Class of 2017 Abstract / Objectives: A chart will be used to assess the need for the asthma education program. The chart review aims to: analyze the refill history of asthma medications along with verifying adherence via electronic health record and assess if patients are getting appropriate asthma therapy per 2007 NHLBI asthma guidelines. Methods: The patient’s MHC Healthcare electronic record profile and pharmacy refill record will be accessed. The information that will be obtained from the electronic health record will be: ethnicity, age, sex, allergic rhinitis diagnosis, flu vaccine status, pneumonia vaccine status, GERD diagnosis, spirometry measure if available, use of prednisone for exacerbation, prescribed asthma therapy, and provider’s (MD, NP, PA, etc)’s notes that might indicate nonadherence. The information that will be obtained from the pharmacy record are controller and rescue medication refill history. The information will be recorded in paper data collection forms and electronic versions will be saved to the secure college of pharmacy workgroup. The raw physical information described above will be stored in a locked cabinet at MHC healthcare pharmacy inside the pharmacy director’s office and the de-identified information will be stored in the secure workgroup. Results: Conclusions:

No description available.

Objectives: The majority of injured patients transported to hospital ED’s do not require emergency surgery, yet our protocols require a surgeon to be present on their arrival. There is a drive to develop clinical decision rules so as to apply “secondary triage” criteria to trauma patients in the hope that there can be more efficient use of the surgeons’ time. My objective was to identify the proportion of trauma patients that required emergency trauma surgeon intervention within 60 minutes of patient arrival. Design: A retrospective study of all Priority 1 trauma patients that presented to the ED of three Level 1 trauma centres in three private hospitals in Johannesburg. These units are staffed with ED doctors experienced in trauma management and backed up by either specialist trauma surgeons or surgeons experienced in trauma management. Methods: We analysed data from 4,500 patients in our trauma centre registry (TraumaBank). We identified emergency procedural intervention and emergency operative intervention (within one hour) by a general surgeon. Main Results: Emergency operative intervention occurred in 2.7% of cases and emergency procedural intervention occurred in 0.8% of cases. Existing triage and secondary triage systems performed poorly with unacceptable over and under-triage. Conclusions: Routine surgeon presence during the initial phase of the management of trauma patients is hard to justify. Triage policies need to strike a balance between resources and optimal care. To identify those patients that require emergency operative intervention by trauma surgeons based on pre-arrival triage criteria alone, we need to look primarily at truncal penetrating injury, persistent shock and patients transferred from other facilities.

Introduction and Background Trauma Casualty is an environment of constant unpredictability which has an impact on the both the casualty staff, the patient and family. Family members are usually not prepared for the sudden crisis of having a loved one injured. The Trauma Nurse therefore, has a very important role with regards to meeting the needs of the family of patients brought into the unit. The needs of family members in the Intensive Care or Critical Care setting has been extensively researched using the critical care family needs inventory (CCFNI), however very little has been researched in the setting of a trauma or emergency setting. The needs of family members in the emergency setting has been researched in Australia, but no work has been done in South Africa. There is, therefore, a need for research in this area. Purpose of the study The aim of the study was to determine the needs of family members accompanying patients into trauma casualty, in order of importance as perceived by them, and to determine if these needs are being met. Identification of needs will inform the role of the nurse with regard to holistic nursing care including care of the family of the patient. Research Method The study made use of a quantitative descriptive exploratory design. The population (n=97) included family members of patients brought into casualty. The sample size was determined in consultation with a statistician from the Medical Research Council. The inclusion Criteria incorporated family members, over the age of 18, who were willing to complete a self administered questionnaire. Family members of patients who had died in the unit were excluded. An Australian developed instrument, using a Likert Scale to categorise and quantify needs statements, was used. The tool was validated by review of a panel of experts and an inter rater agreement of 90% established. The tool was adapted for the South African context and validated on a subscale level using the Cronbach Alpha correlation test. Five major themes make up the critical care family needs inventory, these consist of “Meaning”, “Proximity”, “Communication”, “Comfort”, and “Support”. Two questionnaires were used, comprised of the same needs statements, however CCFNI-1 was used to determine the level of importance of needs statements, while CCFNI-2 sought to determine the level of satisfaction of needs met. The study setting made use of a Level 1 Trauma Casualty in a Public Tertiary Academic Hospital, in which the pilot study was conducted before data collection in the same setting. The data analysis process made use of descriptive statistics. After cleaning and coding, the data were exported to STATA statistical software for values to be calculated and interpreted. Data were analysed in three steps, namely analysis of demographic data, thematic organisation of analysed data and content analysis of open ended questions. Main Findings The main findings highlighted the importance of needs relating to the themes “Meaning” and “Communication”, while satisfaction was highest in the theme “Meaning”. A concerning finding was the low level of satisfaction with needs being met related to communication.

Thesis advisor: Kian L. Tan / Utilization of directing groups in a general and efficient manner for highly regioselective hydroformylation of 1,1-disubstituted olefins. / Thesis (MS) — Boston College, 2011. / Submitted to: Boston College. Graduate School of Arts and Sciences. / Discipline: Chemistry.

No description available.

Este trabalho discute o surgimento e a apropriação pública dos ‘espaços públicos de propriedade privada’: espaços privados que possibilitam a vivência social típica das atividades da esfera pública. Interessa particularmente a situação dos shopping centers como espaços públicos, as possibilidades para sua apropriação pública e os conflitos que dela emergem. A definição de espaço público é tradicionalmente associada aos bens de propriedade pública que permitem acesso e uso irrestrito, tais como ruas, praças ou parques. Embora o mapa de Nolli para Roma do século XVII já destacasse espaços fechados e privados como acessíveis ao público e as galerias da Paris do século XVIII já fossem uma representação do espetáculo da rua, a ideia de que espaços privados podem oferecer urbanidade e serem apropriados por seus usuários ainda causa estranheza. Atualmente, estes espaços públicos evoluíram para sofisticadas configurações e cresceram em importância, sendo produzidos e explorados como elementos dotados de altos níveis de centralidade urbana. O trabalho apresenta a evolução dos espaços públicos de propriedade privada e dos shopping centers como espaços públicos. São destacados casos que evidenciam o oferecimento de características típicas do meio urbano em ambientes privados e se discute como estes ambientes são apropriados. Esta tese não pretende medir ou definir parâmetros para a apropriação pública e a urbanidade dos shopping centers, mas propor o debate sobre a ocorrência, cada vez maior, da experimentação de vivências públicas em espaços de propriedade privada vinculados ao comércio. / This thesis discusses the emergence and publicness of ‘privately owned public spaces’: public spaces that enable social experience typical of activities in the public sphere. It particularly concerns the issue of shopping centres as public spaces, the possibilities for their public adoption and conflicts that might ensue. Definition of the public space is traditionally associated with public property that allows unrestricted use and access, such as streets, squares or parks. Although Nolli’s map of Rome in the 17th century singled out closed and private spaces as accessible by the public, and the galleries of 18th-century Paris were a representation of street spectacle, the idea that private spaces can provide urbanity and publicness still causes some surprise. These public spaces have now evolved into sophisticated configurations of increasing importance, and are produced and exploited as elements endowed with high degrees of urban centrality. This study presents the evolution of privately owned public spaces and shopping centres as public spaces, singling out cases that demonstrate the provision in private spaces of characteristics typical of the urban environment, and discusses how they are adopted. This thesis does not aim to measure or define parameters for publicness and urbanity of shopping centres, but instead to discuss the increasing experimentation with public experience in privately owned spaces connected to retail trade.

A study of social exchange between working mothers and their sitters was based on a sample of terminated family day care arrangements in Portland, Oregon (1966-67). The sample, provided by the Multnomah County Public Welfare Commission and the Day Care Exchange Project of northwest Portland consisted of the arrangements of 27 mothers and 23 sitters. Review of the literature on family day care revealed a paucity of research on the relationship between mothers and sitters in such arrangements. The purpose of the study was to test the hypothesis that continuity of a family day care arrangement is a function of the independent variables of satisfaction with and dependence on the arrangement. Respondents were interviewed in relation to three phases of their family day care arrangement: formation, mainte'nance, and termination. Likert-type attitudes, scales and semi-structured interview schedules were developed. Findings partially confirmed the hypothesis. Using Guttman scale analysis, a scalar relationship was found associating low dependence with high satisfaction. The mothers who showed low dependence and high satisfaction tended to have arrangements of longer duration.

Thesis (MPH)--University of Limpopo (Medunsa Campus), 2011.

Thesis (B.Sc)--University of Hong Kong, 2004. / Includes bibliographical references (p. 120-125)