Emergency department visits for mental health: an examination of wait times to see a provider

Thesis (M.S.H.P.)BACKGROUND: Emergency department (ED) visits for psychiatric issues have grown at a disproportionately higher rate than other visits. This has been attributed to factors including severe cuts in mental health (MH) services and identified as a culprit in ED overcrowding. Little is known, however, about how mental health reason-for-visit (MHRFV) interacts with patient and hospital characteristics to affect wait times to see an ED provider. OBJECTIVE: To determine if wait time (WT) to see a provider at the ED differs for those presenting with MHRFV and how various patient and hospital-level characteristics interact to affect it. METHODS: Data were obtained from the National Hospital Ambulatory Medical Care Survey (NHAMCS) for visits to EDs throughout the United States. We examined data for patients ≥ 18 years of age who visited an ED in years 2009 and 2010. Patient weights were used to generate national estimates. Patients’ primary reasons-for-visit were used to identify the MH group for analysis and comparison to all other RFVs. Predictors of WT were chosen based on the Andersen Behavioral and ED overcrowding models. WTs were log-transformed for initial bivariate and final multivariate regression models to assure a more normal distribution. RESULTS: Mean WT was 56.5 and 55.8 minutes for MHRFV and all others respectively with a shared median of 31 minutes. As expected with our large sample (n = 47,831), all variables of interest were significantly associated with WT. Adjusting for patient and hospital level characteristics, a multivariate regression revealed that MHRFV prolonged WT by about 50%. After adjustment for independent variables, interactions with MHRFV were tested as the main outcomes of interest. Blacks with MHRFV had WTs 62% longer, patients age 41-64 31% longer, payer status of Medicare/Medicaid or no coverage had WTs about 24% and 14% longer than private insurance. Conversely, patients at government owned hospitals had WTs 145%, and non-profits 42%, lower than private hospitals. CONCLUSIONS: This is the first time that ED WT has been examined in this depth with a sample of patients presenting with MH issues. The results indicate that disparities are more pronounced in this subgroup of ED patients.2031-01-0

DInSAR deformation time series for monitoring urban areas: The impact of the second generation SAR systems

We investigate the capability improvement of the DInSAR techniques to map deformation phenomena affecting urban areas, by performing a comparative analysis of the deformation time series retrieved by applying the full resolution Small BAseline Subset (SBAS) DInSAR technique to selected sequences of SAR data acquired by the ENVISAT, RADARSAT-1 and COSMO-SkyMed (CSK) SAR data. The presented study, focused on the city of Napoli (Italy), allows us to quantify the dramatic increase of the DInSAR coherent pixel density achieved by exploiting the high resolution X-Band CSK SAR images with respect to the RADARSAT-1 and ENVISAT products, respectively; this permits us to analyze nearly all the structures located within the investigated urbanized area and, in many cases, also portions of a same building. © 2012 IEEE

Sicurezza e Fitosanitari

Gli Autori descrivono i rischi tossicologici dei prodotti fitosanitari illustrando la normativa di riferimento e le misure di prevenzione e protezioneThe authors describe the toxicological risks of plant protection products, illustrating the relevant regulations and measures of prevention and protectio

An integrated approach for monitoring soil settlements at the VIrgo site

The Virgo detector, currently in its 2nd generation configuration Advanced Virgo (AdV), is a Michelson interferometer aimed at the gravitational waves research and at opening a new window on the study of the Universe. It is made of two orthogonal arms being each 3 kilometers long and is located at the site of the European Gravitational Observatory (EGO), in the countryside near Pisa, Italy. After the construction of the Virgo facilities completed in 2002, over the years a steady subsidence process has been observed as a consequence of the building and embankment overloads. In consideration of the subsoil characteristics, whose surface portion is mainly formed by a 25÷60 m thickness layer of clay with limited thin layers of sands, the evolution of settlements was expected and properly considered for the design of the civil engineering infrastructures, so that the vacuum tubes can be readjusted to keep the original alignment. However, along 15 years of time life, the initial estimates of the expected displacements were continuously compared with the observed effects. The measured settlements have been regularly monitored and adopted for implementing the necessary realignment activities. This paper reports the monitoring activities conducted over the years, mainly consisting of regular high accuracy levelling surveys, periodically integrated by GPS and classical theodolite measurements. These sets of measurement were adopted to perform the Virgo realignment procedure needed to keep the interferometer rigidly tied in a 3x3km plane. In order to improve the knowledge on the trend of the settlements affecting the Virgo infrastructures, an analysis based on differential interferometry using satellite Synthetic Aperture Radar (SAR) data has been performed and compared with the outcome from in-situ data

Penetapan Kompensasi Pada Karyawan Associate Bagian Human Capital Organization Productivity Cost Control and Partner Management Di PT United Tractors Jakarta

Compensation is a major aspect that must be considered for a company. Compensation is a right of employees that must be given by the company each month. It is therefore important for a company to set the compensation to be given to employees. Compensation can affect the productivity and performance of employees so that can directly affect the company's objectives. Compensation consists of two aspects, namely, compensation for financial and non-financial compensation. This study aims to find out how the procedure penetepan compensation in PT United Tractors and any form of compensation earned in PT United Tractors. Study employees was conducted at PT United Tractors East Jakarta in October until November 2016 the method used is qualitative analysis by comparing theories about compensation with the state of the field about the compensation available in the company. Compensation is given fair and reasonable to the employees, it aims to prevent the gap between employees and Perusahaan.Hasil research shows that the first compensation determination procedure begins with the survey, the evaluation work, the third to give the price of every level of payments, the fourth improve the level of payments, and The fifth grouping similar work into levels. The form of compensation that is obtained in the form of employees, salaries and wages first, both benefits and services. Keywords: Compensation, Human Capital, United Tractors

Pameran Cinemagraph “Turun Sintren”

Kebudayaan merupakan identitas dari sebuah masyarakat. Kesenian Sintren merupakan bagian dari kebudayaan Cirebon di daerah pesisir utara Jawa, Indonesia. Penari Sintren berkacamata hitam dan wewangian dari asap kemenyan merupakan salah satu bentuk hiburan rakyat Cirebon. Terkait dengan pengaruh Sunan Gunung Jati, masyarakat Cirebon masih terikat pada hal hal yang berbau mistis. Kurangnya wawasan masyarakat umum akan kesenian ini membuat Sintren Cirebon membutuhkan sebuah sarana untuk kembali dikenal. Perancangan pameran cinemagraph “Turun Sintren” ditujukan kepada remaja akhir dan dewasa muda yang senang mengunjungi mall. Mall merupakan sebuah ruang publik dimana terjadi interaksi didalamnya. Perancangan pameran “Turun Sintren” terbagi dalam dua tahap; perancangan cinemagraph dan pameran. Pameran ditata sedemikian rupa untuk mendukung pensuasanaan dari seri cinemagraph yang dibuat. Dalam bentuk pameran cinemagraph di kawasan mall, dengan otomatis akan terjadi interaksi antara audience dan Sintren

The effect of exposure to low frequency electromagnetic fields (EMF) as an integral part of the housing system on anxiety-related behaviour, cognition and welfare in two strains of laboratory mouse.

Electromagnetic field (EMF) technology has the potential to improve scientific data capture and welfare assessment by allowing automated data collection from individual cages. How- ever, it is important to determine any impact that a new technology itself may have on animal welfare, and previous studies have found contrasting results of EMF on laboratory rodent anxiety-like behaviour and cognition. We therefore investigated whether there was an effect of low frequency EMF experienced continuously over a six-week period, as an integral part of the animal housing system, on measures of mouse anxiety-related behaviour, cognition and welfare. We housed mice (N = 80) of two strains (BALB/cAnNCrl and C57BL/6NCrl) separately in Individually Ventilated Cages (IVCs) in groups of four, either with the EMF plate turned ‘on’ or ‘off’ (n = 5). Some measures, e.g. food and water utilisation, were col- lected at regular intervals, whereas measures of anxiety-like behaviour (e.g. open field test) and cognitive performance (novel-object recognition test) were collected only at the end of the study. We found expected strong strain differences in most measures, e.g. latency to leave the starting square in an open field test, with C57BL/6NCrl mice moving away sooner, and interactions between strain and time for those measures recorded at more than one time point, e.g. significant weight gain over time for both strains, but with BALB/cAnNCrl mice weighing more. However, we found no significant effects of treatment (EMF ‘on’/‘off’) for any of the measures collected. These results indicate that, for the measures recorded here, there was no measurable impact on the behaviour and welfare of low frequency EMF exposure experienced continuously over a six-week period. Housing systems that include EMF monitoring technology may therefore be suitable for use without influencing either ani- mal welfare or scientific outcomes

Clinical and psychosocial correlates of post-herpetic neuralgia

Post-herpetic neuralgia is the most challenging and debilitating complication of herpes zoster in the immunocompetent host. Because the effect of treatment is disappointing once the syndrome has developed, it is important to know which factors predict post-herpetic neuralgia occurrence to facilitate selection of herpes zoster patients with a higher risk of developing neuralgia and undertake preventative strategies. The present study aimed at identifying demographic, clinical and psychosocial correlates of post-herpetic neuralgia in a sample of 219 immunocompetent patients, who were examined by dermatologists in private practice in Italy and who completed a questionnaire designed to evaluate their clinical and psychosocial profile at the time of clinical diagnosis of herpes zoster and at a follow-up visit 6 months later. In a univariate analysis, post-herpetic neuralgia was associated significantly with older age, longer duration of prodromal pain, greater acute pain intensity, greater extent of rash, presence of abnormal sensations and use of systemic antiviral therapy. Compared to the values at herpes zoster onset, at the follow-up visit patients with post-herpetic neuralgia presented with similar high mean scores of pain intensity, anxiety and depression and greatly reduced quality of life, whereas patients without neuralgia presented with improved scores. In a multivariate model, older age, greater acute pain intensity, greater extent of rash and longer duration of prodromal pain were independently associated with post-herpetic neuralgia. The results of this study may help physicians to identify patients with a higher risk of developing post-herpetic neuralgia and undertaking preventative strategies

GAMBARAN PENGETAHUAN GIZI MAHASISWA SEMESTER DUA FAKULTAS KESEHATAN MASYARAKAT UNIVERSITAS SAM RATULANGI SAAT PEMBATASAN SOSIAL MASA PANDEMI COVID-19

Status gizi merupakan salah satu faktor penting dalam mencapai derajat kesehatan yang optimal. Tingkat pengetahuan gizi seseorang akan mempengaruhi seseorang dalam pemilihan bahan makanan dan konsumsi pangan yang tepat, beragam, seimbang serta tidak menimbulkan penyakit. Dimasa pandemi Covid-19 saat ini pengetahuan gizi melalui perilaku gizi seimbang yang baik dapat meningkatkan sistem kekebalan tubuh sehingga tehindar dari virus Covid-19.Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan gizi mahasiswa semester II Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi. Jenis penelitian ini adalah Survei Deskriptif yang dilaksanakan di Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi pada bulan April-Oktober. Populasi pada penelitian ini adalah seluruh mahasiswa aktif semester II Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi. Sampel pada penelitian ini adalah 130 mahasiswa. Pengambilan sampel menggunakan teknik sampel jenuh Alat ukur yang digunakan adalah Kuesioner tentang pengetahuan gizi secara online melalui google form. Data dianalisis menggunakan analisis univariat. Hasil penelitian ini menunjukkan bahwa gambaran pengetahuan gizi mahasiswa semester II Fakultas Kesehatan Masyarakat saat pembatasan sosial pandemi Covid-19, memiliki tingkat pengetahuan gizi cukup sebanyak 46,9 %, dan yang memiliki tingkat pengetahuan gizi baik sebanyak 43,8% , serta tingkat pengetahuan gizi kurang sebanyak 9,3%.  Kata Kunci:  Pengetahuan Gizi, Mahasiswa, Covid-19 ABSTRACTNutritional Status is an important factor in achieving an optimum health degree. The level of knowledge of nutrition a person will affect a person in the selection of material food and food consumption that are appropriate, diverse, balanced and do not cause disease. In the pandemic Covid-19 current knowledge of nutrition through the behavior of balanced nutrition can improve the immune system so can spared from the Covid-19.This study aims to determine the knowledge of nutrition second semester students of the Faculty of Public Health Sam Ratulangi University. This research is a Descriptive Survey conducted in the Faculty of Public Health Sam Ratulangi University in April-October. The population in this research is all active second semester students of the Faculty of Public Health, Sam Ratulangi University with sampel size  of 130 students. Sampling technique using saturated sample measuring Instrument used is a questionnaire about nutrition knowledge online through a google form. Analyzed data using univariate analysis. The results of this study indicate that the knowledge of nutrition second semester students of the Faculty of Public Health when the social restrictions on pandemic Covid-19, 46.9%  have the fair level of  nutrition knowledge and 43,8%  have the  good level of nutrition knowledge, 9.3%.  Keywords: Nutrition Knowledge, Students, COVID-1

Frontal brain asymmetries as effective parameters to assess the quality of audiovisual stimuli perception in adult and young cochlear implant users

How is music perceived by cochlear implant (CI) users? This question arises as "the next step" given the impressive performance obtained by these patients in language perception. Furthermore, how can music perception be evaluated beyond self-report rating, in order to obtain measurable data? To address this question, estimation of the frontal electroencephalographic (EEG) alpha activity imbalance, acquired through a 19-channel EEG cap, appears to be a suitable instrument to measure the approach/withdrawal (AW index) reaction to external stimuli. Specifically, a greater value of AW indicates an increased propensity to stimulus approach, and vice versa a lower one a tendency to withdraw from the stimulus. Additionally, due to prelingually and postlingually deafened pathology acquisition, children and adults, respectively, would probably differ in music perception. The aim of the present study was to investigate children and adult CI users, in unilateral (UCI) and bilateral (BCI) implantation conditions, during three experimental situations of music exposure (normal, distorted and mute). Additionally, a study of functional connectivity patterns within cerebral networks was performed to investigate functioning patterns in different experimental populations. As a general result, congruency among patterns between BCI patients and control (CTRL) subjects was seen, characterised by lowest values for the distorted condition (vs. normal and mute conditions) in the AW index and in the connectivity analysis. Additionally, the normal and distorted conditions were significantly different in CI and CTRL adults, and in CTRL children, but not in CI children. These results suggest a higher capacity of discrimination and approach motivation towards normal music in CTRL and BCI subjects, but not for UCI patients. Therefore, for perception of music CTRL and BCI participants appear more similar than UCI subjects, as estimated by measurable and not self-reported parameters