one of the most dazzling events in the atmosphere is lightning. during updrafts in the life cycle of cumulus clouds, collision of graupels and ice crystals in the presence of liquid water results in vertical separation of electrical charges and lightning. there are four types of lightening depending on the location of discharge. the first type is cloud-to-ground lightning or fork lightning that...

Medical staff attorney Snelson answers the Colloquium's charge, "What exactly has to change in the hospital-medical staff relationship for health care quality to be improved?" Her response emphasizes the logic of having clinicians vested with authority to establish policies concerning the clinical decision-making. The article discusses the cases defining the medical staff bylaws as contractual ...

Although regional variations in Medicare spending are known, it is not clear whether regional variations exist in hospital charges for total joint arthroplasty. Data from Centers for Medicare and Medicaid Services (CMS) on Diagnosis Related Groups 469 and 470 (Major Joint with and without Major Complicating or Comorbid Condition) from 2011 were analyzed for variation by region. Drastic variatio...

on the 10th April 1879, in a state of insensibility, with an injury to the head. The following day, while passing through Kashipore in medical charge of a detachment of British Troops, I was asked by the Assistant-Surgeon of the hospital to see the case ; he told me he suspected fracture of the skull. The history of the patient is as follows :?two hours prior to her reception into hospital, the...

This paper examines the economics of for-profit and not-for-profit hospitals through the prism of capital acquisitions. The exercise suggests that of two hospitals that are equally efficient in producing health care, the for-profit hospital would have to charge higher prices than the not-for-profit hospital would, to break even on capital acquisitions. The reasons for this divergence are (1) th...

Medicare's hospital outpatient prospective payment system (HOPPS) was initially developed in response to the rapid rise in Medicare's outpatient expenses between 1980 and 1991. The Balanced Budget Act of 1997 mandated HOPPS, with an implementation date of August 1, 2000. Unlike the Medicare Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) used hospital charge data to...

T was an eye-witness of the fruitful experiments conducted in the Headquarters Hospital of this district during 1924 by Lieut. E. A. Davies, t.m.d., and Assistant Surgeon Dr. P. Bell, r.M.D. (now Civil Surgeon). After taking over charge of this hospital I repeated these experiments on some patients of this subdivision and obtained good results. Unfortunately the Chins here do not consider goitr...

background and objectives: quality services delivery in the health settings is contingent on hospital administrative staff organizational commitment. inspired by previous research indicating the prominent role of psychological empowerment in organizational commitment, this study aimed to explore the relationship between the two variables in hospital administrative staff. methods: a random sampl...

background and objectives: the reliability of hospital assessment results depends on the appropriateness of the indicators used. in this study, we systematically review the literature to identify the major indicators of hospital performance evaluation, as employed in performance assessment literature.methods: literature databases including pubmed, scopus, science direct, google scholar, doja, a...