this paper tries to systematically survey, with taking theoretical view on geomorphic basin and its changes into account. the purpose of this research is to determine the balance and stability of geomorphic basins from the past to present and then to future. consequently, it tries to determine the balance between energy and input-output materials for example (rainfall , solar radiation, tectoni...

background : schizophrenia is a debilitating psychotic disorder that affects patients’ personality, career-related and social functioning. patients stop medications after discharge or inpatient care, when they feel relatively recovered. most patients do not know that they are sick and they need medication for recovery due to lack of information and cognitive impairment, which makes them incompe...

BACKGROUND Coronary artery bypass graft (CABG) surgery is a lifesaving intervention, but the early recovery period presents a number of challenges for patients, carers and nurses. Early and adequate discharge planning based on in-depth knowledge of the postdischarge experience can help to ensure optimal recovery. AIM This paper reports a study to examine the range of postdischarge issues, con...

The objective was to determine whether the Elders Risk Assessment Index can predict multi-disciplinary team referral of older patients (≥ 65 years) in Emergency Department same-day discharges. The study identified 1,376 qualifying individuals from a regional New Zealand hospital database. Of these, 12.7 % were referred to the multi-disciplinary team. Univariate and multivariate analyses were us...

Discharge support for the most seriously ill chronic obstructive pulmonary disease (COPD) patients is a key issue in minimising the impact of the acute episode and preventing future relapses. Alternatives to hospitalisation are crucial in the cost minimisation of COPD care. However, besides efficiency, there are clinical reasons for promoting alternatives to conventional hospital admission. Hos...

Background Evidence suggests that patients who are involuntarily detained because of risk to themselves or others may not recognise after discharge either that they posed a risk or that they suffered from mental disorder [1]. Ward staff may avoid discussing risk with patients who may disagree with their own perceptions of risk [2]. However, discharge planning requires patient and ward nurse to ...

OBJECTIVES To develop and conduct a preliminary validation of selected subscales of an elder-friendly emergency department (ED) assessment tool. DESIGN Content validation of tool by an international panel. Construct validation using care ratings of ED lead physicians and nurses. SETTING Quebec, Canada. PARTICIPANTS The international panel comprised 34 clinicians, administrators, and resea...

While advances in medical treatment and technologies have the potential to improve the delivery of health care, their use typically involves making multiple, complex decisions. Patients and their medical providers may share in the decision-making processes and balance a variety of criteria and/or attributes in the pursuit of improved health. This necessitates a stronger understanding of the rol...