Journal articles on the topic 'Home Department Department'

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1

Brookoff, Daniel, and Martha Minniti-Hill. "Emergency department-based home care." Annals of Emergency Medicine 23, no. 5 (May 1994): 1101–6. http://dx.doi.org/10.1016/s0196-0644(94)70110-5.

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2

Olsen, J. L., and C. D. Boyer. "420 Integrating Extension Field Faculty Into Academic Homes: The Oregon State University Experience." HortScience 34, no. 3 (June 1999): 516D—516. http://dx.doi.org/10.21273/hortsci.34.3.516d.

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In 1993, then OSU President John Byrne declared that: “All Extension Service faculty, county agents as well as specialists, will be assigned academic colleges, and will have an academic appointment in the appropriate college.” The selection of the academic home would involve a mutual agreement between the individual and the department and would take into consideration the faculty member's academic training, experience, and work assignment. The implementation of this decision was completed by July 1995. In the College of Agricultural Sciences, this assignment of faculty to academic homes was accommodated by adding county agents to the faculty of existing departments. The Dept. of Horticulture faculty numbers nearly doubled, with an increase from 34 to 58. The department head is now very involved in the annual review and salary administration of extension field faculty. Campus-based faculty are now involved in all of the hiring, promotion, and tenure decisions for extension field faculty and vice versa. Field faculty participate in departmental decision making. The change in the number and diversity of faculty in the department is a unique effort to unify programmatic focus for extension, research, and teaching at OSU. As a work in progress, many issues are being addressed including full faculty participation in the decision-making process, communication, evaluation of scholarship, and building departmental community. Successes, pitfalls, and challenges ahead will be discussed and illustrated.
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3

Dunnion, Mary E., and Billy Kelly. "From the emergency department to home." Journal of Clinical Nursing 14, no. 6 (July 2005): 776–85. http://dx.doi.org/10.1111/j.1365-2702.2005.01129.x.

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4

Gielen, Andrea C., Wendy Shields, Shannon Frattaroli, Eileen McDonald, Vanya Jones, David Bishai, Raymond O’Brocki, et al. "Enhancing Fire Department Home Visiting Programs." Journal of Burn Care & Research 34, no. 4 (2013): e250-e256. http://dx.doi.org/10.1097/bcr.0b013e3182685b3a.

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5

Ryan, Evan M., Katie R. Geelan-Hansen, Kari L. Nelson, and Jayme R. Dowdall. "Examining the Otolaryngology Match and Relationships Between Publications and Institutional Rankings." OTO Open 4, no. 2 (January 2020): 2473974X2093249. http://dx.doi.org/10.1177/2473974x20932497.

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This study examines associations among publication number, National Institutes of Health (NIH) funding rank, medical school research rank, and otolaryngology department ranks of otolaryngology applicants during the 2018-2019 match cycle. Information regarding 2018-2019 otolaryngology applicants was collected from Otomatch.com and verified via department websites. Information was also collected regarding 2018 NIH funding rank and 2020 US News & World Report research rank of medical schools and otolaryngology departments. T tests and chi-square analyses were performed. Top 40 NIH funding rank, top 40 medical school research rank, and home institution department rank were separately associated with more publications and higher rates of matching into highly reputed otolaryngology departments (all P < .01). Furthermore, applicants who matched into ranked otolaryngology departments averaged significantly more publications ( P < .01). Prospective otolaryngology applicants should take into account NIH funding rank, medical school research rank, and otolaryngology department rank, as they are associated with matching into high-ranking institutions.
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Ackermann, Richard J., Kathy A. Kemle, Robert L. Vogel, and Ralph C. Griffin. "Emergency Department Use by Nursing Home Residents." Annals of Emergency Medicine 31, no. 6 (June 1998): 749–57. http://dx.doi.org/10.1016/s0196-0644(98)70235-5.

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7

Castro, Julianna M., Mary Ann Anderson, Kathleen S. Hanson, and Lelia B. Helms. "Home care referral after emergency department discharge." Journal of Emergency Nursing 24, no. 2 (April 1998): 127–32. http://dx.doi.org/10.1016/s0099-1767(98)90014-9.

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Kennelly, S., R. Briggs, and D. O’Neill. "Emergency department attendances by nursing home residents." European Geriatric Medicine 3 (September 2012): S30. http://dx.doi.org/10.1016/j.eurger.2012.07.444.

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9

Sproles, Claudene. "United States Department of Justice home page." Government Information Quarterly 22, no. 2 (January 2005): 308–9. http://dx.doi.org/10.1016/j.giq.2004.06.001.

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10

Florio, Massimo. "Cost-Benefit Analysis and the Control of Public Expenditure: An Assessment of British Experience in the 1980s." Journal of Public Policy 10, no. 2 (April 1990): 103–31. http://dx.doi.org/10.1017/s0143814x00004785.

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ABSTRACTThis paper examines approaches to public investment appraisal as theyare currently recommended in the British Treasury and implemented byevaluation units within the Department of Health, Department of Transport and the Home Office. The evidence suggests that spending departments have reacted to the pressure for increased selectivity in their expenditures by adopting a heterogeneous blend of appraisal techniques, including financial analysis, cost-effectiveness and option appraisal, withcost-benefit analysis eventually playing a minor role. The imposition of cash limits rations capital expenditures. When these constraints bite departments differently, either a unique social discount rate for projectappraisal is inappropriate or the rations themselves are giving wrong signals to the departments The departments do not have an incentive todevote time and effort to cost benefit analysis and other techniques of a more limited scope are implemented.
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11

Bern-Klug, Mercedes, and Robin Bonifas. "The 2019 National Nursing Home Social Services Directors Study." Innovation in Aging 4, Supplement_1 (December 1, 2020): 717–18. http://dx.doi.org/10.1093/geroni/igaa057.2532.

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Abstract Psychosocial and emotional needs of nursing home (NH) residents can take the back seat to physical needs in NHs that do not employ staff with the appropriate educational and experience level to anticipate, identify and address these important issues. When present, professional licensed social workers can enhance the NH’s ability to address psychosocial issues. However, federal guidelines do not require licensed social workers in NHs, nor does it collect data that would reveal the extent to which licensed social workers are present. With financial support from the RRF Foundation for Aging the NNHSSD Study was undertaken in 2019 to build understanding of departmental staffing characteristics and involvement of the department in key activities and processes. The 924 respondents from around the country also answered questions about training needs, barriers to addressing resident needs, compensation, and job satisfaction. Findings reveal that about half of the nation’s NH social services directors have earned a bachelors or master’s degree in social work, and about half are licensed (although not all degreed social workers are licensed and not all licensed social workers have earned a social work degree). Half of all social services departments employ only one staff member, one-third have two staff members, and 9% have three staff. About 90% report enjoying their job, with over half reporting they are thriving (not just surviving) in their job. Respondents provided feedback that can be used to strengthen the role of the department and its ability to identity and address resident psychosocial needs.
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Huneidi, Sahar. "Was Balfour Policy Reversible? The Colonial Office and Palestine, 1921-23." Journal of Palestine Studies 27, no. 2 (January 1, 1998): 23–41. http://dx.doi.org/10.2307/2538282.

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This paper focuses on the role played by the Middle East Department of Britain's Colonial Office in shaping Palestine policy from early 1921 to September 1923, when the Mandate for Palestine took effect. It shows the department's efforts to neutralize the growing domestic challenges to the Jewish national home policy and highlights the contrast between the department's treatment of the successive Arab delegations and the privileged access accorded to the Zionists. It concludes that if there were times during this period that the policy could have been overturned, the efforts of the Middle East Department were largely responsible for keeping it on course.
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13

Hall, Allyson G., Jessica R. Schumacher, Babette Brumback, Jeffrey S. Harman, Barbara J. Lutz, Phyllis Hendry, and Donna Carden. "Health-related quality of life among older patients following an emergency department visit and emergency department-to-home coaching intervention: A randomized controlled trial." International Journal of Care Coordination 20, no. 4 (September 24, 2017): 162–70. http://dx.doi.org/10.1177/2053434517733263.

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Introduction Many older patients experience repeated emergency department visits and hospitalizations and inadequate links to primary care. This fragmented care can result in anxiety, uncertainty, and poor health outcomes. This study compares the impact of an emergency department-to-home coaching intervention to usual, post-emergency department care on patient-reported health-related quality of life measures: information support, anxiety, and physical function. Methods This was a randomized controlled trial. Seven hundred and forty-nine chronically ill older adults presenting to emergency departments were randomized into Intervention (emergency department-to-home coaching) or Usual Care groups. Participants completed baseline, in-person and follow-up, telephone surveys. Within- and between-group differences in health-related quality of life were assessed using unweighted linear regression and propensity-weighted difference-in-difference analyses. Three Patient Reported Outcomes Measurement System measures were assessed: social health (informational support), mental health (anxiety/emotional distress), and physical health (physical functioning). Results Usual Care participants experienced statistically significant declines in informational support in unweighted (−3.13) and weighted (−2.84) analyses not observed in the Intervention group (−0.91 and −1.45, respectively). Self-reported anxiety was lowest and physical function highest at the time of emergency department visit. Patient-reported anxiety increased and physical function declined statistically significantly in Intervention participants. Conclusion Among older emergency department patients, health-related quality of life was highest at the emergency department visit and declined following the encounter. The emergency department visit per se appears to provide needed information, and in the short term, reassurance about patients’ medical conditions. The coaching intervention blunts the fall in informational support observed after usual, post-emergency department care but may heighten patients’ anxiety and awareness of chronic health conditions.
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Hahn, Marette. "Unexpected Silver Lining of A Worldwide Pandemic: Student Workers Working From Home." Journal of Scholarly Engagement 7, no. 1 (June 30, 2024): 26–39. http://dx.doi.org/10.9743/jse.2024.7.1.3.

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In response to the COVID-19 pandemic, our university leadership charged our department to shift academic and career support for our 20,000 ground students to a virtual modality. Through 100+ student workers, our department maintained similar service levels and outcomes to pre-pandemic times while working remotely during the pandemic. This reflective practice explores four working ideas for how and why our student worker team succeeded in remote work, including: organizational culture, departmental culture, adapting an existing technology model, and training. Ultimately, all four working ideas likely contributed to our team’s success. However, it is likely an incomplete picture of what truly influenced our team’s success working remotely for 18 months.
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Qazi, Mahvish, Najmus Saqib, and Sachin Gupta. "Overcrowding and possible solutions for a busy gynecological emergency department: a hospital-based setting." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 4 (March 26, 2019): 1451. http://dx.doi.org/10.18203/2320-1770.ijrcog20191198.

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Background: The objective of this study is to determine the trends of patients presenting in Obstetrics and Gynecology emergency department and to identify possible solutions.Methods: This retrospective hospital record-based study was conducted at Government Medical College Jammu, Jammu and Kashmir, India from the department of Gynecology and Obstetrics and comprised data of all patients presenting to the emergency department between 1st January 2018 to 31st December 2018. Patients were assessed in terms of demographic features, presenting complaints, admission types (urgent, non-urgent), referral from other hospitals or coming from home. The total number of patients admitted and the number of patients sent home was also recorded.Results: A total of 1,46,366 patients were analyzed retrospectively. Out of which 63,004 (43.05%) were send home from the OPD while 83,362 (56.95%) presented to the emergency department. Of them, 49,383 (59.24%) were discharged straight away from the ED after emergency treatment and care while 339,79 (40.76%) were admitted. Out of 339,79 patients, 24,932 (73.37%) stayed in the emergency whereas 9047 (26.63%) admitted into different wards for elective procedures. Majority of the patients 26,098 (89.92%) came from home and 2927 patients (10.08%) were referred from other hospitals. Labour pains 7833 (31.42%) was the most common presentation. Trauma was the reason for admission in 112 (0.45%) patients out of 29025. 971 (3.89%) patients presented with gynecological problems. 4093 (14.10%) patients presented with non-urgent indications. Rest of all patients presented with indications which were categorized as urgent and were admitted. All data was analysed using SPSS version 20.Conclusions: To reduce the overcrowding in the emergency department and improve quality of obstetrics and gynecological services, Inpatients and Outpatient departments at primary and secondary care levels need to be strengthened. Patients with non-urgent problems should be provided adequate care at primary and secondary health care centers.
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Mcmillan, Ian. "Going Home? launch, Department of Health, February 10." Learning Disability Practice 7, no. 2 (March 1, 2004): 5. http://dx.doi.org/10.7748/ldp.7.2.5.s5.

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17

Matthews, Lorraine E. "Computer Applications in the Nursing Home Dietary Department." Journal of Nutrition For the Elderly 9, no. 4 (December 21, 1990): 101–7. http://dx.doi.org/10.1300/j052v09n04_08.

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18

Nuzzo, Paula Milone. "The Emergency Department and Home Care: Strange Bedfellows." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 14, no. 6 (June 1996): 451–52. http://dx.doi.org/10.1097/00004045-199606000-00006.

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19

Rosenthal, Anna. "408-O. Home Improvement in the Emergency Department." Journal of Emergency Nursing 32, no. 3 (June 2006): 216. http://dx.doi.org/10.1016/j.jen.2005.07.032.

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20

Cleave, Karen. "The Search for Primary Care: Please Come Home all is Forgiven." Australian Journal of Primary Health 1, no. 1 (1995): 11. http://dx.doi.org/10.1071/py95003.

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The Department of Health and Community Services (H&CS) was established in October 1992 following the amalgamation of the Departments of Health, Community Services and the Office of Older Persons. The Primary Care Division was created in June 1993 and is an amalgamation of a number of front line health and welfare services from the Community Services and Health portfolios. However, a number of other Divisions have primary care functions.
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21

Can, S. Hakan, Helen M. Hendy, and D. Alper Camlibel. "Comparison of police stressors and negative psychosocial outcomes for officers in departments with and without community conflict directed toward them." Police Journal: Theory, Practice and Principles 91, no. 3 (May 30, 2017): 239–48. http://dx.doi.org/10.1177/0032258x17710892.

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The present study offers a unique comparison of workplace stressors and negative psychosocial outcomes for police officers with and without community conflict directed toward their departments, using identical measures for each sample. Participants included 233 Turkish officers from Istanbul who were presently receiving community conflict targeting their department and 207 officers from the northeastern United States who were not experiencing such community conflict. The two samples differed in age, years of police service and household size, so these variables were used as covariates in ANCOVAs that compared the two samples for four police stressors (Critical Incidents, Departmental Politics, Daily Hassles, Work-Home Conflict) and three negative psychosocial outcomes (police partner conflict, romantic partner conflict, poor self-esteem). Results revealed that the Turkish officers reported less intense stressors from Critical Incidents than did the USA officers, perhaps because the atypical stressor of community conflict directed at their department reduced concerns about more typical Critical Incidents of police work (burglaries, car accidents, barricaded suspects). The impact of this community conflict may have also been evident in the increased Work-Home Conflict, increased police partner conflict and worse self-esteem reported by the Turkish police in comparison to the USA police. A limitation of the present study is that broader cultural differences between the Turkish and USA police samples could have explained differences in their stressors and negative outcomes. Future research could compare departments with and without community conflict, but matched for nationality, size and resources. Future research could also examine whether officer concerns associated with community conflict lead to reduced job performance and decisions to leave the police force.
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Kimmell, Kristopher T., Anthony L. Petraglia, Robert Bakos, Thomas Rodenhouse, Paul K. Maurer, and Webster H. Pilcher. "The history of neurosurgery at the University of Rochester." Journal of Neurosurgery 121, no. 4 (October 2014): 989–94. http://dx.doi.org/10.3171/2014.7.jns132658.

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The Department of Neurosurgery at the University of Rochester has a long legacy of excellent patient care and innovation in the neurosciences. The department's founder, Dr. William Van Wagenen, was a direct pupil of Harvey Cushing and the first president of the Harvey Cushing Society. His successor, Dr. Frank P. Smith, was also a leader in organized neurosurgery and helped to permanently memorialize his mentor with an endowed fellowship that today is one of the most prestigious training awards in neurosurgery. The first 2 chiefs are honored every year by the department with memorial invited lectureships in their names. The department is home to a thriving multidisciplinary research program that fulfills the lifelong vision of its founder, Dr. Van Wagenen.
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While, Alison. "Emergency department visits and hospitalisation." British Journal of Community Nursing 24, no. 7 (July 2, 2019): 354. http://dx.doi.org/10.12968/bjcn.2019.24.7.354.

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Edwards, Susan. "Secretary of State for the Home Department v MB: Secretary of State for the Home Department v AF [2007] UKHL 46." Denning Law Journal 20, no. 1 (November 23, 2012): 221–38. http://dx.doi.org/10.5750/dlj.v20i1.334.

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HUMAN SACRIFICES AT THE ALTAR OF TERRORIST CONTROLJoseph K in Franz Kafka’s The Trial is arrested and put on trial, but the evidence against him is never disclosed and so he is suspended in a legal nightmare. On December 16th 2004, the House of Lords, in A and others v Secretary of State for the Home Department, ruled that indefinite detention of non-UK nationals, without charge or trial, was incompatible with Article 5 of the European Convention of Human Rights (ECHR). In A and others v Secretary of State for the Home Department (No 2), Lord Carswell said, “…no court will readily lend itself to indefinite detention without charge, let alone trial.”
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Dickman, Nomy, Basem Hijazi, Abraham O. Samson, and Lea Even. "Tutors Matter: The Relationship between Medical Students’ Satisfaction from Their Tutor and Their Overall Satisfaction from Clinical Rotations." International Medical Education 2, no. 3 (June 22, 2023): 124–30. http://dx.doi.org/10.3390/ime2030012.

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Background and Aim: Medical students are required to complete a number of clinical rotations in hospital departments, affiliated with the Azrieli Faculty of Medicine, under the supervision of a department tutor. Our experience shows that departments receiving good scores typically also receive good feedback for their tutor. Accordingly, our aim was to assess the tutor contribution to students’ overall satisfaction from clinical rotations in hospital departments across northern Israel. Methods: Here, we recorded the students’ reported satisfaction with tutors as well as the satisfaction with clinical rotations in different departments of Galilee Medical Center (GMC) in Naharia, and Baruch Padeh Medical Center in Poria. The students’ reported satisfaction was assessed numerically and verbally using questionnaires over a period of three years. Results: We find that the students reported satisfaction with a clinical rotation is positively and significantly correlated with the student satisfaction with the tutor, and less with other factors such as hospital organization and department facilities, geographical distance from home, working hours, etc. Conclusion: Our findings suggest that medical schools can increase students’ satisfaction through investment in good tutors.
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Boswell, Emma, Chelsea Richard, Elizabeth Crouch, Alexis Jones, Roddrick Dugger, and Kerry Cordan. "Home visiting programme participation among children enrolled in South Carolina Medicaid." Journal of Health Visiting 11, no. 10 (November 2, 2023): 422–33. http://dx.doi.org/10.12968/johv.2023.11.10.422.

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Home visiting programmes are known to be associated with greater well-child visit compliance, but there is mixed evidence of their association with emergency department visits. This study is the first to present model–neutral evidence of an association between home-visiting participation, well-child visits and emergency department visits. De-identified, propensity-score matched claims data from South Carolina Medicaid in the US was employed to evaluate healthcare use. Logistic regression was used to examine the association between well-child visit compliance and home-visiting participation with differences in emergency department visits and well-child visit examined via linear regression. Well-child visit compliance varies by age, but for certain age groups, home-visiting clients are significantly more likely to meet well-child visit recommendations. On average, home-visiting clients had a significantly higher number of emergency department visits. It is concluded that policy makers and programme developers may use this information to improve well-child visit adherence among home-visiting clients.
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Isaacs, Stephen. "Consulting to a medium-term residential childrens' home: A proposed model." Bulletin of the Royal College of Psychiatrists 12, no. 9 (September 1988): 366–67. http://dx.doi.org/10.1192/s0140078900021611.

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There is a trend for new consultant posts in child psychiatry to be linked to Social Services Departments. I recently took up such a post, with four of my sessions funded by the local Social Services Department. Training of child psychiatrists for such consultative posts is variable, but I was fortunate to have trained as a senior registrar at the Tavistock Clinic, where one of the training options was a link with Camden Social Services through a placement at Camden Assessment Centre.
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Kim, Min Joung, and Joon Min Park. "The Effect of Emergency Department Expansion on Emergency Department Patient Flow." Prehospital and Disaster Medicine 34, s1 (May 2019): s123—s124. http://dx.doi.org/10.1017/s1049023x19002668.

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Introduction:Overcrowding in the emergency department (ED) has been a global problem for a long time, but it is still not resolved.Aim:To determine if an ED expansion would be effective in resolving overcrowding.Methods:This was a retrospective study comparing two 10-month periods before (September 2015 to June 2016) and after (September 2017 to June 2018) the ED expansion in an urban tertiary hospital. The existing ED consisted of 45 beds in the adult area and eight beds in the pediatric area. After the construction, the number of beds was not increased, but a fast track area was newly established in the adult area, and a 25-bed ward for emergency hospitalized patients was opened.Results:The number of patients visiting the ED increased from 77,078 to 87,927. The proportion of patients who returned home without treatment significantly decreased from 11.5% to 0.9% (p<0.001). The number of adult patients increased from 40,814 to 60,720, but the number of patients who could be treated on the bed decreased (22,166 (54.3%) vs. 17,776 (29.3%), p<0.001). The number of pediatric patients was similar in both periods. Median ED length of stay (LOS) of total patients increased from 193.0 min to 205.8 min (p<0.001). Of the 18,900 hospitalized patients during post-period, 1,255 (6.64%) were admitted to the emergency ward, and the boarding (from admission decision to hospitalization) time of the admitted patients decreased from 239.2 min in the pre-period to 190.9 min in the post-period by 38.3 min. However, more time was required for admission decision in the post-period (216.8 vs. 253.3, p<0.001).Discussion:The ED expansion allowed more patients to be treated, and the emergency ward reduced boarding times of admitted patients. However, due to the increase in the number of patients, the time required for medical treatment increased.
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Kuwar, Sakshi. "IOT Based Light Automation System." INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 08, no. 05 (May 10, 2024): 1–5. http://dx.doi.org/10.55041/ijsrem33728.

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Electronic &Telecommunication (E&TC) Department of JSPM’s Bhivrabai Sawant Institute of Technology & Research (BSIOTR) Wagholi, Pune. Light System involves controlling departmental lighting using the Internet of Things (IoT), allowing for a user-friendly automation system within the department. Instead of switching light manually ON or OFF, this system uses technology for doing it automatically. It enables automatic control of electronic appliances such as fans and lights. In this paper, we have implemented the operation of lights through the Blynk Application to control departmental light automation, allowing users to turn lights ON and OFF as needed. The system primarily utilizes the Raspberry Pi module, a crucial component of our smart light system implementation. It comprises both hardware and software components. The hardware includes Raspberry Pi 3b+ and a Relay Module, while the software utilizes the Python Language to issue commands for turning the lights ON and OFF. Raspberry Pi 3b+ module keeps all electrical Department appliances connected through a single interface for complete smart home system automation. With this setup, there is no need to use the conventional switches, and hence human effort required for the system is comparatively very less. Keywords: Department Light System , Internet of Things (IoT) , User-friendly automation, Raspberry Pi module, Relay Module, Blynk Application. .
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De Baere, Geert. "N.S. v. Secretary of State for the Home Department." American Journal of International Law 106, no. 3 (July 2012): 616–24. http://dx.doi.org/10.5305/amerjintelaw.106.3.0616.

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31

Ruel, Jennifer. "Home Health Care Nursing Impacts on Emergency Department Utilization." Advanced Emergency Nursing Journal 43, no. 4 (October 2021): 324–30. http://dx.doi.org/10.1097/tme.0000000000000375.

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32

Ward, J. "Supporting home working in an outpatient MSK physiotherapy department." Physiotherapy 114 (February 2022): e35-e36. http://dx.doi.org/10.1016/j.physio.2021.12.284.

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33

Brown, Simon, and LJJ Sedley. "B v SECRETARY OF STATE FOR THE HOME DEPARTMENT." European Law Reports 4, no. 6 (November 1, 2000): 687–97. http://dx.doi.org/10.5235/elr.v4n6.687.

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34

Tupper, Judith B., Carolyn E. Gray, Karen B. Pearson, and Andrew F. Coburn. "Safety of Rural Nursing Home-to-Emergency Department Transfers." Journal for Healthcare Quality 37, no. 1 (2015): 55–65. http://dx.doi.org/10.1097/01.jhq.0000460120.68190.15.

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35

Jablonski, Rita A., Sharon W. Utz, Richard Steeves, and D. Patricia Gray. "Decisions About Transfer From Nursing Home to Emergency Department." Journal of Nursing Scholarship 39, no. 3 (September 2007): 266–72. http://dx.doi.org/10.1111/j.1547-5069.2007.00179.x.

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36

Muder, Robert R., Richard V. Aghababian, Mark B. Loeb, Jerald A. Solot, and Martin Higbee. "Nursing home-acquired pneumonia: an emergency department treatment algorithm." Current Medical Research and Opinion 20, no. 8 (July 6, 2004): 1309–20. http://dx.doi.org/10.1185/030079904125004376.

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37

McDonald, E., S. Frattaroli, W. Shields, and A. Gielen. "ENHANCING FIRE DEPARTMENT HOME VISITS THROUGH IMPROVED PROGRAM MONITORING." Injury Prevention 18, Suppl 1 (October 2012): A25.4—A26. http://dx.doi.org/10.1136/injuryprev-2012-040580a.07.

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38

Pereira, Rui, Sara Oliveira, and André Almeida. "Nursing home-acquired pneumonia presenting at the emergency department." Internal and Emergency Medicine 11, no. 7 (March 7, 2016): 999–1004. http://dx.doi.org/10.1007/s11739-016-1412-z.

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Sklar, David P., Cameron S. Crandall, Eric Loeliger, Kathleen Edmunds, Ian Paul, and Deborah L. Helitzer. "Unanticipated Death After Discharge Home From the Emergency Department." Annals of Emergency Medicine 49, no. 6 (June 2007): 735–45. http://dx.doi.org/10.1016/j.annemergmed.2006.11.018.

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40

Kemerink, Gerrit J., Marij J. Frantzen, Peter de Jong, and Joachim E. Wildberger. "Less radiation in a radiology department than at home." Insights into Imaging 2, no. 3 (February 15, 2011): 275–80. http://dx.doi.org/10.1007/s13244-011-0074-7.

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41

Reed, Ashley, Martyn Barnes, and Caroline Howard. "Management of non-traumatic epistaxis in adults in the emergency department." British Journal of Hospital Medicine 82, no. 6 (June 2, 2021): 1–6. http://dx.doi.org/10.12968/hmed.2021.0033.

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Background/aims Despite epistaxis being a common presentation to emergency departments there is a lack of guidelines, both nationally and internationally, for its management. The authors reviewed the current management of epistaxis and then introduced a new pathway for management to see if care could be improved. The aims were to evaluate the impact of the pathway on reduction of emergency department breaches, emergency ambulance transfers and hospital admissions. Methods The study was an interrupted time series analysis over 29 months and included 903 participants. A pathway for the management of adults with non-traumatic epistaxis was designed and implemented in a university teaching hospital with an emergency department annual attendance rate of 105 495 in 2019–20. Results The pathway led to a 14-minute longer stay in the emergency department, a 5% increase in emergency department breaches, an 8.2% reduction in admissions, a 3.6% reduction in emergency ambulance transfers, a 14.1% increase in nasal cautery and a 3.2% reduction in nasal packing. Conclusions The authors calculate that these results equate to roughly 56 hospital bed days saved, providing better care closer to home for patients, in addition to beneficial knock-on effects for other emergency department and admitted patients.
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Nokele, Sonayena Kenneth. "An Empirical Study of the Uptake of Electronic Government Services by the Limpopo Department of Home Affairs." Advances in Politics and Economics 7, no. 1 (February 22, 2024): p32. http://dx.doi.org/10.22158/ape.v7n1p32.

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Technology adoption models play an important role in understanding the different factors affecting the adoption and use of new technology. The development of well-informed e-Government strategies is the first stepping stone in the right direction for the successful implementation and successful use of e-Government. This paper investigated from the officials; perspective factors that affect the uptake of e-government services provided by the Limpopo departments of Home Affairs. Using a qualitative research approach whereby three different Department of Home Affairs’ service Centres namely Polokwane, Waterberg, and Sekhukhune in Limpopo province were used as case studies, the study conducted semi-structured interviews with nine (9) officials comprised of management, ICT department, and street-level officials to identify and understand better the factors affecting uptake of e-government in the DHA. The study found that lake of skills and access to e-government programmes were at the top of the list of challenges faced at the Centres. Therefore, the study recommended amendments to the ICT policy of the department so that it accommodates different languages spoken in societies particularly the eleven official languages currently spoken in South Africa. This article further recommends several solutions that can enhance the uptake of e-government in the DHA.
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Ohta, Ryuichi, Yoshinori Ryu, and Chiaki Sano. "Effects of Implementation of Infection Control Measures against COVID-19 on the Condition of Japanese Rural Nursing Homes." International Journal of Environmental Research and Public Health 18, no. 11 (May 28, 2021): 5805. http://dx.doi.org/10.3390/ijerph18115805.

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This study aimed to clarify the effect of coronavirus disease (hereafter, COVID-19) control on patients’ health conditions and staff’s working conditions in rural nursing homes. An interventional study including all staff and patients in a rural nursing home was performed from 1 April 2019 to 31 March 2021. Infection control measures against COVID-19 were initiated on 1 April 2020. The primary outcome was the frequency of patients’ medical care visits to the outpatient and emergency departments. The secondary outcome was the number of days-off taken by staff. Each group (pre- and post-COVID-19 control groups) had 48 participants. The number of visits to the outpatient department reduced from the pre-COVID-19 to post-COVID-19 control period the difference in number of visits to the emergency department was not significant, due to the low statistical power. The number of days-off taken by the staff was increased from the pre-COVID-19 to post-COVID-19 control period. This is the first study investigating COVID-19 control measures in a rural nursing home. It may help reduce the number of patient visits to medical facilities without increasing the risk of emergencies. A strict health check of the staff can allow staff to take more days off in rural contexts.
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Pethe, Kalpana, Allison Baxterbeck, Susan L. Rosenthal, and Melissa S. Stockwell. "Why Parents Use the Emergency Department Despite Having a Medical Home." Clinical Pediatrics 58, no. 1 (October 26, 2018): 95–99. http://dx.doi.org/10.1177/0009922818809447.

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Despite having a medical home, pediatric patients continue emergency department (ED) utilization for various reasons. This study examines parental reasons associated with the decision to seek ED care in a group of low-income, inner-city, publicly insured children. Surveys were conducted with parents of children (age = 0-19 years) presenting to a community-based clinic, which has an established medical home model with enhanced access. Most patients (88.3%) had a pediatrician, and nearly all (93.3%) reported a visit to the ED; most (75.7%) were aware of clinic walk-in hours, but less than half (42.6%) were aware of an after-hours phone line. There was no difference in those who were aware of walk-in hours or an after-hours phone line and a reported ED visit. Half of the parents (52.5%) thought their child’s medical problem was serious. In addition to providing enhanced efforts, medical homes should strive to make families aware of increased access.
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Mowbray, Fabrice Immanuel, Komal Aryal, Eric Mercier, George Heckman, and Andrew P. Costa. "Older Emergency Department Patients: Does Baseline Care Status Matter?" Canadian Geriatrics Journal 23, no. 4 (November 23, 2020): 289–96. http://dx.doi.org/10.5770/cgj.23.421.

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Background Little is known about the prognostic differences between older emergency department (ED) patients who present with different formal support requirements in the community. We set out to describe and compare the patient profiles and patterns of health service use among three older ED cohorts: home care clients, nursing home residents and those receiving no formal support. Methods We conducted a secondary analysis of the Canadian cohort from the interRAI multinational ED study. Data were collected using interRAI ED contact assessment on patients 75 years of age and older (n = 2,274), in eight ED sites across Canada. A series of descriptive statistics were reported. Adjusted as­sociations were determined using logistic regression. Results Older adults receiving no formal support services were most stable. However, they were most likely to be hospitalized. Older home care clients were most likely to report depressive symptoms and distressed caregivers. They also had the great­est odds of frequent ED visitation post-discharge (OR=1.9; 95% CI=1.39–2.59). Older adults transferred from a nursing home were the frailest but had the lowest odds of hospital admission (OR=0.14; 95% CI=0.09–0.23). Conclusion We demonstrated the importance of inquiring about commu­nity-based formal support services and provide data to support decision-making in the ED.
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Crowe, C. "The Impact of Social Media Engagement from a Pathology Department During COVID." American Journal of Clinical Pathology 156, Supplement_1 (October 1, 2021): S163—S164. http://dx.doi.org/10.1093/ajcp/aqab191.349.

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Abstract Introduction/Objective The events of the past year brought into stark relief the importance and impact of social media and digital communications for pathology departments as managed by an intra-departmental team of communications professionals. The University of Alabama at Birmingham Department of Pathology is home to nearly 100 faculty, more than 200 staff members and close to 40 trainees. The department’s internal communications team consists of a director of communications and content coordinator, both full time employees. Prior to the COVID pandemic, the team hosted departmental Twitter and Facebook accounts. During the course of the year, we added Instagram and LinkedIn accounts, as well as a YouTube channel. These vehicles provided multiple platforms for communicating our messages, relating to COVID and promoting regular news and updates broadly, to both internal and external audiences. Methods/Case Report We created LinkedIn and Instagram accounts in July 2020, to round out our social media platforms. We use Sprout Social to manage our various accounts. Results (if a Case Study enter NA) For the timeframe of March 2020–2021 our @UABPathology Twitter account had a total of 933 published posts, and 1,022,785 total impressions, for 3,889 followers. Total engagements with the posts were 48,420, with 2,301 post link clicks. For the same timeframe, our nascent @UABPathology Instagram account earned 56,662 impressions, and 3,329 total engagements, for a 5.9% engagement rate. Most experts agree that a good engagement rate is between 1 and 5%. Conclusion Our departmental social media accounts generated high impact engagements with an audience primarily in the demographic of our target for trainee and young faculty recruits, ages 25-34, in addition to broadly disseminating our department’s ongoing news and updates during the COVID pandemic. The impact of effectively communicating through social media channels is measurable, and will continue to grow the reputation of the department as a top-tier clinical, research and educational program in the field.
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Effendi, Sandy Putra, and Elfi Tasrif. "PERANCANGAN DIGITALISASI PELAYANAN ADMINISTRASI AKADEMIK JURUSAN TEKNIK ELEKTRONIKA BERBASIS ANDROID." Voteteknika (Vocational Teknik Elektronika dan Informatika) 7, no. 2 (June 1, 2019): 132. http://dx.doi.org/10.24036/voteteknika.v7i2.104398.

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The design of this application describes how to digitize the academic administration services of the Android-based Electronics Engineering department. The purpose of designing this application is to improve aspects of departmental administrative services and provide satisfaction to students in higher education, especially the Department of Electronics Engineering, Faculty of Engineering, Padang State University. Android-designed application that uses the Java programming language and developed using PHP and MySQL as database design and data management. The application is also designed based on client-server. The design stages in this application, namely system requirements analysis, system design, code making and testing. The method used in the design is the waterfall method which consists of needs analysis, design, implementation and testing. The interface design consists of the home page, login page, service input page, update and delete service pages and service pages received. Keywords: Administrative Services Department, Android
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Sandhar, G., M. Kruhlak, L. Krebs, L. Gaudet, S. Couperthwaite, and B. Rowe. "P035: Improving emergency department outcomes for Alberta seniors." CJEM 22, S1 (May 2020): S77. http://dx.doi.org/10.1017/cem.2020.242.

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Introduction: In 2010, Alberta Health Services (AHS) introduced Transition Coordinators (TC), a unique nursing role focused on assessment of elderly patients to support safe discharge home. The objective of this study is to describe patient characteristics to predict safe discharge for seniors (≥65 years of age) and identify barriers that can be used to improve ED outcomes for these patients. Methods: Two trained research assistants conducted a chart review of the TC referral form and the ED Information System (EDIS) for patients seen by TCs between April and June 2017. Information on patient characteristics, existing home care and community services, the index ED visit and subsequent revisits were extracted. Data were entered into a purpose-built database in REDCap. A descriptive analysis was conducted; results are reported as mean ± standard deviation (SD), median (interquartile range [IQR]), or proportions, as appropriate. Results: A total of 1411 patients with TC referral forms were included (779 [55%] female). The majority of these patients were ≥65 (1350 [96%]) with a mean age of 82 ± 9.6. The majority of patients were triaged as a CTAS of 3 (835 [59%]) with the most common reasons for presentation including: shortness of breath (128 [9%]), abdominal pain (94 [6.7%]), and general weakness (81 [5.7%]). Nearly one third of patients (391 [30%]) were already receiving home care services; (96 [7%]) received a new home care referral as a result of their ED visit. Of all the patients, 1111 (79%) had comorbidities (median: 3 [IQR: 1 to 5]). Overall, 38% (n = 536) patients had visited the ED in the 12 months prior to the index with a median of 2 [IQR: 1 to 4) visits. On average, patient's length of stay for their index visits was 12 ± 0.35 hours. Admissions occurred for 599 [42%] patients with delays being common; the mean time between the decision to admit and the patient leaving the ED was 6 hrs ± 0.23. Conclusion: Seniors in the ED are complex patients who experience long lengths of stay and frequent delays in decision-making. Upon discharge, few patients receive referrals to community supports, potentially increasing the likelihood of revisits and readmissions. Future studies should assess whether the presence of TCs is associated with better outcomes in the community.
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Garner, Alex, Jo Knight, Nancy Preston, Simon Dixon, Sam Watchorn, Camila Caiado, Catherine McShane, Graham King, and Suzanne Mason. "1583 Impact of digital technology in care homes on Emergency Department attendances." Emergency Medicine Journal 39, no. 12 (November 22, 2022): A974.1—A974. http://dx.doi.org/10.1136/emermed-2022-rcem2.22.

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Aims, Objectives and BackgroundHealthCall is a digital health initiative that aims to reduce emergency department attendances by upskilling care home staff to use app-based technology whereby residents with new clinical presentations’ observations are recorded electronically using a structured SBAR approach. Information is fed to a Single Point of Access where clinical staff triage the referrals. This study evaluated the effectiveness of the HealthCall technology across the North East of England to safely reduce ED referrals and attendance.Method and DesignThe study included 122 care homes covering the study period 2018–2021. Routinely collected secondary care data from County Durham and Darlington NHS Foundation Trust was linked with clinical data from HealthCall. We describe the change in ED attendances over the period before, during and after the introduction of the technology to the care homes. We fitted Poisson generalised linear mixture models to monthly counts of emergency attendances. Covariates were included to adjust for seasonality and external factors such as COVID-19, and hierarchical random intercepts were included to account for both individual and care home variability. The impact of HealthCall technology usage on residents’ expected number of attendances is tested as a ‘step’ change at intervention and a ‘slope’ change post intervention.Results and ConclusionWe identified 8,702 care home residents through linkage between the secondary care and HealthCall datasets. Preliminary results suggest the use of HealthCall reduces expected monthly ED attendances for care home residents by 16% (95%CI 5 to 25, p-value<0.001). No significant change was observed in the impact of HealthCall during the post-intervention period.This study finds that the implementation of the HealthCall technology reduces the expected number of monthly emergency department attendances for residents. The technology allows for ongoing monitoring of resident health alongside providing more convenient and timely access to clinical advice that promotes more appropriate and resident-focussed decision leading to fewer unnecessary ED attendances.
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Moore, Edwin, and John McComas. "Acceptance of an Injury-Prevention Program in Rural Communities: A Preliminary Study." Prehospital and Disaster Medicine 11, no. 4 (December 1996): 309–11. http://dx.doi.org/10.1017/s1049023x00043181.

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AbstractIntroduction:Considerable attention is being addressed to injury prevention. This study addresses the acceptance of a home injury-prevention survey as an injury-prevention tool in rural communities.Purpose:The purpose of this study was to evaluate public acceptance of a home injury-prevention survey as a tool to educate and enlighten the public about home injuries.Methods:All patients with home injuries who came to Wetzel County Hospital Emergency Department were asked if they would participate in a home injury-prevention survey. The study was conducted from 01 May to 01 July 1995. Paramedics were used as interviewers because of the closeness they enjoy with the community.Results:During the study period, 2,104 patients came to the emergency department of Wetzel County Hospital. Of these, 386 sought care because of an injury sustained in their homes. From this group, 23 (5.9%) patients agreed to participate in a home injury-prevention study; 363 (94.1%) refused.Conclusion:A home injury-prevention survey alone does not seem to be an effective tool to aid in the reduction of home injuries, because it is not embraced by the general public.
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