scholarly journals Visit Number

2020 ◽  
Author(s):  
Keyword(s):  
Visit Number

scholarly journals Examination of high-resolution feed intake data of grower finisher pigs confronted with typical short-term disturbances in stable routine

2020 ◽  
Vol 65 (No. 7) ◽  
pp. 258-267
Author(s):  
Peter Loibl ◽  
Wilhelm Windisch ◽  
Wolfgang Preißinger
Keyword(s):  
Feed Intake ◽  
Social Stress ◽  
Behavioural Pattern ◽  
Short Term ◽  
Feeding Patterns ◽  
Daily Feeding ◽  
Performance Results ◽  
Visit Number ◽  
Feeding Behaviours ◽  
Feeding Systems

Modern pig feeding systems allow the collection of highly detailed feeding data for each animal. These data enable the examination of individual feeding behaviours to assess an animal’s wellbeing. As such, four different treatments ‒ undisturbed control, starving (no feed for 24 h, restrictive feeding), feed change (changes in feed composition) and social stress (exchanging of animals between the pens and short-term reduction of accessible water) ‒ were designed to simulate typical short-term disturbances in a practical stable routine. Each treatment was conducted over 2 pens with 12 animals each. Zootechnical performance and feed intake behaviour measures were assessed for each animal. Treatments did not affect zootechnical performance. Results showed that short-term disturbances did not influence feed intake behaviours, such as daily feed intake, amount of intake per feeder visit, number of daily feeder visits and daily feeding action with highest feed intake. Animals developed individual feeding patterns that persisted through artificial short-term disturbances. However, data suggested that an individual animal’s behavioural pattern was strongly influenced by the group (pen) due to group dynamics among animals.

scholarly journals Randomized Controlled Crossover Dose-Response Trial Shows Low Dose (2 g) Barley β-Glucan Provided in Waffles Lowers Post-Prandial Glycaemic Response In Healthy Adults

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 615-615
Author(s):  
Heather Blewett ◽  
Nancy Ames ◽  
Jay Petkau ◽  
Sijo Joseph ◽  
Sora Ludwig
Keyword(s):  
Low Dose ◽  
Insulin Response ◽  
Healthy Adults ◽  
Least Square ◽  
Analysis Of Covariance ◽  
Glucose Response ◽  
Soluble Fibre ◽  
Randomized Controlled ◽  
Funding Sources ◽  
Visit Number

Abstract Objectives Barley β-glucan (BG) has reported post-prandial (PP) glycemic response lowering effects.  The objective of this study was to ascertain the minimum and most effective dose of BG on PP glucose and insulin response using waffles as the test food. Methods Healthy adults (7 men/17 women) completed a randomized controlled crossover trial at the Asper Research Institute in Winnipeg, MB. Each participant attended five 2.5-hour study visits separated by 3–14 days (average = 7 days). At each visit participants ate waffles containing 30 g available carbohydrates (AC) with varied doses of BG (0, 2, 4, or 6 g). Wheat waffles with low fibre and protein (0g-1) and wheat waffles matched to BG waffles for insoluble dietary fibre and protein (0g-2) were used as controls. The order of treatments was random. Fasting, 15, 30, 45, 60, 90 and 120 minute PP capillary blood samples were collected for analysis of blood glucose and plasma insulin levels. Data were analyzed using analysis of covariance with treatment, participant, visit number and interaction between treatment and visit number included in the model. Differences (P ≤ 0.05) among treatments were determined using least square means adjusted using the Tukey option. Results There was a significant effect of treatment on both glucose and insulin iAUC (P < 0.0001).  Glucose iAUC was 31–40% lower after eating 2, 4 and 6 g BG waffles compared to both 0 g waffles. Glucose iAUC was not significantly different between 0 g waffles or among BG waffles. Insulin iAUC was not significantly different between 0 g waffles. Insulin iAUC was 32% lower after eating 2 g BG compared to 0g-1, but not significantly different from 0g-2 waffles. Insulin iAUC was 36–58% lower after eating 4 and 6 g BG compared to both 0 g waffles, and 38% lower after eating 6 g BG compared to 2 g BG waffles. Conclusions The low dose (2 g BG per 30 g AC) provided a physiological benefit (reduction in PP glucose response >20%).  Increasing dose to 4 or 6 g BG did not provide additional glucose lowering benefits, but insulin response decreased as BG dose increased.  Lack of difference in glucose and insulin iAUC between the two 0 g control waffles (insoluble fibre 1 g vs 8 g; soluble fibre 0 g), but higher PP glycemic responses than BG waffles emphasizes that the type of fibre is key to PP glycemic responses. Funding Sources Agriculture and Agri-Food Canada.

scholarly journals Patients with primary sclerosing cholangitis require more sedation during endoscopic retrograde cholangiography

2017 ◽  
Vol 05 (04) ◽  
pp. E315-E320 ◽  
Author(s):  
Carsten Keil ◽  
Lukas Aguirre Dávila ◽  
Theodor Framke ◽  
Henrike Lenzen ◽  
Michael Manns ◽  
...  
Keyword(s):  
Primary Sclerosing Cholangitis ◽  
Sclerosing Cholangitis ◽  
Conscious Sedation ◽  
Endoscopic Retrograde Cholangiography ◽  
Endoscopic Retrograde ◽  
Younger Age ◽  
Patient Groups ◽  
Multivariable Analyses ◽  
Higher Doses ◽  
Visit Number

Abstract Background and study aims Patients with primary sclerosing cholangitis (PSC) require repeated endoscopic retrograde cholangiography (ERC). Our aim was to evaluate whether patients with PSC require higher doses of sedation during ERC. Patients and methods We retrospectively analyzed all patients undergoing ERC from 2006 to 2013 who received conscious sedation with propofol and midazolam. The duration of the intervention and a potential progression of propofol consumption or intervention time by visit number were analyzed. Univariable and multivariable analyses were performed to identify independent factors which influence propofol consumption. Results A total of 2962 ERC procedures were performed in 1211 patients. Patients with PSC (n = 157) underwent 461 ERC procedures whereas patients without PSC (n = 1054) had 2501 ERC examinations. The total median propofol dose was 450 mg (290 – 630 mg) for patients with PSC and 300 mg (200 – 450 mg) for the non-PSC group (P < 0.05). The propofol consumption in patients with PSC was increased by a factor of 1.24 (P = 0.0071) independent of intervention time. Younger age (< 60.8 years) and duration of the intervention were associated with a higher need for sedation by factors of 1.21 and 1.71, respectively (P < 0.0001). The robustness of the results was tested in a sensitivity analysis which confirmed the results (P < 0.0001). Conclusions Patients with PSC may require higher doses of sedation for ERC compared to other patient groups independent of age and duration of ERC. The higher dosage of sedation has to be taken into account when using ERC to treat a patient with PSC.

scholarly journals Analisis Kebijakan Regionalisasi Rujukan terhadap Jumlah Kunjungan dan Kepuasan Peserta Jaminan Kesehatan Nasional

2018 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Amirul Mustofa dkk
Keyword(s):  
Secondary Data ◽  
Cross Sectional Study ◽  
Research Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Approach ◽  
Before And After ◽  
The Difference ◽  
Research Type ◽  
Visit Number

This research was conducted to know the difference of visit number and satisfaction level before and after referral regionalization policy. The research type is quantitative with cross sectional study approach. This study uses secondary data of JKN participants at the Hospital Bantul District. Data analysis using paired t-test paired test and analysis of variance (Anova). Based on the test of normality's output that visit data and satisfaction are normally distributed. The research data was taken in seven hospitals because it has complete data about JKN participants' satisfaction data in Advanced Health Facility Advanced Facility (FKRTL) before and after the policy was enacted.

scholarly journals Hubungan Brand Equity (Brand Awarenees, Brand Associations, Perceived Quality) dengan Keputusan Pemanfaatan Klinik Laktasi di Rumah Sakit Muhammadiyah Lamongan

2018 ◽  
Vol 3 (1) ◽  
pp. 49
Author(s):  
Fajar Ni’Syinta Armadani ◽  
Supriyadi Supriyadi ◽  
Nurnaningsih Herya Ulfah
Keyword(s):  
Health Services ◽  
Brand Equity ◽  
Perceived Quality ◽  
Brand Awareness ◽  
Coefficient Of Determination ◽  
Brand Associations ◽  
Quantitative Design ◽  
Relationship Of ◽  
The Relationship ◽  
Visit Number

Abstrack: The visit number of patient at the lactation clinic of Muhammadiyah Lamongan Hospital tends to be small and decreases every year. A decrease in the visit number of patient may indicate that the utilization of health services is lacking. In utilizing health services, consumers are influenced by several considerations. One of affects consumer considerations is brand equity (brand awareness, brand associations, and perceived quality). This study aims to determine the relationship of brand equity (brand awareness, brand associations, and perceived quality) with the decision of lactation clinic utilization at Muhammadiyah Lamongan Hospital. This research used correlational quantitative design to know the relationship between brand awareness (X1), Brand Associations (X2), perceived quality (X3), with decision of utilization of lactation clinic at Muhammadiyah Lamongan Hospital (Y). The population in this research was all patient who used lactation clinic at Muhammadiyah Lamongan Hospital and the sample were 32 patients, who visited the lactation clinic at Muhammadiyah Lamongan Hospital during April until May 2017. Technique of collecting data used questionnaire. Data analysis was correlation test, multiple linear regression test. Based on the results of the analysis, this study shows that there is a significant relationship simultaneously between brand awareness, brand associations, and perceived quality with the decision of utilization of lactation clinic at Muhammadiya Lamongan Hospital. Based on the result of coefficient of determination (R2) of 0.569 which means that Brand Awareness (X1), Brand Associations (X2), Perceived Quality (X3) have contribution equal to 56.9% to decision of utilization to laktasi clinic at Muhammadiyah Hospital Lamongan (Y).Keywords:Brand Awareness, Brand Associations, Perceived Quality, Utilization of Health Care Service.Abstrak: Jumlah kunjungan pasien di klinik laktasi Rumah Sakit Muhammadiyah Lamongan cenderung sedikit dan mengalami penurunan setiap tahun. Penurunan jumlah kunjungan pasien dapat menunjukkan bahwa pemanfaatan pelayanan kesehatan yang kurang.Dalam memanfaatkan pelayanan kesehatan,konsumen dipengaruhi oleh beberapa pertimbangan, salah satu yang mempengaruhi pertimbangan konsumen ialah Brand Equity.Penelitian ini dilaksanakan dengan tujuan untuk mencari hubungan antara Brand Awareness, Brand Associations, dan Perceived Quality dengan keputusan pemanfaatan klinik laktasi di Rumah Sakit Muhammadiyah Lamongan. Rancangan penelitian ini adalah kuantitatif korelasional dengan sampel sebanyak 32 orang. Teknik pengumpulan data menggunakan kuesioner. Analisis data menggunakan uji korelasi pearson dan uji regresi linier berganda. Hasil analisis penelitian didapatkan ada hubungan yang signifikan antara Brand awareness, Brand asssociations, Perceived quality secara bersama-sama dengan keputusan pemanfaatan klinik laktasi di Rumah Sakit Muhammadiyah. Berdasarkan hasil koefisien determinasi (R2) sebesar 0,569 yang berarti bahwa Brand Awareness (X1), Brand Associations (X2), Perceived Quality (X3) mempunyai kontribusi sebesar 56,9% terhadap keputusan pemanfaatan terhadap klinik laktasi di Rumah Sakit Muhammadiyah Lamongan (Y). Kata kunci: Brand Awareness, Brand Associations, Perceived Quality, Keputusan Pemanfaatan Pelayanan Kesehatan

Demographic, Clinical, and Psychosocial Predictors of the Reliability of Mothers' Clinical Judgments

PEDIATRICS ◽  
1991 ◽  
Vol 88 (5) ◽  
pp. 1041-1046
Author(s):  
Paul L. McCarthy ◽  
Domenic V. Cicchetti ◽  
Semi D. Sznajderman ◽  
Brian C. Forsyth ◽  
Michael A. Baron ◽  
...  
Keyword(s):  
Clinical Judgment ◽  
Intervention Group ◽  
Weighted Kappa ◽  
Acute Illness ◽  
Practice Effect ◽  
Control Group ◽  
Global Assessment Scale ◽  
Group Assignment ◽  
Multiple Variable ◽  
Visit Number

The purpose of this study was to investigate to what extent selected adverse demographic, clinical, and psychosocial data measured at the 2-week well child visit could predict poorer reliability of mothers' judgments during acute illness episodes over the next 32 months. The study was a randomized trial of the Acute Illness Observation Scales (AIOS); 369 mothers participated, 183 in the intervention group using the Acute Illness Observation Scales and 186 in the control group using a three-point global assessment scale. There were 704 acute illnesses judged simultaneously and independently by mothers and pediatricians. Standard Pearson r correlations were performed between the independent variables, taken singly and in all possible combinations, and the dependent variable, reliability of mothers' judgments as measured by weighted kappa (kw). Group assignment was entered as an independent variable. Analyses were performed separately for all first, second, and third acute illness visits to control for any "practice effect" (analysis 1). To control for consistency of observers, the first, second, and third visits of mothers with three visits were also analyzed (analysis 2). Depending on the visit number, adverse demographic, clinical, and psychosocial characteristics did correlate with poorer reliability independent of group assignment. The correlations ranged from small (analysis 1, first visit, multiple variable r2 = 4%) to large (analysis 2, second visit, multiple variable r2 = 29%). Controlling for both visit number and consistency of observers vs visit number alone (analysis 2 vs analysis 1) increased multivariate correlations to kW. The results support the untoward impact that adverse demographic, clinical, and psychosocial factors have on mothers' clinical judgment. These data may assist pediatricians in identifying parents who might benefit from more intensive teaching and support about acute illness episodes in their children.

scholarly journals Buckling down on torus fractures: has evolving evidence affected practice?

2018 ◽  
Vol 12 (2) ◽  
pp. 123-128 ◽  
Author(s):  
B. A. Williams ◽  
C. A. Alvarado ◽  
D. C. Montoya-Williams ◽  
R. C. Matthias ◽  
L. C. Blakemore
Keyword(s):  
Primary Outcome ◽  
Consecutive Series ◽  
Distal Forearm ◽  
Level Of Evidence ◽  
Minimalist Approach ◽  
Usage Patterns ◽  
Clinically Significant ◽  
Encounter Time ◽  
Visit Number

Purpose The purpose of this study was to evaluate the management of paediatric torus fractures of the distal forearm in current practice in light of growing evidence supporting a ‘minimalist’ approach with splint immobilization and limited follow-up. We hypothesized that ‘traditional’ cast-based management has persisted despite alternative evidence. Methods A retrospective review was performed of a consecutive series of paediatric patients diagnosed with torus fractures of the distal forearm between 2011 and 2014. Records were reviewed to abstract the type of immobilization (splint versus cast) prescribed at each visit, number of radiographic exams, duration of immobilization, number of clinical visits and complications. The primary outcome was the proportion of patients exclusively managed in splints. Injuries were grouped based on treatment into a cast group (CG) and a splint group (SG) for statistical analyses. Additionally, injuries were grouped by epoch of time to determine if immobilization usage patterns evolved. Results A total of 240 forty injuries met criteria for inclusion. Of these, 16 (6.7%) were exclusively splinted (SG). Relative to the CG, the SG had fewer clinical visits (p < 0.001), fewer radiographic exams (p < 0.001) and a shorter total encounter time (p = 0.015). No change in immobilization use occurred over the study period. In all, 21 (9.4%) of the CG experienced complications. No clinically significant displacements occurred in either group. Conclusion Cast utilization and frequent radiographic follow-up remain prevalent at our institution in the management of paediatric torus fractures. Splint-only management was associated with fewer clinical visits, fewer radiographic exams and a shorter total encounter time. Level of Evidence Level III Therapeutic retrospective cohort study

scholarly journals Forest fires and their causes in the Czech Republic (1992–2004)

2013 ◽  
Vol 59 (No. 2) ◽  
pp. 41-53 ◽  
Author(s):  
E. Kula ◽  
Z. Jankovská
Keyword(s):  
Czech Republic ◽  
Forest Fires ◽  
Climatic Conditions ◽  
Limiting Factor ◽  
Burnt Area ◽  
The Czech Republic ◽  
Dominant Position ◽  
Railway Operation ◽  
Visit Number ◽  
Fire Origin

Forest fires under conditions of the Czech Republic are evaluated from the aspect of their frequency of occurrence in 1992&ndash;2004 at a level of particular years, seasons, days and daytime, and causes of their origin. They are confronted with a situation in the CR in 1974&ndash;1983. Effects of climatic conditions are a limiting factor not only for the frequency of their origin but also for the size of the burnt area. Spring (April) and summer (August) culminations were balanced. The burnt area of the best part of forest fires (88.9%) was &lt; 1 ha. The increased frequency of forest fires was noted in afternoon hours and during weekends. Areas threatened by fires are characterized by the increased visit number. In the spectrum of causes, a dominant position is taken up by fire raising, smoking and management in the forest.&nbsp; Railway operation and lightning represent minority causes of the origin of forest fires. In the course of the year, the structure of forest fire origin changes depending on activities in the forest and visit number. &nbsp;

The Impact of Employee Behaviour on Customers' Service Quality Perceptions and Overall Satisfaction

2008 ◽  
Vol 8 (4) ◽  
pp. 309-323 ◽  
Author(s):  
Hanan Saad Kattara ◽  
Dina Weheba ◽  
Osman Ahmed El-Said
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Relevant Literature ◽  
Quality Perceptions ◽  
Number Of Visits ◽  
Highly Correlated ◽  
The Impact ◽  
The Relationship ◽  
Visit Number ◽  
Practical Implications

The present study is an attempt to investigate the relationship between employees' positive and negative behaviours, customers' perception of service quality and overall customer satisfaction. Results of the current study revealed that all employees' behaviours, either negative or positive, are highly correlated to the customers' overall satisfaction. The study traced the impact of behaviours on customers' perceptions and overall satisfaction through studying the relevant literature and by gauging opinions on the impact of employees' behaviours on customers' perceptions of quality and overall satisfaction. Findings in this context confirmed the correlation between these variables and their consecutive and exchanging effect. It was also concluded that employees' behaviours have great effect on overall customer satisfaction regardless of customers' gender, nationality, and purpose of visit, number of visits and length of stay. Finally, the study ends up by offering suggestions and practical implications for hotel practitioners to think strategically and implement effective tools to motivate employees towards behaving positively with customers.

scholarly journals After the first wave and beyond lockdown: long-lasting changes in emergency department visit number, characteristics, diagnoses, and hospital admissions

2021 ◽  
Author(s):  
Fulvio Morello ◽  
Paolo Bima ◽  
Enrico Ferreri ◽  
Michela Chiarlo ◽  
Paolo Balzaretti ◽  
...  
Keyword(s):  
Emergency Department ◽  
Respiratory Diseases ◽  
Pediatric Patients ◽  
Hospital Admissions ◽  
Cross Sectional Study ◽  
Rapid Reduction ◽  
Cross Sectional ◽  
Italian City ◽  
Ed Visits ◽  
Visit Number

AbstractThe first wave (FW) of COVID-19 led to a rapid reduction in total emergency department (ED) visits and hospital admissions for other diseases. Whether this represented a transient “lockdown and fear” phenomenon, or a more persisting trend, is unknown. We divided acute from post-wave changes in ED flows, diagnoses, and hospital admissions, in an Italian city experiencing a FW peak followed by nadir. This multicenter, retrospective, cross-sectional study involved five general EDs of a large Italian city (January–August 2020). Percent changes were calculated versus 2019, using four 14-day periods (FW peak, early/mid/late post-wave). ED visits were 147,446 in 2020, versus 214,868 in 2019. During the FW peak, visits were reduced by 66.4% (P < 0.001). The drop was maximum during daytime (69.8%) and for pediatric patients (89.4%). Critical triage codes were unchanged. Reductions were found for all non-COVID-19 diagnoses. Non-COVID-19 hospital admissions were reduced by 39.5% (P < 0.001), involving all conditions except hematologic, metabolic/endocrine, respiratory diseases, and traumas. In the early, mid, and late post-wave periods, visits were reduced by 25.4%, 25.3% and 23.5% (all P < 0.001) respectively. In the late period, reduction was greater for female (27.9%) and pediatric patients (44.6%). Most critical triage codes were unchanged. Oncological, metabolic/endocrine, and hematological diagnoses were unchanged, while other diagnoses had persistent reductions. Non-COVID-19 hospital admissions were reduced by 12.8% (P = 0.001), 6.3% (P = 0.1) and 12.2% (P = 0.001), respectively. Reductions in ED flows, led by non-critical codes, persisted throughout the summer nadir of COVID-19. Hospital admissions for non-COVID-19 diseases had transient changes.

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