115 research outputs found
Adult patients with respiratory syncytial virus infection: impact of solid organ and hematopoietic stem cell transplantation on outcomes
BackgroundRespiratory syncytial virus (RSV) is a common communityâacquired pathogen responsible for a substantial disease burden in adults. We investigated the outcomes after RSV infection in hospitalized adults over a 3âyear period.MethodsThis singleâcenter, retrospective study identified 174 patients hospitalized with RSV upper or lower respiratory tract infection (LRTI) between January 1, 2009 and June 30, 2012. Clinical data were extracted from medical records. The primary outcome analyzed was allâcause mortality, defined as death during the index hospital admission. Subjects were divided into 3 groups for comparison: hematopoietic stem cell transplant (HSCT) patients, solid organ transplant (SOT) patients, and nonâtransplant patients.ResultsIn our study, 41/174 (23.6%) were HSCT recipients and 28/174 (16.1%) were SOT recipients. Twelve of 174 (6.9%) died. Death occurred in 2/41 (4.9%) HSCT and 3/28 (10.7%) SOT recipients, compared to 7/106 (6.6%) nonâtransplant patients. When compared to the nonâtransplant cohort, HSCT and SOT were not found to be significant risk factors for mortality (PÂ =Â 0.685 and 0.645, respectively). In multivariate logistic regression, age >60 was associated with mortality (PÂ =Â 0.019), while lymphopenia on admission trended toward an association with death (PÂ =Â 0.054). HSCT patients were less likely to be admitted to an intensive care unit (odds ratio [OR] 0.26, PÂ =Â 0.04), but were significantly more likely to receive ribavirin therapy (OR 11.62, PÂ 60 or with lymphopenia on admission. This study did not identify any significant increased mortality or morbidity associated with RSV infection in immune suppressed transplant recipients vs. patients who had not received a transplant.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/113135/1/tid12409.pd
âShould I stay or should I go now?â : A qualitative study of why UK doctors retire
Funding information Our thanks go to the University of Aberdeen Development Trust and the British Medical Association (Scotland) for funding this work. ACKNOWLEDGEMENTS Our thanks to all those doctors who participated in the study. Our thanks also to the BMA (Scotland) for distributing the invitation to take part in the study to their members. No patients or any members of the public were involved in this study.Peer reviewedPostprintPostprin
Sharing vocabularies: towards horizontal alignment of values-driven business functions
This paper highlights the emergence of different âvocabulariesâ that describe various values-driven business functions within large organisations and argues for improved horizontal alignment between them. We investigate two established functions that have long-standing organisational histories: Ethics and Compliance (E&C) and Corporate Social Responsibility (CSR). By drawing upon research on organisational alignment, we explain both the need for and the potential benefit of greater alignment between these values-driven functions. We then examine the structural and socio-cultural dimensions of organisational systems through which E&C and CSR horizontal alignment can be coordinated to improve synergies, address tensions, and generate insight to inform future research and practice in the field of Business and Society. The paper concludes with research questions that can inform future scholarly research and a practical model to guide organizationsâ efforts towards inter-functional, horizontal alignment of values-driven organizational practice
CompetĂȘncias transversais, tĂ©cnicas ou morais: um estudo exploratĂłrio sobre as competĂȘncias dos trabalhadores que as organizaçÔes em Portugal mais valorizam
Effects of the purpose of the appraisal and expectation of validation on self-appraisal leniency
The influence of self-monitoring on inflation of GPAs for research and selection purposes
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