Monday, May 18, 2020

Cross Cultural Consumer Behavior An International...

Cross Cultural Consumer Behavior: An International Perceptive in Consumer Behavior PSY/322 February 24, 2014 Susan Rusnak Cross Cultural Consumer Behavior: An International Perceptive in Consumer Behavior Case Studies This study emphasizes cultural differences of consumer behavior in the international market place. This study will evaluate the consumer behavior and purchasing decisions. Consumer behavior as it related to emotional and cognitive consumer reactions. Cross cultural differences as they are related to emotional responses, attitude, behavior, the impact and the response in the international market place. How domestic products and their branding is viewed and the effects of product branding in the international†¦show more content†¦Japanese consumers pay as much as $60 a month to access the Internet and download software applications. Softbank lowered its starting data service price to help launch the iPhone, but the potential cost is prohibitive for some people, particularly when many Japanese phones are on sale at a lower price (Kane, 2008). SoftBank has in the neighborhood of 19.5 million subscribers. The lack of sales and reception for Apple’s iPhone in Japan has to do with poor perception of the Japanese consumer behavior and marketing analysis. Apple’s marketers and advertisers should have been aware of top 10 handset manufactures who have attempt to penetrate and compete for a slice of the Japanese cell phone market. Japans cellphone market has the worlds largest annual sales of 50 million phones. Nokia, the industry leader in international distribution, had less than 1% share in Japanese market. The global market is more than one billion phones. Apple’s should have spent the money to do a thorough research on the marketing of the Japanese consumer demographic. Case two – Would Mickey Mouse Eat Shark’s Fin Soup? Walt Disney and Disneyland have been symbolic with family and family values since 1955. For decades parents and children have trusted Disney to entertain its public with a very specific standard and ethic. In terms of brand equity the brand of Disney is the value. Disney embodies an intrinsicShow MoreRelatedIntroduction to Cross-Cultural Psychology1133 Words   |  5 PagesRunning head: Introduction to Cross-Cultural Psychology Anne Solomon Diversity and Cultural Factors in Psychology/PSY450 Professor Iman Turner July 3, 2011 Introduction to Cross-Cultural Psychology Cross-cultural psychology is the critical and comparative study of the effects on human psychology. Cross-cultural psychology draws its conclusions from at least two samples that represent at least two cultural groups. Because cross-cultural psychology is about comparisons, it is crucialRead MoreGlobal Chic : The Globalization Of Fashion3361 Words   |  14 Pagesthe nature of ethnic, cultural and national references in high-end designer collections, and the growth of fast-fashion houses’ global success. High-end designers have been using cultural references as their inspiration for decades. However, the increasingly globalized world has changed the nature of cultural references. There has been a shift away from collections being inspired by one country or culture, towards a multicultural influence. Driven by the idea that cultural and national lines areRead MoreGlobal Management Skills2761 Words   |  12 Pagesadvanced skill set to be successful. Those skills should include a general business education and an advanced or MBA program focused on global management highlighting a particular skill set depending on your interest. This skill set could focus on consumer products, economics, health care, IT, finance, telecommunications or many other areas of business. Along with education, understanding culture and values in a particular country helps ensure motivation and leadership success. Being aware of the countriesRead MoreUnderstanding Postmodernism5718 Words   |  23 PagesPostmodernism was at first a response to modernism, which is recognized with rationality, linearity, and purification (Featherstone 1991). Mostly it influenced the disenchantment persuaded by the Second World War, postmodernism inclined to refer to a cultural, intellectual, or artistic status deficient on a patent central hierarchy, linearity or systematize principle and representing great complexity, opposition, vagueness, diversity, and interconnectedness. Understanding postmodernism and its insinuationsRead MoreGoods Dominated Logic in Marketing2899 Words   |  12 Pagesit being that â€Å"quality was to become the most important weapon in marketing warfare† (Gummesson 1987). And this could be argued in line with the general SD logic in which quality takes even more credence than GD logic as, with the equal role of consumers in value creation, a stronger service will need to be provided in order to successfully market. And the results of the EQ program can be seen to support this as, with the company instilling IM techniques such as job rotation by allowing all employeesRead MoreImportance of Ethics in Business as an Academic Discipline8970 Words   |  36 Pagesto objective and quantitative performance. An effective organizational culture should encourage ethical behavior and discourage unethical behavior. Admittedly, ethical behavior may cost the organization. Even though ethical problems in organizations continue to great ly concern society, organizations and individuals, the potential impact that organizational culture can have on ethical behavior has not really been explored. What is needed in todays complicated times is for more organizations to stepRead MoreService Quality, Customer Satisfaction, and Behavioral Intentions in Fast-Food Restaurants8020 Words   |  33 Pages was empirically examined in the fast food industry. Several potential antecedents of satisfaction, including service quality, food quality and perceived value were also tested. Keywords Consumer behaviour, Customer satisfaction, Fast foods, Customer services quality Paper type Research paper 78 International Journal of Quality and Service Sciences Vol. 1 No. 1, 2009 pp. 78-95 q Emerald Group Publishing Limited 1756-669X DOI 10.1108/17566690910945886 1. Introduction Customers’ evaluations of theRead MoreUnderstanding Marketing Management16709 Words   |  67 Pagessuccessful marketing also allows firms to more fully engage in socially responsible activities.2 CEOs recognize the role of marketing in building strong brands and a loyal customer base, intangible assets that contribute heavily to the value of a firm. Consumer goods makers, health care insurers, nonprofit organizations, and industrial product manufacturers all trumpet their latest marketing achievements. Many now have a chief marketing officer (CMO) to put marketing on a more equal footing with other C-levelRead MoreBrand Building Blocks96400 Words   |  386 Pagesthe same brand, however, presents problems for both the brand and the customer. Since media audiences invariably overlap, customers are likely to be exposed to more than one identity relating to the same brand. Consider the problem of female consumers, accustomed to the Lux advertising, who encounter the firm s advertisements geared for the males. Or think of the potential confusion of a prestige-oriented shopper, accustomed to seeing Shopper’s Stop advertisements in fine fashion magazines, whoRead MoreResearch Project29890 Words   |  120 Pagesto measure these constructs from the consumers’ perspective in order to better understand their needs and hence satisfy them. Service quality is considered very important because it leads to higher customer satisfaction, profitability, reduced cost, customer loyalty and retention. Purpose – The main purpose of this study theoretically is finding out how applicable the SERVQUAL model is in the context of grocery stores and empirically, describe how consumers (students) perceive service quality

Wednesday, May 6, 2020

Switzerland Health Care System - 993 Words

Ffff The United States’s and Switzerland’s health care systems are compared and analyzed for this written assignment. The United states do not have a universal health care system. It has a regulated healthcare market system composed of private insurance companies, health maintenance organizations and preferred provider organizations. Tricare is health insurance for military, spouses,dependents and beneficiaries.(Cherry, B, (2014)) Government funded programs provide health coverage for the unemployed, elderly, low income and retired. â€Å"100 million Americans receive health insurance from government funded programs.† (Centers for Medicare and Medicaid, (n.d)) Government funded programs are Medicare, Medicaid and†¦show more content†¦There are two types of Medicare. Medicare A provides coverage for hospital costs and Medicare B covers premiums for physician services and supplies. Medicare D is prescription insurance.(Centers for Medicare and Medicaid, (n, d) ) Most healthcare insurance cover costs associated with prescription medications, however a co-pay may be required. Criteria for referral to specialists is dependent on health insurance coverage. Health Maintenance Organizations normally require a referral for specialists. Also, services outside of this network must be pre-approved. Referrals required for specialists within a preferred provider organization is dependent on type of specialists. The services in this plan do not include preventive care. Fee for service insurance has a fixed premium percentage and insurers can choose physicians and specialists without a referral. However, insurers are responsible for any above the fee payments. (Cherry, B Jacob, S , (2014)) The Affordable Care Act ensures citizens coverage regardless of pre-existing conditions and health insurers can no longer deny coverage based on pre-existing conditions.(US Department of Health and Human Service, (n, d)) â€Å"InShow MoreRelatedHealth Care Systems Of Switzerland855 Words   |  4 Pages Health Care Systems of Switzerland Switzerland’s health care system is not tax based or is not company paid either. If you are planning on moving to Switzerland within three months of being there, you must contact a public or private health insurance company provider. 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First, weRead MoreAmericas Universal Healthcare Coverage1322 Words   |  6 Pagesjoin the other industrialized countries that have long since implemented universal healthcare systems such as: Germany, France, United Kingdom, and Canada; who have more cost effective systems which produce better health outcomes than the US.1 Setting the focus outwards and learning from both the success stories and the growing pains as would be beneficial in shaping a universal healthcare system of care. In order to achieve universal healthcare coverage, the author delivers this message to the readerRead MoreEfficiency in Health Care Systems Essay2288 Words   |  10 Pagescountless ways to define efficiency in the health care system. The different structures of the health care systems around the world give rise to discrepancies in the definitions present. Yet such definitions all share common elements. 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Infection and Control Case Study for Methicillin Staphylococcus

Question: Discuss about theInfection and Control Case Study for Methicillin Staphylococcus. Answer: Introduction This case study involves patient Jenkins aged 78 years, having readmissions on and off in the hospital, with the recent medication process being administered at the emergency department. She is having a history of wound sepsis, however, the current admission has seen the diagnosis of wound infection occasioned with Methicillin-resistant Staphylococcus aureus. She has been managed medically and she is being nursed at the medical ward. State of Methicillin staphylococcus aureus Methicillin staphylococcus aureus is a gram-positive bacterium which is linked to several infections. It is a major cause of severe infection in healthcare practice. Various studies have indicated that human health care workers dealing with the MRSA patients and veterinarians have a higher prevalence of acquiring MRSA at 40%, (Price et al, 2012) with the prevalence among veterinary officers in north amerce ranging from 9.7%-18%, (Harrison et al, 2014). Further MRSA has been further been linked to animal veterinary in the United Kingdom, (Verkade et al, 2013). In Australia, the prevalence rate of MRSA has been found too high along specialist veterinarians at 21%-45%, (AIHW, 2013a). Review studies undertaken shows that there were 4.6% nurses which got the infection through colonization of MRSA. The prevalence of MRSA strain has been shown to be dependent on the different strains. The first strains of MRSA in Australia were identified in 1976. There were observed outbreaks in hospitals. A survey undertaken has shown that there is an occurrence of 51% bacteremic episodes and onsets in hospitals. Further MRSA conditions have shown to have impacts on causing 40% of the hospital settings and 12% of community-based settings. Further research has estimated that there is an occurrence of approximately 6,900 episodes of MSRA in Australia annually, (AIHW, 2015a). In the 2015-16 report, it was shown that Methicillin staphylococcus aureus occurred among 1,440 cases patients during the surveillance period. Hospital-acquired MRSA in the year 2015-2016 report has shown that there are 51% cases in hospitals which led to 36% days duration of patient care surveillance status, (AIHW, 2015b). There has been a general decline in the number of cases of MRSA in Australia in hospitals, with observed decrease of 17% from 1732 to 1440 cases. The national data have shown that there is a decline of 0.96 cases to 0.73 cases per 100,000 of patient care in monitoring and supervision phase. Rates have shown to decline in New South Wales, Australia capital authority and Queensland. The cases number of MRSA have shown a decline from 280 cases to an estimate of 280 cases with the proportion of all MRSA showing a decline from the overall 24% to 19%, (AIHW, 2013b). It is more common in hospitals, nursing homes, prisons, invasive open wounds weakened immunity and those at the hospitals are at a greater risk of developing. Further patients using catheters, those having weakened immune systems are often at a greater risk of hospital-acquired infections. Further others have shown the risks of getting community-acquired infections. Typical cases have been observed in both community and healthcare-associated MRSA. Molecular studies have shown that community-acquired infections have found its ways in food substances especially from the animal husbandry and food processing approaches used in food preparation. Hospital-acquired MRSA has shown that they form biofilms which contribute to the spread in health care facilities, (ACSQHC, 2016). Risks factors of Methicillin staphylococcus aureus Causes of MRSA have been linked to cases detected outside hospital referred to community-acquired and hospital-acquired cases. This can lead to the previous hospital, residence in nursing homes and patients without the healthcare-associated risk factors. Various risks factors have been detected in the hospitals settings of patient community settings and health care lead factors. Factors such as previous rehospitalization, nursing care home stay and being employed in the healthcare setting have increased the associated risks of MRSA infection. Among ICU patients, MRSA infections have been shown to be more prevalent among male gender, trauma patients, ICU patients, hospital or long-term facility patients, immune suppressed and skin infections patients. In a study conducted by Catry, (2014), among 6844 patients, showed that more than 97% cases of MRSA were linked to infections. At 95% confidence level with p0.01, associated factors with MRSA infection included long-term admission of long-term care facility, pharmacy prescriptions of antibiotic drugs, age, and intake of antimicrobial agents. Other risks factors have been shown to have an impact on infection of MRSA. Among patients with community-related settings showed that those with pneumonia had an increased infection. Patients with hospital-onset disease showed to be having increased risks of acquiring MRSA pneumonia, (Wooten Winston, 2012). In a study by Inouye et al, , (2014), in a study on risk factors for Methicillin-Resistant Staphylococcus aureus, showed that patients who had been referred from other health facilities, surgical units transferred patients, history of surgical procedures within the last 3 months and immune-compromised patients had a high risk of getting MRSA. Studies done have shown that other risks factors associated with MRSA colonization are antibiotic utilization. Resistance to drugs such as vancomycin was associated with elongated duration of hospitalization. In the case study, the patient exhibits wound infection which has seen rehospitalization into the hospital. The associated risk factors of age and gender have also been exacerbated the patient status coupled with antibiotic use which is linked to methicillin-resistant Staphylococcus aureus on the wound. Further, the is observed medical rehospitalization and poor wound management which is characteristic of having hospital-acquired MRSA infection. With the current age of the patient, it is important to note that there is lowered level of immunity which makes the patient have immune suppression thus leading to risk-related factors on MRSA infection on the wound. Hand hygiene care for the patient Proper hand hygiene is effective protocol procedures for managing safety. Effective hand washing procures ensures that there is a decline in the level of skin surface microbial counts which is a key factor in the control of infections. Having greater amounts of time washing is not guaranteed to have control of infections, hand washing technique is crucial than the duration taken for hand washing, (Orellana et al, 2016 pp 185). Hand hygiene care process during the handling the patient is a critical phase in that it ensures that touching of body fluids, excretions and other contaminated items are not transferred to the patient. Performance of hand hygiene after removal of protective clothing such as gloves is crucial during patient contacts which have an influence on transferring the microorganisms to other patients environment. During hand processes, often hand is soiled with blood and other body fluids, thus effective hand washing with soap and water is needed. Further performance of hand hygiene during the dressing and wound caring of the patient between the tasks and procedures has an effect on the patient cross-contamination process of the wound sites, (Kelly et al, pp 956). Thus the performance of effective hand washing for the patient after post admission care is critical. Hospital-acquired MRSA is easily transferable when poor hand hygiene during dressing without the use of gloves is performed. Ensuring proper hand hygiene care for the patient during the recovery process is essential in ensuring that MRSA infection is managed and further spread is controlled and managed during the period. Standards precautions Gloving Key standards protocol precaution is the usage of gloves during the handling of the patient. This is in anticipation that there might be contact with the blood and offer infectious materials, skin and skin contamination. Removing the gloves after making the contact with the patient and the environment using proper techniques is essential in preventing hand contamination. A key standard way is ensuring that gloves are not torn between the patient and usage of glove per patient as this leads to transmission of pathogens, (Gidengil et al, 2015 pp. 18). Protection of mouth, nose, and eye There is need to use protective clothing in order to protect the mucous membranes f the eyes and mouth and ensuring patient care activities which involve cross-contamination of blood. Gowning While handling the patient, use of protective gear is paramount, protecting the skin and prevention of soiling or contamination is key during patient procedures when blood contact, fluid secretions, and excretion is anticipated. Proper handling of patient care equipment Proper handling of the patient in the ward using proper care equipment without soiled secretions, body fluids excretions, and even blood in order to ensure prevention of skin and mucous exposures, gross contamination, and microorganism transfer. There is need to ensure that there is no reusability of equipment allowed between different patients. Every item used should be handled appropriately for every patient. Ensuring clean and disinfected surfaces which might have contamination and other frequently touched surfaces is key in ensuring there is cleaning and removal of any germs on the surfaces, (Ranjan et al, 2017 pp 109). Transmitted based precautions Patient placement In ensuring there is effective patient placement, assigning of rooms for patients is appropriate. With the highest priority on patients who have been diagnosed with MRSA infection. Ensuring high prioritization to the patient with the condition facilitates controlled and uncontained secretions excretions. Gowning This entails gowning before entering a room. There is need for removing a gown and overseeing high standards if hygiene before leaving the ward area of the patient. After removing the gown, there is need to ensure that skin and clothing dont make contact which potentiality affects the environmental surfaces which lead to the transfer of microorganism and possible contamination on the patient and other environmental surfaces, (Peterson et al, 2016 pp 99). Patient transport In acute care settings limiting patient, transport is key, there is need to offer limited movement of the patient. However, when the transport is necessary, there is need to ensure that colonized areas of the body have been covered. Removal of contaminated patients materials and performance of hand hygiene prior to patient transportation is key in minimizing further infections. Patient care equipment In acute care setting for patients with MRSA, disposal is critical in enhancing patient care an appropriate use of special equipment for the patient. When there is an application of multiples equipment there is need to ensure that they are clearly disinfected before being used by another patient, (Kular et al, 2016). Environmental measures There is need to ensure that the patient room is cleansed on contact precautions for disinfecting and cleaning. Cleaning needs to be focused areas such as bedside commodes, patient bathrooms and other immediate equipment for the patient needs to be thoroughly cleaned. The role of community care nurse in patient care The need for patient care outside the traditional hospital care has been key in providing essential care for patients. Community nurses often work in a variety of environments where patients reside. The key role of community nurse for the patient is to ensure that basic care is provided for the patient and care practices by the patient dont cause further harm to the wound progress. Further Community nurse will be essential in administering the antibiotic with the patient. Wound dressing and cleaning forms the critical part of care process for the patient; this will be facilitated by the nurse, (Anderson et al, 2016 pp 234). Appropriate necessary skills for the patient are geared towards providing an advisory role for the patient and even the family care. They provide emergency care for the patients. Thus having effective nursing skills is essential for the patient and ensures there is continuous provincial of care for the patient. Role of the occupational therapist in nursing care Occupational therapists are essential in ensuring that the patient fulfills and gets satisfied with the state of life. This will be enhanced through a purposeful way of living which promoted and improve care process for the patient. With the view of patient age status, the occupational therapist will be fundamental in helping them to improve the ability of the patient. They are key in developing, recovering and maintaining the daily ability of the patient, (Rubin et al, 2018 pp 864). Further due to the age status and frailing nature of the patient will be to ensure daily activity of the patient is improved. Occupation therapy for the elderly is very beneficial as it helps the elderly in having more productive, independent and active life through various methods. The patient, occupational therapy care will be key to enhancing the mobility status of the patient and offering an adaptive environment for the patient. Conclusion Achieving effective assessment on the patient is key in enhancing proper care for the patient. With the age status, the patient can exhibit immunocompromised status which MRSA can devastating effects on quality of life. Ensuring proper plan of care and proper care protocols ensure that the patient is managed carefully. Thus the roles of community nurse and an occupational therapy nurse are key to ensuring proper delivering care. References ACSQHC 2016. Healthcare-associated infection. Sydney: ACSQHC. Accessed on 24 April 2018, https://www.safetyandquality.gov.au/our-work/healthcare-associated-infection/. AIHW (Australian Institute of Health and Welfare) 2011. Australian hospital statistics 201011: Staphylococcus aureus bacteremia in Australian public hospitals. Health services series no. 42. Cat. no. HSE 116. Canberra: AIHW. AIHW 2013a. Australian hospital statistics 201112: Staphylococcus aureus bacteremia in Australian public hospitals., Health services series no. 47. Cat. no. HSE 129. Canberra: AIHW. AIHW 2013b. Australian hospital statistics 201213: Staphylococcus aureus bacteremia in Australian public hospitals. Health services series no. 53. Cat. no. HSE 144. Canberra: AIHW. AIHW 2014. Staphylococcus aureus bacteremia in Australian public hospitals 201314: Australian hospital statistics. Health services series no. 59. Cat. no. HSE 155. Canberra: AIHW. AIHW 2015a. Australian hospital peer groups. Health services series no. 66. Cat. no. HSE 170. Canberra: AIHW. AIHW 2015b. Staphylococcus aureus bacteremia in Australian public hospitals 201415: Australian hospital statistics. Health services series no. 67. Cat. no. HSE 171. Canberra: AIHW. Andersson, H., Andreassen Gleissman, S., Lindholm, C. and Fossum, B., 2016. Experiences of nursing staff caring for patients with methicillin?resistant Staphylococcus aureus. International nursing review, 63(2), pp.233-241. Catry, B., Latour, K., Jans, B., Vandendriessche, S., Pearl, R., Mertens, K. and Denis, O., 2014. Risk factors for methicillin-resistant Staphylococcus aureus: a multi-laboratory study. PLoS One, 9(2), p.e89579. Gidengil, C.A., Gay, C., Huang, S.S., Platt, R., Yokoe, D. and Lee, G.M., 2015. Cost-effectiveness of strategies to prevent methicillin-resistant Staphylococcus aureus transmission and infection in an intensive care unit. infection control hospital epidemiology, 36(1), pp.17-27. Harrison EM, Weinert LA, Holden MTG, Welch JJ, Wilson K, Morgan FJE, et al. (2014) A shared population of epidemic methicillin-resistant Staphylococcus aureus 15 circulates in humans and companion animals. mBio 5. e0098513 HHA (Hand Hygiene Australia) 2016. National Data 2016. Melbourne: HHA. Accessed on 24 April 2018, https://www.hha.org.au/LatestNationalData.aspx. Inouye, M., Dashnow, H., Raven, L.A., Schultz, M.B., Pope, B.J., Tomita, T., Zobel, J. and Holt, K.E., 2014. SRST2: Rapid genomic surveillance for public health and hospital microbiology labs. Genome medicine, 6(11), p.90. Kelly, J.W., Blackhurst, D., McAtee, W. and Steed, C., 2016. Electronic hand hygiene monitoring as a tool for reducing healthcare-associated methicillin-resistant Staphylococcus aureus infection. American journal of infection control, 44(8), pp.956-957. Kullar, R., Vassallo, A., Turkel, S., Chopra, T., Kaye, K.S. and Dhar, S., 2016. Downing the controversies of contact precautions for methicillin-resistant Staphylococcus aureus: a review. American journal of infection control, 44(1), pp.97-103. Orellana, R.C., Hoet, A.E., Bell, C., Kelley, C., Lu, B., Anderson, S.E. and Stevenson, K.B., 2016. Methicillin-resistant Staphylococcus aureus in Ohio EMS Providers: A Statewide Cross-sectional Study. Prehospital Emergency Care, 20(2), pp.184-190. Peterson, L.R., Wright, M.O., Beaumont, J.L., Komutanon, V., Patel, P.A., Schora, D.M., Schmitt, B.H. and Robicsek, A., 2016. Nonimpact of decolonization as an adjunctive measure to contact precautions for the control of methicillin-resistant Staphylococcus aureus transmission in acute care. Antimicrobial agents and chemotherapy, 60(1), pp.99-104. Price, L.B., Stegger, M., Hasman, H., Aziz, M., Larsen, J., Andersen, P.S., Pearson, T., Waters, A.E., Foster, J.T., Schupp, J. and Gillece, J., 2012. Staphylococcus aureus CC398: host adaptation and emergence of methicillin resistance in livestock. MBio, 3(1), pp.e00305-11. Ranjan, K.P., Ranjan, N. and Gandhi, S., 2017. Surgical site infections with special reference to methicillin-resistant Staphylococcus aureus: experience from a tertiary care referral hospital in North India. International Journal of Research in Medical Sciences, 1(2), pp.108-111. Rubin, M.A., Samore, M.H. and Harris, A.D., 2018. The Importance of Contact Precautions for Endemic Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococci. JAMA, 319(9), pp.863-864. Verkade, E., van Benthem, B., den Bergh, M.K.V., van Cleef, B., van Rijen, M., Bosch, T. and Kluytmans, J., 2013. Dynamics and determinants of Staphylococcus aureus carriage in livestock veterinarians: a prospective cohort study. Clinical Infectious Diseases, 57(2), pp.e11-e17. Wooten, D. and Winston, L., 2012. Risk Factors For Methicillin-Resistant Staphylococcus Aureus (MRSA) Pneumonia In Patients With Community-Onset And Hospital-Onset Infections. In C107. PROGRESS IN BIOMARKERS AND DIAGNOSTICS FOR RESPIRATORY INFECTIONS (pp. A5249-A5249). American Thoracic Society.