Marine protected areas worldwide limit harvest to protect sensitive fisheries, but rarely do they address water quality goals that may have equally demonstrable impacts. California has over 500 coastal shoreline miles of marine protected areas designated as Areas of Special Biological Significance (ASBS), but receives untreated wet weather runoff discharges from over 1600 storm drain outfalls. ...

INTRODUCTION There is a need for individualized discharge planning to support frail older persons at hospital discharge. In this context, active participation on their behalf cannot be taken for granted. The aim of this study was to elucidate patient participation in discharge planning conferences, with a focus on frail older persons, supported by the theory of positioning described by Harré & ...

CAIRN (Computer Assisted Medical Information Resource Navigation) is a prototyping System that allows flexible medical data storage and retrieval supporting medical informatics research. In this paper methods that automate the selection of ICD-9 diagnosis (International Classification of Diseases and Diagnoses, 9th Revision) are investigated. We present the Text Data Mining module extension of ...

Longer retention in drug abuse treatment is associated with better patient outcomes, and research indicates the first 12 months of methadone treatment are critical to patient success. Nevertheless, large-scale multisite longitudinal studies over the past three decades indicate that the majority of patients drop out during the first year of methadone treatment. Through an examination of 42 quali...

Background: Physician discharge instructions are critical to patient care because they are the link transitioning the hospital care plan to the home. We hypothesize that physician perception of discharge instructions communication is better than patient perception. Objective: In a preliminary study, to compare patient and physician perception of communication at discharge. Design: Observational...

Patient satisfaction is a goal of effective health care delivery and its assessment is important to the improvement of health care, especially in the context of a more consumerist culture. Patient education and information has been shown to improve patient satisfaction with care. Lack of sufficient patient information (specifically related to post-discharge care) was identified in our patient p...

Background: Discharge with personal consent is considered as one of the main problems in hospitalization condition since many patients leave the hospital prematurely against the doctor’s advice. Thus, the aim of this study was to identify the factors affecting the discharge with personal satisfaction in selected teaching hospitals of Tehran University of Medical Sciences. Methods: The pr...

OBJECTIVE The transition from hospital to home represents a key step in the management of patients and several problems related to this transition may arise, with potential adverse effects on patient health after discharge. The purpose of our study was to explore the association between components of the hospital discharge process including subsequent continuity of care and patient outcomes in ...