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ICT is a fast developing technology; its application typically involves the introduction or enhancement of systems or technology to meet a particular business need. An example of such application is the e-Payment system, a subset of e-Government that enables us to perform financial transactions electronically. A survey was conducted in the federal government of Nigeria’s Ministries, Departments and Agencies (MDAs) to examine the gains and challenges of the e-Payment system commenced on January 1st, 2009. Non-parametric tests were used to establish the rank orders of gains from e-Payment and the challenges, based on median values for each variable, as well as the number of valid answers. The result revealed the most appreciated gains and most encountered challenges of the new system. The t-Test result for the gains of e-Payment shows that the mean number of positive response was significantly different (P < 0.01) from that of the negative response for each of the gains. Also, the t-Test
In order to facilitate the transition to ICD-10 coding, majority of hospitals in the US have started hiring a Clinical Documentation Improvement (CDI) consultant. According to a survey conducted by Black Book, 70% of hospitals will be hiring a CDI consultant to ease transition to the new coding system by 2015. http://goo.gl/BIF83n
An Occupational Hygiene Survey is required to ensure that minimum hygiene and safety standards are implemented at the workplace. Generally, this involves a credentialed auditor taking a walk through the entire work premises along with a designated officer or representative of the business.
Heart disease is the leading cause, and stroke is the third leading cause, of death in both Connecticut and the United States. Heart disease and stroke are also major causes of disability among adults.1 Healthy People 2010 national objectives for both heart disease and stroke include increasing the proportion of persons who are aware of the early warning symptoms and signs of heart attack (objective no. 12.2) and stroke (objective no. 12.8) and the necessity of calling 911 when persons are suffering from either of these conditions.2 Early recognition and calling 911 increase the likelihood of immediate emergency transport to the hospital and timely medical care that can reduce disability and death. The Behavioral Risk Factor Surveillance System telephone survey (BRFSS) gathers information about heart attack and stroke awareness in its telephone survey of adults 18 years and older. Findings from the Connecticut 2004 BRFSS suggest that Connecticut adults are likely to recognize some signs of heart attack and stroke but not others. For example, about 96% of adults recognize chest pain or discomfort, but only about 64% of adults recognize jaw, neck or back pain, as symptoms of heart attack (Table 1). About 98% of adults recognize sudden numbness or weakness of the face, arm, or leg, but only 76% recognize severe headache, as signs of stroke (Table 2).
Ambient air quality in the workplace promotes the well being of the people using the structure, while poor air quality adversely affects the health of employees leading to a low performance and significant cost to your business. Air quality is therefore a critical component for your business, making it essential to have regular air quality inspections and surveys. In Australia, there are numerous companies that undertake air quality testing. JMB Environmental Consulting (http://jmbec.com.au) is one such company that offers a range of services to maintain ambient air quality in your home and office.
I det sista avsnittet av trilogy, Linkedins Läs Hoffman och Joi Ito, chef för Media Lab på MIT, avslutade sin diskussion inför Churchill Club i San Jose, Kalifornien, och gjorde djupa punkter på störande bitcoin kan ha på finansiella tjänster samt förändringar som hägrar för den traditionella modellen för universitetsutbildning: Hoffman kom så småningom till frågan alla väntade på: vad labbet gör med bitcoin, och hur har revisorer blivit sexig? Ito förklarade att eleverna bildade en Bitcoin Club och höjde $ 500.000 från filantroper att fullfölja vad Ito kallar det "hacking" av huvudbok baserad bokföring, för att ersätta en bärare-baserade kassasystem i en huvudbok system, som han ser som kärnan i Bitcoin. En vän till Ito vid namn Jay Dwivedi, CIO på Shinsei Bank, har hittat ett sätt att eliminera 90 procent av kostnaden för bank i 18 månader med helt ny utformning av systemen. Ito betonade att det enda skälet till detta skulle kunna göras är att konstruktören är en redovisnings g
Reprinted with permission from the IFFGD. Originally printed in Participate -- Vol 7 No 1, Spring 1998. Go to the IFFGD website for Information on subscribing to Participate (and becoming an IFFGD member). People with functional gastrointestinal (GI) disorders can have a variety of symptoms that range from painless diarrhea or constipation, to pain associated with diarrhea and/or constipation (usually called irritable bowel syndrome). There is another, less common condition of abdominal pain that is chronic or frequently recurring; it is not associated with changes in bowel pattern. This condition is called chronic functional abdominal pain (CFAP). CFAP is a functional GI disorder. There are no abnormal x-rays or laboratory findings to explain the pain. It occurs because of altered sensitivity to nerve impulses in the gut and brain, and it is not associated with altered motility in the intestines. For people with CFAP, the pain can be so all-consuming that it becomes the main focus of their lives. Not only does it impact on quality of life, but it has a major economic impact as well. The US Householders Survey of Functional GI Disorders published in 1993 found that people with CFAP missed an average of 12 days of work annually due to illness compared to 4 missed days for people without gastrointestinal symptoms. Also, the number of doctor visits in a year averaged 11 for those with CFAP compared with only 2 for those without CFAP.
Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999–2008 Farida A. Bhuiya, M.P.H.; Stephen R. Pitts, M.D., M.P.H., F.A.C.E.P.; and Linda F. McCaig, M.P.H., Division of Health Care Statistics Key findings Data from the National Hospital Ambulatory Medical Care Survey: 1999–2008 • The number of noninjury emergency department (ED) visits in which abdominal pain was the primary reason for the visit increased 31.8%. • The percentage of ED visits for which chest pain was the primary reason decreased 10.0%. • Use of advanced medical imaging increased strongly for ED visits related to abdominal pain (122.6%) and chest pain (367.6%). Chest and abdominal pain are the most common reasons that persons aged 15 years and over visit the emergency department (ED) (1). Because EDs provide both emergency and nonemergency care (2,3), visits for these symptoms may vary in their acuity. Advanced medical imaging is often ordered to assist in both diagnosing and ruling out serious illness associated with these symptoms (4,5). This report describes trends in visits for chest and abdominal pain in adults and the seriousness of illness and use of imaging in these visits. All data shown are for persons aged 18 and over whose visit was not injury related. Keywords: National Hospital Ambulatory Medical Care Survey • advanced medical imaging • reason for visit Are ED visits for chest or abdominal pain increasing?
In this paper, we examine a number of SQL and socalled “NoSQL” data stores designed to scale simple OLTP-style application loads over many servers. Originally motivated by Web 2.0 applications, these systems are designed to scale to thousands or millions of users doing updates as well as reads, in contrast to traditional DBMSs and data warehouses. We contrast the new systems on their data model, consistency mechanisms, storage mechanisms, durability guarantees, availability, query support, and other dimensions. These systems typically sacrifice some of these dimensions, e.g. database-wide transaction consistency, in order to achieve others, e.g. higher availability and scalability. Note: Bibliographic references for systems are not listed, but URLs for more information can be found in the System References table at the end of this paper. Caveat: Statements in this paper are based on sources and documentation that may not be reliable, and the systems described are “moving targets,” so some statements may be incorrect. Verify through other sources before depending on information here. Nevertheless, we hope this comprehensive survey is useful! Check for future corrections on the author’s web site cattell.net/datastores. Disclosure: The author is on the technical advisory board of Schooner Technologies and has a consulting business advising on scalable databases.
It has now been a good couple of years since the various anti-SQL proponents have gained enough momentum to come together under the wide umbrella of the term NoSQL. And it is clear that we can never go back: the typical relational database architecture is clearly insufficient for today’s dataintensive applications, and the move to distributed architectures. But is the problem in the architecture or the query language? The two are not interchangeable, though frequently confused. Some answers can be found in the following articles, which represent a progression of ideas on this very relevant topic, based on various articles published in Nati Shalom’s blog: http://natishalom.typepad.com Should Web Apps "Just Say No" to SQL? Pros and Cons of Non-SQL Patterns This paper briefly reviews what is driving the trend of adopting alternatives to the traditional SQL DB, survey alternative approaches, and discuss not only their benefits but also the risks and caveats for real-life web applications.