Methods Between 2006 and 2010, universal active surveillance (on admission and discharge), isolation/cohorting, data feedback loops and standardised hand hygiene (HH) audits were rolled out in a stepwise fashion across NUH. A comprehensive hand hygiene programme was institutionalised. MRSA acquisition was defined as having a positive exit swab yet negative entry and no known previous MRSA. Ward...

BACKGROUND Medication nonadherence can be as high as 50% and results in suboptimal patient outcomes. Stroke patients in particular can benefit from pharmacotherapy for thrombosis, hypertension, and dyslipidemia but are at high risk for medication nonpersistence. METHODS Patients who were admitted to the Queen Elizabeth II Health Sciences Centre in Halifax, Nova Scotia, with stroke between Jan...

[1] Heterogeneity in small‐scale subsurface flow processes does not necessarily lead to complex system behavior at larger scales. Here we use the simple dynamical systems approach recently proposed by Kirchner (WRR, 2009) to analyze, characterize, and simulate streamflow dynamics in the Swiss Rietholzbach catchment. The Rietholzbach data set used here provides 32 years of continuous and high‐qu...

OBJECTIVES To determine the impact of unit-level nurse staffing on quality of discharge teaching, patient perception of discharge readiness, and postdischarge readmission and emergency department (ED) visits, and cost-benefit of adjustments to unit nurse staffing. DATA SOURCES Patient questionnaires, electronic medical records, and administrative data for 1,892 medical-surgical patients from ...

within the climate change debate and its probable impacts on water resources systems, design and operation of management plans based on the assumption of stationary hydrology may cause serious challenge to accurately predict future supplies. therefore this case study is trying to assess trend in hydroclimatic variables of karkheh rivers upstream by applying modified mann-kendall trend test on l...

increasing of energy demand and decreasing of water resources, could make the future energy production as a big challenge. climate change is one of the main reasons for water resources limitation. future precipitation and air temperature, change hydrological conditions and directly effect on the hydropower production. for showing the future condition and making it possible to manage the hydropo...

Monthly circulation of the South Atlantic Bight is diagnosed using a 3-D, shallow water, finite element model forced with monthly wind stress and hydrographic climatology. Temperature and salinity observations from the period 1950-99 are objectively interpolated onto the model domain, and Comprehensive Ocean-Atmosphere Data Set (COADS) wind velocities from 1975-1999 are used to prescribe the mo...

The purpose of this study was to examine possible seasonal variations in relations between hospital treatment periods and in deaths (asthma-related and other) among adult asthmatics. Out of a total of 364,871 asthma-induced hospitalization periods (diagnosis No. 493, International Classification of Diseases) recorded in the hospital discharge register maintained by the National Research and Dev...