This quantitative study investigated relationships among and between university early and late admitted freshmen and academic performance and persistence. The participants in this study consisted of 3,197 early freshmen applicants and 309 late freshmen applicants admitted at a large southwestern student centered public research university over the course of the year prior to the fall 2008 academic year. Significant results, using a statistical significance level of p < .05, were reported for the majority of variables examined: chi-square analysis revealed a significant relationship between application date and ethnicity; independent-samples t-tests revealed significant differences in SAT scores; 78.06% of late applicants were male compared to 40.83% of early applicants; mean GPA of early applicants was 2.62 compared to 2.18 among those who applied late; and lastly, 76.62% of early applicants returned the following year in comparison to 57.42% of late applicants. The results of this study provide preliminary support for the examination of admission policies and procedures in relation to late application. Recommendations are made for advising, counseling, and other interventions that may ease the transition of freshmen late applicants while enhancing retention and persistence.

Bakgrund: Hälso-och   sjukvårdslagen betonar vikten av att vården utformas och genomförs   tillsammans med patienten så långt det är möjligt. Vid personcentrerad vård   står personen i centrum och är delaktig i utformningen av sin vård och   behandling. Vid självvald inläggning bedömer personen själv behovet av   inläggning på slutenvården. Syfte: Syftet   var att undersöka patienters upplevelser av behandlingsmodellen självvald   inläggning. Metod: Systematisk   litteraturöversikt enligt Whittemore och Knafl integrativa metod har använts.   Kvalitativa artiklar inhämtades från databaserna PubMed, Cinahl och   PsychInfo. Totalt inkluderades nio artiklar i resultatet. Resultat: Analysen   resulterade i två huvudteman och sju kategorier som belyser patientens   upplevelse av självvald inläggning. Strukturen kring självvald inläggning,   där patienterna betonade vikten av trygghet och förebyggande åtgärder vid   psykisk ohälsa. Patienternas upplevelser av vårdmiljön och inflytandet i sin   vård-och behandling. I det andra temat framkom patienternas upplevelser av   personalens kompetens vid självvald inläggning, det upplevde attityder och   kunskapsbrist hos det som arbetar med interventionen. Det belyser även   bemötandet av personalen i samband med självvald inläggning. Slutsats: Litteraturöversikten   kan vara ett stöd till personal som arbetar inom psykiatrisk vård och som har   möjlighet till att arbeta med självvald inläggning eller önskar få mer  kunskap om patienters upplevelser av behandlingsmodellen i enlighet med   personcentrerad vård. / Background:  The Health Care Act emphasizes the importance of the   care being designed and implemented together with the patient as far as   possible. In person-centered care, the person is at the center and   participates in the design of their care and treatment. In self-admission,   the person assesses the need for hospitalization himself. Aim: The purpose was to investigate patients' experiences of the treatment   model self-admission. Method: A systematic literature   reviews according to Whittemore and Knafl integrative method has been used.   Qualitative articles were obtained from the databases PubMed, Cinahl and   PsychInfo. A total of nine articles were included in the result. Results: The analysis resulted   in two main themes and seven categories that illustrate the patient's   experience of self-admission. The structure of self-admission, in which   patients emphasized the importance of safety and preventive measures in   mental illness. Patients' experiences of the care environment and the   influence in their care and treatment. In the second theme, the patients'   experiences of the staff's competence in self-admission, it experienced the   attitudes and lack of knowledge of those working with the intervention. It   also illustrates the approach of the staff in connection with self-admission. Conclusion: The literature review may be supportive to staff working in psychiatric   care and who have the opportunity to work with self-admissions or wish to   gain more knowledge about patients' experiences of the treatment model in   accordance with person-centered care.

The purpose of this project is to update the architecture and design of the California State University San Bernardino Graduate Advisor System. This system allows potential students into the Master of Science degree program in Computer Science to complete their application online.

Located squarely within the experiences of legal aid lawyers, with particular emphasis on the challenges they face in delivering effective representation, this dissertation, designed as an institutional ethnography, problematizes the provisions and practices related to involuntary admission in psychiatric facilities in Poland, as well as the organization of legal aid representation in involuntary admission cases. Through detailed accounts of paramedics, psychiatrists, judges, and legal aid lawyers’ work, connected and coordinated by legal and administrative texts, I demonstrate how the disjuncture between institutional regimes and lawyers’ experiences is institutionally produced by the set of legal, professional, financial, and social relations that organize both the involuntary admission procedure and the system of legal aid in Poland. While I start my exploration with legal aid lawyers’ embodied experiences of performing their work, accounting for how that work is organized and coordinated in local sites, this dissertation moves beyond a solo ethnographic description in seeking to discover relations, especially the social and legal relations mediated by the texts that govern these local experiences and practices. I trace the material and discursive practices that operate in key sites to organize the legal aid system, involuntary commitment procedures, and judicial decision-making. In Poland, the overwhelming majority of involuntary commitment cases are taken on by legal aid lawyers, whose work conduct is bound by both the law and a code of professional ethics. In this dissertation, I advance my thesis by closely reviewing the legal context of involuntary commitment; the material practices associated with legal aid lawyers, such as appointment, client access, and remuneration; the processes through which psychiatric documents are created and attached to admittees; and the role psychiatrist-generated texts play in court. I argue that within the context of involuntary admission, lawyering is organized in such a way that legal aid attorneys are unable to perform at their utmost, in a way that would most benefit their clients. Moreover, through my research I show that―despite perhaps their best intentions―legal aid lawyers not only actively participate in the practices that circumscribe the space for their legal advocacy for admittees, but also reproduce the very discourses and practices that objectify people during involuntary admission procedures to psychiatric facilities in Poland. / Graduate

Die Zentrale Notaufnahme (ZNA) dient als Eintrittsstelle für alle ungeplanten Notfallpatienten eines Krankenhauses. Im Rahmen der Prozesssteuerung kommt der ZNA mit der Priorisierung der Behandlung (Ersteinschätzung), der zielgerichteten Diagnostik und Therapie sowie der Entscheidung über ambulanten Verbleib und stationäre Aufnahme der Patienten eine große Bedeutung zu. In Abhängigkeit von der Struktur und Organisationsform einer ZNA erfolgt bei bereits im ambulanten Bereich behandelten Patienten die Zuordnung zur weiterbehandelnden Fachdisziplin innerhalb des Krankenhauses auf Basis der Überweisungs- bzw. Einweisungsscheinen. Der auf dem Einweisungsschein dokumentierten Einweisungsdiagnose wird als Zuordnungskriterium bei der Prozesssteuerung im klinischen Alltag daher eine tragende Rolle zuteil. Die prospektive, monozentrische Untersuchung zeigt, dass Einweisungsdiagnosen durch niedergelassene Hausärzte und ambulante Versorgungeinrichtungen einer gewissen Unschärfe unterliegen: Nach Ende der Behandlung in der ZNA wurden bei 57,8% der Patienten die Einweisungsdiagnose als zutreffend, bei 23,6% als teilweise zutreffend und bei 18,6% als nicht-zutreffend dokumentiert. Bei Patienten mit teilweise bzw. nicht-zutreffender Einweisungsdiagnose fand sich eine 3-fach bzw. eine 6,5-fach höhere Konsilrate im Vergleich zu Patienten mit zutreffender Einweisungsdiagnose (p<0,05). Patienten mit zutreffender Einweisungsdiagnose wiesen eine signifikant kürzere Verweildauer im Vergleich zu denen mit teilweiser oder nicht-zutreffender Einweisungsdiagnose auf. Die Konsilrate in der ZNA stieg bei Nichtübereinstimmung der 3 Einweisungsdiagnose mit der in der ZNA gestellten Diagnose bis auf das 6,5-fache an [36 Konsile (7,9%) bei 453 Patienten mit zutreffender vs. 75 Konsile (51%) bei 146 Patienten mit nicht-zutreffender Einweisungsdiagnose] und auch die Verweildauer in der ZNA nahm signifikant zu (MW±SD: 192±108 min bei zutreffender vs. 258±138 min bei nicht-zutreffender Einweisungsdiagnose). Die vorliegenden Untersuchungsergebnisse zeigen, dass in der ZNA durch geeignete Maßnahmen (z. B. Ersteinschätzungssysteme, Behandlungspfade, „Standard Operation Procedure“) ein organisiertes und strukturiertes Vorgehen gewährleistet sein muss, um eine Fehlsteuerung mit Verlängerung der Patientenverweildauer und einer Erhöhung der Konsilrate mit höheren Kosten, einer höheren Personalbelastung und möglicherweise negativen Folgen für den Patienten bei nicht-zutreffender Einweisungsdiagnose zu vermeiden.

This study examined the value of the HESI Admission Assessment in predicting student success. Associate degree (N ≤ 68) and baccalaureate (N ≤ 69) nursing students took the HESI Admission Assessment after acceptance into the nursing programs for the purpose of identifying their academic weaknesses and focusing their remediation efforts. Findings indicated that the HESI Admission Assessment was a valid predictor of students' academic ability to succeed in the nursing programs. In the associate degree nursing program, HESI Admission Assessment scores were significantly positively correlated with 88.89% of all nursing course grades in the program and 100% of the beginning-level course grades. In the baccalaureate nursing program, HESI Admission Assessment scores were significantly positively correlated with 50.00% of all nursing course grades in the program and 80.00% of beginning-level course grades. Furthermore, associate degree nursing students who completed the program had significantly higher HESI Admission Assessment scores than those who did not complete the program.

It has long been recognized that in multi-cell WCDMA networks the admission of a new session into the system can have undesirable impact on the neighboring cells. Although admission control algorithms that take into account such multi-cell impact have been studied in the past, little attention has been paid to multi-cell admission and rate control algorithms when traffic is elastic. In this thesis, we propose a model for multi-cell multi-service WCDMA networks to study the impact of multi-cell admission and rate control algorithms on key performance measures such as the class-wise blocking and outage probabilities, block error rates, and the noise rise violation probabilities. By means of simulation we compare the performance of load based multi-cell algorithms with that of a single cell algorithm. We find that with multi-cell based algorithms the system capacity and performance (in terms of the above mentioned measures) are (in some cases significantly) better in homogeneous load scenarios as well as in the heterogeneous ’hotspot’ and ’hotaround’ scenarios. / Det har länge varit känt att i multi-cellulära WCDMA nät så kan insläppandet av en ny användarei systemet ha en icke önskvärd effekt på intilliggande celler. Fastän insläppskontrollalgoritmer (AC)som tar hänsyn till sådana multi-cellulära effekter har studerats tidigare, så har endast begränsaduppmärksamhet ägnatsåt multi-cellulär insläpps- och bittaktskontrollalgoritmer när trafiken är elastisk.I detta arbete föreslår vi en modell för WCDMA-nät med multipla celler och multipla tjänster ochsom är applicerbar för studier av av hur multi-cellulär insläpps- och bittaktskontroll inverkar påviktiga prestandamått som klassvisa spärr- och utslagningssannolikheter, blockfelssannolikheter, ochsannolikheten för överträdande av tillåten interferensnivå. Med simuleringar jämför vi prestanda förlastbaserade multi-cellalgoritmer med prestanda för singel-cellalgoritmer. Vi har funnit att med multicellalgoritmerså är systemskapacitetet och prestanda (i termer av tidigare nämnda mått) i några fallbetydligt bättre i homogena lastscenarier, samt i heterogena lastscenarier av typerna ’hotspot’ och’hotround’.

Thesis: B.S., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 1975 / Bibliography: leaf [66]. / by Daniel E. Breen. / B.S. / B.S. Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science

Heart failure (HF) affects 6 million Americans, has an expected increasing prevalence in the next 20 years, and has a 5-year mortality rate of 50%. It represents the number one reason for hospitalization in patients older than 65 years. Recent legislation has increased the accountability of care of patients with HF, specifically readmission rates for HF in less than 30 days. This increased focus on HF readmission rates has led many health care organizations to reassess transition-of-care issues (i.e., from home to hospital, from hospital to home) and possible interventions to positively impact these readmission rates. During this process, home health care providers play an integral role and should be aware of possible issues to ensure optimum care for patients.

Chronic obstructive lung disease is among the leading causes of adult hospital admissions and readmissions in the United States. Preventing acute exacerbations is the primary approach in therapy. Combinations of smoking cessation, pulmonary rehabilitation, vaccinations and inhaled and oral medications may all reduce the overall risk of acute exacerbations. When prevention is unsuccessful, treatment of exacerbations often does not require hospitalization but can be safely executed in the outpatient setting. In the patient who does not require mechanical ventilation or who manifests respiratory acidosis, oxygen supplementation, frequent short-acting inhaled bronchodilators, oral corticosteroids and often antibiotics can abort the decompensation and sometimes return the patient to his or her pre-attack baseline lung function. Several models exist for delivering this care in the ambulatory setting. Follow-up care after an exacerbation has resolved is important, though there are few hard data suggesting which approach is best in this setting.