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Timothy Birdnow
Recent events in the Garden State http://www.cbsnews.com/news/emails-show-christie-officials-trying-t... have illustrated a serious medical condition affecting the journalism community, one we have witnessed among journalists before. A conniption is a rare psychological disorder, one apparently generated by actions performed by a certain class of people.
Those people - called Republicans (ree-pub-lick-ens) - trigger a psychosis that leads to enraged self-righteousness, angst, and gnashing of teeth among most practicing journalists. We have seen this behavior before; for eight solid years the journalism community suffered an outbreak as a triggering agent occupied the White House, and former Vice Presidential candidate Sarah Palin seems to be another hot agent. Ditto Ted Cruz and Mike Lee, who managed to aggravate this condition. The latest outbreak is the direct result of actions taken by the administration of New Jersey Governor Chris Christie, who has managed to generate a sizable conniption among the infected journalists (meaning, well, just about all of them.) One wonders if the CDC should be called.
These sorts of conniptions are rarely triggered by the actions of Democrats. There is, apparently, some immunity to Democratic environmental factors. We must examine this more closely to diagnose the problem and better treat it.
Barrycades, drones, and Christie Cones - or as MSNBC's Melissa Harris Perry might sing http://www.mediaite.com/tv/melissa-harris-perry-and-msnbc-panel-moc... "one of these things is not like the others".
During the government shutdown (precipitated by one Mr. Barack Hussein Obama but blamed by the media on the GOP) the National Parks Service was ordered to shut down the national parks. This was, ostensibly, because funds were not available but considerable amounts of money were expended to guarantee these parks would not be enjoyed. Signs were purchased telling the public that the parks were closed because of the shutdown, and barricades were placed around open monuments (such as the WWII Memorial). Park Rangers were ordered to harass anyone trying to get inside. In fact, park police stopped a man from voluntarily cutting the grass http://www.theatlantic.com/politics/archive/2013/10/how-the-nationa... at the Lincoln Memorial. And they weren't fooling around with trespassers.
According to NPR:
"But at national parks, national monuments, national recreation areas, national historic sites and other Park Service areas, no entry is permitted during the shutdown.
"The park is closed, and we're enforcing the boundaries," says Aly Batrus, chief of interpretation at Zion National Park in Utah. "You can get a ticket just for being in the park recreating when you're not supposed to be."
Trespassing in a national park carries a maximum fine of $500 and up to six months in jail, according to the Criminal Resource Manual issued to U.S. attorneys.
End excerpt
The Park Service barricaded the WWII Memorial, and it has been confirmed that the order came from the Office of Management and Budget, a White House agency.
Also, officials said that they were told to make life as miserable as possible http://www.examiner.com/article/park-ranger-admits-being-told-to-ma... for the citizenry.
Christie's people closed off lanes of the George Washington Bridge, a key artery between Jersey and D.C .(a kindness, if you ask me.) In both instances barricades were used - Obama used metal ones while Christie used cones.
How did the media react in these separate instances?
According to Newsbusters;
"Anchor Brian Williams tied the story to the GOP as a whole: "Because of a sudden and enormous traffic backup on that bridge this past September, a scandal has now erupted around the Governor of New Jersey, Chris Christie, a man a lot of Republicans regard as a consensus candidate for the party nomination in 2016."
ABC's Jim Avila emphasized the nastiness behind the move on Wednesday's World News: "Today, a series of e-mails and text messages reveals that Fort Lee's pain was deliberately engineered in a fit of political retribution by members of Governor Chris Christie's office, who triggered this mess with one short order to the agency that runs the George Washington Bridge."
End excerpt
Yet they were strangely silent, even amused at Mr. Obama's Barry-cades.
And while Christie condemned the actions of his staff, Mr. Obama defended his own policies of pain http://www.theblaze.com/stories/2013/10/08/president-obama-admits-r... for political payback:
When CBS reporter Mark Knoller asked President Barack Obama why he refused to "go along" with any of the House bills to fund programs like Head Start or veterans benefits during the government shutdown,the commander-in-chief was blunt in his response.
He said if the Republican's aren't feeling any "political heat" then "nothing happens."
Here's Knoller's full question: "While you're waiting for the shutdown to end, why is it that you can't go along with any of the bills the House is passing? Funding the FDA and FEMA — where you were yesterday — and veterans benefits and Head Start. You have to be tempted to kind of get funding to those programs you support."
Obama admitted that he is "tempted" to support the bills, because "you'd like to think you could solve at least some of the problems if you couldn't solve all of it." That's what Republicans claim they are trying to do with the appropriations bills to restore funding to various affected programs.
"But here's the problem. What you've seen are bills that come up wherever Republicans are feeling political pressure, they put a bill forward. And if there's no political heat, if there's no television story on it, then nothing happens," Obama said ."If we do some sort of shotgun approach like that, then you'll have some programs that are highly visible get funded and re-opened, like national monuments, but things that don't get a lot of attention, like those SBA loans not being funded."
End excerpt
So Mr. Obama admits he wanted to hurt the American People to pressure the GOP.
This policy not only hurt tourists, but did terrible damage to businesses and communities brought in tourist dollars. In fact, it decimated communities across the country. http://www.governing.com/news/headlines/what-the-government-shutdow...
And this pain-for-politics policy of Mr. Obama did not stop at National Parks. http://www.breitbart.com/Big-Government/2013/10/05/list-obama-closu...
It cut off funding for children's cancer research. Senate Majority Leader Harry Reid dismissed this with a healthy dose of "let them eat cake";
"But Reid was challenged at a Democratic press conference by CNN's Dana Bash about why the Senate wouldn't consider the NIH bill.
"If you can help one child who has cancer, why wouldn't you do it?" she asked.
Sen. Chuck Schumer, D-N.Y., quietly asked, "Why pit one against the other?"
And Reid immediately chimed in: "Why would we want to do that? I have 1,100 people at Nellis Air Force base that are sitting home. They have a few problems of their own."
End excerpt
Reid has been the champion of the Administration in the Senate.
Strangely, the Administration found White House chefs to be an absolutely critical function of overnment. So children can die as long as Mr. Obama gets to eat well...
The Administration shut down private roads, tried to close the privately funded Mt. Vernon, strangled a number of private businesses that made their living from the Parks (like tour guides on the Colorado River in the Grand Canyon) and generally did their level best to hurt the American People, knowing that the media's strange conniption disorder would not bother them.
Private e-mails show thus far no connection between Gov. Christie and this "stupid" political payback, and the Governor fired the parties responsible. Nobody has been so much as reprimanded in the Obama Administration.
This is just one example of the utter hypocrisy of the media where Democrats and Republicans are concerned. The media yawned at dead Mexican citizens and Fast and Furious. They yawned at Obama's usurpation of the War Powers Act in Libya. They yawned at the death of Americans at Benghazi, and Mr. Obama's blatant lies about it. They yawned at the IRS bullying Democrat's political opponents. They yawned at the NSA domestic spying. They yawned at the willful lie http://www.redstate.com/2013/10/29/obamacare-they-knew-they-knowing...
that "if you like your doctor you can keep him". They yawned at drones killing American citizens. They yawned at sky-high unemployment without an end in sight. They have covered Conegate over the IRS abuse scandal at a rate of 17 to 1. http://www.americanthinker.com/blog/2014/01/christie_scany_than_6_m...
On Face the Nation this Sunday (January 12) the Democratic head of the New Jersey Assembly's transportation committee Thomas Wisniewski called Gov. Christie's denial of knowledge of the events "not credible" and called for his impeachment. http://www.cbsnews.com/news/nj-pol-not-credible-that-chris-christie...
"I don't think it's credible for Governor to have his chief of staff, his communication director, his deputy chief of staff, his chief counsel all involved in email communications on the day this took place and the days after, talking not only about the problems that were created in Fort Lee, but also talking about how to spin it to the press,"
The moderator and panel on Face the Nation yawned once again.
Strange; the media never promoted this idea in regards to Mr. Obama, whose Secretary of State, Ambassador to the U.N. (and later National Security Advisor), Vice President, and Director of Central intelligence, Secretary of Defense, Spokesman, all flagrantly lied to mislead the public on the roll terrorism - and what the Administration knew and failed to do - played in the Benghazi attack, where a number of Americans died waiting for help that never came. It is now known that the White House was watching the whole attack in real time, and gave orders to stand down when troops at the scene asked for permission to rescue the besieged Consulate staff. A few cones on a bridge seems to be worse than burning American buildings and dying Ambassadors.
So, what is so interesting about the Christie scandal? The Face the Nation panel claimed it is that Christie's inner circle could become high officials in his administration should he become President; they could become Secretary of State, U.N. Ambassador, Director of Central Intelligence, etc. You know; they might LIE to you!
Give a Republican a minor scandal involving traffic jams and the gates of Hell will soon open.
Perhaps Harry Reid was right in not wanting to fund children's cancer research; perhaps that money would be better spent on research to cure Media Conniption Syndrome; there seem to be many more poor souls suffering from this terrible malady, and its impact on society seems far greater. The problem is, anyone seeking treatment would be trapped in perpetuity on the sign-up page at Healthcare.gov.
Read more from Tim and friends at www.tbirdnow.mee.nu
Views: 349
Yeah; I don't like Christie at all myself, Scott, but we have to defend that Hoppity Hooper look-alike. The Democrats never let their enemies take down one of their own. I don't mind seeing Christie in trouble but we have to make it clear that WE are the ones who decide his fate and not the Dems or the media.
Debrajoe that is the understatement of the year!
Glad that Commie Christy is get'n what he deserves.. Too bad he was still wearing the Republican Label when it came falling down...
Harry Reid is not reliable.
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Revista da Escola de Enfermagem da USP
versión impresa ISSN 0080-6234
Rev. esc. enferm. USP vol.45 no.spe São Paulo dic. 2011
Cost of nursing staffing adequacy in a neonatal unit
Costo de adecuación cuantitativa de profesionales de enfermería en unidad neonatal
Fernanda Maria Togeiro FugulinI; Antonio Fernandes Costa LimaII; Valéria CastilhoIII; Luciana BochembuzioIV; Janaína Anchieta CostaV; Liliana CastroVI; Natália Célia Lima SilvaVII; Raquel Rapone GaidzinskiVIII
Professor, Department of Professional Guidance, School of Nursing, University
of São Paulo. São Paulo, SP, Brazil. firstname.lastname@example.com
IIDoctor Professor, Department of Professional Guidance, School of Nursing, University of São Paulo. São Paulo, SP, Brazil. São Paulo, SP, Brazil. email@example.com
IIIAssociate Professor, Department of Professional Guidance, School of Nursing, University of São Paulo. São Paulo, SP, Brazil. firstname.lastname@example.com
IVPh.D. in Nursing, Nurse at the Neonatal Unit of the University of São Paulo University Hospital. São Paulo, SP, Brazil. firstname.lastname@example.com
VDoctoral student of the Graduate Study Program in Nursing Management, University of São Paulo. São Paulo, SP, Brazil. firstname.lastname@example.com
VIDoctoral student of the Graduate Study Program in Nursing Management, University of São Paulo. São Paulo, SP, Brazil. CAPES fellow. firstname.lastname@example.com
VIINursing undergraduate, School of Nursing, University of São Paulo. São Paulo, SP, Brazil. CNPq fellow. email@example.com
VIIIFull Professor, Department of Professional Guidance, School of Nursing, University of São Paulo. São Paulo, SP, Brazil. email@example.com
The objectives of this descriptive, quantitative study were: to identify the mean nursing care time provided and required by newborns (NB) hospitalized at the Neonatal Unit of the University of São Paulo University Hospital; to calculate the cost of the mean nursing care time provided and required, by NB; to assess the cost of the nursing staffing adequacy required to assist the NB. The mean nursing care times, provided by the nursing staff and required by NBs, were calculated using equations available in the literature and by applying the Nursing Activities Score. The costs of the mean nursing care times and to make nursing staffing adequate were calculated based on the hourly cost of nurses and nursing technicians. The financial impact of nursing staffing adequacy accounted for a 30% increase over the cost of the current situation.
Descriptors: Intensive Care Units, Neonatal; Nursing; Workload; Economics, nursing; Hospital costs
Este estudio descriptivo cuantitativo objetivó identificar el tiempo promedio de atención de enfermería dispensado y requerido por Recién Nacidos (RN) internados en Unidad Neonatal de Hospital Universitario de Universidad de São Paulo; calcular costo de tiempo promedio de atención de enfermería dispensado y requerido por RN, verificar monto financiero de adecuación del cuadro de profesionales de enfermería requerido para atender a RN. Los tiempos promedio de atención dispensados por el equipo y requeridos por los RN fueron calculados mediante ecuaciones disponibles en literatura y aplicación del Nursing Activities Score. El costo de tiempos promedio de atención y monto financiero de adecuación del cuadro de profesionales se calculó con base en costo/hora de enfermeros y técnicos de enfermería. El impacto financiero de adecuación cuantitativa de profesionales de enfermería correspondió a un incremento de 30% sobre el costo del cuadro existente.
Descriptores: Unidades de Terapia Intensiva Neonatal; Enfermería; Carga de trabajo; Economía de la enfermería; Costos de hospital
The technological advances and changes in the modern world impose transformations in the assets and services production systems that go beyond geographical, political, ideological, economic, social and cultural limits, and demand the use of new management strategies that allow for quality achievement, maintenance and improvement to maintain continuous organizational development (1).
Within this context, the health organizations also need to search for new management ways to allow for their survival, facing the great challenge of combining the efficient use of available resources and a better service provision for the population.
However, the lack of investments associated with the poor human resources policies in many health institutions has led to the deterioration of the working conditions with a negative impact on productivity and the services performed, and consequently, in the results of the services provided to the patients (2).
In practice, it is observed that many problems encountered are not solved, most of them resulting mainly from the economic measures and management strategies adopted (3).
Due to limited budgets, the main measures adopted by the managers fall within the quantitative and / or qualitative limitation of nursing workers, leading to a high workload that makes it difficult to organize and execute health care processes as well as promote any measure that favors safety of the users and care providers (4).
The identification of the workload is considered key to determine the quantitative and qualitative assessment of nursing staffing. In order to identify it, it is necessary to measure the time spent by the nursing staff when taking direct and indirect care of the patients (5).
Therefore, the present study, performed(6) with the objective to assess the workload of a nursing team at a teaching hospital, identified a gap in the staff of the units researched, suggesting work overload which undoubtedly can risk the safety of patients and the nursing staff.
In an international context, the development of researches that show the direct relationship between the conformity of the nursing staff and the care outcomes, mainly related to the safety of patients and nursing staff, have been published by the professional associations in question in order to show the importance of adequacy of the professional staff.
These studies show that the inadequacy, both in numbers and quality of personnel, directly influences the care provided to patients and the health of the nursing staff, increasing the risk of emotional exhaustion, stress, work dissatisfaction and burnout, subsequently showing in the rates of absence and turnover(7).
Due to this reality, the production of knowledge is necessary to subsidize the understanding of the implications resulting from a low staff number and the search for new alternatives and possibilities to transform the management processes in use at health institutions, mainly the ones related to cost management.
To identify the average time spent on nursing care with the Newborns (Recém-Nascidos - RN) in the Neonatal Unit in the University Hospital at the São Paulo University (HU-USP);
To calculate the cost of the average nursing time spent and required per RN, in this Unit;
To verify the financial amount to adapt the nursing staff required to assist RNs at the Neonatal Unit.
This is a descriptive quantitative research, performed at the Neonatal Unit of the University Hospital of the São Paulo University (HU-USP), after the approval by the Research Ethics Committee of the Institution (register number 681/06).
The Neonatal Unit counts with 24 beds to admit the RNs. In order to assist the children born in the institution, there are 19 beds for children from the Obstetric Center, the Rooming-in Units or from the Neonatal Intensive Care. The other five beds are reserved for external RNs, coming from the Children's Emergency Unit or Ambulatory or Neonatal Intensive Care from other health institutions(8).
The objectives of this Unit include: to provide nursing care in a personalized way; provide favorable conditions so that the parents can have an adequate bond with their children; to favor and encourage parents to learn how to take care of their children; foster, support and encourage breastfeeding; encourage and allow the mothers to stay during the first 24 hours; introduce the practice of kangaroo care and offer conditions for the development of learning and research in the neonatal unit(8).
The most frequent causes for hospital admission are: early respiratory discomfort; metabolic disturbances, mainly hypoglycemia and hyperbilirubinemia; congenital infections; problems related to prematurity and fever(8).
In relation to the level of dependency of nursing care, the RNs are classified according to the proposal(9), in the semi-intensive care category: RNs subject to the instability of vital functions, with no imminent threat to life but with the risk of a sudden deterioration of their clinical status which require nursing and medical care, in a permanent and specialized way.
The population in this study encompassed the RNs hospitalized in the Unit, regardless of the diagnostic, who had either clinical or surgical treatment, and remained in hospital for a period of at least 24 hours.
The size of the sample was calculated statistically based on the following criteria:
the population was considered normally distributed;
the acceptable confidence interval was 95% (Zc=1.96);
the accepted percentage error (e%), between the average sample and the average population shall be equal to or lower than 5%;
the occupancy rate percentage of the Unit (To%) was measured according to the historical averages, i.e 50.7%;
the Neonatal Unit has 24 beds.
The calculation to determine the size of the sample showed the need to assess all the RNs hospitalized over a minimum period of 14 days.
The average care time spent with the patients was calculated with the use of an equation mentioned in the literature (10), from the nursing staff existing in the Unit:
hk = average care time (in hours), per RN, as per professional category k;
qk = average daily amount of workers of the professional category k;
t = working hours of the professionals;
= average daily amount of RNs.
The average care time required by the RNs was estimated applying the Nursing Activities Score (NAS)(11).
NAS is a tool to measure the nursing workload in Intensive care units (UTI), which translates into the amount of time spent to assist the patient. It is considered a reliable, valid and stable indicator(12), and has proven to be adequate to measure the workload of the nursing team in the neonatal area because it covers the work processes and the nursing activities performed with the RNs.
NAS measures the time spent on the nursing activities to take care of the patient and its total score, obtained from the scores of each one of the 23 items of the tool, and shows the amount of time used to assist a patient 24 hours and can reach the maximum value of 176.8%. Therefore, a score of 100% shows the need of a nurse (or nursing professional) per duty-shift to assist the patient (11).
NAS was applied to all RNs hospitalized in the Neonatal Unit in the period from November 6 to December 6 2006 by the researchers, through the clinical assessment of the needs and when necessary, filled out with the information reported by the nursing team.
In order to calculate the daily number of professionals of the nursing team requested to assist the RNs hospitalized in the unit, the following equation was used:
In which:
The average care time required by the RNs, according to the average NAS scoring, was calculated according to the equation (13):
From the identification of the average care time spent and requested by the RNs in the Neonatal Unit, it was possible to calculate the direct labor cost (DLC).
DLC relates to the personnel who work directly on a product or service provided, as long as it is possible to measure the time spent and the identification of who performed the task (14).
The cost of DLC, per professional category, per hour worked, i.e. the cost per hour worked was calculated between the composition of the monthly salary (CMS) of each category (consisting of the average salary amount of the category plus gratifications, five-year bonus, health allowances and social contributions) and the monthly labor contract period.
In order to calculate the average salary of the category (ASC), the average salary corresponding to the initial level of the USP career employees was used (S1 for nurses and T1 for nurse technicians), as per the table made available on the website www.usp.br/drh, related to the month of May 2011.
The monthly number of working hours, for the purpose of costs, was 144 hours for nurses and nurse technicians.
The composition of the monthly salary included (CMS):
a) Average Salary of the category (ASC);
b) Part of the 13th salary, i.e. 1/12 ASC;
c) Health allowance corresponding to 20% of the minimum salary;
d) Five-year bonus, which corresponds to 5% ASC;
e) Gratification per on-duty shift corresponding to a monetary increase over salary when the employee works at nights, holidays and weekends which happens, on average, three times a month;
f) Part of vacation pay, i.e. 1/12 of 1/3 of the CMS ( a+b+c+d+e)
g) Social contributions, 40% of the total CMS ( a+b+c+d+e+f), as it is a public hospital.
Forty-eight (48) RNs hospitalized in the Neonatal Unit were part of this study during the data collection period. NAS was applied 301 times at the Neonatal Unit, over 30 days.
The average nursing staffing during this study period was five nurses and 16 nurse technicians, totaling 21 nursing professionals, 24 hours, to assist on average 10 (95% IC= 8.74 to 11.26) RNs.
The average care time spent with the RNs corresponded to 12.6 hours, of which 76% (9.6 hours) were spent by nurse technicians and 24% (3 hours) by nurses, as shown in Table 1.
The workload required by the RN, projected with the application of NAS during the period studied corresponded to 668.6% (95% IC=587.2% to 750%); the average NAS scoring per RN was 66.9% (95% IC=65.6% to 68.2%) which in health care hours is equivalent to 16.1 hours of care, per RN, in 24 hours. Of these hours, 24% (3.9) shall be executed by nurses and 76% (12.2) by nurse technicians, as seen in Table 2.
Based on the workload (668.6%) the nursing staffing required for the daily care of the RNs was calculated: 27 (95% IC=23.4 to 30.0) professionals.
In order to calculate the cost of these hours, the DLC unit cost for the nurses and assistants was calculated, from the CMS of the categories, and the calculations are shown in Table 1.
The DLC unit cost amount corresponded to:
- nurses - 10,437.60/144 hours = R$ 72.48/ hour;
- nurse technicians - 5,817.88/144 hours = R$ 40.40/hour.
These amounts were used to calculate the hours of care provided by the existing professional staff (Table 1) and required by the RNs, as per the table projected via the application of NAS (Table 2).
The average cost of the hours of care provided per RN in 24 hours, according to the professional category was R$ 217.44 for the nurses and R$ 387.84 for the assistants, totaling R$ 605.28.
The average cost of the hours of care required by the application of NAS, per RN in 24 hours, according to the professional category was R$ 282.67 for the nurses and R$ 492.88 for the assistants, with a total of R$ 775.55.
According to NAS, a RN needs, on average, 3.9 nurse/hours per day, increasing 0.9 nurse/ hours and 12.2 nurse technician/ hours, increasing 2.6 hours of this professional.
The financial impact on the cost of the nurse/hour required over the existing one is R$ 65.23, which corresponds to an increase by 30%. In relation to the nurse technicians, the increase is of R$105.04, corresponding to 27%.
The total increase of the cost of hours of care per patient was R$ 170.27 (28%).
As previously mentioned, from the workload measured by NAS, the nursing staffing required for the daily care of the RNs was 27 (95% IC= 23.4 to 30.0) professionals. This increase would demand the addition of six professionals, being two nurses in the morning, two in the afternoon and one per each night shift.
In order to calculate the increase in the cost of staff, there was the need to calculate the cost of the average nursing staffing in the neonatal unit in the period studied, which is shown in Table 4.
The monthly cost of the increase in the average nursing staffing required, according to the application of NAS is shown in Table 5.
Comparing Tables 4 and 5, it is observed that the increase in the monthly cost of the required staff with the application of NAS would be R$ 44,146.72, which corresponds to an increase by 30% over the financial amount of the existing staff.
The results of the study show the need to have an adequate nursing staffing in the Neonatal Unit. As it represents an increase in operational costs, this adequacy demands specific knowledge, abilities and skills to subsidize the preparation of the justifications to negotiate the professional staff with the institution managers.
However, nurses have found several difficulties to justify the needs of quantitative and qualitative adequacy of nursing staffing, both to improve care quality and to meet the new demands made by the health institution managers, mainly as a result of the growing need to rationalize the costs and increase services offered(6).
Therefore, the professionals in question need to develop knowledge that will help them make decisions related to the allocation of human resources, indicated as one of the elements that generate higher costs for the health organizations.
However, the production of knowledge on health costs and nursing is an emergency, and studies in this area are scarce, especially related to the Brazilian reality (15), what makes the comparative analysis of the results obtained in the present investigation unfeasible.
The search for knowledge related to cost management and its application in the care and management practice demands a change of the health professionals, mainly in what is related to the value of the financial aspects of health care and the understanding that the objective to manage the economic aspects of health care is based on the optimization of resources, guarantee of access and equity for the users and maintenance of the quality of service(16).
Therefore, apart from determining the quantity and quality of professionals needed to reach the desired care standard, the nurses also need to analyze the financial impact of these resources in the result of care activities developed by the nursing team, remembering that although the economic aspects are important, they should not be more so than the technical, human, ethical and social aspects in the decision-making process.
In this context, we verify that the issues related to the adequacy of the nursing professional staff become relevant and are being investigated in order to produce technical and scientific evidence that foster awareness of the meaning of a staff that meets, not only the needs of patients and of the health institutions, but the safety of patients and of the nursing team professionals (17).
A research (18) performed via a systematic literature review considered that the size of the nursing staff has a definitive and measurable impact on the care results, such as: adverse events, permanence period, patient mortality, and nurse turnover.
An investigation performed with patients hospitalized in 799 hospitals in the Unites States related the number of nursing hours with the quality of the services provided, and concluded that the higher number of hours of care provided by the nurses is associated with the reduction of the mortality rate and the adverse event rate, as well as a reduction in the mortality rate as a result of these events (19).
Another study carried out in England showed that in hospitals with a higher number of patients per nurse, the mortality rates were 26% higher than in the ones that had a smaller rate of patients per nurse (20).
From the financial point of view, the researchers(21) concluded that when an increase in the number of nurses in the hospitals occurred, there was also a significant increase in the operational costs, but with no profit reduction. On the other hand, in the hospitals where there was a higher number of assistants than nurses, high operational costs were identified, followed by lower profit.
The study of systematic review of the literature(22) shows that the concern with the safety of the patients and the quality of the care has prompted researches on the practice and the cost x effectiveness ratio of interventions and health care, including the distribution of human resources.
The evidences that show the relationship between the time of nursing care and the quality of service can contribute to prove the impact of the nursing hours on the results and on the safety of the patients, subsidizing the budgetary negotiation of the professional staff with the managers of the health institutions to add value and quality of services (17).
This study has enabled us to identify the average nursing care time spent and required by the RNs hospitalized in the Neonatal Unit at the HU-USP, showing a gap between the care time spent with the RNs and the care time they require. The professional staff required was 29% higher than the existing professional team in the unit, suggesting work overload of the nursing team.
The average cost of the hours provided per RN, in 24 hours was R$ 141.33 for the nurses and R$ 254.40 for the nurse technicians, corresponding to a total of R$395.73.
The average cost of the required hours of care with the application of NAS in 24 hours according to the professional category was R$ 183.72 for the nurses and R$ 323.30 for the assistants, with a total of R$ 507.02, corresponding to an increase of 28%.
The increase in the monthly cost of the required staff by NAS would be R$ 28,833.58, which corresponds to an increase by 30% over the financial amount of the existing staff.
The analysis of the available literature studies shows that, although the adequacy of the nursing professional staff leads to higher operational costs, it can contribute to reduce the expenses deriving from the negative results of the care provided to the patients as a result of the insufficient quantity and/or quality of the professionals.
1. Bochembuzio L. Avaliação do instrumento Nursing Activities Score (NAS) em neonatologia [tese doutorado]. São Paulo: Escola de Enfermagem, Universidade de São Paulo; 2007. [ Links ]
2. International Council of Nurses (ICN). Positive practice environments [Internet]. Geneva; 2007 [cited 2010 Mar 15]. Avaiable from: http://www.icn.ch/images/stories/documents/publications/fact_sheets/9d_FS-Positive_Practice_Environments.pdf [ Links ]
3. Fugulin FMT. Parâmetros oficiais para o dimensionamento de profissionais de enfermagem em instituições hospitalares: análise da resolução COFEN nº 293/04 [tese livre-docência] São Paulo: Escola de Enfermagem, Universidade de São Paulo; 2010. [ Links ]
4. Costa JA, Fugulin FMT. Atividades de enfermagem em Centro de Material e Esterilização: contribuição para o dimensionamento de pessoal. Acta Paul Enferm. 2011;24(2):249-56. [ Links ]
5. Canadian Nurses Association (CAN). Measuring nurses' workload [Internet]. Ottawa; 2003 [cited 2011 July 1º]. Available from: http://www.cna-nurses.ca/CNA/documents/pdf/publications/NN_NursesWorkloadmarch2003_e.pdf [ Links ]
6. Fugulin FMT. Dimensionamento de pessoal de enfermagem: avaliação do quadro de pessoal de enfermagem das unidades de internação de um hospital de ensino [tese doutorado]. São Paulo: Escola de Enfermagem, Universidade de São Paulo; 2002. [ Links ]
7. International Council of Nurses (ICN). Dotações seguras salvam vidas: instrumentos de informação e acção. Edição portuguesa [Internet]. Lisboa: Ordem dos Enfermeiros; 2006 [citado 2011 jul. 2]. Disponível em: http://www.ordemenfermeiros.pt/eventos/Documents/II%20Congresso%202006/IICong_kitDIE.pdf [ Links ]
8. Spir EG, Minami A, Lopes MCSO, Abreu MGB, Nepomuceno LMR, Bochembuzio L, et al. O sistema de assistência de enfermagem materno-infantil - Unidade Neonatal. In: Gaidzinski RR, Soares AVN, Lima AFC, Gutierrez BAO, Cruz DALM, Rogensk MNB, et al. Diagnóstico de enfermagem na prática clínica. Porto Alegre: Artmed; 2008. p. 229-42. [ Links ]
9. Fugulin FMT, Silva SHS, Shimizu HE, Campos FPF. Implantação do sistema de classificação de pacientes na Unidade de Clínica Médica do Hospital Universitário da USP. Rev Med HU-USP. 1994;4(1/2):63-8. [ Links ]
10. Gaidzinski RR. Dimensionamento de pessoal de enfermagem em instituições hospitalares [tese livre-docência]. São Paulo: Escola de Enfermagem, Universidade de São Paulo; 1998. [ Links ]
11. Miranda DR, Rijk AD, Schaufeli W, Iapichino G. Nursing activities score. Crit Care Med. 2003;31(2):374-82. [ Links ]
12. Queijo AF, Padilha KG. Instrumento de medida de carga de trabalho de enfermagem em Unidade de Terapia Intensiva: Nursing Activities Score (NAS). Rev Paul Enferm. 2004; 23(2):114-22. [ Links ]
13. Gaidzinski RR, Fugulin FMT. Dimensionamento de pessoal de enfermagem em Unidade de Terapia Intensiva. In: Leite MMJ, organizadora. Programa de Atualização em Enfermagem: saúde do adulto (PROENF) - Ciclo 3 - Módulo 3. Porto Alegre: Artmed/Panamericana; 2008. p. 65-96. [ Links ]
14. Martins E. Contabilidade de custos. São Paulo: Atlas; 2006. [ Links ]
15. Castilho V. Gerenciamento de custos: análise de pesquisas produzidas por enfermeiras [tese livre-docência]. São Paulo: Escola de Enfermagem, Universidade de São Paulo; 2008. [ Links ]
16. Castilho V, Fugulin FMT, Gaidzinski RR. Gerenciamento de custos nos serviços de enfermagem. In: Kurcgant P, coordenadora. Gerenciamento em enfermagem. 2ª ed. Rio de Janeiro: Guanabara Koogan; 2010. p. 121-35. [ Links ]
17. Garcia PC. Tempo de assistência de enfermagem em UTI e indicadores de qualidade assistencial: análise correlacional [dissertação]. São Paulo: Escola de Enfermagem, Universidade de São Paulo; 2011. [ Links ]
18. Curtin LL. An integrated analysis of nurse staffing and related variables: effects on patients outcomes. Online J Issues Nurs. 2003;8(3):5. [ Links ]
19. Needleman J, Buerhaus P, Mattkes S, Zelevinsky K. Nurse-staffing levels and quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22. [ Links ]
20. Rafferty AM, Clarke SP, Coles J, Ball J, James P, McKee M, et al. Outcomes of variation in hospital nurse staffing in England hospitals: cross-sectional analysis of survey data and discharge records. J Nurs Stud. 2007;44(2):175-82. [ Links ]
21. McCue B, Mark BA, Harless DW. Nurse staffing, quality and financial performance. J Health Care Finance. 2003;29(4):54-76. [ Links ]
22. West E, Mays N, Rafferty AM, Rowan K, Sanderson C. Nursing resources and patient outcomes in intensive care: a systematic review of the literature. Int J Nurs Stud. 2009; 46(7):993-1011. [ Links ]
addressed to: Received: 09/19/2011
Fernanda Maria Togeiro Fugulin
Av. Dr. Enéas de Carvalho Aguiar, 419 - Cerqueira Cesar
CEP 05403-000 São Paulo, SP, Brazil
Approved: 10/28/2011
addressed to:
Received: 09/19/2011

subset: commoncrawl


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Cayuga Wildcats
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Record: 15-1-0
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Published on December 31, 2012
Barbara Brandt at the 2012 USA Masters Outdoor Track and Field Championships held at Benedictine University in Lisle, Ill. in August 2012.
Each year hundreds of Valley seniors compete in the Arizona Senior Olympics.
In her next competition Gayle Clawson hopes to beat her own record of a 350 pounds in the squat. She trained recently at Fitness Evolution ...
At age 68, Gayle Clawson is a competitive powerlifter who has won dozens of metals, plaques and trophies as a senior athlete.


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Bakersfield Receives Funding For Final Phase Of Westside Parkway
The City of Bakersfield is pleased to announce that the California Transportation Commission has authorized $26 million under the State Transportation Improvement Program for Phase 6 of the Westside Parkway. The funds will allow the City to complete the final two miles of the Westside Parkway between Allen Road and Stockdale Highway/Heath Road.The City is ready to begin work on this phase of construction and anticipates advertising for construction bids in July 2012. Construction would be expected to begin in fall 2012, and will take approximately two years to complete.Funding for construction of the Westside Parkway has been through the State Transportation Improvement Program and local funds. The project is administered under the Thomas Roads Improvement Program.Construction on the Westside Parkway began in spring 2009 with the groundbreaking of the Mohawk Street Extension (Westside Parkway Phase 1). This new 1.2-mile north-south arterial provided an additional connection over the Kern River, linking Rosedale Highway and Truxtun Avenue. The Mohawk Street Extension opened in June 2010, nearly eight months ahead of schedule.Currently, over five miles of freeway are under construction between Truxtun Avenue (near SR 99) and Allen Road. These phases of the project include interchanges at Truxtun Avenue, Mohawk Street, Coffee Road, Calloway Drive and Allen Road. Bridges have also been constructed across the Kern River, Friant-Kern Canal, and Jewetta Avenue. These phases of the Westside Parkway are expected to be completed in late 2012 or early 2013.General contractors who want to submit a construction bid for the final phase of the Westside Parkway must first submit a Responsibility Statement and Questionnaire (RSQ). The RSQ must be submitted prior to 4 p.m. on July 10, 2012.


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Whenever I enter my local Neiman Marcus, I'm greeted almost immediately by a table full of every type of Miu Miu flats that you could imagine. Not only is it a sure way for the crafty store designers to draw me into their shoe department, but I almost never leave without a renewed respect for the brand's footwear.
Whether your personal style is glam, traditional or slightly punk, Miu Miu has the flat for you. The brand's designs range from elegant simplicity to over-the-top glitz, but none of their flats suffer from a lack of attention to detail. For many designers, flats are an afterthought and all of the creativity and resources go into creating interesting heels. As an avid wearer of flats, I never feel like Miu Miu shortchanges me. Larger photos and price information, after the jump.
Miu Miu Glitter Peep Toe Flats, $476 via Bluefly.
Miu Miu Mary Jane Ballet Flats, $490 via Saks.
Miu Miu Studded Ballerinas, $495 via Neiman Marcus.


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One of Italy's highest resorts, Passo Tonale is located on the pass linking the regions of Trentino and Lombardy. With a compact lift system, guaranteed snow, runs mainly above the tree line and long hours of sunshine, ski holidays in Passo Tonale fulfills the expectations of most skiers and offer excellent value for money.
The ski area has been extended with the development of new pistes and lifts around Ponte di Legno and Temu. New for winter 2006/7, a two-stage cable car linking Passo Tonale and Ponte di Legno will open up a continuous 11km descent from Presena to Ponte di Legno. Skiing is possible on both sides of the valley on mainly north- and south-facing pistes above the tree line. The village itself is compact with hotels and numerous bars, cafés and good value restaurants.
Passo Tonale is the best result in the world, ever! read full
What a week - it was fantastic - last week of the season we had fresh snow, great runs for intermediates - even... read full
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text: I found a random number plate in the street in bad condition. I'm thinking maybe it could have some use in some fucker's number plate collection - I looked into the idea, and it turns out an Australian is collecting oriental number plates, so I'm thinking I contact him. Before I do this, though, anyone want it? It could be an excellent decoration for an automobile addict who wants to look like he's actually owned a car and isn't just a sad bastard who sits round masturbating to Volkswagens and Land Rovers.


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Kelly Rowland's album Here I Am will be released July 26, Rap-Up.com reported earlier today. Great. Can this please make her a legitimate solo star?
As her former DC bandmates went on to find success (Michelle, in her own gospel niche, and Beyoncé, well, just about everywhere) it's been a longer, slower road for Rowland. Despite singles like "Dilemma" (with Nelly) and "When Love Takes Over" (with David Guetta) both hitting number one, her first two solo albums (Simply Deep and Ms. Kelly) had moderate commercial success when compared to her peers. Four years and numerous delays later, Rowland seems to be enjoying her most high-profile moment to date (apart from her DC days), thanks to a Lil Wayne-assisted single "Motivation"—currently sitting atop the Billboard Hip-Hop/R&B chart—and a new job with Britain's X Factor. And for those keeping track, "Motivation" is No. 25 on the Hot 100, while Beyoncé's "Run The World (Girls)" is currently at a very modest No. 55. Not that we're trying to pit these female pop stars and former group members against one another (girl power!) but it is interesting to note the varied careers of Kelly and B, as well as what each of their upcoming albums may bring.
Beyoncé's 4 leaked earlier this week, sparking mixed reviews from fan bases. (We've heard it; it's good, not great. To summarize: lots of ballads, few dance tracks.) Not officially released until June 28, it's been rumored Columbia Records wants to push the album back entirely, in fear of disappointing sales. Conversely "Motivation" has been well received by critics, and a new remix featuring Busta Rhymes, Fabolous and Trey Songz seems likely to give the song staying power. Here I Am has been much delayed, but boasts assistance from the likes of Dr. Luke and RedOne, making us very eager to hear it in full. Aside from B's album and Lady Gaga's already released Born This Way, there's little competition from fellow female artists this summer (Joss Stone's LP1 is also out July 26—mark your calendars accordingly) making it even more timely for Rowland to emerge as a bona fide star.
Yes, it seems crazy to imagine a world where Kelly Rowland is a star and B is floundering, but let's face it: for every three of four songs you hate on 4, go and replay "Halo," "Crazy In Love" or "If I Were A Boy." (Breathe easy, y'all. Actual flop or not, B isn't going anywhere.) If Kelly keeps bringing us songs like "Motivation" and "Commander," along with savvy and likeable public appearances, there's no reason she shouldn't enjoy a few weeks at the top. At least before the Kelly Clarkson disc arrives in September.
Is summer 2011 shaping up to be Kelly Rowland's big moment? As huge fans of "Like This," we certainly hope so.


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The Calvinist's Ultimate Concern
from Joel Beeke Jun 27, 2016 Category: ArticlesIf we had to reduce Calvinism to one concept, we might be safest to echo Warfield, who said that to be Reformed means to be theocentric. The primary interest of Reformed theology is the triune God, for the transcendent-immanent, fatherly God in Jesus Christ is God Himself. Calvinists are people... Keep Reading
The Seven Kings of Revelation 17
from Keith Mathison Jun 09, 2010 Category: ArticlesThe description of the woman and the beast upon which she sits in 17:7–14 is one of the most difficult passages in the book of Revelation. As John marvels at the vision, an angel says, "I will tell you the mystery of the woman, and of the beast with seven heads and ten horns that carries her" (v. 7). The angel tells John that the beast he saw "was, and is not, and is about to rise from the bottomless pit and go to destruction" (v. 8a). The angel then says to John, "This calls for a mind with wisdom: the seven heads are seven mountains on which the woman is seated; they are also seven kings, five of whom have fallen, one is, the other has not yet come, and when he does come he must remain only a little while. As for the beast that was and is not, it is an eighth but it belongs to the seven, and it goes to destruction" (vv. 9–11). Keep Reading
Meet R.C. Sproul
from Karisa Schlehr Jun 08, 2010 Category: R.C. SproulOur friends at Desiring God have posted a profile of Dr. Sproul. Click here to read and also learn more about their national conference in October. Keep Reading
A Primer on Roman Catholicism (pt. 5)
from John Gerstner Jun 08, 2010 Category: ArticlesIn this excerpt from John Gerstner's Primitive Theology, Dr. Gerstner carefully sketches the basic differences between Evangelicalism and Roman Catholicism, focusing on the differing views on justification. In this part he looks to the Catholic sacrament of penance. Keep Reading
Help Support Our Military Chaplain Outreach
from R.C. Sproul Jun 07, 2010 Category: Ministry NewsSince September 11, 2001 our country has been involved in the War on Terrorism. Currently, nearly 1.5 million brave men and women serve our country both at home and abroad, through active duty in our nation's Armed Services. More than 200,000 are currently deployed overseas. While these men and women fight to maintain our countries freedom, many are also simultaneously fighting difficult spiritual battles of their own. Keep Reading
Fueling Reformation
from R.C. Sproul Jun 07, 2010 Category: Tabletalk MagazineI'm always puzzled when I see church billboards announcing a coming revival. They give the times and the dates when the church will be engaged in revival. But I wonder, how can anybody possibly schedule a revival? True revivals are provoked by the sovereign work of God through the stirring of His Holy Spirit in the hearts of people. They happen when the Holy Spirit comes into the valley of dry bones (Ezek. 37) and exerts His power to bring new life, a revivification of the spiritual life of the people of God. Keep Reading
Entering into Your Priesthood
from R.C. Sproul Jun 06, 2010 Category: R.C. SproulIn the sixteenth century, Martin Luther formulated the concept of the priesthood of all believers. Contrary to widespread misconceptions of this doctrine, Luther did not mean to reduce the supernatural concern of personal redemption to a core or essence of social concern. Keep Reading
Finding Your Identity
from R.C. Sproul Jun 05, 2010 Category: R.C. SproulSeveral images are used in the Bible to describe the church: the body of Christ, the elect, the house of God, the saints. One of the most meaningful expressions the Bible uses is "the people of God," the laos theon. Keep Reading
A Primer on Roman Catholicism (pt. 4)
from John Gerstner Jun 04, 2010 Category: ArticlesIn this excerpt from John Gerstner's Primitive Theology, Dr. Gerstner carefully sketches the basic differences between Evangelicalism and Roman Catholicism, focusing on the differing views on justification. In this part he provides a close examination of the central component of Catholic worship, the mass. Keep Reading
Conference Sets, Books, Music CDs & More for Today's $5 Friday Sale
from Karisa Schlehr Jun 04, 2010 Category: Ministry NewsIn this week's $5 Friday sale, you will find a variety of books, CDs, and DVDs by teachers and theologians such as Sinclair Ferguson, Richard Phillips, and more. Also, due to the technical difficulties during last week's $5 Friday sale, the resources that we still have in inventory will be offered again this week. Sale runs from 8 a.m. Friday through 8 a.m. Saturday EST. Keep Reading
Pierced for Our Transgressions
from Keith Mathison Jun 03, 2010 Category: ArticlesIt should come as little surprise to learn that the doctrine of the substitutionary atonement of Christ has come under renewed criticism in recent decades. The Reformers dealt with such criticisms and attacks from the Socinians. Our more recent forefathers in the faith dealt with such criticisms and attacks from rationalists and liberals. Today we hear such criticisms and attacks from a wide variety of sources. We are surrounded by so much anti-Christian rhetoric, however, that it is hardly a shock to hear the doctrine of substitutionary atonement referred to derisively as "cosmic child abuse" by a popular contemporary Christian author. Such comments reflect a widespread discontent with the traditional doctrine. If we are not troubled by such attacks, we should be, for the atonement is at the heart of Christ's redemptive work and thus key to a proper understanding of the Gospel. Keep Reading


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By Sara Callaghan Chapell
March 29, 2012 | Vol. 42, No. 13
Longtime Chilkat Lake resident Dave Ward died about 10 p.m. Monday at his Chilkat Lake home. His wife Toni and brother-in-law Roger Keller were at his bedside. The family had celebrated Ward's 78th birthday Sunday. Ward suffered prostate cancer...
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Arizona 14, Hum-Babe Cats 0 (5 innings)
Amanda Williams earned her third win of the Arizona Fall Tournament, tossing three perfect innings. The Wildcats jumped on HBC's pitching early and often, scoring 14 runs on 13 hits in just four frames at the plate.
At the plate, UA's seniors led the way, as Caitlin Lowe, Kristie Fox and Chelsie Mesa had two hits apiece. Fox and
Additionally, some of UA's younger players contributed as well, as freshman leftfielder K'Lee Arredondo hit her third home run in as many days, and second from the right side. Arredondo's classmate Sarah Akamine laced a two-run single to center in the first inning, putting the Wildcats up 4-0 in the opening frame.
UA batted around in the second, as sophomore Adrienne Acton sparked the five-run rally with an infield single. Lowe followed with a bunt single, and one out later, Fox and
After Arredondo's homer in the third, the Wildcats tacked on another four runs in the fourth inning, bringing the score to 14-0.
In the top of the fourth, Akamine came in to relieve Williams, tossing two scoreless innings to preserve the shutout.
In their last game of the fall, the Wildcats got their first true test of the weekend in the form a 2-0 victory over Pima.
Junior pitcher Taryne Mowatt tossed a complete-game shutout, allowing just one hit to go along with her 12 strikeouts.
Mowatt got an early first-inning lead when Caitlin Lowe's speed wreaked havoc on Pima's defense. Lowe reached on a shortstop's fielding error, stole second and advanced on another Aztec miscue. Kristie Fox drove in what would prove to be the game-winning run, singling up the middle to score Lowe.
Lowe would cross the plate again in the third inning on a Chelsie Mesa single, which accounted for all the scoring for both sides.
Up next:


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Masahiro Sakurai, director of the Super Smash Bros. series, has revealed the first Legendary Pokémon for use in Super Smash Bros. 4 for Wii U and Nintendo 3DS. According to a report by OfficialNintendoMagazine from Feb. 5, Legendary Pokémon Palkia, from Pokémon Diamond for Nintendo DS, will be one of the Pokémon available to players who use the Poké Ball item during battle.
Aside from confirming Palkia for the Super Smash Bros. 4, Sakurai also disclosed the type of attack Palkia will make use of when unleashed during battle. When chosen during a fight, Palkia will use his signature move, Spacial Rend, to attack enemies and inflict massive damage to those unfortunate enough to get hit. Find Sakurai's full explanation of Palkia below:
Palkia appeared in the Spear Pillar stage of the previous game…but now it's coming out of a Poké Ball?! Here's Palkia's signature move, Spacial Rend!
Though Pokémon X Legendary Pokémon Xerneas has been teased to make an appearance in Super Smash Bros. 4 in some form, Sakurai has not detailed how Xerneas will be used in the game. Expect more Legendary Pokémon to be announced for the title over the next several months leading up to release.
Super Smash Bros. 4 will release in 2014 for Wii U and Nintendo 3DS.


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- Photos: Undertaker And Michelle McCool Celebrate Their Wedding Anniversary, NXT Wrestler Gets Married
- Photo: WWE 2K17 Cover Revealed
- John Cena And Nikki Bella Photos From The White House Correspondents Dinner, Cena Comments
- Three WWE Performance Center Recruits Make In-Ring Debuts At WWE NXT Live Event (Photos)
- New WWE NXT Champion Crowned (Photos), Top NXT Star Injured At Live Event In Lowell?
Did you Know?The WWE crew travels on 10 luxury busses which are valued at over $300,000 a piece. The WWE owns 21 of these busses.


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Looking for something to go in a second system - the amp's an Arcam A65+, so ideally I'd like one of the older Arcam DVD spinners like the DV88, DV79 or DV29. Black to match the amp would be perfect, and a remote would be handy.
I'd also consider other interesting CD spinners (preferably something British) but am looking around the £100ish mark, so nothing too exotic please
Pickup around London / Surrey would be ideal but I'm happy to pay for a courier if you've got a box.


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Beautiful and Bright Room Plaza España
Size15 m²
Floor No.1(with elevator)
- Internet/WiFi
- Balcony/terrace
- Lockable room
- Towels
- Elevator in building
- Smoking allowed
- Washer/dryer
- Family/child friendly
|Carretera De La Bordeta, 08014 Barcelona, Spain
|Property type
|Private room
|Property ID
|Acceptance rate
|Response time
|A few hours
|Calendar updated
The double room has lots of natural light, like the appartment, and you can make full use of the kitchen and refrigerator. The room is very confortable, has its own balcony with views to plaza España. The living room has also balcony to enjoy moments of relaxation after a day touring the city.
IMPORTANT: The accommodation does NOT include the rental of the whole apartment, ONLY the double room available for this purpose. I also live In the appartment
There is free wi-fi high speed, towels and clean sheets, and a closet for use with appliances and utensils for kitchen use.
Transportation is very accessible in the city and especially in this area (metro, taxi, bus), where also you will get the AEROBÚS to make the trip to or from the airport that takes only 25 minutes. Anyway, you can also easily walk to most attractions.
Why choose this room? unbeatable location, the quality of the room, because offers all comforts and because many guests who have already lived the experience as reflected in their comments.
I hope you enjoy your stay to the fullest, I will try to make you feel at your own home.
If you need more information, please do not hesitate to contact me, I'll be happy to be your host.
- Please make sure to inform your approximate arrival time as much in advance as possible.
- Please keep noises to a minimal especially late at night / early in the morning, to respect the sleep of others and ours. We have a no-noise policy after 22:30, it´s a necessary step to ensuring we can trust our guests to respect our space and our´s neighbours.
Thank you in advance and have a wonderful stay in the beautiful Barcelona :-)
|Check-in after
|Check-in before
|On arrangement
|Check-out before
|Cancellation Policy
Very good! Roberto super attentive and eager to please his guest.
I felt at home. Thank you, Roberto!
Muito bom! Roberto super atencioso e preocupado em agradar seu hóspede.
Me senti em casa. Obrigado, Roberto!
I am very grateful for the kindness and warmth that gave me Robert. Their hospitality was very grata.Pasé very nice days in Barcelona and besides my walks, have someone to talk to reach the apartment it is very good.
Hopefully I can return soon.
Thank You.
Estoy muy agradecida por la cordialidad y calidez que me brindó Roberto. Su hospitalidad fue muy grata.Pasé unos días muy lindos en Barcelona y además de mis paseos, tener con quien conversar al llegar al departamento es muy bueno.
Ojalá pueda volver pronto.
Super place for people who want to safely and peacefully spend a the beautiful moments in Barcelona. Great location and great The Host
I really recommend the room.
I had a nice stay in the appartement of Roberto.
Roberto is a verry friendly host.
It was verry clean! I could use the kitchen and fridge. I had to share te small bathroom, but that was never a problem. The livingroom was for my own use.
The appartment has a great location, nice neighbourhood with metro and busstop just in front. A lot of traffic is passing by, but it had good windows with shutters.
If I will come back to Barcelona, I will come back here!
Roberto is a very nice guy, open minded, helpful, I enjoyed being with him, talking about his beautiful city Barcelona. He gave me lots of tips about what to see in the city etc. The clean, tidy flat is situated quite near to the city center, easily reachable by bus and underground. The only disadvantage was that the room is noisy, next to a big street. As I was very tired there was no problem for me but do not expect to do a siesta there...
This room was a really good choice to go! Enough space for 4 people and you also have the possibility to use the kitchen. We got a really nice welcome of the owner.
We had a easy and entertaining stay! And it is pretty good located right in the middle of the city, so the way to important touristic attractions isn't far. Moreover there are several metro stations which can be reached in one minute of walking. Absolutely recommendable!
Mientras tenga que alojarme en Barcelona a través de este sistema elegiré siempre el piso de Roberto. Está bien ubicado con total independencia.
La ubicación no podría ser mejor, pues está junto a la Plaza de España y el bus del aeropuerto se para justo al lado. La habitación muy bien y Roberto ha sido super amable, dándonos muchas facilidades para nuestra llegada y recomendándonos sitios para ir de tapas.
Muy buena estancia en casa de Roberto. Todo comodidades y hasta me han ayudado a utilizar su lavadora, como en casa!
Het waren geweldige dagen in Barcelona, mede door de goede zorgen van de host. Zeer warm onthaal, duidelijke uitleg. Wist je iets niet, Roberto legde je precies uit waar en hoe. Ook zijn zus, was een zeer warme persoonlijkheid. Ondanks dat ze geen Engels kent, kon ze zich verstaanbaar maken.
Kamer is netjes en voorziet in alle behoeften. Wanneer ik nog een keer naar Barcelona ga, zal ik zeker weer gebruik maken van dit verblijf!
- Quality assured accommodation
- Every host is verified by telephone
- Secure payment via SSL encryption


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Volleyball Coasts To 30-20, 30-16, 32-30 Victory Over Iowa
Sept. 7, 2002
Chicago, Ill. - University of Illinois at Chicago head volleyball coach Don August tried to put Saturday night's 30-20, 30-16, 32-30 victory over Iowa in perspective.
It was, after all, UIC's first victory over a Big Ten opponent since the Flames downed Northwestern on September 16th, 1995.
"That was a real good win for us," August said. "We like to beat a Big Ten team and we like to beat a team that was physically bigger than us.
"I thought we had a pretty solid game plan heading into tonight," August said. "We just had to execute it, and we did."
Senior Lara Clarkson (LaPorte, Ind./LaPorte/DePaul) led the way for UIC with 10 kills and 15 digs while teammates Gina Caneva (Lockport, Ill./Lockport) and Lindsey Filkins (Downers Grove, Ill./South) each chipped in nine kills apiece for the Flames.
Iowa was its own worst enemy on Saturday night as they committed 31 errors out of a possible 125 attacks. The Hawkeyes finished the contest with a hitting percentage of .016.
Echaka Agba led the way for the Hawkeyes with 12 kills.
Following the tournament, Caneva was named the Most Valuable Player. Caneva finished the weekend with 37 kills and a hitting percentage of .411 (37 kills, 7 errors, 73 attacks). The Lockport, Ill., native hit over .400 in all three matches with her top performance of 17 kills in a three-game victory over Binghamton.
Joining Caneva on the All-Tournament team were junior setter Meghan Keck (Western Springs, Ill./Lyons Township/Auburn) and junior outside hitter Teaha Shepperd (Kalamazoo, Mich./Galesburg-Augusta).
Downtown Quality Inn/UIC Volleyball Invitational All Tournament Team
Lindsay Matikosh, Buffalo Jennifer Smith, Binghamton Renee Hill, Iowa Echaka Agba, Iowa Teaha Shepperd, UIC Meghan Keck, UIC
Most Valuable Player Gina Caneva, UIC