979 resultados para Akiba ben Joseph, Alphabet of.


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Leopold Dukes

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Adolf Neubauer

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Adolf Neubauer

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Adolf Neubauer

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Digitalisiert in Kooperation mit dem YIVO Institute for Jewish Research am Center for Jewish History, NY

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Introduction. This study is a two-part evaluation of the RightCare policy, a policy implemented to reduce crowding at the Emergency Center (EC) at Ben Taub General Hospital in Houston, Harris County, Texas. This research includes an evaluation of the policy's impact on specific hospital measures, along with a description of the policy's demise from the point of view of hospital staff. Objective. The purpose of this study is two-fold: (1) To determine whether RightCare policy affected the level of crowding in the Emergency Center and (2) to identify the conditions that may have led to the policy's demise. Methods. For the policy impact portion of this research, hospital measures were collected from existing databases. Analysis included a pre-post comparative design in which the 12 months preceding the policy's implementation were compared with the 12 months following the policy's implementation. For the policy perception portion, employees were surveyed using an on-line questionnaire. Results. The results of the study are mixed. Some measures improved, including time spent on ambulance diversion and the proportion of those who left without being seen, while others did not, such as return visits and total length of stay. Employees generally supported the policy, but expressed concerns over insufficient training and funding. Conclusion. The RightCare policy was a good initial attempt to improve crowded conditions in the EC. The study showed that a clearer policy design, improved training, adequate staffing levels, and better communication would improve operational outcomes in the future.^

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The purpose of this study is to descriptively analyze the current program at Ben Taub Pediatric Weight Management Program in Houston, Texas, a program designed to help overweight children ages three to eighteen to lose weight. In Texas, approximately one in every three children is overweight or obese. Obesity is seen at an even greater level within Ben Taub due to the hospital's high rate of service for underserved minority populations (Dehghan et al, 2005; Tyler and Horner, 2008; Hunt, 2009). The weight management program consists of nutritional, behavioral, physical activity, and medical counseling. Analysis will focus on changes in weight, BMI, cholesterol levels, and blood pressure from 2007–2010 for all participants who attended at least two weight management sessions. Recommendations will be given in response to the results of the data analysis.^

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Fil: Fernández, Silvana N.. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación. Instituto de Investigaciones en Humanidades y Ciencias Sociales (UNLP-CONICET); Argentina.

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Characterization of sediment from Ocean Drilling Program Site 745, representing the East Kerguelen Ridge sediment drift, addresses important issues surrounding the timing of Miocene to present East Antarctic ice sheet stability and oceanic environmental change. Our results show three periods of greatly enhanced accumulation of Antarctic-derived sediment, at 6.4-5.9 Ma, 4.9-4.4 Ma and 1.1-0.8 Ma, potentially indicative of warmer, less stable ice sheets at these times. Conversely, the accumulation of Antarctic-derived material is comparatively less during the middle of the Pliocene warm epoch (4.8-3.2 Ma). The deep flow forming the Kerguelen drift was stronger during the latest Miocene and earliest Pliocene and has decreased in intensity continuously since then.

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ODP Site 1124, located 600 km east of the North Island of New Zealand, records post-middle Oligocene variations in the Pacific Deep Western Boundary Current (DWBC) and New Zealand's climatic and tectonic evolution. Sediment parameters, such as terrigenous grain size, flux, magnetic fabric, and non-depositional episodes, are used to interpret DWBC intensity and Antarctic climate. Interpretations of DWBC velocities indicate that the Antarctic Circumpolar Current reached modern intensities at ~23 Ma, as the tectonic seaways expanded, completing the thermal isolation of Antarctica. Periods of more intense bottom water formation are suggested by the presence of hiatuses formed under the DWBC at 22.5-17.6, 16.5-15, and 14-11 Ma. The oldest interval of high current intensity occurs within a climatically warm period during which the intensity of thermohaline circulation around Antarctica increased as a result of recent opening of circum-Antarctic gateways. The younger hiatuses represent glacial periods on Antarctica and major fluctuations in the East Antarctic Ice Sheet, whereas intervals around the hiatuses represent times of relative warmth, but with continued current activity. The period between 11 to 9 Ma is characterized by conditions surrounding a high velocity DWBC around the time of the formation and stabilization of the West Antarctic Ice Sheet. The increased terrigenous input may result from either changing Antarctic conditions or more direct sediment transport from New Zealand. The Pacific DWBC did not exert a major influence on sedimentation at Site 1124 from 9 Ma to the present; the late Miocene to Pleistocene sequence is more influenced by the climatic and tectonic history of New Zealand. Despite the apparent potential for increased sediment supply to this site from changes in sediment channeling, increasing rates of mountain uplift, and volcanic activity, terrigenous fluxes remain low and constant throughout this younger period.

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Fil: Fernández, Silvana N.. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación. Instituto de Investigaciones en Humanidades y Ciencias Sociales (UNLP-CONICET); Argentina.