91 research outputs found

    Risk management guidelines for Ban Sang Hospital, Prachin Buri Province

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    การบริหารความเสี่ยงในโรงพยาบาลมีความสำคัญอย่างยิ่งในการป้องกันและควบคุมสถานการณ์ที่ไม่แน่นอน ซึ่งมีผลกระทบต่อความปลอดภัยของผู้ป่วย ประชาชน และบุคลากร ซึ่งการบริหารความเสี่ยงที่ดีควรอาศัยการมีส่วนร่วมของบุคลากรทุกฝ่าย ในการวิเคราะห์ ตรวจสอบ ประเมินความเสี่ยงและผลกระทบที่อาจเกิดอยู่เสมอเพื่อป้องกัน ควบคุม และหลีกเลี่ยงความเสี่ยงที่อาจสร้างความเสียหาย ผู้ศึกษาจึงจัดทำแนวปฏิบัติการบริหารความเสี่ยงสำหรับบุคลากร โรงพยาบาลบ้านสร้าง จังหวัดปราจีนบุรีฉบับใหม่ขึ้นเพื่อให้มีเนื้อหาเกี่ยวกับงานบริหารความเสี่ยงอย่างครบถ้วนสมบูรณ์ มีขั้นตอนและวิธีการรายงานอุบัติการณ์ความเสี่ยงอย่างละเอียดวิธีการบริหารความเสี่ยง แนวทางการวิเคราะห์สาเหตุเชิงระบบ รวมถึงวิธีการจัดทำทะเบียนจัดการความเสี่ยงเพื่อเป็นประโยชน์แก่บุคลากรในการใช้เป็นเอกสารอ้างอิงสำหรับการปฏิบัติงานจริงต่อไป ผลการดำเนินงานคือมีการจัดทำแนวปฏิบัติการบริหารความเสี่ยงสำหรับบุคลากรโรงพยาบาลบ้านสร้าง จังหวัดปราจีนบุรี ซึ่งเนื้อหาประกอบด้วย (1) บทนำ (2) กรอบงานบริหารความเสี่ยง (3) เป้าหมายความปลอดภัยของผู้ป่วยและบุคลากรสาธารณสุขและมาตรฐานสำคัญจำเป็นต่อความปลอดภัย (4) ระบบงานบริหารความเสี่ยง (5) ระบบสารสนเทศการบริหารจัดการความเสี่ยงของสถานพยาบาล (6) การวิเคราะห์สาเหตุเชิงระบบ (7) การจัดทำทะเบียนจัดการความเสี่ยง ผลการทดลองใช้แนวปฏิบัติฯ พบว่า มีค่าเฉลี่ยความพึงพอใจต่อแนวปฏิบัติฯโดยรวมในระดับมาก และรายด้านที่มีความพึงพอใจในระดับมากที่สุด ได้แก่ ความสอดคล้องของเนื้อหากับความต้องการของผู้ใช้ การนำคู่มือไปใช้เป็นแนวทางในการปฏิบัติงานได้ ความเหมาะสมของปกและรูปเล่มความเหมาะสมของภาษาที่ใช้ และความสะดวกในการดาวน์โหลดเอกสารผ่านลิงก์Risk management in hospitals is very important to prevent and control uncertain situations. These affect the safety of patients, people and personnel. However, in good risk management, all personnel should participate in the analysis, check, risk assessment, evaluation of the potential impact together with prevention, control, and risk avoidance that may cause damage or loss. Consequently, the author is interested in establishing a new edition of risk management guidelines for Ban Sang Hospital in Prachin Buri province to have complete risk management content, including procedures and methods for reporting risk incidence in detail, risk management methods, root cause analysis, and risk register procedures for the benefit of personnel to use as a reference document for further actual operations. Procedures for creating the guideline included: (1) reviewing literature and context analysis; (2) drafting risk management guidelines for Ban Sang Hospital, Prachin Buri province; (3) getting the content validity of the draft guidelines checked by three experts, resulting in an overall item-objective congruence index of 0.98 and then editing the guidelines according to their recommendations; (4) pre-testing the guidelines among 30 personnel who were working in Ban Sang Hospital for three weeks; (5) and evaluating the satisfaction from the trial of the guidelines. As a result of this study, the risk management guidelines for Ban Sang Hospital, Prachin Buri province is established, consisting of; (1) Introduction; (2) Risk management framework of Ban Sang Hospital, Prachin Buri province; (3) Patient and personnel safety goals and critical standards for safety; (4) Risk management system; (5) Healthcare risk management system; (6) Root cause analysis; (7) Risk register procedures. Based on the guideline trial results, the personnel had an average score of overall satisfaction at a high level. The aspects with the highest level of satisfaction included the consistency of the content with the needs of the users, the use of manual as a guide to work, the appropriateness of the cover and booklet, the appropriateness of the language used, and the convenience of downloading the document via the link

    Aspect controls the survival of ice cliffs on debris-covered glaciers

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    Supraglacial ice cliffs exist on debris-covered glaciers worldwide, but despite their importance as melt hot spots, their life cycle is little understood. Early field observations had advanced a hypothesis of survival of north-facing and disappearance of south-facing cliffs, which is central for predicting the contribution of cliffs to total glacier mass losses. Their role as windows of energy transfer suggests they may explain the anomalously high mass losses of debris-covered glaciers in High Mountain Asia (HMA) despite the insulating debris, currently at the center of a debated controversy. We use a 3D model of cliff evolution coupled to very high-resolution topographic data to demonstrate that ice cliffs facing south (in the Northern Hemisphere) disappear within a few months due to enhanced solar radiation receipts and that aspect is the key control on cliffs evolution. We reproduce continuous flattening of south-facing cliffs, a result of their vertical gradient of incoming solar radiation and sky view factor. Our results establish that only north-facing cliffs are recurrent features and thus stable contributors to the melting of debris-covered glaciers. Satellite observations and mass balance modeling confirms that few south-facing cliffs of small size exist on the glaciers of Langtang, and their contribution to the glacier volume losses is very small (∼1%). This has major implications for the mass balance of HMA debris-covered glaciers as it provides the basis for new parameterizations of cliff evolution and distribution to constrain volume losses in a region where glaciers are highly relevant as water sources for millions of people

    Model output data to "Land surface modeling in the Himalayas: on the importance of evaporative fluxes for the water balance of a high elevation catchment"

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    <p>We provide i) gridded initial conditions (.tif), ii) modeled gridded monthly outputs (.tif), and iii) modeled hourly outputs at the station locations (.txt) for the hydrological year 2019. Information about the variables and units can be found in the figures (.png) associated to each dataset. Details about the datasets can be found in the original publication by Buri and others (2023).</p><p> </p><p>Buri, P., Fatichi, S., Shaw, T. E., Miles, E. S., McCarthy, M. J., Fyffe, C. L., ... & Pellicciotti, F. (2023). Land Surface Modeling in the Himalayas: On the Importance of Evaporative Fluxes for the Water Balance of a High‐Elevation Catchment. <i>Water Resources Research</i>, <i>59</i>(10), e2022WR033841. DOI: <a href="https://doi.org/10.1029/2022WR033841"><strong>10.1029/2022WR033841</strong></a></p&gt

    CliffEBM - A Gridded Ice Cliff Energy Balance Model (first public release, v01.1)

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    CliffEBM is a model that calculates the distributed surface energy balance and backwasting (melt) rates for ice cliffs, i.e. steep ice surfaces with complex, heterogeneous topographies. The model is validated and described in Buri, P., Pellicciotti, F., Steiner, J., Miles, E., & Immerzeel, W. (2016). A grid-based model of backwasting of supraglacial ice cliffs on debris-covered glaciers. Annals of Glaciology, 57(71), 199-211. https://doi.org/10.3189/2016AoG71A059 See most update version here: https://github.com/pburi/CliffEBM In this repository we provide example input data (digital elevation models, shapefiles, meteodata) to run CliffEBM on one supraglacial cliff on the debris-covered Lirung Glacier (Nepal). Working example: to run the model, download the entire repository on your machine and adjust the paths in the model code (CliffEBM.R, section "primary definitions") according to the paths on your machine. Software: R (R version 4.3.0 (2023-04-21 ucrt) -- "Already Tomorrow"). The model should also run on older versions. Packages: cleaRskyQuantileRegression, doParallel, foreach, grDevices, iterators, methods, parallel, raster, rgdal, rgeos, sf, sp, stats, utils, zooThis study was funded by the SNF (Swiss National Science Foundation) project UNCOMUN ("Understanding Contrasts in High Mountain Hydrology in Asia," Grant No. 146761)

    On-Glacier Meteorological Data for Haut Glacier d'Arolla, Switzerland

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    The compiled dataset is a series of summer meteorological observations on the Swiss Haut Glacier d'Arolla (45.97°N, 7.52°E) to support the analysis presented in the manuscript: %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% "The Decaying Near-Surface Boundary Layer of a Retreating Alpine Glacier", submitted to Geophysical Research Letters. Thomas E. Shaw1, Pascal Buri1, Michael McCarthy1, Evan S. Miles1, Álvaro Ayala2, Francesca Pellicciotti1 1 Swiss Federal Institute, WSL, Birmensdorf, Switzerland 2 Centro de Estudios Avanzados en Zonas Áridas, La Serena, Chile %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% The following files are provided: 1) 6 x xlsx files "Arolla_Meteorological_Data_[YEAR].xlsx" contains within are tabs for: i) The station locations and elevations (tab "[YEAR]_Info"). ii) All AWS/Tlogger data in hourly format (tab "[YEAR]_Met_Data"). iii) Only the hourly air temperature data for on-glacier sites (tab "[YEAR]_Ta"). 2) Glacier outlines (.shp) for years 1850 (GLAMOS), 1973 (GLAMOS), 1994 (Carenzo, 2012), 1999 (Carenzo et al., 2012), 2010 (GLAMOS), 2022 (Digitised from PlanetScope imagery). 3) Debris cover area (.shp) derived by applying an NDSI classification of cloud filtered, summer Landsat scenes in Google Earth Engine following the approach of Scherler et al. (2018). For the meteorological data in 1), the following variables are provided: "TA" = near surface air temperature (°C). "RH" - relative humidity (%). "SWIN" - Shortwave incoming radiation (Wm^-2). "SWOUT" - Shortwave outgoing radiation (Wm^-2). "LWIN" - Longwave incoming radiation (Wm^-2). "LWOUT" - Longwave outgoing radiation (Wm^-2). "FF" - Wind speed (m s-1). "DIR" - Wind direction (°). "PP" - precipitation (mm). "DEW" - dew point temperature (°C). The term "OG" refers to an off-glacier station, which are numbered accordingly. If no variable names are given as a header in the "Met_Data" tab, then the data are air temperature values. Data are filtered for obvious errors and errors are then removed. Data are not gap-filled as this would affect the analysis presented about patterns in air temperature data. Data were checked and compiled by Thomas Shaw (WSL) - [email protected] Data were measured by ETH (2001-2010) and WSL as part of the Marie-Curie Project 'TEMPEST' (2021-2022). Details of data collection and analysis can be found in: Strasser et al. (2004) - 2001. Carenzo (2012) - 2001-2010. Shaw et al. (N.D.) 2021-2022. %% CITED WORK Carenzo, M. (2012). Distributed modelling of changes in glacier mass balance and runoff (Issue 20616). ETH Zurich. Scherler, D., Wulf, H., & Gorelick, N. (2018). Global Assessment of Supraglacial Debris-Cover Extents. Geophysical Research Letters, 45(21), 11,798-11,805. https://doi.org/10.1029/2018GL080158 Shaw, T.E., Buri, P., McCarthy, M., Miles, E.S., Ayala, Á., Pellicciotti, F. The Decaying Near-Surface Boundary Layer of a Retreating Alpine Glacier (submitted to GRL) Strasser, U., Corripio, J. G., Pellicciotti, F., Burlando, P., Brock, B. W., & Funk, M. (2004). Spatial and temporal variability of meteorological variables at Haut Glacier d’Arolla (Switzerland) during the ablation season 2001: Measurements and simulations. Journal of Geophysical Research, 109, D03103. https://doi.org/10.1029/2003JD00397

    Gletscherschmelze unter Schuttbedeckung: Verbreitung, Prozesse und Messmethoden

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    Schuttbedeckte Gletscher kommen in praktisch allen vergletscherten Gebirgen der Erde vor. Der Schutt wird von verschiedenen Herkunftsorten um, über und unter dem Gletscher auf die Gletscherzunge transportiert – zahlreiche Prozesse greifen dafür ineinander. Einmal dort abgelagert beeinflusst der Schutt die Schmelzrate des darunterliegenden Gletschereises wesentlich. Eine wichtige Funktion fällt dabei der Mächtigkeit und der Zusammensetzung des Schuttmantels zu, welche bestimmen, ob das darunterliegende Eis gegenüber der schuttfreien Gletscherfläche schneller schmilzt, oder ob das Eis durch die darüberliegende Schuttschicht isoliert und dadurch thermisch geschützt wird. Der Schutt verändert aber auch die Oberflächeneigenschaften dieser Gletscher grundlegend, wobei vor allem kleine Schmelzwasserseen und Eisklippen, aber auch veränderte Fliesseigenschaften einen grossen Einfluss auf die Massenverluste der Gletscherzunge haben können. Wissenschaftler suchen unter anderem nach Fernerkundungsmethoden, die Dicke der Geröllschicht auf den Gletscherzungen flächendeckend besser abzuschätzen. Messungen von schuttbedeckten Gletschern werden sowohl direkt auf deren Oberfläche als auch aus der Luft oder dem All vorgenommen, wobei das Hauptaugenmerk vor allem auf den meteorologischen Bedingungen, den Schutteigenschaften und deren räumlichen und zeitlichen Variabilität liegt. Glacier melt under debris: Distribution, processes and measuring methods: Debris-covered glaciers occur in basically all glacierized mountain ranges on Earth. The debris is transported onto the glacier tongue by a variety of processes, originating from different zones around, above and below the glacier. Once deposited there, the debris significantly affects the melting rate of the underlying ice. An important function here is the thickness and the composition of the debris mantle, which determine whether the underlying ice melts faster compared to the debris-free glacier surface or whether the ice is isolated by the overlying debris layer and thus thermally protected. The debris also fundamentally changes the surface properties of these glaciers, with small meltwater ponds and ice cliffs in particular, but also changing flow properties, which can have a major impact on the mass losses of the glacier tongue. Among other things, scientists are looking for remote sensing methods to better estimate the thickness of the debris layer on glacier tongues. Measurements of debris-covered glaciers are carried out both directly on their surface as well as from the air or from space, with the main focus on the meteorological conditions, the properties of the debris and their spatial and temporal variabilit

    Kamnoet Wiangchan tamnan phayanak - buri rusi sang

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    The article features the history of Viangchan (or Vientiane in French), the capital city of Laos. A prominent Lao thinker, the author illustrates where the city's name was originated and how the city was settled. He supports his arguments by drawing on various sorts of historical evidence. The article is accompanied by a profile of Prince Suphanuwong, the late radical Laotian prince who favored Socialism and later served as the country's President until 1991

    Association between parenting style and adolescent's depression symptoms in situations of one parent's absence

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    Pētījuma mērķis bija noskaidrot, kādas ir saistības starp vecāku prombūtni, klātesošā vecāka audzināšanas pieeju un pusaudžu depresijas pazīmēm. Pētījumā piedalījās 62 respondenti – 37 meitenes un 25 zēni vecumā no 11 līdz 16 gadiem. Respondentu vidējais vecums bija 14 gadi. Tie tika sadalīti divās grupās: vienā grupā bija pusaudži, kuriem viens no vecākiem atrodas prombūtnē (n=31), otrā grupā bija pusaudži, kas dzīvo kopā ar abiem vecākiem ( n=31). Datu ievākšanai tika izmantotas sekojošas metodes: Ahenbaha bērnu uzvedības novērtēšanas sistēma (Achenbach, Child Behavior Checklist,2001), Buri vecāku audzināšanas stila aptauju (Parental Authority Questionnaire – PAQ, Buri, 1991) un demogrāfisko datu aptauja. Atslēgas vārdi: vecāku prombūtne, pusaudži, vecāku audzināšanas pieeja, depresijas pazīmes.This study examined the associations between parenting style and adolescent depression symptoms in situations of one parent’s absence. The participants in this study were 62 adolescents – 37 girls and 25 boys, ages from 11 to 16 years old. There were two groups: in one group were adolescents who have one parent in absence, n=31; in the second group were adolescents who live with their full family, n=31. Participants completed the Child Behavior Checklist (Achenbach 2001), Parental Authority Questionnaire (PAQ, Buri, 1991), and a demographic questionnaire developed by the author. Keywords: parental absence, adolescence, parental style, depressive symptoms

    Tinjauan Yuridis Pelakasanaan Perkawinan Walian Tondo (Turunan Raja) Berdasarkan Hukum Adat Kulisusu Utara Kabupaten Buton Utara: Studi Desa Waode Buri Kec. Kulisusu Utara Kab. Buton Utara

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    Marriage aims to form a happy family and everlasting. Marriage requires careful consideration in order to persevere in the long periods of time in a relationship as husband and wife. Indispensable attitude of tolerance and put yourself on the proper role. One example of such marriages, i.e. marriage down the bed. Marriage down bed (Walian tundra) frequently took place in the area of North Buton to the culture. Therefore, researchers are interested in writing a research on the status and validity of the marriage bed down according to customary law. (studies in North buton). In this study the author uses the method of normative legal research i.e. research approach the problems and legal norms in force. Legal norms that apply to that form of positive written legal norms such as the Constitution, laws, government regulations and so on. Research results show that implementation of the marriage walian tondro (down bunks) based on customary law Kulisusu Sub-district in Waode village of Buri North Kulisusu can occur if the following: a) the already existing agreement of husband and wife when the wife is still alive, that when I died (wife) then you (the husband) must be married with the sister of girs as a substitute for the mother of our children and this should be known to be mutually agreed by both parties in defense. In the sense that there must be a will from the wife. b) after it is accepted then the two sides will carry out walian tondro (mate's bed). C) Covenant of marriage anniversary match existing Covenant of marriage (islam). D) wedding reception. There are several reasons underlying the onset of mating walian tondro (down bed) so that the wife can provide replacements for descendants as the legitimate successor of the family
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