Study on Regular Review of Area Division System under the Depopulation Frame

2015 ◽  
Vol 50 (3) ◽  
pp. 986-991
Author(s):  
Takanori Tanoue ◽  
Toshiya Matsukawa ◽  
Yuya Sato ◽  
Bumpei Nakade ◽  
Shu Higuchi
2018 ◽  
Vol 56 (8) ◽  
pp. 90-93 ◽  

Malnutrition, a deficiency of energy, protein and other nutrients, is a cause of health problems and adverse clinical outcomes.1,2 It has been estimated that a significant number of people have, or are at risk of, malnutrition and the National Institute for Heaxlth and Care Excellence (NICE) has recognised the need to improve healthcare professionals’ knowledge of the causes, effects and treatment of malnutrition.3,4 However, NICE acknowledged that “there is no clear evidence available as to whether screening is really beneficial or how it should be carried out”.4 One of the key elements to improve or maintain nutritional intake for people with malnutrition is the provision of nutrition support, including dietary advice, the use of fortified food and additional snacks. Although for some people oral nutritional supplements (ONS) may be needed, their use can be limited by poor compliance due to low palatability or unwanted effects such as nausea and diarrhoea.5 Without appropriate assessment, treatment goals and regular review processes, the provision of ONS products may be ineffective and waste NHS resources. Here, we discuss the place of nutritional supplements in the management of malnutrition.


2016 ◽  
Vol 64 (2) ◽  
pp. 212-218
Author(s):  
Paulo de Camargo MORAES ◽  
Luiz Alexandre THOMAZ ◽  
Milena Bortolotto Felippe SILVA ◽  
José Luiz Cintra JUNQUEIRA ◽  
Rubens Gonçalves TEIXEIRA

ABSTRACT Osteoradionecrosis of jaws is one of the most serious complications of radiation therapy for head and neck malignancies. The management of osteoradionecrosis continues to be debated and there are few cases which can be resolved with conservative management. This paper presents a case of osteoradionecrosis after a dental extraction affecting the mandible of a 58-year-old man and highlights the conservative therapeutic management and 3-year follow-up period. We combined a conservative nonoperative therapy, including long-term antibiotic therapy and daily irrigation with chlorhexidine mouthrinses in a case of osteoradionecrosis after a dental extraction affecting the mandible of a 58-year-old man. At the follow-up, clinical aspect was resolved. A CBCT scan image and a three-dimensional (3D) reconstructed image revealed bone remodeling in a 3-year follow-up period .No sign of exposed bone could be seen. Follow-up 3 years later revealed that the conservative management posed was successful for osteoradionecrosis and the patient is currently under regular review.


Author(s):  
Kirsty Buising ◽  
Deborah Williamson ◽  
Benjamin Cowie ◽  
Jennifer MacLachlan ◽  
Liz Orr ◽  
...  

Objective: To describe COVID-19 infections amongst healthcare workers (HCWs) at the Royal Melbourne Hospital from 1st July to 31st August 2020 Design: Prospective observational study Setting: A 550 bed tertiary referral hospital in metropolitan Melbourne Participants: All HCWs identified with COVID-19 infection in the period of interest Results: 262 HCW infections were identified over 9 weeks. 68.3% of infected HCWs were nurses and the most affected locations were the geriatric and rehabilitation wards. Clusters of infection occurred in staff working in wards with patients known to have COVID-19 infection. Staff infections peaked when COVID-19 infected inpatient numbers were highest, and density of patients and certain patient behaviours were noted by staff to be linked to possible transmission events. Three small outbreaks on other wards occurred but all were recognised and brought under control. Availability of rapid turn-around staff testing, and regular review of local data and obtaining feedback from staff helped identify useful interventions which were iteratively implemented. Attention to staff wellbeing was critical to the response and a comprehensive support service was implemented. Conclusion(s): A comprehensive multimodal approach to containment was instituted with iterative refinement based on frontline workers observations and ongoing analysis of local data in real time.


2020 ◽  
Vol 9 ◽  
pp. 174-183
Author(s):  
Owenvbiugie Robinson Osarumwense

The study assessed how job satisfaction and value creation serve as antidotes to job retention of employees in higher institutions in Edo and Delta States. Variables such as tenure, salary, excellent compensation and training and development were assessed. Four research queries were provided answers to. Two reasonable guesses were tested. Survey research was applied. 189 business educators were used for the study. A total of 179 questionnaires were found usable representing 94.7 percent. The instrument was validated by Three experts validated the items in the questionnaire. The instrument yielded 0.98 using the Cronbach alpha to enhance its face and content validity. The descriptive statistics was used to answer all questions raised for the study. The reasonable guesses were tested with the t-test statistics.  Lecturers’ Job Satisfaction and Value Creation Questionnaire (LJSVCQ) were administered on the respondents by the researcher with two supporting persons. Results revealed business educators: male and female, married and single, were satisfied with job tenure, salary they earned. It also revealed business educators were satisfied with excellent compensation, training and development. Male do not differ with female business educators in their levels of job satisfaction. Married lecturers do not differ from single business educators in their levels of job satisfaction. The study recommended that business educators’ job satisfaction may be improved if management and councils of various tertiary institutions pay necessary attention to staff welfare in terms of regular review of salary paid to staff, and security of workers’ job.


Author(s):  
HOVHANNES KHORIKYAN

The Egyptian Satrapy had the first-rate importance for Achaemenid Persia. Many important and wrinkled issues on the administrative policy and historical geography of the VI Satrapy were examined in the article, the elucidation of which has an important meaning for studying the history of Achaemenid Persia. Analysis of informations received from Herodotus and other ancient sources shows that Egypt had great economic and military importance to Persian Court. Тhe VI Satrapy was divided into four subdistricts: Egypt, Libya, Cyrene and Barca.


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