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Wolańczyk, Franciszek. "Gallium as a Metrology Substance for Measuring Thermal Conductivity of Metals." Applied Mechanics and Materials 831 (April 2016): 144–50. http://dx.doi.org/10.4028/www.scientific.net/amm.831.144.
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In the presented work the effective thermal conductivity of steel was received from the simple experiment in which the change of phase metrology-matter was applied [1]. As the metrology-matter gallium was used.The change of phase process plays role of the heat source. During the change of phase period the temperature is constant. A quasi-stationary temperature fields allows to use the stationary model of heat transfer calculations. The model is a cylindrical rod of finite length losing heat out one face to melting-substance and by radiation from surface, respectively. All process measurement was carried out in vacuum. Measurement of thermal conductivity quasi-stationery method is practiced at the Department of Thermodynamics at Rzeszow University of Technology. This method has application in measurement of thermal conductivity of good conductors.
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Weissman, Roger. "Department of Health. Quality Protects: A Framework for Action (1998) London: The Stationery Office." Child Psychology and Psychiatry Review 4, no. 2 (May 1999): 93–96. http://dx.doi.org/10.1017/s1360641799221922.
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Zahruddin, Muhamad, Indri Handayani, and Nini Santika. "MERANCANG SISTEM PENGOLAHAN ATK BERBASIS WEB PADA PT. ARTHAASIA FINANCE." CCIT Journal 11, no. 2 (August 18, 2018): 225–35. http://dx.doi.org/10.33050/ccit.v11i2.590.
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PT. Arthaasia Finance is a company engaged in the field of finance, and has problems in making data collection such as the manufacture of stationery demand and in making reports every month still using Microsoft Word and Microsoft Excel. The need for ATK management system is very necessary. Due to the vastness of the management system being run, so the need for management of ATK becomes very important. This system development method refers to the design used in the form of SDLC (Software Development Lift Cycle) in the form of waterfall. Based on the results of research at PT. Arthaasia Finance can be concluded that the Design of Office Stationery Applications At PT. Arthaasia Finance is designed with ease in the process of operation, making it easier for users to access information, facilitate employees in doing the job quickly and efficiently, and facilitate the General Affairs Department staff in viewing data ATK, request data and facilitate in making reports and to reduce errors in recording which is done manually
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Bellamy, Derrick, Vanessa Bateman, Eric C. Drumm, William M. Dunne, Christopher Vandewater, Matthew Mauldon, and Brett Rose. "Electronic Data Collection for Rockfall Analysis." Transportation Research Record: Journal of the Transportation Research Board 1821, no. 1 (January 2003): 97–103. http://dx.doi.org/10.3141/1821-12.
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Rockfall analysis traditionally has used conventional stationery tools, that is, pencil and paper, for data collection. Traditional methodologies are being revisited with the advent of personal digital assistants (PDAs) or pen-based computers that enable field data to be collected electronically. The advantages over data collection with pencil and paper include automatic error and data integrity checks during data input and the elimination of manual data entry. PDAs also allow automatic branching to solicit data input on the basis of previous data entered and support for code or scripting, which can be used to create unique files names from the data entered. These advantages are illustrated in an electronic data collection methodology as implemented within a rockfall hazard rating system for the Tennessee Department of Transportation.
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Łańczak, Anna, Aneta Choręziak, Maria Płocka, Anna Sadowska-Przytocka, Magdalena Czarnecka-Operacz, Zygmunt Adamski, and Dorota Jenerowicz. "Nickel-free environment — dreams vs. reality." Journal of Medical Science 88, no. 3 (October 1, 2019): 150–55. http://dx.doi.org/10.20883/jms.357.
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Introduction. Frequent occurrence of elevated nickel levels in everyday items explains why allergic contact dermatitis to nickel is the most common in the general population. In Northern America and Europe, 20% of the general population suffers from contact dermatitis while 8.6% of patients suffering from contact dermatitis are allergic to nickel.Material and Methods. A group of 25 patients (24 females and 1 male) sensitized to nickel and cobalt on the basis of patch testing was analyzed during a 2-year-long period in Department of Dermatology Poznań University of Medical Sciences. Contact allergy to nickel and cobalt was confirmed with the positive result of patch test, conducted with the Polish Standard Series of chemotechnique.Results. An excessive nickel release was detected in over a quarter of the tested items, respectively in 7.5% of jewellery, 57.89% of clothing accessories, 56.89% of other utility goods, such as keys, telephones or stationery. Cobalt excessive release was found in 7.3% of tested items, respectively in none of jewellery and kitchen accessories, 25% of clothing accessories, 12.5% of other utility goods (keys, pens, pendants).Conclusions. In general, everyday-use items are not nickel-free and more legislation steps are necessary to provide it and prevent initial sensitization in future generations. Several articles of every-day use release nickel and cobalt above migration limits.
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ADLER, MICHAEL. "Helen Bolderson and Deborah Mabbett with John Hudson, Mike Rowe and Paul Spicker, Delivering Social Security: a Cross-National Study, Department of Social Security Research Report No. 59, The Stationery Office, London, xii + 279 pp., £35.00 paper." Journal of Social Policy 27, no. 3 (July 1998): 421–45. http://dx.doi.org/10.1017/s0047279498375352.
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Allen, R. F. "History from 5 to 16: Curriculum Matters #11. By the Staff Inspector for History, Department of Education and Science. (London: Her Majesty's Stationery Office, 1988. 28 pp. 2. U.S. Orders: Unipub, 4611-F Assembly Drive, Lanham, MD 20706-4391. Paperbound.)." OAH Magazine of History 4, no. 3 (June 1, 1989): 44–45. http://dx.doi.org/10.1093/maghis/4.3.44-a.
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Tweedie, Kelly, and Helen Haley. "P6 Intervention monitoring in maternity and paediatrics as a strategy to guide education and improve prescribing practice." Archives of Disease in Childhood 103, no. 2 (January 19, 2018): e2.7-e2. http://dx.doi.org/10.1136/archdischild-2017-314585.15.
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AimThis audit explores the impact of regular pharmacist intervention monitoring and feedback on paediatric and maternity wards, and how these interventions guide educational strategies aimed at improving prescribing practice.MethodA tally-chart data collection tool was designed for each ward to collect data on common errors such as omission of booking weight, vital to ensure safer prescribing of dalteparin, omission of dose/kg imperative to ensure safer paediatric prescribing, and also omission of the residing ward from the front of the chart which affects discharge times when TTOs are delayed/lost due to misdirection.The ward pharmacist recorded the incidence of these errors during each daily visit and prepared a weekly feedback report consisting of a bar graph of the results plus a comparison to the previous week. The pharmacist would also reiterate the importance of avoiding each type of error.This would also inform the topic of the ‘key prescribing message’ (a bulletin focussing on a particular type of error) explaining the correct method and the significance of avoiding errors. This was communicated to the ward teams/prescribers.ResultsPreliminary audit data is encouraging and shows that the feedback to the ward teams has had a positive impact. Many nurses and midwives were surprised at the level of errors and now better understand their significance and how they can support accurate prescribing. The senior medics have taken an interest in the audit and are keen on sharing the information with their juniors and adapting their training to ensure that further improvements are made.The data collected informed the first ‘key prescribing messages’; ‘Booking weight’ for maternity and ‘medicines reconciliation’ for paediatrics. Since these were communicated to the ward teams/prescribers the audit has found an improvement in the number of maternity prescriptions with the booking weight recorded, a reduction in the number of incorrect dalteparin prescriptions for postnatal women, as well as improved prescribing practice in paediatrics such as including dose/kg on each prescription and improved drug-history taking by the medics.ConclusionA key priority of the NHS is the prevention of medication errors.1 The positive impact of clinical pharmacist interventions on the quality of prescribing is well established2,3 as highlighted in a Department of Health study4 reviewing the frequency of errors, identifying modes of good practice to improve safety.To date this audit has shown the benefit of increasing the multidisciplinary team awareness of common errors, monitoring these each week and sharing these findings with the team. It has also shown that short, focused bulletins encouraged improvement and helped prescribers to improve their practice.ReferencesAudit Commission. A spoonful of sugar-improving medicines management in NHS hospitals2001. London: Audit Commission.Dale A, Copeland R, Barton R. Prescribing errors on medical wards and the impact of clinical pharmacists. Int J Pharm Pract2003;11:19–24.Dhillon S. Do clinical pharmacists really improve the quality of patient care? Hospital Pharmacist2001;8:118.Department of Health. Building a safer NHS for patients. Improving medication safety 2004. London: Stationery Office.
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Belogubova, Natalya Ivanovna, and Alexander Ivanovich Kuznetsov. "Influence of a nurses personality on professional suitability for working in pediatric stationary." Medsestra (Nurse), no. 8 (July 21, 2021): 29–35. http://dx.doi.org/10.33920/med-05-2108-04.
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The aim of the study the influence of the personal characteristics of a nurse on professional suitability (readiness) to work in a pediatric hospital. The results of the study allow us to assert that the professional suitability of a nurse is influenced by a number of characterological abilities, including such as moral normativity, neuropsychic stability, adaptive abilities, and communication skills. Conclusion. When hiring, a psychodiagnostic examination should be carried out to study the characterological characteristics of future employees, which will reduce the turnover of personnel in pediatric departments. Taking into account the psychological characteristics that affect the professional suitability to work in the pediatric department, it is possible not only to select the most psychologically ready staff, but also to prevent the development of professional deformations and burnout syndrome in employees.
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Viloria-Marimón, Orlando M., Álvaro González-Álvarez, and Javier A. Mouthón-Bello. "Analysis of the Behavior of Daily Maximum Rainfall within the Department of Atlántico, Colombia." Water 11, no. 12 (November 22, 2019): 2453. http://dx.doi.org/10.3390/w11122453.
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In the Colombian Caribbean region, there are few studies that evaluated the behavior of one of the most commonly used variables in hydrological analyses: the maximum daily rainfall (Pmax-24h). In this study, multiannual Pmax-24h time series from 19 rain gauges, located within the department of Atlántico, were analyzed to (a) determine possible increasing/decreasing trends over time, (b) identify regions with homogeneous behavior of Pmax-24h, (c) assess whether the time series are better suited under either a stationary or non-stationary frequency analysis, (d) generate isohyetal maps under stationary, non-stationary, and mixed conditions, and (e) evaluate the isohyetal maps by means of the calculation of areal rainfall (Pareal) in nine watersheds. In spite of the presence of both increasing and decreasing trends, only the Puerto Giraldo rain gauge showed a significant decreasing trend. Also, three regions (east, central, and west) with similar Pmax-24h behavior were identified. According to the Akaike information criterion test, 79% of the rain gauges showed better fit under stationary conditions. Finally, statistical analysis revealed that, under stationary conditions, the errors in the calculation of Pareal were more frequent, while the magnitude of the errors was larger under non-stationary conditions, especially in the central–south region.
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Choudhury, Avishek, and Estefania Urena. "Forecasting hourly emergency department arrival using time series analysis." British Journal of Healthcare Management 26, no. 1 (January 2, 2020): 34–43. http://dx.doi.org/10.12968/bjhc.2019.0067.
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Background/aims The stochastic arrival of patients at hospital emergency departments complicates their management. More than 50% of a hospital's emergency department tends to operate beyond its normal capacity and eventually fails to deliver high-quality care. To address this concern, much research has been carried out using yearly, monthly and weekly time-series forecasting. This article discusses the use of hourly time-series forecasting to help improve emergency department management by predicting the arrival of future patients. Methods Emergency department admission data from January 2014 to August 2017 was retrieved from a hospital in Iowa. The auto-regressive integrated moving average (ARIMA), Holt–Winters, TBATS, and neural network methods were implemented and compared as forecasters of hourly patient arrivals. Results The auto-regressive integrated moving average (3,0,0) (2,1,0) was selected as the best fit model, with minimum Akaike information criterion and Schwartz Bayesian criterion. The model was stationary and qualified under the Box–Ljung correlation test and the Jarque–Bera test for normality. The mean error and root mean square error were selected as performance measures. A mean error of 1.001 and a root mean square error of 1.55 were obtained. Conclusions The auto-regressive integrated moving average can be used to provide hourly forecasts for emergency department arrivals and can be implemented as a decision support system to aid staff when scheduling and adjusting emergency department arrivals.
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Mandement, Marc, and Olivier Caumont. "A numerical study to investigate the roles of former Hurricane Leslie, orography and evaporative cooling in the 2018 Aude heavy-precipitation event." Weather and Climate Dynamics 2, no. 3 (August 31, 2021): 795–818. http://dx.doi.org/10.5194/wcd-2-795-2021.
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Abstract. In south-eastern France, the Mediterranean coast is regularly affected by heavy-precipitation events. On 14–15 October 2018, in the Aude department, a back-building quasi-stationary mesoscale convective system produced up to about 300 mm of rain in 11 h. At synoptic scale, the former Hurricane Leslie was involved in the formation of a Mediterranean surface low that channelled conditionally unstable air towards the coast. At mesoscale, convective cells focused west of a decaying cold front that became quasi-stationary and downwind of the terrain. To investigate the roles of the moisture provided by Leslie, orography and evaporative cooling among the physical processes that led to the location and intensity of the observed rainfall, numerical simulations are run at 1 km and 500 m horizontal grid spacing and evaluated with independent near-surface analyses including novel crowd-sourced observations of personal weather stations. Simulations show that, in a first part of the event, low-level conditionally unstable air parcels found inside strong updraughts mainly originated from areas east of the Balearic Islands, over the Mediterranean Sea, whereas in a second part, an increasing number originated from Leslie's remnants. Air masses from areas east of the Balearic Islands appeared as the first supplier of moisture over the entire event. Still, Leslie contributed to substantially moistening mid-levels over the Aude department, diminishing evaporation processes. Thus, the evaporative cooling over the Aude department did not play any substantial role in the stationarity of the quasi-stationary front. Regarding lifting mechanisms, the advection of conditionally unstable air by a low-level jet towards the quasi-stationary front, confined to altitudes below 2 km, reactivated convection along and downwind of the front. Most of the air parcels found inside strong updraughts near the location of the maximum rainfall were lifted above the quasi-stationary front. Downwind of the Albera Massif, mountains bordering the Mediterranean Sea, cells formed by orographic lifting were maintained by low-level leeward convergence, mountain lee waves and a favourable directional wind shear; when terrain is flattened, rainfall is substantially reduced. The location of the exceptional precipitation was primarily driven by the location of the quasi-stationary front and secondarily by the location of convective bands downwind of orography.
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Williams, Mark C., Joseph P. Strakey, and Wayne A. Surdoval. "The U.S. Department of Energy, Office of Fossil Energy Stationary Fuel Cell Program." Journal of Power Sources 143, no. 1-2 (April 2005): 191–96. http://dx.doi.org/10.1016/j.jpowsour.2004.12.003.
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Căluşaru, Ionela Mihaela, Nicolae Băran, and Adrian Costache. "The Determination of Dissolved Oxygen Concentration in Stationary Water." Applied Mechanics and Materials 436 (October 2013): 233–37. http://dx.doi.org/10.4028/www.scientific.net/amm.436.233.
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In the paper the differential equation of the transfer speed of the oxygen towards water is numerically integrated, software is written and theoretical results are presented. A setup for experimental tests regarding the functioning of fine bubble generators was designed and built in the frame of the Department of Thermotechnics, Engines, Thermic and Refrigeration Plants laboratory. Measurements regarding the increase of the concentration of oxygen dissolved in water were performed. Theoretical and experimental results were compared.
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Shevchuk, M. М. "THE PERCENTAGE AND STRUCTURE OF PERODONT TISSUE DISEASES IN PATIENTS OF LVIV REGIONAL STATIONARY CLINICAL HOSPITAL DEPENDING ON AGE." Ukrainian Dental Almanac, no. 4 (December 12, 2018): 16–21. http://dx.doi.org/10.31718/2409-0255.4.2018.03.
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Epidemiological studies of recent years have shown a high prevalence of periodontal tissue diseases in the world and in particular in Ukraine. Significant influence on the prevalence of periodontal tissue diseases in the population is caused by many factors: this is the climatic conditions of the area and the general level of health of the population and the ecological situation in Ukraine and social conditions of life. One of the main common factors in the development of periodontal tissue diseases is the presence of concomitant pathology. Despite the current trends in dentistry to improve diagnostic and treatment methods, the introduction of advanced medical technologies, a significant reduction in periodontal disease among adult Ukrainian population is not observed.
The aim of the study. To study the prevalence and structure of periodontal tissue lesions in patients with general - somatic diseases in order to develop a therapeutic algorithm in a hospital setting.
Materials and methods. A common clinical dental examination of 512 patients from different departments of LRCH was carried out. Generalized periodontitis was diagnosed according to generally accepted clinical and pair clinical methods with the definition of periodontal index (PI) by Russel (1956); index of PMA for Parma (1960); functional stability of capillaries (FSK) for V. Kulazhenko in the dynamics of treatment. The state of oral hygiene was assessed before and after treatment with the Green-Vermillon Hygiene Index (GI) (1964). To establish the diagnosis, the classification of diseases of periodontal tissues by M.F. Danilevsky (1994) was used. About the state of the bone of the alveolar sprout were judged by the results of the X-ray examination, which was conducted according to indications and standardization of X-ray studies in dentistry NA Rabukhina (1991). It was mandatory to analyze a general clinical examination of blood. The degree of validity of the difference between the two averages was determined using the unilateral criterion (t) of the Student. The difference in the rates was considered reliable at t≤1.96, which corresponds to the required level of reliability for clinical studies with a reliability of the findings - 95.0% and a high level of their non-falsity (р˂0.05).
Research results and their discussion. As a result of our research, we have established the following laws: in individuals of the Department of Cardiovascular Surgery, neurological and gastroenterological departments, the prevalence of nosological units of periodontal tissue was the same and did not differ with the probability of the data obtained among themselves; in patients with rheumatologic department, a significant prevalence of inflammatory diseases of periodontal tissues and initial forms of GP was determined by the decrease of the prevalence data of developed forms of GP in relation to the corresponding values in patients of other departments.
Conclusions Consequently, as a result of our research, we found that the prevalence of periodontal tissue diseases in patients from different branches of LOCН was 75 %, which according to WHO criteria was characterized as high. With the increase in the age of those surveyed with various somatic diseases, the prevalence of lesions of tooth-retaining tissues increased: from 46.13% in patients ≤ 20 years old, to 88.15% in patients aged ≥ 50 years. More often in patients with concomitant somatic pathology, chronic generalized periodontitis were diagnosed in 65,63% of the examined patients. The inflammatory (6.25%) and dystrophic (7.62% of patients) periodontal tissues were significantly less likely to be detected. In patients with cardiovascular and rheumatologic diseases, the frequency of lesions of periodontal tissues was higher than in patients with neurological and gastroenterological diseases, which may be a significant factor in the development and course of periodontal pathology.
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Sanders, Dwight R., and Mark R. Manfredo. "Rationality of U.S. Department of Agriculture Livestock Price Forecasts: A Unified Approach." Journal of Agricultural and Applied Economics 39, no. 1 (April 2007): 75–85. http://dx.doi.org/10.1017/s1074070800022768.
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This research presents a systematic and unified approach to evaluating forecast rationality that considers the potential of nonstationarity in forecasts and realized values. The approach is applied to one-quarter ahead U.S. Department of Agriculture livestock price forecasts from 1982 through 2004. Results show that forecasts and realized prices are integrated of the same order, and those that are nonstationary are cointegrated. However, the stationary price forecasts for hogs, turkeys, eggs, and milk are biased and improperly scaled, and forecast errors tend to be repeated. Similarly, nonstationary forecasts for cattle and broilers are also biased and irrational in the long run, but short-run dynamics are rational.
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Melnyk, A., and B. Mukha. "The main research trends at the department of physical geography, Ivan Franko National University of Lviv during 1961–2011." Visnyk of the Lviv University. Series Geography 1, no. 40 (December 12, 2012): 11–19. http://dx.doi.org/10.30970/vgg.2012.40.2015.
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The research at the Department, which is one of the oldest at the Geography Faculty of Lviv University (founded in 1944) has been mainly connected during the last half-century with integrated physical-geographical studies of Western Ukraine, development of theoretical, methodical, and applied issues of landscape science. As a result, the Lviv school of landscape studies of Prof. K.I. Herenchuk was formed, as well as the school of mountain landscape studies of Prof. H.P. Miller. The research activities of the Department staff are based not only on the expeditionary field data, but also on the data collected at the field stations – the Roztocha Landscape-Geophysical Station (functions since 1968) and the Chornohora Geographical Station (functions since 1978). Key words: Department of Physical Geography, research activities, stationary observations, landscape science.
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Gosunalioglu Asadov, Aydin. "Organization Problems of the Emergency Stationary Relief At System of Departmental Health." Journal of Academic Emergency Medicine 9, no. 4 (2010): 172–74. http://dx.doi.org/10.5152/jaem.2010.008.
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Kallner, Helena Kopp, Maria Persson, Marcus Thuresson, Daniel Altman, Isaac Shemer, Malin Thorsell, and Elisabeth Andrea Wikström Shemer. "DIAGNOSTIC COLPOSCOPIC ACCURACY BY THE GYNOCULAR AND A STATIONARY COLPOSCOPE." International Journal of Technology Assessment in Health Care 31, no. 3 (2015): 181–87. http://dx.doi.org/10.1017/s0266462315000252.
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Objectives: The aim of this study was to evaluate the diagnostic accuracy of sensitivity and specificity of cervical lesions by the low-cost, portable Gynocular colposcope and a stationary colposcope, in women referred for colposcopy with abnormal cervical cytology.Methods: A randomized cross-over clinical trial for evaluating the diagnostic accuracy in detecting cervical lesions by the Gynocular and a stationary colposcope. The Swede score systematic colposcopy system was used for evaluation of colposcopic abnormalities. Directed punch biopsy and excisional cone biopsy were used as the “gold-standard” by histologically confirmed high grade cervical lesions CIN2+ (CIN2, CIN3, CIN3+). In total, 123 women referred for colposcopy due to abnormal cervical cytology were recruited at the Department of Obstetrics and Gynecology, Danderyd Hospital, Stockholm, Sweden. The percentage agreement and the kappa statistic were calculated for Swede score by the Gynocular and a stationary colposcope. Swede scores were compared with the results from directed punch biopsy and excisional cone biopsy.Results: The Gynocular and the stationary colposcope had a high agreement of Swede scores with a Kappa statistic of 0.947, p < .0001. Punch biopsy diagnosed CIN2+ (CIN2, CIN3, and invasive cancer) in 44 (35.7 percent) women while cytology detected CIN2+ in 34 (27.6 percent) women. There were no significant differences of the sensitivity and specificity for different Swede scores by the Gynocular or a stationary colposcope in detecting CIN 2+.Conclusions: There were no significant differences in sensitivity or specificity in detecting cervical lesions by the Gynocular or stationary colposcope. The Gynocular is as accurate in diagnosing cervical lesions as a stationary colposcope.
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Llewellyn, Sue, Naomi Chambers, Sheila Ellwood, Christos Begkos, and Chris Wood. "Patient-level information and costing systems (PLICSs): a mixed-methods study of current practice and future potential for the NHS health economy." Health Services and Delivery Research 4, no. 31 (October 2016): 1–156. http://dx.doi.org/10.3310/hsdr04310.
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BackgroundTraditionally, the cost object in health care has been either a service line (e.g. orthopaedics) or a clinical intervention (e.g. hip replacement). In the mid-2000s, the Department of Health recommended that in the future the patient should be the cost object, to enable a better analysis of cost drivers in health care, resulting in patient-level information and costing systems (PLICSs). Monitor (the economic regulator for health care) proposes that PLICS data will now form the basis for mandatory prices for health-care services across all care settings.ObjectiveOur main aim was to investigate the use of PLICSs.MethodsWe surveyed all English foundation trusts and NHS trusts, and undertook four case studies of foundation trusts. Three trusts were generalist and one was specialist. We also surveyed commissioning support units to explore the potential for PLICSs in commissioning.FindingsThe most significant use of PLICSs was cost improvement within the trusts. There was only modest utilisation of PLICSs to allocate resources across services and settings. We found that trusts had separate reporting systems for costs and clinical outcomes, engendering little use for PLICSs to link cost with quality. Although there was significant potential for PLICSs in commissioning, 74% of survey respondents at trusts considered their PLICS data to be commercially sensitive and only 5% shared the data with commissioners. The use of PLICSs in community services was, generally, embryonic because of the absence of units of health care for which payment can be made, service definitions and robust data collection systems. The lack of PLICS data for community services, allied with the commercial sensitivity issue, resulted in little PLICS presence in collaborative cross-organisational initiatives, whether between trusts or across acute and community services. PLICS data relate to activities along the patient pathway. Such costs make sense to clinicians. We found that PLICSs had created greater clinical engagement in resource management despite the fact that the trust finance function had actively communicated PLICSs as a new costing tool and often required its use in, for example, business cases for clinical investment. Operational financial management at the trusts was undertaken through service line reporting (SLR) and traditional directorate budgets. PLICSs were considered more of a strategic tool.ConclusionsBoth PLICSs and SLR identify and interrogate service line profitability. Although trusts currently cross-subsidise to support loss-making areas under the tariff, they are actively considering disinvesting in unprofitable service lines. Financial pressure within the NHS, along with its current competitive, business-oriented ethos, induces trusts to act in their own interests rather than those of the whole health economy. However, many policy commentators suggest that care integration is needed to improve patient care and reduce costs. Although the Health and Social Care Act 2012 (Great Britain.Health and Social Care Act 2012. London: The Stationery Office; 2012) requires both competition and the collaboration needed to achieve care integration, the two are not always compatible. We conclude that competitive forces are dominant in driving the current uses of PLICSs. Future research should interrogate the use of PLICSs inNew Care Models – Vanguard Sites(NHS England.New Care Models – Vanguard Sites. NHS England; 2015) and initiatives to deliver the ‘Five Year Forward View’ (Monitor and NHS England.Reforming the Payment System for NHS Services: Supporting the Five Year Forward View. London: Monitor; 2015).FundingThe National Institute for Health Research Health Services and Delivery Research programme.
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Mahanta, Janardan, Soumen Kishor Nath, and Md Haronur Rashid. "Using Markov Analysis to Study the Impact of Temperature in Bangladesh." Asia Pacific Journal of Energy and Environment 6, no. 2 (December 31, 2019): 69–76. http://dx.doi.org/10.18034/apjee.v6i2.267.
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In this paper has been studied the temperature trend in Bangladesh. Long-term changes of surface air temperature over Bangladesh have been studied using the available historical data collected by the Bangladesh meteorological Department (BMD). Daily temperature data is collected from BMD in Dhaka and Chittagong. Then month have been divided according to season and their descriptive statistics are computed. Maximum average temperature in pre-monsoon season and minimum average temperature in winter season have been shown in the paper. This study also reveals that temperature has increased over the time. Markov chain analysis has been applied for these data so as to find the stationary probability. After 26 and 13 days stationary probabilities in Dhaka and Chittagong stations respectively have observed.
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Rustamova, Iroda, Oydin Kuchkarova, and Sayora Kasimova. "SEGAWA SINROME (CLINICAL CASE)." JOURNAL OF NEUROLOGY AND NEUROSURGICAL RESEARCH 2, no. 1 (February 28, 2020): 28–30. http://dx.doi.org/10.26739/2181-0982-2020-2-7.
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We examined a stationary patient who was admitted to the Department of Neurology 1 of ASMI Clinics with complaints of involuntary movements in the extremities, constriction in them, limitation of movements, involuntary turning of the neck and trunk in one direction. When prescribing levodopa drugs(madopar125mg/day), in addition to the cyclodol (it was takenyears ago) (4mg/day), noted that severity of motor symptoms significantly decreased on several days
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Zhulev, N. M., and S. N. Zhulev. "Pathogenetic therapy of traumatic neuropathies." Neurology Bulletin XXX, no. 1-2 (March 15, 1998): 45–47. http://dx.doi.org/10.17816/nb80852.
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Favorable treatment outcomes (complete restoration of nerve and limb functions) were obtained in 80.3% of patients, which the authors regard as a result of early pathogenetic diagnosis and the use of complex pathogenetically based treatment developed by them. The proposed methods of treatment are applicable in a specialized neurological department of a polyclinic, as well as in a medical unit, which is much more economical than in a stationary setting.
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Urednistvo, U. "Disclosure of plagiarism." Computer Science and Information Systems 7, no. 4 (2010): 5. http://dx.doi.org/10.2298/csis1004005u.
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(retraction) We regretfully announce that the article 'Blind Separation Using Second Order Statistics for Non-stationary Signals' by Jun Du, Ju Liu, Shengju Sang and Jun Wang, published in Volume 7, Number 1 of ComSIS (pp. 163-176, 2010), is a confirmed plagiarism of the original work by Chia-Chi Lin, 'Blind Source Separation For Non-stationary Signals Using Second Order Statistics,' Master Thesis, National Tsing Hua University (NTHU), Hsinchu, Taiwan, July 2007. The Editorial Board of Computer Science and Information Systems sincerely apologizes to the author, Chia-Chi Lin, and his advisors, Professor Wing-Kin Ma1 and Professor Chong-Yung Chi2, for allowing the publication of this article. The article has been removed from the ComSIS Web site (www.comsis.org/Archive/Vol7Num1.htm), and replaced by instructions to download the original work. 1 Department of Electronic Engineering, The Chinese University of Hong Kong, Shatin, NT., Hong Kong. institute of Communications Engineering & Department of Electrical Engineering, National Tsing Hua University, Hsinchu, Taiwan, R.O.C. <br><br><font color="red"><b>Link to the retracted article <u><a href="http://dx.doi.org/10.2298/CSIS1001163D">10.2298/CSIS1001163D</a></b></u></font>
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Chowdhury, Mashfiqul Huq, Somaresh Mondal, and Jobaidul Islam. "MODELING AND FORECASTING HUMIDITY IN BANGLADESH: BOX-JENKINS APPROACH." International Journal of Research -GRANTHAALAYAH 6, no. 4 (April 30, 2018): 50–60. http://dx.doi.org/10.29121/granthaalayah.v6.i4.2018.1475.
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Humidity (atmospheric moisture) is an important atmospheric component and has significant influence on plant growth and development. The rate of growth and the form that a plant attains is controlled by humidity. The present study is an attempt to analyze the seasonal humidity’s of Bangladesh by employing appropriate statistical techniques. The main objective of this study is to examine humidity over time in Bangladesh and find a suitable model for forecasting. This study utilizes humidity data from Bangladesh Meteorological Department (BMD), recorded at 6 divisional meteorological stations for the period of 1976 to 2015. This study found that annual average humidity of Bangladesh is 78.88%. Initially data set is checked for whether it is stationary or not through Augmented Dickey Fuller test. Data was found non-stationary but it was transformed to stationary after taking first difference. Then seasonal ARIMA model was built using Box and Jenkins approach. After examining of all diagnostic procedures, ARIMA (2,0,1)(2,1,1)12 model has been identified as an appropriate model for forecasting 60 months (2016-2020) seasonal humidity.
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Saith, A., P. F. Norton, and V. M. Parthasarathy. "Application of SPSLIFE to Preliminary Design Evaluation and Life Assessment of CSGT Components." Journal of Engineering for Gas Turbines and Power 117, no. 3 (July 1, 1995): 424–31. http://dx.doi.org/10.1115/1.2814114.
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The Ceramic Stationary Gas Turbine (CSGT) Program has utilized the SPSLIFE computer code to evaluate the preliminary design of ceramic components. The CSGT program is being performed under the sponsorship of the United States Department of Energy, Office of Industrial Technology, to improve the performance of stationary gas turbines in cogeneration through the selective replacement of hot section components with ceramic parts. Preliminary design evaluation and life assessment results are presented here for the following components: (1) Stage 1 turbine blade, (2) Stage 1 turbine nozzle, and (3) combustor inner liner. From the results of the analysis, recommendations are made for improving the life and reliability of the components. All designs were developed in Phase I (preliminary design) of the CSGT program and will be optimized in Phase II (detail design) of the program.
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Simchenko, N. A., S. S. Olefirenko, and V. I. Sribniy. "IMPROVEMENT OF MANAGEMENT OF ORGANIZATIONS IN THE SPHERE OF MEDICAL SERVICES IN THE REPUBLIC OF CRIMEA." Scientific Notes of V. I. Vernadsky Crimean Federal University. Economics and management 6(72), no. 2 (2020): 106–11. http://dx.doi.org/10.37279/2413-1644-2020-6-2-106-111.
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The article is devoted to the development of strategic directions for improving the management of organizations in the field of medical services based on the creation of stationary emergency departments in the Republic of Crimea. Within the framework of the national projects «Healthcare», «Demography», «Digital Economy», the need to create in-patient emergency departments in the region has been substantiated, which will allow for the proper provision of medical care to emergency patients, including those in need of short-term treatment, and thereby reduce unnecessary hospitalization of patients who do not require specialized medical care in a hospital setting.
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Kravchuk, Yaroslav, Ivan Kovalchuk, and Lidiya Dubis. "DEPARTMENT OF GEOMORPHOLOGY AND PALEOGEOGRAPHY OF THE IVAN FRANKO NATIONAL UNIVERSITY OF LVIV: STAGES OF DEVELOPMENT, ACHIEVEMENTS AND CHALLENGES." PROBLEMS OF GEOMORPHOLOGY AND PALEOGEOGRAPHY OF THE UKRANIAN CARPATHIANS AND ADJACENT AREAS, no. 11(01) (December 2020): 3–29. http://dx.doi.org/10.30970/gpc.2020.1.3199.
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This year we celebrate the 70th anniversary of the Department of Geomorphology (since 2000 – Geomorphology and Paleogeography) of the Faculty of Geography, Ivan Franko National University of Lviv, formed on the basis of the existing Lviv school of geography, which possessed old traditions and scientific achievements in the research of relief, in particular, of its development and formation. On the occasion of the anniversary, the article attempts to analyze the main achievements of the Department over the 70-year period, to highlight the main stages of its development and to outline the new challenges facing the Department today. There is the “Engineering, ecological and regional geomorphology” scientific school successfully functioning at the Department. Within its borders, the “Paleogeography of the Pleistocene” research direction is rapidly developing with significant achievements recognized at the international level. Anthropogenic and dynamic geomorphology, historical and geographical research, and geomorphological mapping with the use of GIS and remote sensing have been intensively developed. Over the last decade, research on the environmental issues, including spatial planning and design of nature reserves and ecological networks, as well as the study of geoheritage, geotourism and geoeducation have been singled out into independent areas. Overall, there are four development stages of the Department: the first ‒ from its foundation (1950) till 1970, the second ‒ during 1971-1990, the third ‒ during 1990-2010, and the fourth ‒ from 2010 till present. For each of them, the main scientific and practical achievements of the Department are briefly analyzed. The most important event in the first stage was the launching of fundamental comprehensive regional research, including the Ukrainian Carpathians, under the supervision of P. Tsys; in the second one ‒ the development of regional and engineering-geomorphological research and the introduction of stationary and semi-stationary research of modern relief-forming processes for the first time in Ukraine; in the third one ‒ the formation of a research school of engineering, ecological and regional geomorphology and the rapid development of Pleistocene paleogeography, as well as of environmental research; in the fourth one ‒ active development of the “Engineering, Ecological and Regional Geomorphology” scientific school and of the “Pleistocene Paleogeography” research direction, as well as of the investigations related to geoheritage, geotourism and geoeducation. The main current challenges are outlined at the end of the article. Key words: geomorphology; paleogeography; stages of development; scientific school; research directions; research; achievements; challenges.
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Nekludova, G. V., and S. N. Avdeev. "Possibilities of ultrasound research of the diaphragm." Terapevticheskii arkhiv 91, no. 3 (March 15, 2019): 86–92. http://dx.doi.org/10.26442/00403660.2019.03.000129.
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The ultrasound method is a non-invasive and safe diagnostic method. Ultrasound examination (ultrasound) of the diaphragm allows you to conduct a direct study of its structure and function. Using stationary and portable ultrasound scanners, the study of the diaphragm can be carried out in specialized laboratories, in outpatient departments, in various departments of the clinic, including in intensive care units, in patients in different clinical conditions. Ultrasound of the diaphragm can be implemented on devices of different technical levels. Despite the fact that at present the diaphragm ultrasound method is not standardized, nevertheless, it provides clinically important information for solving various clinical studies, including when conducting dynamic observation.
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Golikov, V. Yu, L. A. Chipiga, A. V. Vodovatov, and M. Ya Smolyarchuk. "Some aspects of radiation protection in radionuclide therapy departments." Radiatsionnaya Gygiena = Radiation Hygiene 14, no. 1 (April 15, 2021): 75–85. http://dx.doi.org/10.21514/1998-426x-2021-14-1-75-85.
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The paper presents the data that allow calculate the attenuation factors in lead, tungsten and concrete of various thicknesses or the thickness of shielding made of these materials for a given attenuation factor for the spectra of gamma radiation of 131I and 177Lu radionuclides. Using these data the effectiveness of the protection of supporting equipment (portable containers, shielded syringes, etc.) and the possible doses of external radiation of medical personnel in the radionuclide therapy department were calculated. It is shown that there are short-term operations in the production process when a radiation source (container with a capsule with activity, syringe with activity), being near the body of a medical worker, creates a significant dose rate. For this reason the annual individual dose of external exposure of a medical worker can approach or exceed 1/3 of the dose limit. Calculation of the attenuation of 131I gamma radiation by stationary shield showed that the thickness of walls and floors made of concrete 200 – 400 mm will ensure that the permissible values of the dose rates of gamma radiation in the air do not exceed at annual turnover of activity in the radionuclide therapy department of ~ 3.3 · 1012 Bq.
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Ogedegbe, C., R. Unawane, V. Uceda, D. Finefrock, D. Zodda, T. Andrews, I. Admani, H. Nierenberg, K. Hewitt, and D. Landers. "24 The HEART Pathway, Possible Impact of an Emergency Department Stationed Cardiologist on Disposition of Risk Stratified Chest Pain Patients Presenting to the Emergency Department Compared to Standard Emergency Department Care." Annals of Emergency Medicine 72, no. 4 (October 2018): S12. http://dx.doi.org/10.1016/j.annemergmed.2018.08.029.
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Ji, Yang beibei, Rui Jiang, Ming Qu, and Edward Chung. "Traffic Incident Clearance Time and Arrival Time Prediction Based on Hazard Models." Mathematical Problems in Engineering 2014 (2014): 1–11. http://dx.doi.org/10.1155/2014/508039.
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Accurate prediction of incident duration is not only important information of Traffic Incident Management System, but also an effective input for travel time prediction. In this paper, the hazard based prediction models are developed for both incident clearance time and arrival time. The data are obtained from the Queensland Department of Transport and Main Roads’ STREAMS Incident Management System (SIMS) for one year ending in November 2010. The best fitting distributions are drawn for both clearance and arrival time for 3 types of incident: crash, stationary vehicle, and hazard. The results show that Gamma, Log-logistic, and Weibull are the best fit for crash, stationary vehicle, and hazard incident, respectively. The obvious impact factors are given for crash clearance time and arrival time. The quantitative influences for crash and hazard incident are presented for both clearance and arrival. The model accuracy is analyzed at the end.
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Simonova, E. G., S. R. Raichich, S. A. Kartavaya, M. N. Loktionova, and A. A. Shabeikin. "Manifestation of Activity of Potentially Hazardous as regards Anthrax Areas across the Russian Federation under Current Conditions." Problems of Particularly Dangerous Infections, no. 2 (July 4, 2018): 90–94. http://dx.doi.org/10.21055/0370-1069-2018-2-90-94.
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Objective of the study is to investigate the activity of potentially hazardous as regards anthrax areas in the territory of the Russian Federation in 2001–2016. Materials and methods. The data was represented by the information contained in official reporting forms of the Department for Veterinary of the Ministry of Agriculture, statistical information from the Rospotrebnadzor and Rosselkhoznadzor on anthrax morbidity rates among animals and humans in our country, information on foci investigation and surveillance, cadastre of potentially hazardous as regards anthrax areas of the Russian Federation with amendments and additions included, as well as materials from publications and results of personal researches. Results and conclusions. The data on the contemporary manifestations of activity of 135 stationary potentially hazardous as regards anthrax areas of the Russian federation have been systematized and summarized; given has been the characteristics of old, relapsing, and new stationary hazardous as regards anthrax areas, registered in the Russian Federation since the beginning of the XXI century.
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Lüders, Kristian, Erich Fellmann, and Edgar Ungeheuer. "Treatment of Life-Threatened Victims of Accidents within and outside the Hospital." Prehospital and Disaster Medicine 1, S1 (1985): 150–52. http://dx.doi.org/10.1017/s1049023x0004423x.
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The problems of improving care of life-threatened victims of accidents influence the organization, equipment and training of hospitals, staff and physicians. Our review of the helicopter rescue program at Frankfurt/Main, introduced in 1972, clarifies the following: Nearly 200 annual daylight sorties underline a strong demand for helicopter activities in the densely populated Rhein-Main area. Unnecessary dispatches were made only in 16% of calls. The helicopter is stationed near the city of Frankfurt/Main at the BG Unfallklinik, a department specializing chiefly in traumatic and orthopedic surgery. The surgeons of this department are well trained in emergency interventions. They are competent to make triage decisions. When necessary, endotracheal intubation, resuscitation, and infusion therapy are performed immediately.
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Fone, David, Jennifer Morgan, Richard Fry, Sarah Rodgers, Scott Orford, Daniel Farewell, Frank Dunstan, et al. "Change in alcohol outlet density and alcohol-related harm to population health (CHALICE): a comprehensive record-linked database study in Wales." Public Health Research 4, no. 3 (March 2016): 1–184. http://dx.doi.org/10.3310/phr04030.
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BackgroundExcess alcohol consumption has serious adverse effects on health and results in violence-related harm.ObjectiveThis study investigated the impact of change in community alcohol availability on alcohol consumption and alcohol-related harms to health, assessing the effect of population migration and small-area deprivation.DesignA natural experiment of change in alcohol outlet density between 2006 and 2011 measured at census Lower Layer Super Output Area level using observational record-linked data.SettingWales, UK; population of 2.5 million aged ≥ 16 years.Outcome measuresAlcohol consumption, alcohol-related hospital admissions, accident and emergency (A&E) department attendances from midnight to 06.00 and violent crime against the person.Data sourcesLicensing Act 2003 [Great Britain.Licensing Act 2003. London: The Stationery Office; 2003. URL:www.legislation.gov.uk/ukpga/2003/17/contents(accessed 8 June 2015)] data on alcohol outlets held by the 22 local authorities in Wales, alcohol consumption data from annual Welsh Health Surveys 2008–12, hospital admission data 2006–11 from the Patient Episode Database for Wales (PEDW) and A&E attendance data 2009–11 were anonymously record linked to the Welsh Demographic Service age–sex register within the Secure Anonymised Information Linkage Databank. A final data source was recorded crime 2008–11 from the four police forces in Wales.MethodsOutlet density was estimated (1) as the number of outlets per capita for the 2006 static population and the per quarterly updated population to assess the impact of population migration and (2) using new methods of network analysis of distances between each household and alcohol outlets within 10 minutes of walking and driving. Alcohol availability was measured by three variables: (1) the previous quarterly value; (2) positive and negative change over the preceding five quarters; and (3) volatility, a measure of absolute quarterly changes during the preceding five quarters. Longitudinal statistical analysis used multilevel Poisson models of consumption and Geographically Weighted Regression (GWR) spatial models of binge drinking, Cox regression models of hospital admissions and A&E attendance and GWR models of violent crime against the person, each as a function of alcohol availability adjusting for confounding variables. The impact on health inequalities was investigated by stratifying models within quintiles of the Welsh Index of Multiple Deprivation.ResultsThe main finding was that change in walking outlet density was associated with alcohol-related harms: consumption, hospital admissions and violent crime against the person each tracked the quarterly changes in outlet density. Alcohol-related A&E attendances were not clinically coded and the association was less conclusive. In general, social deprivation was strongly associated with the outcome measures but did not substantially modify the associations between the outcomes and alcohol availability. We found no evidence for an important effect of population migration.LimitationsLimitations included the absence of any standardised methods of alcohol outlet data collation, processing and validation, and incomplete data on on-sales and off-sales. We were dependent on the quality of clinical coding and administrative records and could not identify alcohol-related attendances in the A&E data set.ConclusionThis complex interdisciplinary study found that important alcohol-related harms were associated with change in alcohol outlet density. Future work recommendations include defining a research standard for recording outlet data and classification of outlet type, the methodological development of residence-based density measures and a health economic analysis of model-predicted harms.FundingThe National Institute for Health Research Public Health Research programme. Additional technical and computing support was provided by the Farr Institute at Swansea University, made possible by the following grant:Centre for the Improvement of Population Health through E-records Research (CIPHER) and Farr Institute capital enhancement. CIPHER and the Farr Institute are funded by Arthritis Research UK, the British Heart Foundation, Cancer Research UK, the Chief Scientist Office (Scottish Government Health Directorates), the Economic and Social Research Council, the Engineering and Physical Sciences Research Council, the Medical Research Council, the National Institute for Health Research, the National Institute for Social Care and Health Research (Welsh Government) and the Wellcome Trust (grant reference MR/K006525/1).
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Teplov, V. M., S. S. Aleksanin, E. A. Tsebrovskaya, V. V. Kolomoytsev, V. V. Burykina, A. A. Lebedeva, V. A. Belash, and S. F. Bagnenko. "New Professional Competences of Inpatient Emergency Department Staff." Disaster Medicine, no. 2 (June 2021): 59–64. http://dx.doi.org/10.33266/2070-1004-2021-2-59-64.
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The purpose of the study is to determine the professional competencies that are in demand among emergency medical personnel when they provide medical care in an inpatient department. Materials and research methods. We compared the impersonal reports on the work done by 20 doctors of specialized substations of the emergency medical service in St. Petersburg for 2015–2017 with the information about work in the mode of daily activities in 2017 of 10 doctors in the intensive care unit of the inpatient department of the Emergency Medical Service of the First St. Petersburg State Medical University named after academician I.I. Pavlov, stored in the qMS medical information system of the University. The volume of instrumental examination of patients who sought medical help, received it in the required volume and were discharged in a satisfactory condition within the first day, was assessed. We compared the results of ultrasound diagnostics performed by the emergency doctors in the screening mode using portable equipment with the results of the work of a consultant-specialist. 701 medical records of inpatients from among those admitted to the Medical University were analyzed. By studying 4573 medical records, possibility and effectiveness of independent primary triage of the incoming patients by the nursing staff was determined. In addition, with the help of the FlexSim HealthCare program, which allows to effectively predict and to simulate changes in work processes within medical institutions, computer simulation of the department’s work was carried out in the conditions of autonomous work of an emergency doctor. Statistical comparison was performed using the Mann-Whitney test, Student’s t-test for unrelated values, and analysis of four-field tables using the χ-square test. Research results and their analysis. Analysis of the research results showed: fundamental principles of work of the staff of inpatient department — multidisciplinarity, multitasking, autonomy. An ambulance doctor working in a stationary environment must be able to independently diagnose, to treat patients with various pathologies, and to simultaneously supervise several patients; having the level of practical and theoretical training specified in the professional standard, the emergency doctor can effectively provide resuscitation care in the volume of I – II levels, which is especially important, given the short time spent by patients in the department; professional standard of the emergency doctors requires to master ultrasound diagnostics to identify gross pathological conditions and to perform a number of manipulations; nursing staff working in the inpatient department must be able to work in an autonomous environment. Triage by nurses is effective and allows to identify patients who need an immediate examination by an EMS doctor. The use of a three-level sorting algorithm does not contradict basic principles of medical triage used in world practice.
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Price, J. R., O. Jimenez, L. Faulder, B. Edwards, and V. Parthasarathy. "Ceramic Stationary Gas Turbine Development Program—Fifth Annual Summary." Journal of Engineering for Gas Turbines and Power 121, no. 4 (October 1, 1999): 586–92. http://dx.doi.org/10.1115/1.2818512.
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A program is being performed under the sponsorship of the United States Department of Energy, Office of Industrial Technologies, to improve the performance of stationary gas turbines in cogeneration through the selective replacement of metallic hot section components with ceramic parts. The program focuses on design, fabrication, and testing of ceramic components, generating a materials properties data base, and applying life prediction and nondestructive evaluation (NDE). The development program is being performed by a team led by Solar Turbines Incorporated, and which includes suppliers of ceramic components, U.S. research laboratories, and an industrial cogeneration end user. The Solar Centaur 50S engine was selected for the development program. The program goals included an increase in the turbine rotor inlet temperature (TRIT) from 1010°C (1850°F) to 1121°C (2050°F), accompanied by increases in thermal efficiency and output power. The performance improvements are attributable to the increase in TRIT and the reduction in cooling air requirements for the ceramic parts. The ceramic liners are also expected to lower the emissions of NOx and CO. Under the program uncooled ceramic blades and nozzles have been inserted for currently cooled metal components in the first stage of the gas producer turbine. The louvre-cooled metal combustor liners have been replaced with uncooled continuous-fiber reinforced ceramic composite (CFCC) liners. Modifications have been made to the engine hot section to accommodate the ceramic parts. To date, all first generation designs have been completed. Ceramic components have been fabricated, and are being tested in rigs and in the Centaur 50S engine. Field testing at an industrial co-generation site was started in May, 1997. This paper will provide an update of the development work and details of engine testing of ceramic components under the program.
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Haq, M. Mohib-ul, Ghulam Mohammad Mir, Nazir Ahmad Khan, Mohammad Ashraf Teli, M. Maqbool Lone, Fir Afroz, Shoukat H. Khan, Tanveer A. Rather, and Aijaz Ahmad Khan. "Study of Radiation Safety Concerns in Departments of Diagnostic Radiology of various Hospitals of Kashmir valley." JMS SKIMS 13, no. 2 (December 17, 2010): 51–55. http://dx.doi.org/10.33883/jms.v13i2.48.
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BACKGROUND: A primary consideration in any radiographic procedure is to reduce the dose to the patient and the operator while still achieving the diagnostic goals.
OBJECTIVE: To study the radiation exposure and protective measures in different units of various hospitals in Kashmir valley in compliance to recommendations from regulatory authorities.
METHODS: Twenty-eight stationary X-ray units of various major hospitals of the Kashmir Valley were surveyed by the radiation safety group of SKIMS. Panoramic survey meter, Thyac-V survey meter-470A, Prima-7 digital survey meters were used for radiation exposure estimations. The radiation level measurements were carried out at different critical locations like control console, door and the corridor adjacent to the Diagnostic equipment and were compared with the standards of AERB and IAEA.
RESULTS: Of the 28 stationary X-Ray units identified 21 were functional and surveyed. Seventy seven Radiation workers (Technicians) operating these units perform about 1335 diagnostic procedures daily on these units. Out of 21 X-ray units surveyed, 9 (42.86%) had dose rate at the control panel within the permissible limits and 12(57.14%) had exposure levels higher than permissible limits. The dose levels at the door and corridor were exceeding the permissible limits in all the units. Most of the radiation workers had no concept of radiation protective measures and did not use any personal radiation monitoring device like TLD (Thermo-luminescent dosimeter).
CONCLUSIONS: To avoid radiation exposure, the radiation safety measures ought to be strictly followed which is possible by making the concerned authorities answerable and accountable. Also the radiation workers need to be made aware of hazards of radiation exposure, importance of using personnel monitoring devices and providing knowledge about the safety measures. (JMS 2010;13(2):51-55)
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Stokoe, Kenneth H., James A. Bay, Brent L. Rosenblad, Michael R. Murphy, Kenneth W. Fults, and Dar-Hao Chen. "Super-Accelerated Testing of Flexible Pavement with Stationary Dynamic Deflectometer." Transportation Research Record: Journal of the Transportation Research Board 1716, no. 1 (January 2000): 98–107. http://dx.doi.org/10.3141/1716-12.
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The Texas Department of Transportation (TxDOT), in partnership with the Center for Transportation Research, has implemented the Texas mobile load simulator (TxMLS) as a tool for accelerated testing of in-service pavements. Although the TxMLS has been used successfully to test in-service pavements in the Yoakum and Fort Worth districts, the fact that only one TxMLS machine exists limits the number of accelerated pavement tests (APT) that can be performed. Therefore, TxDOT is evaluating a modification of the rolling dynamic deflectometer (RDD) for use as a super-accelerated pavement tester. In this application, the truck-mounted dynamic loading system is operated in a stationary mode, with the loading rollers and rolling sensors of the RDD removed from operation. The servohydraulic actuator is used for application of harmonic loading to a wheel footprint on the pavement surface. Hundreds of thousands of load repetitions are applied in a matter of hours; hence the designation as super-accelerated testing. This stationary dynamic deflectometer (SDD) is being studied as a possible tool for use in expanding TxDOT’s APT program. The SDD may allow TxDOT to increase, in a cost-effective manner, the number of accelerated tests that can be performed. Preliminary tests have been performed with the TxMLS and SDD on two different pavement recycling strategies constructed on the northbound and southbound lanes of US-281 in the Fort Worth District. That the same conclusion was reached about the relative performance of the test sections with both machines indicates the potential usefulness of the SDD.
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Литвинець Людмила Ярославівна, Литвинець-Голутяк Уляна Євгенівна, Литвинець Владислава Євгенівна, and Косило Наталія Володимирівна. "ВИВЧЕННЯ КЛІНІЧНОЇ ЕФЕКТИВНОСТІ КОМПЛЕКСНОЇ ТЕРАПІЇ У ДІТЕЙ, ХВОРИХ НА БРОНХІАЛЬНУ АСТМУ." International Academy Journal Web of Scholar, no. 4(46) (April 30, 2020): 27–31. http://dx.doi.org/10.31435/rsglobal_wos/30042020/7043.
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The analyse of characteristics of severe the clinical process in children with the bronchial asthma and valuation of the effectivenes therapy was realized. The patients received standart therapy, bioelemental complex Drops Beresh Plus and Licopid. 167 children with the bronchial asthma where examined in allergic department of regional children’s hospital of Ivano-Frankivsk. In patients who received standart therapy and Drops Beresh Plus and Licopid days and night symptoms and the effetctivenes of the physical activity where more during the month after stationary treatment (Р<0,05). These positive effect was during long-term observation (Р<0,05).
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Zakharova, N. P., N. A. Demyanenko, and R. F. Mazitov. "APPROACHES TO NON-STATIONARY WATER-FLOODING SUBSTANTIATION ON THE EXAMPLE OF THE DEPOSITS OF "POVKHNEFTEGAZ" TERRITORIAL PRODUCTION DEPARTMENT (TPD)." Oilfield Engineering, no. 1 (2019): 5–11. http://dx.doi.org/10.30713/0207-2351-2019-1-5-11.
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Wang, Chenyuan. "Construction of Value Chain E-Commerce Model Based on Stationary Wavelet Domain Deep Residual Convolutional Neural Network." Complexity 2020 (November 30, 2020): 1–15. http://dx.doi.org/10.1155/2020/6611325.
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This paper mainly analyzes the current situation of e-commerce in domestic SMEs and points out that there are limited initial investment and difficulty in financing in China’s SMEs; e-commerce control is not scientific; e-commerce personnel of SMEs are not of high quality, in the case of improper setting of the e-commerce sector and shortage of talents, rigid management model, and outdated management concepts. By using the loss function and the value chain management theory of the deep learning in the stationary wavelet domain residual learning model, the e-commerce model of SMEs is newly constructed, and the e-commerce department as the core department of the enterprise is proposed. By training the optimal parameters of the deep residual network and comparing the results with other models, the method of this paper has a good effect against the sample. The original loss function based on the residual learning model deep learning is modified to solve the original model fuzzy problem, which improves the effect and has good robustness. Finally, based on the wavelet residual depth residual evaluation method, this paper evaluates the application effect of this model and proposes relevant suggestions for improving this model, including rationalizing and perfecting the external value chain coordination mechanism, establishing the e-commerce value chain sharing center, and promoting integration of e-commerce business, strengthening measures and recommendations in various aspects of e-commerce information construction. At last, taking the business activities of a company as an example, applying the theory described in this paper to specific practice proves the feasibility and practical value of the theory.
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Шакиров, Rafil Shakirov, Гилаев, and Ildar Gilaev. "Agrophysical properties and water regime of gray forest soil at various fertilizer systems and tilling methods on the example of spring wheat." Vestnik of Kazan State Agrarian University 8, no. 4 (January 13, 2014): 160–64. http://dx.doi.org/10.12737/2440.
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During the stationary experiments of agrochemistry department of Tatar Scientific and Research Institute of Agriculture, the positive influence of organic fertilizers on soil fertility was determined, particularly on agrophysical indicators of arable layer. On the background of subsurface tillage, the content of water units raised to 4 tons of grain per hectare and increased by 35% relative to the control during the version of introduction 9 tons of organic fertilizers together with N69,0R10,0K44,3 per hectare of arable land per year. The organic and mineral system of fertilizers also helped to reduce the soil density and improve its water regime, which positively affected on the yield of spring wheat.
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Molloy, Michael J., and Laura Madokoro. "Effecting Change: Civil Servants and Refugee Policy in 1970s Canada." Refuge: Canada's Journal on Refugees 33, no. 1 (March 23, 2017): 52–61. http://dx.doi.org/10.25071/1920-7336.40448.
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Historic transformations took place in Canada’s refugee programs in the 1970s. Through the eyes of Michael Molloy, then director of Refugee Policy in the Department of Manpower and Immigration, this article explores the political climate that led to innovations in refugee admissions and resettlement efforts as they evolved from subjective, ad hoc affairs in the immediate post-war period to integral aspects of Canada’s immigration program by the late 1970s. By considering the role of individual members of the Department of Immigration, including the visa officers stationed overseas who were responsible for determining admissions and immigration officials working in policy units in Ottawa, this article points to the important role that individuals played in delivering programs that ultimately shaped the direction of refugee admissions and resettlement in Canada and the country’s engagement with the international refugee regime.
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Nonn, Cleo, Herbert Mayer, and Georges C. M. Evers. "Nursing care in different departments, wards and for groups of patients – A comparative study based on a Nursing Minimum Data Set." Pflege 15, no. 2 (April 1, 2002): 69–77. http://dx.doi.org/10.1024/1012-5302.15.2.69.
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Pflege in Deutschland verbirgt sich hinter strukturellen Daten wie Anzahl und Kosten von Pflegenden. Dies muss unter dem Aspekt der Transparenz von Leistungen in Krankenhäusern geändert werden. Ziel dieser Pilotstudie ist es, pflegerische Leistung zu beschreiben, pflegerische Schwerpunkte zu finden und signifikante Unterschiede zwischen Fachabteilungen, Stationen und Patientengruppen aufzuzeigen. Auf der Grundlage des belgischen Pflegedatensets, das für den Einsatz in Deutschland modifiziert wurde, konnten insgesamt 2347 Datensätze von 550 PatientInnen gesammelt werden. Analog zum belgischen Vorgehen wurde eine Ridit-Analyse durchgeführt, die das Erstellen von Pflegeprofilen für jede gewünschte Aggregationsebene erlaubt. Vorhandenes Erfahrungswissen über die unterschiedlichen Pflegeleistungen in Fachbereichen und auf den Stationen kann durch das vorliegende Datenmaterial zumindest für die teilnehmende Klinik validiert, gegebenenfalls auch korrigiert werden. Das in der Handhabung sehr einfache Minimale Pflegedatenset ist in der Lage, eine Datenbasis zu schaffen, die Entscheidungen über die Verteilung von finanziellen und personellen Ressourcen stützen kann.
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Fomin, I. V., and N. G. Vinogradova. "Organization of specialized medical care for patients with chronic heart failure." CardioSomatics 8, no. 3 (September 15, 2017): 10–15. http://dx.doi.org/10.26442/cs45316.
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Relevance. Data from epidemiological studies indicate an increase in the number of patients with chronic heart failure (CHF) in the Russian Federation over the past 18 years. The worsening of the prognosis in patients with CHF after the episode of acute heart failure decompensation (AHFD) requires changes in the tactics of treatment and rehabilitation of patients on an outpatient basis. The goal is to identify the differences in the two strategies for monitoring patients with CHF after AHFD and determine the effectiveness of treatment, rehabilitation and life expectancy, depending on the observation of a specialized urban center for the treatment of CHF (CCHF) and real outpatient practice in the system. Materials and methods. The study included 648 patients with CHF of any etiology older than 18 years. The first group consisted of 412 patients with CHF who were observed for AHFD in the stationary department of the CCHF and, after discharge, continued rehabilitation in the outpatient department of the CCHF; the 2 nd - 236 patients with CHF who, after discharge for AHFD from the department of the CCHF, preferred observation in outpatient clinics in Nizhny Novgorod. Results. After one year of follow-up, the overall mortality rate in the 1st group was 4.13%, and in the second group it was 14.83% (odds ratio 4.0, 95% confidence interval 2.2-7.4, p
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Martinez, Alejandro, Darío Peña, and Daniela Bellon. "Study of the Influence of the V in the Zr2Fe Alloy from Hydrogen Storage on Thermodynamic Properties." Journal of Metastable and Nanocrystalline Materials 31 (January 2019): 22–29. http://dx.doi.org/10.4028/www.scientific.net/jmnm.31.22.
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Hydrogen storage in its solid state is one of the main challenges for mobile and stationary applications. Some metal hydrides are potential candidates for energy storage. This is an experimental research, which represents a contribution to the study of Hydrogen storage in its solid state, by studying the influence of the proportional substitution of V for Zr in the stoichiometric ratio Zr2-XVXFe (X=0.0, 0.1 y 0.2). Results indicate that the synthesis process generates a multi-phase type microstructure, and the absorption and desorption kinetic is less than 5 minutes at room temperature, in line with the parameters established by the United States Department of Energy; however, it is clear that the desorption capacity decreases.
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Lee, So-Ryoung, Eue-Keun Choi, Seo-Young Lee, Euijae Lee, Kyung-Do Han, Myung-Jin Cha, Woon Yong Kwon, Sang Do Shin, Seil Oh, and Gregory Y. H. Lip. "Temporal Trends of Emergency Department Visits of Patients with Atrial Fibrillation: A Nationwide Population-Based Study." Journal of Clinical Medicine 9, no. 5 (May 14, 2020): 1485. http://dx.doi.org/10.3390/jcm9051485.
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We aimed to describe temporal trends in emergency department (ED) visits of patients with atrial fibrillation (AF) over 12 years. A repeated cross-sectional analysis of ED visits in AF patients using the Korean nationwide claims database between 2006 and 2017 were conducted. We identified AF patients who had ≥1 ED visits. The incidence of ED visits among total AF population, cause of ED visit, and clinical outcomes were evaluated. During 12 years, the annual numbers of AF patients who attended ED at least once a year continuously increased (40,425 to 99,763). However, the annual incidence of ED visits of AF patients was stationary at about 30% because the number of total AF patients also increased during the same period. The most common cause of ED visits was cerebral infarction. Although patients had a higher risk profile over time, the 30-day and 90-day mortality after ED visit decreased over time. ED visits due to ischemic stroke, intracranial hemorrhage, and myocardial infarction decreased, whereas ED visits due to AF, gastrointestinal bleeding, and other major bleeding slightly increased among total AF population over 12 years. A substantial proportion of AF patients attended ED every year, and the annual numbers of AF patients who visited the ED significantly increased over 12 years. Optimized management approaches in a holistic and integrated manner should be provided to reduce ED visits of AF patients.
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Regan, L. A., and J. G. Cooper. "Sledging is still a seasonal source of serious injury in Scottish children." Scottish Medical Journal 56, no. 4 (November 2011): 188–90. http://dx.doi.org/10.1258/smj.2011.011155.
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In 2002 it was highlighted that sledging results in serious injuries in the paediatric population and safety recommendations were made. The aim of this study was to re-examine the number, severity and aetiology of sledging-related trauma. This was a retrospective study performed in the Paediatric Emergency Department (PED) of the Royal Aberdeen Children's Hospital (RACH) during two periods totalling 12 days, when there was continuous snow ground cover. Records of all attendances were scrutinized to identify patients with sledging injuries. The nature, mechanism and severity of injury, and subsequent management were then analysed. Of 403 PED attendances, 45 (11%) were sledging related with 16 (36%) fractures and 13 (29%) head injuries. Eight patients (18%) were admitted to hospital and three (7%) required an operation. Collision with a stationary object was the most common reason for injury (51%), followed by the adoption of a dangerous sledging position or use of a stationary jump. No patients were wearing a helmet. In conclusion, there has been little change in the epidemiology and aetiology of paediatric sledging injuries since 2002. Work is needed to inform parents of the previously recommended safety measures that could reduce the morbidity of this activity without detracting from the enjoyment.
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Dachkovskyi, Vоlodymyr, Oleksandr Sampir, and Yana Horbachova. "Methodical approach to evaluation of economic efficiency of repairing the weapons and military equipment." VUZF REVIEW 5, no. 1 (March 31, 2020): 22–30. http://dx.doi.org/10.38188/2534-9228.20.1.03.
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The analysis of using the military units and formation during conduct of hostilities on the territory of Donetsk and Luhansk region allows to claim that the one of the main aspect that impact on the success in the execution of tasks are existence of workable samples of weapons and military equipment. Thus, the one of the main source of entering of workable samples of weapons and military equipment in military units (military formations) during conduct of hostilities is returning them from stationary and movable damage-control military formations (units) after the completion of their restoration. Accordingly, during the restoration of damaged samples of weapons and military equipment consumes replacement parts, assemblages, aggregates, components equipment etc. that need to be purchased from manufacturers, which has resulted to financial and economic costs.
Therefore, in this work are proposed the methodical approach to evaluation of economic efficiency of repairing samples of weapons and military equipment. This approach includes two ways: financial and economic costs on the repairing of weapons and military equipment in the stationary conditionals and in the moving repair and reconstruction military formations (units). The main costs will be focused on the principal salary of repairmen, the basic materials, replacement parts, overhead of mechanical department, common overhead, new product development costs, and special costs during the repairing of weapons and military equipment in stationary conditions. And the basic spending will be focused on the purchasing of new details, assemblages, aggregates, depreciation cost of equipment, the cost of maintaining the personnel of repair specialists, average cost of operational set during the repairing of weapons and military equipment in the moving repair and reconstruction military formations (units).