Search results for "Hospital."

Determinants of between-hospital variations in outcomes for patients admitted with COPD exacerbations: findings from a nationwide clinical audit (AUD…

2015

Background Previous studies have demonstrated significant variability in the processes of care and outcomes of chronic obstructive pulmonary disease (COPD) exacerbations. The AUDIPOC is a Spanish nationwide clinical audit that identified large between-hospital variations in care and clinical outcomes. Here, we test the hypothesis that these variations can be attributed to either patient characteristics, hospital characteristics and/or the so-called hospital-clustering effect, which indicates that patients with similar characteristics may experience different processes of care and outcomes depending on the hospital to which they are admitted. Methods A clinical audit of 5178 COPD patients co…

[Clinical audit of patients admitted to hospital in Spain due to exacerbation of COPD (AUDIPOC study): method and organisation].

2010

There is little information regarding the clinical management of hospital inpatients diagnosed with exacerbation of Chronic Obstructive Pulmonary Disease (COPD). AUDIPOC is a clinical audit dealing with the clinical management of COPD in Spain.To examine the adequacy and validity of the instruments used to measure the variables proposed by AUDIPOC Spain (Preliminary Study) and to verify the viability of AUDIPOC in a complex environment with hospitals of different sizes, resources, and organizational layout (Pilot Study).The Preliminary Study took place in 4 hospitals and studied 213 cases. The Pilot Study took place in 30 hospitals of 6 Autonomous Communities (i.e. Regions) and studied 1203…

2021

Funding Information: We acknowledge the computational resources provided by the Aalto Science-IT project. We would like to thank Marita Kattelus, Tuomas Tolvanen and Toni Auranen from Advanced Magnetic Imaging (AMI) Centre for assistance in the neuroimaging measurements. We would like to thank Helge Kainulainen for providing us with engineering help. We would also like to thank Anni Nora, Nina Ritari, Laura Schildt and Ida ?rma performing the cognitive testing. Motion Analysis Laboratory team in Helsinki University Hospital measuring and analysing the sensorimotor testing, including Piia Haakana, Kati Tammivuori, Sari Korhonen, Elina Ylitalo, Tuula Niemel?, Essi Marttinen-Rossi, Juha-Pekka …

Sport entrepreneurs’ performance in business

2020

Entrepreneurial orientation (EO) is one of the performance measurements in the research on sport entrepreneurship. Another measure of performance studied is coopetition (simultaneous collaboration ...

Monitoring the Internal and External Loads of Young Team Handball Players during Competition

2021

This study aimed to examine the internal- and external-training-load (ITL and ETL, respectively) during a match of young handball players. Field testing included heart-rate monitoring (memory belt, Suunto) as a marker of ITL and accelerometry (motion-biosensor, Actical Respironcis, Philips) as a marker of ETL. Time motion analysis data were obtained by recording the player’s game activities and later analysed with the Matlab software package. T-test and Pearson-product-moment correlation coefficient were used to examine the differences and the relationship between variables collected in the study. The t-test analysis did not show significant differences between the total distance covered (2…

A general equilibrium analysis of climate change impacts on tourism

2006

This paper studies the economic implications of climate-change-induced variations in tourism demand, using a world CGE model. The model is first re-calibrated at some future years, obtaining hypothetical benchmark equilibria, which are subsequently perturbed by shocks, simulating the effects of climate change. We portray the impact of climate change on tourism by means of two sets of shocks, occurring simultaneously. The first set of shocks translate predicted variations in tourist flows into changes of consumption preferences for domestically produced goods. The second set reallocate income across world regions, simulating the effect of higher or lower tourists' expenditure. Our analysis h…

Computational issues in fitting joint frailty models for recurrent events with an associated terminal event.

2020

Abstract Background and objective: Joint frailty regression models are intended for the analysis of recurrent event times in the presence of informative drop-outs. They have been proposed for clinical trials to estimate the effect of some treatment on the rate of recurrent heart failure hospitalisations in the presence of drop-outs due to cardiovascular death. Whereas a R-software-package for fitting joint frailty models is available, some technical issues have to be solved in order to use SASⓇ 1 software, which is required in the regulatory environment of clinical trials. Methods: First, we demonstrate how to solve these issues by deriving proper likelihood-decompositions, in particular fo…

Impacts of Emotional Intelligence and Leadership on Motivation in the German Hotel Industry

2016

This paper aims to clarify the role of leadership and emotional intelligence in the motivational process of employees in the hotel industry. A review of relevant literature is done before a tentative model is presented to experts from the fields of leadership, emotional intelligence and the hotel industry to get their view on the constructed relations. After having been approved by the experts, the model has been tested with structuring equation modelling (SEM) based on a quantitative research among employees and leaders of the hotel industry in Germany. The positive relation among leadership and motivation as well as the moderating effect of emotional intelligence could be substantiated.

Rural-cultural excursion conceptualization: A local tourism marketing management model based on tourist destination image measurement

2009

Abstract Excursions to small, rural villages rich with historical heritage and architectural harmony are popular in Spain and other similar countries. This study presents a conceptualization and definition of this sort of tourism in rural-cultural destinations. In addition, it introduces a combination of variables that define the image of the destination, the characteristics of these types of trips, and characteristics of the rural-cultural tourist. One of the main results of this qualitative and quantitative empirical research is that it identifies a set of variables that span the cognitive and affective components of tourism. These cognitive–affective components mainly address the towns' …

Identificación de Urgencias por Asma y Enfermedad Pulmonar Obstructiva Crónica en el Servicio de Urgencias de un Hospital. Estudio de Concordancia

1999

ResumenObjetivoAnalizar la concordancia de los resultados obtenidos en la identificación de los casos de asma y enfermedad pulmonar obstructiva crónica (EPOC) diagnosticados en las historias clínicas de urgencias del Hospital Clínico Universitario de Valencia.MétodosEn el contexto de un estudio más amplio sobre la relación entre urgencias por asma y EPOC y determinados factores de riesgo ambientales, se revisaron todas las historias clínicas de urgencias médicas de mayores de 14 años del Hospital Clínico Universitario de Valencia correspondientes a los años 1993 y 1994. Los observadores fueron dos diplomados en enfermería, previamente entrenados en el procedimiento de identificación de caso…