997 resultados para precipitation quality
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau.
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OBJECTIVE: As part of the WHO ICD-11 development initiative, the Topic Advisory Group on Quality and Safety explores meta-features of morbidity data sets, such as the optimal number of secondary diagnosis fields. DESIGN: The Health Care Quality Indicators Project of the Organization for Economic Co-Operation and Development collected Patient Safety Indicator (PSI) information from administrative hospital data of 19-20 countries in 2009 and 2011. We investigated whether three countries that expanded their data systems to include more secondary diagnosis fields showed increased PSI rates compared with six countries that did not. Furthermore, administrative hospital data from six of these countries and two American states, California (2011) and Florida (2010), were analysed for distributions of coded patient safety events across diagnosis fields. RESULTS: Among the participating countries, increasing the number of diagnosis fields was not associated with any overall increase in PSI rates. However, high proportions of PSI-related diagnoses appeared beyond the sixth secondary diagnosis field. The distribution of three PSI-related ICD codes was similar in California and Florida: 89-90% of central venous catheter infections and 97-99% of retained foreign bodies and accidental punctures or lacerations were captured within 15 secondary diagnosis fields. CONCLUSIONS: Six to nine secondary diagnosis fields are inadequate for comparing complication rates using hospital administrative data; at least 15 (and perhaps more with ICD-11) are recommended to fully characterize clinical outcomes. Increasing the number of fields should improve the international and intra-national comparability of data for epidemiologic and health services research, utilization analyses and quality of care assessment.
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Tiivistelmä: Emäksisen tuhkalaskeuman vaikutus rahkasammaliin Niinsaarensuolla Koillis-Virossa
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The aim of this study was to evaluate and compare organ doses delivered to patients in wrist and petrous bone examinations using a multislice spiral computed tomography (CT) and a C-arm cone-beam CT equipped with a flat-panel detector (XperCT). For this purpose, doses to the target organ, i.e. wrist or petrous bone, together with those to the most radiosensitive nearby organs, i.e. thyroid and eye lens, were measured and compared. Furthermore, image quality was compared for both imaging systems and different acquisition modes using a Catphan phantom. Results show that both systems guarantee adequate accuracy for diagnostic purposes for wrist and petrous bone examinations. Compared with the CT scanner, the XperCT system slightly reduces the dose to target organs and shortens the overall duration of the wrist examination. In addition, using the XperCT enables a reduction of the dose to the eye lens during head scans (skull base and ear examinations).
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.
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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. The Iowa Crops and Weather report released by the USDA National Agricultural Statistical Service.