introduction: emergency department performance index (epi) greatly influences the function of other hospital’s units and also patient satisfaction. recently, the iranian ministry of health has defined specific national epi containing five indexes. in the present study, the performance indexes of emergency department (ed) in one educational hospital has been assessed before and after establishme...

Managers of threatened species often face the dilemma of whether to keep populations separate to conserve local adaptations and minimize the risk of outbreeding, or whether to manage populations jointly to reduce loss of genetic diversity and minimise inbreeding. In this study we examine genetic relatedness and diversity in three of the five last remaining wild populations of dama gazelle and a...

We strengthen the non-deterministic time hierarchy theorem of [5,15,18] to show that the lower bound holds against sublinear advice. More formally, we show that for any constants c and d such that 1 6 c < d, there is a language in NTIME(n) which is not in NTIME(n)/n. The best known earlier separation [8] could only handle o(log(n)) bits of advice in the lower bound. We generalize our hierarchy ...

Assessing mitigation of phosphorus (P) leaching from subsurface drainage systems is challenging due to high spatial and temporal variation in leaching. Mean measured total P leaching from a clayey soil in an eight-year study period (four replicates per treatment) was (kg ha-1 year-1): 1.21 from shallow autumn tillage (ShT), 0.84 from unfertilised fallow (UF), 0.81 from conventional autumn ploug...

Abstract Background Discharge summaries are an integral part of communication within healthcare to ensure safe care across settings. Alterations documented and relayed between relevant professionals. This audit evaluates quality discharge from a medical gerontology ward against the National Standard for Patient Summary Information (HIQA) Methods A retrospective was carried out with data collect...

BACKGROUND Re-hospitalization is common among patients with diabetes, and may be related to aspects of health care use. We sought to determine the association between patterns of health care engagement and risk of subsequent hospitalization within one year of discharge for patients with diabetes. METHODS We identified adults with incident diabetes in Alberta, Canada, who had at least one hosp...

INTRODUCTION Hospital readmissions impose not only an extra burden on health care systems but impact patient health outcomes. Identifying modifiable behavioural risk factors that are possible causes of potentially avoidable readmissions can lower readmission rates and healthcare costs. METHODS Using the core principles of evidence based medicine and public health, the purpose of this study wa...

conclusions penetrating trauma from wooden fragments provides a diagnostic challenge. a stubborn discharge from a wound must always raise the suspicion of retained fragment. early and appropriate surgical exploration is imperative. introduction in contrast with victims of major trauma, patients who suffer minor injuries receive little specialist input. in most cases, this causes no difficulty, ...

BACKGROUND Case series and reviews have suggested the effectiveness of zuclopenthixol acetate in the acute management of disturbed behaviour caused by serious mental illnesses. This review investigates the trial-based evidence for these suggestions. METHODS All randomized clinical trials comparing zuclopenthixol acetate to other 'standard' treatments for the acute management of those with ser...