Добірка наукової літератури з теми "Working day snapshot"

Communication skills are quite often challenged and in more ways than one. Fiona Ellwood explains Aim Introduce the principles of effective communication and the potential barriers. It also provides a snapshot of the notion of Ego States, and a suggestion of further reading in order to consider the application to working in a dental setting. Objectives Recognise a number of communication forms and align them to the working day Analyse the notion of barriers to communication Appraise the concept of Ego States by Berne and the applicability to the smooth running of the dental settings Formulate a frank discussion based upon communication skills and the GDC principles. GDC development outcome A

AbstractMost palliative care (PC) programs in the United States provide consultation services that assist the primary medical team with issues ranging from controlling patients' symptoms to initiating end-of-life discussions. This approach may be sufficient to address many patients' needs. However, for certain patients with complex medical and psychosocial issues, a better alternative is a more streamlined approach that can be provided in an acute palliative care unit (APCU), where the PC staff assumes the role of the primary team. An APCU is a specialized unit that delivers highly sophisticated care with professionals from various disciplines working together to improve the quality of life of patients and their families. However, descriptions of the process of delivering PC in the APCU are limited. In this special report, we portray a single day with a series of patients whose care was managed at our APCU to illustrate the unique components of an APCU that allow holistic care for patients with multiple complex medical and psychosocial issues.

AbstractOne of the essential elements of work technology assessment is task performance time. In the working day structure, production times are crucial; however, under certain conditions, complementary work times can have a share of up to 30%. Accurate determination of the time structure of a work shift is very time consuming and requires time measurements using the methods of cumulative timing or snapshot observations. For this reason, the overall share of complementary work times in a work shift is usually estimated roughly, equally for all timber harvesting conditions. The aim of this study was to determine the impact of selected working environment factors on the share of complementary work times in a work shift, in technologies on the manual-machine and the machine levels. The analyses were carried out in 33 forest districts of the Regional Directorate of State Forests in Wrocław. Among forest contractors, surveys were carried out to analyse the time structure of a working day. For each forest district, analyses of environmental factors potentially relevant to the share of complementary work times in a work shift were carried out; these included field features, dispersion of stands, features of timber, area accessibility. The total share of complementary work times in the machine-level technology variant amounted to approx. 40% and was higher than the manual-machine technological variant, where this share amounted to approx. 35%. The models developed for standardization of the share of variability of complementary work times, in the case of the manual-machine technology level, took into account the share of timber assortments with the length of over 2.5 m as well as the share of upland and mountain sites. In the case of timber harvesting at the machine technology level, the standardization model included as significant the factors such as the share of coniferous forest sites, the number of forest complexes with an area of over 100 hectares, and the total length of roads. Therefore, the above features could be selected as decisive for the share of the complementary work time category out of the full set of environmental variables taken into consideration in the estimation of the time-consumption of timber harvesting processes.

300 Background: With the increasing cost of healthcare, providers have been tasked with increasing efficiencies. While the Electronic Medical Record (EMR) is a great tool for managing the patient at the time of their appointment, it can be difficult to utilize that information outside of and prior to the appointment. We recognized the need for better reporting to enable the end users to spend less time in front of a screen and more time with their patients. The need for better, more efficient data was evident. Simple data extracts from the EMR were not working. Methods: The operations analysts attended weekly huddles, shadowed clinicians, and immersed themselves in the data to better understand what is required from the reports. Multiple patient databases were created, along with dashboards, using a visual software package to display patient information. Information is then filtered into the dashboard for reporting, examples include: the patient’s appointments, treatment length, treatment location, and any other pertinent information that is needed. The reports are then automated to provide users a report with a specific snapshot of the patients coming to the clinic the following day/week. End users are then able to take the reports provided to them automatically and plan their time accordingly. Results: The reports are used daily/weekly (depending on the need of the report) by clinical and non-clinical teams. By leveraging appointment data from the back end of the EMR and the visual software package, end users no longer need to spend time combing through the EMR to identify future appointments. Information is tailored to their specific needs, which may be different from a clinical team to a non-clinical team. While it is difficult to quantify the exact value each report provides, one specific example for the Art & Music Therapy team is saving end users an estimated 4 hours per day, extrapolating out to 1,040 hours per year and freeing them up to provide better service to their patients. Conclusions: Combining appointment data and data visualization and automation tools allows teams to review the necessary information more efficiently. By reducing the manual burden of searching through the EMR, end users are able to free up their time and spend more time with the patient.

This is a personal view from London as the Covid-19 pandemic continues to spread here and the situation changes from day to day. As such it can only be a snapshot caught in time; it is not a diary of events. The Coronavirus Act 2020 gives Government enormous powers and was passed by Parliament in one day of debate immediately before it closed early for the Easter break. In March, the government imposed a “lockdown: the closure of all” but “essential” businesses and people other than essential workers must work from home but are allowed out for exercise and food shopping but must maintain 2 m apart, the “social distancing rule”. The aim is to suppress the spread of the virus, reduce the death toll and “protect the National Health Service (NHS)” which needed time to empty wards and expand its intensive care unit (ICU) capability to deal with an expected influx of thousands of very sick patients. I discuss whether this strategy is working, how and why it has rapidly been altered to respond to criticism. Why was the Government so slow to seek the help of private laboratories to assist with testing? Why was the personal protective equipment (PPE) guidance altered only after criticism? I look at the impact of the lockdown on the UK economy, the changes to practice of medicine and speeding of scientific research. Cooperating with the lockdown has its price; is it harming the health and mental health of children, people living in households with potentially abusive partners or parents and those who are disabled or financially desperate? Is the cure worse than the disease? The Economy is being devastated by the lockdown and each day of lockdown it is worse. Is litigation being seeded even now by the pandemic? Notwithstanding unprecedented Government financial help many businesses are on the edge of collapse, people will lose their jobs and pensioners income. The winners include pharmacies, supermarkets, online food retailers, Amazon, online apps, providers of video games, services, streaming and scientific research laboratories, manufacturers of testing kits, ventilators, hand sanitisers, coffins, undertakers, etc. The British public is cooperating with lockdown but are we less productive at home? Parents with babies and children often child minders, school, grandparents or paid help which is not now available. Will current reliance on video-conferencing and video calls permanently change the way we work and will we need smaller city offices? Will we travel less? Will medical and legal practice and civil and criminal trials be generally carried out remotely? Will social distancing with self-isolation and job losses and business failures fuel depression? Is Covid-19 comparable to past epidemics like the Plague and Spanish flu?

This article explores how respondents to The Harkive Project ( www.harkive.org ) are enfolding streaming services and automated recommendation systems into their everyday music reception practices. Harkive is an online project running annually on a single day in July that invites people to provide detail and reflection on their experiences with music. Since the project first ran in 2013, it has gathered over 10,000 individual entries. It is conceived as an ongoing experiment in research methodology that attempts to produce an online social space that encourages reflection from respondents about the detail of their music reception practice, while simultaneously acting as a place able to replicate commercial practices around data collection and analysis. This article will demonstrate how such a research process can produce rich descriptive data from respondents who provide a useful snapshot of contemporary music reception practice. The article begins with an overview of how streaming services, data collection from numerous online channels and automated recommendation systems interrelate, and how together they raise questions around how people engage in acts of music reception. It then describes how Harkive is based on similar types of computational/algorithmic processing to those used by key players in the digital music space. The analysis that follows shows that although respondents are engaging in everyday use of streaming services and dynamic recommendations, this engagement tends to be spread across a variety of online channels used in differing combinations, and that it is often recommendations from ‘traditional’ routes, such as media outlets (newspapers, radio stations) and users’ own social groups, that feature prominently in respondent descriptions. Indeed, what Nowak (2016) calls the ‘affective’ element of recommendation appears to be rooted in existing practices that are still in the process of being transposed to the relatively recently emerged digital platforms, rather than – and sometimes in spite of – the rhetorical framing of those platforms as key sites for recommendation and discovery by the companies who operate them. Through a discussion of those findings, and based on an update of Michael Bull’s concept of ‘auditory nostalgia’ (2009), it is then suggested that examining how listeners are enfolding the new technologies of music reception into their everyday routines and routes to meaning-making may be a useful direction for future research. The article then suggests that a mode of working where scholars attempt to reflexively harness data-derived processes may be useful in producing that work, and that experimental and practice-led approaches could enable popular music scholars and listeners alike to develop better epistemic responses to the data-related technologies that have recently helped bring about such huge changes in our everyday music reception practice.

Abstract Background: The combination of carfilzomib with lenalidomide and dexamethasone (KRd) is approved in the United States and the European Union (EU) for the treatment of patients with relapsed or refractory multiple myeloma (RRMM). Under these approvals, carfilzomib is administered twice weekly as a 10-minute intravenous (IV) infusion at a dose of 20/27 mg/m2. The phase 1/2 CHAMPION-1 study showed that once-weekly carfilzomib (20/70 mg/m2; 30-minute IV infusion) with dexamethasone was well tolerated and active in patients with RRMM (Berenson et al. Blood. 2016;127:3360−3368). We present initial results from the dose evaluation component of a phase 1b study (NCT02335983) assessing the safety and efficacy of once-weekly carfilzomib with lenalidomide and dexamethasone in patients with MM. Methods: This is an open-label, multicenter, dose-finding, phase 1b study.The primary objective of the study is to evaluate the safety and tolerability of a once-weekly KRd regimen. Secondary objectives included evaluation of the efficacy of a once-weekly KRd regimen. This study consists of 2 parts: a dose-evaluation component in patients with RRMM and a dose-expansion component in both RRMM and newly diagnosed MM (NDMM). Results from the ongoing dose-evaluation component in RRMM are presented. There were 2 planned dose cohorts in the dose-evaluation portion of the study: carfilzomib 56 mg/m2 KRd cohort (56 mg/m2) and carfilzomib 70 mg/m2 KRdcohort (70 mg/m2). All patients received carfilzomib (days 1, 8, and 15), lenalidomide 25 mg (days 1 - 21), and dexamethasone 40 mg (days 1, 8, 15 and 22) on a 28-day cycle (dexamethasone was not administered on day 22 for cycles 9+). Carfilzomib was administered as a 30-minute IV infusion: 20 mg/m2 on cycle 1 day 1 with escalation to the assigned dose level (56 or 70 mg/m2) thereafter. The protocol allowed 8 DLT-evaluable patients to be treated in the 56 mg/m2 and 70 mg/m2 cohorts. Response was assessed by investigators using International Myeloma Working Group Uniform Response Criteria. The data cutoff date for this analysis was June 23, 2016. Results: A total of 22 patients (56 mg/m2, n=10; 70 mg/m2, n=12) with a median age of 69 (range, 50-87) years were enrolled in the dose evaluation component of the study. The median number of prior regimens was 1 (range, 1 - 3) in both cohorts. There were no dose-limiting toxicities observed in any of the 15 dose-evaluable RRMM patients (56 mg/m2 cohort, n=8; 70 mg/m2 cohort, n=7). The median number of cycles started as of data cutoff was 9.5 (range, 3-15) in the 56 mg/m2 cohort and 6.0 (range, 2-9) in the 70 mg/m2 cohort. All patients experienced at least 1 treatment-emergent adverse event (AE). Grade ≥3 AEs occurring in ≥9% of patients, and any AE of interest are shown in Table 1. The only grade ≥3 AEs to occur in ≥2 patients (≥9%) were thrombocytopenia (56 mg/m2, n=2; 70 mg/m2, n=1), decreased neutrophil count (56 mg/m2, n=2; 70 mg/m2, n=1), anemia (56 mg/m2, n=2), and hypertension (56 mg/m2, n=1; 70 mg/m2, n=1). Although the numbers were small, there was no apparent difference in the incidence of dyspnea or hypertension between the 56 and 70 mg/m2 cohorts. Cardiac or renal failure of any grade was not reported at the time of the database snapshot in these patients with RRMM. Response rates after 4 cycles, as assessed by investigators, are shown in Table 2. Two patients in the 56 mg/m2 cohort did not complete 4 cycles: an 87-year old patient developed asymptomatic pulmonary hypertension (detected on a required echocardiogram study) and was taken off therapy; another patient withdrew consent. One patient in the 70 mg/m2 cohort had a partial response after cycle 1 but was found to have progressive disease in cycle 3 (listed as did not complete 4 cycles in Table 2). After 4 cycles, the response rates (investigator assessed), were 70% and 75% in the 56 and 70 mg/m2 cohorts (response assessment for 2 patients in the 70 mg/m2 cohort was missing at the time of the data cutoff). Conclusions: These results demonstrate that carfilzomib administered in a convenient once-weekly schedule in combination with lenalidomide and dexamethasone in patients with RRMM is safe with promising efficacy. The 70 mg/m2 dosing was selected for dose-expansion cohorts in RRMM and NDMM. An update on the expansion cohorts will be presented at the meeting. Disclosures Biran: Onyx: Consultancy, Speakers Bureau; Celgene: Consultancy, Speakers Bureau. Siegel:Novartis: Honoraria, Speakers Bureau; Amgen: Honoraria, Speakers Bureau; Merck: Honoraria; BMS: Honoraria, Speakers Bureau; Celgene: Honoraria, Speakers Bureau; Takeda: Honoraria, Speakers Bureau. Berdeja:Abbvie, Acetylon, Amgen, Bluebird, BMS, Calithera, Celgene, Constellation, Curis, Epizyme, Janssen, Karyopharm, Kesios, Novartis, Onyx, Takeda, Tragara: Research Funding. Faber:Celgene: Speakers Bureau; Cardinal Health: Honoraria; Gilead: Consultancy, Honoraria. Seneviratne:Novartis Pharmaceuticals: Speakers Bureau. Alsina:Onyx: Speakers Bureau; Millenium Pharmaceuticals: Research Funding; Novartis: Research Funding; Signal Genetics: Consultancy; Onyx: Consultancy. Bensinger:Celgene: Consultancy, Honoraria, Research Funding, Speakers Bureau; Amgen: Honoraria, Research Funding, Speakers Bureau. Kimball:Amgen Inc.: Employment, Equity Ownership. Zhou:Amgen Inc.: Employment, Equity Ownership. Landgren:BMS: Honoraria; Takeda: Honoraria; Novartis: Honoraria; Amgen: Honoraria, Research Funding; Celgene: Honoraria, Research Funding.

O texto reflete sobre as imagens e textos que expressam as dinâmicas dos signos em circulação e produção de sentidos de jovens infratores internados no Centro de Atendimento Socioeducativo (Case) de Palmas - TO. A realização do estudo é parte de pesquisa mais abrangente sobre os diálogos entre os signos presentes nas paredes, corredores, banheiros, celas e espaços educativos formais existentes nas organizações que trabalham com jovens infratores e unidades do sistema prisional de adultos. O trabalho foi realizado no período de 2014-16, a partir de visitas técnicas no Case, reconhecimento dos espaços de circulação das imagens e textos, tomadas fotográficas e análise a partir da contribuição de estudos semióticos e comunicacionais. Busca-se com o texto contribuir para que mais estudiosos da comunicação, educação e direito possam ampliar o entendimento sobre esses espaços cujas paredes falam entre si. PALAVRAS-CHAVE: Imagem; comunicação; semiótica; produção de sentidos; juventude. ABSTRACTThe text dialogues with images and scriptures that on the images and texts that expose the dynamics of the signs and the circulation and production of senses by young people fulfilling educational measures for violation of law in the Social and Educacion Service Center (Case), Palmas-TO. The present study is a part of an investigation that focusing the dialogue between the present signs on the walls, hallways, bathrooms cells and formal educational spaces in existing organizations working with young people and units of the adults prison system. The activitiy was developed in 2014 to present date, taking as starting point technical visits in the Case, recognition of circulation spaces of images and scriptures, snapshots and analysis from the contribution of semiotics and communication studies. It seeks with the text contribute to communication, education and law researchers expand the understanding of those spaces whose walls talks to each other . KEYWORDS: Image; communication; semiotics; sense; youth. RESUMENEl presente texto dialoga con las imágenes y escritos que estan exponen la dinámica de los signos y la circulación y la producción de sentidos hecha los jóvenes que cumplen medidas correlacionales en el Centro de Servicios Sociales y Educación (Case), Palmas-TO. El presente estudio forma parte de una investigación sobre los diálogos de los signos en los muros , pasillos, baños células y los espacios educativos formales en las organizaciones existentes para los jóvenes y las unidades del sistema de prision de personas adultas. La actividad fué desarrollada en 2014 hasta la presente fecha, teniendo como punto de partida visitas técnicas en el Case, el reconocimiento de los espacios de circulación de imágenes y escrituras , las tomas de instantáneas fotográficas y el análisis bajo la contribución de la semiótica y los estudios de comunicación . Se busca con el texto contribuyer para que los estudiosos de la comunicación , educación y derecho amplíen la comprensión de dichos espacios cuyos muros dialogan entre sí. PALABRAS CLAVE: imagen; comunicación; semiótica; producción de sentidos; junventud.

Background and Purpose: Several years ago, an excel spreadsheet was created to improve real time communication about stroke core measure compliance to all the inpatient units. This daily spreadsheet was sent to the nursing leadership to be shared with the nurse or MD to ensure the stroke orders were carried out and patient education provided. The process to review each chart daily for compliance with the core measures, enter it into the spreadsheet, send it to the nursing leadership daily took approximately 3 hours or more a day. This was not an efficient use of time. We decided to create an electronic dashboard that would extract all of the stroke core measure information from the electronic patient record automatically, eliminating manual abstraction, thus making the process more efficient while allowing effective communication throughout the organization. Methods: Our IT department, working alongside our Stroke Care Team, developed data extraction processes pertinent to Stroke Core Measures to allow for an hourly extraction into a Tableau dashboard. This software allows for logic to be applied to the various elements to evaluate the successful completion of each core measure for patients currently admitted to our institution for Stroke-related diagnoses and conditions. Results: The key stake holders for each unit review the dashboard which is refreshed hourly to identify areas that have not met the measure. After the review, the leadership implements a plan to improve attainment for these measures. The dashboard has also allowed for correction of documentation in real time but has limitations because it depends on the data within the electronic medical record and the programing to extract that data. The team communicates with our IT department to correct the issues with the data displayed in tableau. Conclusions: The tableau dashboard is an effective and efficient tool providing a snapshot of the current attainment of the primary and comprehensive stroke core measures. The implementation of this dashboard has increased awareness of the stroke core measure compliance and has improved communication among the clinical staff.

<p>BACKGROUND. Uncertainty exists about current delivery levels of exercise training (ET) during Cardiac Rehabilitation (CR) programmes. AIM OF THE STUDY. To evaluate ET modalities in the real world of CR facilities in Italy. METHODS. This was an observational survey of aggregate data, collected from CR facilities on a voluntary basis. Snapshots of a single working day at a local site were made, in terms of characteristics of patients and ET programmes delivered. RESULTS. Overall, 612 patients from 26 CR units were included, with an in-patient vs. out-patient ratio of 3:1. Coronary artery disease (57.6%), heart failure (20.3%), and valve disease/surgery (22.1%) were the most represented target groups. The prevalence of endurance continuous training, interval training, and resistance/strength training was 66.7%, 11.1%, and 9.0%; other non-aerobic endurance and non-resistance training modalities such as respiratory muscle training and calisthenics were reported in 39.9% and 42.9% of cases respectively. Workloads for endurance exercise training were determined by cardiopulmonary test, conventional 12-leads ECG exercise testing, 6min-walking test, theoretical determination of heart rate, and rating of perceived exertion in 9%, 8%, 27%, 9%, and 40% of cases respectively. The average duration of the programmes (on an intention to treat basis) was 25 sessions of 42±11 minutes, with a frequency of &gt;4 sessions/week in 67% of patients. CONCLUSIONS. Despite advances in CR interventions, there is a significant need for improvement of functional evaluation and exercise training prescription, and consideration of a wider range of training modalities in Italy. </p>

This diploma thesis deals with packaging materials in company Frauenthal Automotive Hustopeče, s. r. o., specifically proposals to improve the storage, flow and use of packaging material with limited storage capacity. The first part contains the theoretical basis of the work. The second part includes a presentation of the company and an analysis of the current situation. In the last part, own solutions to current shortcomings in the company are proposed.

This thesis deals with the analysis of data obtained by observing and measuring workplaces of assembly lines with a focus on the efficiency of their utilization, through selected elements of industrial engineering, which the reader can get acquainted with in the theoretical part of the thesis. In this thesis the line productivity during the shifts is analyzed, an ideal line balancing condition is defined and suggestion for changing the time of line consumption norm according to the measured line cycle time is made. According to the complex analyzes of the workplaces, suggestions are concluded and an economic appreciation of these proposals is also elaborated. The author of this thesis finds the main benefit of this work in increasing of the productivity of the analyzed line in the case of implementation of solution designs.