Journal articles: 'Outside facilities'

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Winick, Herman. "Overview of synchrotron radiation facilities outside the USA." Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment 291, no. 1-2 (1990): 487–92. http://dx.doi.org/10.1016/0168-9002(90)90109-j.

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Winick, Herman. "Status of synchrotron radiation facilities outside the USSR." Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment 261, no. 1-2 (1987): 9–17. http://dx.doi.org/10.1016/0168-9002(87)90553-5.

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Kuijper, E. J., and J. T. van Dissel. "Spectrum of Clostridium difficile infections outside health care facilities." Canadian Medical Association Journal 179, no. 8 (2008): 747–48. http://dx.doi.org/10.1503/cmaj.081211.

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Marijon, Eloi, Wulfran Bougouin, Nicole Karam, et al. "Survival from sports-related sudden cardiac arrest: In sports facilities versus outside of sports facilities." American Heart Journal 170, no. 2 (2015): 339–45. http://dx.doi.org/10.1016/j.ahj.2015.03.022.

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D’Arrigo, Terri. "Medication mistakes outside health care facilities doubled over 13 years." Pharmacy Today 23, no. 9 (2017): 41. http://dx.doi.org/10.1016/j.ptdy.2017.08.024.

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Lavon, Ophir, Adi Ben-Zeev, and Yedidia Bentur. "Medication Errors Outside Healthcare Facilities: A National Poison Centre Perspective." Basic & Clinical Pharmacology & Toxicology 114, no. 3 (2013): 288–92. http://dx.doi.org/10.1111/bcpt.12150.

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Gardenier, Donald, Marsha K. Siegel, and Jennifer Ballard-Hernandez. "Do Veterans Need Access to Care Outside Veterans Administration Facilities?" Journal for Nurse Practitioners 17, no. 5 (2021): 526–27. http://dx.doi.org/10.1016/j.nurpra.2021.02.009.

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SAKURAGI, Koshi, Naoji MATSUMOTO, and Hirokuni TANIGUCHI. "ORGANIZATION OF THE CHILDREN'S OUTSIDE SCHOOL CLUBS AND USING CONDITIONS OF THE FACILITIES : Study on the facilities for the children's outside school clubs Part 1." Journal of Architecture and Planning (Transactions of AIJ) 66, no. 548 (2001): 129–35. http://dx.doi.org/10.3130/aija.66.129_3.

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Yamaguchi, Iwao, Makoto Koganei, Tomonobu Goto, and Masataka Tsushima. "Study on Outside Air Cooling Systems Used in Data Processing Facilities." Journal of Asian Architecture and Building Engineering 11, no. 1 (2012): 219–23. http://dx.doi.org/10.3130/jaabe.11.219.

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Koyama, Satoshi, Kei Sasahara, and Masaaki Seiki. "Estimation of Releases Outside Notification from Municipal Solid Waste Disposal Facilities." Material Cycles and Waste Management Research 24, no. 2 (2013): 129–34. http://dx.doi.org/10.3985/mcwmr.24.129.

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Stiegler, Mayo H. "Cities Not Required to Consider Locating Water Facilities Outside Farm Use Zone." Journal - American Water Works Association 93, no. 6 (2001): 49. http://dx.doi.org/10.1002/j.1551-8833.2001.tb09221.x.

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Jewkes, Rachel K., Tebogo Gumede, Margaret S. Westaway, Kim Dickson, Heather Brown, and Helen Rees. "Why are women still aborting outside designated facilities in metropolitan South Africa?" BJOG: An International Journal of Obstetrics & Gynaecology 112, no. 9 (2005): 1236–42. http://dx.doi.org/10.1111/j.1471-0528.2005.00697.x.

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Brown, Jared, Caitlin Hensel, Jiaxian He, Megan McDonald, Philip Newhall, and Stephen Boyd Riggs. "Is it necessary to obtain a second review on outside pathology for patients referred with non-muscle invasive (NMI) bladder cancer?" Journal of Clinical Oncology 38, no. 15_suppl (2020): e17049-e17049. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e17049.

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e17049 Background: Correct pathological staging is paramount in treatment recommendations for patients with non-muscle invasive disease. As a referral center, we sought to evaluate the quality of outside pathology determined by College of American Pathology (CAP) recommendation as well as discordance in AUA risk group stratification. Methods: We retrospectively reviewed our database of patients who originally underwent resection of bladder tumors at external facilities that were subsequently referred to our cancer institute between 2015 and 2018. 75 initial pathologies were overread by one of our GU pathologists all with non-muscle invasive bladder cancer. We evaluated the discordance rate between outside pathology reports and our overread using the CAP criteria for reporting. Additionally, we included the association in risk stratification category as well as the change in risk stratification group following overread. Cohen’s kappa (κ) statistics were used to evaluate concordance in pathology report between LCI and external facilities. Comparisons of risk stratification between LCI and external facilities were analyzed using Fisher’s exact test. Results: 5 criteria for quality were evaluated to assess reporting. A relatively high agreement in reporting tumor grade between LCI and external facilities (κ = 0.65, p < 0.001) and moderate agreement in microscopic extent (κ = 0.41, p < 0.001). LVI was not commented on in 58.7% of outside reports. 6/12 (50%) of patients were upstaged from Low Risk (LR) to Intermediate Risk (IR), 2/11 (18%) from IR to High Risk (HR), and 6/46 (13%) from HR to MIBC (Table). Conclusions: Initial pathology reports from outside facilities were often lacking minimum criteria as recommended by the CAP. Furthermore, a significant number of patients were upstaged after review, including 13% of HR patients being overread as muscle invasive disease. Second review of outside pathology should strongly be considered as re-review may have implications on treatment recommendations. [Table: see text]

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Kim, YoonJee, and Kiyoung Lee. "Quantification of Outdoor Tobacco Smoke Exposure at Outdoor Smoking Facilities." Nicotine & Tobacco Research 23, no. 9 (2021): 1507–11. http://dx.doi.org/10.1093/ntr/ntab048.

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Abstract Introduction The implementation of indoor smoke-free policy has compelled smokers to go outdoors to smoke. Outdoor smoking facilities were installed to designate outdoor smoking area. The purposes of the study were to identify factors of outdoor tobacco smoke (OTS) around open type outdoor smoking facility and to compare the OTS exposure by the type of outdoor smoking facility. Methods Outdoor concentrations of particulate matter smaller than 2.5 μm in aerodynamic diameter (PM2.5) were measured at 3 different distances (0, 1, and 3 m) from the entrance of the open-type outdoor smoking facility with a simulated smoking source. For field measurements, PM2.5 concentrations of inside and outside of 33 operating outdoor smoking facilities were simultaneously measured for 30 min. Results For the smoking simulation, the outside PM2.5 concentrations and the peak occurrence rates increased significantly as the number of cigarettes smoked increased, the distance from the entrance decreased, and the wind speed increased (p &lt; .0001). For the field measurement, the inside PM2.5 concentration of the outdoor smoking facilities varied significantly by types of the outdoor smoking facility (p = 0.022). The outside PM2.5 concentrations were not significantly different by types of outdoor smoking facility. Conclusions OTS in an open type outdoor smoking facility were detected at 3 m away from the entrance of the smoking facility. Outdoor smoking facility should have a buffer zone to reduce OTS exposure of pedestrians. Many smokers were observed outside of the outdoor smoking facility not inside. Management and education of smokers to smoke inside the facility is needed. Implications The study showed the effects of the outdoor smoking facility. Outdoor smoking facility should be installed with a sufficient buffer zone. Closed or semi-enclosed outdoor smoking facilities should not be installed. It could be used as a base data to set an outdoor smoking area on the populated area such as the city center and to establish an installation location of an outdoor smoking facility in the designated outdoor smoking area.

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Lee, Geum-Suk. "Evaluational indicators Recognition of Outside Evaluators participating in Long-term Care Facilities Evaluation." Korea Academy of Care Management 32 (September 30, 2019): 149–75. http://dx.doi.org/10.22589/kaocm.2019.32.149.

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Vanderpuye, Verna D. N. K., Olufunmilayo I. Olopade, and Dezheng Huo. "Pilot Survey of Breast Cancer Management in Sub-Saharan Africa." Journal of Global Oncology 3, no. 3 (2017): 194–200. http://dx.doi.org/10.1200/jgo.2016.004945.

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Purpose To understand the current state of breast cancer management in sub-Saharan Africa. Methods We conducted an anonymous online survey of breast cancer management among African Organization for Research and Treatment in Cancer (AORTIC) members by using a 42-question structured questionnaire in both English and French in 2013. Results Twenty members from 19 facilities in 14 countries responded to the survey. Twelve members (60%) belonged to a multidisciplinary breast cancer team. Radiotherapy equipment was available in seven facilities (36%), but equipment had down time at least once a week in four facilities. Available chemotherapy drugs included methotrexate, cyclophosphamide, fluorouracil, anthracyclines, and vincristine, whereas trastuzumab, taxanes, vinorelbine, and gemcitabine were available in few facilities. Core-needle biopsy was available in 16 facilities (84%); mammogram, in 17 facilities (89%); computed tomography scan, in 15 facilities (79%); magnetic resonance imaging, in 11 facilities (58%); and bone scans, in nine facilities (47%). It took an average of 1 to 3 weeks to report histopathology. Immunohistochemistry was available locally in eight facilities (42%), outside hospitals but within the country in seven facilities (37%), and outside the country in four facilities (21%). Thirteen facilities (68%) performed axillary node dissections as part of a breast protocol. Neoadjuvant chemotherapy was the most common therapy for locally advanced breast cancer in 13 facilities (68%). In three facilities (16%), receptor status did not influence the prescription of hormone treatment. Conclusion This pilot survey suggests that AORTIC members in sub-Saharan Africa continue to make gains in the provision of access to multidisciplinary breast cancer care, but the lack of adequate pathology and radiotherapy services is a barrier. Focused attention on in-country and regional training needs and improvement of health systems deliverables is urgently needed.

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Perez, Lauren M., Patricia J. Moore, Mark R. Abney, and Michael D. Toews. "Species Composition, Temporal Abundance and Distribution of Insect Captures Inside and Outside Commercial Peanut Shelling Facilities." Insects 11, no. 2 (2020): 110. http://dx.doi.org/10.3390/insects11020110.

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Insect populations were studied within two commercial peanut shelling facilities located in the southeastern United States. Commercially available pheromone/kairomone-baited dome traps and pheromone-baited flight traps were deployed throughout processing and shipping portions of the shelling plants and serviced weekly over one year. Lasioderma serricorne, Tribolium castaneum, Typhaea stercorea, Carpophilus spp., Plodia interpunctella and Cadra cautella were the most common captures across locations. Lasioderma serricorne made up 87% and 88% of all captures in dome traps in plants one and two, respectively. While L. serricorne was not captured during the winter months in flight traps, it was captured with near 100% frequency in dome traps, suggesting that populations persisted throughout the year inside the facilities. Tribolium castaneum populations were active year round. Across insect species and trap type, temperature was a significant covariate for explaining variation in insect counts. After accounting for the effect of temperature, there were always more insects captured in the processing portions of the facilities compared to the shipping areas. A negative linear relationship was observed between captures of L. serricorne and T. castaneum and trap distance from in-shell peanuts entering the shelling facilities. Conversely, fungivores were more evenly distributed throughout all parts of the shelling plants. These data suggest that management efforts should be focused where in-shell peanuts enter to reduce breeding and harborage sites for grain feeding insects.

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Evenson, Kelly R., Fang Wen, Sarah M. Lee, Katie M. Heinrich, and Amy Eyler. "National Study of Changes in Community Access to School Physical Activity Facilities: The School Health Policies and Programs Study." Journal of Physical Activity and Health 7, s1 (2010): S20—S30. http://dx.doi.org/10.1123/jpah.7.s1.s20.

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Background:A Healthy People 2010 developmental objective (22-12) was set to increase the proportion of the nation's public and private schools that provide access to their physical activity spaces and facilities for all persons outside of normal school hours. The purpose of this study was to describe the prevalence of indoor and outdoor facilities at schools and the availability of those facilities to the public in 2000 and 2006.Methods:In 2000 and 2006, the School Health Policies and Programs Study (SHPPS) was conducted in each state and in randomly selected districts, schools, and classrooms. This analysis focused on the school level questionnaire from a nationally representative sample of public and nonpublic elementary, middle, and high schools (n = 921 in 2000 and n = 984 in 2006).Results:No meaningful changes in the prevalence of access to school physical activity facilities were found from 2000 to 2006, for youth or adult community sports teams, classes, or open gym.Conclusions:These national data indicate a lack of progress from 2000 and 2006 toward increasing the proportion of the nation's public and private schools that provide access to their physical activity facilities for all persons outside of normal school hours.

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Latimer, Emily R., Christopher A. Parker, and Pauline A. Swiger. "A Case Series: Describing the Coronavirus Pandemic Response in Small Naval OCONUS Military Treatment Facilities." Military Medicine 186, Supplement_2 (2021): 61–67. http://dx.doi.org/10.1093/milmed/usab164.

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ABSTRACT Introduction The European SARS-CoV-2 (COVID-19) outbreak threatened military beneficiaries receiving care outside of the United States. Military treatment facilities located outside the United States were the first to respond to the pandemic, requiring immediate action to establish novel protocols. The purpose of this case series is to describe challenges, solutions, and future recommendations during a pandemic response at three small naval military treatment facilities located outside the continental United States (OCONUS). Results The analysis and discussion reviews challenges in information processing, communication methods and patterns, process changes, actions for staff protection, and change fatigue experienced during this time. Conclusions Recommendations for future work include filling the gaps in the evidence for a prolonged pandemic response and crisis management, such as the current SARS-CoV-2 pandemic, including best practices to communicate, maintain staff resilience, and manage or mitigate associated prolonged stress and uncertainty.

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Kraus, Annette A., Christina Priemer, Harald Heider, Detlev H. Krüger, and Rainer Ulrich. "Inactivation of Hantaan Virus-Containing Samples for Subsequent Investigations outside Biosafety Level 3 Facilities." Intervirology 48, no. 4 (2005): 255–61. http://dx.doi.org/10.1159/000084603.

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Galaviz, Karla I., Deena Zytnick, Michelle C. Kegler, and Solveig A. Cunningham. "Parental Perception of Neighborhood Safety and Children’s Physical Activity." Journal of Physical Activity and Health 13, no. 10 (2016): 1110–16. http://dx.doi.org/10.1123/jpah.2015-0557.

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Background:We examined the relationship between parents’ perception of neighborhood safety and children’s physical activity and use of recreation facilities in a US nationally representative sample of fifth grade children.Methods:We used data from the Early Childhood Longitudinal Study Kindergarten cohort, fifth grade sample (N = 9827). Multivariate logistic and linear regression models were used to examine associations between parents’ perception of neighborhood safety for outside play and number of days children engage in physical activity, as well as children’s use of recreational facilities for physical activity.Results:Children who used recreational facilities engaged in physical activity on more days of the week compared with children who did not use a facility (3.3 days vs. 3.8 days, P < .0001). Children from neighborhoods perceived as unsafe by parents engaged in almost 1 less day per week in physical activity (β = –.89, P < .0001). Children from neighborhoods perceived as unsafe were less likely to use recreational facilities compared with children from neighborhoods perceived as safe (odds ratio = 0.72, P < .0001). Children from less affluent families across rural and urban areas had half the odds of using recreational facilities compared with children from the wealthiest families living in urban areas.Conclusions:Parents’ perception of neighborhood safety for outside play can deter or promote children’s physical activity and use of recreational facilities. Children from less affluent families are less likely to use facilities than children from wealthy families, regardless of place of residence.

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Cid, Victor H., Andrew R. Mitz, and Stacey J. Arnesen. "Keeping Communications Flowing During Large-scale Disasters: Leveraging Amateur Radio Innovations for Disaster Medicine." Disaster Medicine and Public Health Preparedness 12, no. 2 (2017): 257–64. http://dx.doi.org/10.1017/dmp.2017.62.

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AbstractMedical facilities may struggle to maintain effective communications during a major disaster. Natural and man-made disasters threaten connectivity by degrading or crippling Internet, cellular/mobile, and landline telephone services across wide areas. Communications among staff, between facilities, and to resources outside the disaster area may be lost for an extended time. A prototype communications system created by the National Library of Medicine (NLM) provides basic communication services that ensure essential connectivity in the face of widespread infrastructure loss. It leverages amateur radio to provide resilient email service to local users, enabling them to reach intact communications networks outside the disaster zone. Because amateur radio is inexpensive, always available, and sufficiently independent of terrestrial telecommunications infrastructure, it has often augmented telecommunications capabilities of medical facilities. NLM’s solution is unique in that it provides end-user to end-user direct email communications, without requiring the intervention of a radio operator in the handling of the messages. Medical staff can exchange email among themselves and with others outside the communications blackout zone. The technology is portable, is deployable on short notice, and can be powered in a variety of ways to adapt to the circumstances of each crisis. (Disaster Med Public Health Preparedness. 2018;12:257–264)

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SHICHOR, DAVID, and DALE K. SECHREST. "Quick Fixes in Corrections: Reconsidering Private and Public For-Profit Facilities." Prison Journal 75, no. 4 (1995): 457–78. http://dx.doi.org/10.1177/0032855595075004004.

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This article focuses on some of the theoretical and practical issues involved with public proprietary correctional facilities as compared to private proprietary facilities as they are operated in California. Questions are raised about whose interests are served by public proprietary facilities and what some of the problems are. The California experience with contracting for public proprietary facilities is analyzed based on an audit done by the State Controller's Office that showed expenditures viewed as outside contract agreements. Six public proprietary facilities are in court with the California Department of Corrections to retain these funds. It appears that the process for contracting with public proprietary facilities in California was flawed. The fact that the experiment with public proprietary facilities in California had some problems may contain some lessons for the future operation of both public and private proprietary operations.

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Andrews, Elizabeth B. "Windows on a Lilliputian world: a personal perspective on the development of electron microscopy in the twentieth century." Notes and Records of the Royal Society 63, no. 2 (2009): 169–81. http://dx.doi.org/10.1098/rsnr.2008.0035.

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The early development and blossoming of electron microscopy in the twentieth century are outlined with particular reference to biological applications, and the establishment and demise of facilities for the Faculty of Science in a London college are charted in relation to funding, staffing, and economic pressures. Use of these facilities for research, teaching and the promotion of science declined as the pressure to maximize outside income increased.

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Wang, Yi, Jun Shao, Miao Xu, Changyou Wu, and Yibang Li. "Analysis on Space accessibility of Medical Service Facilities in Central Wuhan Based on Improvement of 2SFCA." E3S Web of Conferences 293 (2021): 02052. http://dx.doi.org/10.1051/e3sconf/202129302052.

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Aiming at the current imperfect hierarchical diagnosis and treatment system and the unreasonable spatial distribution of medical facilities. This article introduces 2SFCA model improved by the Gaussian distance decay function and multiple stage radius to evaluate the accessibility of medical facilities in Wuhan. The results indicate that: firstly, compared with the traditional 2SFCA model, the improved 2SFCA model is more sensitive to the identification of spatial accessibility, and the transition effect of the identification results is more obvious, which can accurately reflect the spatial distribution characteristics of the accessibility of medical facilities in Wuhan. Secondly, the distribution of medical facilities in Wuhan is obvious and the main factors that affect the accessibility value in different urban areas are quite different. Thirdly, the high value areas of medical facilities in the main urban area of Wuhan are mainly concentrated within the second ring line, the transition effect between the second and third ring lines is obvious, and the low value areas are mainly concentrated outside the third ring line. In the end, the main reasons for the low accessibility of the area outside the Third Ring Road are the low service quantity and low service ability of the community health service institutions and the high traffic resistance. The research results can provide a reference for the layout and planning of medical institutions in the main urban area of Wuhan.

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Kryuchko, Daria S., Irina I. Ryumina, Vera V. Chelysheva, Ekaterina V. Sokolova, and Elena N. Baibarina. "Infant out-of-Hospital Mortality and Ways to Reduce It." Current pediatrics 17, no. 6 (2019): 434–40. http://dx.doi.org/10.15690/vsp.v17i6.1973.

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Infant mortality is one of the key indicators of demography, characterizing not only the state of health and a social standard of living in a country, region, city, but also an indicator of the level of state development. In recent years there has been a steady downward trend in infant mortality. To the greatest extent, this trend is driven by improved quality of medical care. However, death of children outside healthcare facilities is the least controlled in the structure of infant mortality. The article considers the main causes of deaths of children under the age of one year outside healthcare facilities in the Russian Federation in 2017, presents data of the world and national statistics, analyses possible solutions to the problem.

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Milton, G. M., S. J. Kramer, R. M. Brown, C. J. W. Repta, K. J. King, and R. R. Rao. "Radiocarbon Dispersion around Canadian Nuclear Facilities." Radiocarbon 37, no. 2 (1995): 485–96. http://dx.doi.org/10.1017/s0033822200030964.

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Canadian deuterium uranium (CANDU) pressurized heavy-water reactors produce 14C by neutron activation of trace quantities of nitrogen in annular gas and reactor components (14N(n,p)14C), and from 17O in the heavy water moderator by (17O(n,α)14C). The radiocarbon produced in the moderator is removed on ion exchange resins incorporated in the water purification systems; however, a much smaller gaseous portion is vented from reactor stacks at activity levels considerably below 1% of permissible derived emission limits. Early measurements of the carbon speciation indicated that >90% of the 14C emitted was in the form of CO2. We conducted surveys of the atmospheric dispersion of 14CO2 at the Chalk River Laboratories and at the Pickering Nuclear Generating Station. We analyzed air, vegetation, soils and tree rings to add to the historical record of 14C emissions at these sites, and to gain an understanding of the relative importance of the various carbon pools that act as sources/sinks within the total 14C budget. Better model parameters than those currently available for calculating the dose to the critical group can be obtained in this manner. Global dose estimates may require the development of techniques for estimating emissions occurring outside the growing season.

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Campbell, R., S. Short, M. Ravindra, G. Hardy, and J. Johnson. "Seismic reevaluation and upgrading of nuclear power facilities outside the US using US developed methodologies." Nuclear Engineering and Design 181, no. 1-3 (1998): 115–29. http://dx.doi.org/10.1016/s0029-5493(97)00339-7.

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Etuk, S. J., I. H. Itam, and E. E. J. Asuquo. "Morbidity and mortality in booked women who deliver outside orthodox health facilities in Calabar, Nigeria." Acta Tropica 75, no. 3 (2000): 309–13. http://dx.doi.org/10.1016/s0001-706x(00)00072-3.

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Norman, A., M. Diesbug, M. Gheith, R. Illingworth, and M. Mengel. "Archiving Scientific Data Outside of the Traditional HEP Domain, Using the Archive Facilities at Fermilab." Journal of Physics: Conference Series 664, no. 4 (2015): 042039. http://dx.doi.org/10.1088/1742-6596/664/4/042039.

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Hatch, Mary Ellen, Sara Whelan, and Elissa J. Charbonneau. "Thinking Outside the Room: A Setting-Specific Model for Isolation Precautions in Inpatient Rehabilitation Facilities." American Journal of Infection Control 46, no. 6 (2018): S40. http://dx.doi.org/10.1016/j.ajic.2018.04.089.

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Spengler, John, and Selina Stasi. "Accessing Minnesota School Administrators’ Knowledge and Perceptions Related to Sharing School Play Spaces after the Passage of Minnesota Shared Use Legislation." Journal of Healthy Eating and Active Living 1, no. 1 (2020): 31–38. http://dx.doi.org/10.51250/jheal.v1i1.3.

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Lower levels of physical activity among children in the United States can be attributed in part to the lack of access to safe, low-cost recreational facilities. Shared use, or a partnership allowing the community to use school recreational facilities outside of normal hours, has received increased attention. Objective: The objective of this study was to determine the extent of knowledge among school decision makers about a law passed clarifying liability for school shared use in Minnesota and to understand perceptions held by school decision makers regarding shared use of recreational facilities. Design, Setting, and Participants: A survey of Minnesota school superintendents and other decision makers (N = 182) was conducted to understand the issues relevant to sharing school recreational facilities with the public. Results: The majority (90%) of respondents indicated concern about liability for injury on school property outside of normal hours, and that insurance and contracts provided the most protection from liability. Most respondents indicated they were not familiar with the Minnesota shared use legislation and its provisions (61.36%, n = 108). Conclusions: Findings suggest the importance of education and training to further school superintendents’ knowledge of Minnesota shared use legislation, legal and policy issues relevant to shared use, and issues related to the implementation of shared use within their Districts.

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Wang, Jing, Junqiao Wang, Yuling Cao, Shoumei Jia, and Bei Wu. "Perceived Empowerment, Social Support, and Quality of Life Among Chinese Older Residents in Long-Term Care Facilities." Journal of Aging and Health 30, no. 10 (2018): 1595–619. http://dx.doi.org/10.1177/0898264318795724.

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Objective: This study examines how older residents’ social support and perceived empowerment are associated with their quality of life (QOL) in long-term care (LTC) facilities in Shanghai, China, controlling for their health-related conditions, facility type, and other socio-demographic characteristics. Method: Using a convenient sampling approach, we selected nine LTC facilities in Shanghai, China. We surveyed 515 older residents from these facilities. Results: Older participants in this study rate their QOL, social support, and perceived empowerment as moderate, and these variables are positively associated with their QOL. Older residents who live in government-owned and private-run LTC facilities are more likely to have a higher level of perceived QOL compared with those living in government-run facilities. Discussion: There is an urgent need to increase staff awareness and capacity to empower older residents, and to engage them in their care plan and delivery. LTC facilities could provide more opportunities for older residents’ social networking within and outside LTC facilities. Improvement of older residents’ QOL is critical in the future development of resident-centered care models in LTC facilities.

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James, Jeffrey R. "OIL SPILL CAPABILITY ASSESSMENT PROGRAM FOR FIXED FACILITIES." International Oil Spill Conference Proceedings 1995, no. 1 (1995): 641–43. http://dx.doi.org/10.7901/2169-3358-1995-1-641.

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ABSTRACT Mobil's oil spill capability assessment program is used to determine improvements needed in oil spill prevention and response in Mobil's worldwide terminals, blend plants, and offshore facilities. The rationale for this program and its development, including the protocol and methodology used during the assessments, are presented here. The assessment process includes two to five days to conduct the survey, depending on the size of the facility, and three to five days of preparation and follow-up work. A detailed checklist, personnel interviews, records review, and walk-around surveys of the facility and its equipment and local cooperatives are used in conducting an assessment. To date, 163 assessments have been completed—the majority outside the United States, with most, 85, conducted in Asia and the Pacific Rim. The process of conducting an assessment and the general types of findings and recommendations is discussed. Recommendations are divided into five categories: facility, equipment, procedures, training, and other (including issues, such as local cooperatives and contractors, environmental sensitivity, and national contingency plans).

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Etuk, S. J., I. S. Etuk, M. I. Ekott, and E. J. Udoma. "Perinatal outcome in pregnancies booked for antenatal care but delivered outside health facilities in Calabar, Nigeria." Acta Tropica 75, no. 1 (2000): 29–33. http://dx.doi.org/10.1016/s0001-706x(99)00088-1.

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Dixon, Brian E., Cyril Colvard, and William M. Tierney. "Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use." Informatics for Health and Social Care 40, no. 4 (2014): 319–33. http://dx.doi.org/10.3109/17538157.2014.924949.

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Bilton, Helen. "What is outside? The Early Years Foundation Stage in England: Outdoor Facilities, Organisation and Staff Attitudes." American Journal of Educational Research 2, no. 10 (2014): 942–49. http://dx.doi.org/10.12691/education-2-10-14.

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Isgor, Zeynep, and Lisa M. Powell. "Availability of Commercial Physical Activity Facilities and Physical Activity Outside of School Among High School Students." Journal of Physical Activity and Health 8, no. 5 (2011): 707–15. http://dx.doi.org/10.1123/jpah.8.5.707.

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Background:Environmental factors may play an important role in the determination of physical activity behaviors.Methods:This study used the Child Development Supplement of the Panel Study of Income Dynamics to examine the association between the availability of objectively measured commercial physical activity-related instruction facilities and weekly physical activity participation among high school students outside of school physical education classes. A Negative Binomial count model was used to examine the number of days of vigorous physical activity (at least 30 minutes/day) per week and a Probit model was used to examine the probability of frequent (4 or more days/week) vigorous physical activity participation.Results:The results indicated that an additional instruction school per 10,000 capita per 10 square miles was associated with an 8-percent increase in the weekly number of days of vigorous physical activity participation and a 4 percentage point increase in the likelihood of frequent physical activity participation for female adolescents only. By income, associations were larger for low- versus high-income female youths.Conclusion:Increased availability of local area physical activity-related instruction facilities may help to increase female high school students’ physical activity levels, particularly among low-income female students.

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Forrester, M. B. "Celecoxib exposures reported to Texas poison control centers from 1999 to 2004." Human & Experimental Toxicology 25, no. 5 (2006): 261–66. http://dx.doi.org/10.1191/0960327106ht625oa.

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Concerns have been raised about the safety of celecoxib. This study described the pattern of exposures involving only celecoxib (isolated exposures) reported to Texas poison control centers from 1999 to 2004. The mean dose was 701 mg. The patient age distribution was 5 / 5 years (48%), 6 / 19 years (8%), and 20 years (44%). In 78% of cases, exposure was unintentional. Of the exposures, 74% were managed outside of health care facilities. The final medical outcome was classified as no effect for 82% of the cases, and minor effects for 12% of the cases. Adverse clinical effects were listed for 5% of the patients, the most frequently reported being rash (3%), drowsiness (3%), pruritis (2%), and vomiting (2%). The most frequently listed treatment was decontamination by dilution (43%) or food (32%). The majority of isolated celecoxib exposures could be managed outside of health care facilities, and the outcome was generally favorable.

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Shimasaki, Teppei, John Segreti, Alexander Tomich, Julie Kim, Mary K. Hayden, and Michael Y. Lin. "Active screening and interfacility communication of carbapenem-resistant Enterobacteriaceae (CRE) in a tertiary-care hospital." Infection Control & Hospital Epidemiology 39, no. 9 (2018): 1058–62. http://dx.doi.org/10.1017/ice.2018.150.

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BackgroundHospitals may implement admission screening cultures and may review transfer documentation to identify patients colonized with carbapenem-resistant Enterobacteriaceae (CRE) to implement isolation precautions; however, outcomes and logistical considerations have not been well described.MethodsAt an academic hospital in Chicago, we retrospectively studied the implementation and outcomes of CRE admission screening from 2013 to 2016 during 2 periods. During period 1, we implemented active CRE rectal culture screening for all adults patients admitted to intensive care units (ICUs) and for those transferred from outside facilities to general wards. During period 2, screening was restricted only to adults transferred from outside facilities. For a subset of transferred patients who were previously reported to the health department as CRE positive, we reviewed transfer paperwork for appropriate documentation of CRE.ResultsOverall, 11,757 patients qualified for screening; rectal cultures were performed for 8,569 patients (73%). Rates of CRE screen positivity differed by period, previous facility type (if transferred), and current inpatient location. A higher combined CRE positivity rate was detected in the medical and surgical ICUs among period 2 patients (3.3%) versus all other ward-period comparisons (P<.001). Among 13 transferred patients previously known to be CRE colonized, appropriate CRE transfer documentation was available for only 4 patients (31%).ConclusionsActive screening for CRE is feasible, and screening patients transferred from outside facilities to the medical or surgical ICU resulted in the highest screen positivity rate. Furthermore, CRE carriage was inconsistently documented in transfer paperwork, suggesting that admission screening or enhanced inter-facility communication are needed to improve the identification of CRE-colonized patients.

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Oluwatade, Ijagbemi Christopher. "Comparative Analysis Of Land Space And Structural Facilities In Relation To Academic Output." Advances in Social Sciences Research Journal 6, no. 9 (2019): 116–28. http://dx.doi.org/10.14738/assrj.69.6883.

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The goal for attainment of sustainable infrastructure for cities and communities of the world was set to be attained latest by year 2030. Goal 11 of the Sustainable Development Goals (SDGs) specifically is about making cities and human settlements inclusive, safe, resilient and sustainable. This paper in consideration of this laudable goal considers vertical developments incorporating mixed use as an option to lateral development in educational institutions communities in Nigeria. Data were collected from selected educational institutions in Nigeria and were compared with similarly selected educational institutions outside Nigeria using internationally accepted ranking criteria as basis to see if possessing excessive land mass as observed in Nigerian Universities will lead to better academic performance and better world ranking as witnessed in foreign Universities. The result shows that total land mass available to educational institutions outside Nigeria is minimal, more productively used and effectively maintained in a sustainable manner than land available to higher institutions in Nigeria where land is awkwardly used and wasted. Higher Institutions should center more on research and academic excellence rather than possessing massive lands that are not effectively maintained. This work therefore recommends that Authorities in Nigeria should reduce land mass requirement for establishment of higher institutions and mandate investors to develop vertically by applying the mixed use concept.

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Rogers, Charlotte, Frederick W. Endorf, Gopal Punjabi, et al. "4 The Effects of Rapid Rewarming on Tissue Salvage in Severe Frostbite Injury." Journal of Burn Care & Research 41, Supplement_1 (2020): S6. http://dx.doi.org/10.1093/jbcr/iraa024.008.

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Abstract Introduction Frostbite is a high morbidity, high cost injury caused by soft tissue freezing, which can lead to digit or limb necrosis requiring amputation. Many severe frostbite injuries are initially assessed at healthcare facilities outside of dedicated burn centers. Rapid rewarming is the widely accepted first line treatment and is typically performed by placing the affected body parts in a 40–42 C water bath for 15–30 minutes. The aim of this study is to ascertain the clinical practices at the referring facilities before transferring patients with severe frostbite to regional burn centers, as well as any impact on clinical outcomes. Methods Upon IRB approval, retrospective chart review identified severe frostbite patients admitted to our ABA verified burn center between 2014 and 2019. Records were reviewed to identify initial rewarming strategy from referring facilities. Time to thrombolytics after initial admission was also noted. Amputation and salvage rates were calculated. Results Seventy-four severe frostbite patients presented to outside facilities and 96 were direct admissions (N=170). There was no significant difference in age, gender, social and comorbid characteristics between transfer and direct admit groups. We found that a significantly greater number of transfer patients received tPA versus direct admit patients (82.4% v 66.7%, P=0.023). On average, tPA was given 1.5 hours earlier in the direct admit patients (5.8 vs 7.3 hours, P=0.004). There was no significant difference in tissue at risk scores (10.2 v 9.1, P=0.465), percentage of patients requiring amputation (35.1% v 24.0%, P=0.126), or tissue salvage rates (76.8 v 84.2, P=0.207) between the two groups. In the cohort of patients presenting to outside hospitals, 66% received rapid rewarming. Other warming modalities at referring centers included warm intravenous fluids, heated blankets, heated oxygen, catheter-based warming, bladder irrigation, and heat packs. On regression analysis, the use of rapid rewarming was not a significant predictor for poor outcomes for limb salvage (P=0.578). The early use of thrombolytics had a positive outcome on limb salvage (P=0.013). Conclusions Initial rewarming practices for frostbite vary dramatically at outside centers. While rapid rewarming was not statistically associated with improved outcomes, variations in specific treatment modalities and limited sample size decrease the likelihood of identifying differences in a retrospective study. Outreach efforts are needed to educate outside centers about the importance of rapid rewarming and early transfer of severe frostbite patients to burn centers for thrombolytic therapy. Applicability of Research to Practice This study shows the need for outreach and education of frostbite management for non-burn centers.

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Topan, Anton, Henry Soleman Raubaba, and Gregorius Ulahayanan. "REDESAIN SEMINARI MENENGAH PASTOR MERAUKE (PENDEKATAN ARSITEKTUR MODERN TROPIS)." Musamus Journal of Architecture 1, no. 01 (2018): 18–27. http://dx.doi.org/10.35724/mja.v1i01.1330.

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Pastor Bonus Middle Seminary, located in the YPPK Yos Sudarso High School complex in Merauke, currently does not have complete facilities in terms of space function and optimal building arrangement. Redesigning the Bonus Bonus Middle Seminary in Merauke is expected to be able to develop the existing seminary site area, so that it can meet the needs of facilities that are suitable for function and zoning. The purpose of this research is to redesign the Merauke Bonus Pastoral Seminary which prioritizes clarity of functions and zoning through a modern tropical architectural approach, as well as arranging building mass according to the site's shape by considering circulation. The method used in this study is the method of observation / direct observation to the location of the study, interviews with the seminary and Archdiocese of Merauke which provide direction for regional development and capacity building of seminary facilities. The results obtained are used as a reference for improving management facilities, educational facilities, talent talent facilities, religious facilities, residential facilities and service facilities. This design optimizes the lighting and natural airing of existing facilities by arranging the circulation and condition of the building against the tropical climate, so as to obtain a good design for the comfort of inner space and outside space.  Kata-kunci: Redesign.,Seminary., Pastor Bonus., Merauke.

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Suprajitno, Suprajitno, Imam Zaenuri, and Muliyadi Muliyadi. "Difference in SWOT Analysis Factors: A Systematic Review." Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 8, no. 1 (2021): 130–37. http://dx.doi.org/10.26699/jnk.v8i1.art.p130-137.

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Introduction: SWOT analysis can be used to assess the position of an organization that has considered internal and external conditions. The objective of this systematic review is to find out the differences in SWOT analysis carried out by health service facilities outside Indonesia and the other country. Method: A systematic review used the PRISMA method. The search keywords used were strategic management, hospitals, health facilities, health services, and SWOT analysis obtained from Google Scholar, Science Direct, ProQuest, and PubMed. The articles analyzed were fully accessible and published in 2010-2020. Result: The main difference of analysis was that in Indonesia illustrates that the SWOT analysis was aimed at hospital organizations and few were oriented towards special services which has similar indicators on internal and external factors. Meanwhile, outside Indonesia, SWOT analysis was directed at specific health services so that it has different internal and external factors of indicator. Discussion: The difference analysis illustrates that the needs of an organization are different in strategic management development.

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Bertucci, François, Anne-Gaëlle Le Corroller-Soriano, Audrey Monneur-Miramon, et al. "Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”." Cancers 11, no. 2 (2019): 219. http://dx.doi.org/10.3390/cancers11020219.

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In oncology, the treatment of patients outside of hospitals has become imperative due to an increasing number of patients who are older and live longer, along with issues such as medical desertification, oncologist hyperspecialization, and difficulties in financing mounting health expenditures. Treatments have become less “invasive”, with greater precision and efficiency. Patients can therefore receive most of their care outside of hospitals. The development of e-health can address these new imperatives. In this letter, we describe the different e-health tools and their potential clinical impacts in oncology, as already reported at every level of care, including education, prevention, diagnosis, treatment, and monitoring. A few randomized studies have yet demonstrated the clinical benefit. We also comment on issues and limits of “cancer outside the hospital walls” from the point of view of patients, health care professionals, health facilities, and public authorities. Care providers in hospitals and communities will have to adapt to these changes within well-coordinated networks in order to better meet patient expectations regarding increasing education and personalizing management. Ultimately, controlled studies should aim to definitively demonstrate areas of interest, benefits, and incentives, for not only patients, but also caregivers (formal and informal) and health care providers, health care facilities, and the nation.

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León, Maria, Corliss Outley, Miner Marchbanks, and Brandy Kelly Pryor. "A Review of Recreation Requirements in U.S. Juvenile Justice Facilities." Criminal Justice Policy Review 31, no. 5 (2019): 763–82. http://dx.doi.org/10.1177/0887403419864415.

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In the United States, the mission of the Office of Juvenile Justice and Delinquency Prevention includes the development and implementation of prevention and intervention programs. While many of these initiatives include recreation, there remains no standard for recreation programs. The purpose of this study was to review the written authorities for each state to identify the minimum requirements for recreation programming in juvenile justice facilities. Among other discoveries, we found that across all states, there is not a shared definition of recreation, only 70% of states have daily mandatory minimums requirements, only 44% of states require youth be given time outside, and only 56% of states include justifications for denying youth access to recreation. Implications for professionals and researchers are discussed, as well as suggestions for further inquiry and the integration of recreation into the treatment process.

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Kang, Ho-Jung, Chae-Chil Koo, Ki-Hyuk Jung, and Jae-Wook Choi. "Analysis of the Cause of Suffocation Resulting from Leakage in Carbon Dioxide Fire Extinguishing Systems." Fire Science and Engineering 35, no. 1 (2021): 78–84. http://dx.doi.org/10.7731/kifse.dac1f0ee.

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The safety of carbon dioxide fire extinguishing facilities is studied through a fundamental case analysis of leakage accidents in carbon dioxide fire extinguishing facilities. In Korea, since 2001, there have been 11 accidents caused by leaks from carbon dioxide fire extinguishing facilities, killing 9 people and injuring more than 60 others. Recently, three subcontractors inhaled CO2 gas from a transportation passage outside a collection chamber, killing two of them and injuring the other. This incident brought social attention to the CO2 fire extinguishing facility in the first basement of S Electronics. In this study, we analyze the cause of the accident (e.g., pressure and temperature changes in the carbon dioxide leakage process) using a one-dimensional transient model, the effects of oxygen and CO2 concentration at the location of the incident, and that these results can be used as basic data to prevent suffocation disaster in carbon dioxide fire extinguishing facilities.

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Nardelli, Giulia, Jesper Ole Jensen, and Susanne Balslev Nielsen. "Facilities management innovation in public-private collaborations." Journal of Facilities Management 13, no. 2 (2015): 185–203. http://dx.doi.org/10.1108/jfm-04-2014-0012.

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Purpose – The purpose of this article is to investigate how facilities management (FM) units navigate Energy Service Company (ESCO) collaborations, here defined as examples of public collaborative innovation within the context of FM. The driving motivation is to inform and inspire internal FM units of local institutions on how to navigate and manage collaboration of different, intra- and inter-organisational actors throughout ESCO projects. Design/methodology/approach – A deductive research methodology was applied based on the first ten ESCO projects in Danish municipalities between 2008 and 2012. Findings – A model of FM roles in FM public innovation is proposed. The internal FM unit coordinates between clients and end users by acting as translator and demonstrator and collaborates with the ESCO company to implement the energy renovation (FM processor). Research limitations/implications – The data were collected from a limited sample of ESCO collaborations in Denmark. Future research should thus investigate collaborative innovation in ESCO (and other forms of private–public) collaborations outside of Denmark. Practical implications – Not only should FM units clarify what different stakeholders expect from an ESCO collaboration, but also they should translate stakeholders’ expectations into actual goals and objectives; process them together with the ESCO company; demonstrate their execution to all stakeholders throughout the process, not just when closing the collaboration. Originality/value – This paper contributes to FM innovation research by exploring FM innovation in the public sector and by depicting the coordinating role of local governments’ internal FM units engaging in public–private collaborative innovation.

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Mora, E., M. Gemmani, J. Zayas-Castro, and D. A. Martinez. "Uncovering Hospitalists’ Information Needs from Outside Healthcare Facilities in the Context of Health Information Exchange Using Association Rule Learning." Applied Clinical Informatics 06, no. 04 (2015): 684–97. http://dx.doi.org/10.4338/aci-2015-06-ra-0068.

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SummaryBackground: Important barriers to health information exchange (HIE) adoption are clinical work-flow disruptions and troubles with the system interface. Prior research suggests that HIE interfaces providing faster access to useful information may stimulate use and reduce barriers for adoption; however, little is known about informational needs of hospitalists.Objective: To study the association between patient health problems and the type of information requested from outside healthcare providers by hospitalists of a tertiary care hospital.Methods: We searched operational data associated with fax-based exchange of patient information (previous HIE implementation) between hospitalists of an internal medicine department in a large urban tertiary care hospital in Florida, and any other affiliated and unaffiliated healthcare provider. All hospitalizations from October 2011 to March 2014 were included in the search. Strong association rules between health problems and types of information requested during each hospitalization were discovered using Apriori algorithm, which were then validated by a team of hospitalists of the same department.Results: Only 13.7% (2 089 out of 15 230) of the hospitalizations generated at least one request of patient information to other providers. The transactional data showed 20 strong association rules between specific health problems and types of information exist. Among the 20 rules, for example, abdominal pain, chest pain, and anaemia patients are highly likely to have medical records and outside imaging results requested. Other health conditions, prone to have records requested, were lower urinary tract infection and back pain patients.Conclusions: The presented list of strong co-occurrence of health problems and types of information requested by hospitalists from outside healthcare providers not only informs the implementation and design of HIE, but also helps to target future research on the impact of having access to outside information for specific patient cohorts. Our data-driven approach helps to reduce the typical biases of qualitative research.

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Brockstedt, S., H. Holstein, L. Jakobsson, A. Tomaszewicz, and T. Knöös. "Be aware of neutrons outside short mazes from 10-MV linear accelerators X-rays in radiotherapy facilities." Radiation Protection Dosimetry 165, no. 1-4 (2015): 464–67. http://dx.doi.org/10.1093/rpd/ncv046.

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Journal articles on the topic 'Outside facilities'

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