There has been an increase in the number of individuals with mental illness being housed in correctional facilities over the last 50 years. In this study, the length of pretrial detention was compared for inmates who have a mental illness and are compliant with psychiatric medications, inmates who have a mental illness and are noncompliant or not prescribed psychiatric medication, and inmates with no mental illness. I also examined if inmates who have a mental illness have less severe charges and if there was a difference in the classification of mental health diagnoses for inmates who are and are not compliant with psychiatric medications. The study used the closed charts of 427 male inmates from 1 county jail in New Jersey from the year 2016. The theoretical foundation of this study is Abraham Maslow's hierarchy of needs, as it is believed that the basic physiological and safety needs should be met in order to provide mental health treatment. A combination 1-way analyses of variance (ANOVA) and chi-squared analysis was used to examine the data. It was concluded that inmates with mental illness who are medication compliant are incarcerated significantly longer pretrial than inmates with no mental illness. It was also found that there was a difference in the types of charges received between those with and without a mental illness. Lastly, the study found that there was no significant difference between each of the classifications of mental illness when comparing inmates with mental illness who are and are not compliant with psychiatric medications. The implication for positive social change is the benefits to the inmates with mental illness and the correctional facilities, as it confirms that inmates with a mental illness require more tailored and treatment specific services for a longer period of time.

In Oregon, "Incompetent to Stand Trial (1ST) Patients" were observed to be increasing in number, remaining in the hospital longer, and costing more to treat. A study was designed to investigate variables that could be used to predict their length of stay at Oregon State Hospital. Data for thirteen independent variables (gender, age, having an Axis I psychosis level diagnosis, having an Axis I substance-related diagnosis, having an Axis II personality disorder diagnosis, evidence of involuntary medications, being on atypical medications at discharge, number of seclusion and restraint events, number of felony charges, number of misdemeanor charges, and number of inter-ward transfers) and one dependent variable (length of stay) were analyzed for 198 1ST patients discharged from Oregon State Hospital between January, 1999 and December, 2001. Bivariate correlations for all variables, and length of stay (LOS) means for all levels of each variable were examined and discussed. A standard multiple regression analysis was performed. The regression model accounted for 36.5% (32.7% adjusted) of the variability in (log) LOS. R for regression was found to be significantly different from zero. Five variables were found to be significant contributors to explaining the variability in (log) LOS: (square root) number of inter-ward transfers (16%), gender (5.8%), evidence of involuntary medications (5.2%), (square root) number of felony charges (2.8%), and (square root) number of seclusion and restraint events (1.6%). Despite accounting for more variability in LOS than several previous studies with psychiatric patients, 67.3% of the variability was unaccounted for by the regression model. Unstandardized regression coefficients for untransformed variables were interpreted, revealing that gender, number of inter-ward transfers, and evidence of involuntary medications significantly predicted the largest increases in LOS. Recommendations were made for further research related to LOS of 1ST patients. / Graduation date: 2003

The Ottawa Hospital cancels hundreds of elective surgeries every year due to a lack of beds, and has an average weekday occupancy rate above 100%. Our approach to addressing these issues, by way of informing administrators of resource needs, was to model the flow of patients coming and going from the hospital. We used administrative data from the Ottawa Hospital to build a time-series model of emergency department admissions, and studied models that would predict next-day discharge of patients currently taking up hospital beds. In the latter, we considered population-averaged models for groups of patients based on their primary medical condition, as well as subject-specific models. We included the random effects from subject-specific variation to improve on predictive accuracy over the population- averaged approach. The result was a model that provided more realistic probabilities of discharge, and stable predictive accuracy over patient length of stay.

The Ottawa Hospital cancels hundreds of elective surgeries every year due to a lack of beds, and has an average weekday occupancy rate above 100%. Our approach to addressing these issues, by way of informing administrators of resource needs, was to model the flow of patients coming and going from the hospital. We used administrative data from the Ottawa Hospital to build a time-series model of emergency department admissions, and studied models that would predict next-day discharge of patients currently taking up hospital beds. In the latter, we considered population-averaged models for groups of patients based on their primary medical condition, as well as subject-specific models. We included the random effects from subject-specific variation to improve on predictive accuracy over the population- averaged approach. The result was a model that provided more realistic probabilities of discharge, and stable predictive accuracy over patient length of stay.

This report is about the current outdoor environment in the housing area Brunnsbacken in the city of Eskilstuna. The report examines the various factors in the outdoor environment that can affect the physical and psychic well being of the elderly people through availability and inclusion. The research methods that are affected are qualitative and has been implemented in order to give insight and knowledge about the way elderly people view the outdoor stay in their neighborhood, but also through analysis produce an informed design suggestion. / Denna rapport handlar om dagens utomhusmiljö i bostadsområdet Brunnsbacken i Eskilstuna. I rapporten granskas de olika faktorer i utomhusmiljön som kan påverka äldres fysiska och psykiska välmående genom tillgänglighet och inkludering. De forskningsmetoder som berörs är kvalitativa och har använts i syfte att ge insikt och kunskap om de äldres syn på utomhusvistelsen i sin närmiljö, men också genom analys kunna ta fram ett välgrundat gestaltningsförslag.

Hepatocellular carcinoma (HCC) is the second most common cancer in Taiwan and transcatheter arterial chemoembolization (TACE) is now the mainstay of treatment for noncurative HCC. Due to increasing medical costs yearly and financial problem of the Bureau of National Health Insurance, it is important to reduce medical resource utilization including hospital stay and medical costs. The aim is to figure out the risk factors of extended hospital stay, and increased in-hospital medical costs in hepatocellular carcinoma patients receiving transcatheter arterial chemoembolization. The result of this study should be available for further improvement of medical care quality in the limited medical resource. From January 2008 to January 2010, 162 patients (121 male and 41 female) with histologically proven hepatocellular carcinoma underwent TACE only (131 pts) or TACE followed by catheter placement for hepatic artery infusion chemotherapy (HAIC) (31pts) at district teaching hospital. The extended hospital stay (EHS) and extended post-procedure stay (EPS) are defined as stay larger than their median values (11 & 7 days respectively). Clinical demographic, disease factors, tumor factors, procedure (TACE)-related factors and complications are used to identify the univariate factors related to EHS and EPS statistically. To find out predictors of EHS, EPS and increased in-hospital medical costs, multiple linear regression analyses are used. The risk factors for EPS are procedure-related, including complications and procedure methods ( TACE + HAIC related to TACE only) (R2=.367, p<.001), while those for EHS are complications, encephalopathy, procedure methods, Child-Pugh classification C (related to classification A) and age (R2=.490, p<.001). The predictors for increased in-hospital medical costs include procedure methods, AJCC stage IV, T4 stage, hepatoencephalopathy and complications (R2=0.615, p<.001). Taking total hospital stay into consideration, the most important risk factor related to increased medical cost is total hosptial stay itself. The most powerful risk factor for EPS, EHS is procedure-related complication. The different procedure methods also affect hospital stay and medical costs. In order to reduce medical resource utilization, we should avoid post-procedure complication and pay attention to cirrhotic degree as well as American Joint Committee of Cancer (AJCC) tumor stage system. The result of this study can provide some ideas to adjust medical expense polices for the Bureau of National Health Insurance and to control medical cost for the hospitals.

Schnellläuferstrategien sind Lagerstrategien, welche den Durchsatz von Lagern durch geeignete Wahl der Lagerorte im Lager steigern. Die verschiedenen existierenden Strategien wurden bisher uneinheitlich beschrieben und umgesetzt. Aussagen zu Durchsatzsteigerungen fallen schwer. Die existierenden Strategien werden systematisiert und als Vergleichsbasis für die neue Strategie &amp;quot;Dynamische Zonierung&amp;quot; herangezogen. Die &amp;quot;Dynamische Zonierung&amp;quot; ist dabei sowohl die einfachste als auch die leistungsfähigste Schnellläuferstrategie. Dafür sorgt die konsequente Anwendung zweier Verfahren, welche bereits einzeln sinnvoll sind, aber erst gemeinsam ihr volles Potential entfalten: Erstens erübrigt die Abbildung der Verweildauerverteilung auf die Fahrzeitverteilung jegliche Zonierung. Damit entfallen die Aufwände für Planung und Berechnung von Zonengrenzen und -zuordnungen. Gleichzeitig kann so die bei Zonenbildung unvermeidliche Abbildungsunschärfe beseitigt werden. Eine von einer optimalen Zuordnung abweichende Lagerortwahl resultiert nun ausschließlich aus Prognosefehlern. Zweites stellt die lagereinheitsbasierte Verweildauerbetrachtung die korrekte Umsetzung des als optimal nachgewiesenen Cube-Per-Order-Kriteriums dar. Ohne Zwang zur Zonenbildung fehlen die der Verwendung lagereinheitsbasierter Verweildauern sonst entgegenstehenden algorithmischen Mehraufwände. Dass auch die Prognose lagereinheitsbasierter Verweildauern für Teile des Sortimentes nicht zu Mehraufwand sondern zur Vereinfachung des Verfahrens führt, spricht zusätzlich für die lagereinheitsbasierte Betrachtung. Auch bei herkömmlicher artikelorientierter Betrachtungsweise kann die Dynamische Zonierung dadurch Leistungsvorteile herausarbeiten. / Turnover-based storage strategies are strategies in warehousing which increase the system throughput by choosing favorable storage locations. Existing strategies have been described and implemented inconsistently when compared to each other. Statements on strategy gains are difficult. Therefore a categorization of turnover-based strategies is devised. The existing strategies serve as basis of comparison for the new strategy &amp;quot;Dynamic Zoning&amp;quot;. &amp;quot;Dynamic Zoning&amp;quot; proves to be the simplest turnover-based strategy while giving the highest performance at the same time. This is accomplished by combining two methods. These methods are reasonable when used separately, but only reach their full potential when used together. First, mapping the dwell time (duration of stay) probability distribution to the travel time probability distribution lets zones become obsolete. Efforts to plan and calculate zones can be avoided and the inevitable imprecision when mapping to zones vanishes. Any deviation from the optimal storage location now results from errors in estimation. Second, dwell times must be based on unit loads which is the correct application of the cube-per-order-criterion for optimality. Without the need to use zones this does not result in extra effort to apply the strategy. For a part of the assortment the estimation of unit load dwell times is simpler than before too, making unit load dwell times even more appealing. However, even when using conventional article based dwell time estimates the strategy &amp;quot;Dynamic Zoning&amp;quot; results in higher performance than other strategies.

The Ottawa Hospital cancels hundreds of elective surgeries every year due to a lack of beds, and has an average weekday occupancy rate above 100%. Our approach to addressing these issues, by way of informing administrators of resource needs, was to model the flow of patients coming and going from the hospital. We used administrative data from the Ottawa Hospital to build a time-series model of emergency department admissions, and studied models that would predict next-day discharge of patients currently taking up hospital beds. In the latter, we considered population-averaged models for groups of patients based on their primary medical condition, as well as subject-specific models. We included the random effects from subject-specific variation to improve on predictive accuracy over the population- averaged approach. The result was a model that provided more realistic probabilities of discharge, and stable predictive accuracy over patient length of stay.

Thesis (M.Sc.)--Memorial University of Newfoundland, 2004. / Bibliography: leaves 98-100.

Submitted by Márcio Maia (marciokjmaia@gmail.com) on 2016-09-06T18:11:10Z No. of bitstreams: 1 aquivototal.pdf: 1783648 bytes, checksum: 35c51eb2f3badb5f0ce08e9be78f2d9b (MD5) / Made available in DSpace on 2016-09-06T18:11:11Z (GMT). No. of bitstreams: 1 aquivototal.pdf: 1783648 bytes, checksum: 35c51eb2f3badb5f0ce08e9be78f2d9b (MD5) Previous issue date: 2016-02-29 / The understanding about public policies context in contemporary society implies uncover the relationship between democracy, public policy and public space. In Brazilian educational field, an articulation between public policies and social-historical changes have influences in public policies guidelines. Spread and internalization of Vocational and Technological Education Federal Network has been taking place since 2008. It has expanded places supply in Brazil with regard to access and residence guarantee. In 2010, National Student Assistance Program (PNAES, in Portuguese) arises in Federal Network student assistance. This research aims to analyze policy management of student assistance programs at Education, Science and Technology Federal Institute of Paraíba. In order to do so, we are based on the following problem: how to proceed policy management of student assistance programs in Education, Science and Technology Federal Institute of Paraíba - Campus Campina Grande? Survey was focused on IFPB student assistance policy programs regarding to feeding, transportation, housing and work initiation. This is a field research, with primarily qualitative approach. However, it also makes use of quantitative benefits, which are typified as an exploratory, bibliographic and documental research. Content analysis was fundamental for data interpretation. Data collection with the subjects was stablished by two bases: a) mixed questionnaire for students served by student assistance programs (feeding, transportation, housing and work initiation), enrolled in high school integrated technical courses who joined in 2013; and b) interviews with managers directly related to issues interactions scope related to student assistance. Results show that, among students, mostly 65% of programs recipients realize how important such programs are for their permanence and performance. In observance of student performance, only 8.3% revealed to be retained in some series, whereas 23% were in a discipline dependence regime. Student Assistance Policy is understood by managers as greatly important to students’ stay, especially for low-income ones. Research revealed student residence programs relevance and showed that permanence and performance service is not only related to cash transfer student assistance programs. A high quality staying permeates a broad service character, as pointed out by the studied institution in its Student Assistance Policy. Nevertheless, Student Assistance Policy driving process at IFPB Campus Campina Grande still demands a larger structure, considering the need to promote public sphere activity according to student perspective in order to drive policy democratic process at the institution / Entender o contexto das políticas públicas na sociedade contemporânea implica descortinar as relações entre democracia, políticas públicas e espaço público. No Brasil, na educação profissional, a articulação das políticas de educação e as transformações sócio-históricas têm influências em suas diretrizes. A expansão e interiorização da Rede Federal de Educação Profissional e Tecnológica vem ocorrendo a partir do ano de 2008, ampliando a oferta de vagas no território nacional no tocante à garantia de acesso e à permanência. Em 2010, surge, no âmbito da assistência estudantil, na Rede Federal, o Programa Nacional de Assistência Estudantil (PNAES). Esta pesquisa busca analisar os programas do Política de Assistência Estudantil do Instituto Federal de Educação, Ciência e Tecnologia da Paraíba, partindo do seguinte problema: como se estruturam os programas de assistência estudantil do Instituto Federal de Educação, Ciência e Tecnologia da Paraíba - Campus Campina Grande no tocante à permanência e ao desempenho estudantil? A pesquisa delimitou como foco da política de assistência estudantil no IFPB os programas de alimentação, transporte, moradia e iniciação ao trabalho. Trata-se de uma pesquisa campo, prioritariamente de abordagem qualitativa, mas também se valendo de subsídios quantitativos, tipificada como exploratória, bibliográfica e documental, tendo na análise de conteúdo os fundamentos para a interpretação dos dados. A coleta de dados com os sujeitos da pesquisa deu-se através de duas bases: a) questionário misto para os alunos atendidos pelos programas da assistência estudantil (alimentação, transporte e moradia, iniciação ao trabalho), matriculados em cursos técnicos integrados ao ensino médio e que ingressaram no ano de 2013; e b) entrevista com os gestores que estão diretamente relacionados ao escopo de interações dos assuntos relacionados à assistência estudantil do IFPB-CG. Os resultados obtidos com os estudantes demonstram que, majoritariamente, 65% dos beneficiados dos programas percebem a importância destes para a permanência e para o desempenho estudantil. Na observância do desempenho estudantil, apenas 8,3% revelaram ter ficado retidos na série (ou repetiram) em algum ano e 23% ficaram em regime de dependência em disciplinas. A Política de Assistência Estudantil é entendida pelos gestores como de grande importância para a permanência dos estudantes, sobretudo para os de baixa renda. A pesquisa revelou a importância dos programas para a permanência discente, desvelando que o atendimento no tocante à permanência e ao desempenho não está apenas relacionado aos programas da assistência estudantil de transferência pecuniária. A permanência com qualidade perpassa por um caráter de atendimento amplo, já apontado pelo IFPB em sua Política de Assistência Estudantil. Conclui, no entanto, que o processo de condução da Política de Assistência Estudantil no IFPB, Campus Campina Grande, ainda demanda de uma maior estruturação, em relação à necessidade de fomento da atuação da esfera pública na perspectiva discente para uma condução do processo democrático da política na instituição.