A quality improvement project was initiated on Ivory ward, a functional older adult psychiatric inpatient ward at Newham Centre for Mental Health, part of the East London NHS Foundation Trust. The project was started by staff on the ward after it had come to their attention that their ward had the highest bed occupancy and length of stay across similar wards in the trust. The mean bed occupancy...

The traditional model of acute medical care involves the admission of patients to hospital to be assessed by a consultant and facilitate access to investigation and treatment. This model has, however, led to a number of problems. Firstly, there is high bed occupancy which restricts access and increases the risk of healthcare-acquired infection. Secondly, only limited training opportunities are ...

This article presents a case study of how one health system-Health First, in Brevard County, Florida-addressed resource challenges by using Lean thinking enabled by information technology. Examining Health First provides an opportunity to learn about how one hospital system addressed these challenges by making fundamental changes in their operations, in advance of the shift toward accountable c...

K., aged 32 years, Hindu male, was admitted into the Sambhunath Pundit Hospital on 25th April, 1937, with the history of having vomited blood three times during the previous night and passed blood per rectum. Condition on admission.?Temperature?98.2?F., respiration 24 and pulse 82 per minute. Volume?not good. Extremities?cold. Malsena once in my presence. Abdomen moving with respiration. Slight...

A better knowledge of the flow and pressure distribution in realistic microvascular networks is needed for improving our understanding of neurovascular coupling mechanisms and the related measurement techniques. Here, numerical simulations with discrete tracking of red blood cells (RBCs) are performed in three realistic microvascular networks from the mouse cerebral cortex. Our analysis is base...

plant cell cultures could be used as an important tool for biochemical production, ranging from natural pigments to pharmaceutical products. anthocyanin is affected by a variety of factors. light, an important plant environmental factor, influences the anthocyanin production in vegetative plant tissues. here, we have investigated the influence of the blue laser-diode (bld) and red laser-he ne (...

In studies of immunity to malaria, the absence of febrile malaria is commonly considered evidence of "protection." However, apparent "protection" may be due to a lack of exposure to infective mosquito bites or due to immunity. We studied a cohort that was given curative antimalarials before monitoring began and documented newly acquired asymptomatic parasitemia and febrile malaria episodes duri...

Endless days and nights filled with strange broken sleep. A sea of fragmented menacing faces and shadows swimming through erratic beeps and bells. A large cackling face floating over me, constantly morphing and changing shape. The staring old lady in the bed opposite, her sallow skin disintegrating, eyeballs disappearing to reveal deep dark holes fromwhich cockroaches crawled. Her weary face me...

AMPARU is a large tidal lagoon located on the west coast of Ishigaki Island, where a variety of small crabs range over. In these thirty years, however, accumulation of red clay from the watershed has been changing the topography and the hydraulic characteristics of the lagoon, and then changing the environments for the crabs to habitat there. This paper presents a result of a field survey that ...

Between May 2006 and December 2008, we performed 9 laparoscopic partial nephrectomies (LPns) in our Department. We report the case of a 61-year-old male incidentally diagnosed with a 2.5-cm tumor located in the lower pole of the right kidney. LPn was performed with a duration of surgery of 220 min., an ischemia time of 32 min., and a bleeding volume of 200 ml. Resection was performed with a col...