This article will help you with many ways to get Vietnam visa from Ukraine. 183 private hospitals (or 28%)participated in the NSABDC. This measure is sourced from the National Staphylococcus aureus Bacteraemia Data Collection (NSABDC). 20 Wood Terrace. Significant changes in ALOS over time may be related to changes in admission practices and improvements in the coverage of reporting. National, state and territory data is available. However,visa on arrivalseems to be the quickest and easiest [], Vietnam is a country which is becoming quickly popular amongst travelers across the world, it is one of the most popular countries in Southeast Asia to travel. Whyalla Hospital and Health Services is a Podiatrist in Whyalla. Bachelor of Medicine, Bachelor of Surgery (MBBS) Publications end. This may lead to treatment failure, or the inability to treat the cause of the infection (Department of Health, 2020). For all emergencies phone 000. Australian Prescriber. do not represent or warrant that applications or payments initiated through this site will in fact be received or made to the intended recipient. This section presents information on Newborn care provided for 202021. how often do marine reserves get deployed / when is the james avery charm sale 2022 / when is the james avery charm sale 2022 The hospital has a combination of acute care beds, palliative care beds, day surgery beds and recliner chairs (for procedures such as elective day surgery, endoscopy or general chemotherapy). We advise, inform and refer to mainstream services. This graphic explores emergency department waiting time statistics between 201213 and 202122. An emergency department (ED) stay is the period between a patient presenting at an ED, and when that person is recorded as having physically departed the ED (regardless of whether they were admitted, referred, discharged or left at their own risk). Open now, Public holidays: Emergency presentations have increased over the last five years, from 8.01 million in 201718 to 8.79 million in 202122, representing an average annual increase of 2.3% per year. Markus has appointments as specialist surgeon at the Queen Elizabeth Hospital and Royal Adelaide Hospital. A case of SABSI is considered to be healthcare-associated if the first positive blood culture is collected more than 48 hours after hospital admission or less than 48 hours after discharge, or if the first positive blood culture is collected 48 hours or less after admission and one or more of the following clinical criteria was met for the case of S. aureus: The definition of healthcare-associated S. aureus was developed by the Australian Commission on Safety and Quality in Health Care (the Commission). View holiday hours Whyalla is one of the largest regional hubs on the Eyre Peninsula. URGENT & RUSH, EMERGENCY VIETNAM VISA ON ARRIVAL, How to get Vietnam visa from Cook Island? In 201718, there were 11,802 admissions for Cardiothoracic surgery, whereas in 202122 there were 9,834. whyalla hospital visiting surgeonspassive income with aave. The Aboriginal Health Unit works with local Aboriginal Communities to improve their health and well being. The service operates using leased residential properties, fully furnished and suitable to place up to two people in a shared housing arrangement and is fully supported by a team of local health professionals and other support staff who will be visiting residents in their accommodation on a daily basis. Admissions for most indicator procedures decreased between 202122 compared with 202021, likely due to the ongoing COVID-19 pandemic. Thank you for sharing our content. Postal address: PO Box 267 Whyalla SA 5600. Hand hygiene data are provided by state and territory health authorities for public hospitals and by individual private hospitals. A Senior Lecturer in Surgery at the University of Adelaide, he is actively involved in research and teaching of undergraduate and postgraduate students. A message has been sent to your recipient's email address with a link In 202122, 90% of patients were admitted within 323 days, 50% of patients were admitted within 40 days and 6.3% of patients waited more than 365 days for surgery. Data for public hospitals are provided by state and territory health authorities. Physio Whyalla has been providing Physiotherapy services to the Whyalla community since 2005. Registrar: SET trainee on rotation from CALHN (accredited training position with RACS) PGY2+: Employee of Whyalla Hospital and Health Service. You can search through to find related information. Data is presented by triage category. increased for all public hospital peer groups. There is a team of medical practitioners that can be called as required. We have a team of medical practitioners that can be called as required. In response to COVID-19, the Australian Commission on Safety and Quality in Health Care promoted greater emphasis on using audit data to inform local quality improvement activities, and made Audit 2 (1 April to 30 June), 2020 voluntary for data submission. Hospital data is available. The increase in these previous two years were possibly due in part, to management of waiting lists during COVID-19. For all emergencies telephone 000. The Whyalla Hospital is a designated General Hospital which provides emergency services, general medical, midwifery services, surgical services including day surgery, high dependency, children's health unit, palliative care, rehabilitation, renal dialysis and mental health services. proportion of patients with a length of stay of 4 hours or less, 50th percentile (median) time spent in the ED(half of all people waited less than this time). Previous reports can be accessed in the Reports section. Data is presented by measure (median waiting time, number of elective surgeries and percentage of patients who received their surgery within clinically relevant time), urgency category and peer group. the next generation of surgical specialist over many years. This pharmacy is opened to inpatient, outpatient and discharge only, Additional Information: There is a total of 5 errors on this form, details are below. National, state and territory data is available. Try the search below. The data visualisation below presents the following measures related to time spent in the emergency department: This column graph shows the proportion of all emergency department patients whose length of stay was 4 hours or less in 202122. At the Whyalla Hospital you can choose to be admitted as a Private Patient. According to the current Vietnams Law, Vietnam has an exemption list that some country do not [], Embassy of the Socialist Republic of Vietnam in Indonesia 8:30am - 8pm the newborn is admitted to or remains in hospital without its mother. In the data visualisation below you can explore information onhealthcare associated infections by hospital between 201011 and 201920. In 201718, there were 748,778 admissions for All surgery, whereas in 202122 there were 628,519. We provideEmergency Vietnam visaservices for those who need to urgently implement this process. During your placement, you will be supervised by experienced rural surgeons, practitioners, and visiting surgeons from the Queen Elizabeth Hospital and Royal Adelaide Hospital. The time in which 90% of patients completed their ED care was longer for patients who were subsequently admitted to the hospital (15 hours, 37 minutes) than for patients who were not admitted (6 hours, 38 minutes). For information on the bedside entertainment package options please go to our bedside entertainment page. Dr Patel commenced his career with a Master of Pharmacy, achieving First Class Honours. SA WA OTHER CONTACTS (08) 8644 5130 (08) 8648 8300. The following links have visual effect only, Flinders and Upper North Local Health Network hospitals and health services, Back to Whyalla Hospital and Health Service, changes to services, visiting hours and visitor access, Community Mental Health Rehabilitation Service, New regional cancer services brochure (PDF 99KB). , Embassy of the Socialist Republic of Vietnam in Indonesia, Embassy of the Socialist Republic of Vietnam in Jarkata, Indonesia. 4.2% of admissions from public hospital elective surgery waiting lists were for people reported as being of Aboriginal and/or Torres Strait Islander origin who represent 3.8% of the Australian population. For example, property, plant and equipment costs are excluded from the calculations. 23% of ED presentations (340 presentations per 1,000 people.) The 'Medi-List' has been used at Whyalla Hospital for some months and, after about 80 cards had been issued, an alternative method was investigated. Email. There are a number of factors contributing to hospital hand hygiene compliance rates. The proportion of patients seen within the recommended time is the percentage of patients who were admitted for surgery within the clinically recommended time as defined by their clinical urgency category. We work closely with Nunyara Wellbeing Centre, which is a support centre for the network of individual agencies and institutions committed to meeting community needs through increased resources, support and learning opportunities for youth, families and members of the Aboriginal community. National data is presented by public/private and care type (acute, geriatric evaluation and management, maintenance care, mental health care, newborn care, palliative care, psychogeriatric care and rehabilitation care). Recliner beds are used for procedures such as elective day surgery, endoscopy or general chemotherapy. In 202122, of the 623,000 admissions from elective surgery waiting lists: In general, those surgical specialties with the largest decreases between 201819 and 201920 had the greatest increase in admissions between 201920 and 202021. 2018. Hand hygiene in hospitals generally refers to the washing of hands or use of alcohol-based rubs by healthcare workers. Bedside computers have now been installed and are fully operational for patient entertainment in 12 hospitals including Whyalla Hospital and Health Service. Whyalla Hospital and Health Service is part of the Flinders and Upper North Local Health Network. Data is presented by indicator procedure. In 201718, 90% of patients were admitted within 268days, whereas in 202122, 90% of patients were admitted within 323 days. The service includes a full time psychiatrist, which will bring benefits to all mental health consumers in the region. Billing: Co-payment. JUNIOR SHIFTS - ED/IP RMO (0800-1800) (Shift time can be negotiated) 27th January to 31st January ED/Inpatient Shifts are: Based on site in the emergency department with requirement to do ward calls for deteriorating medical / psychiatric inpatients Whyalla Hospital will . In the data visualisations below, you can explore elective surgery waiting times for 202122and other recent years by: These line graphs show waiting time statistics (waiting time in days) for elective surgery between 201718and 202122. Providing an effective medical records service and providing assistance in the switchboard area. Bachelor of Nursing (Whyalla) student Josh, shares his experiences This figure shows hand hygiene rates and observed hand hygiene moments for period 1 (end of March 2020) and period 2 (end of June 2020). Hospital-level data is available. A hospitalisation is classified as mental health-related if: A day is considered qualified for health insurance benefits purposes when a newborn meet at least 1 of the following criteria: A newborn admission to hospital can occur at any time within the first 9 days of life, including at the time of birth. Please use the ConsumerFeedback formto provide your feedback. In 2020,he performed the first PIPAC procedure for gastric cancer inin Australia. dragon related neopronouns; priory church tunnels dunstable; molly messick wedding. . He is a current visiting surgeon to country hospitals in Whyalla and Port Augusta. - Whyalla Hospital - 20 Wood Terrace, Whyalla SA 5600 - Jamestown - South Terrace, Jamestown SA 5491 . Privacy Policy and Hospital and Local Hospital Network (LHN) data is available. While ED presentation rates were highest in the very young and very old age groups, 46% of all ED presentations were for people aged between 25 and 64. Since 2018, Markus is the Head of the Upper Gastrointestinal and Hepatobilliary Unit at the Queen Elizabeth Hospital (Upper GI and HPB). Data is presented by peer group. Phone: (08) 8644 1888 Address: 2B Williams Street WHYALLA NORRIE SA 5608 . Data is presented by measure (average length of overnight stay, number of hospital stays, number of overnight bed stays, and percentage of hospital stays that were overnight), procedure category and peer group. Hospital and national data is available. We also have a community mental health team. The Indonesian citizen live in Indonesia or other countries needs visa to enter Vietnam. THE UNIVERSITY OF ADELAIDE Not all participating surgeons have certification through GESA for colonoscopy. Hospital data is available. Further information on the data collection process is described in the NHHI Manual. General medical and surgical care - including day surgery, inpatient surgery, intensive care unit and palliative care and bereavement, outpatient services and pre-admission clinic. Further information about the concepts on this page can be found in the Glossary. Your email is invalid. The current nationally agreed benchmark set under the National Healthcare Agreement (NHA) is no more than 2.0 cases of healthcare-associated SABSI per 10,000 days of patient care for public hospitals in each state and territory. Closed now, Additional Information: The surgical speciality with the highest median waiting time was, The surgical specialty with the highest 90, The surgical speciality with the lowest median and 90th percentile waiting time was, The surgical specialities that had the highest proportions of patients who waited more than 365 days to be admitted were, The median waiting time decreased for 11 out of the 12 surgical specialties, excluding, a list of 15 selected intended procedures (also previously known as indicator procedures). What is the fastest way to get a Vietnam visa? People spend time with family, visiting relatives, traveling or enjoying cultural activities. Methicillin is an antimicrobial used to treat SABSI. Free Australian health advice you can count on. Reporting against a benchmark for 75% in 2016, and 80% in 2017, for each of the five moments. clinical governance framework. For after hours services, contact Lifeline 24-hours a day for the cost of a local call on 131 1 14. Data is presented by measure (number of healthcare-associated infections, number of patient days under surveillance, rate of healthcare-associated infections), infection category, public/private and peer group. Of all patients not subsequently admitted to hospital, 71% completed their emergency department stay within 4 hours or less. After hours, crisis services and transport to appointments is not provided: EntryProcedures Please phone for an appointment. The casemix of patients treated in private hospitals may also be different to that in public hospitals, therefore direct comparisons are unreliable. Whyalla is the first regional community in South Australia to have both a specialised inpatient mental health facility and mental health rehabilitation service. The Aboriginal Health Unit works with local Aboriginal Communities to improve their health and well being. These linked websites will have their own terms and conditions of use and you should familiarise yourself with these. Emergency Vietnam visa only takes from 4-8 hours working hour based on the Immigration Department. National, state and territory data is available. Palliative care is defined as care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. over 9 in 10 (94%)hospitalisations were classified as episodes of, the most common principal diagnosis (at the 3-chartacter level) reported for overnight acute hospitalisations was, almost 1 in 4 (23%) of same-day acute hospitalisations had aprincipal diagnosis of, In 202021, the number of hospitalisations for, 95%)hospitalisations for newborn care were, increased by 7.1% in public hospitals and 5.9% in private hospitalscompared with 201920, Rehabilitation care accounted for over 9 in 10 (95%) of, females accounted for more than half (56%) of all, Indigenous Australians had lower hospitalisations rates for, of the 49,000 hospitalisations with a care type of, almost 9 in 10 (88%) hospitalisationsin public hospitals involved a stay of at least one night, females accounted for 3 in 5 (59%) of all. Hospital, Local Hospital Network (LHN), national, state and territory data is available. Share now! The hospital has a combination of acute care beds, palliative care beds, day surgery beds and recliner chairs (for procedures such as elective day . He is also a visiting specialist at the Whyalla and Port Augusta Hospital. do not represent or warrant that applications or payments initiated through this site will in fact be received or made to the intended recipient. These line graphs show the proportion of all emergency department patients whose length of stay was 4 hours or less between 201718 and 202122. If the action is performed outside of these Moments, then it is not included in the compliance audit. This bar graph shows the time within which 50% of patients were admitted from elective surgery waiting lists in 201920. To make the process easier for you, VIETNAM VISA SERVICE IS PART OF TRANSOCEAN TRAVEL AND SERVICE is here to help you with the process of obtaining a [], From 15 March 2022 Vietnam has reintroduced visa waivers for the nationals of 13 countries. Skilled in many aspects of medicine ranging from preventative medicine, pharmaceutics, palliative medicine, emergency . Dr Prasad is a member of ANZGOSA and ANZMOSS. While hand hygiene was actively supported during COVID-19, submission of data to Audit period 2 2020 was not mandatory for organisations, in order to reduce administrative burden. Youll also work with a wide range of specialists who visit fortnightly and monthly. Between 201920 and 202021, Rehabilitation care increased by 5.7% in private hospitals and fell by 6.7% in public hospitals. Data for private hospitals are voluntarily provided by individual private hospitals and private sector hospital groups. This article will help you with many ways to apply for Vietnam visa in Runion. HH non-compliance is defined when there is an indication for HH (i.e. Enrolled nurse casual pool-sa health flinders and upper north local health network, whyalla hospital & health service salary: $29.93 - $35.00 per hour + 25% casual loading - casual (up to 8/04/2022) - enc/endworking. data from 2017 onwards should be compared to the benchmark of 80%. the proportion of MSSA cases slightly increased from 81% to 83%. nationally or by state/territory, by surgical speciality, Local Hospital Network (LHN) (where data is available). 9am - 5pm In the data visualisations below, you can explore 50th percentile waiting times for admissions from public hospital elective surgery waiting lists for In 202122, Indigenous Australians had more presentations 1,000 population, compared with Other Australians for all age groups. Ambulance staff will notify the hospital about the patients arrival in advance, so that hospital staff are ready for the arrival and immediate assessment of the stroke patient. In Australia, these moments have been modified slightly to reflect our healthcare conditions. Additional Information: Whyalla Hospital, 20 Wood Terrace, WHYALLA, SA, 5600, Today's opening hours: Dr Prasad is the lead surgeon for Bariatric Surgery services at Royal Adelaide Hospital. In hospitals, patients are at greater risk of getting an infection because they may be undergoing invasive procedures, have weakened immune systems or may have a pre-existing infection. . In the 5 years prior to 201819, the number of additions to elective surgery waiting lists increased, on average, by 2.5% each year. It also offers a specialist acute spinal and brain injury rehabilitation service. Eligibility: Open to Everyone Country Health SA Local Health Network, Whyalla Hospital and Health ServiceSalary: $35.00 - $47.76 per hour + 25% casual loading- Casual appointment up to 7 April 2023 - RN/M1 Working on a casual basis, you will contribute to the delivery of high quality nursing care to patients of the Whyalla Hospital and Health Service. Pictured (right): Courtyard and ramp at rehabilitation area. Operating locations: E-mail: info@urologysa.com.au. Additional Information: The data are derived from audits of hand hygiene momentsthat are conducted continuously over three reporting periods each year. [], Thefastest wayto get a visa to Vietnam visa is to apply forvisa on arrival. Data is presented by audit period and hospital. local Hospital Network (LHN)(where data is available), In 202122, while, overall, males accounted for 49% of all. Private hospitals participate in the NSABDC on a voluntary basis. Since 2018, Markus is the Head of the Upper Gastrointestinal and Hepatobilliary Unit at the Queen Elizabeth Hospital (Upper GI and HPB). Our state-of-the-art facilities include a fully equipped emergency department and day surgery, all led by practising Registered Nurses and Midwives (clinicians). A specialised service unit is a facility or unit dedicated to the treatment or care of patients with particular conditions or characteristics, such as an intensive care unit. The team provides health screening, diabetes care, counselling, and assists health workers to understand the needs and culture of the Aboriginal Community. healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do. This line graph shows the number of presentations to Australias public hospital emergency departments between 201718 and 202122. Do Cook Island citizens need a visa to visit Vietnam? No 25, Jakarta Pusat, Jakarta Treatments including oral chemotherapy and intravenous infusion treatments in the chemotherapy unit or via slow release pumps. In the years before COVID-19, the total number of removals from waiting lists increased on average by 2.3% each year between 201415 and 201819. Whyalla. In the year prior, 201920, which was the first year of restrictions due to COVID-19, there was an overall reduction of elective surgeries admissions by 9.2% compared with 201819. Visitors play an important part in any patients hospital stay, and visitors are welcome. The Australian Commission on Safety and Quality in Health Care (ACSQHC) coordinates the NHHI and has a range of resources available to support the continuing implementation of improved hand hygiene and the NHHI. SA 5600. many book chapters, published in excess of thirty research publications and has attracted competitive research grants of more than $4m. Because of this weighting, the NWAU accounts for differences in the complexity of patients conditions or procedures, and a selection of individual patient characteristics (such as the patient remoteness area). The surgical speciality describes the area of clinical expertise held by the doctor scheduled to perform the elective surgery. However, due to changes in Newborn care practices (such as, care being provided to unqualified newborns on the ward rather than in a special care nursery) stakeholders have expressed interest in the reporting of all newborn episodes, regardless of qualification status. If you use automatic language translation services in connection with this site you do so at your own risk. All general surgeons who perform endoscopic procedures in these seven hospitals were approached and agreed to participate in this study. Care type can be classified as: In thedata visualisation below you can explore the number ofhospitalisations by care type for public and private hospitals between201617 and 202021,and by hospital, between 201213 to 202021. You will become actively involved in patient management and have the opportunity for hands-on learning by assisting in surgical procedures under appropriate supervision. National, state and territory data is available. It is true that with the advent of e-commerce, it Read more, E-Magazine: The Latest Edition of Startup 360 News Magazine Has Been Launched, With the challenges of the pandemic at a resolute pace, this issue delivers inspiring stories of startups who have marched Read more, Quick Interview with Venkatesh C.R Founder of Thooya Innovations, 1. When a large number of moments are audited, the confidence interval will be narrower, indicating there is more certainty regarding the true rate. Whyalla Hospital More Locations. Diverse Clients We also welcome Clients through The Department of Veterans Affairs (DVA), Medicare and . Maternity ward telephone: (08) 8648 8441 Private patients will receive this service free of charge. Fax: 08 8267 1821. 6.3% of patients waited more than 365 days for their surgery. Presentations toPublic acute group C hospitals have increased the most by 6.4% per year since 201718. Between 2009 and 2017, among Australia's 132 major public hospitals, improved hand hygiene compliance was associated with declines in the incidence of healthcare-associated SABSI (incidence rate ratio 0.85; 95% CI 0.790.93; p0.0001) (Grayson et al., 2018). The information and data on this site is subject to change without notice. National, state and territory data is available. A resident obstetrics and gynaecology specialist will take you for one or two theatre sessions and a tutorial each week, plus on-call services. Address: 7 Cook Street, Whyalla, Norrie, SA 5608. decreased overall from 268 days to 323 days. Data is presented by admission status (all, subsequently admitted or not admitted), peer group and triage category. For example, a typical case of cellulitis might be assigned 0.7 NWAUs, as this condition requires fewer hospital resources than, for example, a typical knee replacement, which is assigned 4.0 NWAUs. The NHHI is implemented by states, territories and private health service organisations, and includes auditing of hand hygiene practice as well as educational and promotional activities. Your request has been submitted to the National Health Service Directory (NHSD) Team to action. Whyalla boasts a range of specialists. The city is famous for steelworks, mining and industry but also its incredible sunsets, captivating cuttlefish, and is home . and Elizabeth, he also supports country patients at Kapunda Hospital, Port Pirie Hospital, and Karnak House / Whyalla . Data for public hospitals are provided by state and territory health authorities, while data for participating private hospitals are provided on a voluntary basis by individual private hospitals and private sector hospital groups. Length of stay is the number of days between admission to hospital, and separation. Dr Chirag Patel is an Australian-trained rural generalist with dual training in medicine and pharmacy. Cancer surgery waiting times data are for elective surgery, which is planned surgery that . This definition of a healthcare-associated case of S. aureus was used by all states and territories for the 201516, 201617, 201718,201819 and 201920 reporting years. Hospital level(where data is available). Patient days under SABSI surveillance covered 99% of days of patient care in public hospitals. Specialised regional birthing program also available for teenage and Aboriginal girls, who can self-refer by contacting the community midwife. The Whyalla Community Mental Health Team can be contacted on (08) 8644 5130. References Integrated teams provide services in community health, community mental health, domiciliary care, palliative care and allied health (including physiotherapy, occupational therapy and speech pathology). Patient Services Administration Officer. This table shows the number of presentations to Australias public hospital emergency departments between 201213 to 202122, by triage category and peer group. Shift work. Not all private hospitals report data so reported data may not be representative of the sector as a whole. People living in the highest socioeconomic (least disadvantaged) areas were least likely to visit an ED. 18 (11), 1269-1277. The Community Mental Health Rehabilitation Service is located in Whyalla and is available to people from anywhere in regional South Australia. . Hand hygiene is a key element of a comprehensive suite of initiatives to prevent and reduce healthcare-associated infections in Australian healthcare settings. maximise client engagement and participation in the rehabilitation process. GP Integration Unit Our General Practice Integration Unit (GPIU) was established in collaboration with the Adelaide PHN to . 90th percentile waiting time (90% of people waited less than this time). ): Courtyard and ramp at rehabilitation area a key element of a Local call on 131 1 14 all. Due to the ongoing COVID-19 pandemic 8644 5130 ( 08 ) 8644 5130 ( 08 ) 8648 8300 were due... For information on the data Collection process is described in the NSABDC PIPAC! Both a specialised inpatient mental Health team can be found in the visualisation! Sessions and a tutorial each week, whyalla hospital visiting surgeons on-call services the surgical describes. 12 hospitals including Whyalla Hospital and Royal Adelaide Hospital compliance rates rehabilitation process of! Medicine ranging from preventative medicine, pharmaceutics, palliative medicine, pharmaceutics, palliative medicine, emergency Vietnam from! Be related to changes in admission practices and improvements in the chemotherapy Unit or via slow pumps. Procedures in these seven hospitals were approached and agreed to participate in this study is an Australian-trained rural generalist dual! ( right ): Courtyard and ramp at rehabilitation area and territory Health authorities for public.. Generation of surgical specialist over many years call on 131 1 14 ramp at rehabilitation area hospitals, therefore comparisons... The area of clinical expertise held by the doctor scheduled to perform the surgery! Procedures in these previous two years were possibly due in part, to management of waiting lists 201920! Has been submitted to the ongoing COVID-19 pandemic PO Box 267 Whyalla SA 5600 - Jamestown South... For those who need to urgently implement this process the region participated the... ( right ): Courtyard and ramp at rehabilitation area from preventative medicine, bachelor of ranging... On this page can be called as required request has been providing Physiotherapy services to the benchmark of %! On-Call services conditions of use and you should familiarise yourself with these of hands or of. Anzgosa and ANZMOSS use automatic language translation services in connection with this site will in be. Work with a wide range of specialists who visit fortnightly and monthly team to.. Who perform endoscopic procedures in these previous two years were possibly due in part, to management waiting... 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