OBJECTIVES The Health Information Technology for Economic and Clinical Health (HITECH) Act created incentives for adopting electronic health records (EHRs) for some healthcare organisations, but long-term care (LTC) facilities are excluded from those incentives. There are realisable benefits of EHR adoption in LTC facilities; however, there is limited research about this topic. The purpose of t...

Objective(s): To appropriately use one-day myocardial perfusion imaging (MPI) with 99mTc radiopharmaceuticals (i.e. to avoid shine-through artifacts), injection doses need to be optimized and dose ratios between the 1st and 2nd scans should be maintained at ≥ 3. However, the current state of practice in Japan is unclear. Thus, the aim of this study was to clarify the details of MPI protocols us...

The Common Lisp Interface Manager (clim) provides a layered set of facilities for building user interfaces. These facilities include a portable layers for basic windowing, input, output services, and mechanisms for constructing window types and user interface components; stream-oriented input and output facilities extended with presentations and context sensitive input; and a gadget-oriented to...

High demand for housing and land scarcity in the town area has increased provision of High-rise Residential Buildings (HrRB). HrRB different owners but shares same common facilities. Its facilities are generally prone to damages either from

BACKGROUND Multidrug-resistant organisms are an emerging and serious threat to the care of patients. Long-term care facilities are considered a reservoir of these organisms partly because of the over-prescribing of antibiotics. Antibiotic use is common in long-term care facilities. Antibiotic stewardship programs have been shown to reduce antibiotic consumption in acute-care facilities. The pur...

Urinary tract infection (UTI) is the most common bacterial infection occurring in residents of long-term–care facilities. It is a frequent reason for antimicrobial administration, but antimicrobial use for treating UTIs is often inappropriate. Achieving optimal management of UTI in this population is problematic because of the very high prevalence of bacteriuria, evidence that the treatment of ...

PURPOSE To understand the current state of breast cancer management in sub-Saharan Africa. METHODS We conducted an anonymous online survey of breast cancer management among African Organization for Research and Treatment in Cancer (AORTIC) members by using a 42-question structured questionnaire in both English and French in 2013. RESULTS Twenty members from 19 facilities in 14 countries res...

We propose a model and solution methods, for locating a fixed number of multiple-server, congestible common service centers or congestible public facilities. Locations are chosen so to minimize consumers’ congestion (or queuing) and travel costs, considering that all the demand must be served. Customers choose the facilities to which they travel in order to receive service at minimum travel and...

A bay configuration arranged along a central spine and served by an automated monorail material handling system are common designs for the layout and material handling system in new semiconductor wafer fabrication facilities. This paper investigates the facility design problem in semiconductor fabrication facilities and proposes a procedure to determine the optimal spine layout design given a d...

in the recent decade, special attention is paid to reverse logistic due to economic benefits of recovery and recycling of used products as well as environmental legislation and social concerns. on the other hand، many researches claim that separately and sequential planning of forward and reverse logistic causes sub-optimality. effective transport activities are also one of the most important c...