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Traumapatienters upplevelse av information inför hemgång : En kvalitativ intervjustudieBjörk Andersson, Ellinor, Dranichnikova, Nadine January 2016 (has links)
Bakgrund: Tidigare forskning visar att traumapatienter oftast känner sig oförberedda inför hemgång. Detta beror bland annat på bristande patientinformation vid utskrivningen. Tydlig och saklig information som ges till traumapatienter vid utskrivningen kan bidra till att traumapatienter känner sig trygga och mer förberedda inför hemgång. Syfte: Syftet med denna studie är att belysa vilken information traumapatienter upplever att de får inför hemgång, om de är tillfredsställda med den information som givits och om informationen kan förbättras. Metod: Sju deltagare som hade varit traumapatienter under år 2014-2015 på ett universitetssjukhus i Sverige rekryterades. Deltagarna var i varierande åldrar, kön och hade en varierad skadebild. Semistruktuerade telefonintervjuer utfördes efter kontakt med deltagare via brev och telefon. Insamlad data har analyserats via kvalitativ innehållsanalys. Resultat: Resultatet av denna studie har visat att en del traumapatienter fått muntlig information om hjälpmedel, känslor och reaktioner som kan uppstå efter ett trauma, läkemedel som de får med sig vid utskrivningen, nedtrappningsschema för starka opioider, skadan de blivit utsatta för samt vidare uppföljning. Den information som deltagarna fick inför hemgång bidrog till att de kände sig införstådda, tillfredsställda och trygga. Deltagare uppgav att de fått otillräcklig information om aktivitet, hygien, infektionstecken, läkemedel och biverkningar, känslor och krisreaktioner, nedtrappningsschema för starka opioider, normalt läkmönster, skada, smärta, stöd - var kan man vända sig om man har frågor och vid eventuell försämring eller utebliven förbättring, sårvård, uppföljning och återbesök. Detta gjorde att deltagarna uttryckte besvikelse, missuppfattning, oro, ovisshet, osäkerhet och önskade mer information. Slutsats: Studiens resultat visar att vissa traumapatienter önskar mer och tydligare information vid utskrivning. / Background: Previous studies have shown that trauma patients often feel unprepared at discharge due to a lack of patient information. Explicit and relevant information that is given to trauma patients at discharge can contribute to trauma patients feeling more secure when going home from a hospital. Aim: The aim of this study is to demonstrate what information trauma patients perceive they are getting when going home from hospital, if they are satisfied with the information that is given, and if the information can be improved. Method: Seven participants who had been trauma patients during 2014-2015 at a university hospital in Sweden were recruited. The participants varied in age, gender and trauma (injury). Semi structured telephone interviews were implemented after being in contact with the participants by letter and phone. All the collected data has been analyzed through qualitative content analysis. Results: The result of this study has shown that some trauma patients received verbal information about mobility aids and equipment, feelings and reactions that can occur after trauma, new medicines and how and when to stop taking them, their injury, and follow-ups. The information the participants got made them feel informed, secure and satisfied. Participants also reported that they had received insufficient information regarding activity, hygiene, signs of infection, medicines and its potential side-effects, how and when to stop taking strong painkillers, feelings and reactions of crisis, their injury, a normal healing process after an injury, pain control, support - where to seek information, support in case of deterioration or absence of improvement despite medication and treatment, how to take care of wounds and planned follow-ups. The lack of this information contributed to the fact that participants felt disappointed, poorly informed, anxious, uncertain and insecure. Furthermore participants reported that they would appreciate more explicit information. Conclusion: The result of this study shows that some trauma patients need more explicit information at discharge.
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Acute poisonings : a comparative study of hospital admissions versus poison centre consultationsMarks, C. J 12 1900 (has links)
Thesis (MSc) Stllenbosch University, 2001. / ENGLISH ABSTRACT: A prospective study was conducted in 1999 to establish the incidence and nature
of acute poisonings in the Cape Town / Western Cape region. This study was
based on an analysis of Poison Centre queries and acute poisoning admissions to
Tygerberg Hospital over a period of 1 year (1999).
Summary of findings for Hospital admissions (1010 cases):
Acute poisonings were more common in adults (83%) than in children (17%) and
drug overdose was by far the most common clinical entity in adult Hospital
admissions (89% of cases). Most overdoses in adults were intentional (97%).
Seventy five percent of these cases were female, predominantly in the 20-40 year
age group. The incidence of non-drug chemical exposures in adults was relatively
low (11%). In children, on the other hand, there was much less of a discrepancy
between drug and non-drug chemical exposures (41% and 59% respectively).
Paracetamol was the drug most commonly used in overdose in both adults and
children. In adults ethanol featured in 17% of cases. Ingestion of paraffin and
related volatile hydrocarbons were the most important cause of acute poisoning in
children. Acute poisoning admissions due to drugs of abuse, excluding ethanol,
were minimal in both age groups (1%). Toxic exposures to non-drug chemicals in
the agricultural and industrial settings were low (3%). The number of exposures to
biological toxins was also minimal (2%). Summary of findings for Poison Centre inqueries (3744 consultations):
In 1999 the Tygerberg Poison Information Centre received 3744 calls, of which
2690 were related to acute human exposures to poisonous substances. The
remainder of the calls (1054) was either about drug therapy, or general non-patient
related toxicological matters. There were more calls regarding poisoning in adults
(61%) than in children (39%). Most of the paediatric poisonings were accidental
(97%), whereas in adults 55% were deliberate and 45% accidental. Forty four
percent of the children and 52% of adults were female. In children, inqueries
about exposures to potentially harmful non-drug household chemical products
comprised 56% of poison calls, while drug overdose was 28% and exposures to
biological toxins 16%. In adults 44% of inqueries were with regard to household
products, 40% about drugs and 16% biological toxins.
A comparison of Hospital admissions versus Poison Centre consultations:
In order to make a valid comparison between Hospital admissions and Poison
Centre consultations, acute poisoning cases originating from the same area were
compared. Eight hundred and thirty four (90%) of patients admitted to Tygerberg
Hospital and 592 (25%) of Poison Centre consultations originated from the same
region, the Tygerberg catchment area. Several differences were noted when
comparing poisoning cases reported to the Poison Centre and Hospital
admissions. Six hundred and eighty eight (83%) adults and 145 (17%) children
were admitted to Hospital in contrast to Poison Centre inqueries, where 322 (54%)
were adults and 270 (46%) children. In adults, 99% of Hospital admissions versus
59% of Poison Centre consultations were regarded as self-inflicted. Ninety three percent of adults admitted to Hospital were drug overdoses, whereas only 48% of
adult Poison Centre consultations involved ingestion of medicines. In adult
overdoses with paracetamol and other analgesics, tricyclic antidepressants,
antiepileptics, theophylline and ethanol were significantly higher in Hospital
admissions than in Poison Centre consultations. In contrast, exposures to
pesticides e.g. pyrethroids, misuse of recreational drugs e.g. cannabis and
biological toxin exposures e.g. spider bites, were significantly higher in Poison
Centre consultations than in Hospital admissions.
In children, poisoning exposures to volatile hydrocarbons, especially paraffin, were
significantly higher in Hospital admissions compared to Poison Centre enqueries.
As is evident from the disparity in the results above, inqueries to the Tygerberg
Poison Information Centre cannot be regarded as a reflection of the true incidence
of acute poisonings in the community.
Poison Information Centre statistics are distorted because of two factors:
1. Under-reporting to the Poison Information Centre. Healthcare providers
are familiar with how to manage drugs commonly used in overdose (e.g.
paracetamol) and certain household non-drug chemicals (e.g. paraffin), and
often do not consult the Poison Centre for poison cases involving these
substances. The number of inqueries received by the Poison Information
Centre regarding these substances is, therefore, an under representation of
actual incidence. 2. Over-reporting to the Poison Information Centre. The Tygerberg Poison
Information Centre is well known for its expertise in biological toxins (e.g.
spider and snake bites, scorpion stings, plant and mushroom ingestions,
and marine toxins). Therefore, the number of inqueries received by the
Centre with regard to these exposures is far higher than actual incidence of
exposures.
It is clear from this study that one cannot use data derived from a poison centre
alone as an indicator of true incidence of poisoning in the community. A more
accurate estimate of incidence of acute poisoning could be obtained by including
data from hospital admissions, as well as those from primary health care facilities.
Another prominent finding in this study was the high incidence of self-inflicted drug
overdose in adult females, with paracetamol being the drug of choice. Poison
prevention should therefore not be limited to children. Adult prevention programs
need urgent attention. / AFRIKAANSE OPSOMMING: ‘n Prospektiewe studie om die insidensie en aard van akute vergigtigings in die
Wes-Kaap vas te stel, is gedurende 1999 in Tygerberg Hospitaal uitgevoer. Die
studie is gebaseer op ‘n analise van oproepe wat deur die Tygerbergse
Vergifinligtingsentrum ontvang is en pasiente wat gedurende dieselfde tydperk met
‘n diagnose van akute vergiftiging by die Hospitaal toegelaat is.
Qpsomming van Hospitaal toelatinqs (1010 qevalle):
Toelatings van akute vergiftigings was meer algemeen by volwassenes (83%) as
by kinders (17%). Die meeste hospitaal toelatings (83%) by volwassenes is a.g.v.
geneesmiddeloordoseing. By 97% van volwassenes was gifstowwe doelbewus
ingeneem, met vroue in die meerderheid (75%). Die insidensie van vergiftigings
met nie-geneesmiddel verwante gifstowwe by volwassenes was laag (11%). By
kinders was daar egter ‘n meer eweredige verspreiding tussen geneesmiddel
(41%) en nie-geneesmiddel verwante (59%) gifstowwe. By beide volwassenes en
kinders, was parasetamol die middel wat by die meeste oordoserings betrokke
was. Alkohol was by 17% van vergiftigings by volwassenes betrokke. Paraffien en
verwante vlugtige substanse was die belangrikste gifstowwe betrokke by akute
vergiftigings by kinders. Akute vergiftigings as gevolg van die gebruik van
dwelmmiddels was laag in alle ouderdomsgroepe (1%). Vergiftigings in die
landbou en industriele sektore was laag (3%). Dit was ook die geval ten opsigte
van blootstelling aan biologiese toksienes (2%). Opsomminq van Tyqerberq Verqifinliqtinqsentrum konsultasies (3744 qevalle):
Gedurende 1999 het die Tygerberg Vergifinligtingsentrum 3744 oproepe ontvang
waarvan 2690 as gevolg van akute vergiftigings was. Die ander 1054 oproepe het
gehandel oor geneesmiddel terapie of algemene, nie-pasient verwante navrae.
Daar is aangetoon dat oproepe ten opsigte van akute vergiftigings by volwassenes
meer algemeen was as by kinders (61% en 39% respektiewelik). By kinders was
die meeste vergiftigings per ongeluk (97%), terwyl by volwassenes die meeste
doelbewus (55%) was. By kinders was 44% van die vroulike geslag teenoor 52%
by volwassenes. By kinders was nie-geneesmiddel gifstowwe by 56% van akute
vergiftigings betrokke en geneesmiddels by 44%. By volwassenes was dit 60% en
40%, respektiewelik.
‘n Verqelvkinq ten opsigte van Hospitaal toelatinqs en Verqifsentrum konsultasies:
Om ‘n geldige vergelyking tussen Hospitaal toelatings en Vergifinligtingsentrum
konsultasies te maak is gevalle van akute vergiftigings afkomstig uit dieselfde
geografiese gebied.vergelyk. Toelatings tot Tygerberg Hospitaal 834 (90%) en
592 (25%) oproepe wat deur die Tygerbergse Vergifsentrum ontvang is, kom uit
dieselfde opvangsgebied, naamlik die Tygerbergse substruktuur. Verskeie
verskille tussen die twee instansies ten opsigte van die tipe vergiftigings is
aangetoon. Volwassenes 688 (83%) en 145 (17%) kinders is met ‘n diagnose van
akute vergiftiging by Tygerberg Hospitaal toegelaat in teenstelling met die
Inligtingsentrum konsultasies waar 322 (54%) volwassenes en 270 (46%) kinders by betrokke was. By volwassenes was 99% van die toelatings die gevolg van
doelbewuste vergiftiging (paraselfmoord), terwyl dit 59% van die Inligtingsentrum
se navrae was. Drie en negentig persent van die volwassenes was in die Hospital
toegelaat met geneesmiddel oordosering. Heelwat minder geneesmiddel
oordosering (48%) was deur die Inligtingsentrum hanteer. Parasetamol en ander
analgetika, trisikliese antidepressante, anti-epilepsie middels, alkohol en teofillien
oordoserings by volwassenes was beduidend hoer by Hospitaal toelatings as by
Vergifsentrum konsultasies. Akute vergiftiging deur paraffien en verwante vlugtige
substanse by kinders was beduidend hoer by Hospitaal toelatings as wat gevind is
by Inligtingsentrum navrae. Navrae ten opsigte van pestisied vergiftiging, gebruik
van dwelmmiddels en blootstelling aan biologiese toksiene was beduidend hoer as
by Hospitaal toelatings.
Hierdie duidelike kontrasterende data dui daarop dat die tipe navrae wat deur die
Tygerberg Vergifinligtingsentrum hanteer word nie noodwendig ‘n weerspieeling
van die ware insidensie van akute vergiftiging in die gemeenskap is nie. Daar is 2
hoofredes hiervoor.
1. Onderrapportering by die Inligtingsentrum. Gesondheidverskaffers
(dokters, verpleegsters, aptekers ens.) is vertroud met die behandeling van
sekere algemene vergiftigings soos byvoorbeeld parasetamol oordosering
en paraffien inname. Hulle ag dit derhalwe onnodig om die Sentrum hieroor
te konsulteer. Dit lei dus tot onderrapportering. 2. Oorrapportering by die Inligtingsentrum. Die Tygerbergse
Vergifinligtingsentrum is bekend vir sy vakkundigheid ten opsigte van
blootstelling aan biologiese toksiene (spinnekopbyte, slangbyte,
skerpioensteke, plante-en sampioen vergiftigings, ens). Dit is om hierdie
rede dat vergiftigings deur biologiese agense, geraporteer aan die Sentrum,
‘n hoer syfer verteenwoordig as wat die werklike insidensie ten opsigte van
die vergiftigings is.
Hierdie studie toon dat vergifinligtingsentrum data nie noodwendig ‘n indikator
van die ware insidensie van akute vergiftigings in die gemeenskap is nie. Dit is
dus belangrik dat hospitaaltoelatingsdata asook data van primere
gesondheidsklinieke ingesluit word om sodoende ‘n beter beeld te verkry van
die ware insidensie van akute vergiftigings.
‘n Opmerklike bevinding tydens die studie was die hoe insidensie van
doelbewuste geneesmiddel oordosering by volwasse vroue, met veral
parasetamol as die middel van keuse. Programme wat fokus op die
voorkoming van akute vergiftigings in volwassenes het dringende aandag
nodig.
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Κατασκευή συστήματος μέτρησης απολύτου ροής θετικών ιόντων σε ηλεκτρικές εκκενώσεις χαμηλής πίεσηςΚαραβέντζας, Βασίλειος-Δημήτρης 13 October 2013 (has links)
Σημαντικό ρόλο στις βιομηχανικές εφαρμογές πλάσματος παίζει η ροή των ιόντων. Ωστόσο, συχνά συναντάται το πρόβλημα της εναπόθεσης μονωτικών υμενίων καθιστώντας τους ηλεκτροστατικούς καθετήρες μη λειτουργικούς για τη μέτρηση της ροής αυτής. Ένας εναλλακτικός καθετήρας, ικανός να λειτουργήσει σε αυτές τις συνθήκες, προτάθηκε από τους N. S. J. Braithwaite et al. [1]. Στην παρούσα εργασία παρουσιάζονται, πρώτον, η θεωρία λειτουργίας του καθετήρα αυτού, δεύτερον η κατασκευή του και τρίτον η ανάπτυξη τού συστήματος για την οδήγησή του καθώς και την καταγραφή και την επεξεργασία των σημάτων του. Τέλος, γίνεται πειραματική εξακρίβωση της σωστής λειτουργίας της συσκευής, σε διάταξη επαγωγικού πλάσματος ραδιοσυχνοτήτων (13.56 MHz). / The ion flux holds a major role in the industrial applications of plasma. Often, though, the problem of insulative film deposition is encountered, making the electrostatic probes non functional for the measurement of the ion flux. An alternative probe, capable of functioning under these circumstances has been proposed by N. S. J. Braithwaite et al. [1]. In this paper there are presented, firstly, the theory under which this probe functions, secondly the implementation and thirdly the development of a system for biasing and also data acquisition and processing the signals obtained by the probe. Finally, an experimental identification of the good operation of the device is done, in RF inductively couple plasma (13.56 MHz).
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SPATIO-TEMPORAL VARIABILITY IN GROUNDWATER DISCHARGE AND CONTAMINANT FLUXES ALONG A CHANNELIZED STREAM IN WESTERN KENTUCKYTripathi, Ganesh N. 01 January 2013 (has links)
Spatio-temporal variability in groundwater discharge and contaminant fluxes along a channelized stream in western Kentucky
Surface and groundwater discharges and contaminant fluxes can vary with time and space depending upon the hydrogeological processes and geological setting of the area of interest. This study examined a ~300-m-long, channelized reach of a first-order perennial stream, Little Bayou Creek, in the Coastal Plain of far western Kentucky during the period October 2010–February 2012. Along the study reach, springs discharge groundwater contaminated by the chlorinated organic compound trichloroethene (TCE) and radionuclide technetium-99 (99Tc) released as a result of past activities at the U.S. Department of Energy’s Paducah Gaseous Diffusion Plant. The study addressed variability in groundwater discharge patterns and contaminant concentrations at various timescales (seasonal, annual, and decadal) and the extent to which the discharge sites are spatially persistent. Understanding patterns of groundwater discharge along a stream can be important for assessing the fate and transport of aqueous contaminants.
Groundwater discharge was estimated during baseflow conditions using different mass-balance approaches, including velocity-area and dye-dilution gauging. Discharge fluctuated seasonally but typically increased downstream, indicating the entire study reach to be gaining throughout the year. Discharge rates of individual springs also fluctuated seasonally. Tracer test data were utilized to model flow and transient storage along the reach using the USGS software OTIS-P. Cross-sectional area determined from OTIS-P was similar to that measured by velocity-area gauging. Reach area-normalized discharge fluxes were comparable to values determined by Darcy’s law calculations from a pair of monitoring wells at the downstream end of the study reach. Temperature data acquired from probing along grids in winter and summer, from fiber-optic sensing along the reach in autumn, and from data-loggers and manual measurements in springs were used to delineate focused discharge locations. Comparison of temperature-probing results with prior studies indicated that locations of some springs persisted over a decade, whereas other springs emerged and disappeared. Because the stream is located in unlithified sediments, discharge rates of springs appear to fluctuate with soil piping and collapse along joints in fractured clay. Contaminant concentrations in springs decreased downstream along the reach and were lower than observed during September 1999 – May 2001. The continued occurrence of dissolved oxygen and the absence of TCE daughter products in springs suggest that the decrease in TCE concentrations resulted from the installation of upgradient extraction wells, rather than from intrinsic reductive degradation.
KEYWORDS: Contaminant fluxes, trichloroethene, technetium-99, baseflow, temperature probing.
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Factors That Influence Medicare Part A Beneficiaries' Length of Stay in the Nursing Home, After a HospitalizationAlvine, Ceanne January 2006 (has links)
The purpose of this study was to begin testing of a downward cross-level model for studying the ability of older adults to transition from a nursing home after a Medicare Part A reimbursed stay. Transitions are known to be a weak point in the provision of healthcare to older adults and thus far, research has not identified those factors that influence older adult's transitions i.e., from the nursing home after a post acute stay. The theoretical background for this study was supported by Resource Dependency Theory which is a theory that contends that organizations are externally controlled by activities outside the organization such as the "free-market" economic model that predominates the nursing home industry. It was thought that nursing homes may prioritize their need for resident census above the resident's need for discharge. The hypothesis was that both individual resident characteristics and organizational characteristics might influence the ability of older adults to transfer from the nursing home after a Medicare Part A stay. The method of analysis in this study was contextual regression. Individual and facility characteristics were the independent variables and length of stay was the dependent variable. For this project, emphasis was placed on the development of a methodology for using the MDS in this and future research studies. Selection of variables and methods for variable computation were highlighted. Individual and facility characteristics and discharge disposition (level of care) were reported descriptively. Although facility characteristics did not contribute significantly to the model, individual characteristics explained 28% of the variance in the length of stay. Fifteen percent of individuals in the sample died during their Medicare Part A stay and 18% were readmitted to the hospital. The most prevalent diagnoses of the sample were hypertension (35%), falls (34%) and arthritis (32%). Findings suggest that individual characteristics account for only a portion of the length of stay for post acute nursing home residents. Further model testing is needed and should include a larger facility sample size and market characteristics to determine if those factors significantly influence the ability of older adults to transfer after the Medicare Part A stay ends.
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Partial discharge source classification using pattern recognition algorithmsJanani, Hamed 08 September 2016 (has links)
Design, development, and testing of a comprehensive and automated classification system for single and multiple PD source identification based on the relationship between the variation of PRPD patterns and the sources of PD is proposed. The proposed system consists of feature extraction methods and classifier algorithms that are implemented for recognition of partial discharge patterns. For single PD source identification, twelve high performance, applicable feature extraction techniques on PRPD patterns are employed to extract features. In order to present a comprehensive classification system, 10 well-known algorithms for the classification of PD sources have then been used. To evaluate the performance of the classification system, three laboratory test setups are designed and built to simulate various types of PD activities. The first test setup is designed to model common sources of PD in air, oil, and SF6. Using this setup, the application of automated classification system on different sources of PD in different HV insulation media is investigated. The second and third test setups are designed to test the classification system on identification of different sources of PD in oil-immersed insulation and power transformer cellulose insulation under both electrical and thermal stresses, respectively. In many practical situations, the interest lies in the identification of multiple, simultaneously activated PD sources in insulation. Multi-source PDs sometimes results in partially overlapped patterns, which makes them hard to be identified by single source identification techniques. To further enhance the proposed classification system, a novel algorithm to identify Multi-source PDs is developed and appended to the system. To evaluate the performance of this algorithm, a number of multi-source PD models have been designed. The overall results show that the classification system is well able to identify the single and multi-source of partial discharges. More importantly, this identification system is able to assign a ``degree of membership" to each PRPD pattern, besides assigning a class label to it. This enables probabilistic interpretation of a new PRPD pattern that is being classified and results in safer decision making based on the risk associated with different sources of PD. The results of this research is beneficial for the design of a solid basis for an automated, continuous 24/7 monitoring of equipment, which facilitates PD source identification in early stages and safe operation of HV apparatus. / October 2016
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Caring for a Preterm Infant during the First Six Months Post NICU Discharge: A Mother’s PerspectivePhillips-Pula, Lois 07 December 2011 (has links)
Overview There are numerous studies in the current literature focusing on the intense emotions experienced by parents, following the birth of a preterm infant, (i.e., born prior to 37 weeks gestational age [GA]). Research findings have helped us understand the fear and anxiety they feel while attempting to navigate the neonatal intensive care unit (NICU) environment. What happens in those early weeks and months at home after discharge, however, is surprisingly absent from the literature. It is well known that preterm infants are readmitted to the hospital during the first few months after discharge at a rate of 10% - 35%, for an average 4.7 - 11.7 day stay and a cost of approximately $376 million (Underwood, 2007; Escobar, et al., 2005). The most common reasons for readmission are respiratory, feeding and jaundice problems (Spicer, et al., 2008; Underwood, 2007; Escobar, et al., 2005; Brissaud, et al., 2005). What we don’t yet know is what transpired during those early days and weeks at home and how mothers established their day-to-day routines. This missing information could foster a better understanding of family needs and promote the development of strategies to share with mothers prior to discharge, with the result being healthier transitions for both mothers and infants and a possible reduction in the inflated readmission rates for this cohort. The purpose of this research was to help bridge the gaps in the literature on the topic of transitioning a preterm infant to home following NICU discharge. Eight mothers who met the criteria of having a preterm infant born between 24 and 34 weeks GA, admitted to a NICU for a week or more, and who had been discharged to home for 6 months or less, were purposefully chosen from a convenience sample. Each mother was interviewed and asked to describe those first few months at home, e.g., how she met her infant’s needs, what she learned, and how she learned it. Two follow up questions were included and asked the mother what she would like us (HCPs) to know about her experience, and what she would say to other mothers whose infants were still in the NICU. Most mothers spoke at length of the fear they felt when bringing their infants home, and how inadequate they felt trying to provide care that had heretofore been provided by a team of specialists. They described the 2 difficulty and confusion associated with getting their infants to sleep in a quiet home environment until they thought to duplicate the noises of the NICU, and how the monitors, which all infants wore home from the NICU, were both friend and foe, alerting them to potential problems, but awakening the entire household in the process. Each mother also spoke of her determination to do whatever was necessary to ensure that her infant was not rehospitalized, and how thankful she was that her infant had made it to this point. Although each mother described a different approach to meeting the challenges associated with her infant, there was a consistency in the overall challenges each mother experienced. Most mothers wanted HCPs to know they were thankful for the part each had played in saving their infant’s life but they also wanted to impart their parental wisdom on the best ways to give information to a parent, the need for uniformity in what they called the “rules” of the NICU, and how a little encouragement from any HCP was sorely needed by most parents. These mothers were excited to be taking part in this study. They wanted to feel that something they saw, felt or did would make a difference for another mother with an infant in the NICU. Each thanked me for allowing them to share their experiences with me. The references for this document will appear at the end of each section.
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Oddlužení - jeden ze sanačních způsobů řešení úpadku dlužníka / Discharge of a debtor - one of modes of insolvency solutionPaľko, Ján January 2014 (has links)
The main goal of this thesis is to offer a detailed perspective on the discharge from debts in the context of insolvency proceedings and also to illuminate the most important novelties, which were brought with the newest amendment of the insolvency law. The debt relief was alongside with the reorganization incorporated to the Czech legal system by the Insolvency act, No. 182/2006 Coll., which entered into force on the 1st of January 2008. This led to a significant shift from the liquidation form of resolving bankruptcy to the preference of the remedial methods. The main purpose of the debt relief is to provide a person in bankruptcy with an opportunity to free themselves from their debts and at the same time to ensure the highest possible and proportional satisfaction of the creditors. This institute was originally designed exclusively for the persons, who were not engaged in business, mainly for consumers. Nowadays this statement is not entirely factual. The legislator newly explicitly permitted, what had already been allowed by the judicial practice and thus a possibility to take advantage of this institute even for the entrepreneurs. Obviously, only under the conditions laid down by the valid legislation. The court shall allow resolving insolvency of the debtor in the form of discharge from...
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Řešení úpadku dlužníka oddlužením / The solution of insolvency of a debtor by his dischargeŠmejkalová, Alice January 2016 (has links)
The thesis named The solution of insolvency of a debtor by his discharge focuses on characteristics as way of solutions of insolvency of a debtor - discharge according to Act No. 182/2006 Coll., on Bankruptcy and its solution (Insolvency Act). The whole thesis is divided into five chapters. The core of the thesis is in the third chapter dealing with the discharge of the debt. The first and second chapter deals with insolvency proceedings and the bankruptcy and its solutions. The bankruptcy and its variants are defined here as well as the description of rehabilitation and liquidation solution of insolvency. The fundamental and the largest chapter is the third chapter, which deals with the institute of the discharge as one of the rehabilitation solution of the insolvency of a debtor. In subchapters there are described forms of debt discharge, audition, payment schedule and combination both of these. The advantages and disadvantages are mentioned for each form of debt discharge. The course of the insolvency proceedings is described from the submission the insolvency petition until the end of the insolvency proceedings including the decision on fulfillment of discharge and release from debts. The statistics relating to insolvency proceedings focused on discharge are analyzed in fourth chapter, the...
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Oddlužení - jeden se sanačních způsobů řešení úpadku / Discharge as one of debt-eliminating modes of solving bankruptcyŠnoblová, Zuzana January 2011 (has links)
Discharge as one of debt-eliminating modes of solving bankruptcy Abstract The aim of this thesis is to define the new law institute as regards insolvency law that is defined in the Act No. 182/2006 Coll., on Bankruptcy and its solution (Insolvency Law). The act came into force on 1.st January 2008. The purpose of this thesis is also to describe the practice of courts when applying afore mentioned law and specify some difficulties concerning new legislation. Discharge from debts is one of the remediation methods to resolve the debtor's bankruptcy. The idea is to allow the debtors to exempt from the payment of their debts and start new life free of debt. Discharge from debts is a tool for solving the so-called consumer bankruptcy people who are not entrepreneurs. The part of the thesis deals with the personal scope of discharge. Furthermore, it is up to the court to decide whether it discharges debtors from their debts. The basic premise is the honest intention of the debtor. Another assumption is the fact that the debtor will satisfy at least 30 percent of the claims of unsecured creditors. Discharge from the debts can be secured in two ways. The first way is to liquidate the debtor's estate and the second, is to fulfill monthly payments in five years, the second solution is often preferred by the unsecured...
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