The growing attention to the issues of increasing energy efficiency railway transport results in suggesting various designs traction rolling stock with most advanced technical solutions, but, unfortunately, many them remain only at development or prototype stage.The analysis operating experience existing mainline locomotives is proposed help develop fundamental principles concept improving auto...

BACKGROUND In aortic coarctation, current guidelines recommend reducing pressure gradients that exceed given thresholds. From a physiological standpoint this should ideally improve the energy expenditure of the heart and thus prevent long term organ damage. OBJECTIVES The aim was to assess the effects of interventional treatment on external and internal heart power (EHP, IHP) in patients with...

Presentation This case describes the development of an Acceptance and Commitment Therapy (ACT) workshop for people with diabetes, designed to help meet the acute need for quality psychological care for patients. There were multiple considerations in developing the quality improvement program: 1. The group nature of the program. Group environments enhance social modeling and provide support not ...

Background: Evidence shows that iron deficiency in adulthood may affect cognitive performance, possibly by disrupting neurotransmitter regulation or brain energy metabolism. Women of reproductive age (WRA) are among those who are most vulnerable to iron deficiency; however, they have been largely ignored in the literature relating iron status to cognition.Objective: Our aim was to determine the...

A lack of communication between junior doctors and phlebotomists means untaken blood tests are often not recognised until late in a junior doctor's day, resulting in additional hours worked, delays in patient management, and potentially avoidable handover of additional work to on-call doctors. We set out to improve communication, with an aim that ward doctors should be made aware of patients wh...

INTRODUCTION Emergency care of older adults requires specialized knowledge of their unique physiology, atypical presentations, and care transitions. Older adults often require distinctive assessment, treatment and disposition. Emergency medicine (EM) residents should develop expertise and efficiency in geriatric care. Older adults represent over 25% of most emergency department (ED) volumes. Ye...

introduction: crimean congo hemorrhagic fever (cchf) is a zoonosis disease. the aim of this study was to examine the effect of educational intervention on practice improvement of employees in healthcare centers and meat distribution centers of ilam province in relation to crimean congo hemorrhagic fever. materials and methods: participants in present quasi-experimental study were 200 employees ...

Nowadays, the problem of the flexibility in any organization has essential importance and the associated investigation with the organizational efficiency and performance is considered. In real-world situation, the process of decision making is often based on linguistic and mental data, so applying fuzzy logic in modeling at this point of view is convenient. In this paper, a fuzzy approach is ap...