Higher order linear ODEs
2.4. MECHANICAL VIBRATIONS 81 Note that the errors that we get from the approximation build up So after a very long time, the
\\'hen asked oboul the time the IICT wos established DJ Jericho Nursing f-lomc, they responded. " It hus started long time back. I cun 't rc:rnembtr when b11t u•ith the ad\v:nt of
in,·rta.se in the awarencs.r of lf/1' and A !Ds. tlwt � u• ,,}1t11 \Yt started tc.stl11g our palltnts for I/IV", (lhc chief nursing officer (CNO)) I ca111101 Ja)' prcclJ(IY, but it u qurte a long
tlnll Wiren I Jol11ed then1 111 1999 here, they l,ait sturttd the scn·1ces, 1/in• ha\•e bten ,
testing the pregnant won1e11 and he/ore. they gu to the moternil)• word. they�� to come.
1,·ifh their r,•sults 111ul If n(lf Jht)' 11 ,111/d a.tk tlu:111 to go and do it or ,,·e treaJ 1h,·n1 llf ca"ler ·• (lhe senior nur.-111g officer} {SNO}. "/ dorr ·, knon· I 10as ;iar posted to this hoJpitol In 1005 •. HJ / d 11 n ·, ln
1111· t<htn the, really started bur I met tht!m ,lotng It 1<·hm I come". (nnolhcr senior nursing oll1ccr}. When they \�� further IISkcd obout their sp«ilic roles 01 lhc untcnntnl clinic of Jericho Nursing Home in relation 10 lhc HIV
counselling and testing scn·icc:s.. lhey n:sponckd in this "11Y, w our role ls Just ro nuJu
!ii/re thaJ all palitnls t/,at con� hcrrc for booking ,11 the ontc111111Jl clinic arr ... -,:// t�n cure of. ll'C will tell them 1hor rh.:) are u�cttJ '" do this 11/V Jcrrming and if Qll)Unc! Is tt.llctl poJ/111·t, sht will go for further J,-r,,n,ng /CJr conf,nn,Jt1on aJ UCI/ and if Jhc is
conjirmcd po.flt/1"t.'. "''" cun sturl tr,:attntnl ", (the CNO). In the ,cspou.:ic or II Sc:n.ior Nursing oniccr, :.he said this. ·1h,r<" i.s n,, s1>«i,ll role c:x�p, 1/rm u-r gll-.: rhcm /ul"1rutory• /n1't.1//g1J1fonfonm to go anJ J" oil anttnatal r,,t, lndudilf1: IID' 1esr. s., 'lt'I'
ju.tt tell then, that 1hry /ICl\'C t,, ,/1111/1 tht 1,su 011,J that It Is rornpulsoryfor thai, to do tht
tt.JIJ for their oan glX><I hut wt 14·/I/ ttll them thtJ n-a.1on.f for u· ·tn this pl.-, lmn1c,liat,I>· thty comr/or bo,,l,nR, ,..,_. "Ill gt,'C' thtn rht form• fi.rr tltt wbc•ruton test, und uctut1lf)' tl�)' 11 Ill nor ,\no1>' w#N'.thtr thty UN' �Ing to do HIV ICJI but the II/I' ft.JI u
th.:rr S<, tM)' .. 11/ Jo r,·.ry1hlng In the /alt.-,rorc,,:, IJIII those 0/U'.s >t lth 1wtll\"t' rc,wlts urc rcf,rrtd 10 rht .f.xtor� .,. hi, 1t·1ll lrl tum rcftr ,,,,.., to arf"V/ r htlc p/J,t • (DlltAAcr
SNO), When f1athcr �t'\I "!1Cthcr ihe hl,spitlll ti.:i,-c =lion. lhe) 1111 �ldcd 1n nqµi11,-c ollinnotlon the san1c 1111), .,.., Jon"I hatt. bur "'" wed to ltm" them /rum
AJcayp �f,1trmll)• //osplt,71 1M M:fft' fvr JV/ff(' tlm.: I•" about "''' '" thtt-r tlmc.s unJ
I J I -·' ·•/n.Y 1/ttn IM)'""'" nDI l,tt11 ('(.>mins MIT asuin blll .... UN' IM Ao� corn ng ,,,., �
, ll tL· -""''""'_, "°" ", (lhc CNO). \\ hrn they \\'CTC aukcd lo nt111l31C lhc trnr s t,, ng Ill' ,,., ,.,_.. ...,,
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,;,•ftt'r11tl y 1/11'>' ur1• Jr, mw,y, b(ca11� r,"t.ry patlrnt thaJ r.c-..me, �rr for an:e1ta1ol a,rr
n11lll hi' 1&•J1,•J that lr tlw policy", st:Ucd lhc C.1',0 When cd u1iout the ,o of (he pc, iii, c �h to the nq;ati�c rcsuhi or J IIV tcstJ 11111,mg dlC pccgi::mt woocn. and rf any of those \liomcn ho&, c,cr refused to h:l,l: the lGI, they o.11 llo<ted pencr pehXBEIV ncg:iti,c rc,ult!- \\hale pos111vc results \\en: few, .. f P' OMT no, mMr than I cftltrm
(�NO) .. ,lboul r,nc pn,rnl fur the pmltM One.J. w IN �gr;t1",,,e ancJ ,...,,,. hi, 1-=
,h.J,., ". so responded the CNO, .. nc_. o/ thLm haw refuud to � tatd fcnc cf !be
SNOs) ... , h,n-.· nett srrn UIT)� tha1 rrfw�d to� lr�trd (motba' 0 /IJ c....::= dlri
rrfusr, 11tc,.: u no1hl,w ,.r nm do '""' will trrm nch � as a pcta;I w,1r.r ._
rortrHJt Jor,� 1h,•m .. (SN(>) .. I/ lhn nrf= I!> bt twd - an J:<,;.t,rz
/,ei/ lo t'IICOIU'Ugr J�h putknlJ.. bUJ If ll faili. - tnl! k.n,r a.:lr pal'lcl,S
/llr..-r hrr .. , (another SNOJ .. , thlni ,wl)b.,dy b � r,;, bac'II
don·, JIJJI JrnJ 1/ttm off liu thal hfll •r •ould N t::: tJr1
a rrmt"d) and thal Jt ls ntll 1he rnd efltfo th<n � drl� t:1m1 a, b-lll!f the! ,·,rw nr ,nah, 11 s=hun •cai. w lhal IN ba�·
lJ no/ hi 11g " c ,un do tl tlnJ- rr � � 1M
Ulttnd Jo the �rJttn �;;ml.U 1'-mr .--, � an.,-hodj ,rfu. rs , , � t .L .. • liaJI dw Anaw her 1/atU (the (.."NO)
Whrn II .. cJ at.JU1 I.he
kncbJ N,arn11111 I 1-� rt:..,. r.:'.:i',r:rl;;:�
1
tu- ,ur �:,�
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•
11/ 11., that art' 1,,.ultl1 p,:r�o1111cl hccu11se KC know the health Jla/11.S of OUT pa1icnt1 J/K·e
Ju11 ·1 k11111v till 1111 .,fllfUf of our pal lent M'C »·Ill to},· core of her //1.e t111} otl�r polt<r.l t/1r.1ugl1 that ont mu) contract th1. Ill� (1 senior nl.lfli n s officer). Hit has ,nc-,coud r111/ghte11ment becawc: »·t ta/A tu thtm 1.n) t/n,c they conic, O;'KITI from go1,rgfor the le t
u·e st/11 talk to tl,c-111 In t/ar ,:/111/c cu part of our ,Walth ta!>:. so through tl-a d:q hww 111orc abo111 If and »1J,c11 thty get to the con1mu11IIJ. thr) carry tM tr�uoge thue and they
<1re obit to d,:al more pi1sltll·tly wlllt tlt1J1e tlwl art' l11 the commumty'. (Ilic D-lO), -r7:e only tffcct on the f"'tltnts t., Iha/ Jofng the tr.st htrc Is ca.tlu for wm � u, those days 11/, ,:11 11·e us.:d to send thtm to Total Garden Blood &mJ::: we don·, s:u.d then there
agai1111011•. II'� l,avc a lobor11tt1')' hert noi.·. (SNO) . •
\Vh c n the question \VD.3 furthered iuled obout ho"' the mm pcrcoTI:d lhc HIV counselli ng 110d testing SCTVic:cs al the 11111Cnllllll clinic of Jericho Ntming Home. ·Ja. tlr
test Is beinl{ don.: here. Mr hm,e a laboratory and 111 M'r di> lt ho-c W1ln:'l a:2J ra:ltt ts posit/,·,:, suclt will be rtfurtd to liCII for a confvmatOTJ tcn·. (lhc CNO). ·Jfhcr /
1;:ffZobstn-cJ about II Is that. n,aybc they .�houlJ send so:= mzff for� P1,1e is= Lim Hn
prug,<1n1 ur ,fe'ml1iar .10 that thost people will � sixdalun that trill� � ro dr J1rtg11a11t 1111n11•n tu present rhe' ro1111Stll1ng to tlrm·. (11 �l•WX- � '"1ia:r). -�is.,
/JfJJlll\'C! oh.1tn·ation b«awe through r� HII t:tJU!l3rllmg t:aJ u� m,
able to know thc,se tl1.u an: ncgtztl,Y' anJ p,uith>e tlrt - arr abu to ,cwc1ef l'r-rr ="
111u ,cs "ere fun her �li.c-J 11bo11t 1hc chA!lcngcs the) tia,,c f.>."Cd !omcc: the �= '"' 1 , •• •
of the IIIV c<>unscllioi; onJ toting 5Cf'IOX$ 111 Jcncb.l -:-.'unmi tloox. -n.r ..:::: r\ ·
,·l,ullc11>,'t' / ran mtt1/111 n /j that MM/Ith.-, h.J, "-- ' hr �p CC7' px;-.'"',c"' _ _ m,.,,
tl1en1 t11 ,.,11111111,0, rht ,, .. u1n,c1u � '""·' ,u,.IJ MY' ,u rru�._T • rr.:�
llltlj' 110I /ll,• th/.i hill if IN! 1,'0l't'TWlllnl C-,JII JY\!ffik II � /t.Y' I � -��
/,Cll/t11t1 11 /II ht t1Wn (\IT.- 1if /t u,1u/J � 1'.lkr 8\ W llllW'
)\.'tter-.. IP\JIIG,i'ffl;,,,..N�·-:t Jr 1 1n1 ""'' pl 1 1C<' t,, ,11k•th.•r, II •• j/1 /N.'f v,- .lue' lltt- ""l � n Ot we,.,. ,� \� \
II l�Ttf tlft
1110 l tU "-'/.-n•L'I �,.-.-1>11h.1t /•"' -'
"'"' ,if tr._,_,.- t/ul ...., 1a1o t'klf 11N' I \'C' 1 , on1e blttA htrt', r1\"11 rlti.•u...,h n ur ,,J,hnn , ... ,.. J• m II.• l't 'Ii ii '-.U 1 , h.JJ ,�,.
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bt1blt'.\," �01111· c11me l,ack htre f(}r l111111u11iu.ilio11 of tlu:lr babies. Apart from that, ther" Is nothing n1ore , (lhe CNO).
When they ,vere asked obou1 their level or sallsfoction in the I IIV counselling and testing services at Jenell<> Nursin6 Hon1e, these ,,ere their l'C$J)OOSCS; "/ c:011 ·, .lDJ' /'n, totally satisfied. I can say I'm 55¾ sa/1.iflcd hccorue tl,.:rc are so,ne things t,'u- government supposed to pro,•fd ., fi,r rn /11 this ploct. They hal·.: to pro\"idc uncrgcnc:y k/1.r to test blood for pregnant ,iomcn on en1trRc11cy. 11,cn anotlKr thing u thDI for those resri!d posit/re, they s/1011/J pro,·ldc mcaru of trca1i111t tlum hue. ll'ithout rr,m.sf�rnng tMm 10 another place (SNO). "//tt<' can get rounsellors it will be better so thaJ till!)' will uw:
the co,uuclllng food off rt 1, that is nun,htr 011c, and that the pa1ic:n1 "Ill bt' "ble ,., 0101,·
more about HJJ' cJnd AIDS n101ter." (another SNO). All the three nurses intcn1ic:-1'Cd 111 Jericho Nursing Jlomc tuid these rccommmd111ions 10 l'l'lllC: incl�inu pro�i,ion of s!Mdby kits. Lraincd counsellors 1nlln1nL1 of �ltlff; pn>visit1n of anumro, iml clrugs nnd
mnking the !UV tesl m:c for lhe prqpw1I "''Omen and tlllll the govcmmmt should rcplicntc the f n cilitics or Adco)O in Jaicho Nuning I lomc IOO so th:n uic pancnu C111 benefit ma.xirnllll),
4.5 Flndlnv from obstTVallon, of lhc 111\' co11nKlling aod lcstiag (I lCT) rro«durc at Jc:rlcbo Nunln11 llomc, lbadan
'Ille procedure for IICI al Jericho Nllrlling Home "-as o�cncd thJtt. llrncs; once tn a week, for 1lucc consc:cuu,c "«l.s. ll!CJC "'llS not 1111) �'C or dtfTen:rn.-c ,n "h.'tt \\"11!1
o1'1Cn·al Cileh prc,inus \\'t°CL Prc>-1� �·o\11\':<:lling \\ID DOI oto=n'Cd. but hclLl1h-utlk IICS$i nns (mnlha-crciflt) cmrtuu,i1.ing ,norc oo ccncral antmml care and prqw-nuoru..
No infomu:d consm• \\hcthcr \\nllcn or ,'CJb:IL \'nlunw, ri:irtidr,etwn 1n HC'T \\'M 1101 ob�Cti. The r;illl.\1101\ \\'IIS tlut all the prcgn,nl \\\\fflC'n mlDI pillttdp;i:c 1n the IICT bcf,,rc they QlJt be t,ool;c:d mid IIOCC"3 antt'I01111 auc. No ronfldcnual du.:losure or rcwhs, �It, \\"CTC" 113QdN over to lndJ�1d11AI JffiJW'' \\'Ottt:JJL I <'51 1c;;ults to. k • fl"\\
d:Jys 10 one ,,.-eel. before I.ha)' "-ere rm.1) l'o .tc:;t couruirlhng ".u 001 obscncd.
l'ollcnts ¥o'Cftl rcfcrml 10 Unh-<nll) Colle-Ge llosplUI (Ul II) ror confim=I) , , 11/ld lor
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babies: some came back here for lmn1urrl:at/011 of IIU'ir bahlt.s Apart frn,rr that, I her,• Is nothing n1ore ·•, (the CNO).
When they ,verc GSkcd obout their IC\·cl of satisf11clion in the I UV counselling 1111d testing sc:rviccs at Jc:richu Nursing lfon1c, these \\ere their rcsp,nscs; .. / can't .S-0)' I 'n1 101<11/y sotl.if,ed I can JOJ' I'm .S.S¾ lCJfl.iflcd htca,uc there arc: 1.omc things the go,-crnn1e11t
111pposeJ to pro,·lde for 11., /11 thlt plac,· n,.-y ha1'<! to provide r.mergency kits to test blood for pregnant "0111e11 on emrrg.-11c,• 11w11 urw,ther thin.r: is that ji,r thoJc: ,�1ed pos/11\•e. thuy sl,011/cl pro,·ldt! mtun.1 of treatin.i: tlitm her.:, ll'ithout transft"111g them lo
anothrr plt1c.· " (SNO). "If 1ni can gtl et1UJ1Jrllor:i ft ,viii be bclfu so tltal they i.·ill take the co1111.1rl//11g load off u.,. that It 1uunbcr on, and that the pa11en1 » 11/ be able to .bw11 1nort about /Ill' and AIDS 11wl/tr," (onother SNO) All the thn:c n� intc:n,c:-.,cd !11 Jericho Nursing Home had lhc:sc n:commc:ndn1ions to make: inchiJing provision of stnnJby kits, trained coun'ICllor,., training of stnff, provi.s_ion of nntuctn>vuuJ drugs nnd
mnking the }UV test. free for lhc p�t \\'Omm and lh4l the so•cmmcnt 5houlJ
n:plicotc the fncilitics of J\dCO)'O 1n Jericho Nursing Home loo 50 tll.'11 the p:iucnts can benefit mnximally,
4.5 1·1nd1Jip rrom obs""1atioo., or tbr Ill\' co11nKlling and testing (llct) proc«lu� al Jericho Nur.tinl Homr, lhad11n
1l1c pnx:cJurc for IICl 111 Jcncho Nursing Uo1nc \\ld ..:,Ma•cd lhrcc tiincs; once 1n n
\\'eel:, for lhrec con:1ccu11ve \\ttU. There ,,..., nal any crnintc or J1ffcrcn1;c in \\h.�1 \•'M obs.cned cu:h previous y,cc1:. rrc•tot couruclling "'iU not ooocr,.-eJ. bus hahh-tall.:
sessions (mo1hcr-crnfls) c1nr}lll.,1zing more on ccocnil 11111ro:ual = an,I Jl"l'3lllt1on.,;..
Nn infumicd con.�t ,,hclhcr \\Tlllc:tl or ,-crNI \loluntAr) p;sn1cipauon in HCT w1u not obsc:ncd 11sc ,itunlion \\"ll.1 1tu1 oil the J'fCJ'Ull' \\'00\CO mUSl r,:uuctpa:c n the IICT before they can be t,ool,.ro ,inJ n,c«s., o,ntcn:lbl auc No ronfllkn11al d1,closurt' of results. rnults \\'efC h:uldcJ o,cr 10 1nd1,1dU31 prt'"&'Wll \\OOW\ T� r 11., 10\.lk u fe"
<U)1i lo one ... -eel t,cfme they \\CIC ro;wy l'OS! l.ffi l"Ol.dlXlling \\M not obsc, ,,cd P11tscnu were referred ,o tJru,.nll) Coll� ll�ruul (UCll) for ronfirmai I) ' lllld for
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access lo nntirctrovirul drugs. No partner test observed. 'lllcrc was no follo\v-up as mojorit) oftl1c patients referm:I did not return back 10 the hospillll.
4.6 FintJlng from lovcotory or ba,ic requirement for Ill\' couoscllio11: aotJ testing (IICT) �en ices ar Jericho Nunlng llomc
The inventory ofb:ls1c requirement for IICf services 01 Jericho Nursing Home was lllkcn
once 10 nssess its ovnilobilit) nnd odcquocy. Inventory of staff n:vc:aJed lhru there \\'Crc doctors, nurses and mid\vivcs. and only one laboratory scientist. but only the nurses and
mid\vivcs \\'ere ad eq uate in number, others "ere inadoqu:i1c in number.There wm no
couru.cllor. or any hcnlth \\orker equipped \\llh the skill for counselling in HCT
ln\'cntor) of facility nnd m:itcriw requirements re,eulcd th.11 t.hn'c \\";l.S no counselling
unit. or counselling room. The hospital has a lnborator) bad-up but Wllh only one
lobomtory scientist und 1n!ldcqu:11c supply of tc:.-1 n:agen!J. No surrty of nnt1re1t0viml
In document
Notes on Diffy Qs: Differential Equations for Engineers
(Page 81-85)