186 research outputs found

    Evaluating the Effects of Standardized Patient Care Pathways on Clinical Outcomes

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    The main focus of this study is to create a standardized approach to evaluating the impact of the patient care pathways across all major disease categories and key outcome measures in a hospital setting when randomized clinical trials are not feasible. Toward this goal I identify statistical methods, control factors, and adjustments that can correct for potential confounding in observational studies. I investigate the efficiency of existing bias correction methods under varying conditions of imbalanced samples through a Monte Carlo simulation. The simulation results are then utilized in a case study for one of the largest primary diagnosis areas, chronic obstructive pulmonary disease (COPD) at the University of Tennessee Medical Center. The analysis of the COPD pathway effects on the readmission rates showed a significant positive impact, with reduction in the probability of readmissions between 12% and 16%. The reduction in the length of stay was reported across all the models with historical controls, but the effect was not statistically significant

    Monitoring CO2 and H2S emission in live Austrian and UK concrete sewer pipes

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    Corrosion of concrete sewer pipes induced by sulfuric acid is an acknowledged problem and a ticking time-bomb to sewer operators. Whilst the chemical reaction of the corrosion process is well-understood, the indirect roles of other parameters in the corrosion process which are found in sewer environment are not highly reflected on. This paper reports on a field studies undertaken in Austria and United Kingdom, where the parameters of temperature, pH, H2S and CO2 were monitored over a period of time. The study establishes that (i) effluent temperature and pH have similar daily pattern and peak times, When examined in minutes scale, (ii) H2S and CO2 have an identical hourly pattern, (iii) H2S instant or shifted relation to effluent temperature is governed by the root mean square value of CO2

    ZASTOSOWANIE METOD STEGANOGRAFICZNYCH DO ATAKÓW W SYSTEMACH INFORMACYJNO-KOMUNIKACYJNYCH

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    An analysis of steganography methods that are can be potentially used as instruments in attacks on information and communication systems is presented. The possible solutions to ensure resilience to such attacks are presented.W artykuÅ‚e zostaÅ‚ przedstawiony przeglÄ…d istniejÄ…cych i potencjalnie dostÄ™pnych technik steganograficznych, które mogÄ… zostać użyte jako narzÄ™dzia do ataków na systemy informacyjne i komunikacyjne. Podano możliwe sposoby zapewnienia ochrony przed takimi atakami

    An application of a parametric transducer to measure the acoustical properties of a living green wall

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    Greening of urban spaces provides a number of environmental benefits. Green living walls (GLW) is a most typical example of greening which is also known for its ability to absorb unwanted noise. However, this ability of GLW to absorb noise is rather hard to quantify, because there is a lack of reliable experimental methods to measure it in-situ. This work reports on a new method to measure the absorption coefficient of LGW which makes use of a highly directional parametric transducer and acoustic intensity method. This method is tested in under controlled laboratory conditions and in a typical street environment. The results of these experiments demonstrate the ability of the method to measure the absorption of a LGW. It also enables us to quantify the effects of the plant type and moisture content in the soil on the ability of the LGW to absorb sound. The proposed method has certain benefits over ISO354-2003 and CEN/TS 1793-5:2003 standard methods
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