Letteratura scientifica selezionata sul tema "Post Office (Cary, Miss.)"

Abstract The Covid-19 pandemic has taught us the importance of flexibility and adaptability. Nearly every business adopted work from home (WFH) during the pandemic, which finally caused the business to re-evaluate the significance of the workplace. Work flexibility is becoming even more critical because of the transition from physical to virtual space. During the pandemic, the advantages of working remotely, such as more autonomy, flexibility, and better work-life balance, were evident. On the contrary, employees also miss the office’s social connection, professional working environment, and collaboration. Arguably, a hybrid working system balances the benefits of working in an office and from home. This study examines the future office and how it can adapt to the changing needs of the post-Covid-19 workplaces. A qualitative method using interviews with professional from architectural and interior design firms and a real estate management company was conducted to explore the phenomena. This study also discusses the potential of the hybrid model to become a model for future offices and how offices are more likely to become a place to develop corporate culture, conduct training, socialise, meet clients, and attract potential talent. Workspaces will need to be restructured or repurposed so that remote and on-site employees can collaborate.

Mr. Arun Kumar H. Chaurasia, ex- Addl Director General, GSI, passed away on 20th November 2022 afternoon at his residence in Nagpur following a massive cardiac arrest. An extremely amiable and non-controversial personality, he virtually had only friends and no enemies. At office and beyond office, he was someone his friends could count upon for his no- nonsense approach, sincerity, cordiality and warmth. His wit and sense of humour were one of a kind that will be deeply missed. Mr. Chaurasia was born on 21st May 1955. Completing his schooling from Central School, Nagpur and his B.Sc. from the Institute of Science, Nagpur he did his M.Sc. (Tech) from the University Department of Geology, Nagpur, in 1980. He initially joined as Geologist in MECL and had worked for coal exploration in Bihar. Thereafter, he joined GSI at Nagpur during April 1981 and was engaged in systematic geological mapping in the Deccan Trap Province. He completed his two year North Eastern Region, Shillong, posting in the mid 1990's and soon after was assigned work in Map and Cartography Division, and thereafter at the Photo Geology and Remote Sensing (PGRS), Division, GSI, Nagpur. Mr Chaurasia was promoted as Director in July 2007 and took over as Director, PGRS Division at GSI, Nagpur. Under his leadership the PGRS Division did extremely well with the ongoing BRGM, France projects. He had undergone advanced PGRS training at the GSI Training Institute. After his promotion as Dy Director General he was posted in Eastern Region, GSI, Kolkata since July 2013. Just before his retirement, he was promoted as Addl Director General and HOD, North Eastern Region, Shillong on 30th May 2015, but took charge at Kolkata as he had just two days to retire. Post retirement, Mr. Chaurasia was leading a peaceful life, looking after the domestic needs of his family members and keeping in touch with his ex-colleagues and friends. A rare kind of human being, his sudden passing away shocked his friends and admirers who will personally miss him as one of their most trusted friends. Mr Chaurasia is someone so special who will never be forgotten. I pray for solace to his Mrs. Mamta, two daughters Ms. Parul and Ms. Pallavi to overcome their saddest loss. I quote lines by Anne Brontë: "Farewell to thee! but not farewell To all my fondest thoughts of thee: Within my heart they still shall dwell; And they shall cheer and comfort me"

“Every morning you have 2 choices: Continue to sleep with your dreams Or wake up and chase them.” --- J.S. Tinaza Dr. Tinaza may not have been Shakespeare, Poe or Frost but he was known for his meaningful verses which he posted on viber, mundane and profound thoughts about life and recent photos he captured in his timeline. Dr. Jomar S. Tinaza obtained his Doctor of Medicine degree from the De La Salle University College of Medicine in 1995. He joined the Quezon City General Hospital residency training program with Dr. Carmina G. Galang in January 2000. In January 2003, the Philippine Board of Otolaryngology – Head and Neck Surgery accredited the training program. Dr. Galang graduated in 2004 while Jomar opted to extend his training for 2 years to complete the 4 years needed to become board-eligible. Hence, Jomar was the first alumnus of the QCGH ENT department. He passed the Diplomate exam on Sep 17, 2010. His extended stay was instrumental for our full accreditation and Dr. Pascual, his previous training officer and chair admired him for his extraordinary ideas and trusted him to accomplish certain tasks beyond his comfort zone. He saw the potential of a good clinical practice in cosmetic surgery and pursued subspecialty training in facial aesthetic surgery under the Facial Aesthetic Core of ENT Surgeons (FACES) in 2010. Afterwards Jomar and his wife Amy established the Asian Aesthetic Center in Katipunan Ave. He became a visiting and subspecialty consultant in Maxillofacial, Facial Plastic and Reconstructive surgery of the department in 2011. As a mentor, he unselfishly shared his skills and diligently assisted the residents during surgery working pro bono as a visiting consultant. He came early to attend grand rounds, was never satisfied with mediocre answers, persistently scrutinizing and demanding precision and accuracy. Sometimes his queries may have been perceived as nit-picking but they certainly echoed the effervescence and eagerness of a budding junior consultant plunging into the dynamics of clinical discussion. He helped organized the series of international postgraduate courses in Facial Plastic Surgery in QCGH from 2010 – 2012. As a consultant, Jomar was a silent worker who actively participated and contributed voluntarily. He co-authored the paper on a case series of Tessier patients which is published in the current issue of this journal; he assisted in a case of tuberous sclerosis which he proposed as a case report to represent the department this year; he was preparing a descriptive paper on a case series of rhinoplasty in cleft noses; and he helped amputate an Abbe flap on a clinical patient with lip cancer, a week before he left. He was invited to lecture in a postgraduate course at St. Luke’s Medical Center after the PSO-HNS annual convention and he subsequently gave an inspirational talk where he emphasized the value of hard work and patience to succeed, during the residents’ graduation last December. One of his passions was photography. He had a keen eye for taking pictures of people in action, picturesque sceneries and documenting events. He even proposed a post-graduate course on photography especially on selecting the proper angle, exposure, and lighting before and after cosmetic surgery and showcased a photo exhibit of his works. Jomar treated his patients with compassion and pampered them with care with his motto and familiar verse: “Do all things with kindness.” He was generous and gracious to hospital employees and treated the residents as members of an extended family. To break loose from the monotony and grime of daily routine, he would often invite residents to have dinner in their new house at LGV, share thoughts and perspectives about life over a bottle of beer or shots of tequila, once in a while dishing out songs from his own repertoire. The staff will miss his silly grin while holding the microphone during videoke nites at the perennial watering hole in Bauschmann cafe. He had a toast for all occasions, with a pocketful of cheers and stories to tell. One of his favorite lines was, “for good looks and good life…” Jomar had a penchant for gadgets-- buying gifts especially for his wife, he savored food, dining, and vacations with his family. As a husband, Amy could not ask for more. During the necrological rites, she confided that there were times when she would wake up and catch Jomar staring at her, giving her the impression that she was the most beautiful woman in this world. And to his 2 sons, Earl and Marcus, Jomar was a loving father who woke up early and took them to school, securing a brighter future for both of them. True to his words, Jomar never slept and chased his dream. He undoubtedly touched many people’s lives along the way. The staff grieves and deeply mourns the passing of a fellow, colleague, comrade, mentor, brother, and friend. His gestures and verses will continue to reverberate, long after he has gone.

Abstract Background In 2016, the WHO regional office for Europe prepared a manual for conducting routine facility based individual near miss case review cycle. This study evaluates the effectiveness of the individual near miss case review (NMCR) cycle in improving quality of emergency obstetric care and maternal outcome in Keren hospital. Methods An interrupted time series design was used to achieve the objectives of this study. Monthly data on women with potentially life-threatening conditions (PLTCs) admitted between April 2018 and October 2022 (i.e. 33 months pre-implementation and 22 months post-implementation) were collected from medical records. Segmented regression analysis was used to assess the intervention’s effect on three process and outcome measures, namely, SMO, delayed care, and substandard care. The intervention was expected a priori to show immediate improvements without time-lag followed by gradual increment in slope. Segmented regression analyses were performed using the “itsa’ command in STATA. Results During the entire study period, 4365 women with potentially life threatening conditions were identified. There was a significant reduction in the post-implementation period in the proportion of mothers with PLTC who experienced SMO (− 8.86; p < 0.001), delayed care (− 8.76; p < 0.001) and substandard care (− 5.58; p < 0.001) compared to pre-implementation period. Results from the segmented regression analysis revealed that the percentage of women with SMO showed a significant 4.75% (95% CI: − 6.95 to − 2.54, p < 0.001) reduction in level followed by 0.28 percentage points monthly (95% CI: − 0.37 to − 0.14, p < 0.001) drop in trend. Similarly, a significant drop of 3.50% (95% CI: − 4.74 to − 2.26, p < 0.001) in the level of substandard care along with a significant decrease of 0.21 percentage points (95% CI: − 0.28 to − 0.14, p < 0.001) in the slope of the regression line was observed. The proportion of women who received delayed care also showed a significant 7% (95% CI: − 9.28 to − 4.68, p < 0.001) reduction in post-implementation level without significant change in slope. Conclusions Our findings suggest that the WHO individual NMCR cycle was associated with substantial improvements in quality of emergency obstetric care and maternal outcome. The intervention also bears a great potential for scaling-up following the guidance provided in the WHO NMCR manual.

Total knee arthroplasty (TKA) is a procedure increasingly in demand. While advancements in surgical techniques and implant designs have led to low complication rates and improved outcomes following TKA, patient satisfaction has not risen commensurately. Routine care may include clinical assessments, physical therapy notes, and patient reported outcome measures, each of which provides a discrete evaluation but may miss significant changes in daily activities. Here we present the case of a patient who underwent TKA with a tibial implant fitted with an embedded inertial measurement unit capable of providing extensive data on gait kinematics. Despite a successful, well-balanced knee replacement surgery and good clinical outcomes at 2 weeks, by 4.5 weeks post-surgery, she had increased self-reported pain scores and her walking speed, stride length and tibial range of motion (ROM) were declining compared to her TKA peers. The patient was called in to the office for evaluation, 3.5 weeks prior to her scheduled 8-week routine follow up. We proceeded with early manipulation under anesthesia, which lead to normalization of her knee ROM. In this case, gait data from the smart implant alerted us to a TKA patient who was failing to progress, prior to her routine follow-up visit. The daily remotely acquired kinematic data was instrumental in the early recognition and intervention. Availability of objective, trended, high-fidelity gait data from smart implants has the potential to identify clinical concerns early, improve efficiency in care, and increase patient and physician engagement in the recovery process.

Background: The hemoglobin A1c (HbA1c) is a gold-standard test to diagnose and monitor diabetes mellitus and has been incorporated into population health performance metrics for quality care. However, patients and practices remain challenged in completing timely HbA1c tests. Point-of-care testing (POCT) for HbA1c provides a quick, easy, reliable method for monitoring diabetes in the primary care office setting. The objectives of this quality improvement study were to evaluate the impact of HbA1c POCT on onsite HbA1c testing frequency as a component of population health performance, as well as to measure the utility of HbA1c POCT in identifying clinically meaningful change in disease. Method: Prospective quality improvement cohort study among sequentially scheduled adult patients with diabetes due for HbA1c testing across three primary care practices. Results: Practices with HbA1c POCT were 3.7 times less likely to miss HbA1c testing at the time of the visit compared with practices in which HbA1c POCT was not available ( P < .001). Nearly one in four patients in each group were found to have clinically worsening diabetes (defined by an increase in HbA1c of ≥0.5% or 5.5 mmol/mol). Nearly half of those patients in the intervention group were identified by POCT. Conclusions: HbA1c POCT can improve population health-driven HbA1c testing adherence at office visits in primary care and may enable more timely intervention of diabetes management for patients with worsening disease.

The article presents an extensive and unpublished report, written by Mihran Herartian, on the foreign missionaries based in Aleppo in the post-genocide period who were working among the Armenian refugees. It was prepared in 1932 at the Armenian prelacy’s request. The author knew his topic, given that he collaborated with Karen Jeppe. He was well informed of her activities, as well as being the director, accountant and secretary of the League of Nations’ office for the protection of women and children, run by Karen Jeppe herself. He knew the missionaries’ everyday activities in this regard therefore his information may be considered as trustworthy and correct. Information may be found in the report concerning missionaries like Miss Edith Roberts, Miss Hedwig Büll, Miss Bodil Biørn and Miss Karen Jeppe, as well as others. It is full of interesting evidence about the waste of money and fraud carried out by persons collaborating with the missionaries. Affirmation may also be found in it of how certain people used humanitarian work as a means of convincing the desperate refugees and convert to a new confessional identity, etc. Herartian’s negative stance and sarcastic style towards some missionaries is obvious. The exception is Karen Jeppe, who is mentioned with great love and respect. The publication has a short introduction and appropriate annotations.

ObjectiveTo povide knowledge on the factors that predict retention in care and health outmomes among HIV patients and be able to understand viral load and its relation to retention in care.IntroductionThe prevalence of persons living and diagnosed with HIV infection in the United States in 2010 to 2014 increased in number and rate (Center for Disease Control & Prevention (CDC), 2016).In 2015, persons aged 25–29 years had the highest rate (33.4), followed by persons aged 20–24 years (31.2) (CDC, 2016).Consistent reduced viral load is associated with reduced morbidity and mortality and a lower likelihood of transmitting HIV to sex partners (CDC, 2011). Retention into HIV care promotes life and decreases the risk for HIV transmission (Yehia et. al. 2015).Preventing HIV transmission, prevention intervention strategy is critical and should be ongoing to all HIV patients consistently.New cases of HIV in the United States are increasing by approximately 30, 000 per year and with this increase, more providers are needed (Weiser et al.2016).MethodsQuantitative cross sectional study: 2017 Palm Beach County Needs Assessment Survey was used, The data used was secondary-deidentified data. The sample size consisted of 357 survey participants.The surveys were collected from September 2016 to January 2017. The Florida Department of Health (FDOH) Institutional Review Board ( IRB) approval was granted before data Collection.. The participants were not at risk due to de-indentifieddata. The demographic and clinical data was reviewed. Ethical practices were followed by securing data and only the data needed to conduct study were utilized.The Independent Variables were: Age, Educational Level, Race, Gender, Condom Use, Unprotected sex, Sexual Orientation, Blood Tests-Viral Load, Medical care type facility. The Dependent Variables were: Medical Care/In Care, Miss HIV Meds and Hospitalization.Four Research Questions are posed in this study, the results section list the research questions. Statistical Test were computed with the use of SPSS with ANOVA and Linear RegressionResultsRQ:Is there a statistical significant association between age of HIV patients, retention in care and health outcomes, in Palm Beach County?Analysis of variance (ANOVA) was conducted to investigate if there was a statistical significant association between age of HIV patients and retention in care .Analysis Result: ANOVA, F (9, 0.393.) =2.181, p<0.05 (p=0.023). There was statistically significant association between age and retention in care between groups.Post Hoc (Dunnett test revealed differences between the 50-54 p =0.006, between 55-59, p=0.009 and 60 ≥ p=0.010RQ2: Is there a statistically significant association between HIV patients at risk for sexually transmitted diseases and retention in care as evidenced by unprotected sex?Analysis of variance (ANOVA) was conducted to investigate if there was a statistical significant association between at risk for STD of HIV patients and retention in care as evidenced by unprotected sex.Analysis Result: ANOVA , F (3, 4.531) =15.975, p<0.001 (p=0.000). There was statistically significant association between at risk for STD and retention in care as evidenced by unprotected sex .Post Hoc (Dunnett) test revealed differences between retention in care and risk for sexually transmitted diseases as evidenced by unprotected sex, p=0RQ3: Are MSM HIV patients who attend health department clinics and or other health care facilities, more likely to retain in care than other groups of HIV patients?Analysis of variance (ANOVA) was conducted to investigate if MSN patients who attend health department clinics and other health care facilities, more likely to retain in care than other groups of HIV patients?ANOVA , F (4, 0.280) = 1.516, p > 0.05 (p= 0.197). There was no statistically significant association between MSN HIV patients who attend health department clinics and other health care facilities than other groups of HIV patients more likely to remain in care?RQ4: Do patients knowledge of viral load test predict retention in care?Logistic Regression was conducted to investigate knowledge of viral load and retention in care.Retention in care and viral load tests regression model was statistically significantThe regression model showed P < 0.01, p=0.000Viral Load test significantly predicted retention in care.Coefficients of Viral Load greater than 1000 and Less than 200 were statistically significant:Viral Load >1000 p = 0.010;Viral Load < 200 p = 0.004ConclusionsLimitations to the study included the time frame to complete the study and the use of secondary data which was available to conduct the study. Low viral load is indicative of better health outcomes. Many studies have attempted to address barriers to retain in care and more work is needed to address the factors that impact retention in care.Findings are consistent with other research that retention in care are due to social, behavioral and system factors. Some of the reasons the patients gave for their not in care are treatment of staff in clinic and or doctors office, long wait times, transportation, language barrier, child care and the clinic hours. The three most frequent answers were treatment of staff in clinic, long wait times and transportation. The burden o fnew HIV infection transmitting HIV if patients do not remain in care. Findings are consistent with other research that retention in care are due to social, behavioral and system factors. Three most frequent answers were treatment by staff, long wait times and transportation.ReferencesCenter for Disease Control & Prevention. Diagnoses of HIV infectionin the United States and dependent areas, 2015 HIV Surveillance Report, 2016; 27.Drachler, M.D., Drachler, C. W., Teixeira, L.B., & Leite, J. C. D. The Scale of Self-Efficacy Expectations of Adherence to Antiretroviral Treatment: A Tool for dentifying Risk for Non-Adherence to Treatment for HIV. PLoSONE, 2016; 11(2),e0147443..Kambugu, A., Zhang, Y., Braitstein, P., Christopoulos, K.A…Martin, J.N. (2010). Retention in care among HIV infected patients in resource- limited settings: Emerging insights and new directions.Current HIV/AIDS Report, 2010.; 7(4), 234-244.Roscoe, C., & Hachey, D.M. Topic 8: Retention in HIV Care. National HIV Curriculum, 2017.Thompson, M.A., Mugavero, M.J., Amico, K.R., Cargill, V.A., Chang, L.W., Gross, R…Nachega, J.B. Guidelines for improving entry into and retention in care and antiretroviral adherence for persons with HIV: Evidence- based recommendations from an international association of physicians in AIDS care panel. Annals of Internal Medicine, 2012; 156(11), 817-833.Weiser, J., Beer, L., West, B.T., Duke, C.C., Gremel, G.W., & Skarbinsky, J. Qualifications, demographics, satisfaction and future capacity of the HIVcare provider workforce in the United States, 2013- 2014.Clinical Infectious Disease, 2016; 63(7), 966-975.Yehia, B. R., Stewart, L., Momplaisir, F., Mody, A, Holtzman, C.W... Shea, J.A. Barriers and facilitators to patient retention in HIV care. Biomedical Central, 2015; 15, 246.

AbstractThis article considers ‘post-MeToo’ media culture through a close reading of Olivia Wilde’s 2022 film Don’t Worry Darling by drawing primarily on Jacques Lacan’s approach to anxiety. #MeToo indexed, in its marking of ‘#’, in its saying, in its hashing out, that the ‘me’ of feminist subjectivity and the ‘too’ of a collective form of that subjectivity always bears a marked remainder. There is something which the symbolic will always miss; so too do fantasies of a united feminism, under the signifier ‘#MeToo’ lack. Some years after the #MeToo moment, the movement which it appeared to promise wanes. Revanchist patriarchy surges forth with eruption of #TradWives on TikTok, and the exhaustion of #MeToo in the wake of clapbacks and callouts of ‘cancel culture’. This paper returns to the original site where #MeToo irrupted – Hollywood – through a consideration of Don’t Worry Darling. Branded a ‘feminist psychological thriller in the wake of #MeToo’ by director Olivia Wilde, the film presents a trad wife dreamworld governed by a Jordan Peterson like guru. Drawing on Lacan, I argue that Don’t Worry Darling, in its spectacular box office failure, surrounding sexual scandal, and in the narrative itself, works as an index of feminist, but also patriarchal, anxieties after #MeToo.

The immediate post-war years saw Cary Grant’s box-office drawing power stronger than ever before. Jack Warner had bought out his contract with Columbia so that Grant could play the songwriter Cole Porter in the musical biopic Night and Day (1946). His first Technicolor film, Night and Day is bright and breezy, and it is filled with popular songs. The production, however, was troubled. Grant and director Michael Curtiz were in constant conflict. Grant was much happier working with Alfred Hitchcock and co-star Ingrid Bergman on the next film, Notorious (1946). These three became lifelong friends while making this wonderfully dark, gothic, spy story. Hitchcock was so keen on the darker side of the Cary Grant star persona that he proposed making a film of Hamlet with him, but legal complications prevented this. Grant then had a hiatus from filmmaking that allowed him to travel to Bristol for the first time since 1939. There, he saw his mother and also the terrible damage the city suffered during the blitz. He returned to make one of his most frivolous films, The Bachelor and the Bobby-Soxer (1947), with Myrna Loy and the child-star turned teenager Shirley Temple. This light-as-a-feather screwball comedy continued his box-office winning streak.

MISS STANBURY carried her letter all the way to the chief post-office in the city, having no faith whatever in those little subsidiary receiving houses which are established in different parts of the city. As for the iron pillar boxes* which had been...