1000 resultados para 19-183


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OBJECTIVES: To determine 1) HIV testing practices in a 1400-bed university hospital where local HIV prevalence is 0.4% and 2) the effect on testing practices of national HIV testing guidelines, revised in March 2010, recommending Physician-Initiated Counselling and Testing (PICT). METHODS: Using 2 hospital databases, we determined the number of HIV tests performed by selected clinical services, and the number of patients tested as a percentage of the number seen per service ('testing rate'). To explore the effect of the revised national guidelines, we examined testing rates for two years pre- and two years post-PICT guideline publication. RESULTS: Combining the clinical services, 253,178 patients were seen and 9,183 tests were performed (of which 80 tested positive, 0.9%) in the four-year study period. The emergency department (ED) performed the second highest number of tests, but had the lowest testing rates (0.9-1.1%). Of inpatient services, neurology and psychiatry had higher testing rates than internal medicine (19.7% and 9.6% versus 8%, respectively). There was no significant increase in testing rates, either globally or in the majority of the clinical services examined, and no increase in new HIV diagnoses post-PICT recommendations. CONCLUSIONS: Using a simple two-database tool, we observe no global improvement in HIV testing rates in our hospital following new national guidelines but do identify services where testing practices merit improvement. This study may show the limit of PICT strategies based on physician risk assessment, compared to the opt-out approach.

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Référence bibliographique : Rol, 56498

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Water-surface-elevation profiles and peak discharges for the floods of July 12, 1972, March 19, 1979, and June 15, 1991, in the Turkey River Basin, northeast Iowa, are presented in this report. The profiles illustrate the 1979 and 1991 floods along the Turkey River in Fayette and Clayton Counties and along the Volga River in Clayton County; the 1991 flood along Roberts Creek in Clayton County and along Otter Creek in Fayette County; and the 1972 flood along the Turkey River in Winneshiek and Fayette Counties. Watersurface elevations for the flood of March 19, 1979, were collected by the Iowa Natural Resources Council. The June 15, 1991, flood on the Turkey River at Garber (station number 05412500) is the largest known flood-peak discharge at the streamflow-gaging station for the period 1902-95. The peak discharge for June 15, 1991, of 49,900 cubic feet per second was 1.4 times larger than the 100-year recurrence-interval discharge. The report provides information on flood stages and discharges and floodflow frequencies for streamflow-gaging stations in the Turkey River Basin using flood information collected during 1902-95. Information on temporary bench marks and reference points established in the Turkey River Basin during 1981, 1992, and 1996 also is included in the report. A flood history describes rainfall conditions for floods that occurred during 1922, 1947, 1972, 1979, and 1991.

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A Business Newsletter for Agriculture

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Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture. Previously Agri-News

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Weekly Newsletter from the Northwest District Office for libraries containing programs, activities, classes for the upcoming week.

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A Business Newsletter for Agriculture

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Report produced by the The Department of Agriculture and Land Stewardship, Climatology Bureau. Weather report released by the USDA National Agricultural Statistical Service. The report is released weekly from April through October. Formally titled: Iowa Crop and Weather Report

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[Vente. Estampes. 1858-11-19 - 1858-11-20. Paris]