Hospitals current

Hospitals currently face a choice between factoring and securitization techniques. Health care receivables are a large and relatively untapped source of assets which hospitals can use to meet their financing needs. Which is more efficient— factoring or securitizing these receivables ... 

For this study, we analyzed all records of injirry acciderrts from the natiortal Austrian accident database, where cyclists were involved. The data covers the years 2002 until 2011 since data for 2012 was not available at the time of writing. While studies [ELV 99, LAN 03] recommend the use of hospital data for safety assessments, police data for accidents was used in this study since hospital data is not available for analysis in Austria. While accident insurance providers do collect data from hospitals, current data privacy laws do not allow for a consolidation of accident data from police and hospital sources. For the city of Vienna, the resulting dataset contains a total of 6,287 accidents. The database consists of several tables which describe the accidents. The accident table contains information about the location of the accident, the weather conditions, as well as the date and type of the accident. The participants table contains information about the participants such as age, degree of injury and type of vehicle. Table 10.4 shows the trends of the yearly nnmber of accidents. Fignre 10.1 presents a comparison of the trends of accident counts and bicycle counts based on the initial values for 2002. In the analysis time frame between 2002 and 2011, the data show no correlation between trends of accident counts and bicycle counts (R = 0.03). This suggests the validity of the concept of safety in numbers , which states, that an increase in the modal share of bicycles leads to a decrease in the number of accidents per cycled kilometer. 

Kiesler, C. A. (1993). Mental health policy and mental hospitalization. Current Directions in Psycho-logical Science, 2, 93-95. 

The current cost per dose of tPA (about 1,000) has already emerged as an important barrier to its widespread use in hospitals and clinics. Continued research in chemical engineering will be crucial to finding more economical processes for the production of this breakthrough therapeutic. 

Bacterial resistance to antibiotics has been recognized since the first drugs were introduced for clinical use. The sulphonamides were introduced in 1935 and approximately 10 years later 20% of clinical isolates of Neisseria gonorrhoeae had become resistant. Similar increases in sulphonamide resistance were found in streptococci, coliforms and other bacteria. Penicillin was first used in 1941, when less than 1 % of Staphylococcus aureus strains were resistant to its action. By 1947,3 8% of hospital strains had acquired resistance and currently over 90% of Staph, aureus isolates are resistant to penicillin. Increasing resistance to antibiotics is a consequence of selective pressure, but the actual incidence of resistance varies between different bacterial species. For example, ampicillin resistance inEscherichia coli, presumably under similar selective pressure as Staph, aureus with penicillin, has remained at a level of 30-40% for mai years with a slow rate of increase. Streptococcus pyogenes, another major pathogen, has remained susceptible to penicillin since its introduction, with no reports of resistance in the scientific literature. Equally, it is well recognized that certain bacteria are unaffected by specific antibiotics. In other words, these bacteria have always been antibiotic-resistant. 

A detailed clinical history, past medical and surgical history, medications, allergies, laboratory work-up, physical examination, and NIHSS should be obtained as quickly as possible for assessment of inclusion and exclusion criteria for lAT. Table 4.1 lists the criteria for catheter-based reperfusion therapy currently in place at the Massachusetts General Hospital (Table 4.1 see also www.acutestroke.com for updated criteria). 

TABLE 4.1 Criteria for Catheter-based Reperfnsion Therapy Currently in Place at the Massachusetts General Hospital. 

CURRENT BARRIERS IN ACUTE STROKE CARE Pre-Hospital Delays... 

Perform a brief medical history to determine the time of symptom onset, symptom severity, symptom severity in relation to previous exacerbations, current medications, previous emergency department visits or hospitalizations due to asthma, previous history of respiratory failure, and psychiatric or psychological disorders. 

Pressures sores, also known as decubitous ulcers or bedsores, affect 1.5 to 3 million Americans annually.35 The cost of healing pressure sores can be substantial, with current estimates ranging from 2000 to 70,000 per wound.35 Although the prevalence of pressure sores is highest in long-term care facilities, 57% to 60% of new pressure sores actually develop in the hospital, most commonly in intensive-care and orthopedic patients. Elderly patients and those with spinal cord injuries are most at risk36... 

Febrile neutropenia is a common adverse effect of the administration of cytotoxic chemotherapy. The mortality rate owing to infectious complications currently remains between 5% and 10% therefore, febrile neutropenia is considered a true oncologic emergency. Patients frequently require hospitalization for prompt administration of broad-spectrum antibiotics that are critical to avoid morbidity and mortality. 

In 1981, Lawson et al.,87 for example, compared a group of 210 women hospitalized for fibrocystic disease with 241 women who had breast cancer and were drawn from two ongoing studies in different countries. They matched each case to three female control patients on age, current smoking habits, country, and study. Recent coffee and tea consumption in cases and controls were compared and were shown to have a modest positive association with hot beverage consumption for both fibrocystic disease and breast cancer, but there was no dose-response relationship. The risk of fibrocystic disease associated with heavy consumption of hot beverages (7+ cups per day) vs. none was elevated but not statistically significant. 

Extemporaneous production of pediatric dosage forms is commonly undertaken in hospitals. Without the sophisticated formulation capabilities of pharmaceutical manufacturers, alcohol-based vehicles have been recommended for extemporaneous preparation of liquid dosage forms [73]. There is a critical need to conduct research studies to assist the pharmacist in replacing current formulations with stable, alcohol-free preparations [74]. 

Current estimates suggest that there are around 30,000 alcohol-related deaths a year in the UK. The NHS (National Health Service) spends over 164m a year treating alcohol-related conditions, and one in four male hospital beds is occupied by someone with an alcohol-related illness. Alcohol adversely aflfects numerous aspects of health, even in those who are only moderate drinkers. However, the effects of high volumes over long periods are certainly the most serious and life-threatening. Alcohol passes through the stomach and small intestine and is then absorbed into the blood stream from where it is metabolised by the liver (the first-pass effect Chapters 3 and 9). 

Massage chairs, special lifts for bathtubs, hospital beds, etc. all have electronic adjustments that can be controlled by reed sensors. In applications like these, no special voltage or current is necessary. Therefore, there is no risk of dangerous electric shock. 

---