...The Texas Department of Public Safety Regional Crime Laboratory in Weslaco has implemented a new screening technology to aid the processing of Sexual Assault cases involving female victims and male perpetrators. The process is colloquially known as “Male Screening” and works by detecting the presence of any male DNA within a sample. Genetically, the greatest difference between a male and female is the sex-determining chromosome inherited from the father. While children can only receive an “X” chromosome from their mother, their father may pass down either an “X” or a “Y” (those that receive an “X” from the father are female and those that receive a “Y” are males). The kit works by detecting any “Y” DNA present within a sample and if the signal...
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...To: Joseph Randall, Laboratory Manager From: Chemist Date: November 11, 2015 Subject: Seal AQ2 Discrete Analyzer Technical Report PURPOSE: The purpose of this report is to introduce a complete examination regarding the laboratory’s need for automation equipment in order to keep up with the influx of the Total Kjeldahl Nitrogen (TKN) samples that have overwhelmed or staff since the new guidelines from the Environmental Protection Agency. SUMMARY: Environmental Laboratories have been finding that by adding automated instruments increases productivity as well as leads to significant business growth. Laboratory owners and managers are seeing the benefit to automating some of the tests that they run. Having a machine like the SEAL SQ2 Discrete Analyzer that can run multiple methods, eliminate human error, save valuable employee time, and use less space will be a much needed addition to our laboratory. The software that is integrated into the analyzer will flow seamlessly into the laboratory information management system (LIMS) we already have in place. DESCRIPTION: The AQ2 discrete analyzer from SEAL Analytical is an extremely automated flexible analyzer that analyzes samples and gives exceptionally accurate data. Automating the Total Kjeldahl Nitrogen method is needed in order to keep up with the influx of new customers needing to comply with the new EPA regulations. The AQ2 analyzer is the same size as a tabletop microwave and is connected to a computer that will...
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...Means By Karen Southwick When a laboratory instrument breaks down at Marian Medical Center, on the central coast of California, staff members roll up their sleeves to fix it because the nearest repair facility is three to four hours away, which means at least a day’s turnaround. "We have to be very good at repairing instruments ourselves and doing on-site and preventive maintenance," says Nancy Felton, laboratory manager at Marian, a 167bed hospital in Santa Maria, Calif., about equidistant from San Francisco and Los Angeles. Consequently, reliability and user-friendly maintenance and repair are key criteria in the hospital’s purchase of new or replacement instruments. "We want to be able to deal with most problems ourselves," Felton says. Marian Medical Center and other small hospitals (under 200 beds) share similar labmanagement problems: When considering new tests, these labs must justify not only the cost of the equipment, but also the space and training resources they will consume. Turnaround time and volume are also important factors. 1 Practice Management Toolkit © 2011 College of American Pathologists. All rights reserved. At the same time, small hospitals must compete vigorously to attract and retain physicians. And, since these hospitals are often the sole providers in their areas, they emphasize high-quality, wide-ranging patient care. "Being small is no excuse for being less than excellent," says Edward Ewing, DO, laboratory medical director for Waynesboro...
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...Improving Emergency Department Throughput Time HCS/587 October 1, 2012 Improving Emergency Department Throughput Time Hospitals are experiencing patient congested emergency departments. At Baptist Memorial Hospital, the increase in patient volume and limited capacity contributes to long length of stays and patients leaving without being seen. As a result of overcrowded emergency rooms, patient length of stay becomes more important. Throughput times in the emergency department (ED) play a substantial role in patient and staff satisfaction. Length of stay in the ED is directly related to patient volume, patient acuity, lab turnaround times, and time to treatment, which is all connected to patient satisfaction. Long wait time contributes to patients leaving prior to a medical screening examination. Patients who leave without been screened is dangerous and sometimes deadly, thereby creating a liability for the hospital. Baptist Memorial Hospital has outgrown its current capacity creating overcrowding and delays. Hospital capacity is an organizational barrier faced by Baptist Memorial Hospital. Patient presentations over the past several years have increased substantially as well as an increase in hospital diversion and a decrease in overall patient satisfaction. The current ED operates out of 11 beds with one around the clock physician and a mid-level provider during peak times. Nurse to patient ratios are 4:1 with a dedicated charge nurse. The department also...
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...provider’s examination the analysis of the provider’s findings * Plan (P) – also called the plan of care. The providers decisions on what tests, treatments are needed to diagnose or resolve the problem. | The History of Present Illness (HPI) * The HPI is the patient’s description of how their illness has developed. It includes: * Location of the condition - anatomical location on the body (arm, back) * Quality – pain is sharp, throbbing * Severity – numerical rating on a scale of 1 to 10 with 10 being the pain at its worst * Timing/duration – how long the condition has been present * Modifying factors – what makes the condition better or worse * Associated signs and symptoms – what else is happening with the condition ( i.e. nausea and vomiting with the flu) | The Review of Systems (ROS) * Is a review of the body systems that may be affected by the patient’s chief complaint. The review of systems is done starting from the head and working towards the lower extremities. | The Physical Exam * The physical examination is driven by the chief complaint and the patients responses to the ROS. | Medical Dictation and Transcription * In the past upon completion of the examination physicians dictate the SOAP note and a transcriptionist would type up the note to place in the medical record. A typed report provides clarity for all who are reviewing the chart or placing an order. The need grew for a more rapid turnaround of the documentation...
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...excludes specimens such as non-pathological neonate foreskin, placentas with no pathology and most lens cataracts. Because these specimens do not impact patient care, these exclusions are reasonable. This helps lower patient care costs. Another item that is found in the CAP checklist is information on intraoperative frozen sections. The laboratory at Advocate Illinois Masonic evaluates the turnaround time for intraoperative frozen section. When the Pathologist record the diagnosis after a frozen section, they also record the length of time the process took. For single intraoperative frozen sections, the lab is able to maintain the required 20 minute turnaround time. If the specimen takes longer, the pathologist and lab personnel investigate the causes and implement action to meet the prescribed timeframe. The final item on the CAP checklist I will discuss concerns correlation between gross description and microscopic findings. Advocate Illinois Masonic Pathologists are very strict about maintaining consistency between the gross description and the microscopic findings. The gross description must support the pathologic diagnosis form the microscopic analysis. If there is any discrepancy, the Pathologists will examine the specimen. If the Pathologist confirms the gross description, then no changes are made to the gross description. If there is a discrepancy, the Pathologist will amend the description and talk to the PA. If there is a discrepancy between the operating report, the gross...
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...ENI’s Turnaround & Transformation Model INTRODUCTION Since 1973, Evans Newton Incorporated (ENI) has partnered with educational agencies to provide custom educational solutions that improve student achievement. Designed in 1988, the TargetTeach* Five-Step Process has been continually adapted to the instructional innovations and performance requirements of the U.S. educational system. Today the theoretical and empirical bases of the TargetTeach design are established by independent research and program evaluations that demonstrate its capability to provide the support that schools need as they struggle to make Adequate Yearly Progress (AYP) under Title I of the No Child Left Behind Act of 2001 (NCLB). These evaluations and research verify that TargetTeach negates the socioeconomic and subgroup challenges that schools face in making AYP. THEORETICAL BASE OF ENI’S TURNAROUND & TRANSFORMATION MODEL The TargetTeach Five-Step Process is a design-based intervention program built upon “a „logic model‟ that describes the „theory of action‟” that determines each implementation (Rowan, Correnti, Miller, & Camburn 2009): TargetTeach Five Step Process instructional practice instructional leadership student achievement TargetTeach focuses on both the short-term and long-term results that ENI customers seek as outcomes of their school reform endeavors. A school‟s instructional leadership interrelates with its patterns of instructional practice to comprise a system of transformation...
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...what would you like to have seen done differently with the implementation? As the office manager, you oversee the staffs who admit patients to both the ED and overflow clinic. What could you have done differently to make the implementation go more smoothly? 5. The next phase of the EMR implementation plan involves the ICU and NICU. What recommendations would you make to modify the implementation plan based on the ED experience? Explain. 6. After reading this case, how will you use the lessons learned to implement your group project? In my case study I will discuss the impact on the workflow in the Emergency Room (ER) when lab information system is implemented. I will discuss any impact on the patient flow thru the ER and the turnaround time (TAT) for lab results and any effects on the patient’s length of stay (LOS). I will discuss patient safety issues and what is needed to insure the institutions goals are met. I will look at the implementation processes for improvements and evaluate moving forward to include the ICU and NICU. Solutions and their effectiveness in the process of implementing an EMR and the effects on patient flow will be addressed. Emergency Rooms are very unique in how they function in regards to patient flow; you can find it very difficult to predict the healthcare needs of a community. Feast or famine is...
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...conditions, and to provide rapid treatment that may hinder normal development. Screening involves a blood test that is collected within the first 24 to 48 hours of life. The blood collected is sent to the laboratory for analysis; pediatricians and parents (if requested) receive the results. Abnormal results are brought to the attention of the physician, and testing is repeated to confirm the diagnosis. The technologies used in the screening process are tandem mass spectrometry and MS/MS, both technologies are able to screen for over thirty disorders. Tandem mass spectrometry has been used for many years, but the MS/MS technology has been introduced within the last few years to identify both drugs and genetic disorders in the newborns. The...
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...MAJOR ARTICLE Implementing a Large-Scale Systematic Tuberculosis Screening Program in Correctional Facilities in South Africa Vincent Zishiri,1 Salome Charalambous,1,2 Maunank R. Shah,2 Violet Chihota,1 Liesl Page-Shipp,1 Gavin J. Churchyard,1,2 and Christopher J. Hoffmann1,3 1 The Aurum Institute, Johannesburg, South Africa; 2School of Public Health, University of Witwatersrand, Johannesburg, South Africa; and 3Johns Hopkins University School of Medicine, Baltimore, Maryland Downloaded from http://ofid.oxfordjournals.org/ by guest on January 9, 2015 Background. Tuberculosis (TB) prevalence is high in correctional facilities in southern Africa. With support from local South African nongovernmental organizations, the South African Department of Correctional Services initiated a program of systematically screening newly admitted and current inmates for symptoms followed by GeneXpert Mycobacterium tuberculosis (MTB)/rifampicin (Rif ) for microbiologic testing of symptomatic inmates. Methods. We conducted a program evaluation during a 5-month window describing program reach, effectiveness, adoption within the facilities, cost, and opportunities for sustainability. This evaluation included 4 facilities (2 large and 2 smaller) with a total daily census of 20 700 inmates. Results. During the 5-month evaluation window from May to September 2013, 7426 inmates were screened at the 4 facilities. This represents screening 87% of all new admits (the remaining new admits...
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...Aldosterone: Role in Edematous Disorders, Hypertension, Chronic Renal Failure, and Metabolic Syndrome. Schrier RW, Masoumi A, Elhassan E. University of Colorado Denver, Aurora, Colorado. Abstract The role of aldosterone has expanded from the hormone's genomic effects that involve renal sodium transport to nongenomic effects that are independent of the effect of aldosterone on sodium transport. The nongenomic effects of aldosterone to increase fibrosis, collagen deposition, inflammation, and remodeling of the heart and blood vessels, however, are markedly increased in the presence of high sodium intake. The genomic effect of aldosterone increases renal sodium transport, but the administration of large doses of aldosterone to normal individuals does not cause edema, relating to the phenomenon of "aldosterone escape"; however, in edematous disorders including cardiac failure, cirrhosis, and nephrotic syndrome, impaired aldosterone escape leads to renal sodium retention and edema formation. There is now considerable evidence for the nongenomic effects of aldosterone in several important diseases. Thus, low dosages of mineralocorticoid antagonists, with little or no effect on urinary sodium excretion, have been shown to afford a beneficial effect on morbidity and mortality in patients with advanced cardiac failure and after acute myocardial infarction. Three-drug-resistant hypertension has also been found to respond to spironolactone in modest dosages. The combination of an...
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...HRM The goal of HRM is to maximize the productivity of an organization by optimizing the effectiveness of its employees while simultaneously improving the work life of employees and treating employees as valuable resources HRM department focus on these three general functions or activities: planning, implementation, and evaluation. Implementation of HRM plans involves four primary activities: acquisition, development, compensation, and maintenance. its goal of equal employment opportunity for all employees and prospective employees without regard to race, color, religion, sex, age, disability, veteran status, national origin, or any other characteristic protected by applicable law All employment decisions shall be consistent with the principle of equal employment opportunity, and only job-related qualifications will be required. To assure compliance with the plan, ABC, Affirmative Action Officer, has been designated to administer and monitor ASTM International's Equal Employment Opportunity and Affirmative Action practices and make reports to Senior Management. Organizational structure The matrix structure groups employees by both function and product. This structure can combine the best of both separate structures. A matrix organization frequently uses teams of employees to accomplish work, in order to take advantage of the strengths, as well as make up for the weaknesses, of functional and decentralized forms A project manager is assigned to oversee the project...
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...Executive Summary The Ontario Dairy Herd Improvement Corporation is a non- profit organization, which provides milk-testing services for Ontario dairy producers. Physical facilities include a head office and computer system located in Guelph, as well as milk testing labs in Kemptville and Woodstock. Ontario DHI’s mission is to maintain an organization that will deliver an accurate, timely and cost-effective milk testing service and promote improvements in the efficiency and profitability of dairy production in the province of Ontario. ODHI has been facing several problems. Although ODHI has a moderate financial surplus, the number of members subscribing to the services has been declining at about three percent per year for the past five years. Moreover, government funding did not keep up with inflation. This led to the increase in fee paid by the members. As a result of higher prices, members were discontinuing the services offered by Ontario Dairy Herd Improvement Corporation. John Meek, newly appointed general manager conducted a market research through in depth interviews and mail surveys. Based on the results, ODHI has to decide on pricing the service for different customer segments in the market. In response to these problems, ODHI should choose alternative 1, which inclined on cutting cost in 3 different ways, for customers who are significantly price-sensitive and are looking for substitutes. Ontario DHI also has a second option that imposes a use of advertisements...
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...questionnaire than a structured interview. Questionnaires are restricted to two basic types of question: Closed-ended (or “closed question”) is a question for which a researcher provides a suitable list of responses (e.g. Yes / No). This produces mainly quantitative data. Open-ended (or “open question”) is a question where the researcher doesn’t provide the respondent with a set answer from which to choose. Rather, the respondent is asked to answer "in their own words". This produces mainly qualitative data. Strengths: Good for measuring attitudes and eliciting other content from research participants Inexpensive (especially mail questionnaires and group-administered questionnaires) Can administer to probability samples Quick turnaround Can be administered to groups Perceived anonymity by respondents possibly high Moderately high measurement validity for well-constructed and well-tested questionnaires Low dross rate for closed-ended...
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...PROJECT REPORT ON “Total Quality Mgt & Employees Commitment towards Work” SUBMITTED TO MAHARSH DAYANAND UNIVERSITY IN PARTIAL FULFILMENT OF THE REQUIREMENT OF THE AWARD OF DEGREE OF MASTER OF BUSINESS ADMINISTRATION (MBA) SUBMITTED TO: INSTITUTE OF MANAGEMENT STUDIES AND RESEARCH Maharishi Dayanand University, Rohtak (SESSION 2009-2011) SUBMITTED BY: Sachin Chhabra MBA (2 year) (hons.) Roll No.2176 DECLARATION I declare that the research report entitled “A study on the employee satisfaction” is a record of independent project research work carried out by me under the supervision and guidance of NEHA MANDIRATTA (HR manager of LPS BOSSARD). This has not been previously submitted for the award of any other diploma, degree or other similar title. Place: Rohtak Date… …. … PREFACE A determination to succeed is the only way to succeed. For this, it is very important that all knowledge, which we have, should be translated into action. It is the only then that we can achieve something. Project work is the way to convert our raw talent into potential management. Classroom knowledge can only then be efficient when it is effectively wedded to the realities of the...
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