Academic literature on the topic 'Transfer admissions'

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Journal articles on the topic "Transfer admissions"

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Ramos, Joao Gabriel Rosa, Gabriel Machado Naus dos Santos, Marina Chetto Coutinho Bispo, et al. "Unplanned Transfers From Intermediate Care Units to Intensive Care Units: A Cohort Study." American Journal of Critical Care 30, no. 5 (2021): 397–400. http://dx.doi.org/10.4037/ajcc2021453.

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This study evaluated unplanned transfers from the intermediate care unit (IMCU) to the intensive care unit (ICU) among urgent admissions. This retrospective, observational study was conducted in 2 ICUs and 1 IMCU. Three patterns of urgent admission were assessed: admissions to the ICU only, admissions to the IMCU only, and admissions to the IMCU with subsequent transfer to the ICU. Of 5296 admissions analyzed, 1396 patients (26.4%) were initially admitted to the IMCU. Of these, 172 (12.3%) were transferred from the IMCU to the ICU. Mortality was higher in patients transferred from the IMCU to the ICU than in the 3900 ICU-only patients (odds ratio, 3.22; 95% CI, 1.52-6.80). Most transfers from the IMCU to the ICU (135; 78.5%) were due to deterioration of the condition for which the patient was admitted. Patient transfers from the IMCU to the ICU were common, were associated with increased hospital mortality, and were mostly due to deterioration in the condition that was the reason for admission.
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Gutierrez, Cristina, Yenny R. Cárdenas, Kristie Bratcher, et al. "Out-of-Hospital ICU Transfers to an Oncological Referral Center." Journal of Intensive Care Medicine 34, no. 1 (2016): 55–61. http://dx.doi.org/10.1177/0885066616686536.

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Objective: To determine resource utilization and outcomes of out-of-hospital transfer patients admitted to the intensive care unit (ICU) of a cancer referral center. Design: Single-center cohort. Setting: A tertiary oncological center. Patients: Patients older than 18 years transferred to our ICU from an outside hospital between January 2013 and December 2015. Measurements and Main Results: A total of 2127 (90.3%) were emergency department (ED) ICU admissions and 228 (9.7%) out-of-hospital transfers. The ICU length of stay (LOS) was longer in the out-of-hospital transfers when compared to all other ED ICU admissions ( P = .001); however, ICU and hospital mortality were similar between both groups. The majority of patients were transferred for a higher level of care (77.2%); there was no difference in the amount of interventions performed, ICU LOS, and ICU mortality between nonhigher level-of-care and higher level-of-care patients. Factors associated with an ICU LOS ≥10days were a higher Sequential Organ Failure Assessment (SOFA) score, weekend admissions, presence of shock, need for mechanical ventilation, and acute kidney injury on admission or during ICU stay ( P < .008). The ICU mortality of transferred patients was 17.5% and associated risk factors were older age, higher SOFA score on admission, use of mechanical ventilation and vasopressors during ICU stay, and renal failure on admission ( P < .0001). Data related to the transfer such as LOS at the outside facility, time of transfer, delay in transfer, and longer distance traveled were not associated with increased LOS or mortality in our study. Conclusion: Organ failure severity on admission, and not transfer-related factors, continues to be the best predictor of outcomes of critically ill patients with cancer when transferred from other facilities to the ICU. Our data suggest that transferring critically ill patients with cancer to a specialized center does not lead to worse outcomes or increased resource utilization when compared to patients admitted from the ED.
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Badgery-Parker, Tim, Antonia W. Shand, Jane B. Ford, Mary G. Jenkins, Jonathan M. Morris, and Christine L. Roberts. "Multifetal pregnancies: preterm admissions and outcomes." Australian Health Review 36, no. 4 (2012): 437. http://dx.doi.org/10.1071/ah11106.

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Objective. To describe the rates of antenatal hospital admission during twin or higher order multifetal pregnancies, and the admission outcomes as discharge undelivered, transfer to higher care, or spontaneous or elective delivery. Methods. Cohort study using linked birth and hospital data. The cohort comprised women who gave birth to twins or higher order multiple infants of ≥ 24 weeks gestation in 2001–2008 and who were admitted to hospital in weeks 20–36 of the pregnancy. Results. In 63.4% of 10 779 twin pregnancies and 99.5% of 197 triplet and quadruplet pregnancies, the woman was admitted to hospital at least once in weeks 20–36 of the pregnancy, for a total 10 985 admissions. Almost half the admissions (46.3%) ended in discharge without delivery, 10.7% in transfer to higher care, 21.1% in spontaneous labour and birth, and 21.8% in elective delivery (induction or prelabour Caesarean section). The reason for admission was preterm labour in 34.2% of admissions. Conclusions. Hospital admission during pregnancy is common for women with multifetal pregnancies, with many of these admissions resulting in preterm birth. This is the first study to report the rate of pregnancy admissions for women with multifetal pregnancies, and provides a baseline for future studies of hospital use in this population. What is known about the topic? Multifetal pregnancies are high risk and require greater medical care than singleton pregnancies. However, few studies specifically examine multifetal pregnancies, and most pregnancy studies exclude them, so there is little known about the resource use of this group. What does this paper add? This is the first paper to report population rates of hospital admission during pregnancy for women with multifetal pregnancies. We report the admission rates, and the admission outcomes as discharge undelivered, transfer to higher care or spontaneous or elective delivery. What are the implications for practitioners? Most women with multifetal pregnancies are admitted to hospital at least once during the pregnancy, with 51% of these admissions resulting in preterm delivery. Of those discharged undelivered, 60% were admitted for 1 day or less. This has implications for resource use, proposed place of birth and for practitioners advising pregnant women.
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Assareh, Hassan, Helen M. Achat, and Jean-Frederic Levesque. "Accuracy of inter-hospital transfer information in Australian hospital administrative databases." Health Informatics Journal 25, no. 3 (2017): 960–72. http://dx.doi.org/10.1177/1460458217730866.

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Inter-hospital transfers improve care delivery for which sending and receiving hospitals both accountable for patient outcomes. We aim to measure accuracy in recorded patient transfer information (indication of transfer and hospital identifier) over 2 years across 121 acute hospitals in New South Wales, Australia. Accuracy rate for 127,406 transfer-out separations was 87 per cent, with a low variability across hospitals (10% differences); it was 65 per cent for 151,978 transfer-in admissions with a greater inter-hospital variation (36% differences). Accuracy rate varied by departure and arrival pathways; at receiving hospitals, it was lower for transfer-in admission via emergency department (incidence rate ratio = 0.52, 95% confidence interval: 0.51–0.53) versus direct admission. Transfer-out data were more accurate for transfers to smaller hospitals (incidence rate ratio = 1.06, 95% confidence interval: 1.03–1.08) or re-transfers (incidence rate ratio > 1.08). Incorporation of transfer data from sending and receiving hospitals at patient level in administrative datasets and standardisation of documentation across hospitals would enhance accuracy and support improved attribution of hospital performance measures.
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Lim, GH, E. Seow, G. Koh, D. Tan, and HP Wong. "Study on the Discrepancies between the Admitting Diagnoses from the Emergency Department and the Discharge Diagnoses." Hong Kong Journal of Emergency Medicine 9, no. 2 (2002): 78–82. http://dx.doi.org/10.1177/102490790200900203.

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Objective To study the extent of diagnostic discrepancies at admission (diagnoses made by doctors in the Emergency Department) and discharge (final diagnoses at the ward) in our Emergency Department (ED) where the doctors have direct admitting rights; and how such discrepant diagnoses affected inter-departmental transfer of patients after their admission. Method A non-concurrent cohort study was performed on admissions through our ED between 24th to 30th April 1997. The admitting and discharge diagnoses and units were recorded. The reasons for the unmatched diagnoses and inter-departmental transfers were studied. The significance of transfers amongst patients who had matched and unmatched diagnoses was compared using the Chi-test at 95% confidence interval. Results Three hundred and sixty-one admissions were recorded during the study period. There were 314 (86.7%) and 47 (13.3%) admissions with matched and unmatched diagnoses respectively. Nine of the 47 admissions with unmatched diagnoses and 16 of the 314 admissions with matched diagnoses were transferred (p=0.001). Conclusion The ED doctors achieved a high level of diagnostic accuracy. The most common reason for unmatched diagnosis was because of the difficulty of diagnosing the patient's complex medical problem in the short contact time in the ED. The level of accuracy should increase with the advent of more diagnostic modalities and increased contact time with the patients in the ED.
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Howard, Robert, and Hans Foerstl. "Psychiatric referral letters from the 17th century." Psychiatric Bulletin 15, no. 5 (1991): 272–74. http://dx.doi.org/10.1192/pb.15.5.272.

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The 17th century saw the transfer of Bethlem from its original monastic site to more spacious accommodation at Moorfields in 1676, the development of an organised admissions system, and the establishment of an admissions register in 1683. The register contains often no more than the patients' names and the dates of their admission and discharge. Examinations of the admission register for the period 1684–1700 however, reveals 20 cases in which the entry is a copy of a warrant for admission in the form of a letter from the referring authority.
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Forsyth, René, Zhonghua Sun, Christopher Reid, and Rachael Moorin. "Rates and Patterns of First-Time Admissions for Acute Coronary Syndromes across Western Australia Using Linked Administrative Health Data 2007–2015." Journal of Clinical Medicine 10, no. 1 (2020): 49. http://dx.doi.org/10.3390/jcm10010049.

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Acute coronary syndrome (ACS) is globally recognised as a significant health burden, for which the reduction in total ischemic times by way of the most suitable reperfusion strategy has been the focus of national and international initiatives. In a setting such as Western Australia, characterised by 79% of the population dwelling in the greater capital region, transfers to hospitals capable of percutaneous coronary intervention (PCI) is often a necessary but time-consuming reality for outer-metropolitan and rural patients. Methods: Hospital separations, emergency department admissions and death registration data between 1 January 2007 and 31 December 2015 were linked by the Western Australian Data Linkage Unit, identifying patients with a confirmed first-time diagnosis of ACS, who were either a direct admission or experienced an inter-hospital transfer. Results: Although the presentation rates of ACS remained stable over the nine years evaluated, the rates of first-time admissions for ACS were more than double in the rural residential cohort, including higher rates of ST-segment elevation myocardial infarction, the most time-critical manifestation of ACS. Consequently, rural patients were more likely to undergo an inter-hospital transfer. However, 42% of metropolitan admissions for a first-time ACS also experienced a transfer. Conclusion: While the time burden of inter-hospital transfers for rural patients is a reality in health care systems where it is not feasible to have advanced facilities and workforce skills outside of large population centres, there is a concerning trend of inter-hospital transfers within the metropolitan region highlighting the need for further initiatives to streamline pre-hospital triage to ensure patients with symptoms indicative of ACS present to PCI-equipped hospitals.
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Fassmer, Alexander Maximilian, Alexandra Pulst, Guido Schmiemann, and Falk Hoffmann. "Sex-Specific Differences in Hospital Transfers of Nursing Home Residents: Results from the HOspitalizations and eMERgency Department Visits of Nursing Home Residents (HOMERN) Project." International Journal of Environmental Research and Public Health 17, no. 11 (2020): 3915. http://dx.doi.org/10.3390/ijerph17113915.

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Nursing home (NH) residents are often transferred to hospital (emergency department (ED) visits or hospital admissions) and this occurs more frequently in males. However, respective reasons are rather unclear. We conducted a multicenter prospective study in 14 northwest German NHs with 802 residents in which NH staff recorded anonymized data between March 2018 and July 2019 for each hospital transfer. Measures were analyzed using descriptive statistics and compared between sexes via univariate logistic regression analyses using mixed models with random effects. Eighty-eight planned transfers (53.5% hospital admissions, 46.5% ED visits) occurred as well as 535 unplanned transfers (63.1% hospital admissions, 36.9% ED visits). The two most common causes for unplanned transfers were deteriorations of health status (35.1%) and falls/accidents/injuries (33.5%). Male transferred residents were younger, more often married; their advance directives were more commonly not considered correctly and the NH staff identified more males nearing the end of life than females (52.9% vs. 38.2%). Only 9.2% of transfers were rated avoidable. For advance directive availability and NH staff’s perceptions on transfer conditions, we found marked inter-facility differences. There might be sociocultural factors influencing hospital transfer decisions of male and female nursing home residents and facility characteristics that may affect transfer policy.
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Rosenthal, Jennifer, James Marcin, Monica Lieng, and Patrick Romano. "2082 Profile of pediatric potentially avoidable transfers." Journal of Clinical and Translational Science 2, S1 (2018): 86–87. http://dx.doi.org/10.1017/cts.2018.301.

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OBJECTIVES/SPECIFIC AIMS: While hospital-hospital transfers of pediatric patients is often necessary, some pediatric transfers are potentially avoidable. Pediatric potentially avoidable transfers (PAT) represent a process with high costs and safety risks but few, if any, benefits. To better understand this issue, we described pediatric inter-facility transfers with early discharges. METHODS/STUDY POPULATION: We conducted a descriptive study using electronic medical record data at a single-center over a 12-month period to examine characteristics of pediatric patients with a transfer admission source and early discharge. Among patients with early discharges, we performed descriptive statistics for PAT defined as patient transfers with a discharge home within 24 hours without receiving any specialized tests, interventions, consultations, or diagnoses. RESULTS/ANTICIPATED RESULTS: Of the 2414 pediatric transfers 31.2% were discharged home within 24 hours. Among transferred patients with early discharges, 348 patients (14.4% of total patient transfers) received no specialized tests, interventions, consultations, or diagnoses. Direct admissions were categorized as PAT 2.2-fold more frequently than transfers arriving to the emergency department. Among transferred direct admissions, PAT proportions to the neonatal intensive care unit (ICU), pediatric ICU, and non-ICU were 5.8%, 17.4%, and 27.3%, respectively. Respiratory infections, asthma, and fractures were the most common PAT diagnoses. DISCUSSION/SIGNIFICANCE OF IMPACT: Early discharges and PAT are relatively common among transferred pediatric patients. Further studies are needed to identify the etiologies and clinical impacts of PAT, with a focus on direct admissions given the high frequency of PAT among direct admissions to both the pediatric ICU and non-ICU.
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Plate, Joost D. J., Linda M. Peelen, Luke P. H. Leenen, and Falco Hietbrink. "Optimizing critical care of the trauma patient at the intermediate care unit: a cost-efficient approach." Trauma Surgery & Acute Care Open 3, no. 1 (2018): e000228. http://dx.doi.org/10.1136/tsaco-2018-000228.

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BackgroundThe aim of this study was to describe the case load, safety, and cost savings of critical care of the trauma patient provided at the surgical intermediate care unit (IMCU).MethodsThis cohort study included all trauma admissions between January 1, 2011 and January 7, 2015 at the general intensive care unit (ICU), stand-alone neuro(surgical) IMCU, and stand-alone (trauma) surgical IMCU. Trauma mechanism, Abbreviated Injury Scale score and Injury Severity Score (ISS), vital signs, laboratory parameters, admission duration, intubation duration, ICU transfer, and in-hospital mortality were prospectively collected. Hypothetical cost savings were calculated using the fixed cost price per IMCU (US$1500) and ICU (US$2500) admission day.ResultsA total of 1320 admissions were included, 675 (51.1%) at the IMCU and 645 (48.9%) at the ICU. Patients admitted at the IMCU had a median ISS of 17 (11, 22). Their median duration of admission was 32.8 hours (18.8, 62.5). At the IMCU, one patient died due to aneurogenic shock. A subsequent ICU transfer was required in 38 (5.6%) IMCU admissions. Of these transfers, four patients died due to neurological deterioration. At the ICU, the median ISS was 22 (14, 30). Nearly all (n=620, 96.3%) ICU trauma patients required mechanical ventilation. Expected total cost savings due to the presence of the IMCU were US$1 772 785.DiscussionA substantial amount of trauma patients in need of critical care can safely be admitted at the IMCU, without the need for further mechanical ventilation. Thereby, the IMCU could fulfill an essential cost-saving role in the management of severely injured trauma patients.Level of evidenceLevel IV.
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Dissertations / Theses on the topic "Transfer admissions"

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Borden, Jonathan P. "Predicting baccalaureate degree attainment| A university admissions model that includes transfer students." Thesis, Spalding University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3642715.

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<p> The purpose of this study was to report a more inclusive postsecondary graduation rate figure, improve the ability of postsecondary institutions to predict the likelihood that a student will graduate, and to help address challenges presented by the United States President and by the Kentucky General Assembly. The more inclusive graduation rate calculation is in contrast to the prevailing National Center for Education Statistics' (NCES) Graduation Rate Survey (GRS) calculation. The calculations used in this study incorporated data from the National Student Clearinghouse's (NSC) StudentTracker systems. The research population used in this study consisted of students who initially enrolled at the University of Louisville (UofL) in academic years 2000-01, 2001-02, or 2002-03. Using a more inclusive graduation rate calculation that counted a student as having graduated from any postsecondary institution, not just the institution where they initially enrolled yielded a graduation rate that was 10 percent higher for the research population than was reported under the prevailing methodology. The study created a Graduation Likelihood Model (GLM) to predict the likelihood that a first-time, full-time bachelor-degree-seeking student will graduate within six academic years. Eight independent variables were examined through chi-square and logistic regression (logit). The eight variables examined were gender, race/ethnicity, ACT, High School Grade Point Average (HSGPA), public high school (HS) vs. private HS, HS distance from campus, state/federal-grant/scholarship financial aid, and federal loan financial aid. In addition to running chi-square and logit on each variable, the procedures were run on the variables after they were included in four distinct categories: demographic, academic, pre-postsecondary academic and financial aid. The chi-square results showed that with the exception of HSGPA there was an association, albeit small, between the variables and successful graduation. All variables including HSGPA are to be used in the GLM, which can be used by postsecondary institutions to predict, at the time a student applies to the institutions, the likelihood that a student will graduate within six academic years. The GLM and the new calculation of graduation rates relate to initiatives set out by both the state of Kentucky and current US President Barack Obama. The new calculation provides a better way of assessing student achievement. At the time of initial enrollment, the GLM can be used to identify students, who may need additional assistance to obtain their degrees. .</p>
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Pecenco, Elena G. "The retention of female unrestricted line officers." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2005. http://library.nps.navy.mil/uhtbin/hyperion/05Mar%5FPecenco.pdf.

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Dutkiewicz, Eryk. "Connection admission control in ATM networks /." Title page, abstract and contents only, 1991. http://web4.library.adelaide.edu.au/theses/09SM/09smd976.pdf.

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Jiao, QingZhong. "Admission control and congestion control in ATM/CDMA network." Thesis, Connect to online version, 1995. http://0-wwwlib.umi.com.mercury.concordia.ca/cr/concordia/fullcit?pMQ90887.

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Bates, Stephen. "Traffic characterisation and modelling for call admission control schemes on asynchronous transfer mode networks." Thesis, University of Edinburgh, 1997. http://hdl.handle.net/1842/1373.

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Allocating resources to variable bitrate (VBR) teletraffic sources is not a trivial task because the impact of such sources on a buffered switch is difficult to predict. This problem has repercussions for call admission control (CAC) on asynchronous transfer mode (ATM) networks. In this thesis we report on investigations into the nature of several types of VBR teletraffic. The purpose of these investigations is to identify parameters of the traffic that may assist in the development of CAC algorithms. As such we concentrate on the correlation structure and marginal distribution; the two aspects of a teletraffic source that affect its behaviour through a buffered switch. The investigations into the correlation structure consider whether VBR video is selfsimilar or non-stationary. This question is significant as the exponent of self-similarity has been identified as being useful for characterising VBR teletraffic. Although results are inconclusive with regards to the original question, they do show that self-similar models are best able to capture the video data's behaviour. The investigations into the marginal distributions are in two parts. The first considers applying a structured Markovian model to ATM data and demonstrates how model parameters can be estimated from measurable properties of teletraffic data. This has implications for parametric CAC. The second part considers the use of stable distributions in teletraffic characterisation and modelling. We show that several teletraffic datasets are heavy tailed and then develop a framework for the estimation of stable distribution parameters. We finish by considering the effective bandwidths of stable distributions and models and by considering the effect of stable parameters on model behaviour. This is done in an attempt to develop a CAC algorithm based on the paradigms of self-similarity and stable distributions.
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Bombaugh, Michelle Denise. "The Relationship of Pre-enrollment Timespans to Persistence and Time-to-Degree of Transfer Students at a Four-Year, Metropolitan University." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5646.

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This research study investigated the relationship to the pre-enrollment factors of admissions-to-enrollment and orientation-to-enrollment timespans to transfer student success as measured by persistence and the length of time taken to earn a baccalaureate degree. This quantitative study analyzed secondary data (N = 357) from a large, four-year, public research institution in the southeast United States. A logistic regression analysis was used to explore the relationships between the pre-enrollment timespans and persistence. The relationship between the admissions-to-enrollment timespan and persistence was not statistically significant. The orientation-to-enrollment timespan was found to have a statistically significant relationship to persistence (p < .05). This indicated that students who had increased orientation-to-enrollment timespans were more likely to persist. To further explore this relationship, a multiple logistic regression analysis was conducted to control for possible extraneous demographic, pre-enrollment, and enrollment variables. The relationship of orientation-to-enrollment timespan and persistence continued to be statistically significant. An ordered logistic technique was used to explore the relationship between the admissions- and orientation-to-enrollment timespans and time-to-degree completion. Neither timespan was found to have a significant relationship with time elapsed to complete the degree. Implications for admissions and orientation timespans were discussed in relation to transfer student transitions.
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Natario, Romalho Maria Fernanda. "Application of an automatically designed fuzzy logic decision support system to connection admission control in ATM networks." Thesis, Queen Mary, University of London, 1996. http://qmro.qmul.ac.uk/xmlui/handle/123456789/3817.

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Kirsebom, Marie. "Mind the gap : Organizational factors related to transfers of older people between nursing homes and hospital care." Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-259342.

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The overall aim of the present thesis was to study factors related to transfers of older people between nursing homes, emergency department and hospital care. The thesis was based on four studies and used three methods: focus group discussions, structured review of electronic healthcare records, semi-structured interviews with registered nurses and general practitioners. Study I: nursing home nurses found it difficult to decide whether older residents should be referred to hospital from the nursing home. Hospital registered nurses reported often trying to stop premature discharges or having to carry out the discharge although it had not been fully prepared. Study II: transfer rate to ED was 594 over 9 months among a total of 431 residents (M 1.37 each). 25% were caused by falls and/or injuries, 63% resulted in hospitalization (M 7.12 days). The transfer rate was 0.00-1.03 transfers/bed; it was higher for private for-profit providers than for public/private non-profit providers. Study III: nursing homes with high transfer rates had fewer updated advance care plans than did nursing homes with lower transfer rates. More nurses from nursing homes with low transfer rates had a specialist education and training in dementia care and had worked longer in eldercare. Study IV: general practitioners perceived registered nurses’ continuity, competence and collaboration with family members as important to quality of care in nursing homes; inadequate staffing, lack of medical equipment and less-than-optimal IT systems for electronic healthcare records are impediments to patient safety. The findings indicate that organizational factors could explain differences in transfer rates between nursing homes. The studies highlight the importance of advance care planning together with residents and family members in facilitating future medical decisions. Registered nurses’ continuity and competence are perceived as crucial to quality of care. To meet increasing demands for more complex medical treatment at nursing homes and to provide high-quality palliative care several changes should be made: Nursing homes should be equipped with suitable medical equipment and registered nurse staff should be matched accordingly; importantly, registered nurses and general practitioners should be able to access each other’s healthcare record systems.
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Nakatsuma, Kenji. "Inter-Facility Transfer vs. Direct Admission of Patients With ST-Segment Elevation Acute Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention." 京都大学 (Kyoto University), 2017. http://hdl.handle.net/2433/225453.

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Pehlivan, Canan. "Design and flow control of stochastic health care networks without waiting rooms : A perinatal application." Phd thesis, Ecole Nationale Supérieure des Mines de Saint-Etienne, 2014. http://tel.archives-ouvertes.fr/tel-00994291.

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In this thesis, by being motivated from the challenges in perinatal networks, we address design, evaluation and flow control of a stochastic healthcare network where there exist multiple levels of hospitals and different types of patients. Patients are supposed urgent; thus they can be rejected and overflow to another facility in the same network if no service capacity is available at their arrival. Rejection of patients due to the lack of service capacity is the common phenomenon in overflow networks. We approach the problem from both strategic and operational perspectives. In strategic part, we address a location & capacity planning problem for adjusting the network to better meet demographic changes. In operational part, we study the optimal patient admission control policies to increase flexibility in allocation of resources and improve the control of patient flow in the network. Finally, in order to evaluate the performance of the network, we develop new approximation methodologies that estimate the rejection probabilities in each hospital for each arriving patient group, thus the overflow probabilities among hospitals. Furthermore, an agent-based discrete-event simulation model is constructed to adequately represent our main applicationarea: Nord Hauts-de-Seine Perinatal Network. The simulation model is used to evaluate the performance of the complex network and more importantly evaluate the strength of the optimal results of our analytical models. The developed methodologies in this thesis are combined in a decision support tool, foreseen under the project "COVER", which aims to assist health system managers to effectively plan strategic and operational decisions of a healthcare network and evaluate the performance of their decisions.
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Books on the topic "Transfer admissions"

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Board, North-Eastern Education and Library. Transfer from primary to secondary schools: Admissions criteria for secondary schools in the board's area. N.E.E.L.B. Area Resource Centre, 1992.

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Board, North-Eastern Education and Library. Transfer from primary to secondary schools: Admissions criteria for secondary schools in the board's area. N.E.E.L.B. Area Resource Centre, 1991.

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Belfast Education and Library Board. Transfer procedure 2005: A guide for parents : post primary schools including admissions criteria to first year. BELB, 2004.

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Board, Belfast Education and Library. Transfer procedure 2004: A guide for parents : post primary schools including admissions criteria to first year. BELB, 2003.

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Aldrich-Langen, Caroline. Understanding the admissions process in U.S. Higher Education: A case study approach. American Association of Collegiate Registrars and Admissions Officers and NAFSA: Association of International Educators, 1993.

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Hereford and Worcester (England). County Council. Education Department. Information for parents 1996-97: Admissions and transfers to schools. Hereford and Worcester County Council, 1995.

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Hereford and Worcester (England). County Council. Education Department. Information for parents 1996-97: Admissions and transfers to schools. Hereford and Worcester County Council, 1995.

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Hereford and Worcester (England). County Council. Education Department. Information for parents 1998-99: Admissions and transfers to schools. Hereford and Worcester County Council, 1997.

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Worcestershire (England). County Council. Education Department. Information for parents 2002-2003: Admissions and transfers to schools. Worcestershire County Council, 2001.

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The transfer handbook: Promoting student success. American Association of Collegiate Registrars and Admissions Officers, 2015.

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Book chapters on the topic "Transfer admissions"

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Sohraby, Khosrow. "Highly-Bursty Sources and their Admission Control in ATM Networks." In Asynchronous Transfer Mode Networks. Springer US, 1993. http://dx.doi.org/10.1007/978-1-4615-2844-9_11.

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Han, Zhu, Yunan Gu, and Walid Saad. "College Admission Game with Transfers for UL Small Cell Communication." In Matching Theory for Wireless Networks. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-56252-0_8.

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Issa, Abdulwahab Olanrewaju. "An Assessment of the Perception of Library School Students towards Librarianship at the University of Ilorin." In Library and Information Science in Developing Countries. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-61350-335-5.ch012.

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This is a pilot study, which investigated the perception of the University of Ilorin library school students towards librarianship. It was aimed at examining the characteristics of the students and how they got admitted into the Department. It adopted the survey research design where the entire 90 students (100 and 200 levels) constituted its population, while the 74 that were available during the data collection exercise represented the sample. Questionnaire and structured interview were employed for data collection. The results revealed that 75.7% in 100 and 24.3% of 200 levels came in through the Joint Admissions and Matriculations Examinations and direct admission/transfer, respectively. Their subject backgrounds include Arts (36.5%), Science (28.4%), and Commercial (23.0%); a majority had a SSSC (45.9%) result with the mean scores of 219 from JAMB and 59.69% from post-JAMB, respectively. The majority (87.8%) did not choose LIS originally, and 67.6% claimed to be initially uninterested, against the current positive perception (66.2%). Hypotheses tests showed no significant difference in subject background and current perception of students who chose and those who did not choose LIS as a first choice. It concluded that the peculiar situation under which many of the pioneering students came into the Department (i.e. transfer), was undesirable given the prevalent negative perception of librarianship. Appropriate recommendations were made.
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Sansotta, Ashley Marie. "Promoting U.S. Community Colleges in Sweden." In International Student Mobility and Opportunities for Growth in the Global Marketplace. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-3451-8.ch017.

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In this study, the author used a qualitative case study research method to explore Swedish educational agents' perspectives of the community college system in the United States, their experiences in marketing community colleges in Sweden, and the factors that may lead to or prohibit the success in recruiting Swedish students for U.S. community colleges. The findings revealed that agents are aware of the key benefits of attending a U.S. community college: affordability, simple admissions process, and university transfer options. Disadvantages were also noted, which included the absence of experiencing a typical American college experience and lack of on-campus housing. The marketing tactics that the agencies used ranged in size and scope. The results of this study can be used to develop successful international student recruitment and marketing strategies in Sweden.
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"Hospital Admission, Transfer and Discharge." In Clinical Record Book of Medical-Surgical Nursing. Jaypee Brothers Medical Publishers (P) Ltd., 2018. http://dx.doi.org/10.5005/jp/books/14252_3.

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Sharma, Himalayani. "Hospital Admission, Transfer and Discharge." In Clinical Record Book of Medical-Surgical Nursing. Jaypee Brothers Medical Publishers (P) Ltd., 2011. http://dx.doi.org/10.5005/jp/books/11281_8.

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Clement, I. "Procedure of Admission, Transfer and Discharge." In Basic Concepts of Nursing Procedures. Jaypee Brothers Medical Publishers (P) Ltd., 2013. http://dx.doi.org/10.5005/jp/books/11946_6.

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Basavanthappa, BT. "Chapter-08 Hospital Admission, Transfer, Discharge and Documentation." In Fundamentals of Nursing 2/Ed. Jaypee Brothers Medical Publishers (P) Ltd., 2009. http://dx.doi.org/10.5005/jp/books/10316_8.

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Mishra, Vinod Kumar, and Tanuja Pathak. "Resource Management for Multimedia Services in Long Term Evaluation Networks." In Advances in Computer and Electrical Engineering. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7598-6.ch080.

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Long-term evolution (LTE) is one of the quickest developing technologies that support a variety of applications like video conferencing, video streaming, VoIP, file transfer, and web browsing. Radio resource management (RRM) procedure is one of the key configuration parts for enhancing the system performance. The admission control is one of the resource management mechanisms. The task of admission control is to admit or reject the establishment request for the new session. In this chapter, the authors provide an overview of the resource management and analyze the media degradation path (MDP) and non-MDP-based admission control algorithms in the LTE network and compare the session establishment success. This chapter also enables for reader to know the current and future trend of research on resource management of multimedia services in LTE networks.
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Mishra, Vinod Kumar, and Tanuja Pathak. "Resource Management for Multimedia Services in Long Term Evaluation Networks." In Encyclopedia of Information Science and Technology, Fourth Edition. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-2255-3.ch545.

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Wireless multimedia networks are becoming progressively popular, that provide the mobile phone users to accommodate the access of information and services at any time, any place with different configurations that user's desire. Long Term Evolution (LTE) is one of the quickest developing technology which support a variety of applications like video conferencing, video streaming, VoIP, file transfer, web browsing etc. Radio Resource Management (RRM) procedure is one of the key configuration part for enhancing the system performance. The admission control is one of the Resource management mechanisms, the task of admission control is to admit or reject the establishment request for the new session. In this chapter, we will provide an overview of the resource management and analyze the Media Degradation Path (MDP) and non MDP based admission control algorithms in the LTE network and compare the session establishment success. This chapter also enables for reader to know the current and future trend of research on resource management of multimedia services in LTE networks.
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Conference papers on the topic "Transfer admissions"

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Massini, Daniele, Bruno Facchini, Mirko Micio, and Riccardo Da Soghe. "Experimental Investigation on Swirl and Heat Transfer Within a Rotor-Stator Cavity." In ASME Turbo Expo 2016: Turbomachinery Technical Conference and Exposition. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/gt2016-57608.

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A rotating test rig, reproducing a rotor-stator cavity with an axial admission system, has been exploited for an experimental investigation on the internal flow field and its effect on heat transfer on the stator side. Working conditions were varied in a wide range of rotating velocities and superposed mass flow rates. 2D PIV flow measurements were performed in order to obtain a radial distribution of the tangential velocity, results were used to validate numerical simulations aimed at understanding the admission system effect on the swirl distribution. Heat transfer coefficient distribution along the stator disk has been evaluated performing a steady state technique exploiting Thermo-chromic Liquid Crystals (TLC). Tests have been performed varying the superposed mass flow rate up to reaching the condition of cavity completely sealed, further increase of the mass flow rate showed to reduce the effect of the rotation. Working conditions were set in order to investigate cases missing in open literature, however few tests performed in similarity with other researches provided comparable results.
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Kang, Young-Seok, Jae-Sung Huh, Junhyun Cho, Hyungki Shin, and Young-Jin Baik. "Design and Performance Assessments of a Partial Admission Axial Turbine Using Supercritical Carbon Dioxide." In ASME 2016 Fluids Engineering Division Summer Meeting collocated with the ASME 2016 Heat Transfer Summer Conference and the ASME 2016 14th International Conference on Nanochannels, Microchannels, and Minichannels. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/fedsm2016-7734.

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Power density of a super-critical carbon dioxide cycle is very high due to its fluid-like density. For this reason, generally size of turbines are very compact compared to that of the air Brayton cycle. However, such an advantage sometimes becomes a challenge for aerodynamic design, because low volume flow rate of the turbine requires design point at a very low specific speed. One of the solution for the challenge is to design a turbine stage as a partial admission stage in which flow enters the turbine nozzle over only a portion of its annulus. Then it secures a sufficient turbine inlet area, even though performance degradation should be taken in to account. In this study, aerodynamic design of an axial turbine has been carried out and its performance has been assessed with numerical simulations. One of design requirements for the axial turbine was to minimize rotor inlet and outlet pressure difference to avoid potential axial thrust. In spite of a small amount of expansion ratio in the turbine stage, the absolute pressure difference could cause severe damage to rotor dynamic system and require complicated bearing system. For this reason, in this study, the turbine was designed as impulse type axial turbine with partial admission. Required rotating speed and resultant low volume flow rate restricted mean diameter and blade height at the stage inlet. The final design has a very low aspect ratio, less than unity. The number of nozzle and rotor are 12 and 34, respectively. The rotating speed of the rotor is 45,000 rpm. The ratio of nozzle arc to blade pitch is approximately 3, which determines efficiency deterioration due to the partial admission. During the numerical simulations, to implement real gas property, Redlich-Kwong-Aungier cubic equation was used. As the turbine operating point is far from its critical point, the Redlich-Kwong-Aungier cubic equation showed a good agreement with real supercritical gas property. To assess full and partial admission turbine performance, steady state numerical simulations have been performed. The full annulus CFD domain was constructed for the partial admission stage. At the design condition, there was 15% isentropic efficiency drop in case of the partial admission stage relative to the full admission stage. Also similar amount of power output penalty was investigated from the partial admission case. As the nozzle was choked at the design condition, the mass flow rate was conserved regardless of the admission type. Then in the flowing region, design velocity triangle in front of the rotor well established, while additional loss was generated along the circumferential direction over non flowing region.
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Niyato, Dusit, Ping Wang, and Dong In Kim. "Admission control policy for wireless networks with RF energy transfer." In ICC 2014 - 2014 IEEE International Conference on Communications. IEEE, 2014. http://dx.doi.org/10.1109/icc.2014.6883471.

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Diab, Talal, Philippe Martins, and Laurent Decreusefond. "Performance of Admission Control Strategies for Dual Transfer Mode in EGPRS Networks." In 2006 IEEE 17th International Symposium on Personal, Indoor and Mobile Radio Communications. IEEE, 2006. http://dx.doi.org/10.1109/pimrc.2006.254211.

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Daskiran, Cosan, Bashar Attiya, I.-Han Liu, Jacob Riglin, and Alparslan Oztekin. "Large Eddy Simulations of Ventilated Micro Hydrokinetic Turbine." In ASME 2017 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/imece2017-70965.

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Large eddy simulations of pre-designed micro-hydrokinetic turbine were conducted to investigate the oxygen transfer from air to water. Simulations were performed in extreme conditions having a tip-speed ratio of 3.8 that is higher than the tip-speed ratio at turbine’s design point. Air was injected from the turbine hub downstream in axial direction. Both single phase and multiphase simulations were performed to reveal the influence of air admission on the flow structures and the turbine performance. The mixture multiphase model was employed in multiphase simulation. The results indicated that turbine power generation was reduced roughly 10.5% by air admission, however the torque applied on turbine surface in axial direction did not vary significantly by aeration. The aeration assisted in the suppression of vortices within the flow field. The deviation of the power coefficient and the thrust coefficient was reduced roughly 32% through the inclusion of aeration process.
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Kamper, M., A. Hukku, D. Colon Hidalgo, G. Si, and K. P. Simpson. "Risk Factors and Outcomes of Unplanned Intensive Care Unit Transfers Within 24 Hours of Admission." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a1664.

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Leung, Sharon, Ewa Rakowski, and Michelle N. Gong. "Outcomes Of Direct Emergency Room To ICU Admission Vs. Later ICU Transfer For Patients With Severe Sepsis." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5985.

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Abdel-Aziz, Omar A. A., and Essam E. Khalil. "Modeling of Indoor Air Quality and Comfort in the Tombs of Valley of the Kings." In ASME 2005 Summer Heat Transfer Conference collocated with the ASME 2005 Pacific Rim Technical Conference and Exhibition on Integration and Packaging of MEMS, NEMS, and Electronic Systems. ASMEDC, 2005. http://dx.doi.org/10.1115/ht2005-72005.

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Airflow characteristics in ventilated and airconditioned spaces play an important role to attain comfort and hygiene conditions. This paper utilizes a 3D Computational Fluid Dynamics (CFD) model to assess the airflow characteristics in ventilated and air-conditioned archeological tombs of Egyptian Kings in the Valley of the Kings in Luxor, Egypt. It was found that the optimum airside design system can be attained, if the airflow is directed to pass all the enclosure areas before being extraction with careful selection of near wall velocities to avoid any wear or abrasion of the tomb-wall paintings. In this model conditioned air is allowed to enter the tomb from its entrance with a large area of admission in order to maintain low air velocity while extraction points are distributed along the tomb axis. The mode of evaluation should assess the airflow characteristics in any tomb passage according to its position in the enclosure and the thermal pattern and air quality. The Governing Equations are numerically solved in a three dimensional grid configurations at more than 500000 nodes. The paper addresses the various modeling aspects and constraints and suggests solutions that are viable and do not affect the tomb construction, interior nor sustainability.
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Kemseke, S. Van, L. Huyghens, C. Ligneel, H. Collier, and PJ Cortoos. "CP-050 Medication discrepancies at the time of admission to and transfer from the intensive care unit and the role of a clinical pharmacist." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.49.

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Rai, A., C. Cubbison, C. Reid, et al. "Does Discussing Code Status on Hospital Admission Decrease Transfer to the Intensive Care Unit for Patients at the End of Life? A Multicenter Study." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a4148.

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Reports on the topic "Transfer admissions"

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Chen, Sunny, Emily Schwartz, Cindy Le, and Elizabeth Davidson Pisacreta. Right in Your Backyard: Expanding Local Community College Transfer Pathways to High-Graduation-Rate Institutions. Ithaka S+R, 2021. http://dx.doi.org/10.18665/sr.315695.

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Each year, our country’s most selective four-year institutions invest significant resources to recruit talented high school students from across the country. Before the COVID-19 pandemic, admissions representatives traveled far and wide to convince these prospective students that the academic rigor, amenities, and opportunities at their institution are unparalleled. These students, mostly affluent and white, contemplate admission offers and consider moves to new locales to pursue their postsecondary plans. Yet, many of these selective institutions are overlooking a talented and diverse pool of students in their own backyard: transfer students from local community colleges.
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Chandramouli, Ramaswamy, and Glen Marshall. Admission, discharge, and transfer system projection profile (ADT-PP) (an ISO.IEC 15408 security protection profile for a healthcare IT application system). National Institute of Standards and Technology, 2002. http://dx.doi.org/10.6028/nist.ir.6782.

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