scholarly journals Non-emergency applications

2019 ◽  
pp. 2-3
Keyword(s):  
Point Of View ◽  
Easy Access ◽  
Utilization Rate ◽  
Management Approach ◽  
Health Practitioner ◽  
Risk Averse ◽  
Related Factors ◽  
Familial Support ◽  
Long Time ◽  
Primary Health Care Centers

Overcrowding in emergency departments (ED) could delay and alter the quality of critical services provided. Despite the generalization of developed triage system, the rate of nonurgent applicants is still considerable worldwide. This usually leads to long waiting patients lists, healthcare practitioners over stress, and patients unsastisfaction. A recent literature review reported that between 4.8% to 90% of ED patients were potentially nonurgent cases and the sudden death cases reported in ED should be simply urgent; long waiting unmanaged cases [1]. Among the leading reasons for unsuitable use of ED for “nonurgent complaints.”; patients related factors are most frequent. Elderly patients with heavy chronic conditions and lack of familial support are frequent ED users. Some patients prefer the ED due to the easy access and availability of all investigation tools. Ed is always convenient providing nonstop care by trained specialized team. According to some studies; it has been proved that a higher rate of nonemergency application is noticed in case of unavailability of primary health care centers access and during off-clinic hours [2]. The delayed appointments, and the lack of access to outpatient clinics on evenings and weekends is usually influencing the patient’s attitude. Interestingly, some other reports showed that most of the patients admitted to the ED with mild and simple complaints are well educated, have good social status and do not have chronic diseases [3]. For these cases, wrong perception could be bilateral. The patient is always considering his personal case as extremely urgent; and the health practitioner could not infirm the emergency before the investigations. This risk-averse patient risk-averse doctor relationship could explain the major part of non-emergency applications [4]. With these overwhelmed available resources, the increase of nonurgent visits results in risks for patient safety. This problematic has been recognized long time ago. Since early 90s many triage systems were implemented. However only five level triage instruments are significantly correlated with resource utilization, rate of admission for inpatient treatment, duration of emergency management, and frequency of transfer to intensive care or mortality. Unfortunately, these instruments could not be generalized to all ED [5]. Several other solutions have been proposed. Gatekeeping; redirecting patient systems, or health services cost sharing were not enough and difficult to implement. The benefit a financial penalty for patients categorized as nonurgent after the consultation or targeting frequent users by case management approach is still unclear [6]. In our point of view; the solution to decrease the rate of nonurgent visits is outside of emergency room and not inside. The only valuable option is to provide an alternative to ED by improving the outpatient departments and primary healthcare centers services quality. With patient large sensibilization, the benefit should be perceptible.

Adjustable wetting of Liquid Flame Spray (LFS) TiO2-nanoparticle coated board: Batch-type versus roll-to-roll stimulation methods

2014 ◽  
Vol 29 (2) ◽  
pp. 271-279 ◽  
Author(s):  
Mikko Tuominen ◽  
Hannu Teisala ◽  
Janne Haapanen ◽  
Mikko Aromaa ◽  
Jyrki M. Mäkelä ◽  
...  
Keyword(s):  
Argon Plasma ◽  
Ultra Violet ◽  
High Volume ◽  
Point Of View ◽  
Flame Spray ◽  
Ambient Conditions ◽  
Batch Type ◽  
Roll To Roll ◽  
Long Time ◽  
Liquid Flame Spray

Abstract Superhydrophobic nanoparticle coating was created on the surface of board using liquid flame spray (LFS). The LFS coating was carried out continuously in ambient conditions without any additional hydrophobization steps. The contact angle of water (CAW) of ZrO2, Al2O3 and TiO2 coating was adjusted reversibly from >150° down to ~10−20° using different stimulation methods. From industrial point of view, the controlled surface wetting has been in focus for a long time because it defines the liquid-solid contact area, and furthermore can enhance the mechanical and chemical bonding on the interface between the liquid and the solid. The used stimulation methods included batch-type methods: artificial daylight illumination and heat treatment and roll-to-roll methods: corona, argon plasma, IR (infra red)- and UV (ultra violet)-treatments. On the contrary to batch-type methods, the adjustment and switching of wetting was done only in seconds or fraction of seconds using roll-to-roll stimulation methods. This is significant in the converting processes of board since they are usually continuous, high volume operations. In addition, the creation of microfluidic patterns on the surface of TiO2 coated board using simple photomasking and surface stimulation was demonstrated. This provides new advantages and possibilities, especially in the field of intelligent printing. Limited durability and poor repellency against low surface tension liquids are presently the main limitations of LFS coatings.

Calculation of the Glaze Recipe for Porcelain Feldspar Products Based on their Molecular Formula Rationalization

2008 ◽  
Vol 59 (2) ◽  
pp. 129-134
Author(s):  
Ion Teoreanu ◽  
Roxana Lucia Dumitrache ◽  
Stefania Stoleriu
Keyword(s):  
Raw Materials ◽  
Computer Programs ◽  
Point Of View ◽  
Raw Material ◽  
Easy Access ◽  
Molecular Formula ◽  
Design Equation ◽  
Material Sources

Any change of the raw material sources for glazes, economically, ecologically motivated, and also from the glaze quality point of view, is conditioned by the molecular formula rationalization and by the variation limits of the molecular formula, respectively. The proper glaze compositions are placed within their limit variation intervals with optimized processing and utilization properties. For this purpose, the rationalization criteria and procedures of molecular formulas are summarized in the present paper, as well as the results referring to their rationalization obtained in the authors� previous work. Thus, one starts from a base of raw materials that are selected, usable and also accessible for the design and producing of the glazes. On these bases the groundwork and the design equation for the glaze recipes are developed, exemplified for a single glaze. For an easy access to results, computer programs are used for an easy access to results.

scholarly journals Analysis of the Genetic Variability of Virulence-Related Loci in Epidemic Clones of Methicillin-Resistant Staphylococcus aureus

2005 ◽  
Vol 49 (1) ◽  
pp. 366-379 ◽  
Author(s):  
A. R. Gomes ◽  
S. Vinga ◽  
M. Zavolan ◽  
H. de Lencastre
Keyword(s):  
Staphylococcus Aureus ◽  
Genetic Variability ◽  
Amino Acid Level ◽  
Point Of View ◽  
Sequence Motifs ◽  
Related Factors ◽  
Specific Sequence ◽  
Methicillin Resistant ◽  
Sequence Types ◽  
R Domain

ABSTRACT Methicillin-resistant Staphylococcus aureus (MRSA) isolates have previously been classified into major epidemic clonal types by pulsed-field gel electrophoresis in combination with multilocus sequence typing (MLST) and staphylococcal cassette chromosome mec typing. We aimed to investigate whether genetic variability in potentially polymorphic domains of virulence-related factors could provide another level of differentiation in a diverse collection of epidemic MRSA clones. The target regions of strains representative of epidemic clones and genetically related methicillin-susceptible S. aureus isolates from the 1960s that were sequenced included the R domains of clfA and clfB; the D, W, and M regions of fnbA and fnbB; and three regions in the agr operon. Sequence variation ranged from very conserved regions, such as those for RNAIII and the agr interpromoter region, to the highly polymorphic R regions of the clf genes. The sequences of the clf R domains could be grouped into six major sequence types on the basis of the sequences in their 3′ regions. Six sequence types were also observed for the fnb sequences at the amino acid level. From an evolutionary point of view, it was interesting that a small DNA stretch at the 3′ clf R-domain sequence and the fnb sequences agreed with the results of MLST for this set of strains. In particular, clfB R-domain sequences, which had a high discriminatory capacity and with which the types distinguished were congruent with those obtained by other molecular typing methods, have potential for use for the typing of S. aureus. Clone- and strain-specific sequence motifs in the clf and fnb genes may represent useful additions to a typing methodology with a DNA array.

Reflective backward analysis to assess the operational performance and eco-efficiency of two industrial districts

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Andrea Appolloni ◽  
Idiano D'Adamo ◽  
Massimo Gastaldi ◽  
Morteza Yazdani ◽  
Davide Settembre-Blundo
Keyword(s):  
Economic Trend ◽  
Careful Analysis ◽  
Point Of View ◽  
Industrial Districts ◽  
Management Approach ◽  
Ceramic Tiles ◽  
Data Set ◽  
Content Type ◽  
Sectorial Analysis ◽  
Backward Analysis

PurposeThe best strategy to apply for the future cannot disregard a careful analysis of the past and is the one capable of seizing opportunities from outside. Manufacturing sectors are characterized by sudden changes, and in this work, we analyze the ceramic tiles sector characterized by a mature technology in which innovation has played a key role.Design/methodology/approachThis study aims to provide a sectorial analysis based on a historical data set (2004–2019) to highlight how an industry is performing both operationally and in terms of eco-efficiency. For this purpose, from a methodological point of view, the data envelopment analysis (DEA) was used.FindingsThe results of the analysis show that the Spanish ceramics industry shows a growing economic trend by taking advantage of lower industrial costs, while the Italian industry is characterized by a modest decline partially mitigated by exports. The industrial districts are an aggregation of companies that in the ceramic sector has allowed to combine innovation, sustainability and digitalization and is a model toward the maximization of sustainable efficiency because it is a place of aggregation of resources and ideas.Originality/valueThis study experiments with an innovative way of addressing traditional industry analysis, namely, integrating the reflective management approach with DEA-based backward analysis. This provides decision makers with the basis for new interpretations of variable trends.

Bona fides and ubuntu – A response to Dale Hutchison

Acta Juridica ◽  
2021 ◽  
Vol 2021 ◽  
pp. 85-106
Author(s):  
J Barnard-Naudé
Keyword(s):  
South African ◽  
Common Law ◽  
Standard Form ◽  
Contract Law ◽  
Law School ◽  
Point Of View ◽  
Long Time ◽  
School Faculty ◽  
The Common ◽  
Faculty Meeting

This paper is a response to Dale Hutchison’s recent arguments about the role of fairness in contract law after the Constitution. From the point of view of transformative constitutionalism, the paper argues that the fairness ‘debate’ in the South African law of contract should be approached as what it so patently is, namely, as evidence of a deep ideological conflict that has existed in our law of contract for a very long time, and that this debate now exists within the context of a larger debate about the appropriate transformative reach of the Constitution. The argument takes the form of two ‘dangerous supplements’ to Hutchison’s discourse. The first of these supplements contends that indeterminacy is a symptom of the common law itself, rather than a result of contract law’s contact with the Constitution. The second dangerous supplement suggests a responsible judicial engagement with bona fides and ubuntu, one that can exploit the strengths of both the common law and the Constitution and that understands good faith and ubuntu to be ‘inter-linking’ constitutional values that should be enlisted in unison or at least in resonance when it comes to the question of fairness in our contemporary law of contract. In conclusion, I offer a reading of Hutchison’s own politics of contract law and contend that his is an altruistic politics committed to the standard form. I contend that this politics of contract law is consistent with a transformative understanding of the post-apartheid legal order. ‘Law, like every other cultural institution, is a place where we tell one another stories about our relationships with ourselves, one another, and authority. In this, law is no different from the Boston Globe, the CBS evening news, Mother Jones, or a law school faculty meeting. When we tell one another stories, we use languages and themes that different pieces of the culture make available to us, and that limit the stories we can tell. Since our stories influence how we imagine, as well as how we describe, our relationships, our stories also limit who we can be’.

scholarly journals Representação e ciências sociais

2016 ◽  
Vol 1 (1) ◽  
pp. 109-126
Author(s):  
Drance Elias da Silva
Keyword(s):  
Social Sciences ◽  
Knowledge Representation ◽  
Human Life ◽  
Point Of View ◽  
General View ◽  
Dominant Culture ◽  
The Real ◽  
The Social ◽  
Long Time ◽  
Expression Form

This Article may be situated within the rapport field between Philosophy and Social Sciences, at the search regarding to the concept concerning the Representation. Regarding to Philosophy, under a general view, the concept, concerning Representation, has been, since a long time, understood as a trail which one would get througl reaching to the real and true ones. Representation, as the thought contents expression form had not been known departing from Philosophy as a barrier against the objectivity concerning the knowledge. Representation, in its source, has been constituting itself a cognictive, inmanent reflection, related to the conscience inner subjectivity. But departing from the episthemological point of view, it has been not so easy for the campus concerning the Culture Sciences as a totality. In the theory regarding to knowledge, the Social Sciences campus and, more specifically, in the human life Symbolic dimension constitutive aspects, it has been, often, accepted negatively as an entry door for the histotical social reality. Nowadays, one may conclude that the contents concerning the Culture are deeply rooted within the histotical reality, which may present new dimension the reading regarding to the Symbolical side concerning the human life, under the view regarding to the unseen aspect, such as the intellectualistic Western dominant Culture allows understanding the way which could be in.

scholarly journals Evaluation of Educational Atmosphere and Its Related Factors from the Point of View of the Students of Qom University of Medical Sciences in 2018, (Iran)

2019 ◽  
Vol 13 (1) ◽  
pp. 39-48
Author(s):  
Zahra Bagheri ◽  
siamak moghebi ◽  
Seyed Hasan Adeli ◽  
Fatemeh Rajati ◽  
◽  
...  
Keyword(s):  
Point Of View ◽  
Medical Sciences ◽  
Related Factors

scholarly journals Distribution of sources of household air pollution: a cross-sectional study in Cameroon

2021 ◽  
Author(s):  
Esong Miranda Baame ◽  
André Pascal Goura ◽  
Bertrand Hugo Ngahane Mbatchou ◽  
Berenice Walage ◽  
Herman Styve Yomi Simo ◽  
...  
Keyword(s):  
Air Pollution ◽  
Rural Communities ◽  
Health District ◽  
Household Air Pollution ◽  
Easy Access ◽  
Population Exposure ◽  
Liquefied Petroleum Gas ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional

Abstract Background: Household air pollution (HAP) is a recognised risk factor for many diseases, including respiratory diseases, cardiovascular/circulatory disorders, adverse pregnancy outcomes and cataracts. Population exposure to biomass fuels, including wood, varies among countries and from one fuel source to the other. This study aimed to investigate the different sources of HAP in peri-urban and rural communities in Cameroon. Methods: A cross-sectional survey was conducted in a representative sample of households from the Dschang Health District (DHD) region. This included 848 homes in which a range of fuels for cooking including biomass (firewood, charcoal, sawdust), kerosene and liquefied petroleum gas (LPG) were used both indoors and outdoors. Results: Of the study households, 651 (77%) reported exclusive use of firewood and 141 (17%) reported using more than one source of fuel. Exclusive use of firewood was greater in rural communities (94%) than in peri-urban communities (38%). In peri-urban communites, use of multiple fuels including LPG, wood, sawdust and kerosene, was more common (44.75%). A total of 25.03% of households in both peri-urban and rural communities reported using bottled gas (or liquified petroleum gas (LPG) for cooking. Motivations for choice of fuel included, price, availability (easy access), rapidity, tradition or culture related factorsConclusion: Wood is the main cooking fuel in both peri-urban and rural communities in the Dschang Health District. Work to help households (especially those who are resource poor) to adopt LPG equipment for cooking, and use in a more exclusive way is required.

scholarly journals “Mother of the Faithful” and “Lion of Allah” in the Prophetic Tradition and Early History of the Caliphate or Why the Islamic Jama at Disintegrated?

2020 ◽  
Vol 16 (2) ◽  
pp. 47-56
Author(s):  
F. A. Asadullin
Keyword(s):  
Point Of View ◽  
Islamic Period ◽  
Islamic Schools ◽  
Regional Conflicts ◽  
Long Time ◽  
History Of ◽  
The Russian Federation ◽  
The One ◽  
Early Islamic Period ◽  
Early Islamic

The problem of disintegration of the Islamic Ummah a long time ago became the one of the most important for the Islamic world and worldview. The wave of violence in the Near and Middle East sharpened some regional conflicts, which have already taken place before. The paper deals with the roots of this conflict atmosphere in the Early Islamic period. As the tradition affirms, the Prophet Muhammad predicted the Ummah to split in 73 sects. Today there exist in any case not less than 73 different Islamic schools, movements and organizations, which mutually and constantly contest their doctrinal authenticity. Moreover, the activity of quasi- Islamic extremist organisations like the ISIS, which is forbidden inside as well as outside the Russian Federation, is quite remarkable. All these factors demonstrate, that from the academic point of view it is actual to critically research the nature of fragmentation and disintegration of Islamic communities through the prism of prophetic legends. This paper is to consider as an attempt to resolve this multidimensional problem.

scholarly journals CO-MANAGEMENT SUMBERDAYA LAUT PELAJARAN DARI PENGELOLAAN MODEL CO-FISH DI KABUPATEN LOMBOK TIMUR, PROVINSI NUSA TENGGARA BARAT

2017 ◽  
Vol 3 (2) ◽  
pp. 175
Author(s):  
Ratna Indrawasih
Keyword(s):  
Resource Management ◽  
Management Model ◽  
Marine Resources ◽  
Management Approach ◽  
User Group ◽  
Community Based ◽  
Marine Resource ◽  
Resources Management ◽  
Marine Resource Management ◽  
Long Time

Secara teoritis, praktek pengelolaan sumberdaya laut secara co-management lahir sebagai kritik terhadap pengelolaan yang bersifat sentralistik, seperti yang selama ini dipraktekkan di Indonesia dan community-based management. Kedua praktek pengelolaan sumberdaya laut ini memiliki kelemahan, yang diantaranya disebabkan oleh ketiadaan sinergi antara pemerintah dengan masyarakat (user group). Praktek co-management sebagai alternatif untuk mendorong terjadinya sinergi antar semua stakeholder terkait dalam pengelolaan sumberdaya laut. Penelitian ini mencoba mempelajari penerapan Co-fish di Kabupaten Lombok Timur- Nusa Tenggara Barat, yaitu pengelolaan sumberdaya laut yang dilakukan dengan pendekatan co-management dengan melibatkan stakeholder terkait. Bagaimana mekanisme dan dampaknya terhadap masyarakat binaannya serta bagaimana kekuatan dan kelemahannya yang didasarkan pada prinsip pendekatan co-management. Penelitian ini dilakukan melalui pendekatan kualitatif. Tittle: Co-management of Marine Resource : Lesson Learnt from the Management Model of Co-Fish in Lombok Timur District, Nusa Tenggara Barat Province.Theoritically, the practice of marine resource management was created as a criticied of centralistic management wich being, that was practiced in Indonesia for a long time , and community-based management. Both of these practices of marine resource management have weaknesses, caused by the inexistance of cooperation between government and society (user group). actice of co-management is an alternative option to push a cooperation among all of related stakeholder in marine resourcemanagement. The research to study the implementation of Co-Fish in Lombok Timur District, Province of Nusa Tenggara Barat. Marine resources management was carried out by co-management approach involving related srakeholders. The mechanism and impact of the implementation of Co-fish to the society, and how the strengths and weaknesses of Co-fish based on principal of co-management approach were analsed with qualitative approach.

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