OBJECTIVE To implement parent-oriented discharge planning (Train-to-Home) for preterm infants in neonatal care. DESIGN Before and after study, investigating the effects of the intervention during two 11-month periods before and after implementation. SETTING Four local neonatal units (LNUs) in South West England. PARTICIPANTS Infants without major anomalies born at 27-33 weeks' gestation a...

OBJECTIVES The purpose of this project was to implement a protocol facilitating discharge from the emergency department (ED) after successful radiologic ileocolic intussusception reduction in a pediatric referral center. METHODS A multidisciplinary team identified drivers for successful quality improvement including educational brochures, a standardized radiologic report, an observation perio...

this paper is about experimental results for partial reduction of vortex at vertical pipe intakes. one of the easiest and practical ways of reducing vortex effect is to use anti-vortex plates or baffles. these plates can be used to avoid the vortex completely or partially. this paper will concentrate on the latter case. rectangular plates with different dimensions have been placed at different ...

Buenaventura Bay is facing severe pollution due to the direct discharge of untreated wastewater from 695 outlets along coast, which serves 500,000 people. To address this issue, a study was conducted using RMA11 water quality model, previously calibrated and validated, coupled with RMA10 3D hydrodynamic model assess sanitation scenarios in bay. Five effluent reduction were proposed compared bas...

introduction: an appropriate water resources management and planning is necessary due to the scarcity of water resources and rapidly growing world population. in this regard, selecting appropriate methods for irrigation is one of the most important issues. drip irrigation is a recent advanced irrigation method in which fertilizers can be efficiently applied along with irrigation water. drip fer...

BACKGROUND Chronically ill people experience frequent changes in health status accompanied by multiple transitions between care settings and care providers. Discharge planning provides support services, follow-up activities, and other interventions that span pre-hospital discharge to post-hospital settings. OBJECTIVE To determine if discharge planning is effective at reducing health resource ...

In this paper, we report on numerical solutions and model reduction results for a plasma glow discharge model with a radio frequency ionization source. A pseudospectral implementation of a global spectral method was found to give accurate simulation results that correctly reflected the expected physical behavior of an argon plasma under the simulated operating conditions. Numerical residual ana...

BACKGROUND Bilateral pneumothoraces after cosmetic breast surgery are rare and sporadically reported in the literature. CASE PRESENTATION A 65-year-old female patient developed bilateral pneumothoraces after bilateral breast reduction surgery. Emergent chest tube thoracostomy was performed on both sides. The chest drains were removed on the fourth day (left side) and sixth day (right side), a...

This study focuses on how to reduce the noise generated by the discharge valve system. For this, the three noise transmission paths related to the discharge valve system were derived, and their characteristics were analyzed. Also the design methods for reduction of noise due to the discharge valve system are proposed, and were applied to a real hermetic compressor for refrigerator.

RATIONALE Stroke and vascular risk factors disproportionately affect minority populations, with Blacks and Hispanics experiencing a 2·5- and 2·0-fold greater risk compared with whites, respectively. Patients with transient ischemic attacks and mild, nondisabling strokes tend to have short hospital stays, rapid discharges, and inaccurate perceptions of vascular risk. AIM The primary aim of the...