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81	Verbesserung der medizinischen Versorgung und des Outcomes sehr kleiner und leichter Frühgeborener durch klinisches Benchmarking Bätzel, Carolin 04 April 2006 (has links) In der vorliegenden Arbeit wurde anhand der im Rahmen des Vermont-Oxford-Neonatal-Networks erhobenen Daten an der Berliner Klinik für Neonatologie der Charité Campus Mitte und der Abteilung für neonatologische Intensivmedizin der Universitätskinderklinik in Innsbruck ein Benchmarking-Projekt für die Jahre 1997 bis 2001 durchgeführt. Nach der Analyse des Outcomes wurde eine Analyse der externen Evidenz anhand von Literatursuche in PubMed und der Cochrane Datenbank für systematische Reviews durchgeführt. Danach wurde ein Fragebogen entworfen, der gezielt Handlungsstrategien und -richtlinien bezüglich der relevanten Outcome-Parameter erfragt. Für das Benchmarking-Projekt wurden das Atemnotsyndrom, die nekrotisierende Enterokolitis und die bakteriellen Infektionen ausgewählt. Die Analyse der Handlungsstrategien durch den Fragebogen zeigte, dass in den drei Bereichen respiratorische Interventionen, Nahrung und Ernährung sowie im Infektionsmanagement Unterschiede vorlagen. In der Diskussion zeigte sich, dass in vielen Bereichen noch Bedarf nach guter externer Evidenz und weiterer Forschung besteht. / This dissertation presents the results of a 1997 - 2001 benchmark project in co-operation with the "Berliner Klinik für Neonatologie der Charité Campus Mitte" and the "Abteilung für neonatologische Intensivmedizin der Universitätskinderklinik" in Innsbruck. The study is based on the Vermont-Oxford-Neonatal-Network''s data. After analysing the results, further evidence was analysed by way of literary research in PubMed and the Cochrane Database of Systematic Reviews. Afterwards, a questionnaire was created, lining out the clinical guidelines of the relevant outcome parameters. The respiratory distress syndrom, the necrotising enterocolitis and the bacterial infections were selected for the benchmark. The internal guidelines'' analysis showed that there were differences between the two clinics'' results in respiratory interventions, feeding and the management of infections. The discussion made clear that research based on further evidence is necessary in many fields. Sepsis Qualitätsmanagement Benchmarking Handlungsrichtlinien Vermont-Oxford-Neonatal-Network very-low-birth-weight-Frühgeborene chronische und akute Morbidität Atemnotsyndrom nekrotisierende Enterokolitis bakterielle Infektionen respiratorische Interventionen Nahrung und Ernährung Infektionsmanagement Liegedauer Sauerstoffgrenzwert Surfactanttherapie Thrombozytengrenzwert Thrombozytopnie Pasteurisierung von Muttermilch Heparinisierung Antibiotikaprophylaxe sepsis benchmarking management of quality guidelines Vermont-Oxford-Neonatal-Network very-low-birth-weight neonates chronic and akute morbidity respiratory distress syndrome necrotising enterocolitis bacterial infections respiratory interventions feeding management of infections length of stay thrombocytopenia platelet count 610 Medizin 33 Medizin YQ 2404 YQ 2415 ddc:610
82	Charting the imperial will : colonial administration & the General Survey of British North America, 1764-1775 Johnson, Alexander James Cook January 2011 (has links) This dissertation explores how colonial administrators on each side of the Atlantic used the British Survey of North America to serve their governments’ as well as their personal objectives. Specifically, it connects the execution and oversight of the General Survey in the northern and southern theatres, along with the intelligence it provided, with the actions of key decision-makers and influencers, including the Presidents of the Board of Trade (latterly, the Secretaries of the American Department) and key provincial governors. Having abandoned their posture of ‘Salutary Neglect’ towards colonial affairs in favour of one that proactively and more centrally sought ways to develop and exploit their North American assets following the Severn Years’ War, the British needed better geographic information to guide their decision making. Thus, the General Survey of British North America, under the umbrella of the Board of Trade, was conceived. Officially sponsored from 1764-1775, the programme aimed to survey and analyse the attributes and economic potential of Britain’s newly acquired regions in North America, leading to an accurate general map of their North American empire when joined to other regional mapping programmes. The onset of the American Revolution brought an inevitable end to the General Survey before a connected map could be completed. Under the excellent leadership of Samuel Holland, the surveyor general of the Northern District, however, the British administration received surveys and reports that were of great relevance to high-level administration. In the Southern District, Holland’s counterpart, the mercurial William Gerard De Brahm, while producing reports of high quality, was less able to juggle the often conflicting priorities of provincial and London-based stakeholders. Consequently, results were less successful. De Brahm was recalled in 1771, leaving others to complete the work. 900
83	From Alarm to Action: Closing the Gap Between Belief and Behavior in Response to Climate Change Doherty, Kathryn Laing 30 September 2014 (has links) No description available. Communication Environmental Studies Psychology Social Psychology Statistics Behavioral Sciences Climate Change Social Research Value belief norm theory efficacy social cognitive theory social norms climate change global warming Alarmed public mitigation action environmental citizenship activism advocacy Vermont structural equation modeling surveys communication

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