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Search Results: 1 - 10 of 14288 matches for " Department of Energy "
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Participation and Activity Rates: Monitoring Exposure Potential for Native Americans and Others in the United States  [PDF]
Joanna Burger
Journal of Environmental Protection (JEP) , 2011, DOI: 10.4236/jep.2011.28116
Abstract: Managers and regulators are concerned about potential human health effects from exposure on lands contaminated by chemicals and radionuclides. Determining target cleanup levels is partly dependent upon future land use, and potential exposure from human use. This paper provides data from surveys of activity patterns of people attending festivals in four states, located in the vicinity of Department of Energy facilities. There were significant differences in both participation rates, and activity rates as a function of both location and ethnicity that can be used by managers to track exposure, land use, and preferred activities on natural lands. In general, 1) a higher percent of Native Americans engaged in consumptive activities than others, 2) a higher percent of Caucasians engaged in some non-consumptive activities than Native Americans, 3) a higher percentage of Native Americans engaged in activities on sacred grounds, 4) activity rates were generally higher for Native Americans for consumptive activities and religious/cultural than for Caucasians, 5) fishing rates were higher than other consumptive activities, and camping/hiking were higher than other non-con- sumptive activities, and 6) hunting rates were higher in subjects from Idaho than elsewhere. Baseline human use is critical for monitoring potential exposure, and provides the basis for monitoring, risk assessment and future land use, and these data can be used by managers for assessment and management. Tracking changes over time will reflect changing recreational, subsistence, and cultural/religious trends that relate to land use, public perceptions, and exposure.
The Aging Waistline: Impact of the Geriatric Obesity Epidemic on an Urban Emergency Department: Original Communication  [PDF]
Heather M. Prendergast, Ernest Waintraub, Brad Bunney, Lisa Gehm, Carissa Tyo, Armando Marquez, John Williams, Angela Bailey, Diego Marquez, Marcia Edison, Mark Mackey
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.45047

Purpose: Reviews adult emergency department (ED) visits for patients age 65 and older during one calendar year; determine the prevalence of weight classifications; identifies trends between BMI and discharge/admitting diagnoses, vital signs, and severity index.Methods: The electronic medical records system and data from the ED billing service was reviewed for an urban academic institution with an annual volume of 125,000 for patients age > 65. Using a random number table, a retrospective cohort of 328 elderly patients was selected for review, representing a convenience sample of 2.6% of elderly ED visits. Body Mass Index (BMI) was calculated, using the Center for Disease Control (CDC) formula with underweight (<18.5), normal (18.5 - 24.9), overweight (25 - 29.9), and obese (≥30). Results: The majority of the cohort in this study was African-American and Hispanic (60% and 27% respectively), and there were a higher percentage of females than males (60% and 40% respectively). Approximately 29% of the patients were classified as normal weight, 35% classified as overweight, and 36% as obese. The older the patient, the more likely that patient belonged to a lower weight classification (p < 0.01). Those presenting with neurological, pulmonary or gastrointestinal complaints were more likely to be of a higher weight classification (p < 0.05). Patients who were hypertensive on arri

Application of Life Style Model to Analyze the Market of Department Stores  [PDF]
Cheng-Wei Chung, Jiun-Jia Hsu
Journal of Service Science and Management (JSSM) , 2012, DOI: 10.4236/jssm.2012.53036
Abstract: This paper is focus on satisfaction of consumer behaviors in different department stores and using life style model to analyze their market difference. Customers were randomly selected from six different large department stores in Kaohsiung City during anniversary periods. The results were shown that total amount spent was below NT$3000 and most of them were for apparel. Anniversary sales, promotion, recommendation from families and friends are three mains reasons to shop in a department store. The life styles were defined in six types and they are confidence, unique, self-oriented, well budgeted, limited budgeted and simple. There are five different life style groups after K-mean analysis. There are busy-confidence group, rational discrete group, urban-city group, easy-relax group, and fashion-shopping group. These five life style groups have significant differences in term of shopping behavior, individual social economic background and willingness for re-purchasing.
A psychiatric whodunit: Serotonin syndrome in the emergency department  [PDF]
Christopher Rodgman, Megan Thompson, Nicolas Vergara, Christopher Rodgman
Open Journal of Psychiatry (OJPsych) , 2012, DOI: 10.4236/ojpsych.2012.24039
Abstract: Serotonin syndrome is a life-threatening reaction associated with serotonergic agents. Its mortality is estimated around 11%, hence prompt diagnosis is necessary [1]. Given the variability of its presentation, physicians often misdiagnose this devastating condition. We present a case of serotonin syndrome seen in the Emergency Department by an on-call psychiatric resident and review the Hunter Serotonin Toxicity Criteria, emphasizing the importance of physician familiarity with these criteria.
Prevalence of Hematuria among Emergency Department Healthcare Workers  [PDF]
Ho-Hsing Lin, Chi-Wen Juan, Li-Ya Lin, Chi-Wei Lee, Chien-Jen Huang
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.519154
Abstract: Background: In Taiwan, emergency departments are so busy that it is not uncommon for staffs (doctors and nurses) to be deprived of their lunch breaks or breaks to go to the restroom. As a consequence, during their busy shifts some emergency department healthcare workers choose to limit their water intake and no time to micturate which are both risk factors of urinary tract infection or urolithiasis. Hematuria is a common laboratory finding due to urinary tract infection and urolithiasis. Objective: To assess the prevalence of hematuria among the emergency department healthcare workers, we conducted a retrospective study in a district hospital in Taiwan. Documented data included those of healthcare workers who worked in the emergency department, as well as other departments of the same hospital. Methods: We reviewed the three-year records of general body checkup of hospital staffs who served in the emergency room and other departments of the same hospital between January 1, 2009 and December 31, 2011. Statistical software SPSS statistical analysis of survey data recovery is applied; data and test results by the questionnaire analysis patterns are associated with the urinary system abnormalities to ANOVA analysis to explore the hospital group whether there is a significant sex differences, and the other to analyze and verify the correlation analysis to the Scheffe post-hoc comparison method. Results: A higher prevalence of hematuria was observed among emergency department healthcare workers when compared with their colleagues who work in other departments of the same hospital. Female workers have higher risk of urinary system abnormalities than male workers. Nurses in the urinary system abnormalities are higher than other positions category. Shift work system has a negative effect on the urinary system. Conclusion: In conclusion, hematuria is more prevalent among emergency department healthcare workers than healthcare workers working in the inpatient wards. Hematuria might well be due to urinary tract infection which in turns caused by the overwhelmingly busy nature of the emergency department duty that deprived the emergency department healthcare workers from frequent voiding and sufficient intake of fluid.
Evaluation of the Use of Ketamine for Acute Pain in the Emergency Department at a Tertiary Academic Medical Center  [PDF]
Nahal Beik, Katelyn Sylvester, Megan Rocchio, Michael B. Stone
Pharmacology & Pharmacy (PP) , 2016, DOI: 10.4236/pp.2016.71003
Abstract: Introduction: At subdissociative doses of 0.1 - 0.5 mg/kg, ketamine provides effective analgesia when used alone or as an adjunct to opioid analgesics without causing cardiovascular or respiratory compromise. Ketamine is a beneficial analgesic agent in the emergency department (ED), particularly in patients with opioid-resistant pain or polytrauma patients who are hemodynamically unstable. Purpose: The purpose of this study was to evaluate current practice and describe clinical outcomes associated with the use of low-dose ketamine for acute pain in the ED. Methods: Adult patients receiving ketamine were retrospectively evaluated between March 1, 2012 and March 31, 2013. Patients were included if they were ordered for ketamine in the ED to treat acute pain. Outcomes included dose administered, cumulative doses, concurrent opioid administration, and any efficacy or adverse events documented after the administration of ketamine. Continuous variables are reported as mean (standard deviation [SD]) or median (interquartile range [IQR]). Results: A total of 46 patients were evaluated for inclusion. Of the 25 patients included, 38 doses of ketamine were documented. The mean age was 41 years old with 64% of the patients being female. The average initial ketamine dose was 0.12 ± 0.06 mg/kg and 8 (32%) patients received multiple doses of ketamine (1.5 ± 0.8 doses per patient). Ketamine was added to opioid therapy in 23 (92%) patients. Pain scores decreased post administration of ketamine from 10 (9 - 10) to 5 (4 - 7). Adequate pain relief was documented in 11 (44%) patients (felt comfortable going home); partial pain relief was noted in 5 (20%) patients; 3 (12%) patients reported no pain relief; 3 (12%) patients were able to have a procedure done, and efficacy was not documented in 3 (12%) patients. Anxiety and agitation were documented in 2 (8%) patients. No adverse outcomes were documented in 84% of patients. Conclusion: Administration of low-dose ketamine for acute pain in the ED demonstrated improvement in patients’ pain scores with minimal documented adverse outcomes.
Epidemiological, Clinical and Etiological Aspects of Ascites in the Medicine Department at the Departmental University Hospital of Borgou  [PDF]
A. C. Dovonou, A. C. Alassani, K. Saké, S. Adè, C. A. Attinsounon, S. Ahoui, J. Degla, Tognon F. Tchégnonsi, D. M. Zannou, G. Adè, F. Houngbé
Open Journal of Internal Medicine (OJIM) , 2017, DOI: 10.4236/ojim.2017.73006
Abstract: Goals: The study has been initiated in order to describe the epidemiological, clinical and etiological aspect of the ascites. Patients and methods: This was a retrospective and descriptive study on the patients with an ascite and followed at the medicine department of Borgou departmental teaching hospital. Results: A total of 190 patients have presented an ascite or a hospital prevalence at 3.93%. A male predominance has been observed with a sex-ratio at 1.7. The average age was 39.7 ± 13.9 years. The reason for consultation is dominated by the increase of the abdominal volume (69.5%). The ascite fluid is macroscopically yellow citrine. The cirrhosis (28.5%) and the heart diseases (18.6%) were the most encountered causes of the ascites. Conclusion: The etiologies of ascites are various and dominated by the hepatic cirrhosis and the heart diseases.
Evaluation of Predictors of Suicidal Re-Attempt in Pediatric Patients in the Emergency Department  [PDF]
Ali Kemal Erenler, Turker Yardan, Fuat Kulaksiz, Cem Ko?ak
Open Journal of Pediatrics (OJPed) , 2017, DOI: 10.4236/ojped.2017.74036
Abstract: Background: Suicidal attempt in children is a serious public health problem. A proper identification of features of suicide-related behavior may help physicians to develop an accurate approach. The aim of this study was to clarify the characteristics of children with poisoning due to suicidal attempt and to determine the risk factors of suicidal re-attempt in the Emergency Department (ED) via a simple questionnaire. Methods: We collected medical data of patients under 18 years who were admitted to our ED with intoxication due to suicidal attempt, retrospectively. General characteristics of patients were evaluated. Patients were divided into 2 groups as 1) High risk: patients with repetitive suicide attempt; 2) Low risk: patients with first time suicidal attempt. Results: A total of 57 patients were included in this study. The mean age was 15.91 ± 0.97. Majority of the patients were female (73.7%). Analgesics were the most frequent abused drugs with a ratio of 51.1%. It is determined that the most important variables affecting the risk of suicidal re-attempt are “idea about the suicide” and “purpose”. It was determined that patients with an idea of repetitive suicide (I will try again) and whose purpose was to die (I wish I have died) were in the most risky group with a history of previous suicidal attempt. Conclusion: This study suggests that answers of the pediatric patients to some question have a potential to predict the high risk patients.
The Pre and Final Year Dental Students’ Attitudes, Perception towards Postgraduate Specialization in Kinshasa University—Dental Medicine Department/DR. Congo  [PDF]
Nyimi Bushabu Fidele, Em Kalala Kazadi, Mantshumba Milolo Augustin, Mayunga Mbuebo, Sekele Isouradi Bourley Jean Paul, Kumpanya Ntumba Pierrot, Bile Bopili Gabriel, Mac Sandrie Mariella, Ntumba Mulumba Hubert, Lutula Pene Shenda Joseph
Creative Education (CE) , 2018, DOI: 10.4236/ce.2018.912131
Abstract: The health professions are always affected by changes in the community, economics, religions, and politics. The aim of this study was to investigate the occurrence attitudes towards postgraduate specialization, and possible influencing factors for choosing specialties by the pre and?final year students of Kinshasa University-Dental Medicine Department. A prospective survey of pre and?final year dental students of Kinshasa University was carried out. Age, gender, nationality, and the occupation of parent’s variables were recorded. The questionnaire consisted of two sections;?the?first was regarding the students’ background and?the?second?was?their attitudes towards postgraduate specialization. The survey was conducted anonymously. Fisher exact test was used to analyze the differences in some variables and statistical significance was set at 5%. Results:?Of the 106 students enrolled, 58.45% were males and 41.51% females. 81% responded to pursue a specialist career versus 15% who did not. The most popular?first choices of specialty were Oral and Maxillofacial Surgery (44.34%), followed by Public Health (18.87%). However, in the second choice of specialty, Public Heath was the first-choice career (23.58%) followed by Maxillofacial Surgery and Oral Surgery (19.81%) respectively. Oral and maxillofacial surgery was the?first choice of specialty for males (37.74%) than for the females (6.60%), and the difference was statistically significant (p = 0.002).Conclusion:?Most of the students had an intention to be a specialist, with a preference for
Ivanova Ludmila Anatolievna
Magister Dixit , 2011,
Abstract: The article deals with chronicls of the Department of Pedagogics in ISLU. The formation and development of one of the oldest university departments has an eventual and rich history, turning to which gives a reader an opportunity to trace professional, scientific and creative work of the staff members as well as the generation succession.
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