6 research outputs found

    Area of admission and short-term care: an integral part of the internal medicine ward organized to intensive care

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    Introduction The analysis of the production related to health care activities in the Medicine ward of dell’Angelo Hospital (Mestre-Venezia, Italy) in the year 2010 reveals that the short-term hospitalization, less than 3 days, corresponds to 18% of all inpatient admissions.Objectives The short-term hospitalization approach need to be “governed”, both in terms of effectiveness and efficiency. In our department we have identified an area called “Admission and Short Stay Area”, where the discharge follows a comprehensive diagnostic and therapeutic pathway. Accordingly, we plan to extend the number of beds dedicated to the short stay in hospital, in order to decrease the average duration of stay avoiding the risk of increasing the readmissions, to share new pathways between health care workers.Materials and methods Within the department we have identified 8 beds for patients admitted from the emergency room. In the same beds triage is performed. In these beds the maximum duration of stay is 3 days. To achieve this goal we used clinical pathways shared between health workers, and bedside diagnostic procedures such as ultrasounds.Results In 2011 than to year 2010 there was an increased rate of short-term hospitalization (22–18%). Despite that the mean hospital stay was unchanged (10.3–10.6 days). The number of readmission within 90 days was also unchanged when we considered the most common diseases. More than 90% of health care workers followed the pre-established clinical care pathways.Conclusions The presence of a small number of beds within the medicine ward was dedicated to perform triage that allows to identify clinical care the needs of the patient. Among these some can be resolved in 3 days, rewarding patients and saving human and financial resources. To achieve this goal it is necessary that health care providers share clinical pathways, and that the bedside ultrasound is accessible.</p

    Response of forage production to drought in silvopastoral systems in Argentina

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    Considering the increment of agricultural and ecological droughts frequency and 19 intensity by climate change, this study aimed to assess the response of annual forage dry matter 20 production (AFP) to drought in 22 sites across Argentina?s silvopastoral systems (SPS) in native 21 forests and forest plantations and compare it to grasslands and treeless pastures. The AFP was 22 evaluated using a one-way ANOVA with a factorial design, considering the productive system 23 (SPS and grassland/treeless pasture) and hydrological condition year (normal and dry) as 24 factors. Mean AFP ranged from 195 kg DM ha-1 yr-1 to 18520 DM ha-1 yr-1. The results showed 25 that AFP varied according to aridity categories, drought intensity, and forage type (grassland 26 and pastures). Under drought intensity ≀35% (normal year), SPS showed higher AFP than 27 grassland/pastures, while severe drought intensities > 35% (dry year) resulted in the opposite 28 response. The relative response (RR) of AFP in SPSs, compared to grasslands/pastures ranged 29 from -225% to +100%, depending on the site and drought intensity. Principal component 30 analysis of the RR in dry years revealed that SPS in semi-arid and semi-humid sites had lower 31 soil carbon and nitrogen concentrations, fewer forage species, and higher AFP values in dry 32 years. Understanding the effect of trees in SSPs during drought events is crucial for enhancing 33 the resilience of livestock production systems to climate change.Fil: Peri, Pablo Luis. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas; Argentina. Instituto Nacional de TecnologĂ­a Agropecuaria; Argentina. Universidad Nacional de la Patagonia Austral; ArgentinaFil: Toledo, Santiago. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas; Argentina. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Gandara, Luis. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Trinco, Fabio Daniel. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas; Argentina. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Marcos Antonio, Atanasio. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Calamari, Noelia Cecilia. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Casaubon, Edgardo. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: MartĂ­nez, Natalia. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Ledesma, Roxana. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Gomez, Federico. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Lara, Javier. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Blanco, Lisandro Javier. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Carranza, Carlos Ernesto. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Von MĂŒller, Axel Ricardo. Instituto Nacional de TecnologĂ­a Agropecuaria; Argentina. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas; ArgentinaFil: Varela, Santiago AgustĂ­n. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Rossner, Maria Belen. Universidad Nacional de la Patagonia Austral; Argentina. Universidad del Salvador; ArgentinaFil: Lezana, Lucrecia Corina. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Lencinas, MarĂ­a Vanessa. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas. Centro Austral de Investigaciones CientĂ­ficas; ArgentinaFil: Tarabini, Manuela Mabel. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas; Argentina. Universidad Nacional de la Patagonia "San Juan Bosco"; ArgentinaFil: Maidana, Carlos Emilio. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas; Argentina. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Pernochi, Aurelia Lorena Soledad. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Canavelli, Sonia Beatriz. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Banegas, Natalia Romina. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas; Argentina. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Lertora, RaĂșl. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Eclesia, Roxana Paola. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Cuerda Marcocig, Florencia Maria del Rocio. DirecciĂłn Nacional de Bosques; ArgentinaFil: Ledesma, Marcela. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Umaña, Fernando Javier. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Benitez, Julieta. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas. Centro Austral de Investigaciones CientĂ­ficas; ArgentinaFil: Caballero Lorenzo, Emmanuel. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Colcombet, Luis. Instituto Nacional de TecnologĂ­a Agropecuaria; ArgentinaFil: Barzan, Flavia Romina. Provincia de Entre RĂ­os. Centro de Investigaciones CientĂ­ficas y Transferencia de TecnologĂ­a a la ProducciĂłn. Universidad AutĂłnoma de Entre RĂ­os. Centro de Investigaciones CientĂ­ficas y Transferencia de TecnologĂ­a a la ProducciĂłn. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas. Centro CientĂ­fico TecnolĂłgico Conicet - Santa Fe. Centro de Investigaciones CientĂ­ficas y Transferencia de TecnologĂ­a a la ProducciĂłn; ArgentinaFil: MartĂ­nez Pastur, Guillermo JosĂ©. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas. Centro Austral de Investigaciones CientĂ­ficas; Argentin
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