949 resultados para Hand bones
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Original hat Fehlstelle rechts unten, Textverlust
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Hearuas gegeben und dem Preißlöbl. Handwerck zum schönen Angedencken verfertiget von Thomas Hirschmann, Kupfferstecher
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A. sc. [vermutl. Johann Azelt]
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... Alexander Mair Augustanus sculptor se humiliter commendat
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1: vormahls von Abraham Nicolas Amelot de La Houssaye unter dem titel L'Homme de cour ins Französische, anietzo aber aus dem span. Orig. - 2. f.: Aus d. Span. - 1: welches durch u. durch hinzu gefüget worden ins Deutsche übers., mit neuen Anm. 1: in welchen die maximen d. Autoris aus den Principiis d. Sittenlehre erklähret u. beurtheilet werden. - 2 f.: durch August Friedrich Müllern
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dargestellt und kritisch beleuchtet von H. Kroner
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Signatur des Originals: S 36/F06746
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Signatur des Originals: S 36/F06747
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Signatur des Originals: S 36/F08278
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Signatur des Originals: S 36/F09535
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nach Original-Zeichn. von Henry Bursill. Nach dem Engl.
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J. F. Castelli
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gesammelt und geordnet von Nathan Adler
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As the obesity epidemic continues to increase, the pediatric primary care office setting remains a relatively unexplored arena to offer obesity prevention interventions for children. The increased risk for adult obesity among 10 to 14 year-old children who are overweight, suggests obesity prevention programs should be introduced just before this age or early in this age period. Research is also accumulating on the importance of targeting parents along with children, since parents are in charge of the home environment for children. Therefore, the aim of this project was to develop an obesity prevention program called Helping HAND (Healthy Activity and Nutrition Directions) based on Social Cognitive Theory and authoritative parenting techniques for the pediatric primary care setting and conduct one-on-one interviews with parents as the initial formative evaluation of the intervention material for the obesity prevention intervention. A secondary aim of the project was to determine the feasibility of identifying appropriate subjects for the intervention, and conducting qualitative evaluations of the materials through recruitment through pediatric primary care settings. ^
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Background. Because our hands are the most common mode of transmission for bacteria causing hospital acquired infections, hand hygiene practices are the most effective method of preventing the spread of these pathogens, limiting the occurrence of healthcare-associated infections and reducing transmission of multi-drug resistant organisms. Yet, compliance rates are below 40% on the average. ^ Objective. This culminating experience project is primarily a literature review on hand hygiene to help determine the barriers to hand hygiene compliance and offer solutions on improving these rates and to build on a hand hygiene evaluation performed during my infection control internship completed at Memorial Hermann Hospital during the fall semester of 2005. ^ Method. A review of peer-reviewed literature using Ovid Medline, Ebsco Medline and PubMed databases using keywords: hand hygiene, hand hygiene compliance, alcohol based handrub, healthcare-associated infections, hospital-acquired infections, and infection control. ^ Results. A total of eight hand hygiene studies are highlighted. At a children's hospital in Seattle, hand hygiene compliance rates increases from 62% to 81% after five periods of interventions. In Thailand, 26 nurses dramatically increased compliance from 6.3% to 81.2% after just 7 months of training. Automated alcohol based handrub dispensers improved compliance rates in Chicago from 36.3% to 70.1%. Using education and increased distribution of alcohol based handrubs increased hand hygiene rates from 59% to 79% for Ebnother, from 54% to 85% for Hussein and from 32% to 63% for Randle. Spartanburg Regional Medical Center increased their rates from 72.5% to 90.3%. A level III NICU achieved 100% compliance after a month long educational campaign but fell back down to its baseline rate of 89% after 3 months. ^ Discussion. The interventions used to promote hand hygiene in the highlighted studies varied from low tech approaches such as printed materials to advanced electronic gadgets that alerted individuals automatically to perform hand hygiene. All approaches were effective and increased compliance rates. Overcoming hand hygiene barriers, receiving and accepting feedback is the key to maintaining consistently high hand hygiene adherence. ^