scholarly journals S599 A Proactive Approach to Successful Inpatient Colonoscopy Preparation

2021 ◽  
Vol 116 (1) ◽  
pp. S272-S272
Author(s):  
Phoenix Fung ◽  
Rita Cole ◽  
Leon Averbukh ◽  
Aslam Syed ◽  
Elie Aoun ◽  
...  
Keyword(s):  
Proactive Approach ◽  
Colonoscopy Preparation

Severe hyponatremia and comatose state during colonoscopy preparation

2010 ◽  
Vol 151 (20) ◽  
pp. 828-831 ◽  
Author(s):  
Ágnes Haris ◽  
Pál Demeter ◽  
Ignác Tóth ◽  
Kálmán Polner
Keyword(s):  
Severe Hyponatremia ◽  
Comatose State ◽  
Colonoscopy Preparation

A szerzők egy 83 éves nőbeteg esetét ismertetik, akinél kolonoszkópiás előkészítés során, de a nátrium-foszfát ozmotikus hashajtó bevételét megelőzően, hirtelen eszméletvesztés és epileptiform görcsök jelentkeztek. A laboratóriumi vizsgálat súlyos hyponatraemiát igazolt. Hypertoniás sóinfúzió hatására az elektrolitzavar rendeződött, az eszméletzavar lassan oldódott, és a beteg mentális állapota fokozatosan javulni kezdett. A hyponatraemia hátterében az előkészítéstől és a vizsgálattól való félelem, stressz indukálta ADH-szekréció és a beteg által „félreértett”, túlzott folyadékbevitel állt. Az esetismertetés célja, hogy felhívja a figyelmet a kolonoszkópiás vizsgálati előkészítés veszélyére, ami az orvos utasítását „túlzottan” betartó beteget fenyegeti, továbbá, hogy bemutassa az akut hyponatraemia ellátását.

DEVELOPING AND SELECTING SLOPE STABILIZATION TECHNIQUES IN MANAGING SLOPE FAILURES

2016 ◽  
Vol 12 (4) ◽  
Author(s):  
Ari Sandyavitri
Keyword(s):  
Retaining Wall ◽  
Value Engineering ◽  
Rating Systems ◽  
Slope Stabilization ◽  
Rockfall Hazard ◽  
Proactive Approach ◽  
West Sumatra ◽  
Hazard Rating ◽  
Hazard Rating Systems ◽  
Steep Slopes

This paper objectives are to; (i) identification of risky slopes (within 4 Provinces in Sumatra including Provinces of Riau, West Sumatra, Jambi and South Sumatra encompassing 840 kms of the “Jalan Lintas Sumatra” highway) based on Rockfall Hazard Rating Systems (RHRS) method; (ii) developing alternatives to stabilize slope hazards, and (iii) selecting appropriate slopes stabilization techniques based on both proactive approach and value engineering one. Based on the Rockfall Hazard Rating Systems (RHRS) method, it was identified 109 steep slopes prone to failure within this highway section. Approximately, 15 slopes were identified as potential high-risk slopes (RHRS scores were calculated >200 points). Based on the proactive approach, seven riskiest slopes ware identified. The preferred stabilization alternatives to remedy most of these slopes are suggested as follow; either (i) a combination of retaining wall and drainage, or (ii) gabion structure and drainage. However, different approaches may yield different results, there are at least 2 main consideration in prioritizing slope stabilization; (i) based on the riskiest slopes, and(ii) the least expensive stabilization alternatives.

PROACTIVE APPROACH TO AUTOMATION OF THE HOTEL HOUSEKEEPING SERVICE RESOURCES MANAGEMENT

2017 ◽  
Vol 37 (1) ◽  
pp. 071-083
Author(s):  
Alla G. Kravets ◽  
◽  
Aleksandr O. Morozov ◽  
Inna V. Strukova ◽  
◽  
...  
Keyword(s):  
Resources Management ◽  
Proactive Approach

Tracking development with Baby CROINC: The interplay of parent experience, usage, and technology approach (Preprint)

2018 ◽  
Author(s):  
Ayelet Ben-Sasson ◽  
Eli Ben-Sasson ◽  
Kayla Jacobs ◽  
Rotem Malinovitch
Keyword(s):  
Developmental Screening ◽  
Technology Competence ◽  
Proactive Approach ◽  
Crowd Wisdom ◽  
System P ◽  
Parent Experience ◽  
Wide Range ◽  
Actual Use ◽  
Perceived Usability ◽  
Crowd Intelligence

BACKGROUND To lower barriers to developmental screening, we designed Baby CROINC (CROwd INtelligence Curation), a digital platform to help parents track and assess their children’s development through crowd wisdom. OBJECTIVE To understand users’ experiences using Baby CROINC in relation to users’ technological competence and attitudes, while considering the influence of their children’s presented developmental evaluations and parents’ actual use of the system. METHODS Mothers of 260 children (M age= 17.6 months, SD=13.7) used Baby CROINC for two weeks. They entered developmental milestones on their children’s developmental diary timeline and received statistical developmental percentile reports. Mothers then completed Usability and Technology Profile Questionnaires. RESULTS Mothers’ experiences of the Baby CROINC system usability were associated with their attitudes toward solving technological problems, mediated by frequency of engagement in Internet activities. Mothers with a proactive approach toward solving technology problems, engage in a wide range of Internet activities, and/or view the Internet as integral to their lives had a better experience with Baby CROINC than mothers who did not. The system’s perceived usability was not associated with the crowd-based child developmental percentiles or quantity of mothers’ usage of the system. CONCLUSIONS Parent’s user experiences correlate with their technology competence and problem solving attitude but is not correlated with their child’s developmental status. Developmental screening platforms need to solve the tension between requiring active engagement and encouraging proactive parenting.

scholarly journals Environmental key performance indicators: the role of regulations and stakeholder influence

2021 ◽  
Author(s):  
Ewelina Zarzycka ◽  
Joanna Krasodomska
Keyword(s):  
Performance Indicators ◽  
Key Performance Indicators ◽  
Environmental Indicators ◽  
Business Strategies ◽  
Proactive Approach ◽  
Stakeholder Influence ◽  
Corporate Decisions ◽  
Study Results ◽  
Reporting Decisions

AbstractEnvironmental protection is of vital importance and needs to be considered in the context of business strategies, including companies’ reporting decisions. This paper aims to investigate the importance of stakeholders for environmental key performance indicators (KPIs) and the significance of different types of environmental KPIs to various stakeholders. The study is based on a content analysis of the disclosures provided by large public interest companies operating in Poland. The data were processed to produce descriptive statistics as well as classification and regression trees (C&RTs). According to the study results, the sample companies provide a variety of environmental indicators, with a total of 735 KPIs identified. The research confirms the importance of stakeholders interested in environmental issues for corporate decisions regarding environmental KPI disclosure. The study contributes to the extant literature by providing new insights into the importance of different stakeholder groups for the disclosure of environmental KPIs. It may serve as an incentive for standard setters and practitioners to take a proactive approach in further developing and improving environment-related reporting regulations.

Tu1412 The Impact of Colonoscopy Preparation on Recommended Colonoscopy Screening Intervals in Average-Risk Screening Patients With No Polyps

2011 ◽  
Vol 73 (4) ◽  
pp. AB400
Author(s):  
Stacy B. Menees ◽  
Eric E. Elliott ◽  
Shail M. Govani ◽  
Stephanie L. Judd ◽  
Sameer D. Saini ◽  
...  
Keyword(s):  
Average Risk ◽  
Risk Screening ◽  
Colonoscopy Screening ◽  
Screening Intervals ◽  
Colonoscopy Preparation ◽  
The Impact

scholarly journals Pesticide Usage Is Compromising People’s Health in the United States: Ideas for Reducing Damages

Agriculture ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 486
Author(s):  
Terence J. Centner
Keyword(s):  
United States ◽  
Evaluation System ◽  
The United States ◽  
Proactive Approach ◽  
Registration Process ◽  
Synthetic Pesticides ◽  
Pesticide Usage ◽  
Pesticide Registration

The development of synthetic pesticides has provided new tools for addressing troublesome pests. A review of parts of the registration process for pesticides in the United States identifies an outdated evaluation system that undervalues health damages. Registration fails to adequately consider co‑formulants and effects of exposure to multiple chemicals. Frustration with failures to protect people and property from damages accompanying pesticide usage has led injured plaintiffs to resort to tort lawsuits to secure relief. However, litigation involves compensating injured persons after they are injured rather than preventing injury. A more proactive approach would be to prevent situations that injure people. This paper offers four ideas to reduce health damages accompanying pesticide usage. Slight adjustments to pesticide registration requirements can offer greater protection for people’s health.

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