1,175 research outputs found
The Development of Environmental Management Indicators for Buddhist Temples
The development of factors and indicators of the environmental management for temples is another way to promote and support the knowledge and understanding about environmental issues occurring in present society which involves the environment in temples and also communities There have been many factors which cause those environmental issues both intentionally and unintentionally Therefore temples communities educational institutes local administrative organizations Sub-district Tambon Public Health Offices private organizations and other agencies have to participate in the environmental development in temples for the benefits of monks and the people who come to get benefits in temples and communitie
Approximations of Fuzzy Systems
A fuzzy system can uniformly approximate any real continuous function on a compact domain to any degree of accuracy. Such results can be viewed as an existence of optimal fuzzy systems. Li-Xin Wang discussed a similar problem using Gaussian membership function and Stone-Weierstrass Theorem. He established that fuzzy systems, with product inference, centroid defuzzification and Gaussian functions are capable of approximating any real continuous function on a compact set to arbitrary accuracy. In this paper we study a similar approximation problem by using exponential membership function
Strategies to Prevent Hospital Transfers in the SNF Environment
This project focuses on the CNL curriculum element of Care Environment Management. The purpose of this project is to reduce hospital readmissions in geriatric patients who are currently having any changes of medical condition within the SNF microsystem. In this project, the CNL functions as the team manager and care coordinator. The CNL facilitated, and utilized patients’ outcome data to make changes in care processes to reduce acute hospital transfers in the skilled nursing facility. The CNL lead the interdisciplinary team and was resource or point of contact for this project. The CNL educated nurses to utilize (Interventions to Reduce Acute Care Transfers) INTERACT™ Early Warning Tool. Roger’s Diffusion of Innovation was the theoretical framework for this project.
Root cause analysis (RCA) was done, to identify contributing factors that lead to an increase incidences of avoidable hospital transfers and readmissions. Both internal and external data in the SNF’s microsystem identified a common theme, lack of in communication between social services (discharge planners), nursing, and physicians. . After consideration of the INTERACT tool the DON and CNL identified the two INTERACT communication tools and two INTERACT decision support tools to implement. Some examples of the INTERACT tools are shown in Appendix G. The INTERACT tools are designed to improve the identification, management, communication, evaluation, and documentation about acute changes in patients condition (Ouslander et al., 2011). The plan is to decrease acute hospital transfers and admissions by 2%. INTERACT toolkit, improved workflow for nursing staff and decrease avoidable hospital transfers.
In March of 2016, 12.31% of patients were transferred to the acute from the SNF environment; as of July 2016, the percentage of acute hospital transfers has decreased significantly to 5.36%. Goals and objective for this project was to decrease acute hospital transfers by 2%, currently hospital transfers have decrease to 6.95%. This exceeds the two percent benchmark that was set prior to the implementation of this CNL project.
Reference:
Ouslander, J. G., Diaz, S., Hain, D., & Tappen, R. (2011). Frequency and diagnoses associated with 7- and 30-day readmission of Skilled Nursing Facility patients to a nonteaching community hospital. Journal of the American Medical Directors Association. doi:DOI:10.1016/j.jamda.2010.02.01
Development of Risk Assurance Criteria to the Utilization of Natural Resources and Environment for Sustainable Development of Life Quality, Economy and Society in Rural Thai Communities
The research aimed at developing model of the risk assurance indicators to the utilization of natural resources and environment for sustainable development of Thai communities and evaluation of risks indicators on natural recourses and environment for sustainability of life quality economy and society Mixed research methodology both quantitative and qualitative-was employed to collect data from the various sources related documents experts and indigenous group from three villages- namely upper north Nan central north Uttaradit and lower north Pijit with 10 villages of each to construct and validate the hypothetical indicators A multi-stage sample size was included 80 community experts 140 general experts 350 community leaders and 407 family delegates in Northern Thailand to evaluate the practicality and appropriateness of the constructed risk assurance indicators The data were collected by group discussion deep interview and questionnaire
The Impact of Ethical Considerations in Purchase Behavior: A Propaedeutic to Further Research
Many organizations assume that having a good ethical reputation often has an impact on consumers’ responses to a service or product. The research reported in this paper sought to confirm this intuition by investigating: 1) consumers’ attitudes about the ethics of corporate behavior in relation to stockholders, customers (middlemen and ultimate consumers), suppliers, employees, and host communities; 2) consumer willingness to reward ethical firms through purchase decisions; and 3) the impact of the consumers’ attitudes towards corporate ethical behavior on company behavior. The results indicate that the consumers do care about corporate ethical behavior towards all groups of people and they will reward the firms that behave ethically via their purchase decision. This suggests that corporate ethics is important to the consumers and provides ethical firms with a marketplace advantage
Traversing the Inner Courtyard to the Public Sphere: Exploring Lalithambika Antharjanam’s Short Stories as Narratives of Protest in Early Twentieth Century Kerala
This essay analyzes women writing about their experience in the changing socio-cultural and political context of the early twentieth century and especially in the face of the global, national, and regional transformations that Kerala underwent. The essay argues that the short stories of Lalithambika Antharjanam subverted the popular representation of antharjanams in the early 20th century as impassive, oppressed, and vulnerable subjects and provided alternative ways to conceptualize an antharjanam as a feminist trailblazer with a strong voice of protest. Her writing exposes her first-hand experiences of gender discrimination practiced in families as related to her caste and family lineage. Thus, her literary expression is one of the first ventures in feminist writing that Malayalam literature witnessed. This article draws on the scholarship of Uma Chakravarti, Nur Yalman, and Michel Foucault, employing their theories on gender, sociology, psychoanalysis, and cultural and anthropological frameworks to explore women’s roles in their respective social groups. Furthermore, the works of Joan Watt and J. Devika are applied in this interpretation of works by women writers in twentieth-century Kerala
İstanbul binalarının romanı:Bit pazarında parçalanan bir ilim adamı:Bugün bize büyük bir kütüphane bırakan Feyzullah efendi kimdi?
Taha Toros Arşivi, Dosya No: 111-Kütüphanelerİstanbul Kalkınma Ajansı (TR10/14/YEN/0033) İstanbul Development Agency (TR10/14/YEN/0033
PROPERTIES OF NON-CONVENTIONAL WASTE AND GEOMATERIALS FOR REUSE IN EXCAVATION SITES
Reuse and recycling of waste material from excavation and mining/quarrying activities is a global issue that
received significant attention in the last decades. The links among local geology, excavation methods, spoil
treatment and strategies for recycle have been identified as unavoidable in terms of early physical, chemical and
mechanical characterisation of spoils. The emergence of a range of industrial waste streams and the
environmental, economic and technical considerations arising from their recycle and reuse still need a
comprehensive technical and validated procedure for acceptance.
This paper describes the screening tests and treatment options for material recycling in the framework of an
original spoil classification system, also for specific applications, such as drainage layers, covering of dumps,
rehabilitation of abandoned sites. The experience learnt by the Authors from the development of suitable
methodologies for characterisation and management of spoil waste can be extended to other waste such as glass
waste, gypsum, rockwool, glasswool, granulates, chipping particles, polymeric cuttings which show similarities
with soils and geomaterials in terms of ‘bulk behaviour
- …