…

  7. Social spaces for young children in hospital.

    PubMed

    Lambert, V; Coad, J; Hicks, P; Glacken, M

    2014-03-01

    In the last number of years heightened interest has been attributed to the impact of hospital environments on children's psychosocial well-being. With policy largely built around adult assumptions, knowledge about what constitutes a child-friendly hospital environment from young children's perspectives has been lacking. If hospital environments are to aspire to being child friendly then the views of younger aged children must be taken into account. The current study investigated young children's perspectives of hospital social spaces to inform the design of the built environment of a new children's hospital. An exploratory qualitative participatory design was employed. Data were collected through semi-structured interviews (one-to-one and group workshops) which incorporated art-based activities to actively engage young children. Fifty-five young children aged 5 to 8 years with various acute and chronic illnesses were recruited from inpatient, outpatient and emergency departments of three children's hospitals. Young children want a diversity of readily available, independently accessible, age, gender and developmentally appropriate leisure and entertainment facilities seamlessly integrated throughout the hospital environment. Such activities were invaluable for creating a positive hospital experience for children by combating boredom, enriching choice and control and reducing a sense of isolation through enhanced socialization. When in hospital, young children want to feel socially connected to the internal hospital community as well as to the outside world. Technology can assist to broaden the spectrum of children's social connectivity when in hospital - to home, school and the wider outside world. While technology offers many opportunities to support children's psychosocial well-being when in confined healthcare spaces, the implementation and operation of such services and systems require much further research in the areas of ethics, facilitation, organizational

  8. The effect of hospital-physician integration on health information technology adoption.

    PubMed

    Lammers, Eric

    2013-10-01

    The US federal government has recently made a substantial investment to enhance the US health information technology (IT) infrastructure. Previous literature on the impact of IT on firm performance across multiple industries has emphasized the importance of a process of co-invention whereby organizations develop complementary practices to achieve greater benefit from their IT investments. In health care, employment of physicians by hospitals can confer greater administrative control to hospitals over physicians' actions and resources and thus enable the implementation of new technology and initiatives aimed at maximizing benefit from use of the technology. In this study, I tested for the relationship between hospital employment of physicians and hospitals' propensity to use health IT. I used state laws that prohibit hospital employment of physicians as an instrument to account for the endogenous relationship with hospital IT use. Hospital employment of physicians is associated with significant increases in the probability of hospital health IT use. Therefore, subsidization of health IT among hospitals not employing physicians may be less efficient. Furthermore, state laws prohibiting hospitals from employing physicians may inhibit adoption of health IT, thus working against policy initiatives aimed at promoting use of the technology. Copyright © 2012 John Wiley & Sons, Ltd.

  9. 67. Historic American Buildings Survey John Oliver Brostrup, Photographer August ...

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

    67. Historic American Buildings Survey John Oliver Brostrup, Photographer August 12,1936 1:35 P. M. VIEW OF C.C.C. BOYS SCREENING FOR ARTIFACTS. - General John Mason House, Analostan Island or Theodore Roosevelt Island, Washington, District of Columbia, DC

  10. 71. Historic American Buildings Survey John O. Brostrup, Photographer August ...

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

    71. Historic American Buildings Survey John O. Brostrup, Photographer August 12, 1936 1:30 P. M. VIEW OF C.C.C. BOYS EXCAVATING IN UNIT A. - General John Mason House, Analostan Island or Theodore Roosevelt Island, Washington, District of Columbia, DC

  11. The Art of John Biggers

    ERIC Educational Resources Information Center

    Coy, Mary

    2010-01-01

    In their 2005 exhibit of John Biggers' work, the New Orleans Museum of Art described it as being inspired by "African art and culture, the injustices of a segregated United States, the stoic women in his own family, and the heroes of everyday survival." In this article, the author describes how her students reinterpreted Biggers' work.…

  12. 40. Historic American Buildings Survey John O. Brostrup, Photographer August ...

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

    40. Historic American Buildings Survey John O. Brostrup, Photographer August 13, 1936 1:50 P. M. DETAIL OF SOUTH WALL-CENTRAL ROOM OF BASEMENT-UNIT B-AFTER CHALKING - General John Mason House, Analostan Island or Theodore Roosevelt Island, Washington, District of Columbia, DC

  13. 39. Historic American Buildings Survey John O. Brostrup, Photographer August ...

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

    39. Historic American Buildings Survey John O. Brostrup, Photographer August 13, 1936 1:30 P. M. DETAIL OF SOUTH WALL-CENTRAL ROOM OF BASEMENT-UNIT B-BEFORE CHALKING. - General John Mason House, Analostan Island or Theodore Roosevelt Island, Washington, District of Columbia, DC

  14. 47. Historic American Buildings Survey John O. Brostrup, Photographer August ...

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

    47. Historic American Buildings Survey John O. Brostrup, Photographer August 13, 1936 1:15 P. M. DETAIL OF BASEMENT WINDOW SILL-NORTH WALL, WEST WING-UNIT 'B'. - General John Mason House, Analostan Island or Theodore Roosevelt Island, Washington, District of Columbia, DC

  15. Substantial reduction in hospital stay of children and adolescents with diabetic ketoacidosis after implementation of Clinical Practice Guidelines in a university hospital in Saudi Arabia.

    PubMed

    Al Nemri, Abdulrahman; Amer, Yasser Sami; Gasim, Hala; Osman, Mohamed Elfaki; Aleyadhy, Ayman; Al Otaibi, Hessah; Iqbal, Shaikh Mohammed; Aljurayyan, Nasir Abdullah; Assiri, Asaad M; Babiker, Amir; Mohamed, Sarar

    2017-02-01

    We aimed to determine the effect of Clinical Practice Guideline (CPG) implementation on length of hospital stay of children and adolescents with diabetic ketoacidosis (DKA). This was a 6-year (2008-2014) case-control retrospective study conducted at King Khalid University Hospital, Riyadh, that compared patients with DKA managed using CPG with those treated before CPG implementation. There were 63 episodes of DKA in 41 patients managed using CPG compared with 40 episodes in 33 patients treated before implementation of CPG. Baseline characteristics of the 2 groups were similar (age, sex, newly diagnosed patients, recurrent DKA, DKA severity, and mean glycosylated hemoglobin). The mean length of hospital stay (±SD) was 68.6 ± 53.1 hours after implementation of CPG compared with 107.4 ± 65.6 hours before implementation (P < .001). The reduction in length of hospital stay equals to 1700 bed days saved per year per 1000 patients. Implementation of CPG for DKA decreased the length of hospital stay. © 2016 John Wiley & Sons, Ltd.

  16. John H Glenn Jr.

    NASA Image and Video Library

    1962-02-20

    Project Mercury astronaut John H. Glenn Jr., enters the Friendship 7 spacecraft during the last part of the countdown on Feb. 20, 1962. At 9:47 a.m. EST, the Atlas launch vehicle lifted the spacecraft into orbit for a three-orbit mission lasting four hours, 55 minutes and 23 seconds. Glenn and his spacecraft were recovered by the destroyer Noa just 21 minutes after landing in the Atlantic near Grand Turk Island, to successfully complete the nation's first manned orbital flight.

  17. Location of John Klein Drill Site

    NASA Image and Video Library

    2013-03-12

    This false-color map shows the area within Gale Crater on Mars, where NASA Curiosity rover landed on Aug. 5, 2012 PDT Aug. 6, 2012 EDT and the location where Curiosity collected its first drilled sample at the John Klein rock.

  18. 52. Historic American Buildings Survey John O. Brostrup, Photographer August ...

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

    52. Historic American Buildings Survey John O. Brostrup, Photographer August 12, 1936 8:55 A. M. NORTH SIDE OF DUTCH OVEN (GENERAL VIEW) - BASEMENT OF WEST WING OF UNIT B - General John Mason House, Analostan Island or Theodore Roosevelt Island, Washington, District of Columbia, DC

  19. John Day Watershed Restoration Projects, annual report 2003.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Brown, Linda

    The John Day is the nation's second longest free-flowing river in the contiguous United States and the longest containing entirely unsupplemented runs of anadromous fish. Located in eastern Oregon, the basin drains over 8,000 square miles, Oregon's fourth largest drainage basin, and incorporates portions of eleven counties. Originating in the Strawberry Mountains near Prairie City, the John Day River flows 284 miles in a northwesterly direction, entering the Columbia River approximately four miles upstream of the John Day dam. With wild runs of spring Chinook salmon and summer steelhead, westslope cutthroat, and redband and bull trout, the John Day systemmore » is truly a basin with national significance. The majority of the John Day basin was ceded to the Federal government in 1855 by the Confederated Tribes of the Warm Springs Reservation of Oregon (Tribes). In 1997, the Tribes established an office in the basin to coordinate restoration projects, monitoring, planning and other watershed activities on private and public lands. Once established, the John Day Basin Office (JDBO) formed a partnership with the Grant Soil and Water Conservation District (GSWCD), which contracts the majority of the construction implementation activities for these projects from the JDBO. The GSWCD completes the landowner contact, preliminary planning, engineering design, permitting, construction contracting, and construction implementation phases of most projects. The JDBO completes the planning, grant solicitation/defense, environmental compliance, administrative contracting, monitoring, and reporting portion of the program. Most phases of project planning, implementation, and monitoring are coordinated with the private landowners and basin agencies, such as the Oregon Department of Fish and Wildlife and Oregon Water Resources Department. In 2003, the JDBO and GSWCD proposed continuation of their successful partnership between the two agencies and basin landowners to implement an

  20. Hospital staff corridor conversations: work in passing.

    PubMed

    González-Martínez, Esther; Bangerter, Adrian; Lê Van, Kim; Navarro, Cécile

    2016-03-01

    First, to document the prevalence of corridor occupations and conversations among the staff of a hospital clinic, and their main features. Second, to examine the activities accomplished through corridor conversations and their interactional organization. Despite extensive research on mobility in hospital work, we still know fairly little about the prevalence and features of hospital staff corridor conversations and how they are organized. We conducted a study combining descriptive statistical analysis and multimodal conversation analysis of video recordings of staff corridor practices in a hospital outpatient clinic in Switzerland. In 2012, we collected 59 hours of video recordings in a corridor of a hospital clinic. We coded and statistically analysed the footage that showed the clinic staff exclusively. We also performed qualitative multimodal conversation analysis on a selection of the recorded staff conversations. Corridor occupations by the clinic staff are frequent and brief and rarely involve stops. Talk events (which include self-talk, face-to-face conversations and telephone conversations) during occupations are also brief and mobile, overwhelmingly focus on professional topics and are particularly frequent when two or more staff members occupy the corridor. The conversations present several interactional configurations and comprise an array of activities consequential to the provision of care and work organization. These practices are related to the fluid work organization of a spatially distributed team in a fast-paced, multitasking environment and should be taken into consideration in any undertaking aimed at improving hospital units' functioning. © 2015 John Wiley & Sons Ltd.

  1. The Poetry of John Dewey

    ERIC Educational Resources Information Center

    Williams, Jerry L.

    2016-01-01

    This essay examines the poetry of John Dewey, 101 poems in total. Characteristic of the rhymed and metered poetry of the period, they show a very human side of Dewey. This analysis argues that many of his poems deal with existential themes--love, finitude, and God, for example. On a deeper level these poems are also show connections to Dewey's…

  2. John James Audubon & the Turkey

    ERIC Educational Resources Information Center

    Hinshaw, Craig

    2012-01-01

    In the first half of the 1800s, John James Audubon roamed the wilds of America attempting to draw all the birds in their natural habitat. He published his life-sized paintings in a huge book entitled "Birds of America." Audubon developed a unique system of depicting the birds in natural poses, such as flying. After shooting the bird, he would wire…

  3. John Todd--Numerical Mathematics Pioneer

    ERIC Educational Resources Information Center

    Albers, Don

    2007-01-01

    John Todd, now in his mid-90s, began his career as a pure mathematician, but World War II interrupted that. In this interview, he talks about his education, the significant developments in his becoming a numerical analyst, and the journey that concluded at Caltech. Among the interesting stories are how he met his wife-to-be the mathematician Olga…

  4. Press Site Auditorium dedicated to John Holliman

    NASA Technical Reports Server (NTRS)

    1999-01-01

    From left, Center Director Roy Bridges and NASA Administrator Daniel S. Goldin applaud as Jay Holliman, with the help of his mother, Mrs. Dianne Holliman, unveils a plaque honoring his father, the late John Holliman. At right is Tom Johnson, news group chairman of CNN. The occasion was the dedication of the KSC Press Site auditorium as the John Holliman Auditorium to honor the CNN national correspondent for his enthusiastic, dedicated coverage of America's space program. The auditorium was built in 1980 and has been the focal point for new coverage of Space Shuttle launches. The ceremony followed the 94th launch of a Space Shuttle, on mission STS-96, earlier this morning.

  5. ASTRONAUT GLENN, JOHN - MERCURY SPACE SUIT

    NASA Image and Video Library

    1962-02-20

    S62-00965 (20 Feb. 1962) --- Astronaut John H. Glenn Jr., finishes suiting up, and prepares for the launch of his Mercury-Atlas 6 (MA-6) spacecraft. The MA-6 ?Friendship 7? mission marks America's first manned Earth-orbiting spaceflight. Photo credit: NASA

  6. Activities commemorating John B. Herrington as first Native American astronaut

    NASA Technical Reports Server (NTRS)

    2002-01-01

    KENNEDY SPACE CENTER, FLA. -- Joyce and James Herrington, parents of John Herrington, accept a gift during a pre-launch Native American ceremony. They are the parents of John Herrington, mission specialist on mission STS-113. Herrington is the first Native American to be going into space.

  7. Senator John Glenn visit to Johnson Space Center (JSC)

    NASA Image and Video Library

    1995-05-30

    Senator John Glenn visit to Johnson Space Center (JSC). Views of Glenn sitting in cockpit of T-38 in Hangar 276 with John Young, George Abbey, David Leestma and Mark Polansky observing (11150). An engineer explains SPIFEX experiment hardware to Abby, Young and Glenn in Bldg 13 (11151, 11153). Glenn talks with astronaut Terrence T. Henricks and employees in Bldg 9C, Virtual reality lab (11152). Lunch in Bldg 17 Flight Crew support division with Dr. Ellen Baker, Robert "Hoot" Gibson and John Glenn (11154). Linda Godwin, Robert Cabana, Abbey, Young, Baker, Gibson and Glenn at lunch (11155). Astronaut Mark Lee shows Glenn and his aide how to use the virtural reality helmets (11156-7). Glenn shakes the hand of Franklin Chang-Diaz with his plasma rocket in the background in the Sonny Carter Training Facility (SCTF) (11158). Glenn in the Manipulator Development Facility (MDF) Remote Manipulator System (RMS) station mock-up in Bldg 9A with Abbey, Young and aide (11159, 11186). Glenn signs a book for Thomas D. Jones as Frederick Sturckow and Linda Godwin look on (11160). Glenn inside visual-vestibular trainer in Bldg 9B (11161). In conference room meeting with astronaut corps in Bldg 4S, Glenn shakes Robert Cabana's hand (11162). John Glenn and John Young pose for a group shot with Bldg 17 Food lab personnel (11163). Glenn thanks the food lab personnel (11164). Glenn visits Bldg 5 Fixed Base (FB) middeck simulator with astronauts Terrence Henricks and Mary Ellen Weber (11165). Glenn with Charles T. Bourland (11166). STS-70 crew Donald Thomas, Terrence Henricks, Mary Ellen Weber, Nancy Currie and Kevin Kregel with Glenn's advisor (11167). STS-70 crew Thomas, Henricks, Weber, Currie and Kregel with John Glenn (11175). Glenn with Thomas, Kregel, Weber, Henricks and trainer (11176-7). David J. Homan assists Glenn's aide with virtual reality goggles (11168) and Glenn (11174). John Young in Bldg 9C equilibrium trainer (11169). Glenn with Carl Walz in flight deck mock-up of MDF in

  8. John F. Fulton, Coccidioidomycosis, and Penicillin

    PubMed Central

    Tager, Morris

    1976-01-01

    When the late Dr. John F. Fulton contracted severe pulmonary coccidioidomycosis in January, 1942, a metastatic lesion posed the threat of further progression and fatal dissemination. The possibility that an untested and generally unavailable antibiotic, penicillin, might be of value in Fulton's illness led his physician, Dr. John Bumstead, to appeal directly to Fulton to obtain this antibiotic, but ostensibly for the benefit of another patient succumbing to hemolytic streptococcal infection. While of no value for Fulton, penicillin was highly successful in the treatment of his other patient and soon of a second one with staphylococcal sepsis and pneumonia. This penicillin, administered in March, 1942, was the first clinical trial of penicillin under the control of the Office of Scientific Research and Development. The unique contribution of Dr. Fulton and of his illness to this event is described. ImagesFIG. 1FIG. 2 PMID:793204

  9. Explaining turnover intention in Korean public community hospitals: occupational differences.

    PubMed

    Hwang, Jee-In; Chang, Hyejung

    2008-01-01

    Personnel in public hospitals had relatively low job satisfaction despite of tenure employment. High turnover rates degrade hospital image and incur additional costs related to recruitment and training. The purposes of this study were to describe the occupational differences and to identify factors affecting turnover intention among public hospital personnel. A questionnaire survey was conducted as part of Administrative Services Quality Evaluation Program by Seoul metropolitan municipality from 1 November to 1 December in 2003. The subjects were 1251 entire hospital personnel in four hospitals. The questionnaire was designed to measure job satisfaction, organizational commitment, turnover intention, and demographic characteristics. Logistic regression analysis was performed to determine factors influencing turnover intention. There were significant differences in job satisfaction, organizational commitment, and turnover intention according to the occupations. The turnover intention rates were highest among physicians, followed by paramedicals and nursing staffs and then administrators. The significant factors affecting turnover intention were involvement and loyalty among physicians, hospital type, satisfaction with systems and loyalty among nursing staffs, satisfaction with relationship and loyalty among administrators, and loyalty among paramedicals. There were different moderators that influence turnover intentions of hospital personnel. Loyalty had the most important effect upon turnover intention in all occupations. 2007 John Wiley & Sons, Ltd

  10. 33 CFR 165.720 - Safety/Security Zone: St. Johns River, Jacksonville, FL.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety/Security Zone: St. Johns... § 165.720 Safety/Security Zone: St. Johns River, Jacksonville, FL. (a) Location. The water and the land..., within 100 yards of the St. Johns River. (3) All waters within 200 yards of any specified military supply...

  11. Expansion in markets with decreasing demand-for-profits in the German hospital industry.

    PubMed

    Schwierz, Christoph

    2011-06-01

    Over the last 20 years, acute-care hospitals in most OECD countries have built up costly overcapacities. From the perspective of economic policy, it is desirable to know how hospitals of different ownership forms respond to changes in demand and are probably best suited to deal with existing overcapacities. This article examines ownership-specific differences in the responsiveness to changes in demand for hospital services in Germany between 1996 and 2006. With respect to the speed of adaptation to increasing demand, the study finds for-profit ownership to be superior to public and nonprofit ownership. However, contrary to other ownership types, for-profits also tend to expand in markets with decreasing demand - mainly through conversions of publicly owned hospitals. Thus, in short term, the privatization of the hospital sector may slow down the reduction of excess capacities and be therefore socially wasteful. 2010 John Wiley & Sons, Ltd.

  12. Effectiveness and Value of Prophylactic 5-Layer Foam Sacral Dressings to Prevent Hospital-Acquired Pressure Injuries in Acute Care Hospitals

    PubMed Central

    2017-01-01

    PURPOSE: The purpose of this study was to examine the effectiveness and value of prophylactic 5-layer foam sacral dressings to prevent hospital-acquired pressure injury rates in acute care settings. DESIGN: Retrospective observational cohort. SAMPLE AND SETTING: We reviewed records of adult patients 18 years or older who were hospitalized at least 5 days across 38 acute care hospitals of the University Health System Consortium (UHC) and had a pressure injury as identified by Patient Safety Indicator #3 (PSI-03). All facilities are located in the United States. METHODS: We collected longitudinal data pertaining to prophylactic 5-layer foam sacral dressings purchased by hospital-quarter for 38 academic medical centers between 2010 and 2015. Longitudinal data on acute care, hospital-level patient outcomes (eg, admissions and PSI-03 and pressure injury rate) were queried through the UHC clinical database/resource manager from the Johns Hopkins Medicine portal. Data on volumes of dressings purchased per UHC hospital were merged with UHC data. Mixed-effects negative binomial regression was used to test the longitudinal association of prophylactic foam sacral dressings on pressure injury rates, adjusted for hospital case-mix and Medicare payments rules. RESULTS: Significant pressure injury rate reductions in US acute care hospitals between 2010 and 2015 were associated with the adoption of prophylactic 5-layer foam sacral dressings within a prevention protocol (−1.0 cases/quarter; P = .002) and changes to Medicare payment rules in 2014 (−1.13 cases/quarter; P = .035). CONCLUSIONS: Prophylactic 5-layer foam sacral dressings are an effective component of a pressure injury prevention protocol. Hospitals adopting these technologies should expect good value for use of these products. PMID:28816929

  13. John Dewey, William Wirt and the Gary Schools Plan: A Centennial Reappraisal

    ERIC Educational Resources Information Center

    Thorburn, Malcolm

    2017-01-01

    A century on from the height of John Dewey's educational writings and the reputation of the Gary Schools Plan as a model of progressive education, the paper reappraises two key matters: the relationship between John Dewey and William Wirt, the first superintendent of the Gary Schools in Gary Indiana, and the coherence between John Dewey's…

  14. 8. John and James Dobson Carpet Mill, East and West ...

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

    8. John and James Dobson Carpet Mill, East and West Parcels, site plan, and survey lower left, 1865. Hexamer, Ernest and Son. Hexamer General Surveys, 1867-1895, Philadelphia, Pennsylvania: E. Hexamer and Son, 1865, p. 279. - John & James Dobson Carpet Mill (West Parcel), 4041-4055 Ridge Avenue, Philadelphia, Philadelphia County, PA

  15. Cause of Death in “John Doe & Jane Doe”: A 5 year review

    PubMed Central

    Dasari, Harish; Singh, Amandeep

    2014-01-01

    Sometimes the opinion regarding the cause of death in “John Doe or Jane Doe” i.e. on unknown dead bodies is a test of ability of the forensic expert and on many occasions it yields little or no results. Here the identification of the body as such poses problems; rest aside the opinion regarding the cause/ manner of death. The present 5yr study was undertaken in the Department of Forensic Medicine & Toxicology, Government Medical College & Hospital, Chandigarh to find the patterns of cause of death in unknown dead bodies, as very little literature is available with regard to John Doe or Jane Doe cases as a group, in India. Unidentified bodies comprised 4 % of the total 3165 cases brought for post-mortem examination to the department. Maximum cases belonged to the age group 41 - 50 years, 30 %. Majority of the opinions regarding the cause of death were given as “no definite opinion” (31%), followed by “cranio-cerebral damage” (30 %) and coronary insufficiency/ Cardiac disease/ aortic aneurysm rupture, (8.9%). Following measures should be undertaken to increase the chances of getting these unknown bodies identified and thereby increasing the chances of arriving at a definite cause of death: drafting of additional legislation for the management of unidentified dead bodies along with streamlining of work on the part of police, use of active investigation and modern investigative techniques, fixing the accountability of the police. Internet based sites of the police like ZIPNET (Zonal Integrated Police Networking) in Northern India, should also be used. PMID:25302219

  16. Are regional hospital pharmacies prepared for public health emergencies?

    PubMed

    Hsu, Edbert B; Casani, Julie A; Romanosky, Al; Millin, Michael G; Singleton, Christa M; Donohue, John; Feroli, E Robert; Rubin, Melvin; Subbarao, Italo; Whyne, Dianne M; Snodgrass, Thomas D; Kelen, Gabor D

    2006-01-01

    In the event of a major chemical, biological, radiological, nuclear, or explosive (CBRNE) attack or a natural disaster, large quantities of pharmaceuticals and medical supplies may be required with little or no warning. Pharmaceutical surge capacity for immediate response, before Strategic National Stockpile (SNS) supplies become available, remains a significant gap in emergency preparedness. To date, limited attempts have been made to assess collective regional hospital pharmaceutical response capabilities. In this project, we characterized the level of hospital pharmaceutical response preparedness in a major metropolitan region. The Johns Hopkins Office of Critical Event Preparedness and Response (CEPAR) convened a collaborative partnership to assess hospital pharmaceutical response capabilities. A survey was developed to characterize pharmaceutical response preparedness to CBRNE threats. All 22 acute care hospitals in the Maryland region were sent pharmaceutical response surveys, and responses were received from 86% (19/22). Within the past year, 84% (16/19) of hospitals had implemented an exercise with pharmacy participation. More than half of the hospitals expect to receive assistance from the SNS in 48 hours or less. Seventy-four percent (14/19) of the hospitals reported an additional dedicated reserve supply for biological events, 74% (14/19) for chemical events, and 58% (11/19) for radiological events. Many hospitals in this metropolitan region have taken important steps toward enhancing pharmaceutical preparedness. However, hospitals generally remain underprepared for CBRNE threats and collectively have limited supplies of antibiotics to provide prophylaxis or treatment for hospital staff, their families, and patients in the event of a significant biological incident.

  17. Charles Darwin and John Herschel

    NASA Astrophysics Data System (ADS)

    Warner, B.

    2009-11-01

    The influence of John Herschel on the philosophical thoughts of Charles Darwin, both through the former's book, Natural Philosophy, and through their meeting in 1836 at the Cape of Good Hope, is discussed. With Herschel having himself speculated on evolution just a few months before he met Darwin, it is probable that he stimulated at least the beginnings of the latter's lifelong work on the subject.

  18. Analysis of hospital costs as a basis for pricing services in Mali.

    PubMed

    Audibert, Martine; Mathonnat, Jacky; Pareil, Delphine; Kabamba, Raymond

    2007-01-01

    In a move to achieve a better equity in the funding of access to health care, particularly for the poor, a better efficiency of hospital functioning and a better financial balance, the analysis of hospital costs in Mali brings several key elements to improve the pricing of medical services. The method utilized is the classical step-down process which takes into consideration the entire set of direct and indirect costs borne by the hospital. Although this approach does not allow to estimate the economic cost of consultations, it is a useful contribution to assess the financial activity of the hospital and improve its performance, financially speaking, through a more relevant user fees policy. The study shows that there are possibilities of cross-subsidies within the hospital or within services which improve the recovery of some of the current costs. It also leads to several proposals of pricing care while taking into account the constraints, the level of the hospital its specific conditions and equity. Copyright (c) 2007 John Wiley & Sons, Ltd.

  19. Great Lakes Construction/John Robichaud Information Sheet

    EPA Pesticide Factsheets

    R5 Great Lakes Construction/John Robichaud (the Company) is located in Monroe, Michigan. The settlement involves renovation activities conducted at property constructed prior to 1978, located in Monroe, Michigan.

  20. Henry Currey FRIBA (1820-1900): leading Victorian hospital architect, and early exponent of the "pavilion principle".

    PubMed

    Cook, G C

    2002-06-01

    The "pavilion plan" for hospital design originated in France in the 18th century and was popularised in England by John Roberton and George Godwin in the mid-19th century; the underlying rationale was that with improved ventilation the mortality rate (at that time exceedingly high) was significantly reduced. Among the enthusiasts for this new style was Florence Nightingale (herself a miasmatist)--who had experienced astronomically high death rates in the hospital at Scutari during the Crimean War (1854-6). One of the leading exponents of this style of hospital architecture was Henry Currey (1820-1900) whose greatest achievement was undoubtedly the design for the new St Thomas's Hospital on the Lambeth Palace Road.

  1. John Dalton (1766-1844).

    PubMed Central

    Emery, A E

    1988-01-01

    There is no doubt that John Dalton ranks among the great names in science, a position which rests on his enunciation of the Atomic Theory. However, his very first scientific paper in 1798 was concerned with his own affliction of colour blindness and was in fact the first clear description of the disorder. This publication stimulated much subsequent research into the pathophysiology and genetics of the condition. His recorded observations on colour blindness are detailed and precise and betoken the approach which was to characterise all his later research in chemistry. Images PMID:3294412

  2. The autopsy was conducted "Under most inauspicious circumstances:" John Turner, Harvey Cushing's case XXXII, and his unwitting contributions to the early understanding of acromegaly.

    PubMed

    Pendleton, Courtney; Wand, Gary; Quinones-Hinojosa, Alfredo

    2010-12-01

    Harvey Cushing's monograph The Pituitary Body and Its Disorders describes Case XXXII, a 36-year-old man who presented with gigantism in 1910. The detailed post-mortem exam findings are prefaced with a cryptic statement, describing "inauspicious circumstances" surrounding the autopsy. Although contemporary biographies of Cushing have offered insight into these circumstances, the original surgical file for Case XXXII has not been previously reviewed. The original Johns Hopkins Hospital surgical records were reviewed, and the case of John Turner, who Cushing identified by name in his monograph The Pituitary Body and Its Disorders, was selected for further review. A review of the original surgical file revealed a typewritten note by Dr. Crowe, one of the surgeons who performed the post-mortem exam, with a handwritten addendum by Dr. Cushing. This document provides detail regarding the "inauspicious circumstances" surrounding the autopsy. Namely, the autopsy was conducted without permission of the family, during the funeral service, following a payment to the undertaker. The new information regarding the autopsy of John Turner offers insight into the previously incompletely described circumstances surrounding the autopsy. Additionally, the case illuminates the obligations and ethical quandaries that physician-scientists face.

  3. Fact Book: John Tyler Community College.

    ERIC Educational Resources Information Center

    Hollins, Carol S.; Smith, Myra Goodman

    This factbook summarizes information about the students, staff and faculty, programs and services, and financial and physical resources of John Tyler Community College (JTCC). Section I focuses on JTCC's students, presenting information on student enrollment by sex, race, full-/part-time status, programs, residence; grade distributions; veteran…

  4. Celebrating the Life and Legacy of Dr. John Hope Franklin

    ERIC Educational Resources Information Center

    Harris, Robert L., Jr.; Levering-Lewis, David; French, John D.; Wharton, Clifton R., Jr.

    2009-01-01

    Dr. John Hope Franklin chronicled the experiences of African-Americans like no one before him, forcing America to recognize Black history as American history. His contributions were innumerable and his impact was abiding. In celebration of his life and legacy, the authors profile the celebrated scholar and activist, Dr. John Hope Franklin.

  5. Dental hospitalization trends in Western Australian children under the age of 15 years: a decade of population-based study.

    PubMed

    Alsharif, Alla T; Kruger, Estie; Tennant, Marc

    2015-01-01

    This study analyzed a decade of dental admission patterns in Western Australian children under the age of 15 years, examining associations with sociodemographic characteristics and with particular focus on dental decay and Indigenous children. This retrospective study analyzed the data obtained for 43,937 child patients under the age of 15 years hospitalized for an oral-health-related condition, as determined by principal diagnosis (ICD-10AM). Primary place of residency, age, gender, insurance status and Indigenous status were also analyzed. 'Dental caries' and 'embedded and impacted teeth' were the most common reasons for hospitalization among children under the age of 15 years. 'Dental caries' were most common in non-Indigenous patients, with 'pulp and periapical' most prevalent in Indigenous patients. The age-standardized rate (ASR) of hospitalization for Indigenous children in the last decade increased to reach that of non-Indigenous children in 2009. Total DRG costs of hospitalization, both public and private, were in excess of AUS $92 million over 10 years. This study indicates the burden of oral-health-related conditions on Western Australian children and the hospital system, in terms of health and economical impact. © 2014 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  6. 33 CFR 117.881 - John Day River.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Oregon § 117.881 John Day River. The draw of the... (Washington State Department of Fisheries and the Fish Commission of Oregon) for the Columbia River Fishery...

  7. 33 CFR 117.881 - John Day River.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Oregon § 117.881 John Day River. The draw of the... (Washington State Department of Fisheries and the Fish Commission of Oregon) for the Columbia River Fishery...

  8. 33 CFR 117.881 - John Day River.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Oregon § 117.881 John Day River. The draw of the... (Washington State Department of Fisheries and the Fish Commission of Oregon) for the Columbia River Fishery...

  9. John W. Thoburn: International Humanitarian Award

    ERIC Educational Resources Information Center

    American Psychologist, 2012

    2012-01-01

    Presents a short biography of the winner of the American Psychological Association's International Humanitarian Award. The 2012 winner, John W. Thoburn, is an extraordinary psychologist who devotes himself consistently to service to underserved populations, especially in the aftermath of natural or human-induced disasters. He exemplifies a genuine…

  10. Geologic setting of the John Day Country, Grant County, Oregon

    USGS Publications Warehouse

    Thayer, Thomas P.

    1977-01-01

    One of the Pacific Northwest's most notable outdoor recreation areas, the "John Day Country" in northeastern Oregon, is named after a native Virginian who was a member of the Astor expedition to the mouth of the Columbia River in 1812. There is little factual information about John Day except that he was born in Culpeper County, Virginia, about 1770. It is known also that in 1810 this tall pioneer "with an elastic step as if he trod on springs" joined John Jacob Astor's overland expedition under Wilson Price Hunt to establish a vast fur-gathering network in the Western States based on a major trading post at the mouth of the Columbia River.

  11. 11. John and James Dobson Carpet Mill, East and West ...

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

    11. John and James Dobson Carpet Mill, East and West parcels, site plan-upper left, elevation-lower left, and survey-right, 1877. Hexamer, Ernest and Son. Hexamer General Surveys, 1867-1895, Philadelphia, Pennsylvania: E. Hexamer and Son, 1877, pp. 1095-1096. - John & James Dobson Carpet Mill (West Parcel), 4041-4055 Ridge Avenue, Philadelphia, Philadelphia County, PA

  12. 13. John and James Dobson Carpet Mill, East and West ...

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

    13. John and James Dobson Carpet Mill, East and West parcels, site plan-upper left, elevation-upper right, and survey-below, 1885. Hexamer, Ernest and Son. Hexamer General Surveys, 1867-1895, Philadelphia, Pennsylvania: E. Hexamer and Son, 1885, pp. 1890-1891. - John & James Dobson Carpet Mill (West Parcel), 4041-4055 Ridge Avenue, Philadelphia, Philadelphia County, PA

  13. 9. John and James Dobson Carpet Mill, portion of West ...

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

    9. John and James Dobson Carpet Mill, portion of West parcel, site plan-left, elevation-upper right, and survey-lower right, 1873. Hexamer, Ernest and Son. Hexamer General Surveys 1867-1895, Philadelphia, Pennsylvania: E. Hexamer and Son, 1873, pp. 670-671. - John & James Dobson Carpet Mill (West Parcel), 4041-4055 Ridge Avenue, Philadelphia, Philadelphia County, PA

  14. Parental stress and satisfaction during children's hospitalization: differences between immigrant and autochthonous population.

    PubMed

    Fernández-Castillo, Antonio; Vílchez-Lara, Maria J; López-Naranjo, Isabel

    2013-02-01

    This study explored the relation between parents' stress and satisfaction during children's hospitalization, seeking possible differences between immigrant and autochthonous population and also as a function of gender in a sample of parents of hospitalized children in Andalusia, Spain. A total of 1347 parents participated in this study. Of the sample, 50% were immigrants and the other 50% were autochthonous. The assessment instruments were the Hospitalization Stress Scale and the Satisfaction with Hospitalization Scale. The results show that stress was associated with the manifestations of the child's illness, the alteration of family life or of parental roles during the process and some aspects of the clinical staff's work. General satisfaction in immigrant parents was higher than in the autochthonous population and the levels of satisfaction were higher in men than in women. Small changes and initiatives in relation to care could substantially improve the satisfaction of patients and their relatives during the process of hospitalization. Copyright © 2012 John Wiley & Sons, Ltd.

  15. 75 FR 27359 - Meeting Notice for the John Day/Snake Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ...] Meeting Notice for the John Day/Snake Resource Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Meeting Notice for the John Day/Snake Resource Advisory Council. SUMMARY: Pursuant to the... Interior, Bureau of Land Management (BLM) John Day-Snake Resource Advisory Council (JDSRAC) will meet as...

  16. 75 FR 37461 - Notice of Public Meeting, John Day/Snake Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-29

    ...] Notice of Public Meeting, John Day/Snake Resource Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Meeting notice for the John Day/Snake Resource Advisory Council. SUMMARY: Pursuant to the... Interior, Bureau of Land Management (BLM) John Day-Snake Resource Advisory Council (JDSRAC) will meet as...

  17. Speaking Personally--With John "Pathfinder" Lester

    ERIC Educational Resources Information Center

    Beaubois, Terry

    2013-01-01

    John Lester is currently the chief learning officer at ReactionGrid, a software company developing 3-D simulations and multiuser virtual world platforms. Lester's background includes working with Linden Lab on Second Life's education activities and neuroscience research. His primary focus is on collaborative learning and instructional…

  18. Astronaut John Glenn tests balance mechanism performance

    NASA Image and Video Library

    1962-02-01

    S64-14849 (1962) --- Astronaut John H. Glenn Jr.'s balance mechanism (semi-circular-canals) is tested by running cool water into his ear and measuring effect on eye motions (nystagmus). Photo credit: NASA

  19. Astronaut John Glenn - Blood Draw - Training - Cape

    NASA Image and Video Library

    1961-07-05

    S61-02579 (1961) --- Astronaut nurse Delores B. O'Hara, R.N., in the Aeromedical Laboratory at Cape Canaveral, Florida, takes a blood sample from Mercury astronaut John H. Glenn Jr. Photo credit: NASA

  20. [Yesterdays and happenings at hospitals of Tehuacán, Puebla, México].

    PubMed

    Fajardo-Ortiz, Guillermo

    2004-01-01

    The history of the hospital of Tehuacán, the second city importance in Puebla State, began in 1744, when the Hospital de San Juan de Dios (Hospital of St. John) was founded; in 1820, it was converted into the Municipal of Civil Hospital. The medical establishement continues to provide services to the poor to this day annual also covers health public workers of services for the municipality. The Hospital de la Cruz Roja Mexicana (The Mexican Red Cross Hospital) was created in 1934 provide medical services for accident victims: The hospital services of the Mexican Institute of Social Security (IMSS) began in 1953; an earthquake destroyed the building in 1973, and a new hospital was inaugurated in 1979; at present, it readers services to 98,000 persons. The Sanatorio del Sagrado Corazón (Sacred Heart Sanatorium) is a private religious institution founded at the beginning of the second half the 20th century. In 1996, the Hospital General (General Hospital) began to provide services, takes care of the poor of the geographical region, and is financed with federal funds. The Instituto de Seguridad y Servicios Sociales para Trabajadores del Estado (Institute of Securtiy and Social Services for the Workers of the State, ISSSTE) has a small hospital with 10 beds, it was founded in 1995.

  1. Accounting for quality in the measurement of hospital performance: evidence from Costa Rica.

    PubMed

    Arocena, Pablo; García-Prado, Ariadna

    2007-07-01

    This paper provides insights into how Costa Rican public hospitals responded to the pressure for increased efficiency and quality introduced by the reforms carried out over the period 1997-2001. To that purpose we compute a generalized output distance function by means of non-parametric mathematical programming to construct a productivity index, which accounts for productivity changes while controlling for quality of care. Our results show an improvement in hospital performance mainly driven by quality increases. The adoption of management contracts seems to have contributed to such enhancement, more notably for small hospitals. Further, productivity growth is primarily due to technical and scale efficiency change rather than technological change. A number of policy implications are drawn from these results. Copyright (c) 2006 John Wiley & Sons, Ltd.

  2. LEAVING PAD - ASTRONAUT JOHN W. YOUNG - TRAINING

    NASA Image and Video Library

    1965-03-19

    S65-20636 (1965) --- Astronauts John W. Young (left), pilot, and Virgil I. Grissom, command pilot, for the Gemini-Titan 3 flight, are shown leaving the launch pad after simulations in the Gemini-3 spacecraft.

  3. Technology diffusion in hospitals: a log odds random effects regression model.

    PubMed

    Blank, Jos L T; Valdmanis, Vivian G

    2015-01-01

    This study identifies the factors that affect the diffusion of hospital innovations. We apply a log odds random effects regression model on hospital micro data. We introduce the concept of clustering innovations and the application of a log odds random effects regression model to describe the diffusion of technologies. We distinguish a number of determinants, such as service, physician, and environmental, financial and organizational characteristics of the 60 Dutch hospitals in our sample. On the basis of this data set on Dutch general hospitals over the period 1995-2002, we conclude that there is a relation between a number of determinants and the diffusion of innovations underlining conclusions from earlier research. Positive effects were found on the basis of the size of the hospitals, competition and a hospital's commitment to innovation. It appears that if a policy is developed to further diffuse innovations, the external effects of demand and market competition need to be examined, which would de facto lead to an efficient use of technology. For the individual hospital, instituting an innovations office appears to be the most prudent course of action. © 2013 The Authors. International Journal of Health Planning and Management published by John Wiley & Sons, Ltd.

  4. John Furlong and the "University Project"

    ERIC Educational Resources Information Center

    Watson, David

    2014-01-01

    Like many senior teacher-educators and educational researchers, John Furlong has faced in several directions throughout his career, sometimes simultaneously. He has clearly not lost his enthusiasm for what happens in the classroom: he strongly appreciates those magical moments which can happen at any time, and which keep teachers going. He loves…

  5. We, John Dewey's Audience of Today

    ERIC Educational Resources Information Center

    da Cunha, Marcus Vinicius

    2016-01-01

    This article suggests that John Dewey's "Democracy and Education" does not describe education in an existing society, but it conveys a utopia, in the sense coined by Mannheim: utopian thought aims at instigating actions towards the transformation of reality, intending to attain a better world in the future. Today's readers of Dewey (his…

  6. John Dewey on Philosophy and Childhood

    ERIC Educational Resources Information Center

    Gregory, Maughn; Granger, David

    2012-01-01

    John Dewey was not a philosopher of education in the now-traditional sense of a doctor of philosophy who examines educational ends, means, and controversies through the disciplinary lenses of epistemology, ethics, and political theory, or of agenda-driven schools such as existentialism, feminism, and critical theory. Rather, Dewey was both an…

  7. John Glenn Biomedical Engineering Consortium

    NASA Technical Reports Server (NTRS)

    Nall, Marsha

    2004-01-01

    The John Glenn Biomedical Engineering Consortium is an inter-institutional research and technology development, beginning with ten projects in FY02 that are aimed at applying GRC expertise in fluid physics and sensor development with local biomedical expertise to mitigate the risks of space flight on the health, safety, and performance of astronauts. It is anticipated that several new technologies will be developed that are applicable to both medical needs in space and on earth.

  8. Direct transport to a PCI-capable hospital is associated with improved survival after adult out-of-hospital cardiac arrest of medical aetiology.

    PubMed

    McKenzie, Nicole; Williams, Teresa A; Ho, Kwok M; Inoue, Madoka; Bailey, Paul; Celenza, Antonio; Fatovich, Daniel; Jenkins, Ian; Finn, Judith

    2018-05-02

    To compare survival outcomes of adults with out-of-hospital cardiac arrest (OHCA) of medical aetiology directly transported to a percutaneous-coronary-intervention capable (PCI-capable) hospital (direct transport) with patients transferred to a PCI-capable hospital via another hospital without PCI services available (indirect transport) by emergency medical services (EMS). This retrospective cohort study used the St John Ambulance Western Australia OHCA Database and medical chart review. We included OHCA patients (≥18 years) admitted to any one of five PCI-capable hospitals in Perth between January 2012 and December 2015. Survival to hospital discharge (STHD) and survival up to 12-months after OHCA were compared between the direct and indirect transport groups using multivariable logistic and Cox-proportional hazards regression, respectively, while adjusting for so-called "Utstein variables" and other potential confounders. Of the 509 included patients, 404 (79.4%) were directly transported to a PCI-capable hospital and 105 (20.6%) transferred via another hospital to a PCI-capable hospital; 274/509 (53.8%) patients STHD and 253/509 (49.7%) survived to 12-months after OHCA. Direct transport patients were twice as likely to STHD (adjusted odds ratio 1.97, 95% confidence interval [CI] 1.13-3.43) than those transferred via another hospital. Indirect transport was also associated with a possible increased risk of death, up to 12-months, compared to direct transport (adjusted hazard ratio 1.36, 95% CI 1.00-1.84). Direct transport to a PCI-capable hospital for post-resuscitation care is associated with a survival advantage for adults with OHCA of medical aetiology. This has implications for EMS transport protocols for patients with OHCA. Copyright © 2018 Elsevier B.V. All rights reserved.

  9. Results From the John Glenn Biomedical Engineering Consortium. A Success Story for NASA and Northeast Ohio

    NASA Technical Reports Server (NTRS)

    Nall, Marsha M.; Barna, Gerald J.

    2009-01-01

    The John Glenn Biomedical Engineering Consortium was established by NASA in 2002 to formulate and implement an integrated, interdisciplinary research program to address risks faced by astronauts during long-duration space missions. The consortium is comprised of a preeminent team of Northeast Ohio institutions that include Case Western Reserve University, the Cleveland Clinic, University Hospitals Case Medical Center, The National Center for Space Exploration Research, and the NASA Glenn Research Center. The John Glenn Biomedical Engineering Consortium research is focused on fluid physics and sensor technology that addresses the critical risks to crew health, safety, and performance. Effectively utilizing the unique skills, capabilities and facilities of the consortium members is also of prime importance. Research efforts were initiated with a general call for proposals to the consortium members. The top proposals were selected for funding through a rigorous, peer review process. The review included participation from NASA's Johnson Space Center, which has programmatic responsibility for NASA's Human Research Program. The projects range in scope from delivery of prototype hardware to applied research that enables future development of advanced technology devices. All of the projects selected for funding have been completed and the results are summarized. Because of the success of the consortium, the member institutions have extended the original agreement to continue this highly effective research collaboration through 2011.

  10. Closing Italian Forensic Psychiatry Hospitals in Favor of Treating Insanity Acquittees in the Community.

    PubMed

    Carabellese, Felice; Felthous, Alan R

    2016-03-01

    Originally a hedge against the death penalty, the insanity defense came to offer hospitalization as an alternative to imprisonment. In the late 19th century Italy opened inpatient services first for mentally ill prisoners and then for offenders found not guilty by reason of insanity. Within the past decade, a series of decrees has resulted in transferring the responsibility for treating NGRI acquittees and "dangerous" mentally ill prisoners from the Department of Justice to the Department of Health, and their treatment from Italy's high security forensic psychiatric hospitals (OPGs) to community regional facilities (REMSs, Residences for the Execution of Security Measures), community mental health facilities, one of which is located in each region of Italy. Today community REMSs provide the treatment and management of socially dangerous offenders. The dynamic evolution of Italy's progressive mental health system for insanity acquittees, to our knowledge the most libertarian, community oriented approach of any country, is retraced. Discussion includes cautionary concerns as well as potential opportunities for improvements in mental health services. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  11. Perfectionism Group Treatment for Eating Disorders in an Inpatient, Partial Hospitalization, and Outpatient Setting.

    PubMed

    Levinson, Cheri A; Brosof, Leigh C; Vanzhula, Irina A; Bumberry, Laura; Zerwas, Stephanie; Bulik, Cynthia M

    2017-11-01

    Perfectionism is elevated in individuals with eating disorders and is posited to be a risk factor, maintaining factor, and treatment barrier. However, there has been little literature testing the feasibility and effectiveness of perfectionism interventions in individuals specifically with eating disorders in an open group format. In the current study, we tested the feasibility of (a) a short cognitive behavioural therapy for perfectionism intervention delivered in an inpatient, partial hospitalization, and outpatient for eating disorders setting (combined N = 28; inpatient n = 15; partial hospital n = 9; outpatient n = 4), as well as (b) a training for disseminating the treatment in these settings (N = 9). Overall, we found that it was feasible to implement a perfectionism group in each treatment setting, with both an open and closed group format. This research adds additional support for the implementation of perfectionism group treatment for eating disorders and provides information on the feasibility of implementing such interventions across multiple settings. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

  12. The introduction of deaconess nurses at the German hospital of the city of Philadelphia in the 1880s.

    PubMed

    Schweikardt, Christoph

    2010-01-01

    In 1884, seven deaconesses from Iserlohn, Germany, came to the Philadelphia German Hospital to take over nursing care and hospital administration. This article deals with the preparation and implementation of deaconess rule at the German Hospital and conflicts during the tenure of the first two Sisters Superior, Marie Krueger (1826-1887) and Wanda von Oertzen (1845-1897). Recruitment of the deaconesses took place within a network of relations between German and American motherhouses. Before their arrival in Philadelphia, the benefactor of the German Hospital, John D. Lankenau (1817-1901), had committed himself to hospital rule by the Sister Superior. A Deaconess Committee was created to deal with the opposition of the Medical Board. Introducing deaconesses to the Philadelphia German Hospital led to a major change of medical personnel and allowed the hospital to develop a new corporate identity.

  13. KENNEDY, PRESIDENT JOHN F. - MSC VISIT

    NASA Image and Video Library

    1962-09-11

    S62-03991 (11 September 1962) --- Just before the arrival of President John F. Kennedy at the J. P. Cornelius grade school, on Westover, turned out for a look at the Chief Executive in person. Wearing sun hats they made themselves, 700 children lined the roadway opposite the side entrance to the Rich Building.

  14. Corporate Perspective: An Interview with John Sculley.

    ERIC Educational Resources Information Center

    Temares, M. Lewis

    1989-01-01

    John Sculley, the chairman of the board of Apple Computer, Inc., discusses information technology management, management strategies, network management, the Chief Information Officer, strategic planning, back-to-the-future planning, business and university joint ventures, and security issues. (MLW)

  15. Speaking Personally--With John Seely Brown

    ERIC Educational Resources Information Center

    American Journal of Distance Education, 2008

    2008-01-01

    This article presents an interview with John Seely Brown, a visiting scholar at the University of Southern California and a former chief scientist of Xerox Corporation and director of its Palo Alto Research Center (PARC)--a position he held for nearly two decades. While head of PARC, Brown expanded the role of corporate research to include such…

  16. Jean Piaget's Debt to John Dewey

    ERIC Educational Resources Information Center

    Tanner, Daniel

    2016-01-01

    Jean Piaget became a veritable institution unto himself in education and psychology, largely as the result of his developmental-stage theory advanced over the second quarter of the twentieth century. Not until Piaget was 73 did he make mention of John Dewey's work at Dewey's laboratory school, founded in 1894 at the University of Chicago. But here…

  17. John Hull and the Money Culture

    ERIC Educational Resources Information Center

    Attfield, David

    2008-01-01

    John Hull's recent educational writings have included several on what he calls the "money culture". This is analysed and criticised in this article. Hull offers a Marxist and a neo-Marxist account of the role of money in western societies utilising the labour theory of value, false consciousness and the materialist interpretation of history. It is…

  18. John Langstaff: Community Musician and Reveler

    ERIC Educational Resources Information Center

    Bartolome, Sarah J.; Campbell, Patricia Shehan

    2009-01-01

    John Langstaff fits within a select group of pathfinders in American music education who have shaped the profession's service to schools and society with special attention to the traditional musical expressions of American folk. His life and works are worthy of study for the contributions he made as a singer who modelled the nuances of traditional…

  19. John Baptist de la Salle and Interior Prayer: Humility as an Antidote to "Curiositas" in the Hospitable Classroom

    ERIC Educational Resources Information Center

    Stratman, Jacob

    2017-01-01

    This article explores a relationship which is related to recognition, hospitality, and the classroom, but does not get a lot of attention: the relationship between the teacher and the subject of study. How does the teacher's stance towards knowledge affect relationships between students, the relationship between the student and the teacher, and…

  20. John Rogers: "Checkers Up at the Farm."

    ERIC Educational Resources Information Center

    Zeller, Terry

    1987-01-01

    Based on John Rogers' 1887 painted plaster sculpture called "Checkers Up at the Farm," this lesson seeks to introduce primary-level students to the idea of sculpture in the round and how sculpture can communicate ideas, emotions, and values. (JDH)

  1. John Glenn Receives Presidential Medal of Freedom

    NASA Image and Video Library

    2012-05-29

    President Barack Obama presents former United States Marine Corps pilot, astronaut, and United States Senator John Glenn with a Medal of Freedom, Tuesday, May 29, 2012, during a ceremony at the White House in Washington. Photo Credit: (NASA/Bill Ingalls)

  2. Bourdieu at the bedside: briefing parents in a pediatric hospital.

    PubMed

    LeGrow, Karen; Hodnett, Ellen; Stremler, Robyn; McKeever, Patricia; Cohen, Eyal

    2014-12-01

    The philosophy of family-centered care (FCC) promotes partnerships between families and staff to plan, deliver, and evaluate services for children and has been officially adopted by a majority of pediatric hospitals throughout North America. However, studies indicated that many parents have continued to be dissatisfied with their decision-making roles in their child's care. This is particularly salient for parents of children with chronic ongoing complex health problems. These children are dependent upon medical technology and require frequent hospitalizations during which parents must contribute to difficult decisions regarding their child's care. Given this clinical issue, an alternative theoretical perspective was explored to redress this problem. Pierre Bourdieu's theoretical concepts of field, capital, and habitus were used to analyze the hierarchical relationships in pediatric acute care hospitals and to design a briefing intervention aimed at improving parents' satisfaction with decision making in that health care setting. © 2014 John Wiley & Sons Ltd.

  3. AAGBI: Safer pre-hospital anaesthesia 2017: Association of Anaesthetists of Great Britain and Ireland.

    PubMed

    Lockey, D J; Crewdson, K; Davies, G; Jenkins, B; Klein, J; Laird, C; Mahoney, P F; Nolan, J; Pountney, A; Shinde, S; Tighe, S; Russell, M Q; Price, J; Wright, C

    2017-03-01

    Pre-hospital emergency anaesthesia with oral tracheal intubation is the technique of choice for trauma patients who cannot maintain their airway or achieve adequate ventilation. It should be carried out as soon as safely possible, and performed to the same standards as in-hospital emergency anaesthesia. It should only be conducted within organisations with comprehensive clinical governance arrangements. Techniques should be straightforward, reproducible, as simple as possible and supported by the use of checklists. Monitoring and equipment should meet in-hospital anaesthesia standards. Practitioners need to be competent in the provision of in-hospital emergency anaesthesia and have supervised pre-hospital experience before carrying out pre-hospital emergency anaesthesia. Training programmes allowing the safe delivery of pre-hospital emergency anaesthesia by non-physicians do not currently exist in the UK. Where pre-hospital emergency anaesthesia skills are not available, oxygenation and ventilation should be maintained with the use of second-generation supraglottic airways in patients without airway reflexes, or basic airway manoeuvres and basic airway adjuncts in patients with intact airway reflexes. © 2017 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland.

  4. For love or money: registered nurses who return to hospital practice.

    PubMed

    Kent, Leslie N

    2015-07-01

    This commentary explores the value that returning nurses bring to the hospital setting. Nurses who have left hospital practice, usually due to family obligations, often return once the children are older. They return because they love nursing or they need to make money. They are at a point in their lives where they want to make a difference and miss the nurse-patient relationship. During recessions, nurses return to hospital practice because recessions tend to affect male dominated occupations. Research and policy literature on the returning and/or older nurse was reviewed with a focus on the benefits and challenges of having returning nurses in hospital practice. Returning nurses serve as role models to younger nurses. They also bring experiential knowledge to patient situations. There is limited research on this group of nurses. Yet they are ready for reentry in short order during nursing shortages. When they return, they add value to the hospital unit. Returning nurses want shorter workdays, alternative roles, and less physically taxing work. This can be achieved by offering flexible scheduling and work hours, creating niche roles and providing a more worker friendly physical environment. © 2014 John Wiley & Sons Ltd.

  5. John B. Watson's Legacy: Learning and Environment.

    ERIC Educational Resources Information Center

    Horowitz, Frances Degen

    1992-01-01

    Evaluates John B. Watson's contributions to developmental psychology. Watson's insistence on objective methodology in psychology retains its influence, but his extreme environmentalism has been rejected. His concern with the principles of learning is reflected in the work of Hull and Skinner. (BC)

  6. John Glenn Receives Presidential Medal of Freedom

    NASA Image and Video Library

    2012-05-29

    President Barack Obama congratulates former United States Marine Corps pilot, astronaut, and United States Senator John Glenn after presenting him with a Medal of Freedom, Tuesday, May 29, 2012, during a ceremony at the White House in Washington. Photo Credit: (NASA/Bill Ingalls)

  7. John Dewey--Problem Solving and History Teaching

    ERIC Educational Resources Information Center

    Martorella, Peter H.

    1978-01-01

    Presents a model for introducing inquiry and problem-solving into middle grade history classes. It is based on an educational approach suggested by John Dewey. The author uses the model to explore two seemingly contradictory statements by Abraham Lincoln about slavery. (AV)

  8. James John Harpell: An Adult Education Pioneer.

    ERIC Educational Resources Information Center

    Quarter, Jack

    2000-01-01

    In early 20th-century Canada, James John Harpell began correspondence courses and study clubs and was instrumental in the cooperatives movement. He used small businesses to promote social and educational innovations and was an advocate for self-study and lifelong learning. (SK)

  9. Lost in hospital: a qualitative interview study that explores the perceptions of NHS inpatients who spent time on clinically inappropriate hospital wards.

    PubMed

    Goulding, Lucy; Adamson, Joy; Watt, Ian; Wright, John

    2015-10-01

    Prior research suggests that the placement of patients on clinically inappropriate hospital wards may increase the risk of experiencing patient safety issues. To explore patients' perspectives of the quality and safety of the care received during their inpatient stay on a clinically inappropriate hospital ward. Qualitative study using semi-structured interviews. Nineteen patients who had spent time on at least one clinically inappropriate ward during their hospital stay at a large NHS teaching hospital in England. Patients would prefer to be treated on the correct specialty ward, but it is generally accepted that this may not be possible. When patients are placed on inappropriate wards, they may lack a sense of belonging. Participants commented on potential failings in communication, medical staff availability, nurses' knowledge and the resources available, each of which may contribute to unsafe care. Patients generally acknowledge the need for placement on inappropriate wards due to demand for inpatient beds, but may report dissatisfaction in terms of preference and belonging. Importantly, patients recount issues resulting from this placement that may compromise their safety. Hospital managers should be encouraged to appreciate this insight and potential threat to safe practice and where possible avoid inappropriate ward transfers and admissions. Where such admissions are unavoidable, staff should take action to address the gaps in safety of care that have been identified. © 2013 John Wiley & Sons Ltd.

  10. The letters of John Dastin.

    PubMed

    Thiesen, Wilfred

    2008-07-01

    John Dastin, a noted alchemist who lived ca. 1300, followed the lead of many of his contemporaries and predecessors in using letters to propagate his views on alchemy. This article identifies a number of letters that Dastin wrote, and includes one text addressed to a cardinal of the city of Naples. This letter is virtually a copy of a work by Arnold of Villanova. I believe that other works ascribed to Dastin will also show a great dependence on Arnold's works.

  11. M2-F3 with test pilot John A. Manke

    NASA Image and Video Library

    1972-12-20

    NASA research pilot John A. Manke is seen here in front of the M2-F3 Lifting Body. Manke was hired by NASA on May 25, 1962, as a flight research engineer. He was later assigned to the pilot's office and flew various support aircraft including the F-104, F5D, F-111 and C-47. After leaving the Marine Corps in 1960, Manke worked for Honeywell Corporation as a test engineer for two years before coming to NASA. He was project pilot on the X-24B and also flew the HL-10, M2-F3, and X-24A lifting bodies. John made the first supersonic flight of a lifting body and the first landing of a lifting body on a hard surface runway. Manke served as Director of the Flight Operations and Support Directorate at the Dryden Flight Research Center prior to its integration with Ames Research Center in October 1981. After this date John was named to head the joint Ames-Dryden Directorate of Flight Operations. He also served as site manager of the NASA Ames-Dryden Flight Research Facility. John is a member of the Society of Experimental Test Pilots. He retired on April 27, 1984.

  12. Astronaut John Glenn Enters Friendship 7

    NASA Technical Reports Server (NTRS)

    1962-01-01

    Astronaut John Glenn enters the Mercury spacecraft, Friendship 7, prior to the launch of MA-6 on February 20, 1961 and became the first American who orbited the Earth. The MA-6 mission was the first manned orbital flight boosted by the Mercury-Atlas vehicle, a modified Atlas ICBM (Intercontinental Ballistic Missile), lasted for five hours, and orbited the Earth three times.

  13. John Dewey's Visits to Hawai'i

    ERIC Educational Resources Information Center

    McEwan, Hunter

    2015-01-01

    John Dewey visited Hawai'i on three separate occasions. Of all three trips, by far the most important, as far as Dewey's influence on education in Hawai'i is concerned, was in 1899 when he came with his wife, Alice Chipman Dewey, to help launch the University Extension program in Honolulu. The Deweys' second trip was a very brief one--twenty years…

  14. Racial Discrimination, John Henryism, and Depression Among African Americans

    PubMed Central

    Hudson, Darrell L.; Neighbors, Harold W.; Geronimus, Arline T.; Jackson, James S.

    2016-01-01

    Evidence from previous studies indicates that racial discrimination is significantly associated with depression and that African Americans with higher levels of socioeconomic status (SES) report greater exposure to racial discrimination compared to those with lower SES levels. Coping strategies could alter the relationship between racial discrimination and depression among African Americans. This study first examined whether greater levels of SES were associated with increased reports of racial discrimination and ratings of John Henryism, a measure of high-effort coping, among African Americans. Second, we examined whether high-effort coping moderated the relationship between racial discrimination and depression. Data were drawn from the National Survey of American Life Reinterview (n = 2,137). Analyses indicated that greater levels of education were positively associated with racial discrimination (p < .001) and increased levels of racial discrimination were positively related to depression (p < .001), controlling for all sociodemographic factors. Greater levels of John Henryism were associated with increased odds of depression but there was no evidence to suggest that the relationship between discrimination and depression was altered by the effects of John Henryism. PMID:27529626

  15. Sir John Struthers (1823-1899), Professor of Anatomy in the University of Aberdeen (1863-1889), President of the Royal College of Surgeons of Edinburgh (1895-1897).

    PubMed

    Kaufman, M H

    2015-11-01

    Between 1841 and 1845 John Struthers attended both the University of Edinburgh and some of the various Extra-mural Schools of Medicine associated with Surgeons' Hall. While a medical student he became a Member of the Hunterian Medical Society of Edinburgh and later was elected one of their Annual Presidents. He graduated with the MD Edin and obtained both the LRCS Edin and the FRCS Edin diplomas in 1845. Shortly afterwards he was invited to teach Anatomy in Dr Handyside's Extra-mural School in Edinburgh. The College of Surgeons certified him to teach Anatomy in October 1847. He had two brothers, and all three read Medicine in Edinburgh. His younger brother, Alexander, died of cholera in the Crimea in 1855 while his older brother James, who had been a bachelor all his life, practised as a Consultant Physician in Leith Hospital, Edinburgh, until his death.When associated with Dr Handyside's Extra-mural School in Edinburgh, John taught Anatomy there until he was elected to the Chair of Anatomy in Aberdeen in 1863. Much of his time was spent in Aberdeen teaching Anatomy and in upgrading the administrative facilities there. He resigned from this Chair in 1889 and subsequently was elected President of Leith Hospital from 1891 to 1897. This was in succession to his older brother, James, who had died in 1891. Later, he was elected President of the Royal College of Surgeons of Edinburgh from 1895 to 1897 and acted as its Vice-President from 1897 until his death in 1899. In 1898, Queen Victoria knighted him. His youngest son, John William Struthers, was the only one of his clinically qualified sons to survive him and subsequently was elected President of the Edinburgh College of Surgeons from 1941 to 1943. © The Author(s) 2014.

  16. 1. John C. Garner, Jr., Photographer 1967 PRINCIPAL (NORTH) SIDE, ...

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

    1. John C. Garner, Jr., Photographer 1967 PRINCIPAL (NORTH) SIDE, FROM NORTHWEST. THE RIGHT END OF THE BLOCK IS THE E.S. WOOD BUILDING; THE BUILDING WITH A FIRE ESCAPE IS THE ROSENFIELD BUILDING; THE T.W. HOUSE BUILDING IS TO THE LEFT OF THE PRECEDING BUILDING; JOHN BERLOCHER BUILDING IS AT THE LEFT END OF THE BLOCK. - Strand Historic District, Wood-Rosenfield-House-Berlocher Buildings, 2213-2223 Strand, Galveston, Galveston County, TX

  17. Preparing for Citizenship: Bring Back John Dewey

    ERIC Educational Resources Information Center

    Pring, Richard

    2016-01-01

    The paper traces the development of citizenship in the curriculum in England since the 1960s, emerging particularly from the Crick report. It argues for lessons to be learnt from John Dewey's "Democracy and education", the centenary of which is being celebrated this year.

  18. Influence of Internet dissemination on hospital selection for benign surgical disease: A single center retrospective study.

    PubMed

    Lee, Sung Ryul; Koo, Bum Hwan; Byun, Geon Young; Lee, Seung Geun; Kim, Myoung Jin; Hong, Soo Kyung; Kim, Su Yeon; Lee, Yu Jin

    2018-05-17

    The Internet is used worldwide, but its effect on hospital selection of minor surgical disease has not hitherto been thoroughly studied. To investigate the effect of the Internet dissemination on hospital selection of minor surgical disease and information affecting selection, we conducted a survey of patients who underwent laparoscopic surgery from January 2016 to April 2017. We analyzed the questionnaire responses of 1916 patients. Over 80% of patients in all groups selected the hospital based on Internet information. Among patients aged over 60 years, 65.1% selected the hospital based on Internet information. With regard to hospital selection factors, the highest number of responses was for sophisticated surgical treatment (93.1%). The second highest was for a simplified medical care system (33.0%); third was a comprehensive nursing care system (18.1%). Among responses about surgical treatment, the most were obtained for short operation time and fewer hospitalization days (81.5%). Copyright © 2018 John Wiley & Sons, Ltd.

  19. Academic Medical Centers Forming Accountable Care Organizations and Partnering With Community Providers: The Experience of the Johns Hopkins Medicine Alliance for Patients.

    PubMed

    Berkowitz, Scott A; Ishii, Lisa; Schulz, John; Poffenroth, Matt

    2016-03-01

    Academic medical centers (AMCs)--which include teaching hospital(s) and additional care delivery entities--that form accountable care organizations (ACOs) must decide whether to partner with other provider entities, such as community practices. Indeed, 67% (33/49) of AMC ACOs through the Medicare Shared Savings Program through 2014 are believed to include an outside community practice. There are opportunities for both the AMC and the community partners in pursuing such relationships, including possible alignment around shared goals and adding ACO beneficiaries. To create the Johns Hopkins Medicine Alliance for Patients (JMAP), in January 2014, Johns Hopkins Medicine chose to partner with two community primary care groups and one cardiology practice to support clinical integration while adding approximately 60 providers and 5,000 Medicare beneficiaries. The principal initial interventions within JMAP included care coordination for high-risk beneficiaries and later, in 2014, generating dashboards of ACO quality measures to facilitate quality improvement and early efforts at incorporating clinical pathways and Choosing Wisely recommendations. Additional interventions began in 2015.The principal initial challenges JMAP faced were data integration, generation of quality measure reports among disparate electronic medical records, receiving and then analyzing claims data, and seeking to achieve provider engagement; all these affected timely deployment of the early interventions. JMAP also created three regional advisory councils as a forum promoting engagement of local leadership. Network strategies among AMCs, including adding community practices in a nonemployment model, will continue to require thoughtful strategic planning and a keen understanding of local context.

  20. Hospital charitable lotteries: taking a gamble on systems thinking.

    PubMed

    Reynolds, Jennifer

    2013-12-01

    The presence of lotteries can be witnessed worldwide. Charitable lotteries are often portrayed as 'good works', and recently, hospitals have utilized them as a popular fundraising vehicle to raise necessary funds to help achieve organizational goals and objectives. Research indicates that lotteries contribute to gambling-related harms; however, research into charitable lotteries has been underdeveloped. Both the gambling and the health care industries are complex and evolving, consisting of many interacting stakeholders with often different and competing interests. This article seeks to present systems thinking as a conceptual framework to help fill the gap in understanding the use of gambling within hospitals and its possible benefits and unforeseen negative consequences. Addressing the gap in knowledge is important to help inform decision making aimed at reducing gambling-related harms. This article proposes how the school of systems thinking, specifically framing hospitals as complex adaptive systems and system dynamics modelling, can be utilized to understand the policy implications of the adoption of lotteries as a revenue source for hospitals. Hospitals have a duty to care, inform and protect. Hospital charitable lotteries have become big business; however, its incorporation into critical funding strategies needs to be carefully understood. Systems thinking theory and methodologies provide an integrated approach to examine this dynamic and evolving fundraising initiative. Findings from this article can inform the development of action strategies, including policy development at multiple levels. © 2013 John Wiley & Sons Ltd.

  1. Can managers empower nurse-midwives to improve maternal health care? A comparison of two resource-poor hospitals in Tanzania.

    PubMed

    Tibandebage, Paula; Kida, Tausi; Mackintosh, Maureen; Ikingura, Joyce

    2016-10-01

    Maternal mortality is very high in Tanzania. Competent hospital care is key to improving maternal outcomes, but there is a crisis of availability and performance of health workers in maternal care. This article uses interviews with managers, nurse-midwives, and women who had given birth in two hospitals providing virtually all the emergency maternal care in one Tanzania city. It contrasts women's experience in the two hospitals, and analyses interconnections with nurse-midwives' and managers' experiences of working conditions. The conceptual literature on nurse empowerment identifies some key explanatory variables for these contrasts. Staff experienced less frustration and constraint in one of the hospitals; had more access to structurally empowering resources; and experienced greater congruence between job commitment and working culture, resulting in better work engagement. Conversely, nurse-midwives in the other hospital were constrained by supply shortages and recurrent lack of support. Contrasting management styles and their impacts demonstrate that even in severely resource-constrained environments, there is room for management to empower staff to improve maternal care. Empowering management practices include participatory management, supportive supervision, better incentives, and clear leadership concerning ward culture. Structural constraints beyond the capacity of health facility managers must however also be addressed. © 2015 The Authors. International Journal of Health Planning and Management published by John Wiley & Sons, Ltd. © 2015 The Authors. International Journal of Health Planning and Management published by John Wiley & Sons, Ltd.

  2. Nietzsche, autobiography, history: mourning and Martin and John.

    PubMed

    Champagne, J

    1998-01-01

    How might gay and lesbian literature be read not as a mimetic representation of homosexuality, but as an activity linked to problems of subjectivity and historiography? Reading Dale Peck's novel Martin and John alongside passages from Friedrich Nietzsche's "On the Uses and Disadvantages of History for Life" and Sigmund Freud's "Mourning and Melancholia," this essay argues for an understanding of Peck's text as an attempt to link two apparently different processes of import to contemporary gay male subjects in particular: the writing of what Nietzsche terms "critical history," and the mourning of those lost to HIV disease. It concludes by linking Martin and John to feminist critiques of identity and traditional historiography, as well as noting the connection between these two critiques.

  3. Women's perceptions of the quality of emergency obstetric care in a referral hospital in rural Tanzania.

    PubMed

    Stal, Karen Berit; Pallangyo, Pedro; van Elteren, Marianne; van den Akker, Thomas; van Roosmalen, Jos; Nyamtema, Angelo

    2015-07-01

    To assess perceptions of the quality of obstetric care of women who delivered in a rural Tanzanian referral hospital. A descriptive-exploratory qualitative study, using semistructured in-depth interviews and participatory observation. Nineteen recently delivered women and 3 health workers were interviewed. Although most women held positive views about the care they received in hospital, several participants expressed major concerns about negative attitudes of healthcare workers. Lack of medical communication given by care providers constituted a major complaint. A more positive attitude by health workers and the provision of adequate medical information may promote a more positive hospital experience of women in need of obstetric care and enhance attendance. © 2015 John Wiley & Sons Ltd.

  4. John Singleton Copley: "Portrait of Nathaniel Hurd."

    ERIC Educational Resources Information Center

    Buchanan, Penelope D.

    1987-01-01

    Presents a lesson plan based on John Singleton Copley's 1795 oil painting, "Portrait of Nathaniel Hurd." The goal of the lesson is to give students in grades four through six an awareness of portraiture and how portraits record not only character but historical times and customs. (JDH)

  5. 50th anniversary of the inauguration of John F. Kennedy

    NASA Image and Video Library

    2011-01-20

    Caroline Kennedy, center, is recognized by U.S. Vice President Joe Biden, left, Senate Majority Leader Harry Reid (D-NV), second from left, former U.S. Labor Secretary Elaine Chao, and U.S. Senator John Kerry (D-MA), right, at an event recognizing the 50th anniversary of the inauguration of John F. Kennedy as President of the United States, Thursday, Jan. 20, 2011 in the rotunda at the U.S. Capitol. Photo Credit: (NASA/Bill Ingalls)

  6. Lessons from the Johns Hopkins Multi-Disciplinary Venous Thromboembolism (VTE) Prevention Collaborative

    PubMed Central

    Streiff, Michael B; Carolan, Howard T; Hobson, Deborah B; Kraus, Peggy S; Holzmueller, Christine G; Demski, Renee; Lau, Brandyn D; Biscup-Horn, Paula; Pronovost, Peter J

    2012-01-01

    Problem Venous thromboembolism (VTE) is a common cause of potentially preventable mortality, morbidity, and increased medical costs. Risk-appropriate prophylaxis can prevent most VTE events, but only a small fraction of patients at risk receive this treatment. Design Prospective quality improvement programme. Setting Johns Hopkins Hospital, Baltimore, Maryland, USA. Strategies for change A multidisciplinary team established a VTE Prevention Collaborative in 2005. The collaborative applied the four step TRIP (translating research into practice) model to develop and implement a mandatory clinical decision support tool for VTE risk stratification and risk-appropriate VTE prophylaxis for all hospitalised adult patients. Initially, paper based VTE order sets were implemented, which were then converted into 16 specialty-specific, mandatory, computerised, clinical decision support modules. Key measures for improvement VTE risk stratification within 24 hours of hospital admission and provision of risk-appropriate, evidence based VTE prophylaxis. Effects of change The VTE team was able to increase VTE risk assessment and ordering of risk-appropriate prophylaxis with paper based order sets to a limited extent, but achieved higher compliance with a computerised clinical decision support tool and the data feedback which it enabled. Risk-appropriate VTE prophylaxis increased from 26% to 80% for surgical patients and from 25% to 92% for medical patients in 2011. Lessons learnt A computerised clinical decision support tool can increase VTE risk stratification and risk-appropriate VTE prophylaxis among hospitalised adult patients admitted to a large urban academic medical centre. It is important to ensure the tool is part of the clinician’s normal workflow, is mandatory (computerised forcing function), and offers the requisite modules needed for every clinical specialty. PMID:22718994

  7. Testing the Bed-Blocking Hypothesis: Does Nursing and Care Home Supply Reduce Delayed Hospital Discharges?

    PubMed Central

    Gaughan, James; Gravelle, Hugh; Siciliani, Luigi

    2015-01-01

    Hospital bed-blocking occurs when hospital patients are ready to be discharged to a nursing home, but no place is available, so that hospital care acts as a more costly substitute for long-term care. We investigate the extent to which greater supply of nursing home beds or lower prices can reduce hospital bed-blocking using a new Local Authority (LA) level administrative data from England on hospital delayed discharges in 2009–2013. The results suggest that delayed discharges respond to the availability of care home beds, but the effect is modest: an increase in care home beds by 10% (250 additional beds per LA) would reduce social care delayed discharges by about 6–9%. We also find strong evidence of spillover effects across LAs: more care home beds or fewer patients aged over 65 years in nearby LAs are associated with fewer delayed discharges. © 2015 The Authors. Health Economics Published by John Wiley & Sons Ltd. PMID:25760581

  8. Effectiveness and Value of Prophylactic 5-Layer Foam Sacral Dressings to Prevent Hospital-Acquired Pressure Injuries in Acute Care Hospitals: An Observational Cohort Study.

    PubMed

    Padula, William V

    The purpose of this study was to examine the effectiveness and value of prophylactic 5-layer foam sacral dressings to prevent hospital-acquired pressure injury rates in acute care settings. Retrospective observational cohort. We reviewed records of adult patients 18 years or older who were hospitalized at least 5 days across 38 acute care hospitals of the University Health System Consortium (UHC) and had a pressure injury as identified by Patient Safety Indicator #3 (PSI-03). All facilities are located in the United States. We collected longitudinal data pertaining to prophylactic 5-layer foam sacral dressings purchased by hospital-quarter for 38 academic medical centers between 2010 and 2015. Longitudinal data on acute care, hospital-level patient outcomes (eg, admissions and PSI-03 and pressure injury rate) were queried through the UHC clinical database/resource manager from the Johns Hopkins Medicine portal. Data on volumes of dressings purchased per UHC hospital were merged with UHC data. Mixed-effects negative binomial regression was used to test the longitudinal association of prophylactic foam sacral dressings on pressure injury rates, adjusted for hospital case-mix and Medicare payments rules. Significant pressure injury rate reductions in US acute care hospitals between 2010 and 2015 were associated with the adoption of prophylactic 5-layer foam sacral dressings within a prevention protocol (-1.0 cases/quarter; P = .002) and changes to Medicare payment rules in 2014 (-1.13 cases/quarter; P = .035). Prophylactic 5-layer foam sacral dressings are an effective component of a pressure injury prevention protocol. Hospitals adopting these technologies should expect good value for use of these products.

  9. John White on Philosophy of Education and Philosophy

    ERIC Educational Resources Information Center

    Siegel, Harvey

    2014-01-01

    John White offers a provocative characterization of philosophy of education. In this brief reaction, I evaluate the characterization and urge the maintenance of a strong connection between philosophy of education and philosophy.

  10. The Trieste Lecture of John Stewart Bell

    NASA Astrophysics Data System (ADS)

    Bassi, Angelo; Carlo Ghirardi, Gian

    2007-03-01

    Delivered at Trieste on the occasion of the 25th Anniversary of the International Centre for Theoretical Physics, 2 November 1989 The video of this lecture is available here. Please see the PDF for the transcript of the lecture. General remarks by Angelo Bassi and GianCarlo Ghirardi During the autumn of 1989 the International Centre for Theoretical Physics, Trieste, celebrated the 25th anniversary of its creation. Among the many prestigious speakers, who delivered extremely interesting lectures on that occasion, was the late John Stewart Bell. All lectures have been recorded on tape. We succeeded in getting a copy of John's lecture. In the lecture, many of the arguments that John had lucidly stressed in his writings appear once more, but there are also extremely interesting new remarks which, to our knowledge, have not been presented elsewhere. In particular he decided, as pointed out by the very choice of the title of his lecture, to call attention to the fact that the theory presents two types of difficulties, which Dirac classified as first and second class. The former are those connected with the so-called macro-objectification problem, the latter with the divergences characterizing relativistic quantum field theories. Bell describes the precise position of Dirac on these problems and he stresses appropriately how, contrary to Dirac's hopes, the steps which have led to a partial overcoming of the second class difficulties have not helped in any way whatsoever to overcome those of the first class. He then proceeds to analyse the origin and development of the Dynamical Reduction Program and draws attention to the problems that still affect it, in particular that of a consistent relativistic generalization. When the two meetings Are there quantum jumps? and On the present status of Quantum Mechanics were organized in Trieste and Losinj (Croatia), on 5 10 September 2005, it occurred to us that this lecture, which has never been published, might represent an

  11. Do hospitals respond to rivals' quality and efficiency? A spatial panel econometric analysis.

    PubMed

    Longo, Francesco; Siciliani, Luigi; Gravelle, Hugh; Santos, Rita

    2017-09-01

    We investigate whether hospitals in the English National Health Service change their quality or efficiency in response to changes in quality or efficiency of neighbouring hospitals. We first provide a theoretical model that predicts that a hospital will not respond to changes in the efficiency of its rivals but may change its quality or efficiency in response to changes in the quality of rivals, though the direction of the response is ambiguous. We use data on eight quality measures (including mortality, emergency readmissions, patient reported outcome, and patient satisfaction) and six efficiency measures (including bed occupancy, cancelled operations, and costs) for public hospitals between 2010/11 and 2013/14 to estimate both spatial cross-sectional and spatial fixed- and random-effects panel data models. We find that although quality and efficiency measures are unconditionally spatially correlated, the spatial regression models suggest that a hospital's quality or efficiency does not respond to its rivals' quality or efficiency, except for a hospital's overall mortality that is positively associated with that of its rivals. The results are robust to allowing for spatially correlated covariates and errors and to instrumenting rivals' quality and efficiency. Copyright © 2017 John Wiley & Sons, Ltd.

  12. John Greenleaf's life of science.

    PubMed

    Watenpaugh, Donald E

    2012-12-01

    This article summarizes the life and career of John E. Greenleaf, PhD. It complements an interview of Dr. Greenleaf sponsored by the American Physiological Society Living History Project found on the American Physiological Society website. Dr. Greenleaf is a "thought leader" and internationally renowned physiologist, with extensive contributions in human systems-level environmental physiology. He avoided self-aggrandizement and believed that deeds rather than words define one's legacy. Viewed another way, however, Greenleaf's words define his deeds: 48% of his 185 articles are first author works, which is an unusually high proportion for a scientist of his stature. He found that writing a thorough and thoughtful discussion section often led to novel ideas that drove future research. Beyond Greenleaf's words are the many students, postdocs, and collaborators lucky enough to have worked with him and thus learn and carry on his ways of science. His core principles included the following: avoid research "fads," embrace diversity, be the first subject in your own research, adhere to rules of fiscal responsibility, and respect administrative forces-but never back down from them when you know you are right. Greenleaf's integrity ensured he was usually right. He thrived on the axiom of many successful scientists: avoid falling in love with hypotheses, so that when unexpected findings appear, they arouse curiosity instead of fear. Dr. Greenleaf's legacy will include the John and Carol Greenleaf Award for prolific environmental and exercise-related publication in the Journal of Applied Physiology.

  13. Hospital-treated suicide attempts among Finnish fire setters: a follow-up study.

    PubMed

    Thomson, Annika; Tiihonen, Jari; Miettunen, Jouko; Virkkunen, Matti; Lindberg, Nina

    2016-12-01

    High rates of attempted and completed suicide have been reported among offenders, but there has been little attention in this respect to fire setters specifically. Aim Our aim was to investigate hospital-treated suicide attempts among male fire setters. For each of a consecutive series of 441 pre-trial fire setters, four controls matched for age, gender and place of birth were randomly selected from the Central Population Register. Data on hospitalisation and causes of death over a 39-year period were obtained from the Finnish national registers. The prevalence of suicide attempts was significantly higher among fire setters than among controls. Approximately every fifth fire setter had made at least one suicide attempt which had required hospital treatment. The most common method chosen was intentional self-poisoning or exposure to noxious substances. More than 1 in 10 fire setters with at least one hospitalisation for suicide-related behaviour eventually completed suicide. More attention should be paid to detecting and managing suicidal behaviours among fire setters as they are a high-risk group and accurate identification of their needs in this respect may not only be life-saving but also reduce recidivism. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  14. Rural hospital mass casualty response to a terrorist shooting spree.

    PubMed

    Waage, S; Poole, J C; Thorgersen, E B

    2013-08-01

    Civilian mass casualty incidents may occur infrequently and suddenly, and are caused by accidents, natural disasters or human terrorist incidents. Most reports deal with trauma centre management in large cities, and data from small local hospitals are scarce. A rural hospital response to a mass casualty incident caused by a terrorist shooting spree was evaluated. An observational study was undertaken to evaluate the triage, diagnosis and management of all casualties received from the Utøya youth camp in Norway on 22 July 2011 by a local hospital, using data from the hospital's electronic records. Descriptive data are presented for patient demographics, injuries and patient flow. The shooting on Utøya youth camp left 69 people dead and 60 wounded. A rural hospital (Ringerike Hospital) triaged 35 patients, of whom 18 were admitted. During the main surge, the hospital triaged and treated 22 patients within 1 h, of whom 13 fulfilled the criteria for activating the hospital trauma team, including five with critical injuries (defined as an Injury Severity Score above 15). Ten computed tomography scans, two focused assessment with sonography for trauma (FAST) scans and 25 conventional X-rays were performed. During the first 24 h, ten surgical procedures were performed and four chest drains inserted. No patient died. Critical deviation from the major incident plan was needed, and future need for revision is deemed necessary based on the experience. Communication systems and the organization of radiological services proved to be most vulnerable. © 2013 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

  15. John Dewey in the 21st Century

    ERIC Educational Resources Information Center

    Williams, Morgan K.

    2017-01-01

    John Dewey was a pragmatist, progressivist, educator, philosopher, and social reformer (Gutek, 2014). Dewey's various roles greatly impacted education, and he was perhaps one of the most influential educational philosophers known to date (Theobald, 2009). Dewey's influence on education was evident in his theory about social learning; he believed…

  16. Reflection on the "New Dynamics" of Distance Education: An Interview with Sir John Daniel

    ERIC Educational Resources Information Center

    Latchem, Colin

    2012-01-01

    This article presents an interview with Sir John Daniel outgoing President and CEO of the Commonwealth of Learning. Sir John Daniel's term as President and Chief Executive Officer of the Commonwealth of Learning (COL) ended on May 31, 2012. Readers of "Distance Education" will know of Sir John's work at the Tele-universite (Directeur des…

  17. Astronaut John Young drives in One-G Lunar Roving Vehicle during simulation

    NASA Image and Video Library

    1971-03-04

    Astronaut John W. Young, Apollo 16 prime crew commander (right), takes a drive in the One-G Lunar Roving Vehicle (LRV) trainer in the Lunar Topgraphic Simulation area at the Manned Spacecraft Center (MSC). He is accompanied by John Omstead, with General Electric, MSC.

  18. John Bardeen: an extraordinary physicist

    NASA Astrophysics Data System (ADS)

    Hoddeson, Lillian

    2008-04-01

    On the morning of 1 November 1956 the US physicist John Bardeen dropped the frying-pan of eggs that he was cooking for breakfast, scattering its contents on the kitchen floor. He had just heard that he had won the Nobel Prize for Physics along with William Shockley and Walter Brattain for their invention of the transistor. That evening Bardeen was startled again, this time by a parade of his colleagues from the University of Illinois marching to the door of his home bearing champagne and singing "For He's a Jolly Good Fellow".

  19. Development of a novel oral vaccine against Mycobacterium avium paratuberculosis and Johne disease

    PubMed Central

    Johnston, C; Coffey, A; Sleator, RD

    2010-01-01

    Mycobacterium avium subsp. paratuberculosis (MAP) is the etiological agent of Johne disease, a granulomatous enteritis of cattle and other domesticated and wild ruminant species. Johne disease is prevalent worldwide and has a significant impact on the global agricultural economy. Current vaccines against Johne are insufficient in stemming its spread, and associated side-effects prevent their widespread use in control programs. Effective and safe vaccine strategies are needed. The main purpose of this paper is to propose and evaluate the development of a novel oral subunit-vaccine using a patho-biotechnological approach. This novel strategy, which harnesses patho-genetic elements from the intracellular pathogen Listeria monocytogenes, may provide a realistic route towards developing an effective next generation subunit vaccine against Johne disease and paratuberculosis. PMID:21326921

  20. Confidence in delegation and leadership of registered nurses in long-term-care hospitals.

    PubMed

    Yoon, Jungmin; Kim, Miyoung; Shin, Juhhyun

    2016-07-01

    Effective delegation improves job satisfaction, responsibility, productivity and development. The ageing population demands more nurses in long-term-care hospitals. Delegation and leadership promote cooperation among nursing staff. However, little research describes nursing delegation and leadership style. We investigated the relationship between registered nurses' delegation confidence and leadership in Korean long-term-care hospitals. Our descriptive correlational design sampled 199 registered nurses from 13 long-term-care hospitals in Korea. Instruments were the Confidence and Intent to Delegate Scale and Multifactor Leadership Questionnaire. Confidence in delegation significantly aligned with current-unit clinical experience, length of total clinical-nursing experience, delegation-training experience and leadership. Transformational leadership was the most statistically significant factor influencing delegation confidence. When effective delegation integrates with efficient leadership, staff can deliver optimal care to long-term-care patients. © 2016 John Wiley & Sons Ltd.

  1. 33 CFR 165.T08-290 - Safety Zone; Gulf of Mexico-Johns Pass, Florida.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety Zone; Gulf of Mexico-Johns... § 165.T08-290 Safety Zone; Gulf of Mexico—Johns Pass, Florida. (a) Regulated area. The Coast Guard is establishing a temporary safety zone on the waters of the Gulf of Mexico, Florida, in the vicinity of the John...

  2. John Martin Wood (1938-2008)--pioneering biochemist, educator and communicator.

    PubMed

    Tobin, Desmond J; Pittelkow, Mark R; Slominski, Andrzej

    2008-07-01

    John Martin Wood, Emeritus Professor of Medical Biochemistry at the University of Bradford died in Wieck by Greifswald, Germany after a short illness on February 5, 2008 - just short of his 70(th) year. John worked as a pioneering biochemist and educator in the US and in Britain across two research careers. He devoted the first twenty-five years to the role of transition metals in biology, and his last twenty-years to cutaneous enzymology and melanogenesis. Working together with his wife Professor Karin U. Schallreuter, his research on oxidative stress handling in skin and on the expression of a cutaneous catecholaminergic system will help direct research in these fields for many years to come. John impressed on his fellow cutaneous researchers and students the critical importance of appreciating the true role of enzymes in skin health and disease. This obituary aims to contextualize the significant contributions made by this remarkable man to experimental dermatology.

  3. Process and progress: John Hughlings Jackson's philosophy of science.

    PubMed

    Jacyna, L Stephen

    2011-10-01

    Some scepticism has been voiced over whether the work of John Hughlings Jackson possesses any significant philosophical orientation. This article argues that Hughlings Jackson was acquainted with the work of a wide range of philosophers. In particular, certain aspects of the writings of John Stuart Mill are reflected in Hughlings Jackson's own work. From early in his career, Hughlings Jackson adopted a critical stance in his neurological papers, seeking to expose shortcomings in the conventional practices of his peers and urging greater methodological rigour and sophistication in order to advance their science. This critical and 'procedurist' bias endows Hughlings Jackson's writings with a characteristically modern character.

  4. Effects of Per-diem payment on the duration of hospitalization and medical expenses according to the palliative care demonstration project in Korea.

    PubMed

    Shin, J Y; Yoon, S J; Ahn, H S; Yun, Y H

    2017-04-01

    The aim of this study was to examine the impacts of a government-directed palliative care demonstration (PCD) project, Per-diem Payment System (PDPS), on length of stay (LOS), hospital costs, resource usage and healthcare quality during the searched period from January in 2009 to December in 2010. A retrospective claim data review. Individuals who had been eligible for the palliative care payment policy, PDPS, during 2 years (from 2009 to 2010) were assigned to the case group including seven hospitals (n = 3117). Those (seven hospitals) who were not come eligible for the palliative care payment policy were assigned to the control group (n = 2347) with fee for service. The data used in this study were electronically submitted requests of payment to the Health Insurance Review Agency during the period January 2009 to December 2010. After the PCD project, the length of stay for palliative patients with cancer diseases decreased by 2.56% (β = -0.026; p-value = 0.0001) among patients hospitalized in a PCD project compared with patients hospitalized in seven hospitals that was not designed as a PCD project. Compared with costs before the PCD project, costs decreased by 0.76% (β = 0.013; p-value = 0.0001). We provided evidence regarding the change in the societal burden due to palliative care. Although there was a reduction of direct medical costs reported in limited number of hospitals, in the long term, we can anticipate an expanding impact on medical costs in all palliative hospitals. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  5. Clinical use of Hypericum perforatum (St John's wort) in depression: A meta-analysis.

    PubMed

    Ng, Qin Xiang; Venkatanarayanan, Nandini; Ho, Collin Yih Xian

    2017-03-01

    St John's wort is a popular herbal remedy recommended by Traditional Chinese Medicine (TCM) practitioners and licensed and widely prescribed for depression in many European countries. However, conflicting data regarding its benefits and risks exist, and the last large meta-analysis on St John's wort use for depression was done in 2008, with no updated meta-analysis available. Using the keywords [St John's Wort OR Hypericum perforatum OR hypericin OR hyperforin OR johanniskraut OR] AND [depression OR antidepressant OR SSRI], a preliminary search (without language restriction) on the PubMed, Ovid, Clinical Trials Register of the Cochrane Collaboration Depression, Anxiety and Neurosis Group, Cochrane Field for Complementary Medicine, China National Knowledge Infrastructure and WanFang database yielded 5428 papers between 1-Jan-1960 and 1-May-2016. 27 clinical trials with a total of 3808 patients were reviewed, comparing the use of St John's wort and SSRI. In patients with depression, St John's wort demonstrated comparable response (pooled RR 0.983, 95% CI 0.924-1.042, p<0.001) and remission (pooled RR 1.013, 95% CI 0.892-1.134, p<0.001) rate, and significantly lower discontinuation/dropout (pooled OR 0.587, 95% CI 0.478-0.697, p<0.001) rate compared to standard SSRIs. The pooled SMD from baseline HAM-D scores (pooled SMD -0.068, 95% CI -0.127 to 0.021, p<0.001) also support its significant clinical efficacy in ameliorating depressive symptoms. Evidence on the long-term efficacy and safety of St. John's wort is limited as the duration of all available studies ranged from 4 to 12 weeks. It is also unclear if St John's wort would be beneficial for patients with severe depression, high suicidality or suicide risk. For patients with mild-to-moderate depression, St John's wort has comparable efficacy and safety when compared to SSRIs. Follow-up studies carried out over a longer duration should be planned to ascertain its benefits. Copyright © 2017 Elsevier B.V. All rights

  6. John R. Commons: Pioneer in Labor Economics.

    ERIC Educational Resources Information Center

    Barbash, Jack

    1989-01-01

    John R. Commons has contributed in one way or another to pratically every piece of social and labor legislation that has been enacted in the twentieth century. He has made his mark on such diverse aspects of American labor as apprenticeship, vocational education, workers' compensation, and the administration of labor law. (Author/JOW)

  7. MPI Enhancements in John the Ripper

    NASA Astrophysics Data System (ADS)

    Sykes, Edward R.; Lin, Michael; Skoczen, Wesley

    2010-11-01

    John the Ripper (JtR) is an open source software package commonly used by system administrators to enforce password policy. JtR is designed to attack (i.e., crack) passwords encrypted in a wide variety of commonly used formats. While parallel implementations of JtR exist, there are several limitations to them. This research reports on two distinct algorithms that enhance this password cracking tool using the Message Passing Interface. The first algorithm is a novel approach that uses numerous processors to crack one password by using an innovative approach to workload distribution. In this algorithm the candidate password is distributed to all participating processors and the word list is divided based on probability so that each processor has the same likelihood of cracking the password while eliminating overlapping operations. The second algorithm developed in this research involves dividing the passwords within a password file equally amongst available processors while ensuring load-balanced and fault-tolerant behavior. This paper describes John the Ripper, the design of these two algorithms and preliminary results. Given the same amount of time, the original JtR can crack 29 passwords, whereas our algorithms 1 and 2 can crack an additional 35 and 45 passwords respectively.

  8. Can Payers Use Prices to Improve Quality? Evidence from English Hospitals.

    PubMed

    Allen, Thomas; Fichera, Eleonora; Sutton, Matt

    2016-01-01

    In most activity-based financing systems, payers set prices reactively based on historical averages of hospital reported costs. If hospitals respond to prices, payers might set prices proactively to affect the volume of particular treatments or clinical practice. We evaluate the effects of a unique initiative in England in which the price offered to hospitals for discharging patients on the same day as a particular procedure was increased by 24%, while the price for inpatient treatment remained unchanged. Using national hospital records for 205,784 patients admitted for the incentivised procedure and 838,369 patients admitted for a range of non-incentivised procedures between 1 December 2007 and 31 March 2011, we consider whether this price change had the intended effect and/or produced unintended effects. We find that the price change led to an almost six percentage point increase in the daycase rate and an 11 percentage point increase in the planned daycase rate. Patients benefited from a lower proportion of procedures reverted to open surgery during a planned laparoscopic procedure and from a reduction in long stays. There was no evidence that readmission and death rates were affected. The results suggest that payers can set prices proactively to incentivise hospitals to improve quality. Copyright © 2014 John Wiley & Sons, Ltd.

  9. 78 FR 57063 - Special Local Regulations; Jacksonville Dragon Boat Festival; St. Johns River; Jacksonville, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ... 1625-AA08 Special Local Regulations; Jacksonville Dragon Boat Festival; St. Johns River; Jacksonville... Special Local Regulation on the waters of the St. Johns River in Jacksonville, Florida during the... portion of the St. Johns River. Non-participant persons and vessels will be prohibited from entering or...

  10. Attending to insects: Francis Willughby and John Ray

    PubMed Central

    Ogilvie, Brian W.

    2012-01-01

    Francis Willughby and John Ray were at the forefront of the natural history of insects in the second half of the seventeenth century. Willughby in particular had a deep interest in insects' metamorphosis, behaviour and diversity, an interest that he passed on to his friend and mentor Ray. By examining Willughby's contributions to John Wilkins's Essay towards a Real Character (1668) and Ray's Methodus insectorum (1705) and Historia insectorum (1710), which contained substantial material from Willughby's manuscript history of insects, one may reconstruct how the two naturalists studied insects, their innovative use of metamorphosis in insect classification, and the sheer diversity of insect forms that they described on the basis of their own collections and those of London and Oxford virtuosi. Imperfect as it was, Historia insectorum was recognized by contemporaries as a significant contribution to the emerging field of entomology.

  11. Astronaut John Glenn - Crew Quarters - Prelaunch - Cape

    NASA Image and Video Library

    1962-02-20

    S62-00377 (20 Feb. 1962) --- Astronaut John H. Glenn Jr., walking out of building with Dr. William K. Douglas (to Glenn's left), and Joe W. Schmitt, NASA's suit technician (in front of Dr. Douglas). This Mercury Atlas 6 (MA-6) ?Friendship 7? flight marks America's first manned Earth-orbiting spaceflight. Photo credit: NASA

  12. John Thomson: Photojournalist in Asia, 1862-1872.

    ERIC Educational Resources Information Center

    Parker, Elliott S.

    John Thomson was a nineteenth-century British photojournalist who used the wet-plate process to illustrate his explorations of eastern and Southeast Asia. His travels from 1862 to 1872 took him to the following places, among others: Ceylon, Cambodia, Singapore, Thailand, Saigon, Siam, mainland China, and Taiwan. Thomson chose to use the wet-plate…

  13. HARPERS FERRY, A PLAY ABOUT JOHN BROWN.

    ERIC Educational Resources Information Center

    STAVIS, BARRIE

    THIS PLAY IS A DRAMATIC RENDERING OF JOHN BROWN'S ATTACK ON THE ARMORY AT HARPERS FERRY AND HIS SUBSEQUENT TRIAL FOR TREASON. ALTHOUGH IT ADHERES TO THE FACTS OF HISTORY, THEY ARE NOT TREATED REALISTICALLY. "HARPERS FERRY" PORTRAYS BROWN AS POSSESSING A PURE IDEALISM UNTAINTED IN THE SLIGHTEST DEGREE BY MATERIALISM OR SELF-SEEKING, WHICH…

  14. Remembering NASA Astronaut John Young, 1930-2018

    NASA Image and Video Library

    2018-01-06

    Astronaut John Young, who walked on the Moon during Apollo 16 and commanded the first space shuttle mission, has passed away at the age of 87. This video tribute, which includes music and portions of Young’s own words from previous interviews and events, recounts some of the highlights of his storied career at NASA.

  15. 6. South View of Whitneyville in Hamden, 1836 by John ...

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

    6. South View of Whitneyville in Hamden, 1836 by John Warner Barber Photocopied from John Warner Barber, Connecticut Historical Collections (New Haven, 1856), p. 220. 'The engraving... shows the appearance of the little village of Whitneyville, as seen from a few rods south, on the New Haven road.' (Barber, p. 219). The right fork, with Ithiel Town's truss, carries the New Haven & Hartford Turnpike, the left the Cheshire Turnpike. The factory is on the right, the village on the left. - Eli Whitney Armory, West of Whitney Avenue, Armory Street Vicinity, Hamden, New Haven County, CT

  16. “Internal Dosimetry is Multidisciplinary, Challenging, and Exciting” An interview with John Klumpp, Ph.D., Los Alamos National Laboratory

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Poudel, Deepesh

    Here we want to give our student readers a good picture of what it is like to work in various types of organizations and possibly aid them in choosing a career that’s a good fit for them, we have introduced a new series in this section of the newsletter. We will be chatting with young professionals working in different settings— national laboratories, academia, hospitals, and industries—about their back - ground, their responsibilities, what they like about working for their employer, and what suggestions they have for students aspiring to a similar career. In the first installment of the series, Imore » talked to John Klumpp of Radiation Protection Services Group at Los Alamos National Laboratory about his experiences.« less

  17. The effects of stochastic demand and expense preference behaviour on public hospital costs and excess capacity.

    PubMed

    Lovell, C A Knox; Rodríguez-Alvarez, Ana; Wall, Alan

    2009-02-01

    The literature to date on the effect of demand uncertainty on public hospital costs and excess capacity has not taken into account the role of expense preference behaviour. Similarly, the research on expense preference behaviour has not taken demand uncertainty into account. In this paper, we argue that both demand uncertainty and expense preference behaviour may affect public hospital costs and excess capacity and that ignoring either of these effects may lead to biased parameter estimates and misleading inference. To show this, we extend the analysis of Rodríguez-Alvarez and Lovell (Health Econ. 2004; 13: 157-169) by incorporating demand uncertainty into the technology to account for the hospital activity of providing standby capacity or insurance against the unexpected demand. We find that demand uncertainty in Spanish public hospitals affects hospital production decisions and increases costs. Our results also show that overcapitalization in these hospitals can be explained by hospitals providing insurance demand when faced with demand uncertainty. We also find evidence of expense preference behaviour. We conclude that both stochastic demand and expense preference behaviour should be taken into account when analysing hospital costs and production. Copyright (c) 2008 John Wiley & Sons, Ltd.

  18. The Influence of John Dewey on Experimental Colleges: The Black Mountain Example.

    ERIC Educational Resources Information Center

    Reynolds, Katherine C.

    This paper discusses the influence of John Dewey and his educational philosophy and methods on the development of experimental liberal arts colleges during the 1930s. It reviews the student-centered, holistic, experiential curriculum advocated by Dewey and others, and the role of John Andrew Rice in founding Black Mountain College near Black…

  19. John Lubbock, science, and the liberal intellectual

    PubMed Central

    Clark, J. F. M.

    2014-01-01

    John Lubbock's longest-standing scientific research interest was entomology. Some of his earliest systematic investigations of insect and marine life began under the tutelage of Darwin. Darwin shaped the trajectory of, and the programme for, Lubbock's natural history work. However, to understand John Lubbock's identity as a scientist, he must be located within the context of the Victorian ‘intellectual’. This paper traces Lubbock's entomological work from its early development under Darwin to his later work on insect sensory physiology and comparative psychology. Far from being the death of his scientific career, Lubbock's entry into Parliament marked the pinnacle of his career as a scientific intellectual. He built on his early work on invertebrate anatomy, physiology and taxonomy, and on his archaeological and anthropological research to expound his vision of mental evolution. His research on ‘savages’, on ants, bees and wasps, and on his dog, ‘Van’, permitted him to expatiate upon the psychic unity of all sentient beings, which, in turn, underpinned his overarching educational programme.

  20. Developing a national framework of quality indicators for public hospitals.

    PubMed

    Simou, Effie; Pliatsika, Paraskevi; Koutsogeorgou, Eleni; Roumeliotou, Anastasia

    2014-01-01

    The current study describes the development of a preliminary set of quality indicators for public Greek National Health System (GNHS) hospitals, which were used in the "Health Monitoring Indicators System: Health Map" (Ygeionomikos Chartis) project, with the purpose that these quality indicators would assess the quality of all the aspects relevant to public hospital healthcare workforce and services provided. A literature review was conducted in the MEDLINE database to identify articles referring to international and national hospital quality assessment projects, together with an online search for relevant projects. Studies were included if they were published in English, from 1980 to 2010. A consensus panel took place afterwards with 40 experts in the field and tele-voting procedure. Twenty relevant projects and their 1698 indicators were selected through the literature search, and after the consensus panel process, a list of 67 indicators were selected to be implemented for the assessment of the public hospitals categorized under six distinct dimensions: Quality, Responsiveness, Efficiency, Utilization, Timeliness, and Resources and Capacity. Data gathered and analyzed in this manner provided a novel evaluation and monitoring system for Greece, which can assist decision-makers, healthcare professionals, and patients in Greece to retrieve relevant information, with the long-term goal to improve quality in care in the GNHS hospital sector. Copyright © 2014 John Wiley & Sons, Ltd.

  1. Distraction of clinicians by smartphones in hospitals: a concept analysis.

    PubMed

    McBride, Deborah L

    2015-09-01

    To report an analysis of the concept of distraction of clinicians by smartphones and other mobile devices in hospitals. In the healthcare literature, the concept of distraction of clinicians by smartphones and other mobile devices in hospitals has no consistent definition. Concept analysis. Journal articles published from 2003-2014. Rodgers' Evolutionary Concept Analysis Method was used to analyse the concept of distraction of clinicians by smartphones and other mobile devices in hospitals. This analysis led to a definition of distraction of clinicians by smartphones as the interruption of a hospital clinician's primary task by the internally or externally initiated use of their smartphone or other mobile device. There are six attributes of distraction by smartphones and other mobile devices in hospitals. These attributes are: (1) an experience by a clinician; (2) an intrusion into a primary clinical task; (3) discontinuity of the clinical task; (4) externally or internally initiated; (5) situated in a healthcare setting; and (6) mediated by a smartphone or other mobile device. Use of the definition and the defining attributes of distraction of clinicians by smartphones will increase the validity and reliability of future studies. It will be extended to form a classification system of distractions within a framework of clinical practice, which will be used to unify and standardize future research studies. © 2015 John Wiley & Sons Ltd.

  2. John M. Eisenberg Patient Safety and Quality Awards.

    PubMed

    2009-12-01

    The Joint Commission Journal on Quality and Patient Safety is honored to publish articles on the recipients of the annual John M. Eisenberg Patient Safety and Quality Awards. This year, a new category was created: individual achievement at the international level.

  3. Fossil Flora of the John Day Basin, Oregon

    USGS Publications Warehouse

    Knowlton, Frank Hall

    1902-01-01

    For a number of years I have been gradually accumulating material for a thorough revision of the Tertiary floras of the Pacific slope. Fossil plants are known to occur at numerous points within this area, and their study and identification has already furnished valuable data bearing on the geological history of the region, and when still further exploited it is confidently expected that they will afford more exact data for the use of geologists. This investigation is progressing satisfactorily, and at no distant day it is hoped to have it in form for final publication. From time to time various members of the United States Geological Survey, as well as others not connected with this organization, have sent in small collections of fossil plants for determination. These have been studied and reported upon as fully as the condition of the problem permitted, so that the determinations could be immediately available to geologists, but with the reservation that none of the questions could be fully settled until all known material had been studied and properly correlated. The rich fossil plant deposits in the John Day Basin, as set forth more fully in the historical account which follows, have been known for a period of nearly fifty years, but their study has been carried on in a more or less desultory manner. There has also been considerable confusion as to the horizons whence these plants came. As various species of plants described originally from the John Day region were detected in various other localities in Oregon, and in surrounding areas, as central Washington, western Idaho, and northern California, it became more than ever apparent that a thorough study of all material obtainable from this type area would be necessary before any definite or satisfactory conclusions could be reached. The immediate incentive for this revision was furnished by the receipt of a considerable collection of plants, made by Dr. John C. Merriam in 1900 while he was in charge of an

  4. Five scientists at Johns Hopkins in the modern evolution of neuroscience.

    PubMed

    Harrison, T S

    2000-08-01

    Neuroscience's evolution at Johns Hopkins, from neurophysiology to the new field of neurobiology, though unplanned, was rapid and important. Beginning in 1933 when Philip Bard became professor of physiology at Johns Hopkins, members of his department concentrated initially on neuroanatomical control of placing reactions and sexual activity. Vernon Mountcastle, extending available techniques, discovered vertical somato-sensory columns in the 1950's. Stephen Kuffler, who arrived at Hopkins in 1947, was a pioneer in single unit microelectrode recording techniques. He soon attracted scientists from all over the world to his laboratory. Among them, Torsten Wiesel and David Hubel discovered vertical neuronal columns in the visual cortex. During several decades at Johns Hopkins, these five scientists set extremely high scientific standards and established a climate of inquiry in which ideas were shared and young scientists encouraged. They contributed significantly to the emerging discipline of neuroscience.

  5. Disability in the Family: John and Alice Dewey Raising Their Son Sabino

    ERIC Educational Resources Information Center

    Danforth, Scot

    2018-01-01

    Background/Context: The current biographic understanding of John Dewey's experience adopting and raising an Italian boy named Sabino emphasizes the theme of finding an emotional replacement for Morris and Gordon, two young sons who had tragically died on family trips to Europe. Lacking is substantive attention to the fact that John Dewey's son had…

  6. John Dewey's Influence on Turkish Education System in the Early Republic Era

    ERIC Educational Resources Information Center

    Sahin, Mustafa

    2017-01-01

    In this research, the influence of John Dewey's visit to Turkey in 1924, his report on Turkish education system and its influence on Turkish education system in the early republic era were discussed. John Dewey was invited by Ministry of Education in 1924. He made investigations concerning the education system, participated in interviews, and…

  7. John Y. Templeton III: Pioneer of modern cardiothoracic surgery.

    PubMed

    Li, Jing; Cohn, Herbert E; Yeo, Charles J; Cowan, Scott W

    2012-11-01

    John Young Templeton III was born in 1917 in Portsmouth, Virginia, and graduated from Jefferson Medical College in 1941. He completed his residency training under Dr. John H. Gibbon, Jr., and was the first resident who worked on Gibbon's heart-lung machine. After his training, he remained at Jefferson as an American Cancer Society fellow and Damon Runyon fellow and went on to become the fourth Samuel D. Gross Professor and Chair of the Department of Surgery in 1967. Dr. Templeton was the recipient of numerous grants and published over 80 papers in the field of cardiothoracic surgery. As a teacher and mentor, he was a beloved figure who placed great faith in his residents. He participated in over 60 professional societies, serving as president to many such as the Philadelphia Academy of Surgery and the Pennsylvania Association of Thoracic Surgery. He was also recognized through his many awards, in particular the John Y. Templeton III lectureship established in 1980 at Jefferson of whom Denton Cooley was the first lecturer. Dr. Templeton retired from practice in 1987. He is forever remembered as an important model of a modern surgeon evident in numerous academic achievements, the admiration and affection of his trainees, and the lives of patients that he had touched.

  8. A Posthumous Dialogue with John Nicolis: IERU

    NASA Astrophysics Data System (ADS)

    Rössler, Otto E.

    2014-12-01

    The reader is taken into the heart of a fictitious dialogue between two friends who never talked long enough with each other during the lifetime of both. It is the fearlessness of the mind of John that prompted the hopefully not too erratic thoughts that are going to be offered. The central figure is Heraclitus, the Great.

  9. Capitalism in Six Westerns by John Ford

    ERIC Educational Resources Information Center

    Braun, Carlos Rodriguez

    2011-01-01

    The economic and institutional analysis of capitalism can be illustrated through John Ford's Westerns. This article focuses on six classics by Ford that show the move toward modern order, the creation of a new society, and the rule of law. Economic features are pervading, from property rights and contracts to markets, money, and trade. Ford has…

  10. John Young-NASA’s Longest Serving Astronaut

    NASA Image and Video Library

    2018-01-06

    This music video takes a look back at the NASA career of astronaut John Young, who died Friday night following complications from pneumonia at the age of 87. Young is the only agency astronaut to go into space as part of the Gemini, Apollo and space shuttle programs, and the first to fly into space six times.

  11. 78 FR 42972 - Notice of Intent To Collect Fees on the John Day River, Oregon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ...) to Tumwater Falls (River Mile 10) stretch of the John Day River, between Service Creek, Oregon, and... business hours. SUPPLEMENTARY INFORMATION: The Service Creek to Tumwater Falls stretch of the John Day... float within the Service Creek to Tumwater Falls stretch of the John Day River. All fees collected would...

  12. 78 FR 64236 - Notice of Public Meeting for the John Day; Snake Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ...] Notice of Public Meeting for the John Day; Snake Resource Advisory Council AGENCY: Bureau of Land... Interior, Bureau of Land Management (BLM), the John Day--Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The John Day--Snake RAC will hold a public meeting Thursday and Friday, November 14...

  13. The aesthetic and cultural interests of patients attending an acute hospital--a phenomenological study.

    PubMed

    Moss, Hilary; O'Neill, Desmond

    2014-01-01

    To describe the aesthetic and cultural pursuits of older patients in hospital. Although there is much discussion of the importance of arts - used in this paper to refer to all art forms, as currently listed by the Arts Council of Ireland www.artscouncil.ie - in health, little is known about the salience of aesthetic and cultural pursuits of hospital patients. A qualitative, hermeneutic phenomenological study examined artistic and cultural interests and experiences of older hospital patients and their perceptions of aesthetics of hospital. A phenomenological study was carried out in 2011, using purposeful sampling with 20 inpatients aged over 65. Patients were selected from the geriatric medicine day hospital of a university teaching hospital, 10 had experience of the hospital arts programme. Seven themes identified: loss and the impact of illness on leisure activities; patients' interests and passions; a lack of expectation of arts in hospital; the positive impact of arts in hospital for those who had experienced them; varying preference between receptive and participative arts activity according to phase of illness; aesthetic aspects of the hospital experience; recommendations for changes to improve arts in hospital. Aesthetic and cultural interests are important in the lives of older patients admitted to hospital. Illness can create barriers to artistic engagement. Participation in arts activities may be more important during recovery and rehabilitation, with receptive arts being more popular during the acute phase of illness in hospital. Further research recommended on the role of the aesthetic environment for patients' health and well-being as well as receptive arts in hospital. © 2013 John Wiley & Sons Ltd.

  14. STS-100 Crew Interview: John Phillips

    NASA Technical Reports Server (NTRS)

    2001-01-01

    STS-100 Mission Specialist John Phillips is seen being interviewed. He answers questions about his inspiration to become an astronaut and his career path. He gives details on the mission's goals and significance, the rendezvous and docking of Endeavour with the International Space Station (ISS), the mission's spacewalks, and installation and capabilities of the Space Station robotic arm, UHF antenna, and Rafaello Logistics Module. Phillips then discusses his views about space exploration as it becomes an international collaboration.

  15. John C. Stennis Space Center overview

    NASA Astrophysics Data System (ADS)

    1994-05-01

    An overview of research being conducted at the John C. Stennis Space Center is given. The Space Center is not only a NASA Space Flight Center, but also houses facilities for 22 other governmental agencies. The programs described are Stennis' High Heat Flux Facility, the Component Test Facility (used to test propulsion rockets and for the development of the National Aerospace Plane), oceanographic and remote sensing research, and contributions to the development of Space Station Freedom.

  16. 78 FR 76175 - Notice of Public Meeting for the John Day-Snake Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-16

    ...] Notice of Public Meeting for the John Day-Snake Resource Advisory Council AGENCY: Bureau of Land... Interior, Bureau of Land Management (BLM), the John Day-Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The John Day-Snake RAC will hold a public meeting Thursday and Friday, January 9 and...

  17. Of Curriculum Conceptions, Orientations, and Cultures: A Rejoinder to John E. Hull

    ERIC Educational Resources Information Center

    Van Brummelen, Harro

    2009-01-01

    In this article, the author presents a rejoinder to John E. Hull. Van Brummelen first states his appreciation of John Hull's thoughtful evaluation of his views of curriculum, views in which many Christian educators have played a part. It has been several decades since the author spelled out what Hull calls an "education for discipleship"…

  18. John Dewey and the Art of Teaching: Toward Reflective and Imaginative Practice

    ERIC Educational Resources Information Center

    Simpson, Douglas J.; Jackson, Michael J. B.; Aycock, Judy C.

    2004-01-01

    "John Dewey and the Art of Teaching: Toward Reflective and Imaginative Practice" is an engaging and accessible introduction to the art of teaching as seen through the eyes of John Dewey. Authors Douglas J. Simpson, Michael J. B. Jackson, and Judy C. Aycock provide a lucid interpretation of the complexities and art of teaching in contemporary…

  19. Understanding drug interactions with St John's wort (Hypericum perforatum L.): impact of hyperforin content.

    PubMed

    Chrubasik-Hausmann, Sigrun; Vlachojannis, Julia; McLachlan, Andrew J

    2018-02-07

    The aim of this study was to review herb-drug interaction studies with St John's wort (Hypericum perforatum L.) with a focus on the hyperforin content of the extracts used in these studies. PUBMED was systematically searched to identify studies describing pharmacokinetic interactions involving St John's wort. Data on study design and the St John's wort extract or product were gathered to extract hyperforin content and daily dose used in interaction studies. This analysis demonstrates that significant herb-drug interactions (resulting in a substantial change in systemic exposure) with St John's wort products were associated with hyperforin daily dosage. Products that had a daily dose of <1 mg hyperforin were less likely to be associated with major interaction for drugs that were CYP3A4 or p-glycoprotein substrates. Although a risk of interactions cannot be excluded even for low-dose hyperforin St. John's wort extracts, the use of products that result in a dose of not more than 1 mg hyperforin per day is recommended to minimise the risk of interactions. This review highlights that the significance of herb-drug interactions with St John's wort is influenced by the nature of the herbal medicines product, particularly the hyperforin content. © 2018 Royal Pharmaceutical Society.

  20. John A. Davidson: Coccidologist, artist, teacher and naturalist

    USDA-ARS?s Scientific Manuscript database

    Dr. John Davidson was honored at the XIV International Symposium on Scale Insect Studies with the Career Achievement award for his outstanding research on scale insects, particularly armored scales. His contributions with colleagues and students include a comprehensive treatise on the economic armo...

  1. Communication satisfaction of professional nurses working in public hospitals.

    PubMed

    Wagner, J-D; Bezuidenhout, M C; Roos, J H

    2015-11-01

    This study aimed to establish and describe the level of communication satisfaction that professional nurses experience in selected public hospitals in the City of Johannesburg, South Africa. The success of any organisation depends on the effectiveness of its communication systems and the interaction between staff members. Data were collected by means of questionnaires, based on the Communication Satisfaction Questionnaire (CSQ), from a sample of 265 professional nurses from different categories, chosen using a disproportionate random stratified sampling method. The results indicated poor personal feedback between nurse managers (operational managers) and professional nurses, as well as dissatisfaction among nurse managers and professional nurses with regard to informal communication channels. A lack of information pertaining to policies, change, financial standing and achievements of hospitals was identified. Nurse managers should play a leadership role in bringing staff of different departments together by creating interactive communication forums for the sharing of ideas. The results emphasise the need for nurse managers to improve communication satisfaction at all levels of the hospital services in order to enhance staff satisfaction and create a positive working environment for staff members. © 2014 The Authors. Journal of Nursing Management Published by John wiley & Sons Ltd.

  2. Outcomes in revision Tommy John surgery in Major League Baseball pitchers.

    PubMed

    Liu, Joseph N; Garcia, Grant H; Conte, Stan; ElAttrache, Neal; Altchek, David W; Dines, Joshua S

    2016-01-01

    With the recent rise in the number of Tommy John surgeries, a proportionate rise in revisions is expected. However, much is unknown regarding the current revision rate of Tommy John surgery, return to play, and change in performance in Major League Baseball (MLB) pitchers. Publicly available databases were used to obtain a list of all MLB pitchers who underwent primary and revision Tommy John surgery. Pitching performance preoperatively and postoperatively for pitchers who returned to 1 or more MLB games after revision surgery was compared with controls matched for age and position. Since 1999, 235 MLB pitchers have undergone Tommy John surgeries; 31 pitchers (13.2%) underwent revision surgery, and 37% underwent revision within 3 years of the index procedure. Twenty-six revisions had more than 2 years of follow-up; 17 pitchers (65.4%) returned to pitch at least 1 major league game, whereas only 11 (42.3%) returned to pitch 10 or more games. Of those who returned to MLB competition, the average length of recovery was 20.76 months. Compared with controls matched for age and position, MLB pitchers undergoing revision surgery had a statistically shorter career after revision surgery (4.9 vs 2.6 seasons, P = .002), pitched fewer innings, and had fewer total pitches per season. The rate of revision Tommy John surgery is substantially higher than previously reported. For MLB pitchers, return to play after revision surgery is much lower than after primary reconstruction. The overall durability of MLB pitchers after revision ulnar collateral ligament reconstruction decreases significantly compared with controls matched for age and matched controls. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  3. Press Site Auditorium dedicated to John Holliman

    NASA Technical Reports Server (NTRS)

    1999-01-01

    A ceremony dedicated the KSC Press Site auditorium as the John Holliman Auditorium to honor the correspondent for his enthusiastic, dedicated coverage of America's space program. The auditorium was built in 1980 and has been the focal point for new coverage of Space Shuttle launches. The ceremony followed the 94th launch of a Space Shuttle, on mission STS-96, earlier this morning.

  4. The Life and Work of John Snow

    ERIC Educational Resources Information Center

    Melville, Wayne; Fazio, Xavier

    2007-01-01

    Due to his work to determine how cholera was spread in the 18th century, John Snow (1813-1858) has been hailed as the father of modern epidemiology. This article presents an inquiry model based on his life and work, which teachers can use to develop a series of biology lessons involving the history and nature of science. The lessons presented use…

  5. 'Pinning and flux dynamics I' in the memory of Professor John Clem

    NASA Astrophysics Data System (ADS)

    Weber, Harald W.

    2014-04-01

    The local Organizing Committee and the International Advisory Committee of EUCAS 2013 decided to dedicate the Session 'Pinning and Flux Dynamics I' to the memory of Professor John Clem, who passed away on 2 August 2013. Let me briefly summarize John's career and try to convey the incredible loss for the whole superconductor community. John was born in 1938 in Waukegan, a small town in Illinois. After school he obtained several scholarships at the University of Illinois. There he received a BSc in Engineering Physics in 1960, followed by an MSc in Physics in 1962, and earned a PhD focusing on the theory of superconductivity under John Bardeen in 1965. After two years of postdoctoral positions at the University of Maryland and the Technical University of Munich, he joined the Physics Department of the Iowa State University and the Ames Laboratory in 1967, where he spent the rest of his scientific career. He became Full Professor at ISU and Senior Physicist at the Ames Lab in 1975 and was Chairman of the Physics Department from 1982 to 1985. He spent several sabbaticals in the US at IBM Yorktown Heights, Stanford and EPRI in Palo Alto, was named 'Distinguished Professor' at ISU, was a Fellow of the American Physical Society and the Institute of Physics in London and, at the ASC 2012 in Portland he received the IEEE Award for 'Continuing and Significant Contributions in the Field of Applied Superconductivity', especially for his theoretical insight into the nature of vortices in 2D superconductors, which he called 'pancake vortices'. John, who married his high school sweetheart Judy right after college graduation, immediately turned Ames into a much-visited center for scientists from all over the world (including myself), who were interested in vortex physics and the properties of the flux line lattice, flux pinning, flux cutting and vortex dynamics. But it was not only the science at ISU that attracted us, it was also the warm atmosphere created by John and Judy at

  6. A tribute to John Gibbon.

    PubMed

    Church, Russell M.

    2002-04-28

    This article provides an overview of the published research of John Gibbon. It describes his experimental research on scalar timing and his development of scalar timing theory. It also describes his methods of research which included mathematical analysis, conditioning methods, psychophysical methods and secondary data analysis. Finally, it describes his application of scalar timing theory to avoidance and punishment, autoshaping, temporal perception and timed behavior, foraging, circadian rhythms, human timing, and the effect of drugs on timed perception and timed performance of Parkinson's patients. The research of Gibbon has shown the essential role of timing in perception, classical conditioning, instrumental learning, behavior in natural environments and in neuropsychology.

  7. Nutritional status and nutrition risk screening in hospitalized children in New Zealand.

    PubMed

    Moeeni, Vesal; Walls, Tony; Day, Andrew S

    2013-09-01

    Children requiring hospitalization are at risk of malnutrition. This study aimed to define the nutritional status of paediatric inpatients in comparison with healthy children and to compare and contrast the feasibility and validity of three nutritional risk screening (NRS) tools in the hospitalized children. A total of 162 children admitted to Christchurch Hospital were assessed along with a similar group of healthy children. Their nutritional state was assessed and classified using standard criteria. The NRS tools were applied, and patients were classified into low-, medium- and high-risk groups. The feasibility and validity of the tools were assessed. Under-nutrition was more frequent in the inpatient group (9.9% vs. 3.7%; p = 0.04), whereas both groups had similar rates of overweight/obesity. NRS tools were able to identify between 81% and 100% of the malnourished patients in the medium- to high-risk groups. Undernourished patients had longer hospital stay than well-nourished patients. Hospitalized children have higher rates of under-nutrition than healthy children in NZ. The three NRS tools were able to identify children at nutritional risk with differing utility. In this setting, STRONGkids was the most reliable tool. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  8. Astronaut John Glenn dons space suit during preflight operations

    NASA Technical Reports Server (NTRS)

    1964-01-01

    Astronaut John Glenn dons space suit during preflight operations at Cape Canaveral, February 20, 1962, the day he flew his Mercury-Atlas 6 spacecraft, Friendship 7, into orbital flight around the Earth.

  9. John Day River Sub-Basin Fish Habitat Enhancement Project; 2008 Annual Report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Powell, Russ M.; Alley, Pamela D.; Goin Jr, Lonnie

    Work undertaken in 2008 included: (1) Seven new fence projects were completed thereby protecting approximately 10.97 miles of streams with 16.34 miles of riparian fence; (2) Renewal of one expired lease was completed thereby continuing to protect 0.75 miles of stream with 1.0 mile of riparian fence. (3) Maintenance of all active project fences (106.54 miles), watergaps (78), spring developments (33) were checked and repairs performed; (3) Planted 1000 willow/red osier on Fox Creek/Henslee property; (4) Planted 2000 willows/red osier on Middle Fork John Day River/Coleman property; (5) Planted 1000 willow/red osier cuttings on Fox Creek/Johns property; (6) Since themore » initiation of the Fish Habitat Project in 1984 we have 126.86 miles of stream protected using 211.72 miles of fence protecting 5658 acres. The purpose of the John Day Fish Habitat Enhancement Program is to enhance production of indigenous wild stocks of spring Chinook and summer steelhead within the sub basin through habitat protection, enhancement and fish passage improvement. The John Day River system supports the largest remaining wild runs of spring chinook salmon and summer steelhead in Northeast Oregon.« less

  10. The Inner Child and Other Conceptualizations of John Bradshaw.

    ERIC Educational Resources Information Center

    Bordan, Terry

    1994-01-01

    Interviewed John Bradshaw on radio talk show. Bradshaw contributed to a greater understanding of factors that foster and maintain substance abuse and dysfunctional families. Focused on his concept of the inner child. (JBJ)

  11. 76 FR 67206 - Notice of Public Meeting, John Day-Snake Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-31

    ... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLORV00000.L10200000.DD0000; HAG 12-0022] Notice of Public Meeting, John Day-Snake Resource Advisory Council AGENCY: Bureau of Land Management... (BLM) John Day-Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The meeting...

  12. 76 FR 78691 - Notice of Public Meeting, John Day-Snake Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-19

    ... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLORV00000.L10200000.DD0000; HAG 12-0056] Notice of Public Meeting, John Day-Snake Resource Advisory Council AGENCY: Bureau of Land Management... (BLM) John Day-Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The meeting...

  13. 46 CFR 7.95 - St. Johns Point, FL to Miami Beach, FL.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false St. Johns Point, FL to Miami Beach, FL. 7.95 Section 7... LINES Atlantic Coast § 7.95 St. Johns Point, FL to Miami Beach, FL. (a) A line drawn from the seaward extremity of St. Augustine Inlet north jetty to latitude 29°55′ N. longitude 81°15.3′ W. (St. Augustine...

  14. Characterizing Hospital Workers' Willingness to Respond to a Radiological Event

    PubMed Central

    Balicer, Ran D.; Catlett, Christina L.; Barnett, Daniel J.; Thompson, Carol B.; Hsu, Edbert B.; Morton, Melinda J.; Semon, Natalie L.; Watson, Christopher M.; Gwon, Howard S.; Links, Jonathan M.

    2011-01-01

    Introduction Terrorist use of a radiological dispersal device (RDD, or “dirty bomb”), which combines a conventional explosive device with radiological materials, is among the National Planning Scenarios of the United States government. Understanding employee willingness to respond is critical for planning experts. Previous research has demonstrated that perception of threat and efficacy is key in the assessing willingness to respond to a RDD event. Methods An anonymous online survey was used to evaluate the willingness of hospital employees to respond to a RDD event. Agreement with a series of belief statements was assessed, following a methodology validated in previous work. The survey was available online to all 18,612 employees of the Johns Hopkins Hospital from January to March 2009. Results Surveys were completed by 3426 employees (18.4%), whose demographic distribution was similar to overall hospital staff. 39% of hospital workers were not willing to respond to a RDD scenario if asked but not required to do so. Only 11% more were willing if required. Workers who were hesitant to agree to work additional hours when required were 20 times less likely to report during a RDD emergency. Respondents who perceived their peers as likely to report to work in a RDD emergency were 17 times more likely to respond during a RDD event if asked. Only 27.9% of the hospital employees with a perception of low efficacy declared willingness to respond to a severe RDD event. Perception of threat had little impact on willingness to respond among hospital workers. Conclusions Radiological scenarios such as RDDs are among the most dreaded emergency events yet studied. Several attitudinal indicators can help to identify hospital employees unlikely to respond. These risk-perception modifiers must then be addressed through training to enable effective hospital response to a RDD event. PMID:22046238

  15. Interview with Antony John Kunnan on Language Assessment

    ERIC Educational Resources Information Center

    Nimehchisalem, Vahid

    2015-01-01

    Antony John Kunnan is a language assessment specialist. His research interests are fairness of tests and testing practice, assessment literacy, research methods and statistics, ethics and standards, and language assessment policy. His most recent publications include a four-volume edited collection of 140 chapters titled "The Companion to…

  16. Astronaut John Glenn, Jr. - Insertion - Mercury Spacecraft - Cape

    NASA Image and Video Library

    1962-02-20

    S62-00371 (20 Feb. 1962) --- Mercury astronaut John H. Glenn Jr., pilot of the Mercury-Atlas 6 (MA-6) spaceflight, enters the Mercury "Friendship 7" spacecraft during the MA-6 prelaunch preparations at Cape Canaveral, Florida. Glenn became the first American to orbit Earth. Photo credit: NASA

  17. Some Thoughts on John Dewey's Ethics and Education

    ERIC Educational Resources Information Center

    Karafillis, Gregorios

    2012-01-01

    The philosopher and educator, John Dewey, explores the emergence of the terms "ethics" and "education" from a pragmatist's perspective, i.e., within the linguistic and social components' framework, and society's existing cognitive and cultural level. In the current article, we examine the development, logical control and the relation between…

  18. John Dewey's Democracy and Education: A British Tribute

    ERIC Educational Resources Information Center

    Higgins, Steve, Ed.; Coffield, Frank, Ed.

    2016-01-01

    In 1916 John Dewey published "Democracy and Education: An introduction to the philosophy of education". In this book some of today's foremost historians, philosophers, psychologists, and sociologists of education mark the anniversary of Dewey's work by reviewing and reflecting, from a British perspective, on Dewey's contribution to our…

  19. How to Write About a Bumblebee--John Burroughs.

    ERIC Educational Resources Information Center

    Stock, Tom

    1981-01-01

    The personal comments of literary naturalist, John Burroughs, whose 60-year writing career began in the 1860s, can guide writing teachers today. Recommended techniques include literary walks, a fermentation process between contact with nature and writing about it, emphasis on clarity and truth, and keeping a journal. (NEC)

  20. Power and trust in organizational relations: an empirical study in Turkish public hospitals.

    PubMed

    Bozaykut, Tuba; Gurbuz, F Gulruh

    2015-01-01

    Given the salience of the interplay between trust and power relations in organizational settings, this paper examines the perceptions of social power and its effects on trust in supervisors within the context of public hospitals. Following the theoretical background from which the study model is developed, the recent situation of hospitals within Turkish healthcare system is discussed to further elucidate the working conditions of physicians. Sample data were collected employing a structured questionnaire that was distributed to physicians working at seven different public hospitals. The statistical analyses indicate that perceptions of supervisors' social power affect subordinates' trust in supervisors. Although coercive power is found to have the greatest impact on trust in supervisors, the influence of the power base is weak. In addition, the results show that perceptions of social power differ between genders. However, the results do not support any of the hypotheses regarding the relations between trust in supervisors and the examined demographic variables. Copyright © 2014 John Wiley & Sons, Ltd.

  1. From Diagnosis, to Life Saving Therapy, to Hollywood: The Journey of John Crowley

    ERIC Educational Resources Information Center

    Apel, Laura

    2010-01-01

    In February of 2000, "Exceptional Parent" introduced readers to the Crowley family. The author profiled John, Aileen, and their three children: Megan, Patrick, and John Jr. They told "Exceptional Parent" that in 1998 both Megan and Patrick were diagnosed with Pompe disease, a progressive, multisystemic, debilitating, and often fatal muscular…

  2. Unit 4, upstream from Johns Street Bridge Johnstown Local ...

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

    Unit 4, upstream from Johns Street Bridge - Johnstown Local Flood Protection Project, Beginning on Conemaugh River approx 3.8 miles downstream from confluence of Little Conemaugh & Stony Creek Rivers at Johnstown, Johnstown, Cambria County, PA

  3. Unit 4, downstream from Johns Street Bridge Johnstown Local ...

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

    Unit 4, downstream from Johns Street Bridge - Johnstown Local Flood Protection Project, Beginning on Conemaugh River approx 3.8 miles downstream from confluence of Little Conemaugh & Stony Creek Rivers at Johnstown, Johnstown, Cambria County, PA

  4. John H Glenn Jr. Receives Presidential Medal of Freedom

    NASA Image and Video Library

    2012-05-29

    President Barack Obama presents former United States Marine Corps pilot, astronaut and United States Senator John Glenn with a Medal of Freedom, Tuesday, May 29, 2012, during a ceremony at the White House in Washington.

  5. 3. HISTORIC AMERICAN BUILDINGS SURVEY JOHN R. KELLEY PHOTOGRAPHER ...

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

    3. HISTORIC AMERICAN BUILDINGS SURVEY JOHN R. KELLEY - PHOTOGRAPHER - MARCH 16, 1934 INTERIOR SHOWING SOUTH TRUSS - Whitewater Canal Aqueduct, Spanning Duck Creek, Whitewater Canal (carried over creek) (Changed from Duck Creek), Metamora, Franklin County, IN

  6. 2. HISTORIC AMERICAN BUILDINGS SURVEY JOHN R. KELLEY PHOTOGRAPHER ...

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

    2. HISTORIC AMERICAN BUILDINGS SURVEY JOHN R. KELLEY - PHOTOGRAPHER - MARCH 16, 1934 VIEW OF NORTH SIDE - Whitewater Canal Aqueduct, Spanning Duck Creek, Whitewater Canal (carried over creek) (Changed from Duck Creek), Metamora, Franklin County, IN

  7. 4. HISTORIC AMERICAN BUILDINGS SURVEY JOHN R. KELLEY PHOTOGRAPHER ...

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

    4. HISTORIC AMERICAN BUILDINGS SURVEY JOHN R. KELLEY - PHOTOGRAPHER - MARCH 16, 1934 DETAIL OF NORTHWEST CORNER - Whitewater Canal Aqueduct, Spanning Duck Creek, Whitewater Canal (carried over creek) (Changed from Duck Creek), Metamora, Franklin County, IN

  8. 1. HISTORIC AMERICAN BUILDINGS SURVEY JOHN R. KELLEY PHOTOGRAPHER ...

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

    1. HISTORIC AMERICAN BUILDINGS SURVEY JOHN R. KELLEY - PHOTOGRAPHER - MARCH 16, 1934 GENERAL VIEW FROM SOUTHWEST - Whitewater Canal Aqueduct, Spanning Duck Creek, Whitewater Canal (carried over creek) (Changed from Duck Creek), Metamora, Franklin County, IN

  9. The silence of Good Samaritan kidney donation in Australia: a survey of hospital websites.

    PubMed

    Bramstedt, Katrina A; Dave, Sameer

    2013-01-01

    It is common for living donor candidates to use the Internet as a tool to enhance their decision-making process. Specifically, the websites of transplant hospitals can potentially be a vital source of information for those contemplating living donation. In an effort to explore the low incidence of Good Samaritan kidney donation (donations to strangers) in Australia, two raters conducted a nine-attribute website content analysis for all hospitals which participate in these transplants (n = 15). Overall, the concept of living donation is relatively silent on Australian hospital websites. Only four hospitals mention their living donor program, and only one mentions their Good Samaritan program. No site linked directly to Australia's AKX Paired Kidney Exchange Program - the only program which facilitates pair and chain transplants in Australia. Further, information about deceased donation is nearly absent as well. An individual with the altruistic desire to donate will generally find scant or absent information about donation at the website of their local transplant hospital, although this information could easily be present as an educational tool which supports the consent process. Using a hospital website to educate the public about a clinical service should not be viewed as ethically problematic (solicitation), but rather an ethical essential. © 2013 John Wiley & Sons A/S.

  10. Submerged discontent and patterns of accommodation: a case study of doctors' pay in two public hospitals in China.

    PubMed

    Cao, Xuebing

    2014-01-01

    The article evaluates submerged discontent among Chinese public hospital doctors (Note1) regarding their pay and patterns of accommodation, including doctors' responses through formal and informal actions in the context of health service marketization. On the basis of a case study of two public hospitals, the article illustrates the dynamical impact of marketization on Chinese doctors' pay-related dissatisfaction and health service employment relationship. Because of the authoritarian management and compliant trade unions, the conflict between doctors and hospitals is unable to be accommodated through collective methods. Instead, doctors' discontent is often channelled through informal, individual and subtle activities. Meanwhile, doctors' professional society is gradually influential, showing its potential of developing doctors' group identity and protecting members' interests in future. Copyright © 2013 John Wiley & Sons, Ltd.

  11. A Reply to John Searle and Other Traditionalists

    ERIC Educational Resources Information Center

    Brice, Robert Greenleaf

    2008-01-01

    In an article entitled "Traditionalists & Their Challengers," John Searle says there is "supposed to be a major debate" in the universities as to whether liberal education should be replaced with multiculturalism. He finds this debate "puzzling," "disappointing," even "depressing." By dividing academia into two groups, the so-called "defenders of…

  12. STS-79 Mission Specialist John Blaha in White Room

    NASA Technical Reports Server (NTRS)

    1996-01-01

    STS-79 Mission Specialist John E. Blaha shares a light moment with white room closeout crew members Rick Welty (No. 1) and Jim Davis (right), before entering the Space Shuttle Atlantis at Launch Pad 39A.

  13. John A. Simpson (1916-2000)

    NASA Astrophysics Data System (ADS)

    Jokipii, J. R.; Gloeckler, G.

    John Alexander Simpson, a long-time member and Fellow of AGU, member of the National Academy of Sciences, and last year's recipient of the Bowie Medal, died on August 31, 2000, from complications following open heart surgery. He was 83 years old and a professor emeritus at the University of Chicago, where he spent most of an extraordinarily varied and productive career.He received his bachelor's degree from Reed College in 1940, and a master's and a doctorate from New York University in 1942 and 1943. After working on the Manhattan Project until 1946, he joined the University of Chicago faculty where he rose through the ranks and was appointed to a succession of prestigious named professorships.

  14. In-hospital death according to dementia diagnosis in acutely ill elderly patients: the REPOSI study.

    PubMed

    Marengoni, A; Corrao, S; Nobili, A; Tettamanti, M; Pasina, L; Salerno, F; Iorio, A; Marcucci, M; Bonometti, F; Mannucci, P M

    2011-09-01

    The aim of the study was to explore the association of dementia with in-hospital death in acutely ill medical patients. Thirty-four internal medicine and 4 geriatric wards in Italy participated in the Registro Politerapie SIMI-REPOSI-study during 2008. One thousand three hundred and thirty two in-patients aged 65 years or older were enrolled. Logistic regression models were used to evaluate the association of dementia with in-hospital death. Socio-demographic characteristics, morbidity (single diseases and the Charlson Index), number of drugs, and adverse clinical events during hospitalization were considered as potential confounders. One hundred and seventeen participants were diagnosed as being affected by dementia. Patients with dementia were more likely to be women, older, to have cerebrovascular diseases, pneumonia, and a higher number of adverse clinical events during hospitalization. The percentage of patients affected by dementia who died during hospitalization was higher than that of patients without dementia (9.4 versus 4.9%). After multiadjustment, the diagnosis of dementia was associated with in-hospital death (OR = 2.1; 95% CI = 1.0-4.5). Having dementia and at least one adverse clinical event during hospitalization showed an additive effect on in-hospital mortality (OR = 20.7; 95% CI = 6.9-61.9). Acutely ill elderly patients affected by dementia are more likely to die shortly after hospital admission. Having dementia and adverse clinical events during hospital stay increases the risk of death. Copyright © 2010 John Wiley & Sons, Ltd.

  15. Bilateral effects of hospital patient-safety procedures on nurses' job satisfaction.

    PubMed

    Inoue, T; Karima, R; Harada, K

    2017-09-01

    nurses' job satisfaction. In addition, policymakers in the hospitals should consider that chief nurses' leadership styles may reduce autonomy and suppress nurses' job satisfaction. © 2017 The Authors International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.

  16. Barriers to medication error reporting among hospital nurses.

    PubMed

    Rutledge, Dana N; Retrosi, Tina; Ostrowski, Gary

    2018-03-01

    errors, especially errors where patient harm is not apparent or where an error might be hidden. Such under-reporting impedes collection of accurate medication error data and prevents hospitals from changing harmful practices. © 2018 John Wiley & Sons Ltd.

  17. Does procedure profitability impact whether an outpatient surgery is performed at an ambulatory surgery center or hospital?

    PubMed

    Plotzke, Michael Robert; Courtemanche, Charles

    2011-07-01

    Ambulatory surgery centers (ASCs) are small (typically physician owned) healthcare facilities that specialize in performing outpatient surgeries and therefore compete against hospitals for patients. Physicians who own ASCs could treat their most profitable patients at their ASCs and less profitable patients at hospitals. This paper asks if the profitability of an outpatient surgery impacts where a physician performs the surgery. Using a sample of Medicare patients from the National Survey of Ambulatory Surgery, we find that higher profit surgeries do have a higher probability of being performed at an ASC compared to a hospital. After controlling for surgery type, a 10% increase in a surgery's profitability is associated with a 1.2 to 1.4 percentage point increase in the probability the surgery is performed at an ASC. Copyright © 2010 John Wiley & Sons, Ltd.

  18. The Arrest and Vindication of John H. Hickcox

    ERIC Educational Resources Information Center

    Stimson, Nancy F.; Nobunaga, Wendy Y.

    2004-01-01

    In January 1882, John H. Hickcox, a central government documents figure in his time, and the creator of "United States Government Publications: A Monthly Catalogue" or "Hickcox's Monthly Catalogue" was arrested in Washington, DC, for taking letters addressed to the Librarian of Congress. Although the charges were eventually dismissed, 1882 is the…

  19. Huang Zongxi's and John Locke's Rhetoric toward Modernity

    ERIC Educational Resources Information Center

    Wang, Xiaobo

    2012-01-01

    Huang Zongxi was an influential seventeenth century Chinese political and social theorist who is considered by many to be the inspiration and founding father of democracy and human rights in China. This article examines the many similarities in thought and social influence between Huang and his contemporary, the English philosopher John Locke.…

  20. John Lloyd Stephens and Frederick Catherwood: Mayan Explorers.

    ERIC Educational Resources Information Center

    McDermott, Michael

    This mini-unit focuses on the lives and accomplishments of John Lloyd Stephens and Frederick Catherwood and their contacts with the Maya. This project deals specifically with how Stephens' published accounts and Catherwood's drawings became the basis from which all further Mayan research developed. These two explorers were the first to describe…

  1. Talking with John Trim (Part I): A Career in Phonetics, Applied Linguistics and the Public Service

    ERIC Educational Resources Information Center

    Little, David; King, Lid

    2013-01-01

    As this issue was in preparation, the journal learned with great regret of the passing of John Trim. John was a long-serving member of the "Language Teaching" Board and his insight and advice proved invaluable for this and previous editors. An expert in the field of phonetics, linguistics, language didactics and policy, John worked…

  2. Curiosity Rover Self Portrait at John Klein Drilling Site

    NASA Image and Video Library

    2013-02-07

    The rover is positioned at a patch of flat outcrop called John Klein, which was selected as the site for the first rock-drilling activities by NASA Curiosity. This self-portrait was acquired to document the drilling site.

  3. Use of Lean methodology to improve operating room efficiency in hospitals across the Kingdom of Saudi Arabia.

    PubMed

    Hassanain, Mazen; Zamakhshary, Mohammed; Farhat, Ghada; Al-Badr, Ahmed

    2017-04-01

    The objective of this study was to assess whether an intervention on process efficiency using the Lean methodology leads to improved utilization of the operating room (OR), as measured by key performance metrics of OR efficiency. A quasi-experimental design was used to test the impact of the intervention by comparing pre-intervention and post-intervention data on five key performance indicators. The ORs of 12 hospitals were selected across regions of the Kingdom of Saudi Arabia (KSA). The participants were patients treated at these hospitals during the study period. The intervention comprised the following: (i) creation of visual dashboards that enable starting the first case on time; (ii) use of computerized surgical list management; (iii) optimization of time allocation; (iv) development of an operating model with policies and procedures for the pre-anesthesia clinic; and (iv) creation of a governance structure with policies and procedures for day surgeries. The following were the main outcome measures: on-time start for the first case, room turnover times, percent of overrun cases, average weekly procedure volume and OR utilization. The hospital exhibited statistically significant improvements in the following performance metrics: on-time start for the first case, room turnover times and percent of overrun cases. A statistically significant difference in OR utilization or average weekly procedure volumes was not detected. The implementation of a Lean-based intervention targeting process efficiency applied in ORs across various KSA hospitals resulted in encouraging results on some metrics at some sites, suggesting that the approach has the potential to produce significant benefit in the future. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  4. Building hospital capacity planning mechanisms in Poland: The impact of 2016/2017 regulatory changes.

    PubMed

    Dubas-Jakóbczyk, Katarzyna; Sowada, Christoph; Domagała, Alicja; Więckowska, Barbara

    2018-02-07

    Capacity planning is a crucial component of modern health care governance. The aim of this paper is to analyze the requirements that need to be met to build effective hospital capacity planning mechanisms in Poland. In this context, the recent regulatory changes strongly influencing hospital sector functioning, including introduction of health care needs maps, capital investment assessment, and hospital network regulations, are analyzed. Some possible ways forward, based on review of international experiences in hospital capacity planning, are discussed. Applied methods include literature review and analysis of statistical data as well as desk analysis of key national regulations related to hospital sector. Results indicate that at the system level, the process of capacity planning involves 4 elements: capital investment in facilities, equipment, and technology; service delivery; allocation of staff; and financial resources. For hospital capacity planning to be effective, the strategic decision at the macrolevel must be complemented by appropriate management of individual hospitals. The major challenge of building hospital capacity planning mechanism in Poland is imbedding it into the overall health system strategy. Because of the lack of such a strategy, the practical implementation of the ad hoc changes, which have been introduced, shows some inconsistencies. The regulations implemented between 2016 and 2017 provided a basis for hospital capacity planning, yet still need evaluation and adjustments. Also, including a mechanism for human resources planning is of crucial importance. The regulations should provide incentives for reducing oversized hospital infrastructure with simultaneous development of the long-term and coordinated care models. Copyright © 2018 John Wiley & Sons, Ltd.

  5. Extracorporeal cardiopulmonary resuscitation after out-of-hospital cardiac arrest in a Danish health region.

    PubMed

    Fjølner, J; Greisen, J; Jørgensen, M R S; Terkelsen, C J; Ilkjaer, L B; Hansen, T M; Eiskjaer, H; Christensen, S; Gjedsted, J

    2017-02-01

    Extracorporeal Cardiopulmonary Resuscitation (ECPR) has emerged as a feasible rescue therapy for refractory, normothermic out-of-hospital cardiac arrest (OHCA). Reported survival rates vary and comparison between studies is hampered by heterogeneous study populations, differences in bystander intervention and in pre-hospital emergency service organisation. We aimed to describe the first experiences, treatment details, complications and outcome with ECPR for OHCA in a Danish health region. Retrospective study of adult patients admitted at Aarhus University Hospital, Denmark between 1 January 2011 and 1 July 2015 with witnessed, refractory, normothermic OHCA treated with ECPR. OHCA was managed with pre-hospital advanced airway management and mechanical chest compression during transport. Relevant pre-hospital and in-hospital data were collected with special focus on low-flow time and ECPR duration. Survival to hospital discharge with Cerebral Performance Category (CPC) of 1 and 2 at hospital discharge was the primary endpoint. Twenty-one patients were included. Median pre-hospital low-flow time was 54 min [range 5-100] and median total low-flow time was 121 min [range 55-192]. Seven patients survived (33%). Survivors had a CPC score of 1 or 2 at hospital discharge. Five survivors had a shockable initial rhythm. In all survivors coronary occlusion was the presumed cause of cardiac arrest. Extracorporeal cardiopulmonary resuscitation is feasible as a rescue therapy in normothermic refractory OHCA in highly selected patients. Low-flow time was longer than previously reported. Survival with favourable neurological outcome is possible despite prolonged low-flow duration. © 2016 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  6. Cecilia John: An Australian Heads the London School of Dalcroze Eurhythmics, 1932-1955

    ERIC Educational Resources Information Center

    Pope, Joan

    2014-01-01

    The London School of Dalcroze Eurhythmics (LSDE) was established in 1913, and a significant figure in its history was the remarkable Cecilia John, one of seven Australians to complete the three-year course between 1917 and 1927. Apart from two short visits to Australia, John lived and taught in England for the remainder of her life. Following the…

  7. John Bowlby and ethology: an annotated interview with Robert Hinde.

    PubMed

    Bowlby, John

    2007-12-01

    From the 1950s, John Bowlby, one of the founders of attachment theory, was in personal and scientific contact with leading European scientists in the field of ethology (e.g., Niko Tinbergen, Konrad Lorenz, and especially Robert Hinde). In constructing his new theory on the nature of the bond between children and their caregivers, Bowlby profited highly from their new approach to (animal) behavior. Hinde and Tinbergen in their turn were influenced and inspired by Bowlby's new thinking. On the basis of extensive interviews with bowlby's colleague and lifelong friend Robert Hinde and on the basis of archival materials, both the relationship between John Bowlby and Robert Hinde and the cross-fertilization of ethology and attachment theory are described.

  8. Physiotherapy services provided outside of business hours in Australian hospitals: a national survey.

    PubMed

    Shaw, Kathryn D; Taylor, Nicholas F; Brusco, Natasha K

    2013-06-01

    Physiotherapy services provided outside of business hours may improve patient and hospital outcomes, but there is limited understanding of what services are provided. This study described current services provided outside of business hours across Australian hospitals. Design Descriptive, cross-sectional, Web-based survey. Participants A random sample of Australian hospitals from the public or private sector located in either metropolitan or rural/regional areas. A total of 112 completed surveys were submitted. The most common service outside of business hours was a Saturday service, provided by 61% of participating hospitals with a median (interquartile range [IQR]) of 1.0 hour (0.0 and 3.4) of physiotherapy per 30 beds. Sunday services were provided by 43% of hospitals, and services provided outside of business hours from Monday to Friday were provided by 14% of hospitals. More private hospitals provided some form of physiotherapy service outside of business hours (91%) than public hospitals (48%). More metropolitan hospitals provided some form of physiotherapy service outside of business hours (90%) than rural/regional hospitals (28%). Few of the hospitals providing sub-acute services had weekend physiotherapy (30%), but the majority of highly acute wards provided weekend physiotherapy (81%). Highly acute wards also provided more hours of service on a Saturday (median 8.1 hours per 30 beds, IQR 0.6-22.5) compared with acute wards (median 0.8 hours per 30 beds, IQR 0.0-2.8). There is limited availability of physiotherapy services in Australian hospitals outside of business hours. There are inequalities in physiotherapy services provided outside of business hours, with public, rural/regional and sub-acute facilities receiving fewer services outside of business hours than private, metropolitan and highly acute facilities. Copyright © 2012 John Wiley & Sons, Ltd.

  9. 2011 John M. Eisenberg Patient Safety and Quality Awards.

    PubMed

    2012-07-01

    The 2011 John M. Eisenberg Patient Safety and Quality Awards were presented on April 5, 2012, in Washington, D.C. Individual award recipients were interviewed for this issue, and organization or group award recipients contributed articles describing their work.

  10. Hospital decentralisation in Romania: stakeholders' perspectives in the newsprint media.

    PubMed

    Popa, Adela Elena

    2014-01-01

    In the summer of 2010, Romania undertook a process of hospital decentralisation as part of the reform in the healthcare sector. The national newsprint media covered the process thoroughly. This paper is a study of how key stakeholders' views, attitudes, beliefs and attitudes towards decentralisation are represented in print media. 106 articles, published between June and September 2010, retrieved from the online databases of six leading national dailies were analysed. A mixed methodology was used in the data analysis stage. The qualitative data exploration identified five voices belonging to stakeholders involved directly or indirectly in the process: the representatives of central government, the local authorities (district and local councils, municipal mayors), health professionals (managers and physicians in hospitals), the media (journalists, analysts) and finally voices from civil society, professional associations and advocacy groups. These were the main actors negotiating the subjective meanings of the decentralisation process. An imbalance between these key actors were observed in the frequency, content and tone of the messages delivered in media during the four months. Central government and the local authorities were the most active voices, but the respective discourses differed significantly. An analysis of the accounts identified three main themes: the financial problem (hospitals liabilities and future spending), human resource in hospitals (the impact of decentralisation upon it) and the political character of the decentralisation. Copyright © 2013 John Wiley & Sons, Ltd.

  11. Should I stay or should I go? Hospital emergency department waiting times and demand.

    PubMed

    Sivey, Peter

    2018-03-01

    In the absence of the price mechanism, hospital emergency departments rely on waiting times, alongside prioritisation mechanisms, to restrain demand and clear the market. This paper estimates by how much the number of treatments demanded is reduced by a higher waiting time. I use variation in waiting times for low-urgency patients caused by rare and resource-intensive high-urgency patients to estimate the relationship. I find that when waiting times are higher, more low-urgency patients are deterred from treatment and leave the hospital during the waiting period without being treated. The waiting time elasticity of demand for low-urgency patients is approximately -0.25 and is highest for the lowest-urgency patients. Copyright © 2017 John Wiley & Sons, Ltd.

  12. John Collier's Crusade for Indian Reform: 1920-1954.

    ERIC Educational Resources Information Center

    Philp, Kenneth R.

    For many years federal government policy sought to break up Indian communal land holdings, destroy tribal communities, and absorb Indians into the mainstream of American Society. This policy changed dramatically in the 1920's and 30's, and John Collier stands at the forefront of those responsible. Collier questioned the wisdom of a policy which…

  13. Justice John Paul Stevens and the Erotic Boomerang.

    ERIC Educational Resources Information Center

    Lieberman, Marc

    Justice John Paul Stevens of the United States Supreme Court has ruled on obscenity cases in seven instances since his appointment. His rulings reveal that he regards obscenity as a nuisance rather than as a danger threatening to undermine the nation's morality, that he supports a nationwide standard to adjudicate obscenity cases, and that he…

  14. Scapegoat: John Dewey and the Character Education Crisis

    ERIC Educational Resources Information Center

    White, Brian

    2015-01-01

    Many conservatives, including some conservative scholars, blame the ideas and influence of John Dewey for what has frequently been called a crisis of character, a catastrophic decline in moral behavior in the schools and society of North America. Dewey's critics claim that he is responsible for the undermining of the kinds of instruction that…

  15. The regulation of private hospitals in Asia.

    PubMed

    Morgan, Rosemary; Ensor, Tim

    2016-01-01

    Private providers play a significant role in the provision of health services in low and middle income countries (LMICs), and the number of private hospitals is increasing rapidly. The growth of the sector has drawn attention to the many problems that are often associated with this sector and the need for effective regulation if private providers are to contribute to the effective provision of healthcare. This paper outlines three main regulatory strategies-command and control, incentives, and self-regulation, providing examples of each approach in Asia. Traditionally, command and control regulatory instruments have dominated the regulation of private hospitals in Asia; however, when deciding on which approach is most appropriate, it is important to consider the goal of the regulation, the context in which it is to be implemented, and the advantages and disadvantages of each approach. This paper concludes that regulation needs to extend beyond command and control to include a full range of mechanisms. Doing so will help address many of the challenges found within individual approaches, in addition to helping address the regulatory challenges particular to many LMICs. Copyright © 2014 John Wiley & Sons, Ltd.

  16. Professor John Scott, folate and neural tube defects.

    PubMed

    Hoffbrand, A Victor

    2014-02-01

    John Scott (1940-2013) was born in Dublin where he was to spend the rest of his career, both as an undergraduate and subsequently Professor of Biochemistry and Nutrition at Trinity College. His research with the talented group of scientists and clinicians that he led has had a substantial impact on our understanding of folate metabolism, mechanisms of its catabolism and deficiency. His research established the leading theory of folate involvement with vitamin B12 in the pathogenesis of vitamin B12 neuropathy. He helped to establish the normal daily intake of folate and the increased requirements needed either in food or as a supplement before and during pregnancy to prevent neural tube defects. He also suggested a dietary supplement of vitamin B12 before and during pregnancy to reduce the risk of neural tube defects. It would be an appropriate epitaph if fortification of food with folic acid became mandatory in the UK and Ireland, as it is in over 70 other countries. © 2013 John Wiley & Sons Ltd.

  17. “No Clinical Puzzles More Interesting”: Harvey Cushing and Spinal Trauma, The Johns Hopkins Hospital 1896-1912

    PubMed Central

    Dasenbrock, Hormuzdiyar H.; Pendleton, Courtney; Cohen-Gadol, Aaron A.; Witham, Timothy F.; Gokaslan, Ziya L.; Quinones-Hinojosa, Alfredo; Bydon, Ali

    2015-01-01

    Although Harvey Cushing played a central role in the establishment of neurosurgery in the United States, his work on the spine remains largely unknown. This article is not only the first time that Cushing's spinal cases while he was at Johns Hopkins have been reported, but also the first time his management of spinal trauma has been described. We report on 12 patients that Cushing treated from 1898 to 1911 who have never been reported before, including blunt and penetrating injuries, complete and incomplete spinal cord lesions, and both immediate and delayed presentations. Cushing performed laminectomies within 24 hours on patients with immediate presentations—both complete and incomplete spinal cord lesions. Among those with delayed presentations, Cushing did laminectomies on patients with incomplete spinal cord injuries. By the end of his tenure at Hopkins, Cushing advocated nonoperative treatment for all patients with complete spinal cord lesions. Four patients died while an inpatient, with meningitis and cystitis leading to the death of 1 and 3 patients, respectively. Cystitis was treated with intravesicular irrigation; an indwelling catheter was placed by a suprapubic cystostomy in four. Cushing was one of the first to report the use of x-ray in a spine patient, in a case that may have been one factor leading to his interest in the nervous system; Cushing also routinely obtained radiographs in those with spinal trauma. These cases illustrate Cushing's dedication to and rapport with his patients, even in the face of a dismal prognosis. PMID:21135734

  18. Editorial: In defense of science—What would John do?

    NASA Astrophysics Data System (ADS)

    Gad-el-Hak, Mohamed

    2017-02-01

    Recent onslaughts on the importance of pure research to our collective well-being are trending. In this essay, I discuss the issues involved and offer a rebuttal. The thoughts are inspired by my mentor, academic sibling, and idol John Leask Lumley.

  19. The Politics of Composition: A Reply to John Rouse.

    ERIC Educational Resources Information Center

    Graff, Gerald

    1980-01-01

    Responds to an essay on "the politics of composition" by John Rouse (see EJ 209 264), who interpreted Mina Shaughnessy's teaching strategies as being political conditioning and suppressing student freedoms. Defends Shaughnessy's methods while seeking to refute Rouse's argument. (JT)

  20. Astronaut John Young photographed collecting lunar samples

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Astronaut John W. Young, commander of the Apollo 16 lunar landing mission, is photographed collecting lunar samples near North Ray crater during the third Apollo 16 extravehicular activity (EVA-3) at the Descartes landing site. This picture was taken by Astronaut Charles M. Duke Jr., lunar module pilot. Young is using the lunar surface rake and a set of tongs. The Lunar Roving Vehicle is parked in the field of large boulders in the background.

  1. Fighting for Intelligence: A Brief Overview of the Academic Work of John L. Horn

    PubMed Central

    McArdle, John J.; Hofer, Scott M.

    2015-01-01

    John L. Horn (1928–2006) was a pioneer in multivariate thinking and the application of multivariate methods to research on intelligence and personality. His key works on individual differences in the methodological areas of factor analysis and the substantive areas of cognition are reviewed here. John was also our mentor, teacher, colleague, and friend. We overview John Horn’s main contributions to the field of intelligence by highlighting 3 issues about his methods of factor analysis and 3 of his substantive debates about intelligence. We first focus on Horn’s methodological demonstrations describing (a) the many uses of simulated random variables in exploratory factor analysis; (b) the exploratory uses of confirmatory factor analysis; and (c) the key differences between states, traits, and trait-changes. On a substantive basis, John believed that there were important individual differences among people in terms of cognition and personality. These sentiments led to his intellectual battles about (d) Spearman’s g theory of a unitary intelligence, (e) Guilford’s multifaceted model of intelligence, and (f) the Schaie and Baltes approach to defining the lack of decline of intelligence earlier in the life span. We conclude with a summary of John Horn’s unique approaches to dealing with common issues. PMID:26246642

  2. Correlates and predictors of missed nursing care in hospitals.

    PubMed

    Bragadóttir, Helga; Kalisch, Beatrice J; Tryggvadóttir, Gudný Bergthora

    2017-06-01

    To identify the contribution of hospital, unit, staff characteristics, staffing adequacy and teamwork to missed nursing care in Iceland hospitals. A recently identified quality indicator for nursing care and patient safety is missed nursing care defined as any standard, required nursing care omitted or significantly delayed, indicating an error of omission. Former studies point to contributing factors to missed nursing care regarding hospital, unit and staff characteristics, perceptions of staffing adequacy as well as nursing teamwork, displayed in the Missed Nursing Care Model. This was a quantitative cross-sectional survey study. The samples were all registered nurses and practical nurses (n = 864) working on 27 medical, surgical and intensive care inpatient units in eight hospitals throughout Iceland. Response rate was 69·3%. Data were collected in March-April 2012 using the combined MISSCARE Survey-Icelandic and the Nursing Teamwork Survey-Icelandic. Descriptive, correlational and regression statistics were used for data analysis. Missed nursing care was significantly related to hospital and unit type, participants' age and role and their perception of adequate staffing and level of teamwork. The multiple regression testing of Model 1 indicated unit type, role, age and staffing adequacy to predict 16% of the variance in missed nursing care. Controlling for unit type, role, age and perceptions of staffing adequacy, the multiple regression testing of Model 2 showed that nursing teamwork predicted an additional 14% of the variance in missed nursing care. The results shed light on the correlates and predictors of missed nursing care in hospitals. This study gives direction as to the development of strategies for decreasing missed nursing care, including ensuring appropriate staffing levels and enhanced teamwork. By identifying contributing factors to missed nursing care, appropriate interventions can be developed and tested. © 2016 John Wiley & Sons Ltd.

  3. Is nurse managers' leadership style related to Japanese staff nurses' affective commitment to their hospital?

    PubMed

    Kodama, Yoshimi; Fukahori, Hiroki; Sato, Kana; Nishida, Tomoko

    2016-10-01

    To determine if nurse managers' leadership style is related to Japanese staff nurses' affective commitment to their hospital. In Western countries, nurse managers' transformational leadership style has been found to increase staff nurses' affective commitment to their hospital. However, there are few studies examining this relationship in the context of acute care hospitals in Japan. Staff nurses completed measures of their nurse managers' perceived leadership style and factors related to their own affective commitment. The association between affective commitment and perception of leadership style was assessed with multiple logistic regression. Of 736 questionnaires distributed, 579 (78.9%) were returned, and data from 396 (53.8%) fully completed questionnaires were analysed. The intellectual stimulation aspect of transformational leadership positively increased staff nurses' affective commitment (odds ratio: 2.23). Nurse managers' transactional and laissez-faire leadership styles were not related to affective commitment among staff nurses. The intellectual stimulation aspect of transformational leadership may increase the retention of staff nurses through enhanced affective commitment. To increase staff nurses' affective commitment to their hospital, we suggest that hospital administrators equip nurse managers with intellectual stimulation skills. © 2016 John Wiley & Sons Ltd.

  4. 77 FR 23747 - Notice of Availability of the Proposed John Day Basin Resource Management Plan and Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-20

    ... on public lands, and expanded scientific knowledge and information pertaining to the conservation of... John Day/Snake Resource Advisory Council and with representatives of local, State, and other Federal... received from the public, John Day/Snake Resource Advisory Council, John Day Basin RMP Cooperating Agencies...

  5. Hospital outcomes of older people with cognitive impairment: An integrative review.

    PubMed

    Fogg, Carole; Griffiths, Peter; Meredith, Paul; Bridges, Jackie

    2018-06-26

    To summarise existing knowledge of outcomes of older hospital patients with cognitive impairment, including the type and frequency of outcomes reported, and the additional risk experienced by this patient group. Integrative literature review. Health care literature databases, reports, and policy documents on key websites were systematically searched. Papers describing the outcomes of older people with cognitive impairment during hospitalisation and at discharge were analysed and summarised using integrative methods. One hundred four articles were included. A range of outcomes were identified, including those occurring during hospitalisation and at discharge. Older people with a dementia diagnosis were at higher risk from death in hospital, nursing home admission, long lengths of stay, as well as intermediate outcomes such as delirium, falls, dehydration, reduction in nutritional status, decline in physical and cognitive function, and new infections in hospital. Fewer studies examined the relationship of all-cause cognitive impairment with outcomes. Patient and carer experiences of hospital admission were often poor. Few studies collected data relating to hospital environment, eg, ward type or staffing levels, and acuity of illness was rarely described. Older people with cognitive impairment have a higher risk of a variety of negative outcomes in hospital. Prevalent intermediate outcomes suggest that changes in care processes are required to ensure maintenance of fundamental care provision and greater attention to patient safety in this vulnerable group. More research is required to understand the most appropriate ways of doing this and how changes in these care processes are best implemented to improve hospital outcomes. © 2018 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.

  6. Free Medicines Thanks to Retirement: Impact of Coinsurance Exemption on Pharmaceutical Expenditures and Hospitalization Offsets in a national health service.

    PubMed

    Puig-Junoy, Jaume; García-Gómez, Pilar; Casado-Marín, David

    2016-06-01

    This paper examines the impact of coinsurance exemption for prescription medicines applied to elderly individuals in Spain after retirement. We use a rich administrative dataset that links pharmaceutical consumption and hospital discharge records for the full population aged 58 to 65 years in January 2004 covered by the public insurer in a Spanish region, and we follow them until December 2006. We use a difference-in-differences strategy and exploit the eligibility age for Social Security to control for the endogeneity of the retirement decision. Our results show that this uniform exemption increases the consumption of prescription medicines on average by 17.5%, total pharmaceutical expenditure by 25% and the costs borne by the insurer by 60.4%, without evidence of any offset effect in the form of lower short term probability of hospitalization. The impact is concentrated among consumers of medicines for acute and other non-chronic diseases whose previous coinsurance rate was 30% to 40%. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  7. John H Glenn Jr.

    NASA Image and Video Library

    2012-02-17

    Mercury astronaut John Glenn speaks during the "On Shoulders of Giants" program celebrating 50 years of Americans in orbit, an era which began with Glenn's MA-6 mission on Feb. 20, 1962. The event was conducted in the Rocket Garden at the Kennedy Space Center Visitor Complex in Florida a few miles from the launch pad where Glenn and Scott Carpenter took flight in Mercury spacecraft. Glenn's launch aboard an Atlas rocket took with it the hopes of an entire nation and ushered in a new era of space travel that eventually led to Americans walking on the moon by the end of the 1960s. Glenn soon was followed into orbit by Scott Carpenter, Walter Schirra and Gordon Cooper. Their fellow Mercury astronauts Alan Shepard and Virgil "Gus" Grissom flew earlier suborbital flights. Deke Slayton, a member of NASA's original Mercury 7 astronauts, was grounded by a medical condition until the Apollo-Soyuz Test Project in 1975.

  8. Stressors of newly graduated nurses in Shanghai paediatric hospital: a qualitative study.

    PubMed

    Hu, Yun; Zhang, Yaqing; Shen, Nanping; Wu, Juemin; Wu, Jia; Malmedal, Wenche K

    2017-04-01

    To identify stressors of newly graduated paediatric nurses at a children's hospital in Shanghai, China. Stress is an international phenomenon in nursing generally, but little is known about its effect on new paediatric nurses at the Shanghai paediatric hospital. Participants in this research were 25 newly graduated paediatric nurses. Their behaviours and perceptions were explored by field observations and interviews. Findings indicated that participants experienced numerous stressors: low work status, insufficient professional competence, heavy workload, inadequate supportive systems and uncertainty of career development. The results of the present study provide useful information for administrators to develop and improve postgraduate programmes to support novice paediatric nurses. Our research highlights the importance of identifying the stressors of new paediatric nurses in the light of a serious nurse shortage and an increasing birth rate. © 2016 John Wiley & Sons Ltd.

  9. Astronaut John Glenn practices insertion into Mercury spacecraft

    NASA Technical Reports Server (NTRS)

    1962-01-01

    Astronaut John H. Glenn Jr., pilot of the Mercury-Atlas 6 mission, practices insertion into the Mercury 'Friendship 7' spacecraft during MA-6 preflight training activity at Cape Canveral, Florida. He is wearing the full pressure suit and helmet (00993); Glenn practices insertion into Mercury capsule with help of a McDonnell Aircraft Corporation technician (00994).

  10. Senator John Glenn training in Single Systems Trainer

    NASA Image and Video Library

    1998-03-30

    S98-08642 (30 March 1998) --- U.S. Sen. John H. Glenn Jr. (D.-Ohio) is briefed on the usage of the single systems trainer at the Johnson Space Center (JSC). Glenn is in training for payload specialist duties for a scheduled late October flight aboard the Space Shuttle Discovery. Photo by Joe McNally, National Geographic, for NASA

  11. John Ross--The Story of an American Indian.

    ERIC Educational Resources Information Center

    Harrell, Sara Gordon

    First elected Principal Chief of the Cherokee Nation in 1828, John Ross served his people with courage and honor through a difficult and tragic period in their history. Born in 1790, he grew up when the Cherokees' world was rapidly changing and treaties with federal and state governments ended in broken promises and the loss of Cherokee lands. He…

  12. Strategic planning processes and financial performance among hospitals in Lebanon.

    PubMed

    Saleh, Shadi; Kaissi, Amer; Semaan, Adele; Natafgi, Nabil Maher

    2013-01-01

    Strategic planning has been presented as a valuable management tool. However, evidence of its deployment in healthcare and its effect on organizational performance is limited in low-income and middle-income countries (LMICs). The study aimed to explore the use of strategic planning processes in Lebanese hospitals and to investigate its association with financial performance. The study comprised 79 hospitals and assessed occupancy rate (OR) and revenue-per-bed (RPB) as performance measures. The strategic planning process included six domains: having a plan, plan development, plan implementation, responsibility of planning activities, governing board involvement, and physicians' involvement. Approximately 90% of hospitals have strategic plans that are moderately developed (mean score of 4.9 on a 1-7 scale) and implemented (score of 4.8). In 46% of the hospitals, the CEO has the responsibility for the plan. The level of governing board involvement in the process is moderate to high (score of 5.1), whereas physician involvement is lower (score of 4.1). The OR and RPB amounted to respectively 70% and 59 304 among hospitals with a strategic plan as compared with 62% and 33 564 for those lacking such a plan. No statistical association between having a strategic plan and either of the two measures was detected. However, the findings revealed that among hospitals that had a strategic plan, higher implementation levels were associated with lower OR (p < 0.05). In an LMIC healthcare environment characterized by resource limitation, complexity, and political and economic volatility, flexibility rather than rigid plans allow organizations to better cope with environmental turbulence. Copyright © 2012 John Wiley & Sons, Ltd.

  13. Implementing team huddles in small rural hospitals: How does the Kotter model of change apply?

    PubMed

    Baloh, Jure; Zhu, Xi; Ward, Marcia M

    2017-12-17

    To examine how the process of change prescribed in Kotter's change model applies in implementing team huddles, and to assess the impact of the execution of early change phases on change success in later phases. Kotter's model can help to guide hospital leaders to implement change and potentially to improve success rates. However, the model is under studied, particularly in health care. We followed eight hospitals implementing team huddles for 2 years, interviewing the change teams quarterly to inquire about implementation progress. We assessed how the hospitals performed in the three overarching phases of the Kotter model, and examined whether performance in the initial phase influenced subsequent performance. In half of the hospitals, change processes were congruent with Kotter's model, where performance in the initial phase influenced their success in subsequent phases. In other hospitals, change processes were incongruent with the model, and their success depended on implementation scope and the strategies employed. We found mixed support for the Kotter model. It better fits implementation that aims to spread to multiple hospital units. When the scope is limited, changes can be successful even when steps are skipped. Kotter's model can be a useful guide for nurse managers implementing changes. © 2017 John Wiley & Sons Ltd.

  14. 9 CFR 80.4 - Segregation of animals positive to an official Johne's disease test during interstate movement.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... official Johne's disease test during interstate movement. 80.4 Section 80.4 Animals and Animal Products... ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.4 Segregation of animals positive to an official Johne's disease test during interstate movement. Animals that are positive...

  15. 9 CFR 80.4 - Segregation of animals positive to an official Johne's disease test during interstate movement.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... official Johne's disease test during interstate movement. 80.4 Section 80.4 Animals and Animal Products... ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.4 Segregation of animals positive to an official Johne's disease test during interstate movement. Animals that are positive...

  16. 9 CFR 80.4 - Segregation of animals positive to an official Johne's disease test during interstate movement.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... official Johne's disease test during interstate movement. 80.4 Section 80.4 Animals and Animal Products... ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.4 Segregation of animals positive to an official Johne's disease test during interstate movement. Animals that are positive...

  17. 9 CFR 80.4 - Segregation of animals positive to an official Johne's disease test during interstate movement.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... official Johne's disease test during interstate movement. 80.4 Section 80.4 Animals and Animal Products... ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.4 Segregation of animals positive to an official Johne's disease test during interstate movement. Animals that are positive...

  18. 9 CFR 80.4 - Segregation of animals positive to an official Johne's disease test during interstate movement.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... official Johne's disease test during interstate movement. 80.4 Section 80.4 Animals and Animal Products... ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.4 Segregation of animals positive to an official Johne's disease test during interstate movement. Animals that are positive...

  19. 76 FR 30394 - St. John Knits, Inc. Irvine, CA; Amended Certification Regarding Eligibility To Apply for Worker...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,839] St. John Knits, Inc..., 2011, applicable to workers of St. John Knits, Inc., Irvine, California. The workers are engaged in the... adjustment assistance was issued for all workers of St. John Knits, Sample Manufacturing Department, Irvine...

  20. 76 FR 16447 - St. John Knits, Inc., Irvine, CA; Amended Certification Regarding Eligibility To Apply for Worker...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,839] St. John Knits, Inc..., 2011, applicable to workers of St. John Knits, Inc., Irvine, California. The workers are engaged in the... adjustment assistance was issued for all workers of St. John Knits, Sample Manufacturing Department, Irvine...

  1. Camera aboard 'Friendship 7' photographs John Glenn during spaceflight

    NASA Technical Reports Server (NTRS)

    1962-01-01

    A camera aboard the 'Friendship 7' Mercury spacecraft photographs Astronaut John H. Glenn Jr. during the Mercury-Atlas 6 spaceflight (00302-3); Photographs Glenn as he uses a photometer to view the sun during sunsent on the MA-6 space flight (00304).

  2. Astronaut John Casper checks equipment to support medical testing

    NASA Image and Video Library

    1994-03-05

    STS062-10-010 (4-18 March 1994) --- Astronaut John H. Casper, mission commander, takes stock of paraphenalia used to support medical testing onboard Columbia's middeck. Casper was poind by four other veteran astronauts for 14 days of variegated research in earth orbit.

  3. Special article: Horace Nelson MD, John Webster LDS--unrecognized Canadian anesthesia pioneers.

    PubMed

    Craig, Douglas; Chartrand, Daniel

    2014-03-01

    The timing of the earliest reported ether anesthetics in early 1847, in regions to become Canada in July 1867, was examined using information from on-line and library-based sources. Previous authors had identified the first reported ether anesthetic given by a visiting American dentist in January 1847 in Saint John, New Brunswick. Nevertheless, they had reported three different anesthetics as the second occurrence - which would denote the first anesthetic given by a resident of Canada. We confirmed that there were no reports of ether anesthetics being given in Canada before that reported on January 18, 1847 in Saint John. The information available for our review indicates that the second ether anesthetic, and the first by a Canadian, was given in Montreal by a dentist, Dr. John Horatio Webster, on February 20, 1847. The surgical assistant for that operation, Dr. Horace Nelson, later reported on animal and human experiments with ether, which he had led in Montreal starting in January 1847. Earlier authors, who may not have had access to the information now available, came to incorrect conclusions about the first ether anesthetic reported to have been given by a Canadian. Current information indicates that John Webster gave the first reported anesthetic in Montreal on February 20, 1847 following experiments with ether led by Horace Nelson. Both Webster and Nelson deserve recognition as Canadian anesthesia pioneers.

  4. Clinical presentation at first heart failure hospitalization does not predict recurrent heart failure admission.

    PubMed

    Kosztin, Annamaria; Costa, Jason; Moss, Arthur J; Biton, Yitschak; Nagy, Vivien Klaudia; Solomon, Scott D; Geller, Laszlo; McNitt, Scott; Polonsky, Bronislava; Merkely, Bela; Kutyifa, Valentina

    2017-11-01

    There are limited data on whether clinical presentation at first heart failure (HF) hospitalization predicts recurrent HF events. We aimed to assess predictors of recurrent HF hospitalizations in mild HF patients with an implantable cardioverter defibrillator or cardiac resynchronization therapy with defibrillator. Data on HF hospitalizations were prospectively collected for patients enrolled in MADIT-CRT. Predictors of recurrent HF hospitalization (HF2) after the first HF hospitalization were assessed using Cox proportional hazards regression models including baseline covariates and clinical presentation or management at first HF hospitalization. There were 193 patients with first HF hospitalization, and 156 patients with recurrent HF events. Recurrent HF rate after the first HF hospitalization was 43% at 1 year, 52% at 2 years, and 55% at 2.5 years. Clinical signs and symptoms, medical treatment, or clinical management of HF at first HF admission was not predictive for HF2. Baseline covariates predicting recurrent HF hospitalization included prior HF hospitalization (HR = 1.59, 95% CI: 1.15-2.20, P = 0.005), digitalis therapy (HR = 1.58, 95% CI: 1.13-2.20, P = 0.008), and left ventricular end-diastolic volume >240 mL (HR = 1.62, 95% CI: 1.17-2.25, P = 0.004). Recurrent HF events are frequent following the first HF hospitalization in patients with implanted implantable cardioverter defibrillator or cardiac resynchronization therapy with defibrillator. Neither clinical presentation nor clinical management during first HF admission was predictive of recurrent HF. Prior HF hospitalization, digitalis therapy, and left ventricular end-diastolic volume at enrolment predicted recurrent HF hospitalization, and these covariates could be used as surrogate markers for identifying a high-risk cohort. © 2017 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.

  5. STS-113 Mission Specialist John Herrington suits up for launch

    NASA Technical Reports Server (NTRS)

    2002-01-01

    KENNEDY SPACE CENTER, FLA. -- STS-113 Mission Specialist John Herrington suits up for launch. Herrington will be making his first Shuttle flight. This is also the first launch of the first tribally enrolled Native American astronaut -- John B. Herrington -- on Space Transportation System. The primary mission for the crew is bringing the Expedition 6 crew to the Station and returning the Expedition 5 crew to Earth. The major objective of the mission is delivery of the Port 1 (P1) Integrated Truss Assembly, which will be attached to the port side of the S0 truss. Three spacewalks are planned to install and activate the truss and its associated equipment. Launch of Space Shuttle Endeavour on mission STS-113 is scheduled for 8:15 p.m. EST.

  6. 76 FR 56215 - John H. Chafee Coastal Barrier Resources System; Baldwin and Mobile Counties, AL; Availability of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-12

    ... aquatic habitat. These areas are depicted on a series of maps entitled ``John H. Chafee Coastal Barrier...] John H. Chafee Coastal Barrier Resources System; Baldwin and Mobile Counties, AL; Availability of Draft... availability of a John H. Chafee Coastal Barrier Resources System (CBRS) draft revised map, dated September 22...

  7. Water quality and ground-water/surface-water interactions along the John River near Anaktuvuk Pass, Alaska, 2002-2003

    USGS Publications Warehouse

    Moran, Edward H.; Brabets, Timothy P.

    2005-01-01

    The headwaters of the John River are located near the village ofAnaktuvuk Pass in the central Brooks Range of interior Alaska. With the recent construction of a water-supply system and a wastewater-treatment plant, most homes in Anaktuvuk Pass now have modern water and wastewater systems. The effluent from the treatment plant discharges into a settling pond near a tributary of the John River. The headwaters of the John River are adjacent to Gates of the Arctic National Park and Preserve, and the John River is a designated Wild River. Due to the concern about possible water-quality effects from the wastewater effluent, the hydrology of the John River near Anaktuvuk Pass was studied from 2002 through 2003. Three streams form the John River atAnaktuvuk Pass: Contact Creek, Giant Creek, and the John RiverTributary. These streams drain areas of 90.3 km (super 2) , 120 km (super 2) , and 4.6 km (super 2) , respectively. Water-qualitydata collected from these streams from 2002-03 indicate that the waters are a calcium-bicarbonate type and that Giant Creek adds a sulfate component to the John River. The highest concentrations of bicarbonate, calcium, sodium, sulfate, and nitrate were found at the John River Tributary below the wastewater-treatment lagoon. These concentrations have little effect on the water quality of the John River because the flow of the John River Tributary is only about 2 percent of the John River flow. To better understand the ground-water/surface-water interactions of the upper John River, a numerical groundwater-flow model of the headwater area of the John River was constructed. Processes that occur during spring break-up, such as thawing of the active layer and the frost table and the resulting changes of storage capacity of the aquifer, were difficult to measure and simulate. Application and accuracy of the model is limited by the lack of specific hydrogeologic data both spatially and temporally. However

  8. Obituary: John Norris Bahcall, 1934-2005

    NASA Astrophysics Data System (ADS)

    Striker, Jeremiah P.; Bahcall, Neta A.

    2007-12-01

    John Norris Bahcall, one of the most creative and influential astrophysicists of his generation — a scientist who helped prove what makes the Sun shine and helped make the Hubble Space Telescope a reality — passed away in Pasadena, California, on 17 August 2005. Bahcall died peacefully in his sleep from a rare blood disorder. For the past 35 years, Bahcall was the Richard Black Professor of Natural Sciences at the Institute for Advanced Study in Princeton, New Jersey, where he created one of the leading astrophysics programs in the world. Active and working to the end, Bahcall said that he was always grateful for a full and happy life that exceeded his wildest expectations. Bahcall died as he lived, surrounded by the family he loved, embracing life to its fullest, happy, working and joking to the end. Bahcall's stellar career encompassed seminal contributions in numerous fields of astrophysics as well as extraordinary leadership on behalf of the scientific community, including the American Astronomical Society, the American Physical Society, the National Academy of Sciences, NASA, and Congress. Bahcall's contributions made him one of the scientific leaders of his time. He had been recognized by numerous awards including the 1998 National Medal of Science from President Clinton, the Gold Medal of the Royal Astronomical Society, the Medal of the Swedish Royal Academy, the Dan David Award, the Fermi Award, the first Hans Bethe Prize, the Franklin Medal, the Comstock Prize in physics, NASA's Exceptional Scientific Achievement Medal, NASA's Distinguished Public Service Medal, and the top awards of the American Astronomical Society — including the Russell Award, the Heineman Prize, and the Warner Prize. Bahcall was elected to the National Academy of Sciences in 1976 and to the American Philosophical Society in 2001. He was the recipient of Honorary Degrees from numerous universities around the world. Bahcall's scientific interests and expertise ranged from neutrino

  9. Historical Footage of John Glenn Friendship 7

    NASA Technical Reports Server (NTRS)

    1962-01-01

    The Friendship mission launch on the 20th day of February marked the first time that an American attempts to orbit the Earth. Historical footage of John Glenn's suit up, ride out to the launch pad, countdown, liftoff, booster engine cutoff, and separation of the booster engine escape tower is shown. Views of the Earth, Glenn's manual control of the electrical fly-by wire system, and the recovery of the landing vehicle from the ocean are presented.

  10. 6. Historic American Buildings Survey John O. Brostrup, Photographer September ...

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

    6. Historic American Buildings Survey John O. Brostrup, Photographer September 4, 1936 10:50 A. M. VIEW OF SLAVE QUARTERS FROM SOUTHWEST (front.) - Rock Hall & Slave Quarters, Dickerson, Montgomery County, MD

  11. 4. Historic American Buildings Survey John O. Brostrup, Photographer March ...

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

    4. Historic American Buildings Survey John O. Brostrup, Photographer March 30, 1936 12:50 P. M. VIEW FROM SOUTHWEST - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  12. 9. Historic American Buildings Survey John O. Brostrup, Photographer April ...

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

    9. Historic American Buildings Survey John O. Brostrup, Photographer April 20, 1936 10:00 A.M. VIEW FROM SOUTHEAST - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  13. 11. Historic American Buildings Survey John O. Brostrup, Photographer Oct. ...

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

    11. Historic American Buildings Survey John O. Brostrup, Photographer Oct. 12, 1936 9:25 A.M. VIEW FROM SOUTHEAST - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  14. 10. Historic American Buildings Survey John O. Brostrup, Photographer March ...

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

    10. Historic American Buildings Survey John O. Brostrup, Photographer March 30, 1936 10:00 A.M. DETAIL FROM SOUTHEAST - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  15. 16. Historic American Buildings Survey John O. Brostrup, Photographer March ...

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

    16. Historic American Buildings Survey John O. Brostrup, Photographer March 2, 1937 10:00 A. M. DETAIL OF CORNICE. - Thomas Law House, 1252 Sixth Street Southwest, Washington, District of Columbia, DC

  16. 3. Historic American Buildings Survey John O. Brostrup, Photographer August ...

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

    3. Historic American Buildings Survey John O. Brostrup, Photographer August 19, 1936 3:40 P. M. DETAIL OF DESCRIPTIVE PLAQUE. - Brookeville Academy, Georgia Avenue (State Route 97), Brookeville, Montgomery County, MD

  17. In sickness and in health: classmates are highly motivated to provide in-hospital support during childhood cancer therapy.

    PubMed

    Lindgren, Lea H; Schmiegelow, Kjeld; Helms, Anne Sofie; Thorsteinsson, Troels; Larsen, Hanne B

    2017-01-01

    Extended hospitalization for school-aged cancer patients increases their risk of social marginalization. School-aged children mature through peer-interaction, but healthcare providers fail to incorporate this in rehabilitation efforts. The RESPECT study offers classmates to cancer patients to become ambassadors during hospital stays. This study explores classmate decision-making patterns about ambassadorship. An open-ended question was prospectively and consecutively provided to classmates (N = 221) (and parents) of 10 children diagnosed with cancer in 2014 and enrolled in the RESPECT study. Statements were analysed using thematic content analysis. Of 221 classmates, 140 responded (63%). Of these, 81 applied for ambassadorship (median 8/patient), 58 declined, one was undecided. Nine forms were incomplete; leaving 131 in total that revealed 303 statements for analysis. Five major themes emerged: existing friendship (132/303 statements), personal resources (academic, emotional and social) (107/303), attitudes towards the ambassadorship (34/303), hospital environment (18/303) and logistics (12/303). Of the classmates with pre-existing friendships, 77% applied for ambassadorship and 80% with a surplus of personal resources applied. These were predominant predictors for ambassadorship application. Classmate motives were condensed into four archetypes: pre-existing friendship with a surplus of resources (100% applied), non-friend classmates with a surplus of resources (63% applied), pre-existing friendship with limited resources (22% applied) and non-friend classmates with limited resources (0% applied). Classmates are highly motivated to support patients during serious illness, irrespective of pre-existing friendships. Ambassadors offer a novel in-hospital approach to promote rehabilitation in children with severe/chronic diseases. Results need validation in other settings. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  18. Closeup View - Astronaut John Glenn - Insertion - Mercury Capsule - Cape

    NASA Image and Video Library

    1962-02-20

    S62-01004 (1962) --- Astronaut John H. Glenn Jr., pilot of the Mercury Atlas 6 (MA-6) mission, participates in Mercury egress training during MA-6 preflight preparations. Glenn made the free world's first manned Earth-orbital flight on Feb. 20, 1962. Photo credit: NASA

  19. John C. Belland: A Pioneer in 3D Graphics.

    ERIC Educational Resources Information Center

    Hay, Kenneth

    2000-01-01

    Provides a profile of the career of John Belland and his work in instructional technology. Highlights include his educational background, teaching experience in higher education, work in learning with 3D computer-generated animation, alternative paradigms of instructional design, and ideas of postmodernism. (LRW)

  20. John Stuart Mill's Concepts of Quality and Pedagogical Norms.

    ERIC Educational Resources Information Center

    Kim, Ki Su

    1986-01-01

    Considers the paradoxical relationship between two pervasive educational goals--quality and equality. Sees this paradox embedded in John Stuart Mill's writings on education, which attempted to reconcile the utilitarian pleasure principle (which emphasizes quantitative measures), with a traditional differentiation among levels and kinds of desires…

  1. Astronaut John Glenn leaving crew quarters prior to launch

    NASA Image and Video Library

    1962-02-20

    S62-00222 (20 Feb. 1962) --- View of astronaut John H. Glenn Jr. and equipment specialist Joe Schmitt leaving crew quarters prior to Mercury-Atlas 6 (MA-6) mission. Glenn is in his pressure suit and is carrying the portable ventilation unit. Photo credit: NASA

  2. 9 CFR 80.3 - Movement of domestic animals that are positive to an official Johne's disease test.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... positive to an official Johne's disease test. 80.3 Section 80.3 Animals and Animal Products ANIMAL AND... (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.3 Movement of domestic animals that are positive to an official Johne's disease test. (a) Movement of domestic animals for...

  3. 9 CFR 80.3 - Movement of domestic animals that are positive to an official Johne's disease test.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... positive to an official Johne's disease test. 80.3 Section 80.3 Animals and Animal Products ANIMAL AND... (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.3 Movement of domestic animals that are positive to an official Johne's disease test. (a) Movement of domestic animals for...

  4. 9 CFR 80.3 - Movement of domestic animals that are positive to an official Johne's disease test.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... positive to an official Johne's disease test. 80.3 Section 80.3 Animals and Animal Products ANIMAL AND... (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.3 Movement of domestic animals that are positive to an official Johne's disease test. (a) Movement of domestic animals for...

  5. 9 CFR 80.3 - Movement of domestic animals that are positive to an official Johne's disease test.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... positive to an official Johne's disease test. 80.3 Section 80.3 Animals and Animal Products ANIMAL AND... (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.3 Movement of domestic animals that are positive to an official Johne's disease test. (a) Movement of domestic animals for...

  6. 9 CFR 80.3 - Movement of domestic animals that are positive to an official Johne's disease test.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... positive to an official Johne's disease test. 80.3 Section 80.3 Animals and Animal Products ANIMAL AND... (INCLUDING POULTRY) AND ANIMAL PRODUCTS JOHNE'S DISEASE IN DOMESTIC ANIMALS § 80.3 Movement of domestic animals that are positive to an official Johne's disease test. (a) Movement of domestic animals for...

  7. Geochemical map of the North Fork John Day River Roadless Area, Grant County, Oregon

    USGS Publications Warehouse

    Evans, James G.

    1986-01-01

    The North Fork John Day River Roadless Area comprised 21,210 acres in the Umatilla and Wallowa-Whitman National Forests, Grant County, Oregon, about 30 miles northwest of Baker, Oregon. The irregularly shaped area extends for about 1 mile on both sides of a 25-mile segment of the North Fork John Day River from Big Creek on the west to North Fork John Day Campground on the east. Most of the roadless area is in the northern half of the Desolation Butte 15-minute quadrangle. The eastern end of the area is in parts of the Granite and Trout Meadows 7½-minute quadrangles.

  8. 75 FR 8570 - Atlantic Ocean off John F. Kennedy Space Center, FL; Restricted Area

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-25

    ... off John F. Kennedy Space Center, FL; Restricted Area AGENCY: United States Army Corps of Engineers... the Atlantic Ocean off the coast of the John F. Kennedy Space Center (KSC), Florida. The KSC is the main launch facility for the National Aeronautics and Space Administration (NASA) and they need to have...

  9. 9. Photocopy of 1867 stereograph. Original in library of John ...

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

    9. Photocopy of 1867 stereograph. Original in library of John S. Lehmann Building, Missouri Botanical Garden. VIEW FROM NORTHWEST - Missouri Botanical Garden, Museum, 2345 Tower Grove Avenue, Saint Louis, Independent City, MO

  10. 7. Historic American Buildings Survey John O. Brostrup, Photographer April ...

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

    7. Historic American Buildings Survey John O. Brostrup, Photographer April 20, 1936 9:30 A.M. BRICK (east) GABLE VIEW - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  11. 6. Historic American Buildings Survey John O. Brostrup, Photographer April ...

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

    6. Historic American Buildings Survey John O. Brostrup, Photographer April 29, 1936 11:10 A.M. VIEW FROM NORTHEAST (front) - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  12. 14. Historic American Buildings Survey John O. Brostrup, Photographer April ...

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

    14. Historic American Buildings Survey John O. Brostrup, Photographer April 6, 1936 11:45 A. M. VIEW FROM WEST (front) - Thomas Law House, 1252 Sixth Street Southwest, Washington, District of Columbia, DC

  13. 4. Historic American Buildings Survey John R. Stinson, Photographer May ...

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

    4. Historic American Buildings Survey John R. Stinson, Photographer May 2, 1978 SOUTH (SIDE) ELEVATION SHOWING RELATIONSHIP TO URBAN ENVIRONMENT - Central School, 14403 East Pacific Avenue, Baldwin Park, Los Angeles County, CA

  14. 1. Historic American Buildings Survey John O. Brostrup, Photographer October ...

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

    1. Historic American Buildings Survey John O. Brostrup, Photographer October 20, 1936 12:50 P. M. VIEW FROM SOUTHWEST (front) - Samuel Gaither House, 3101 Mount Carmel Cemetery Road, Unity, Montgomery County, MD

  15. John Glenn during preflight training for STS-95

    NASA Image and Video Library

    1998-04-14

    S98-06947 (28 April 1998)--- Three crewmembers for the STS-95 mission take notes during a class room session in preparation for the scheduled October 1998 flight. From the left are U.S. Sen. John H. Glenn Jr.(D.-Ohio), Pedro Duque and Stephen K. Robinson. Duque represents the European Space Agency (ESA). Photo Credit: Joe McNally, National Geographic, for NASA.

  16. Potential for interaction of kava and St. John's wort with drugs.

    PubMed

    Singh, Yadhu N

    2005-08-22

    The present interest and widespread use of herbal remedies has created the possibility of interaction between them and pharmaceutical drugs if they are used simultaneously. Before the recent reports of apparent hepatotoxicity associated with its use, kava (Piper methysticum Forst. F.), was one of the top 10 selling herbal remedies in Europe and North America. This adverse effect was not previously encountered with the traditional beverage which was prepared as a water infusion in contrast to the commercial products which are extracted with organic solvents. Kavalactones, the active principles in kava, are potent inhibitors of several of the CYP 450 enzymes, suggesting a high potential for causing pharmacokinetic interactions with drugs and other herbs which are metabolized by the same CYP 450 enzymes. Furthermore, some kavalactones have been shown to possess pharmacological effects, such as blockade of GABA receptors and sodium and calcium ion channels, which may lead to pharmacodynamic interactions with other substances which possess similar pharmacological proprieties. St. John's wort (Hypericum perforatum L.), used extensively for the treatment of mild to moderate clinical depression, has long been considered safer than the conventional pharmaceutical agents. However, its ability, through its active constituents hypericin, pseudohypericin and hyperforin, to induce intestinal P-glycoprotein/MRD1 and both intestinal and hepatic CYP3A4 enzyme, could markedly reduce the distribution and disposition of their co-substrates. In addition, St. John's wort is a potent uptake inhibitor of the neurotransmitters serotonin, norepinephrine and dopamine all of which have a role in mood control. Consequently, the very real potential for a pharmacodynamic interaction between the herb and pharmaceutical drugs which share this mechanism of action and, like St. John's wort, are used for mood elevation. However, presently there is very little evidence to substantiate actual

  17. Master John of Arderne (1307-1380): a founder of modern surgery.

    PubMed

    Pearn, John

    2012-01-01

    John of Arderne (1307-1380) was one founder of surgery as the profession is known today. He was the first English surgeon of whom biographic details survive. Born on the Arderne Estates at Newark, England, he served as a military surgeon in France in campaigns where gunpowder was used in combat for the first time. His best-known work, the Practica (De Arte Phisicali et de Cirurgia), formed the basis of practical surgical teaching in the medical schools of medieval Europe. Biographic research of primary and secondary archives and documents. John of Arderne's surgical practice was undertaken against a background of turbulent political, military and medical events. He survived the Black Death (1347) and its cyclical recurrences. He lived through the turbulent reigns of Edward II and Edward III and practised in London in the decades preceding the simmering unrest which preceded the Peasant's Revolt of 1381. Surgical and medical practice in the late Middle Ages was enmeshed in astrological beliefs. It was greatly influenced by church doctrine of disease causation. In this paper, the known details of John of Arderne's life are placed in the perspective of these societal and professional influences. He is one of several pre-Renaissance European doctors who were the first to challenge the received medical lore of Galen and later Arabic surgeons. Writing when he was 70 years of age, John of Arderne was the first to advocate that surgeons should trust their own clinical experience 'Wele ymagynyng subtile things' rather than following the directions of others, even including those advocated by himself. © 2011 The Author. ANZ Journal of Surgery © 2011 Royal Australasian College of Surgeons.

  18. Our Voices: A Descriptive Account of African American Parental Involvement in an Urban Elementary School

    ERIC Educational Resources Information Center

    Sudduth, Charletta D.

    2011-01-01

    Parent involvement may have implications for student achievement (Epstein, 1986; Hoover-Dempsey, Bassler, & Brisse, 1987; Lopez, Scribner, & Mahitivanichcha, 2001). Today African-American parents are frequently criticized for not being involved enough in their students' education (Dearing, Kreider, Simpkins, & Weiss, 2006). African-American parent…

  19. 13. Historic American Buildings Survey John O. Brostrup, Photographer April ...

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

    13. Historic American Buildings Survey John O. Brostrup, Photographer April 20, 1936 9:50 A.M. ® NORTHEAST BEDROOM (east wall) - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  20. 6. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    6. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 1:45 P.M. DETAIL OF SOUTHEAST ELEVATION. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  1. 12. Historic American Buildings Survey John O. Brostrup, Photographer April ...

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

    12. Historic American Buildings Survey John O. Brostrup, Photographer April 20, 1936 9:45 A.M. ® NORTHEAST BEDROOM (north wall) - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  2. 13. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    13. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 2:30 P.M. DETAIL OF PANELED DOOR. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  3. Astronaut John Young ingresses Apollo spacecraft command module in training

    NASA Image and Video Library

    1968-07-05

    S68-40875 (5 July 1968) --- Astronaut John W. Young, Apollo 7 backup command module pilot, ingresses Apollo Spacecraft 101 Command Module during simulated altitude runs at the Kennedy Space Center's Pad 34.

  4. 2. Historic American Buildings Survey John O. Brostrup, Photographer October ...

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

    2. Historic American Buildings Survey John O. Brostrup, Photographer October 20, 1936 12:55 P. M. VIEW OF BARN FROM SOUTHWEST - Samuel Gaither Barn, 3101 Mount Carmel Cemetery Road, Unity, Montgomery County, MD

  5. 15. Photocopy of unexecuted competition drawing signed 'John Notman, Architect, ...

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

    15. Photocopy of unexecuted competition drawing signed 'John Notman, Architect, Philadelphia', circa 1854, from Historical Society of Pennsylvania), EAST ELEVATION - American Academy of Music, 232-246 South Broad Street, Philadelphia, Philadelphia County, PA

  6. John Ash, AIA, Photographer August 1997. VIEW OF LOS ANGELES ...

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

    John Ash, AIA, Photographer August 1997. VIEW OF LOS ANGELES CITY HALL FIFTH FLOOR NORTH OFFICE AREA, FACING NORTHEAST - Los Angeles City Hall, 200 North Spring Street, Los Angeles, Los Angeles County, CA

  7. 21 CFR 866.3336 - John Cunningham Virus serological reagents.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false John Cunningham Virus serological reagents. 866.3336 Section 866.3336 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES IMMUNOLOGY AND MICROBIOLOGY DEVICES Serological Reagents § 866.3336...

  8. The Virtues in John Wilson's Approach to Moral Education.

    ERIC Educational Resources Information Center

    Tobin, Bernadette

    2000-01-01

    Explores John Wilson's ideas on moral education, arguing against Wilson's criticism of virtue theory. Evaluates Wilson's account of moral education from the perspective of a neo-Aristotelian sense of morality and moral development. Focuses on a part of Wilson's work, "A New Introduction to Moral Education." (CMK)

  9. John Archibald Wheeler: A study of mentoring in modern physics

    NASA Astrophysics Data System (ADS)

    Christensen, Terry M.

    This dissertation has two objectives. The first objective is to determine where best to situate the study of mentoring (i.e. the 'making of scientists') on the landscape of the history of science and science studies. This task is accomplished by establishing mentoring studies as a link between the robust body of literature dealing with Research Schools and the emerging scholarship surrounding the development, dispersion, and evolution of pedagogy in the training of twentieth century physicists. The second, and perhaps more significant and novel objective, is to develop a means to quantitatively assess the mentoring workmanship of scientific craftsmen who preside over the final stages of preparation when apprentices are transformed into professional scientists. The project builds upon a 2006 Master's Thesis that examined John Archibald Wheeler's work as a mentor of theoretical physicists at Princeton University in the years 1938--1976. It includes Wheeler's work as a mentor at the University of Texas and is qualitatively and quantitatively enhanced by virtue of the author having access to five separate collections with archival holdings of John Wheeler's papers and correspondence, as well as having access to thirty one tape recorded interviews that feature John Wheeler as either the interviewee or a prominent subject of discussion. The project also benefited from the opportunity to meet with and gather background information from a number of John Wheeler's former colleagues and students. Included in the dissertation is a content analysis of the acknowledgements in 949 Ph.D. dissertations, 122 Master's Theses, and 670 Senior Theses that were submitted during Wheeler's career as an active mentor. By establishing a census of the students of the most active mentors at Princeton and Texas, it is possible to tabulate the publication record of these apprentice groups and obtain objective measures of mentoring efficacy. The dissertation concludes by discussing the wider

  10. Hospitalization among migrants in Italy: Access to health care as an opportunity for integration and inclusion.

    PubMed

    Barsanti, Sara

    2018-03-30

    This paper analyzes migrant access to health care by comparing hospitalizations of native and immigrant population with respect the Tuscany Region (Italy). In the analyses, a critical gap both for legal and undocumented migrant population is highlighted. Indeed, we found some key differences between the migrant and native populations related to the use of specific hospital services in Tuscany and, indirectly, of community and primary care services. Moreover, especially for undocumented migrants, hospitals seem to be the only point of access to the health-care system for migrant populations. The results suggest that the Italian health-care system is unable to ensure an equitable access to health services. In this context, maternity care could be a key point of access to the welfare system that allows participation in the health system not only for mothers but also for all migrant family members. Copyright © 2018 John Wiley & Sons, Ltd.

  11. Patient characteristics and outcome measurement in a low secure forensic hospital.

    PubMed

    Longdon, Laura; Edworthy, Rachel; Resnick, Jeremy; Byrne, Adrian; Clarke, Martin; Cheung, Natalie; Khalifa, Najat

    2018-06-01

    Health services are increasingly required to measure outcomes after treatment, which can be reported to the funding body and may be scrutinised by the public. Extensive high-quality measurements are time consuming. Routinely collected clinical data might, if anonymised, provide good enough evidence of useful change consequent on service received. Do the Health of the Nation Scale and the 20-item Historical, Clinical, Risk structured professional judgement tool scores provide evidence of clinical and risk change among low security hospital patients at 6 and 12 months after admission? One hundred and eight men were either resident on the unit on 1 January 2011 or new admissions to the census date of 31 May 2013. Their routinely collected data were added to an outcome register following each patient's Care Programme Approach clinical review meeting and analysed using repeated measures t-tests with Bonferroni corrections. Most of the men, mean age 34.3 years, were single (93%), White British (71%) and with a primary diagnosis of schizophrenia (62%). There were significant reductions in the 11-item Health of the Nation Scale (excluding the community living condition scale) scores between baseline and 6 months and between 6 and 12 months, but no change on its additional 7-item secure subscale. Individual effect sizes indicated that 39% of the men had better social function, although 18% had deteriorated at 6 months. There was little overall change in the 20-item Historical, Clinical, Risk; individual effect sizes indicated that 11 men (15%) were rated as being at lower risk level and 10 (14%) at higher after 6 months in the study. Standard clinical measures are promising as indicators of change in low security hospital patients. Risk ratings may be conservative, but at this stage of a secure hospital admission, higher scores may be as likely to indicate progress in identifying and quantifying risks as apparent increase in risk. Copyright © 2017 John Wiley & Sons

  12. John H Glenn Jr. Wreath Laying Ceremony

    NASA Image and Video Library

    2016-12-09

    A memorial wreath stands at the Heroes and Legends exhibit hall at the Kennedy Space Center Visitor Complex before a ceremony remembering astronaut Sen. John Glenn, who passed away Dec. 8, 2016 at age 95. Glenn, one of the first seven astronauts NASA chose to fly the first missions of the Space Age, gained worldwide acclaim during his Mercury mission that made him the first American to orbit the Earth. He flew again in 1998 aboard space shuttle Discovery at age 77.

  13. Astronaut John Young displays drawing of Snoopy

    NASA Technical Reports Server (NTRS)

    1969-01-01

    Astronaut John W. Young, Apollo 10 command module pilot, displays drawing of Snoopy in this color reproduction taken from the fourth telecast made by the color television camera aboard the Apollo 10 spacecraft. When this picture was made the Apollo 10 spacecraft was about half-way to the moon, or approximately 112,000 nautical miles from the earth. Snoopy will be the code name of the Lunar Module (LM) during Apollo 10 operations when the LM and CM are separated.

  14. 17. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    17. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 4:30 P.M. DETAIL OF WINDOW, NORTHWEST WALL. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  15. 8. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    8. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 1:15 P.M. DETAIL OF DOOR, NORTHEAST ELEVATION. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  16. 4. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    4. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 12:30 P.M. DETAIL OF WINDOWS FROM SOUTH. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  17. 9. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    9. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 3:45 P.M. DETAIL OF DOOR, NORTHEAST WALL. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  18. 14. Historic American Buildings Survey John O. Brostrup, Photographer Oct. ...

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

    14. Historic American Buildings Survey John O. Brostrup, Photographer Oct. 12, 1936 9:15 A.M. Detail of West Wall of Basement - Friendship, Kolbies Corner, State Routes 214 & 556, Largo, Prince George's County, MD

  19. 10. Historic American Buildings Survey John O. Brostrup, Photographer October ...

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

    10. Historic American Buildings Survey John O. Brostrup, Photographer October 19, 1936 1:40 P. M. DETAIL OF MUSIC CLOSET, MUSIC ROOM, NORTHEAST CORNER. - Grayhaven Manor, State Route 109 Vicinity, Poolesville, Montgomery County, MD

  20. 1. Historic American Buildings Survey John O. Brostrup, Photographer April ...

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

    1. Historic American Buildings Survey John O. Brostrup, Photographer April 21, 1936 11:15 A. M. VIEW FROM NORTHEAST (front) - Poplar Neck, U.S. Naval Research Station, Dangerfield Road, Cheltenham, Prince George's County, MD

  1. 75 FR 34643 - Atlantic Ocean Off John F. Kennedy Space Center, FL; Restricted Area

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-18

    ... Off John F. Kennedy Space Center, FL; Restricted Area AGENCY: U.S. Army Corps of Engineers, DoD... establishing a new restricted area in the Atlantic Ocean off the coast of the John F. Kennedy Space Center (KSC), Florida. The KSC is the main launch facility for the National Aeronautics and Space Administration (NASA...

  2. Eating disorders in individuals with type 1 diabetes: case series and day hospital treatment outcome.

    PubMed

    Colton, Patricia Anne; Olmsted, Marion Patricia; Wong, Harmonie; Rodin, Gary Michael

    2015-07-01

    Women with type 1 diabetes are at high risk for eating disorders (ED), a combination that can increase medical complications and mortality. As little is known about treatment response in this population, clinical presentation and treatment outcome in an extended case series were assessed. A chart review at the Eating Disorders Day Hospital Program at Toronto General Hospital identified a total of 100 individuals with type 1 diabetes assessed 1990-2012. Of 37 who attended day hospital, most experienced improvement in ED symptoms, but only 18.8% had a good immediate treatment outcome, while 43.8% had an intermediate outcome and 37.5% had a poor outcome (meeting diagnostic criteria at discharge). This is poorer than program outcomes in individuals without diabetes (χ(2)  = 12.2, df = 2; p = 0.002). Factors influencing treatment engagement and outcome must be further studied and used to improve treatment results in this high-risk group. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  3. The geography of hospital admission in a national health service with patient choice.

    PubMed

    Fabbri, Daniele; Robone, Silvana

    2010-09-01

    Each year about 20% of the 10 million hospital inpatients in Italy get admitted to hospitals outside the Local Health Authority of residence. In this paper we carefully explore this phenomenon and estimate gravity equations for 'trade' in hospital care using a Poisson pseudo-maximum likelihood method. Consistency of the PPML estimator is guaranteed under the null of independence provided that the conditional mean is correctly specified. In our case we find that patients' flows are affected by network autocorrelation. We correct for it by relying upon spatial filtering. Our results suggest that the gravity model is a good framework for explaining patient mobility in most of the examined diagnostic groups. We find that the ability to restrain patients' outflows increases with the size of the pool of enrollees. Moreover, the ability to attract patients' inflows is reduced by the size of pool of enrollees for all LHAs except for the very big LHAs. For LHAs in the top quintile of size of enrollees, the ability to attract inflows increases with the size of the pool. Copyright (c) 2010 John Wiley & Sons, Ltd.

  4. Strategic interaction among hospitals and nursing facilities: the efficiency effects of payment systems and vertical integration.

    PubMed

    Banks, D; Parker, E; Wendel, J

    2001-03-01

    Rising post-acute care expenditures for Medicare transfer patients and increasing vertical integration between hospitals and nursing facilities raise questions about the links between payment system structure, the incentive for vertical integration and the impact on efficiency. In the United States, policy-makers are responding to these concerns by initiating prospective payments to nursing facilities, and are exploring the bundling of payments to hospitals. This paper develops a static profit-maximization model of the strategic interaction between the transferring hospital and a receiving nursing facility. This model suggests that the post-1984 system of prospective payment for hospital care, coupled with nursing facility payments that reimburse for services performed, induces inefficient under-provision of hospital services and encourages vertical integration. It further indicates that the extension of prospective payment to nursing facilities will not eliminate the incentive to vertically integrate, and will not result in efficient production unless such integration takes place. Bundling prospective payments for hospitals and nursing facilities will neither remove the incentive for vertical integration nor induce production efficiency without such vertical integration. However, bundled payment will induce efficient production, with or without vertical integration, if nursing facilities are reimbursed for services performed. Copyright 2001 John Wiley & Sons, Ltd.

  5. John Ash, AIA, Photographer August 1997. VIEW OF LOS ANGELES ...

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

    John Ash, AIA, Photographer August 1997. VIEW OF LOS ANGELES CITY HALL TENTH FLOOR SOUTH WING CAFETERIA FOOD LINE, FACING NORTH - Los Angeles City Hall, 200 North Spring Street, Los Angeles, Los Angeles County, CA

  6. 16. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    16. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 4:00 P.M. VIEW OF NORTHEAST WALL OF BEDROOM. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  7. 14. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    14. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 2:45 P.M. DETAIL OF GRAINING ON PANELED DOOR. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  8. 1. Historic American Buildings Survey, John O. Brostrup, Photographer November ...

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

    1. Historic American Buildings Survey, John O. Brostrup, Photographer November 3, 1936 9:25 A.M. VIEW OF SUMMER KITCHEN AND WHITEHAUS FROM THE EAST, FRONT. - The Cloisters, Whitehaus & Summer Kitchen, Ephrata, Lancaster County, PA

  9. John Wood Community College: The Contractual Common Market Concept.

    ERIC Educational Resources Information Center

    Heath, Paul R.

    This paper describes the philosophy and operation of John Wood Community College (JWCC), located in Illinois, which uses neighboring private and proprietary colleges in Illinois, Missouri, and Iowa to provide instructional and support services for its students. Currently, six schools have contractual relationships with JWCC, with the result that…

  10. John Stuart Mill on Freedom, Education, and Social Reform.

    ERIC Educational Resources Information Center

    Carbone, Peter F.

    1983-01-01

    Examines the social philosophy of John Stuart Mill, emphasizing his views on freedom, education, and social reform. Considers Mill's individualism and reformism, the conflict between freedom and control that characterizes his work, and the importance of freedom and education. Suggests caution in drawing educational implications from his work. (DAB)

  11. Astronaut John Glenn - Egress Training Activity - Langley AFB, VA

    NASA Image and Video Library

    1960-12-12

    B60-00285 (1960) --- Astronaut John H. Glenn Jr., pilot of the Mercury Atlas 6 spaceflight, emerges from an egress trainer during training activity at the Langley Research Center. He is attempting to transfer onto a life raft from the mock-up of the Mercury capsule. Photo credit: NASA

  12. Astronaut John Glenn leaving crew quarters prior to launch

    NASA Image and Video Library

    1961-02-20

    S62-00330 (1962) --- Astronaut John H. Glenn Jr. (left), Dr. William Douglas, astronauts flight surgeon, and equipment specialist Joe Schmitt leave crew quarters prior to Mercury-Atlas 6 (MA-6) mission. Glenn is in his pressure suit and is carrying the portable ventilation unit. Photo credit: NASA

  13. Remembering John M. Olson (1929-2017).

    PubMed

    Blankenship, Robert E; Brune, Daniel C; Olson, Jon C

    2018-02-19

    Here we provide reflections of and a tribute to John M. Olson, a pioneering researcher in photosynthesis. We trace his career, which began at Wesleyan University and the University of Pennsylvania, and continued at Utrech in The Netherlands, Brookhaven National Laboratory, and Odense University in Denmark. He was the world expert on pigment organization in the green photosynthetic bacteria, and discovered and characterized the first chlorophyll-containing protein, which has come to be known as the Fenna-Matthews-Olson (FMO) protein. He also thought and wrote extensively on the origin and early evolution of photosynthesis. We include personal comments from Brian Matthews, Raymond Cox, Paolo Gerola, Beverly Pierson and Jon Olson.

  14. John Glenn during preflight training for STS-95

    NASA Image and Video Library

    1998-04-14

    S98-06936 (28 April 1998) --- U.S. Sen. John H. Glenn Jr. (D.-Ohio), is assisted by suit experts Jean Alexander and Carlous Gillis prior to a training session at the Johnson Space Center (JSC). The STS-95 crew members are getting prepared for a scheduled Oct. 29 launch aboard the Space Shuttle Discovery. The photo was taken by Joe McNally, National Geographic, for NASA.

  15. Senator John Glenn training in Single Systems Trainer

    NASA Image and Video Library

    1998-03-30

    S98-08640 (6 April 1998) --- U.S. Sen. John H. Glenn Jr. (D.-Ohio) temporarily occupies the commander's station in a space shuttle instruction facility called the single systems trainer. The senator is training as a payload specialist for the STS-95 mission, scheduled for launch aboard the Space Shuttle Discovery later this year. The photo was taken by Joe Mcnally, National Geographic, for NASA.

  16. 13. Photocopy of 1931 photograph. Original in library of John ...

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

    13. Photocopy of 1931 photograph. Original in library of John S. Lehmann Building, Missouri Botanical Garden. VIEW SHOWING ALTERED STAIRWAY AND ADDED COLUMNS - Missouri Botanical Garden, Museum, 2345 Tower Grove Avenue, Saint Louis, Independent City, MO

  17. 10. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    10. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 3:15 P.M. DETAIL OF DOOR, ENTRANCE HALL, SOUTHEAST WALL. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  18. 11. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    11. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 3:25 P.M. DETAIL OF ARCH, ENTRANCE HALL, SOUTHEAST WALL. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  19. Astronaut John Young in Command Module Simulator during Apollo Simulation

    NASA Technical Reports Server (NTRS)

    1968-01-01

    Astronaut John W. Young, command module pilot, inside the Command Module Simulator in bldg 5 during an Apollo Simulation. Astronauts Thomas P. Stafford, commander and Eugene A. Cernan, lunar module pilot are out of the view.

  20. 11. Photocopy of 1893 photograph. Original in library of John ...

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

    11. Photocopy of 1893 photograph. Original in library of John S. Lehmann Building, Missouri Botanical Garden. MUSEUM AND GARDEN GATE FROM THE NORTHEAST - Missouri Botanical Garden, Museum, 2345 Tower Grove Avenue, Saint Louis, Independent City, MO

  1. 1. VIEW NORTHNORTHEAST OF CARRIER JOHN F. KENNEDY (JFK) IN ...

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

    1. VIEW NORTH-NORTHEAST OF CARRIER JOHN F. KENNEDY (JFK) IN DRYDOCK NO. 5 FOR SERVICE LIFE EXTENSION PROGRAM (SLEP). - Naval Base Philadelphia-Philadelphia Naval Shipyard, Dry Dock No. 5, League Island, Philadelphia, Philadelphia County, PA

  2. Hospital nurses' lived experiences of intelligent resilience: A phenomenological study.

    PubMed

    Imani, Behzad; Kermanshahi, Sima Mohamad Khan; Vanaki, Zohreh; Kazemnejad Lili, Anoshiravan

    2018-05-01

    To explore Iranian hospital nurses' lived experiences of intelligent resilience. Nurses do high levels of emotional work when fulfilling patients' and their family members' complex needs. Intelligent resilience can alleviate nurses' stress and enhance their endurance. This study was based on the Husserlian descriptive phenomenology. A purposive sample of ten hospital nurses was drawn from hospitals affiliated with Hamadan University of Medical Sciences, Hamadan, Iran. In-depth semi-structured interviews were held to collect data. The seven-step data analysis approach proposed by Colaizzi was used for the data analysis. In this study, the adherence to consolidated criteria for reporting qualitative guidelines has been followed. The participating hospital nurses' lived experiences of intelligent resilience came into four main themes of patience and wisdom, reverence, situational self-control and appealing to religiosity. Each of the four main themes included two subthemes which were having peace and wise quietness, reverence for the patients, physicians and nurses, distancing themselves from stressful situations and displacing staff who cause stress, and the nurse's trust in God as well as the patient and his family`s trust in God, respectively. Nurses with intelligent resilience are able to bring peace, reverence for others and situational self-control to stressors thereby providing higher quality of care to their patients. Nurses work in unstable and stressful conditions. The findings of this study provide better understanding about the concept of nurses' intelligent resilience and its indicators and attributes. © 2018 John Wiley & Sons Ltd.

  3. Hospital of diagnosis and probability of having surgical treatment for resectable gastric cancer.

    PubMed

    van Putten, M; Verhoeven, R H A; van Sandick, J W; Plukker, J T M; Lemmens, V E P P; Wijnhoven, B P L; Nieuwenhuijzen, G A P

    2016-02-01

    Gastric cancer surgery is increasingly being centralized in the Netherlands, whereas the diagnosis is often made in hospitals where gastric cancer surgery is not performed. The aim of this study was to assess whether hospital of diagnosis affects the probability of undergoing surgery and its impact on overall survival. All patients with potentially curable gastric cancer according to stage (cT1/1b-4a, cN0-2, cM0) diagnosed between 2005 and 2013 were selected from The Netherlands Cancer Registry. Multilevel logistic regression was used to examine the probability of undergoing surgery according to hospital of diagnosis. The effect of variation in probability of undergoing surgery among hospitals of diagnosis on overall survival during the intervals 2005-2009 and 2010-2013 was examined by using Cox regression analysis. A total of 5620 patients with potentially curable gastric cancer, diagnosed in 91 hospitals, were included. The proportion of patients who underwent surgery ranged from 53.1 to 83.9 per cent according to hospital of diagnosis (P < 0.001); after multivariable adjustment for patient and tumour characteristics it ranged from 57.0 to 78.2 per cent (P < 0.001). Multivariable Cox regression showed that patients diagnosed between 2010 and 2013 in hospitals with a low probability of patients undergoing curative treatment had worse overall survival (hazard ratio 1.21; P < 0.001). The large variation in probability of receiving surgery for gastric cancer between hospitals of diagnosis and its impact on overall survival indicates that gastric cancer decision-making is suboptimal. © 2015 BJS Society Ltd Published by John Wiley & Sons Ltd.

  4. Cultivating Hygiene as a Science: The Welch-Rose Report's Influence at Johns Hopkins and Beyond.

    PubMed

    Thomas, Karen Kruse

    2016-03-01

    In 1915, William Henry Welch and Wickliffe Rose submitted a report to the Rockefeller Foundation that became the template for public health professional education in the United States and abroad. Based on the Welch-Rose Report's recommendations, the Foundation awarded a grant to Johns Hopkins University in 1916 to establish the first independent graduate school of public health, with Welch serving as the founding dean. The Welch-Rose Report and, by extension, the Johns Hopkins School of Hygiene and Public Health established and transmitted a new model of scientific training that wove the laboratory mindset together with the methods of public health administration and epidemiologic fieldwork. During the School's first quarter-century, faculty and alumni were remarkably active in frontline public health problem-solving, as well as launching public health agencies and schools of all types and sizes. The most lasting contribution of the Welch-Rose Report and the Johns Hopkins School of Hygiene and Public Health, now the Johns Hopkins Bloomberg School of Public Health, has been to "cultivate the science of hygiene" to bring about exponential growth in the evidence base for public health. The schools that have adopted the Johns Hopkins model of public health education worldwide have produced professionals who have worked to achieve wide-ranging reforms dedicated to preserving life, protecting health, and preventing injury across populations and continents. © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  5. Two Key Theories in Education: Confucius and John Dewey

    ERIC Educational Resources Information Center

    Bonnie, Michael G.

    2010-01-01

    The following describes the philosophies of Confucius (Confucianism) and John Dewey (pragmatism/instrumentalism/experimentalism) and their views toward vocational, technical, general academic instruction, and the development of morals and values as espoused throughout Asia and America during a span of history from 551 BCE to 1949 CE. This is not…

  6. John H Glenn Jr. Wreath Laying Ceremony

    NASA Image and Video Library

    2016-12-09

    Former space shuttle astronaut Jon McBride speaks at the Heroes and Legends exhibit hall at the Kennedy Space Center Visitor Complex during a ceremony remembering astronaut Sen. John Glenn who passed away Dec. 8, 2016 at age 95. Glenn, one of the first seven astronauts NASA chose to fly the first missions of the Space Age, gained worldwide acclaim during his Mercury mission that made him the first American to orbit the Earth. He flew again in 1998 aboard space shuttle Discovery at age 77.

  7. John H Glenn Jr. Wreath Laying Ceremony

    NASA Image and Video Library

    2016-12-09

    News media members and visitors gather at the Heroes and Legends exhibit hall at the Kennedy Space Center Visitor Complex during a ceremony remembering astronaut Sen. John Glenn who passed away Dec. 8, 2016 at age 95. Glenn, one of the first seven astronauts NASA chose to fly the first missions of the Space Age, gained worldwide acclaim during his Mercury mission that made him the first American to orbit the Earth. He flew again in 1998 aboard space shuttle Discovery at age 77.

  8. 12. Historic American Buildings Survey John O. Brostrup, Photographer May ...

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

    12. Historic American Buildings Survey John O. Brostrup, Photographer May 6, 1937 2:15 P.M. VIEW OF STAIR, WEST CORNER OF ENTRANCE HALL. - Holly Hill, Southeast of Friendship off MD 631, Friendship, Anne Arundel County, MD

  9. John Ash, AIA, Photographer August 1997. DETAIL OF LOS ANGELES ...

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

    John Ash, AIA, Photographer August 1997. DETAIL OF LOS ANGELES CITY HALL SEVENTH FLOOR SOUTH OFFICE AREA SHOWING RADIATOR AND WINDOWS, FACING EAST - Los Angeles City Hall, 200 North Spring Street, Los Angeles, Los Angeles County, CA

  10. 76 FR 52862 - Courtesy Notice of Liquidation; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... discontinuation of electronic courtesy notices of liquidation to importers of record whose entry summaries are... a misstatement in a comment response regarding the availability to an importer of an Importer Trade... implementation through electronic notification (see CBP.gov ). FOR FURTHER INFORMATION CONTACT: Laurie Dempsey...

  11. Exercise Design for the Joint Force 2020 Brigade Combat Team

    DTIC Science & Technology

    2012-03-22

    include within their calculus .41 With these factors in mind, in his February 2012 testimony before congress, General Dempsey stressed that the...moving the existing contracted ―civilian on the battlefield vehicle‖ (COBV) motor pool and maintenance facility, the post dental clinic, the dump

  12. Parental Homework Involvement Improves Test Scores? A Review of the Literature

    ERIC Educational Resources Information Center

    Ariës, Roel J. F. J.; Cabus, Sofie J.

    2015-01-01

    This review specifically focuses on the correlations between various parent strategies and student achievements in compulsory education. Therefore, Hoover-Dempsey's framework on parental involvement in homework will be updated with more recent findings from the international scientific literature. When parents facilitate, structure or emotionally…

  13. Factors associated with job satisfaction among district hospital health workers in Northern Vietnam: a cross-sectional study.

    PubMed

    Nguyen, Huy Van; Duong, Huong Thao; Vu, Toan Thinh

    2017-04-01

    In many developing countries, including Vietnam, little is known about job satisfaction among lower level-health staff. The purpose of this study was to assess job satisfaction and its determinants among district hospital health staff. In a cross-sectional quantitative study, 128 health staff from a rural district hospital in Northern Vietnam were approached for data collection. Regression techniques were adopted to assess factors associated with several types of job satisfaction. Overall job satisfaction was moderately high, ranging from 69% to 91%. Across all dimensions, health workers showed their highest satisfaction with co-worker relationships, while, in comparison, it was much lower for their supervisor's style and relationship. However, they claimed their lowest satisfaction with compensation and benefits. In final multivariate models, females and those satisfied with knowledge, skills and job performance were most likely to be satisfied with relationships with co-workers. Staff who were married, received a low pay, who were not satisfied with supervisor style and relationships and who were not satisfied with staff training, development opportunities were least likely to be satisfied with compensation and benefits. The study findings highlight an important need for designing an intervention program that considers organizational factors. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  14. 'Being a conduit' between hospital and home: stakeholders' views and perceptions of a nurse-led Palliative Care Discharge Facilitator Service in an acute hospital setting.

    PubMed

    Venkatasalu, Munikumar Ramasamy; Clarke, Amanda; Atkinson, Joanne

    2015-06-01

    To explore and critically examine stakeholders' views and perceptions concerning the nurse-led Palliative Care Discharge Service in an acute hospital setting and to inform sustainability, service development and future service configuration. The drive in policy and practice is to enable individuals to achieve their preferred place of care during their last days of life. However, most people in UK die in acute hospital settings against their wishes. To facilitate individuals' preferred place of care, a large acute hospital in northeast England implemented a pilot project to establish a nurse-led Macmillan Palliative Care Discharge Facilitator Service. A pluralistic evaluation design using qualitative methods was used to seek stakeholders' views and perceptions of this service. In total, 12 participants (five bereaved carers and seven health professionals) participated in the evaluation. Semi-structured interviews were conducted with bereaved carers who used this service for their relatives. A focus group and an individual interview were undertaken with health professionals who had used the service since its inception. Individual interviews were also conducted with the Discharge Facilitator and service manager. Analysis of all data was guided by Framework Analysis. Four key themes emerged relating to the role of the Discharge Facilitator Service: achieving preferred place of care; the Discharge Facilitator as the 'conduit' between hospital and community settings; delays in hospital discharge and stakeholders' perceptions of the way forward for the service. The Discharge Facilitator Service acted as a reliable resource and support for facilitating the fast-tracking of end-of-life patients to their preferred place of care. Future planning for hospital-based palliative care discharge facilitating services need to consider incorporating strategies that include: increased profile of the service, expansion of service provision and the Discharge Facilitator's earlier

  15. Pneumonia and influenza hospitalizations among children under 5 years of age in Suzhou, China, 2005-2011.

    PubMed

    Zhang, Xiyan; Zhang, Jun; Chen, Liling; Feng, Luzhao; Yu, Hongjie; Zhao, Genming; Zhang, Tao

    2017-01-01

    The disease burden of influenza among children in China has not been well described. To estimate the influenza-associated excess hospitalization rate and compare the hospitalization length and costs between pneumonia and influenza (P&I) and other community-acquired diseases (CAD) in Suzhou, China. We retrospectively collected hospital discharge data on pediatric patients' discharge diagnosis, hospital costs, and length of hospital stay in Suzhou. P&I hospitalization was defined as a primary discharge diagnosis of pneumonia and influenza disease (ICD-10 codes J09-J18). Other CAD were common community-acquired diseases among children. Negative binomial regression models were used to estimate the weekly P&I hospitalizations in Suzhou. Excess P&I hospitalizations due to influenza were calculated as the difference in P&I hospitalizations between the epidemic period and the baseline period. Baseline was defined as when the influenza-positive rates were <5% for two consecutive weeks. From October 2005 to September 2011, we identified a total of 180 091 all-cause hospitalizations among children <5 years of age in Suzhou City. The rates of P&I and influenza-associated excess hospitalizations were highest in the 2009-2010 pandemic and 2010-2011 post-pandemic seasons. Infants <6 months of age had the highest P&I hospitalization rates, the longest hospital stays (7.5-8.0 days), and the highest hospitalization costs for P&I. Compared with other CAD, children admitted for P&I had longer hospital stays and higher hospitalization costs. The influenza-associated P&I hospitalization rates and economic burden were high among children. Targeted influenza prevention and control strategies for young children in Suzhou may reduce the influenza-associated hospitalizations in this age group. © 2016 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

  16. NMDA receptor-antagonistic properties of hyperforin, a constituent of St. John's Wort.

    PubMed

    Kumar, Vikas; Mdzinarishvili, Alexander; Kiewert, Cornelia; Abbruscato, Thomas; Bickel, Ulrich; van der Schyf, Cornelis J; Klein, Jochen

    2006-09-01

    Extracts of the medicinal plant St. John's wort (Hypericum perforatum) are widely used for the treatment of affective disorders. Hyperforin, a constituent of St. John's wort, is known to modulate the release and re-uptake of various neurotransmitters, an action that likely underlies its antidepressive activity. We now report that hyperforin also has N-methyl-D-aspartate (NMDA)-antagonistic effects. Hyperforin (10 microM) was found to inhibit the NMDA-induced calcium influx into cortical neurons. In rat hippocampal slices, hyperforin inhibited the NMDA-receptor-mediated release of choline from phospholipids. Hyperforin also antagonized the increase of water content in freshly isolated hippocampal slices, and it counteracted, at 3 and 10 microM, the increase of water content induced by NMDA. Hyperforin was inactive, however, in two in vivo models of brain edema formation, middle cerebral artery occlusion and water intoxication in mice. In conclusion, hyperforin has NMDA-receptor-antagonistic and potential neuroprotective effects in vitro. This effect may contribute to the therapeutic effectiveness of St. John's wort extracts in some situations, for example, for relapse prevention in alcoholism.

  17. 12. Photocopy of 1889 photograph. Original in library of John ...

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

    12. Photocopy of 1889 photograph. Original in library of John S. Lehmann Building, Missouri Botanical Garden. HENRY SHAW LYING IN STATE, SHOWING STAIRWAY BEFORE ALTERATION - Missouri Botanical Garden, Museum, 2345 Tower Grove Avenue, Saint Louis, Independent City, MO

  18. 10. Photocopy of 1867 photograph. Original in library of John ...

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

    10. Photocopy of 1867 photograph. Original in library of John S. Lehmann Building,Missouri Botanical Garden. VIEW FROM THE SOUTHWEST, SHOWING ORIGINAL SOUTH DOOR TREATMENT - Missouri Botanical Garden, Museum, 2345 Tower Grove Avenue, Saint Louis, Independent City, MO

  19. 1. Historic American Buildings Survey John O. Brostrup, Photographer September ...

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

    1. Historic American Buildings Survey John O. Brostrup, Photographer September 17, 1936 10:45 A. M. VIEW OF 1315 4th St., S. W., FROM NORTHEAST (front) - Wheat Row, 1315 Fourth Street Southwest, Washington, District of Columbia, DC

  20. John Ash, AIA, Photographer August 1997. VIEW OF LOS ANGELES ...

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

    John Ash, AIA, Photographer August 1997. VIEW OF LOS ANGELES CITY HALL SEVENTH FLOOR SOUTH OFFICE AREA SHOWING WOOD AND GLASS PARTITIONS, FACING SOUTHEAST - Los Angeles City Hall, 200 North Spring Street, Los Angeles, Los Angeles County, CA