Objectives:-To identify the prevalence of catheter associated urinary tract infection in critical care unit. To formulate structured urinary catheterization checklist and implement in the hospital. To evaluate the effectiveness of urinary catheterization checklist to reduce catheter associated urinary tract infection. Methods: - An experimental research was conducted on 300 samples in Dr. L H Hiranandani hospital. Non probability purposive sampling technique was used for the study. Urinary catheterization checklist implemented. Checklist was used to collect the data. Result: - 80% of all intensive care unit patients are treated with urinary catheter. Catheter associated urinary tract infection caused by improper handling of catheter, not using aseptic techniques while insertion and collection of urine. In this study a urinary catheter checklist is implemented to check the insertion technique, to maintain the catheter properly and to reduce the incidence of CAUTI. Rate of catheter associated urinary tract infection before implementation of urinary catheterization checklist was higher that is 5.33 % and it is decreased to 1.33% after implementation of checklist. Conclusion: - Urinary tract infection is a major lead to hospital associated morbidity and mortality. 32%of hospital associated infections and 13% of death due to catheter associated infections are noted. There are many risk factors which is causing urinary tract infection. But the major contributor for infection is presence of urinary catheter. CAUTI is mainly occurred when the patient care is compromised. Reduction of incidence rate should focus on identifying the high risk patients. Urinary catheterization checklist focused on identification of high risk patients and therefore reduction in the CAUTI incidence.
October 2019
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Journal Area:ABSTRACT:Pub. Date: October 18, 2019Paper No:2695
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Kuschman, Khun & Pfaerrer’s (2012) “Communicative Framework of Value in Cross-Sector Partnerships” represents a model for optimizing performance of NGOs. This paper presents the case of the WSKF Sports Foundation, which is part of a million-strong Japanese federation that spans over 20,000 clubs in more than 100 countries throughout all the continents except Antarctica, with cross-sectional illustrations of how the meaningful participation of members, the centripetal forces generated by the organization, and the consolidation of an institutional image through a coherent narrative, worked on the basis of authoritative texts, generated external influences and indeed led to substantially more revenues for the organization. Purpose: To explore the applicability and success of Kuschman et al.’s (2012) model in a global non-profit organization, and its implications for theory building on texts and institutional development. Design/methodology/approach: Case study, with internal data and interviews from a sample of country leaders to compare the degree of application of Kuschman et al.’s (2012) model, and the results obtained between the US, Canada, Ireland, Spain, Panama and Venezuela. Findings: Meaningful participation, expressed as collaborative networks, centripetal forces, and text adoption generate momentum and contribute in raising resources for the organization. The lack of such networks and internal forces, and/or the lack of a coherent narrative, working through authoritative texts, will negatively affect external influences and capitalization. Research limitations & implications: The impressive results of the WSKF Sports Foundation in Venezuela were institutionalized through that country’s 2011 Sports Development Law. Since 2009, it had already achieved 100% coverage of its championship costs and expenses. Nonetheless, there were differences in sister organizations located in countries that lack such socialist incentive. Also, the majority of the leaders in WSKF are college-trained, instead of only former athletes, a factor that should be controlled for in cross-sectional studies. Practical implications: An integral and integrating communicative framework, which according to Kuschman et al. (2012), requires a coherent narrative evolving from authoritative texts, is necessary to optimize the effectiveness of NGOs. Internal and external networking activities are of the essence in such development. Originality/value: Non-profit revenue depends on Disposable Personal Income and Public Awareness (as to any social cause). NGOs, however, can only influence one of these two variables, public awareness, and that can be best achieved through a coherent communicative framework and network.
Pub. Date: October 18, 2019Paper No:2698 -
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The old saying “Excellence is the gradual result of always striving to do better……. The noblest search is the search for excellence.” – An integrated approach to achieve continuous improvement and reach towards excellence in Utility Boiler Operation. This paper highlights the case study carried out regarding the successful trial run of the Flue Gas Recirculation of the Utility Boiler of Co-generation plant of the Numaligarh Refinery Limited, Golaghat, Assam. This fan could not be put into service since commissioning of the boiler. Once it is successfully taken into service, many positive outcomes are noticed and resulted in the process and energy optimization in the operation of the utility boiler. In Numaligarh Refinery Limited (NRL), Co-generation plant (CGP), Utility Boiler (UB) is used to produce High pressure super-heated steam. One of the accessories named Flue Gas Recirculation (FGR) could not be put into service due to certain problems. FGR is a combustion modification process. As the name implies, a portion of the combustion products exiting the boiler are recirculated and introduced into the primary combustion zone. In UB, there are two nos. of FGR fans. But they could not put into service for a long time since commissioning. After a series of studies and experiments, the problems or factors were identifiedviz. selection of correct UB load at which the fan should be started, dampers adjustment, burner flame stability, etc. After identification and trouble shooting of these problems, the FGR fans could be run successfully and put into continuous service. Following advantages were achieved in UB after the service of the FGR fans: • Increases steaming rate of the UB • Saves Energy (Fuel optimization) • Reduced harmful NOxgas Emissions • Increased in flue gas back end temperature • Lowers Greenhouse gas CO2 emission as the amount of fossil fuel is reduced Thus the above case study helped one of the important UB accessories to successfully put into service leading to various benefits, flexibility and process optimization in the operation of the UB.
Pub. Date: October 18, 2019Paper No:2700 -
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Alternative Investments is an emerging market. In recent years, alternatives have become a prevalent aspect of multi-asset investing. It includes investments ranging from private, commercial, real estate, hedge funds, liquid alternatives to illiquid private equity funds, and real assets. The alternative investments industry is rapidly expanding and increasing its ability to provide durable investment strategies, and hence is attracting a growing number of individual investors. Due to extended periods of very low interest rates and rising volatility on equity markets around the world, traditional investments have left many investors with inadequate return. Therefore, the need for alternative investments is crucial but the greatest problem investors face is evaluating and allocating these alternatives in proper proportion to get maximum returns. The following paper assesses the primary factors that influence investors as they evaluate and make decisions about alternative investments and how adding them to portfolios can improve returns and reduce risks.
Pub. Date: October 18, 2019Paper No:2715 -
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Varsha Agarwal, Abhishek, S., Vivek Rampuria and Manish Kumar Bhagat
Pub. Date: October 18, 2019Paper No:2716