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Personnel selection

Sandipan Dawn, A K Bakshi, Deepa Sathian, T Palani Selvam
Neutron scatter contributions as a function of distance along the transverse axis of (241)Am-Be source were estimated by three different methods such as shadow cone, semi-empirical and Monte Carlo. The Monte Carlo-based FLUKA code was used to simulate the existing room used for the calibration of CR-39 detector as well as LB6411 doseratemeter for selected distances from (241)Am-Be source. The modified (241)Am-Be spectra at different irradiation geometries such as at different source detector distances, behind the shadow cone, at the surface of the water phantom were also evaluated using Monte Carlo calculations...
October 7, 2016: Radiation Protection Dosimetry
Paul E George, Julio Vidal, Patricia J Garcia
BACKGROUND: Peru experienced a crisis in its blood collection and supply system in the mid-2000s, as contaminated blood led to several transfusion-transmitted infections (TTI), occurring in the backdrop of extremely low voluntary donation rates and a national blood supply shortage. Thus, the Peruvian Ministry of Health (MINSA) implemented a national investigation on the safety and quality of the Peruvian blood collection/transfusion network. METHODS: Every Peruvian blood bank was evaluated by MINSA from 2007-2008...
May 2016: J Epidemiol Public Health Rev
Jaclyn Yoong, Aleece MacPhail, Gael Trytel, Prashanti Yalini Rajendram, Margaret Winbolt, Joseph E Ibrahim
Objective Limitation of Medical Treatment (LMT) forms are an essential element of end-of-life care. Decision making around LMT is complex and often involves patients with dementia. Despite the complexity, junior doctors frequently play a central role in completing LMT forms. The present study sought perspectives from a range of stakeholders (hospital clinicians, medical education personnel, legal and advocacy staff) about junior doctors' roles in completing LMT forms in general and for patients with dementia...
October 14, 2016: Australian Health Review: a Publication of the Australian Hospital Association
Matthew Doherty
Acts of targeted violence - including active shooter incidents - are typically over within 15 minutes, often before the first law enforcement personnel can respond to the scene. More than a third of active shooter incidents in the USA, for example, last less than five minutes. While this stark fact is often used, with unimpeachable validity, as the cornerstone of employee security awareness training and the need for each employee to make a quick decision on whether to run, hide or fight, it also underscores the importance of another critical priority: prevention...
2016: Journal of Business Continuity & Emergency Planning
S Jolivet, M Fines-Guyon, B Nebbad, J C Merle, D Le Pluart, C Brun-Buisson, J-W Decousser, V Cattoir
BACKGROUND: Vancomycin-resistant Enterococcus raffinosus has rarely been associated with nosocomial infection and outbreaks. AIM: To report the successful control of a nosocomial outbreak of vanA-type vancomycin-resistant E. raffinosus in a surgical intensive care unit. METHODS: The investigation of the outbreak is reported with control measures taken. Molecular typing of vancomycin-resistant E. raffinosus isolates was performed by repetitive sequence-based polymerase chain reaction (PCR)...
September 15, 2016: Journal of Hospital Infection
Gerardo Bosco, Giacomo Garetto, Alessandro Rubini, Antonio Paoli, Prachiti Dalvi, Devanand Mangar, Enrico M Camporesi
INTRODUCTION: Some patients admitted to the intensive care unit (ICU) might require repetitive hyperbaric oxygen treatment (HBOT) while receiving critical care. In such cases, the presence of a hyperbaric chamber located inside or near an ICU is preferable; however, this set-up is not always possible. In Padua, the "Associazione Tecnici IPerbarici" hyperbaric centre is a stand-alone facility outside of a hospital. Despite this, selected ICU patients receive HBOT at this facility. METHODS: We retrospectively reviewed the medical records from 2003 to 2013 of 75 consecutive, critically-ill patients, 28 of whom were initially intubated and mechanically ventilated whilst undergoing HBOT...
September 2016: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
C A Bauman, H W Barkema, J Dubuc, G P Keefe, D F Kelton
The objective of this study was to identify the key management and disease issues affecting the Canadian dairy industry. An online questionnaire (FluidSurveys, was conducted between March 1 and May 31, 2014. A total of 1,025 responses were received from across Canada of which 68% (n = 698) of respondents were dairy producers, and the remaining respondents represented veterinarians, university researchers, government personnel, and other allied industries. Participants were asked to identify their top 3 management and disease priorities from 2 lists offered...
October 5, 2016: Journal of Dairy Science
Manijeh Nourian, Farahnaz Mohammadi Shahboulaghi, Kian Nourozi Tabrizi, Maryam Rassouli, Akbar Biglarrian
BACKGROUND: Resilience is a quality that affects an individual's ability to cope with tension. The present study was conducted to determine resilience and its contributing factors in high-risk adolescents living in residential care facilities affiliated to Tehran Welfare Organization in order to help develop effective preventive measures for them. METHODS: The present descriptive study was conducted on 223 adolescents living in 15 different governmental residential care centers in 2014...
October 2016: International Journal of Community Based Nursing and Midwifery
Monika R Asnani, Kim R Quimby, Nadia R Bennett, Damian K Francis
BACKGROUND: Sickle cell disease is a group of genetic diseases which is especially prevalent in tropical and subtropical regions; however, forced migration and ongoing population movement have spread it throughout the world, with estimated birth rates reaching 0.49 per 1000 in the Americas, 0.07 per 1000 in Europe, 0.68 per 1000 in South and Southeast Asia, and 10.68 per 1000 in Africa. Life for individuals with sickle cell disease can be affected by repeated acute complications and compounded by progressive organ damage...
October 6, 2016: Cochrane Database of Systematic Reviews
Emily L Heil, Jacqueline T Bork, Sarah A Schmalzle, Michael Kleinberg, Anupama Kewalramani, Bruce L Gilliam, Ulrike K Buchwald
Background.  A large percentage of patients presenting to acute care facilities report penicillin allergies that are associated with suboptimal antibiotic therapy. Penicillin skin testing (PST) can clarify allergy histories but is often limited by access to testing. We aimed to implement an infectious diseases (ID) fellow-managed PST program and to assess the need for PST via national survey. Methods.  We conducted a prospective observational study of the implementation of an ID fellow-managed penicillin allergy skin testing service...
September 2016: Open Forum Infectious Diseases
Leonie Jacobs, Evelyne Delezie, Luc Duchateau, Klara Goethals, Frank A M Tuyttens
The pre-slaughter phase of the production process has potentially important animal welfare implications, including mortality (recorded as "Dead on Arrivals"; DOA: ). To reduce DOA%, specific risk factors need to be identified. DOA% can also be used as a first and quick screening of pre-slaughter broiler welfare under commercial conditions. The aim of the present study was to identify risk factors for DOA% in commercial broiler flocks and to find associations between DOA% and animal-based indicators of broiler welfare during the pre-slaughter phase...
October 4, 2016: Poultry Science
Barbara W Trautner, M Todd Greene, Sarah L Krein, Heidi L Wald, Sanjay Saint, Andrew J Rolle, Sara McNamara, Barbara S Edson, Lona Mody
OBJECTIVE To assess knowledge about infection prevention among nursing home personnel and identify gaps potentially addressable through a quality improvement collaborative. DESIGN Baseline knowledge assessment of catheter-associated urinary tract infection, asymptomatic bacteriuria, antimicrobial stewardship, and general infection prevention practices for healthcare-associated infections. SETTING Nursing homes across 14 states participating in the national "Agency for Healthcare Research and Quality Safety Program for Long-Term Care: Healthcare-Associated Infections/Catheter-Associated Urinary Tract Infection...
October 4, 2016: Infection Control and Hospital Epidemiology
Theresa Tawiah, Kristian Schultz Hansen, Frank Baiden, Jane Bruce, Mathilda Tivura, Rupert Delimini, Seeba Amengo-Etego, Daniel Chandramohan, Seth Owusu-Agyei, Jayne Webster
BACKGROUND: The presumptive approach of confirming malaria in health facilities leads to over-diagnosis of malaria, over use of anti-malaria drugs and the risk of drug resistance development. WHO recommends parasitological confirmation before treatment with artemisinin-based combination therapy (ACT) in all suspected malaria patients. The use of malaria rapid diagnostic tests (mRDTs) would make it possible for prescribers to diagnose malaria at point-of-care and better target the use of antimalarials...
2016: PloS One
Matthew E Gitelis, Adelaide Kaczynski, Torin Shear, Mark Deshur, Mohammad Beig, Meredith Sefa, Jonathan Silverstein, Michael Ujiki
BACKGROUND: In 2009, NorthShore University HealthSystem adapted the World Health Organization Surgical Safety Checklist (SSC) at each of its 4 hospitals. Despite evidence that SSC reduces intraoperative mistakes and increase patient safety, compliance was found to be low with the paper form. In November 2013, NorthShore integrated the SSC into the electronic health record (EHR). The aim was to increase communication between operating room (OR) personnel and to encourage best practices during the natural workflow of surgeons, anesthesiologists, and nurses...
August 16, 2016: American Journal of Surgery
Lauren Epstein, Nimalie D Stone, Lisa LaPlace, Jane Harper, Ruth Lynfield, Linn Warnke, Tory Whitten, Meghan Maloney, Richard Melchreit, Richard Rodriguez, Gail Quinlan, Cathleen Concannon, Ghinwa Dumyati, Deborah L Thompson, Nicola Thompson
OBJECTIVE To facilitate surveillance and describe the burden of healthcare-associated infection (HAI) in nursing homes (NHs), we compared the quality of resident-level data collected by NH personnel and external staff. DESIGN A 1-day point-prevalence survey SETTING AND PARTICIPANTS Overall, 9 nursing homes among 4 Centers for Disease Control and Prevention (CDC) Emerging Infection Program (EIP) sites were included in this study. METHODS NH personnel collected data on resident characteristics, clinical risk factors for HAIs, and the presence of 3 HAI screening criteria on the day of the survey...
October 3, 2016: Infection Control and Hospital Epidemiology
M W Gunathunga
BACKGROUND: Cognitive ergonomics in the work place has become a serious concern with the need to keep people happy at work while maintaining high productivity. Hence, it is worth exploring how the outcomes of lifestyle-based mind development programs can bring about happiness in workplace while keeping productivity and quality of services high. OBJECTIVE: The objective of the present work was to test a body-mind technique to improve cognitive ergonomics in a health care work setting...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Muhammad Atif, Muhammad Rehan Sarwar, Muhammad Azeem, Danial Umer, Abdul Rauf, Arslan Rasool, Muhammad Ahsan, Shane Scahill
BACKGROUND: Medicines are a main therapeutic intervention provided within hospitals and their proper use in the outpatient setting is important for patients and the community. The objective of this study was to evaluate drug use patterns in the outpatient departments (OPDs) of two tertiary care hospitals (Bahawal Victoria Hospital and Civil Hospital) in the Bahawalpur district of the Punjab province of Pakistan by employing the standard World Health Organization/International Network of Rational Use of Drugs (WHO/INRUD) drug use indicators...
2016: Journal of Pharmaceutical Policy and Practice
Silvia Minozzi, Rosella Saulle, Franco De Crescenzo, Laura Amato
BACKGROUND: Psychostimulant misuse is a continuously growing medical and social burden. There is no evidence proving the efficacy of pharmacotherapy. Psychosocial interventions could be a valid approach to help patients in reducing or ceasing drug consumption. OBJECTIVES: To assess the effects of psychosocial interventions for psychostimulant misuse in adults. SEARCH METHODS: We searched the Cochrane Drugs and Alcohol Group Specialised Register (via CRSLive); Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; EMBASE; CINAHL; Web of Science and PsycINFO, from inception to November 2015...
September 29, 2016: Cochrane Database of Systematic Reviews
Y Lu, M Zhang
Objective: To study the applicability, the high frequency used content, the feasibility, and issues needed to be solved of the standard of GBZ 1-2010, aiming to provide technical evidence for the revision of GBZ1. Methods: In the study, the data were collected by referring to the literature database and the questionnaire from June 2013 to June 2015. There were 2 surveys carried out in the study, with methods including questionnaire survey and specific interview. The investigation methods include the paper version of the questionnaire by mail, the electronic version of the questionnaire by e-mail, and the online survey...
August 20, 2016: Chinese Journal of Industrial Hygiene and Occupational Diseases
Cliodhna Sargent, Sean Lacey, Cormac Gebruers, Jim O'Mahony
BACKGROUND: A lack of research currently exists in relation to the current physical fitness testing system that is used within the Irish Naval Service, not only in relation to the tests that are used but also in relation to the scores that should be achieved in order to pass the test. As such the aim of this study was to select tests for various components of physical fitness and create a scoring system that could be used to assess individuals more comprehensively. MATERIALS AND METHODS: Seventy-five individuals took part in the study (71 males, 4 females)...
2016: International Maritime Health
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