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Wind Turbine Incident/Complaint Reports in Ontario, Canada: A Review—Why Are They Important?  [PDF]
Carmen M. Krogh, E. Jane Wilson, Mary E. Harrington
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105200
Abstract:
Background: The introduction of industrial wind turbines into quiet rural en-vironments in Ontario, Canada has resulted in complaints about environmental noise and adverse health effects. Ontario has a process whereby residents can report noise to government. Official government records of Incident Reports/Complaints submitted by residents living near operating wind turbine installations were obtained through a Freedom of Information request. This article presents an evaluation of this process while commenting on the significance of Incident Reports/Complaints. Methods: Government records of Incident Reports/Complaints were analysed. Peer reviewed publications, conference presentations, judicial proceedings, government resources, and other sources were evaluated and considered in context with the topic under discussion. Objectives: The purpose of this article is to present the role and significance of Incident Reports/Complaints and discuss the value of these when assessing outcomes related to the introduction of wind turbines into a quiet rural environment. Results: Government records document 4574 Incident Reports/Complaints received by Ontario’s hotline (2006- 2016). There was no ministry response to over 50% of more than 3000 submitted formal complaints (2006-2014). Another 30% were noted as “deferred” response. Only 1% of the reports received a priority response. Provincial Officers noted in summary reports that people were reporting health effects such as: headache, sleep deprivation, annoyance, and ringing or pressure sensation in the head and ears. Health effects were reported many times including those occurring among children. Discussion: In the case of wind power installations, Incident Reports/Complaints are an important source of information for evaluating outcomes of introducing a new noise source into a quiet rural environment and are a form of public health surveillance. These reports can highlight risks to a healthy community living environment, act as an early warning system, and aid in evaluation of government policy initiatives. They may also be used before legal tribunals in public or private actions.
Detecting inpatient falls by using natural language processing of electronic medical records
Toyabe Shin-ichi
BMC Health Services Research , 2012, DOI: 10.1186/1472-6963-12-448
Abstract: Background Incident reporting is the most common method for detecting adverse events in a hospital. However, under-reporting or non-reporting and delay in submission of reports are problems that prevent early detection of serious adverse events. The aim of this study was to determine whether it is possible to promptly detect serious injuries after inpatient falls by using a natural language processing method and to determine which data source is the most suitable for this purpose. Methods We tried to detect adverse events from narrative text data of electronic medical records by using a natural language processing method. We made syntactic category decision rules to detect inpatient falls from text data in electronic medical records. We compared how often the true fall events were recorded in various sources of data including progress notes, discharge summaries, image order entries and incident reports. We applied the rules to these data sources and compared F-measures to detect falls between these data sources with reference to the results of a manual chart review. The lag time between event occurrence and data submission and the degree of injury were compared. Results We made 170 syntactic rules to detect inpatient falls by using a natural language processing method. Information on true fall events was most frequently recorded in progress notes (100%), incident reports (65.0%) and image order entries (12.5%). However, F-measure to detect falls using the rules was poor when using progress notes (0.12) and discharge summaries (0.24) compared with that when using incident reports (1.00) and image order entries (0.91). Since the results suggested that incident reports and image order entries were possible data sources for prompt detection of serious falls, we focused on a comparison of falls found by incident reports and image order entries. Injury caused by falls found by image order entries was significantly more severe than falls detected by incident reports (p<0.001), and the lag time between falls and submission of data to the hospital information system was significantly shorter in image order entries than in incident reports (p<0.001). Conclusions By using natural language processing of text data from image order entries, we could detect injurious falls within a shorter time than that by using incident reports. Concomitant use of this method might improve the shortcomings of an incident reporting system such as under-reporting or non-reporting and delayed submission of data on incidents.
MAMNID: A Load Balance Network Diagnosis Model Based on Mobile Agents  [PDF]
Thomas Djotio Ndié, Claude Tangha, Guy Bertrand Fopak
Journal of Information Security (JIS) , 2012, DOI: 10.4236/jis.2012.34035
Abstract: In this paper, we propose MAMNID, a mobile agent-based model for networks incidents diagnosis. It is a load-balance and resistance to attack model, based on mobile agents to mitigate the weaknesses of centralized systems like that proposed by Mohamed Eid which consists in gathering data to diagnose from their collecting point and sending them back to the main station for analysis. The attack of the main station stops the system and the increase of the amount of information can equally be at the origin of bottlenecks or DDoS in the network. Our model is composed of m diagnostiquors, n sniffers and a multi-agent system (MAS) of diagnosis management of which the manager is elected in a cluster. It has enabled us not only to reduce the response time and the global system load by 1/m, but also make the system more tolerant to attacks targeting the diagnosis system.
Relationship between Stress and Psychosomatic Complaints among Nurses in Tabarjal Hospital  [PDF]
Ibrahim Abdelrahim Ibrahim Humaida
Open Journal of Medical Psychology (OJMP) , 2012, DOI: 10.4236/ojmp.2012.13003
Abstract: This research was conducted to examine the relationship between stress and psychosomatic complaints among nurses in Tabarjal hospital. To achieve this aim, the researcher used the descriptive method and selected a sample consisting of (56) nurses working in hospital through the simple random sampling technique. The respondents were requested to complete a questionnaire for rating of stress and the most common psychosomatic diseases. The collected data were analyzed statistically by using SPSS. The results revealed that the stress was dominant among nurses in Tabarjal hospital, the prevalence of psychosomatic complaints was significantly higher in nurses, and there was significant correlation between stress and psychosomatic complaints among nurses. Conclusion: This research confirmed the effect of strains on the prevalence of psychosomatic symptoms among nurses in Tabarjal hospital. Further, implications of the results were discussed on the light of some related researches.
Seaweed Dietetic Food for the Functional Gastrointestinal Complaint Treatment  [PDF]
Juris Pokrotnieks, Aleksey Derovs, Elena Derova, Diana Zandere, Alexei Odinets, Vladimir Mishailov
Food and Nutrition Sciences (FNS) , 2013, DOI: 10.4236/fns.2013.49117
Abstract:

Despite the common nature of dyspeptic complaints, the treatment is still a problem. There is very little research done on the impact of dietary nutrition on the general health of the patients with dyspeptic complaints and overall nutritional safety. Study Objective: To evaluate the clinical effectiveness of the brown seaweed dietary product “Vitamarine” for the treatment of dyspepsia, as well as product safety. Material and Methods: An open, uncontrolled pilot study with questionnaires before and after the vitamarine course with the patient’s self-perception reports. Data were processed with multivariate analysis. Results: The study included 46 patients with 45 valid end result questionnaires for data processing. After 8 to 10 days use of vitamarine, 33 (76.8%) patients noted symptom disappearance or significant improvement, no improvement of symptoms or their increase was noted by 10 patients (23.2%). Complaints about weakness, fatigue and rapid tiredness significantly decreased or disappeared entirely (p = 0.04), including months long epi-gastric pain (p = 0.02) and constipation (p = 0.01). Conclusions: 1) Use of the dietetic food product “Vitamarine” with a dose of 50 - 60 g per day in two cases out of three improve the general well-being of the patients: months long dyspeptic abdominal pain and constipation disappear or significantly decrease. 2) In the first 8 - 10 days of the vitamarine course clinical effectiveness already can be noted. 3) Use of vitamarine is safe, including patients with a history of allergies to medications, elderly and patients with concomitant diseases.

Comparison of Sacral Ratio in Normal Children and Children with Urinary and/or Faecal Complaints
Abdol Mohammad Kajbaf Zadeh,Farideh Nejat,Parvin Abbaslou
Iranian Journal of Pediatrics , 2008,
Abstract: Objective: Sacral ratio (SR) measurements in children with urinary and faecal complaints is less than that in normal children.Material & Methods: We performed the current study on 401 normal and 193 children with urinary and/or faecal complaints from April 2002 to April 2003. None of the children in either group had a history of a known neurologic disease, myelodysplasia, cloacal exstrophy, Hirschprung`s disease, ureteropelvic junction obstruction, ureterovesical junction obstruction or anorectal malformation. Due to ethical and health aspects, we couldn't request radiography in completely normal children to determine SR.Findings: The normal value for SR in antero-posterior view (APSR) ranged from 0.36-1.33 with an average of 0.71. The mean APSR in patients with urinary and/or faecal signs and symptoms (case group) was 0.554. The differences of SR values between the two groups were statistically significant (P<0.05). The curve of mean APSR and age in normal group shows no obvious steepness but the curve in case group has an obvious slope with increasing age to adolescence.Conclusion: The SR is considered as a reliable tool to evaluate sacral development in patients with urinary and/or faecal complaints. It has a wide range of values and should be noted abnormal when it is less than 0.4. Age has a significant influence on SR values in children with urinary and/or faecal complaints.
ANALISIS KECENDERUNGAN KELUHAN KESEHATAN PADA PAJANAN MEDAN ELEKTROMAGNETIK
Didik Budijanto,Sudarti Sudarti
Bulletin of Health Research , 2012,
Abstract: The impact of electromagnetic field exposure on health is still controversial. Scientific evidence are very few. This study has the objective to add information about that issue. This study has been done at kecamatan Tulangan and Wonoayu Sidoarjo district in a community who live under 500 KV (Extra High Tension) transmission lines. The number of sample were 229 persons and taken by simple random sampling from a group of population between 15 - 49 years old. Electric and magnetic fields are measured using ELF (Extremely Low Frequency) survey meter, and health disorders were asked using questionnaries. The result of this study showed that for electric field exposure there are trends of increasing headache among the group of age 25-34 years and > 35 years old (p = 0,002 74; p = 0,00122) and also among male and female (p = 0,01962; p = 0,00160). Whereas magnetic field exposure gave the same impact for headache among groups age (p = 0,00305; p = 0,00381) and female (p = 0,00015). The increase of vertigo disorder happened among age group between 25 - 34 year old (p = 0,01251) and only among females (p = 0,04297) for electrical field exposure, whereas for magnetic field exposure p = 0,01173 and p = 0,0164. The increase in heart beat disorder only happened among the age group between 15 - 24 years oldfor magnetic field exposure. The conclusion of this study is that the increase of electromagnetic field exposure, so increases the prevalence of health disorders e. q headache, vertigo and heart beat.
The Culture of Incident Reporting and Feedback: A Cross-Sectional Study in a Hospital Setting  [PDF]
Anne Vifladt, Bjoerg O. Simonsen, Stian Lydersen, Per G. Farup
Open Journal of Nursing (OJN) , 2015, DOI: 10.4236/ojn.2015.511111
Abstract: A safety culture where incidents have been reported and feedback given is essential to detect and understand system failures. The aims of this study were to examine the culture of incident reporting and feedback (the incident culture) in a hospital setting, and the associations between the incident culture and other dimensions of the safety culture. A cross-sectional study was carried out with the instrument Hospital Survey on Patient Safety Culture (HSOPSC) within 16 units in six somatic hospitals at a Norwegian Hospital Trust. Units with identical specialities across the hospitals constitute a clinic. HSOPSC measures the health care personnel’s perception of the safety culture, seven safety dimensions at the unit level, three at the hospital level and four outcome measures. The outcome measures “Frequency of event reporting” and the dimension “Feedback and communication about error” were combined into the variable “incident culture”, score 1 - 5. A positive score was defined as ≥ 4.0. This study included 631 health care personnel. The mean score for the incident culture was 3.10 (SD 0.65) with significant differences between the clinics, and the hospitals. The strongest predictors for the incident culture were the dimensions “Communication openness” (linear regression slope B 0.470; 95% CI 0.398 to 0.543; p < 0.001), “Manager expectations and actions promoting safety” (B 0.378; 95% CI 0.304 to 0.453; p < 0.001), “Organisational learning and continuous improvement” (B 0.374; 95% CI 0.293 to 0.455; p < 0.001) and “Teamwork across hospital units” (B 0.360; 95% CI 0.261 to 0.459; p < 0.001). In this study, the incident culture needed improvements. To improve the incident culture, the attention may be directed towards developing and maintaining a culture of open communication, management that promotes safety, and a learning organisation and teamwork between the units.
Nocturia: Impact on quality of life in an Egyptian adult population  [PDF]
Salma M. S. El Said, Tomader Abd El Rahman, Ahmed K. Mortagy, Marian Wagieh Mansour
Advances in Aging Research (AAR) , 2013, DOI: 10.4236/aar.2013.24023
Abstract:

OBJECTIVE: To estimate the effects of nocturia on quality of life (QoL) and to assess the associated effects of sleep problems. Background: Nocturnal urination (nocturia) is such a commonplace occurrence in the lives of many older adults that it is frequently overlooked as a potential cause of sleep disturbance. Methods: The current study was carried out to assess the prevalence of nocturia in elderly males and its impact on sleep quality and QoL. The study enrolled 200 elderly males aged 60 years old and above. All participants were recruited from geriatric clubs in Cairo. All participants in the study were subjected to: comprehensive geriatric assessment, American Urological Association (AUA) score used to measure the severity of nocturia ,assessment of sleep quality using Pittsburgh Sleep Quality Index (PSQI) and assessment of QoL using “SF-12 Short Form Health Survey”. Results: The study showed that the prevalence of nocturia in elderly males aged ≥60 years old was 68% with significant association between nocturia and diabetes mellitus, heart failure, stroke, prostatism, recurrent UTI and diuretic use. As regard sleep quality, the current study showed that the prevalence of
poor sleep in the studied subjects is 70.5% with significant association between nocturia and poor sleep quality. Nocturia significantly affects sleep latency, sleep efficiency and daytime dysfunction, high significantly affecting sleep disturbance. Also diabetes mellitus, ischemic heart disease, heart failure, prostatism, recurrent UTI, osteoarthritis and diuretic use are significantly associated with poor sleep quality. As regard quality of life, the current study showed significant association between nocturia and physical and mental health components of HRQL in the univariate analysis. But after multivariate analysis, nocturia is not an independent risk factor for poor quality of life. Nocturia affects QoL through its effect on sleep quality which is an independent risk factor for poor physical and mental health components of QoL. Conclusion: Nocturia may lead to sleep insufficiency and consequently to a decrease in mental and physical health. Patients who consult a doctor for nocturia should thus be treated adequately. In addition, it is worthwhile for doctors to routinely check if patients’ who contact them for sleep problems also have nocturia.

Como gerar valor para os clientes por meio dos Servi?os de Atendimento ao Consumidor: o que mostram as pesquisas
Chauvel, Marie Agnes;Goulart, Vania Cianni;
Cadernos EBAPE.BR , 2007, DOI: 10.1590/S1679-39512007000400003
Abstract: during the 1990s, the number of customer service departments (csds) in operation in brazil grew significantly. such departments have since been studied in researches that focused essentially two topics: customers satisfaction with the management of complaints and the performance of customer service departments in the organization. the objective of this paper is to review the results of these studies seeking for recommendations that could help organizations in the management of csds. as a result, the paper suggests several aspects that should be taken in consideration in order to improve the relationship between the csd, the customers and the firm and contribute for a more strategic use of this tool in the task of offering more value to customers.
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