Implementation of a Standardized Handoff System for a General Surgery Residency Program

Introduction: The I-PASS Handoff Bundle is an evidence based standardized set of educational materials designed to decrease handoff failures in patient care. Two of every three sentinel events , the most serious events reported to the Joint Commission, are due to failures of communication, including miscommunication during patient care handoffs. Implementation of the I-PASS method results in decreased medical errors and preventable adverse events There are few studies that evaluate this validated method in the context of a General Surgery resident program We aim to implement the I-PASS system into the transition of care process for General Surgery residents at our institution, and to analyze of the quality of the handoff process before and after the implementation.https://jdc.jefferson.edu/patientsafetyposters/1047/thumbnail.jp

Time and Material Contract in Agile

10995/27938В статье рассматривается наиболее распространенная модель ценообразования в Agile, контракт TimeandMaterial.This article discusses the most common pricing model in Agile, the Time and Material contract

Improvement of International Management Based on a Flexible Decision-Making Method

Гибкий метод принятия решений представляется более обоснованным путем решения многокритериальных задач в сложной обстановке с иерархическими структурами, включающими как осязаемые, так и неосязаемые факторы, чем подход, основанный на линейной логике.A flexible decision-making method seems to be more justified by solving multicriteria problems in a complex environment with hierarchical structures that include both tangible and intangible factors than an approach based on linear logic

Точность определения МПФ объективов фотоприемным устройством с ЛППЗ

Розглядається вплив дискретності фоточутливих елементів ЛППЗ на точність визначення МПФ об’єктивів. Запропонований засіб підвищення точності вимірювань шляхом мікро сканувань лінійним фотоприймачем в площині зображення.Examining the influence of linear CCD’s photosensitive elements discreteness on accuracy of determination lens MTF. Suggested the method of increasing measuring accuracy by the way of microscanning with linear optical detector in image plain.Рассматривается влияние дискретности фоточуствительных элементов ЛППЗ на точность определения МПФ объективов. Предложен метод повышения точности измерений путем микросканирования линейным фотоприемником в плоскости изображения

The dynamic nature of Cu sites in Cu-SSZ-13 and the origin of the seagull NOx conversion profile during NH₃-SCR

Cu-Zeolites with chabazite structure show a peculiar dual-maxima NO conversion profile, also known as a seagull profile, during the selective catalytic reduction by ammonia. In order to understand the origin of this behavior, systematic catalytic tests and operando spectroscopy were applied to derive structure–performance relationships for Cu-SSZ-13 catalysts with low and high Cu loading. Operando X-ray absorption, X-ray emission and in situ electron paramagnetic resonance spectroscopy measurements, including novel photon-in/photon-out techniques, demonstrated the interconversion of isolated Cu sites and dimeric bis(μ-oxo) Cu species, the former occurring via formation of ammonia Cu2+/Cu+ complexes and the latter in an oxidizing gas mixture. The formation of dimeric Cu+–O2–Cu+ species by involving Cu sites in close vicinity was linked to the high activity at low temperatures of the highly loaded Cu-SSZ-13 sample. In contrast, the isolated Cu sites present at very low Cu loadings are strongly poisoned by adsorbed NH3. The activity decrease around 350 °C that gives rise to the seagull shaped NO conversion profile could be attributed to a more localized structure of mono(μ-oxo)dicopper complexes. Above this temperature, which corresponds to partial NH3 desorption from Cu sites, the isolated Cu sites migrate to form additional dimeric entities thus recovering the SCR activity

Viral infections during pregnancy - optimization of therapy

The article presents the results of a clinical study of a comparative assessment of the therapeutic efficacy, safety and tolerability of the drug Panavir, a solution for intravenous administration of 0.04 mg / ml with the preparations of the basic complex therapy of IVI in pregnant women in the II and III trimesters. The study revealed that the inclusion of the drug "Panavir" in the complex therapy of viral infections during pregnancy effectively reduces the risk of developing amnionitis, placenta and infection of the fetus; is safe for both the mother and the fetus and is not accompanied by side effects and undesirable phenomena.В статье представлены результаты клинического исследования сравнительной оценки лечебной эффективности, безопасности и переносимости препарата «Панавир», раствора для внутривенного введения 0,04 мг/мл с препаратами базовой комплексной терапии ВУИ у беременных во II и III триместрах. В результате исследования выявлено, что включение препарата «Панавир» в комплексную терапию вирусных инфекций во время беременности эффективно снижает риск развития амнионита, плацентита и инфицирование плода; безопасно как для матери, так и для плода и не сопровождается побочными эффектами и нежелательными явлениями