Acute wards: problems and solutions

2003 ◽  
Vol 27 (3) ◽  
pp. 108-111 ◽  
Author(s):  
Susannah Rix ◽  
Geoff Shepherd

Aims and MethodTo develop an evidence-based approach that supports the improvement of front-line delivery of adult acute in-patient services. Key factors of effective organisational change were identified from the literature. These were adopted as part of an ‘evidence-based service development’ programme. This approach was used by the Health Advisory Service in a project with an NHS Trust in south east England.ResultsSignificant progress was made in improving the quality of local acute in-patient services.Clinical ImplicationsFurther development and evaluation of this approach should be undertaken, since it seems to offer significant opportunities to deliver real improvements in the quality of services.

2003 ◽  
Vol 27 (03) ◽  
pp. 108-111
Author(s):  
Susannah Rix ◽  
Geoff Shepherd

Aims and Method To develop an evidence-based approach that supports the improvement of front-line delivery of adult acute in-patient services. Key factors of effective organisational change were identified from the literature. These were adopted as part of an ‘evidence-based service development’ programme. This approach was used by the Health Advisory Service in a project with an NHS Trust in south east England. Results Significant progress was made in improving the quality of local acute in-patient services. Clinical Implications Further development and evaluation of this approach should be undertaken, since it seems to offer significant opportunities to deliver real improvements in the quality of services.


2009 ◽  
Vol 8 (2) ◽  
pp. 105-110 ◽  
Author(s):  
Julie Davies ◽  
Christine Rawlings

AbstractIn the UK, radiotherapy research is being conducted at national and international levels which include multi-centre clinical trials. Local initiatives and trials are also ongoing where work is being performed to develop techniques or protocols for new technologies and service development. Active participation within these studies is now leading to a culture change with radiographers (radiation therapists) becoming an integral part of the research process. There are currently 70 radiographers in the UK participating in research. This accounts for 2.5% of the UK profession. With the extension of role diversification, research radiographers are undertaking many new roles; however, there is still scope for further development. The therapists’ role in working within this research environment is to ensure improved standards of care focussed on evidence-based practice.


2016 ◽  
Vol 848 ◽  
pp. 56-59
Author(s):  
Duongruitai Nicomrat ◽  
Parinya Somkid ◽  
Kitti Chuaiwan

At present, charcoal briquette fuel, a source of heat energy and mostly made from agricultural waste materials, are popular in the markets because of their high constant heat output. It helps reduce pollution, and produce no sparks while burning, but varied due to different types of materials, burning protocols, temperature, and pressure used. In this study, the research team have studied the characteristics of high quality fuel briquettes for possible further development of standard indicators of briquette fuel production process. In the study, key factors of the Charcoal fuel features composed of high qualities of physical characteristics and electrical induction. Activated carbon and coconut shell charcoal types were showed to be great materials. The production process involved aerobic burning at 800-900oC for at least 3 hours, grinding and mixing with starch binder. The briquettes’ electrical conductivity was especially lower than 10 kΩ. High heat production was obtained at least 6000 Cal/g while ground charcoal possessed with the sizes were varied. Under microscopy, the charcoal particle sizes were in a range of 50-100 μm for 30-50% (w/w), size of 10-50 μm for 20-40% (w/w) and distinctive numbers of holes greater than 300 μ to 1 mm were rarely observed. Therefore, with key characteristics of charcoal briquette fuel, it could be further applied for development the indicator as well as instruments to measure the quality of the briquette.


2014 ◽  
Vol 4 (5) ◽  
pp. 467-480 ◽  
Author(s):  
Bryn E. Schiele ◽  
Mark D. Weist ◽  
Eric A. Youngstrom ◽  
Sharon H. Stephan ◽  
Nancy A. Lever

Author(s):  
Sri Hardiyanti

In modern times, barbershop aka men's shaving places is the main choice of modern men to style their hair. The results showed that the popularity of Barbershop itself is due to the trend of the haircut, the classic hairdo. Classic hairstyle trends are also supported by the media which has a positive impact on popularity, hair fashion as a priority, knowledge about fashion is getting better, pomade trends. In general, customers want to get the best quality of services provided.Changes in customer haircuts or Barbershop customers are usually caused by changing trends or because they want to find new models that are more age-appropriate. The haircut catalog is a book that contains information on various haircut models that are made in the form of pictures and names of haircuts, where the names of haircuts are generally made in English.The problem that can occur in cutting hair is the lack of desires of the customer to the results of the hair stylist cut, it happens because the customer does not understand or do not remember the name of the desired haircut model. Crochemore Perrin's algorithm factored the right pattern so that pattern = right pattern left pattern. The matching phase of this algorithm consists of two parts, first matching the right pattern character from left to right, then matching the left pattern from right to left.Keywords: Barbershop, Android, Catalog, Crochemore Perrin


Author(s):  
Зарина Юрьевна Калоева ◽  
Ирина Хазбиевна Кучиева ◽  
Кристина Маратовна Туаева

В статье рассматриваются проблемы развития гостиничного сервиса в Российской Федерации. Актуализируются вопросы, связанные с сертификацией гостиничных предприятий, совершенствования сервиса, повышения качества услуг гостеприимства. Особое внимание уделено более активному внедрению в сервисные услуги гостеприимства применение современных технологий. The article deals with the problems of hotel service development in the Russian Federation. Issues related to certification of hotel companies, improvement of service, and improvement of the quality of hospitality services are being updated. Special attention is paid to more active implementation of modern technologies in hospitality services.


2020 ◽  
Vol 17 (11) ◽  
pp. 1048-1059
Author(s):  
Hayun Choi ◽  
Soyoung Youn ◽  
Yoo Hyun Um ◽  
Tae Won Kim ◽  
Gawon Ju ◽  
...  

Objective We aim to present a clinical guideline for the diagnosis and treatment of insomnia in adults by reviewing and integrating existing clinical guidelines. The purpose of this guideline is to assist clinicians who perform evidence-based insomnia treatment.Methods We selected literature that may be appropriate for use in guideline development from evidence-based practice guidelines that have been issued by an academic or governmental institution within the last five years. The core question of this guideline was made in sentence form including Patient/Problem, Intervention, Comparison, Outcome (PICO) elements. After searching PubMed, EMBASE, and medical guideline issuing agencies, three guidelines were judged to be the most appropriately reviewed, up-to-date, and from trusted sources.Results The Appraisal of Guidelines for Research and Evaluation (AGREE) II tool was used to evaluate the quality of the three clinical guidelines. The final outcome of the guideline development process is a total of 15 recommendations that report the strength of the recommendation, the quality of evidence, a summary of content, and considerations in applying the recommendation.Conclusion It is vital for clinical guidelines for insomnia to be developed and continually updated in order to provide more accurate evidence-based treatments to patients.


Economies ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 148
Author(s):  
Joanna Zielińska-Szczepkowska

Tourism is one of the fastest-growing industries in Europe, with growth mostly centered in major cities and urban locations. Nevertheless, remote destinations can also offer tranquility and accessibility, as well as both unexploited and unknown development potential for active senior travelers. The purpose of this paper is to analyze, on the basis of information gathered from 1705 questionnaires, senior touristic behavior, including motivations and decision-making issues for senior travelers in 11 remote regions of nine European countries (Finland, Latvia, Poland, Slovakia, Hungary, Bulgaria, Spain, Ireland, and Greece). A mixed-methods approach was used to fulfill the research objectives. Both interviews and the survey method were applied to generate data from senior tourists. The present study will focus on the key factors explaining senior tourists’ motivations and barriers to travel. The results of surveys conducted within the TOURAGE project indicate the significant potential of remote regions in the development of senior tourism. For senior respondents, a very important reason for going on holiday is the possibility of enjoying rest and silence. Safety, nature, historical sites, quality of services, and easy transportation connections are the top five attraction factors for seniors when choosing a destination. At the same time, according to the interviews, among the important problems negatively influencing the size of the senior tourism market in remote regions are: difficulties in reaching seniors with tourist offers, a lack of promotion of local tourist products aimed at seniors, and finally a lack of financial resources for the implementation of local projects supporting the development of senior tourism.


Nova Economia ◽  
2016 ◽  
Vol 26 (2) ◽  
pp. 369-392 ◽  
Author(s):  
Rodrigo Nobre Fernandez ◽  
◽  
André Carraro ◽  
Ronald Otto Hillbrecht ◽  
◽  
...  

Abstract: This paper presents a theoretical model in order to better understand the elaboration of Public-Private Partnership contracts. Starting from the model developed by Iossa and Martimort (2012), we consider an additional parameter that measures the sensibility of the effort made in between the stages of the project. We also delimitate the numerical range of the variable that determines the technology flexibility. In this regard, a bundling regime, under which the companies form a consortium, presents better results than when they are contracted separately. This is a consequence of the first model, in which the companies are able to internalize the externalities of the productive process. On the other hand, even though the bundling regime is more efficient, the government should seek mechanisms to monitor the quality of services.


Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 8
Author(s):  
Julia Zahn ◽  
Stefan Wimmer ◽  
Wolfgang Rödle ◽  
Irmgard Toni ◽  
Brita Sedlmayr ◽  
...  

Background: Off-label use is frequent in paediatrics but that does not necessarily mean that the risk-benefit ratio is negative. Nevertheless, evidence-based data is essential for safe drug therapy. In Germany, there is no publicly available compendium providing transparent, evidence-based information for paediatric pharmacotherapy to date. This work describes the development of a web-based paediatric drug information system (PDIS) for Germany and its evaluation by health care professionals (HCP). Methods: Since 2012, a PDIS is being developed by the authors and is supported by the Federal Ministry of Health since 2016. Dosing recommendations were established based on systematic literature reviews and subsequent evaluation by clinical experts. The prototype was evaluated by HCP. Based on the results, the further development was concluded. Results: 92% of HCP believed that the PDIS could improve the quality of prescribing, as currently available information is deficient. Besides the license and formulations, dosing recommendations were the most relevant modules. A dosage calculator was the most wanted improvement. To facilitate sustainability of future development, a collaboration with the Dutch Kinderformularium was established. As of 2021, the database will be available to German HCP. Conclusion: The fundamentals for a German PDIS were established, and vital steps were taken towards successful continuation.


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