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The Adjusted Service Rating Score was the system that the United States Army used at the end of World War II in Europe to determine which soldiers were eligible to be repatriated to the United States for discharge from military service as part of Operation Magic Carpet. This system was referred to as "The Point System" by U.S. soldiers. [1]
Category IV units were to be returned to the US to be inactivated or disbanded and personnel discharged. Category IV units consisted of soldiers who qualified for discharge under the point system. [12] The total number of soldiers in Europe to be discharged was planned to be 2.25 million between the end of the war in Europe and December 1946. [13]
A review of systems (ROS), also called a systems enquiry or systems review, is a technique used by healthcare providers for eliciting a medical history from a patient. It is often structured as a component of an admission note covering the organ systems, with a focus upon the subjective symptoms perceived by the patient (as opposed to the objective signs perceived by the clinician).
The original scoring system was developed before the invention of pulse oximetry and used the patient's colouration as a surrogate marker of their oxygenation status. A modified Aldrete scoring system was described in 1995 [2] which replaces the assessment of skin colouration with the use of pulse oximetry to measure SpO 2.
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Discharge planning processes can be effective in reducing a patient's length of stay in hospital. For example, for older people admitted with a medical condition, discharge planning has been shown to improve satisfaction, reduce the overall length of stay, and within 3-month period reduce the likelihood of readmission. [ 4 ]
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TMDLs apply to both point sources and nonpoint sources and they represent the primary impetus for WQT programs. Point sources of pollutants that require NPDES permits often have strict discharge limits based on a TMDL. WQT can allow these sources to obtain lower costs of compliance, while still achieving the overall desired pollution reduction.