Emergency care systems demonstration projects. Volume 2: the emergency care system. Final report.

National Highway Safety Bureau, Washington, D.C.

National training course, emergency medical technician - paramedic. Instructor's lesson plans. Module I: the emergency medical technician, his role, responsibility, and training.

Mode of access: Internet.

Status of legislation concerning 911: the emergency telephone number, with a suggested 911 Emergency Telephone Number Act with supporting analysis.

Mode of access: Internet.

Contributors' handbook to the Defense Technical Information Center.

"February 1990."

Manpower for the human services /

A work progress report submitted to and prepared under a contract with the Manpower Administration, U.S. Department of Labor, under the authority of the Manpower Development and Training Act.

Evaluation of Physical Activity Programs Taking Place at The Pike Market Senior Center

Thesis (Master's)--University of Washington, 2016-06

Increased use of emergency services by older people after health screening

Background: evaluation of the 'Keep Well At Home' (KWAH) Project in West London indicated that a programme of screening persons aged 75 and over had not reduced rates of emergency attendances and admissions to hospital. However, coverage of the target population was incomplete. The present analysis addresses 'efficacy'-whether individuals who completed the screening protocol as intended did subsequently use Accident & Emergency (A&E) services less often. Methods: the target population was divided into five groups, depending on whether an individual had completed none, one or both phases of screening, and whether deviations from the protocol related to incomplete coverage or refusal to participate further. We ascertained use of emergency services before screening and for up to 3 years afterwards by linkage of records from KWAH to those of local A&E Departments. Patterns of emergency care were examined as crude races and, via proportional hazards models, after adjustment for available confounders. Results: there was an increase of 51% (95% CI 22-86%) in the crude rate of emergency admissions in the year after first-phase screening compared with the 12 months before assessment. This was most obvious in individuals deemed at high risk who also underwent the second-phase assessment (adjusted hazard ratio relative to individuals not 'at risk'= 2.33; 95% CI 1.59-3.42). Conclusions: the available data do not allow us to distinguish between several possible explanations for the paradoxical increase in use of emergency services. However, what seem to be sensible policies do not necessarily have their intended effects when implemented in practice.

Aplicación de un modelo de gestión del conocimiento para mejorar el programa de capacitación del call center de Promociones y Cobranzas Beta S.A. Bogotá

Este artículo de investigación propone la aplicación de un modelo de gestión del conocimiento para mejorar el programa de capacitación en el Call Center de la empresa Promociones y Cobranzas Beta S.A., ubicada en la zona centro de Bogotá, Cra. 10 No. 16 -39 piso 13. La investigación se realizó durante el año 2015 utilizando como metodología revisión documental, entrevistas a los coordinadores del área y encuestas con un grupo de asesores del Call Center. La aplicación de dichas herramientas generó información acerca del proceso de capacitación actual. A partir de algunas teorías de gestión del conocimiento se buscó determinar el ciclo de las capacitaciones que mejor se adaptara a la necesidad del Call Center de Promociones y Cobranzas Beta S.A., de tal forma que la comunicación con los asesores de cobranzas fuera más efectiva y el conocimiento mantuviera una actualización permanente. La aplicación del modelo permitirá a la gerencia de la compañía, ampliar el conocimiento y mejorar en el servicio con los clientes atendidos, reflejando cumplimiento de las metas de cobro establecidas en el área. Palabras clave: Gestión del conocimiento, programa de capacitación, Call Center

Can we predict agitation in patients with suicide attempts in the emergency department?

Background: The agitation in patients presenting to the emergency department (ED) after suicide attempts is common and an important problem. Objective: To establish whether we can predict agitated patients among suicide attempt patients in ED. Methods: This is a cross-sectional observational study of adult suicide attempt events in ED. Information was collected prospectively on a specially designed data-collection form. Patients aged 16 years old and above who presented to the ED for care due to suicide attempts were included in the study. Suicide attempts were grouped as aggressive and non-aggressive attempts. Results: A total of 533 patients were included. Forty-three of these patients had agitation in ED (8%). Non-aggressive suicide attempts were referred to psychiatry services more than aggressive ones (73.6%, n=345 vs 32.8%, n=21, P<0.0001). Agitation in ED and being male increased aggressive suicide attempt risk 3.5 (95% CI:1.6-7.6) and 3.2 times (95% CI:1.8-5.5), respectively. Agitation was statistically more frequent among these patients: those on antidepressant overdose, with previous suicide attempt; with aggressive suicide attempt; and those with confusion; and unconsciousness (P<0.05). Conclusion: Patients who attempted suicide and whose risk of harm to others included those with: antidepressant overdose, aggressive suicide attempt and the unconscious. Response teams should be prepared for these subgroups.

Proposal for the creation of a Center for Learning Resources (CRA) in the School of San Lorenzo de Tarrazu

Education is the basis for economic and social development, but there are great inequalities in education and access to documentary resources, audiovisual and technology, a situation that affects school performance. The Organization of the United Nations Educational and Scientific Organization (UNESCO) found a correlation between levels of inequality in a country and performance: the greater the inequality, the worse the performance. Investment in education affects human development and benefit is obtained for the individual and society, which is necessary to ensure social equity, so that there is quality education for all. One of the fundamental purposes of the educational process is to train Costa Rican human thinking, analytical and critical of their environment. The purpose of that is acquired through various methods of academic achievement, learning, participation and constant communication of knowledge between the administrative staff, faculty and students. It is appropriate for schools and colleges have a school library or Resource Center for Learning, it is the gathering, analysis and work of the educational community, working with the intellectual growth of students, faculty, staff and community through access to different services and learning resources provided by the library or CRA.

Prevalencia y caracterización de la disfonía, en operadores de un call center en Bogotá Colombia.

Resumen Introducción: El uso de la voz profesional requiere de una técnica y medidas de conservación para no verse afectada. Un inadecuado esquema corporal en el profesional de la voz, ocasiona alteración en los parámetros respiratorios y vocales manifestándose como disfonía. Objetivo: Determinar la prevalencia y caracterización de disfonía en 200 tele operadores de un call Center en Bogotá Colombia. Métodos: Estudio de corte transversal con datos secundarios provenientes de una base de datos con registros de una población de 200 tele operadores de un call center en Bogotá, Colombia, a los cuales se les aplicó evaluación de respiración y de voz durante el año 2003. La estimación de la prevalencia de la disfonía se realizó a través de la distribución de frecuencias relativas. Se realizó caracterización de la población estudiada según variables sociodemográficas, ocupacionales y parámetros respiratorios y vocales a través de métodos estadísticos según la naturaleza de estas variables. Se determinó la asociación entre factores ambientales, síntomas asociados, síntomas vocales, perfil vocal de Wilson y disfonía mediante la prueba de Chi Cuadrado de Pearson. Resultados: la prevalencia de disfonía fue del 73% (n= 146), el 34% presentó grado de disfonía moderado. Los resultados obtenidos en los parámetros de evaluación vocal se encontraron dentro del rango de normalidad, analizados en forma individual (tono, rango intensidad) y se relacionan con los resultados obtenidos con la prevalencia disfonía. El 95,5% de los tele operadores los parámetros respiratorios se encontraron alterados. Los tele operadores con disfonía en comparación a los sin disfonía tuvieron mayor frecuencia de presentación de los siguientes factores ambientales: ruido (68% vs 50,9% p=0,03) y vapores (27,2% vs 11,3% p= 0,02), síntomas corporales y de la voz respectivamente: cuello (69,4% vs 54,7% p= 0,05), dolor en la laringe (19,7% vs 7,5% p= 0,04). Conclusión: La prevalencia de disfonía encontrada en este call center fue alta Lo que requiere la implementación de medidas de prevención como tamizajes acústicos, para hacer seguimiento a las cualidades de la voz más afectadas, entrenamiento respiratorio y vocal, pausas vocales y medidas de conservación de la voz, para contribuir a que el tele operador desarrolle un mejor manejo de sus cualidades vocales acorde con su uso y disminuir la prevalencia de disfonía.

Chronic disease prevention and health promotion. Public policies and social network analysis of the hospitals services and oyhers health and social organizations to support joint action for children with diabetes

Comunicação apresentada na 18th Conference International of Health Promotion Hospitals & Health Services "Tackling causes and consequences of inequalities in health: contributions of health services and the HPH network", em Manchester de 14-16 de april de 2010

Nós callcentristas somos o novo proletariado. Identidades e resistências do trabalho em call center

Dissertação de mestrado em Antropologia - Direitos Humanos e Movimentos Sociais

A communication strategy for Continente: Proposals to improve the online services

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and Economics

Epidemiological profile of hepatitis C in blood donors at the Uberaba Regional Blood Center

The aim of the present study was to outline the serological profile of hepatitis C among blood donors seen at the Uberaba Regional Blood Center, Hemominas Foundation, over the last 14 years. The frequency of hepatitis C was compared between first-time and repeat donors and the epidemiological characteristics of those with positive and indeterminate ELISA anti-HCV (third and fourth generation) were analyzed based on the donor histories kept in the archives of the Uberaba Regional Blood Center. The serological ineligibility rate was 0.3%, with higher prevalence in the group of first-time donors. We did not find any significant differences regarding age, skin color, marital status or place of residence between eligible and ineligible donors; however, the frequency of positive serology was higher among men. The lower (0.3%) rate of ineligibility due to hepatitis C that was observed at the Uberaba Regional Blood Center, in relation to most Brazilian blood centers, is probably due to the large number of repeat donors (83.3%). This reinforces the importance of achieving donor commitment for increasing transfusion safety.