Sample records for case study integrated

  1. Integration of Technology into the Classroom: Case Studies.

    ERIC Educational Resources Information Center

    Johnson, D. LaMont, Ed.; Maddux, Cleborne D., Ed.; Liu, Leping, Ed.

    This book contains the following case studies on the integration of technology in education: (1) "First Steps toward a Statistically Generated Information Technology Integration Model" (D. LaMont Johnson and Leping Liu); (2) "Case Studies: Are We Rejecting Rigor or Rediscovering Richness?" (Cleborne D. Maddux); (3)…

  2. CASE STUDY CRITIQUE; UPPER CLINCH CASE STUDY

    EPA Science Inventory

    Case study critique: Upper Clinch case study (from Research on Methods for Integrating Ecological Economics and Ecological Risk Assessment: A Trade-off Weighted Index Approach to Integrating Economics and Ecological Risk Assessment). This critique answers the questions: 1) does ...

  3. System integration case study : FAST-TRAC : preliminary IV deliverable : #2-systems integration case study

    DOT National Transportation Integrated Search

    1999-02-12

    This report focuses on the system integration aspect of the Transportation Information Management System (TIMS), a component of the FAST-TRAC project. The TIMS functions as the center of a communications network which integrates advanced traffic cont...

  4. Evaluation of the Effectiveness of the Integration of a LITEE Case Study for a Freshman Level Mechanical Engineering Course at The University of Toledo

    ERIC Educational Resources Information Center

    Franchetti, Matthew

    2011-01-01

    The purpose of this paper is to report the findings of the integration of a manufacturing case study to a freshman level mechanical engineering course at The University of Toledo. The approach to integrate this case study into the class was completed via weekly assignments analyzing the case, small group discussion, and weekly group discussion.…

  5. Integrating Educational Technologies into Teacher Education: A Case Study

    ERIC Educational Resources Information Center

    Rawlins, Peter; Kehrwald, Benjamin

    2014-01-01

    This article is a case study of an integrated, experiential approach to improving pre-service teachers' understanding and use of educational technologies in one New Zealand teacher education programme. The study examines the context, design and implementation of a learning activity which integrated student-centred approaches, experiential…

  6. Integrating enzyme fermentation in lignocellulosic ethanol production: life-cycle assessment and techno-economic analysis.

    PubMed

    Olofsson, Johanna; Barta, Zsolt; Börjesson, Pål; Wallberg, Ola

    2017-01-01

    Cellulase enzymes have been reported to contribute with a significant share of the total costs and greenhouse gas emissions of lignocellulosic ethanol production today. A potential future alternative to purchasing enzymes from an off-site manufacturer is to integrate enzyme and ethanol production, using microorganisms and part of the lignocellulosic material as feedstock for enzymes. This study modelled two such integrated process designs for ethanol from logging residues from spruce production, and compared it to an off-site case based on existing data regarding purchased enzymes. Greenhouse gas emissions and primary energy balances were studied in a life-cycle assessment, and cost performance in a techno-economic analysis. The base case scenario suggests that greenhouse gas emissions per MJ of ethanol could be significantly lower in the integrated cases than in the off-site case. However, the difference between the integrated and off-site cases is reduced with alternative assumptions regarding enzyme dosage and the environmental impact of the purchased enzymes. The comparison of primary energy balances did not show any significant difference between the cases. The minimum ethanol selling price, to reach break-even costs, was from 0.568 to 0.622 EUR L -1 for the integrated cases, as compared to 0.581 EUR L -1 for the off-site case. An integrated process design could reduce greenhouse gas emissions from lignocellulose-based ethanol production, and the cost of an integrated process could be comparable to purchasing enzymes produced off-site. This study focused on the environmental and economic assessment of an integrated process, and in order to strengthen the comparison to the off-site case, more detailed and updated data regarding industrial off-site enzyme production are especially important.

  7. A retrospective likelihood approach for efficient integration of multiple omics factors in case-control association studies.

    PubMed

    Balliu, Brunilda; Tsonaka, Roula; Boehringer, Stefan; Houwing-Duistermaat, Jeanine

    2015-03-01

    Integrative omics, the joint analysis of outcome and multiple types of omics data, such as genomics, epigenomics, and transcriptomics data, constitute a promising approach for powerful and biologically relevant association studies. These studies often employ a case-control design, and often include nonomics covariates, such as age and gender, that may modify the underlying omics risk factors. An open question is how to best integrate multiple omics and nonomics information to maximize statistical power in case-control studies that ascertain individuals based on the phenotype. Recent work on integrative omics have used prospective approaches, modeling case-control status conditional on omics, and nonomics risk factors. Compared to univariate approaches, jointly analyzing multiple risk factors with a prospective approach increases power in nonascertained cohorts. However, these prospective approaches often lose power in case-control studies. In this article, we propose a novel statistical method for integrating multiple omics and nonomics factors in case-control association studies. Our method is based on a retrospective likelihood function that models the joint distribution of omics and nonomics factors conditional on case-control status. The new method provides accurate control of Type I error rate and has increased efficiency over prospective approaches in both simulated and real data. © 2015 Wiley Periodicals, Inc.

  8. The Effectiveness of Lecture-Integrated, Web-Supported Case Studies in Large Group Teaching

    ERIC Educational Resources Information Center

    Azzawi, May; Dawson, Maureen M.

    2007-01-01

    The effectiveness of lecture-integrated and web-supported case studies in supporting a large and academically diverse group of undergraduate students was evaluated in the present study. Case studies and resource (web)-based learning were incorporated as two complementary interactive learning strategies into the traditional curriculum. A truncated…

  9. An Approach for Integrating Toxicogenomic Data in Risk Assessment: The Dibutyl Phthalate Case Study

    EPA Science Inventory

    An approach for evaluating and integrating genomic data in chemical risk assessment was developed based on the lessons learned from performing a case study for the chemical dibutyl phthalate. A case study prototype approach was first developed in accordance with EPA guidance and ...

  10. A case study : Georgia's intelligent transportation system : NAVIGATOR systems integrator contract -- use of a systems integrator to manage ITS implementation

    DOT National Transportation Integrated Search

    2000-03-01

    This case study is one of a series of case studies that examine procurement approaches used to deliver Intelligent Transportation System (ITS) projects. ITS projects are often complex and leverage the latest technology in telecommunications, computer...

  11. Authentic Diversity: A Case Study on College Students' Engagement with Diversity Competencies in an Integrative Studies Degree Program

    ERIC Educational Resources Information Center

    Saunders, Kimberly

    2009-01-01

    This qualitative study provided a lens into the context of a senior capstone experience in an Integrative Studies degree program. The primary aim of this case study was to explore the use of capstone portfolio pedagogy as a reflection tool to demonstrate how students engage with authentic diversity competencies in an Integrative Studies degree…

  12. Development of Integrative STEM Curriculum: A Multiple Case Study of Multi-Disciplinary Teams in Two Pennsylvania High Schools

    NASA Astrophysics Data System (ADS)

    Rider-Bertrand, Joey H.

    At the start of the 21st century, STEM education was a new priority in many schools as the focus shifted from separate disciplines to integrative STEM education. Unfortunately, there was limited research to offer guidance to practitioners (Brown, 2012; Honey, Pearson & Schweingruber, 2014). This qualitative, multiple case study explored the experiences of two multi-disciplinary teams of secondary teachers from Pennsylvania who developed and implemented integrative STEM curriculum. Four teachers from a rural high school and four teachers from a suburban high school participated in the study. A document review of integrative STEM curriculum and semi-structured interviews were conducted to learn about the curriculum development process and teachers' perceptions regarding conditions that support or hinder success. Individual and cross-case analyses were performed to establish findings and themes. Although the individual case themes varied slightly, the cross-case themes and assertions that emerged provided highly sought after guidance to practitioners and added to the limited body of research on integrative STEM education. This study found that current curriculum models do not fit integrative STEM curriculum, the development process is fluid, and substantial administrative support and resources are necessary to develop, implement, and sustain integrative STEM education programs. The results offered implications for all educators, as well as two examples of how teachers navigated the terrain of integrative STEM curriculum.

  13. Integration of air traffic databases : a case study

    DOT National Transportation Integrated Search

    1995-03-01

    This report describes a case study to show the benefits from maximum utilization of existing air traffic databases. The study demonstrates the utility of integrating available data through developing and demonstrating a methodology addressing the iss...

  14. [Implementation and (cost-)effectiveness of case management for people with dementia and their informal caregivers: results of the COMPAS study].

    PubMed

    van Mierlo, Lisa D; MacNeil-Vroomen, Janet; Meiland, Franka J M; Joling, Karlijn J; Bosmans, Judith E; Dröes, Rose Marie; Moll van Charante, Eric P; de Rooij, Sophia E J A; van Hout, Hein P J

    2016-12-01

    Different forms of case management for dementia have emerged over the past few years. In the COMPAS study (Collaborative dementia care for patients and caregivers study), two prominent Dutch case management forms were studied: the linkage and the integrated care form. Evaluation of the (cost)effectiveness of two dementia case management forms compared to usual care as well as factors that facilitated or impeded their implementation. A mixed methods design with a) a prospective, observational controlled cohort study with 2 years follow-up among 521 dyads of people with dementia and their primary informal caregiver with and without case management; b) interviews with 22 stakeholders on facilitating and impeding factors of the implementation and continuity of the two case management models. Outcome measures were severity and frequency of behavioural problems (NPI) for the person with dementia and mental health complaints (GHQ-12) for the informal caregiver, total met and unmet care needs (CANE) and quality adjusted life years (QALYs). Outcomes showed a better quality of life of informal caregivers in the integrated model compared to the linkage model. Caregivers in the control group reported more care needs than those in both case management groups. The independence of the case management provider in the integrated model facilitated the implementation, while the rivalry between multiple providers in the linkage model impeded the implementation. The costs of care were lower in the linkage model (minus 22 %) and integrated care model (minus 33 %) compared to the control group. The integrated care form was (very) cost-effective in comparison with the linkage form or no case management. The integrated care form is easy to implement.

  15. Faces of integration

    PubMed Central

    Williams, Paul; Sullivan, Helen

    2009-01-01

    Theme Two central themes permeate this paper—the interplay between structure and agency in integration processes and the extent to which this is mediated through sensemaking by individual actors. Case study The empirical base for the paper is provided by case study research from Wales which draws on examples of different types of integration in health and social care. The individual case studies highlight different interpretations of integration set against a background of the resources involved, processes employed and outcomes achieved. Discussion A wide ranging discussion exposes the complex interplay and dynamics between structural factors and the manner in which they enable or constrain integration, and individual actors realising their potential agency through leadership, professionalism and boundary spanning to influence outcomes. The importance of structure and agency complementing each other to determine effective integration is emphasised, together with the scope that is available for interpretation and meaning by individual actors within the contested discourse of integration. PMID:20087420

  16. Integrating Curriculum: A Case Study of Teaching Global Education

    ERIC Educational Resources Information Center

    Ferguson-Patrick, Kate; Reynolds, Ruth; Macqueen, Suzanne

    2018-01-01

    Despite widespread support for integrated approaches to teaching, classroom practice reveals a lack of implementation. This paper explores challenges and opportunities in teaching an integrated curriculum, and connects this with the contemporary notion of a twenty-first century curriculum and pedagogy. A case study of Global Education (GE) is used…

  17. Ballet as Somatic Practice: A Case Study Exploring the Integration of Somatic Practices in Ballet Pedagogy

    ERIC Educational Resources Information Center

    Berg, Tanya

    2017-01-01

    This case study explores one teacher's integration of Alexander Technique and the work of neuromuscular retrainer Irene Dowd in ballet pedagogy to establish a somatic approach to teaching, learning, and performing ballet technique. This case study highlights the teacher's unique teaching method called IMAGE TECH for dancers (ITD) and offers…

  18. The challenges to gender integration in the career fire services: a comparative case study of men in nursing

    DTIC Science & Technology

    2017-03-01

    GENDER INTEGRATION IN THE CAREER FIRE SERVICES: A COMPARATIVE CASE STUDY OF MEN IN NURSING by Anna L. Schermerhorn-Collins March 2017...IN THE CAREER FIRE SERVICES: A COMPARATIVE CASE STUDY OF MEN IN NURSING 5. FUNDING NUMBERS 6. AUTHOR(S) Anna L. Schermerhorn-Collins 7... comparative case study of men in nursing. Research is based in academic and historical accounts, in addition to the use of participant-observation

  19. "It's All Connected!" Nursing Students' Experiences of a New Form of Case Seminar Integrating Medical and Nursing Science

    ERIC Educational Resources Information Center

    Turunen Olsson, Pernilla; Weurlander, Maria; Mattiasson, Anne-Cathrine; Wärn Hede, Gunnel; Panagiotidis, Georgios; Broberger, Eva; Hult, Håkan; Wernerson, Annika

    2016-01-01

    Traditionally, nursing students learn medical subjects and nursing separately, which makes it difficult to develop an integrated understanding. This study aimed to explore nursing students' experiences of participating in a case seminar integrating medical and nursing sciences and if, and how, it contributed to their learning. A case seminar…

  20. Qualitative case study methodology in nursing research: an integrative review.

    PubMed

    Anthony, Susan; Jack, Susan

    2009-06-01

    This paper is a report of an integrative review conducted to critically analyse the contemporary use of qualitative case study methodology in nursing research. Increasing complexity in health care and increasing use of case study in nursing research support the need for current examination of this methodology. In 2007, a search for case study research (published 2005-2007) indexed in the CINAHL, MEDLINE, EMBASE, PsychINFO, Sociological Abstracts and SCOPUS databases was conducted. A sample of 42 case study research papers met the inclusion criteria. Whittemore and Knafl's integrative review method guided the analysis. Confusion exists about the name, nature and use of case study. This methodology, including terminology and concepts, is often invisible in qualitative study titles and abstracts. Case study is an exclusive methodology and an adjunct to exploring particular aspects of phenomena under investigation in larger or mixed-methods studies. A high quality of case study exists in nursing research. Judicious selection and diligent application of literature review methods promote the development of nursing science. Case study is becoming entrenched in the nursing research lexicon as a well-accepted methodology for studying phenomena in health and social care, and its growing use warrants continued appraisal to promote nursing knowledge development. Attention to all case study elements, process and publication is important in promoting authenticity, methodological quality and visibility.

  1. Integrated environmental planning in the Philippines: A case study of the Palawan Integrated Environmental Program

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ganapin, D.J. Jr.

    1987-01-01

    Integrated environmental planning was analyzed using the case of the Palawan Integrated Environmental Program in the Philippines. The study explores the relationship between development and environmental planning and evaluates the importance of organizational coordination and timing in the integration of these two concerns. Factors affecting the accomplishment of the objectives of integrated environmental planning were also studied. Two planning phases of the Palawan Integrated Environmental Program were observed using the case study approach. Observations of various planning participants-consultants, middle level agency personnel, heads of local agencies-were also considered. The integration of environmental considerations in development planning was found to bemore » beneficial to both environmental and development concerns. The experience showed that such integration requiring tight organizational coordination and the proper timing of activities and outputs. The success of the Palawan Integrated Environmental Program was also found to depend on effective communication, the political functionality of the government, the leadership of its executives, the presence of appropriate structures of authority, sufficiency of funds and manpower and the availability of appropriate environmental planning techniques. Recommendations are provided to further strengthen the integration of environmental considerations in development planning and increase the effectiveness of integrated environmental programs.« less

  2. Integrated Project Management: A Case Study in Integrating Cost, Schedule, Technical, and Risk Areas

    NASA Technical Reports Server (NTRS)

    Smith, Greg

    2004-01-01

    This viewgraph presentation describes a case study as a model for integrated project management. The ISS Program Office (ISSPO) developed replacement fluid filtration cartridges in house for the International Space Station (ISS). The presentation includes a step-by-step procedure and organizational charts for how the fluid filtration problem was approached.

  3. Merging Regular and Special Education Teacher Preparation Programs: The Integrated Special Education-English Project (ISEP).

    ERIC Educational Resources Information Center

    Miller, Darcy E.

    1991-01-01

    Describes the Integrated Special Education-English Project (ISEP) which facilitated the gradual integration of special education and English teacher preparation programs. A description of the ISEP model and a case study are included. The case study indicated student teachers who participated in the ISEP improved special education and English…

  4. Off the Wall: A Case Study of Changing Teacher Perceptions of Arts-Integrated Pedagogy and Student Population

    ERIC Educational Resources Information Center

    Windsor-Liscombe, Suzanne Gloria

    2016-01-01

    This paper, derived from a larger case study, presents new perspectives on arts-integrated elementary schools. It focusses on several issues including teacher understandings of arts-integrated pedagogy, willingness to collaborate, arts credentials, and teacher perceptions of those students enrolling from outside catchment area. Hence it raises the…

  5. Integrating Financial Aid and Financial Policies: Case Studies from Five States. Changing Direction: Integrating Higher Education Financial Aid and Financing Policies.

    ERIC Educational Resources Information Center

    Western Interstate Commission for Higher Education, Boulder, CO.

    This report is a collection of five state case studies comprising a major component of the first phase of the project, "Changing Direction: Integrating Higher Education Financial Aid and Financing Policies." The project explored state-level strategies to better align financing and financial aid policies and support more informed decision…

  6. Impact of integrated programs on general surgery operative volume.

    PubMed

    Jensen, Amanda R; Nickel, Brianne L; Dolejs, Scott C; Canal, David F; Torbeck, Laura; Choi, Jennifer N

    2017-03-01

    Integrated residencies are now commonplace, co-existing with categorical general surgery residencies. The purpose of this study was to define the impact of integrated programs on categorical general surgery operative volume. Case logs from categorical general, integrated plastics, vascular, and thoracic surgery residents from a single institution from 2008 to 2016 were collected and analyzed. Integrated residents have increased the number of cases they perform that would have previously been general surgery resident cases from 11 in 2009-2010 to 1392 in 2015-2016. Despite this, there was no detrimental effect on total major cases of graduating chief residents. Multiple integrated programs can co-exist with a general surgery program through careful collaboration and thoughtful consideration to longitudinal needs of individual trainees. As additional programs continue to be created, both integrated and categorical program directors must continue to collaborate to insure the integrity of training for all residents. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. EPA Hydraulic Fracturing Study Technical Workshop #2 March 10-11, 2011: Well Integrity Case Study by Lloyd H. Hetrick

    EPA Pesticide Factsheets

    This case study defines well integrity by the prevention of vertical migration of fluids to protect drinking water resources. A generic shale development well is presented, including design, construction, operational phase, and its plug and abandonment.

  8. Can the Integration of Field and Classroom-Based Learning Enhance Writing? The Life on Our Shore Case Study

    ERIC Educational Resources Information Center

    Scott, Graham; Churchill, Helen; Grassam, Matthew; Scott, Lisa

    2012-01-01

    There is a need to evaluate the benefits to children of integrated classroom and field-based learning. In this article, we describe a case study that involves children in the production of a field guide: an authentic task which integrates learner autonomy and open enquiry with field work, information and communication technologies (ICT) and…

  9. Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies.

    PubMed

    Steele Gray, Carolyn; Barnsley, Jan; Gagnon, Dominique; Belzile, Louise; Kenealy, Tim; Shaw, James; Sheridan, Nicolette; Wankah Nji, Paul; Wodchis, Walter P

    2018-06-26

    Information communication technology (ICT) is a critical enabler of integrated models of community-based primary health care; however, little is known about how existing technologies have been used to support new models of integrated care. To address this gap, we draw on data from an international study of integrated models, exploring how ICT is used to support activities of integrated care and the organizational and environmental barriers and enablers to its adoption. We take an embedded comparative multiple-case study approach using data from a study of implementation of nine models of integrated community-based primary health care, the Implementing Integrated Care for Older Adults with Complex Health Needs (iCOACH) study. Six cases from Canada, three each in Ontario and Quebec, and three in New Zealand, were studied. As part of the case studies, interviews were conducted with managers and front-line health care providers from February 2015 to March 2017. A qualitative descriptive approach was used to code data from 137 interviews and generate word tables to guide analysis. Despite different models and contexts, we found strikingly similar accounts of the types of activities supported through ICT systems in each of the cases. ICT systems were used most frequently to support activities like care coordination by inter-professional teams through information sharing. However, providers were limited in their ability to efficiently share patient data due to data access issues across organizational and professional boundaries and due to system functionality limitations, such as a lack of interoperability. Even in innovative models of care, managers and providers in our cases mainly use technology to enable traditional ways of working. Technology limitations prevent more innovative uses of technology that could support disruption necessary to improve care delivery. We argue the barriers to more innovative use of technology are linked to three factors: (1) information access barriers, (2) limited functionality of available technology, and (3) organizational and provider inertia.

  10. On the integrability of the motion of 3D-Swinging Atwood machine and related problems

    NASA Astrophysics Data System (ADS)

    Elmandouh, A. A.

    2016-03-01

    In the present article, we study the problem of the motion of 3D- Swinging Atwood machine. A new integrable case for this problem is announced. We point out a new integrable case describing the motion of a heavy particle on a titled cone.

  11. Integrated Care in College Health: A Case Study

    ERIC Educational Resources Information Center

    Tucker, Cary; Sloan, Sarah K.; Vance, Mary; Brownson, Chris

    2008-01-01

    This case study describes 1 international student's treatment experience with an integrated health program on a college campus. This program uses a multidisciplinary, mind-body approach, which incorporates individual counseling, primary care, psychiatric consultation, a mindfulness-based cognitive therapy class, and a meditation group.

  12. A Case Study of a Mixed Methods Study Engaged in Integrated Data Analysis

    ERIC Educational Resources Information Center

    Schiazza, Daniela Marie

    2013-01-01

    The nascent field of mixed methods research has yet to develop a cohesive framework of guidelines and procedures for mixed methods data analysis (Greene, 2008). To support the field's development of analytical frameworks, this case study reflects on the development and implementation of a mixed methods study engaged in integrated data analysis.…

  13. Metropolitan transportation management center : a case study : Boston Central Artery/Tunnel Integrated Project control system : responding to incidents rapidly and effectively

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of the Boston Central Artery/Tunnel Integration Project Control System (IPCS) operations control center. It follows the outline provided in the companion document, Metropolitan Transportation Management Ce...

  14. Facilitating the transition from physiology to hospital wards through an interdisciplinary case study of septic shock.

    PubMed

    Li, Albert S; Berger, Kenneth I; Schwartz, David R; Slater, William R; Goldfarb, David S

    2014-04-12

    In order to develop clinical reasoning, medical students must be able to integrate knowledge across traditional subject boundaries and multiple disciplines. At least two dimensions of integration have been identified: horizontal integration, bringing together different disciplines in considering a topic; and vertical integration, bridging basic science and clinical practice. Much attention has been focused on curriculum overhauls, but our approach is to facilitate horizontal and vertical integration on a smaller scale through an interdisciplinary case study discussion and then to assess its utility. An interdisciplinary case study discussion about a critically ill patient was implemented at the end of an organ system-based, basic sciences module at New York University School of Medicine. Three clinical specialists-a cardiologist, a pulmonologist, and a nephrologist-jointly led a discussion about a complex patient in the intensive care unit with multiple medical problems secondary to septic shock. The discussion emphasized the physiologic underpinnings behind the patient's presentation and the physiologic considerations across the various systems in determining proper treatment. The discussion also highlighted the interdependence between the cardiovascular, respiratory, and renal systems, which were initially presented in separate units. After the session students were given a brief, anonymous three-question free-response questionnaire in which they were asked to evaluate and freely comment on the exercise. Students not only took away physiological principles but also gained an appreciation for various thematic lessons for bringing basic science to the bedside, especially horizontal and vertical integration. The response of the participants was overwhelmingly positive with many indicating that the exercise integrated the material across organ systems, and strengthened their appreciation of the role of physiology in understanding disease presentations and guiding appropriate therapy. Horizontal and vertical integration can be presented effectively through a single-session case study, with complex patient cases involving multiple organ systems providing students opportunities to integrate their knowledge across organ systems while emphasizing the importance of physiology in clinical reasoning. Furthermore, having several clinicians from different specialties discuss the case together can reinforce the matter of integration across multiple organ systems and disciplines in students' minds.

  15. Facilitating the transition from physiology to hospital wards through an interdisciplinary case study of septic shock

    PubMed Central

    2014-01-01

    Background In order to develop clinical reasoning, medical students must be able to integrate knowledge across traditional subject boundaries and multiple disciplines. At least two dimensions of integration have been identified: horizontal integration, bringing together different disciplines in considering a topic; and vertical integration, bridging basic science and clinical practice. Much attention has been focused on curriculum overhauls, but our approach is to facilitate horizontal and vertical integration on a smaller scale through an interdisciplinary case study discussion and then to assess its utility. Methods An interdisciplinary case study discussion about a critically ill patient was implemented at the end of an organ system-based, basic sciences module at New York University School of Medicine. Three clinical specialists—a cardiologist, a pulmonologist, and a nephrologist—jointly led a discussion about a complex patient in the intensive care unit with multiple medical problems secondary to septic shock. The discussion emphasized the physiologic underpinnings behind the patient’s presentation and the physiologic considerations across the various systems in determining proper treatment. The discussion also highlighted the interdependence between the cardiovascular, respiratory, and renal systems, which were initially presented in separate units. After the session students were given a brief, anonymous three-question free-response questionnaire in which they were asked to evaluate and freely comment on the exercise. Results Students not only took away physiological principles but also gained an appreciation for various thematic lessons for bringing basic science to the bedside, especially horizontal and vertical integration. The response of the participants was overwhelmingly positive with many indicating that the exercise integrated the material across organ systems, and strengthened their appreciation of the role of physiology in understanding disease presentations and guiding appropriate therapy. Conclusions Horizontal and vertical integration can be presented effectively through a single-session case study, with complex patient cases involving multiple organ systems providing students opportunities to integrate their knowledge across organ systems while emphasizing the importance of physiology in clinical reasoning. Furthermore, having several clinicians from different specialties discuss the case together can reinforce the matter of integration across multiple organ systems and disciplines in students’ minds. PMID:24725336

  16. Project INTEGRATE - a common methodological approach to understand integrated health care in Europe.

    PubMed

    Cash-Gibson, Lucinda; Rosenmoller, Magdalene

    2014-10-01

    The use of case studies in health services research has proven to be an excellent methodology for gaining in-depth understanding of the organisation and delivery of health care. This is particularly relevant when looking at the complexity of integrated healthcare programmes, where multifaceted interactions occur at the different levels of care and often without a clear link between the interventions (new and/or existing) and their impact on outcomes (in terms of patients health, both patient and professional satisfaction and cost-effectiveness). Still, integrated care is seen as a core strategy in the sustainability of health and care provision in most societies in Europe and beyond. More specifically, at present, there is neither clear evidence on transferable factors of integrated care success nor a method for determining how to establish these specific success factors. The drawback of case methodology in this case, however, is that the in-depth results or lessons generated are usually highly context-specific and thus brings the challenge of transferability of findings to other settings, as different health care systems and different indications are often not comparable. Project INTEGRATE, a European Commission-funded project, has been designed to overcome these problems; it looks into four chronic conditions in different European settings, under a common methodology framework (taking a mixed-methods approach) to try to overcome the issue of context specificity and limited transferability. The common methodological framework described in this paper seeks to bring together the different case study findings in a way that key lessons may be derived and transferred between countries, contexts and patient-groups, where integrated care is delivered in order to provide insight into generalisability and build on existing evidence in this field. To compare the different integrated care experiences, a mixed-methods approach has been adopted with the creation of a common methodological framework (including data collection tools and case study template report) to be used by the case studies for their analyses. The four case studies attempt to compare health care services before and after the 'integration' of care, while triangulating the findings using quantitative and qualitative data, and provide an in-depth description of the organisation and delivery of care, and the impact on outcomes. The common framework aims to allow for the extraction of key transferable learning from the cases, taking into account context-dependency. The application and evaluation of the common methodological approach aim to distill and identify important elements for successful integrated care, in order to strengthen the evidence base for integrated care (by facilitating cross-context comparisons), increase the transferability of findings from highly context-specific to other settings and lead to concrete and practical policy and operational recommendations.

  17. Transportation and socioeconomic impacts of bypasses on communities : an integrated synthesis of panel data, multilevel, and spatial econometric models with case studies.

    DOT National Transportation Integrated Search

    2011-09-21

    Title: Transportation and Socioeconomic Impacts of Bypasses on Communities: An Integrated Synthesis of Panel Data, Multilevel, and Spatial Econometric Models with Case Studies. The title used at the start of this project was Transportation and Soc...

  18. Hydroxyapatite ocular implant and non-integrated implants in eviscerated patients

    PubMed Central

    Gradinaru, S; Popescu, V; Leasu, C; Pricopie, S; Yasin, S; Ciuluvica, R; Ungureanu, E

    2015-01-01

    Introduction: This study compares the outcomes and complications of hydroxyapatite ocular implant and non-integrated ocular implants following evisceration. Materials and Methods: This is a retrospective study of 90 patients who underwent evisceration for different ocular affections, in the Ophthalmology Department of the University Emergency Hospital Bucharest, between January 2009 and December 2013. The outcomes measured were conjunctival dehiscence, socket infection, implant exposure and extrusion rate. Results: Forty-three patients had the hydroxyapatite implant (coralline–Integrated Ocular Implants, USA or synthetic–FCI, France) and forty-seven received non-integrated ocular implants (24 acrylic and 23 silicone). Five cases of socket infection, thirteen cases of extrusion and two cases of conjunctival dehiscence were encountered. Conclusions: There was a higher rate of conjunctival dehiscence with hydroxyapatite ocular implant, but implant extrusion and socket infection were found in non-integrated ocular implants. PMID:25914747

  19. How to Integrate Student Internships into Legal Studies Research and Curriculum: A Case Study

    ERIC Educational Resources Information Center

    Jasperson, Jill O.

    2017-01-01

    The aim of this article is to answer the "how" and "why" of a Legal Studies internship experience at a public university. Internship is an integral part of student learning. Although the Faculty/Organizers conducted a free legal clinic for five years previous, this case study discusses a first time internship attempt by faculty…

  20. Integrating ICT in Kenyan Secondary Schools: An Exploratory Case Study of a Professional Development Programme

    ERIC Educational Resources Information Center

    Tondeur, Jo; Krug, Don; Bill, Mike; Smulders, Maaike; Zhu, Chang

    2015-01-01

    This study explores the introduction of Information and Communication Technology (ICT) in Kenyan secondary schools. Specifically, it is a case study of four schools with no previous access to ICT. The professional development programme from which data for this study were drawn was designed to support teachers learning to integrate ICT in the…

  1. An approach for integrating toxicogenomic data in risk assessment: The dibutyl phthalate case study

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Euling, Susan Y., E-mail: euling.susan@epa.gov; Thompson, Chad M.; Chiu, Weihsueh A.

    An approach for evaluating and integrating genomic data in chemical risk assessment was developed based on the lessons learned from performing a case study for the chemical dibutyl phthalate. A case study prototype approach was first developed in accordance with EPA guidance and recommendations of the scientific community. Dibutyl phthalate (DBP) was selected for the case study exercise. The scoping phase of the dibutyl phthalate case study was conducted by considering the available DBP genomic data, taken together with the entire data set, for whether they could inform various risk assessment aspects, such as toxicodynamics, toxicokinetics, and dose–response. A descriptionmore » of weighing the available dibutyl phthalate data set for utility in risk assessment provides an example for considering genomic data for future chemical assessments. As a result of conducting the scoping process, two questions—Do the DBP toxicogenomic data inform 1) the mechanisms or modes of action?, and 2) the interspecies differences in toxicodynamics?—were selected to focus the case study exercise. Principles of the general approach include considering the genomics data in conjunction with all other data to determine their ability to inform the various qualitative and/or quantitative aspects of risk assessment, and evaluating the relationship between the available genomic and toxicity outcome data with respect to study comparability and phenotypic anchoring. Based on experience from the DBP case study, recommendations and a general approach for integrating genomic data in chemical assessment were developed to advance the broader effort to utilize 21st century data in risk assessment. - Highlights: • Performed DBP case study for integrating genomic data in risk assessment • Present approach for considering genomic data in chemical risk assessment • Present recommendations for use of genomic data in chemical risk assessment.« less

  2. Multidisciplinary teams of case managers in the implementation of an innovative integrated services delivery for the elderly in France.

    PubMed

    de Stampa, Matthieu; Vedel, Isabelle; Trouvé, Hélène; Ankri, Joël; Saint Jean, Olivier; Somme, Dominique

    2014-04-07

    The case management process is now well defined, and teams of case managers have been implemented in integrated services delivery. However, little is known about the role played by the team of case managers and the value in having multidisciplinary case management teams. The objectives were to develop a fuller understanding of the role played by the case manager team and identify the value of inter-professional collaboration in multidisciplinary teams during the implementation of an innovative integrated service in France. We conducted a qualitative study with focus groups comprising 14 multidisciplinary teams for a total of 59 case managers, six months after their recruitment to the MAIA program (Maison Autonomie Integration Alzheimer). Most of the case managers saw themselves as being part of a team of case managers (91.5%). Case management teams help case managers develop a comprehensive understanding of the integration concept, meet the complex needs of elderly people and change their professional practices. Multidisciplinary case management teams add value by helping case managers move from theory to practice, by encouraging them develop a comprehensive clinical vision, and by initiating the interdisciplinary approach. The multidisciplinary team of case managers is central to the implementation of case management and helps case managers develop their new role and a core inter-professional competency.

  3. Affirmative School Integration: Efforts to Overcome De Facto Segregation in Urban Schools.

    ERIC Educational Resources Information Center

    Hill, Roscoe, Ed.; Feeley, Malcolm, Ed.

    This book contains abbreviated accounts of eight community case studies and various reviews of a cluster of recent studies relating to race and education. The foreword discusses three phases of school integration, and the introductory chapter relates law, violence, and civil rights. The eight case studies on Evanston, Berkeley, New Haven,…

  4. Option pricing, stochastic volatility, singular dynamics and constrained path integrals

    NASA Astrophysics Data System (ADS)

    Contreras, Mauricio; Hojman, Sergio A.

    2014-01-01

    Stochastic volatility models have been widely studied and used in the financial world. The Heston model (Heston, 1993) [7] is one of the best known models to deal with this issue. These stochastic volatility models are characterized by the fact that they explicitly depend on a correlation parameter ρ which relates the two Brownian motions that drive the stochastic dynamics associated to the volatility and the underlying asset. Solutions to the Heston model in the context of option pricing, using a path integral approach, are found in Lemmens et al. (2008) [21] while in Baaquie (2007,1997) [12,13] propagators for different stochastic volatility models are constructed. In all previous cases, the propagator is not defined for extreme cases ρ=±1. It is therefore necessary to obtain a solution for these extreme cases and also to understand the origin of the divergence of the propagator. In this paper we study in detail a general class of stochastic volatility models for extreme values ρ=±1 and show that in these two cases, the associated classical dynamics corresponds to a system with second class constraints, which must be dealt with using Dirac’s method for constrained systems (Dirac, 1958,1967) [22,23] in order to properly obtain the propagator in the form of a Euclidean Hamiltonian path integral (Henneaux and Teitelboim, 1992) [25]. After integrating over momenta, one gets an Euclidean Lagrangian path integral without constraints, which in the case of the Heston model corresponds to a path integral of a repulsive radial harmonic oscillator. In all the cases studied, the price of the underlying asset is completely determined by one of the second class constraints in terms of volatility and plays no active role in the path integral.

  5. Enhancing the hermeneutic single-case efficacy design: Bridging the research-practice gap.

    PubMed

    Wall, Jessie M; Kwee, Janelle L; Hu, Monica; McDonald, Marvin J

    2017-09-01

    Systematic case study designs are emerging as alternative paradigm strategies for psychotherapy and social science research. Through enhanced sensitivity to context, these designs examine idiographic profiles of causal processes. We specifically advocate the use of the hermeneutic single-case efficacy design (HSCED). HSCED has recently been used to investigate the efficacy of an existing therapy with a new population (Observed and Experiential Integration for athlete performance barriers) and an emerging therapy (Lifespan Integration Therapy). We describe innovations in HSCED that were implemented for these studies. These developments include (a) integrating psychotherapists as case developers, (b) incorporating multiple cases in one investigation, and (c) tailoring the repertoire of assessment tools. These extensions strategically incorporated principles of contextual paradigms in HSCED, thus complementing single-case designs that neglect idiographic contexts. We discuss recommendations for using HSCED in practice-based research, highlighting its potential as a bridge to address the research-practice gap.

  6. Case study and lessons learned for the Great Lakes ITS Program, Airport ITS Integration and the Road Infrastructure Management System projects, final report, Wayne County, Michigan

    DOT National Transportation Integrated Search

    2007-03-02

    This report presents the case study and lessons learned for the national evaluation of the Great Lakes Intelligent Transportation Systems (GLITS) Airport ITS Integration and Road Infrastructure Management System (RIMS) projects. The Airport ITS Integ...

  7. Integration Experiences Casebook: Program Ideas in Aging and Developmental Disabilities.

    ERIC Educational Resources Information Center

    Janicki, Matthew P.; Keefe, Robert M.

    An assortment of 38 case studies illustrates efforts to integrate elderly individuals with developmental disabilities into generic aging services and into community life. The case studies include models and practice experiences that aided seniors to retire, participate in programs and services, and become part of their community's aging network.…

  8. Academic Integrity--A Review and Case Study.

    ERIC Educational Resources Information Center

    Dowd, Steven B.

    Focusing on the role of the community college in promoting academic integrity, this paper provides a review of the literature and a case study describing the development of a relevant college-wide policy. First, a general overview of the role of colleges in promoting values is presented. Next, the literature review on cheating and plagiarism in…

  9. Pushing the Employment Agenda: Case Study Research of High Performing States in Integrated Employment

    ERIC Educational Resources Information Center

    Hall, Allison Cohen; Butterworth, John; Winsor, Jean; Gilmore, Dana; Metzel, Deborah

    2007-01-01

    Organizational variables, including policies, practices, collaborations, and funding mechanisms resulting in high performance in integrated employment, were described through case study research in 3 states. Findings address how contextual factors, system-level strategies, and goals of the system are related as well as how they sustain systems…

  10. The Nature of Integration among PCK Components: A Case Study of Two Experienced Chemistry Teachers

    ERIC Educational Resources Information Center

    Aydin, Sevgi; Boz, Yezdan

    2013-01-01

    In this qualitative case study, we examined the nature of integration among pedagogical content knowledge (PCK) components. To attain the goal, two experienced chemistry teachers' teaching redox reactions and electrochemical cells was observed. The data were collected through card-sorting activity, content representation (CoRe) tool, observation,…

  11. Instituting Cultural Change at a Major Organization: A Case Study

    ERIC Educational Resources Information Center

    Dulek, Ronald E.

    2015-01-01

    This article examines the development and implementation of a strategic cultural change program from a case study perspective. Initially, the article describes how the program was developed, including an explanation as to how a communication component was integrated into the program from inception. This integration helped reduce the anxiety that…

  12. Discovering the Future of the Case Study Method in Evaluation Research.

    ERIC Educational Resources Information Center

    Yin, Robert K.

    1994-01-01

    It is assumed that evaluators of the future will still be interested in case study methodology. Scenarios that ignore a case study method, that look back to a distinctive case study method, and that see the case study method as an integrating force in the qualitative-quantitative debate are explored. (SLD)

  13. Experiences of Leaders in One Texas School District Integrating Social Media as a Communication Medium: Bounded Phenomenological Case Study

    ERIC Educational Resources Information Center

    Lewis, Bradley D.

    2017-01-01

    The purpose of this bounded phenomenological case study was to investigate the experiences of leaders in one Texas school district integrating social media into communication practices. The participants in this study were twelve campus leaders, four district level leaders, and the superintendent of schools. The focus groups consisted of three…

  14. Integrating Vocational and General Education: A Rudolf Steiner School. Case Study of the Hibernia School, Herne, Federal Republic of Germany. UIE Case Studies 1.

    ERIC Educational Resources Information Center

    Rist, Georg; Schneider, Peter

    This study describes and analyzes the Hibernia School where the aim of curriculum articulation in its essential vertical and horizontal dimensions has been successfully converted into actual practice. (Curriculum articulation means the equal representation and integration of three major components--artistic, practical, and academic learning.)…

  15. University Faculty Members' Perceptions of the Factors That Facilitate Technology Integration into Their Instruction: An Exploratory Case Study in Qatar

    ERIC Educational Resources Information Center

    Karkouti, Ibrahim Mohamad

    2016-01-01

    This qualitative, exploratory case study was designed to elicit faculty members' perceptions of the factors that facilitate technology integration into their instruction. The study was conducted at a midsized higher education institution in Qatar. Davis's (1986) technology acceptance model (TAM) is the conceptual framework that guided this study…

  16. Numbers, systems, people: how interactions influence integration. Insights from case studies of HIV and reproductive health services delivery in Kenya

    PubMed Central

    Mayhew, Susannah H; Warren, Charlotte E; Collumbien, Martine; Ndwiga, Charity; Mutemwa, Richard; Lut, Irina; Colombini, Manuela; Vassall, Anna

    2017-01-01

    Abstract Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored the interaction of systems hardware and software factors to explain why some facilities were able to implement and sustain integrated service delivery while others were not. This article draws on detailed mixed-methods data for four case-study facilities offering reproductive-health and HIV services between 2009 and 2013 in Kenya: (i) time-series client flow, tracking service uptake for 8841 clients; (ii) structured questionnaires with 24 providers; (iii) in-depth interviews with 17 providers; (iv) workload and facility data using a periodic activity review and cost-instruments; and (v) contextual data on external activities related to integration in study sites. Overall, our findings suggested that although structural factors like stock-outs, distribution of staffing and workload, rotation of staff can affect how integrated care is provided, all these factors can be influenced by staff themselves: both frontline and management. Facilities where staff displayed agency of decision making, worked as a team to share workload and had management that supported this, showed better integration delivery and staff were able to overcome some structural deficiencies to enable integrated care. Poor-performing facilities had good structural integration, but staff were unable to utilize this because they were poorly organized, unsupported or teams were dysfunctional. Conscientious objection and moralistic attitudes were also barriers. Integra has demonstrated that structural integration is not sufficient for integrated service delivery. Rather, our case studies show that in some cases excellent leadership and peer-teamwork enabled facilities to perform well despite resource shortages. The ability to provide support for staff to work flexibly to deliver integrated services and build resilient health systems to meet changing needs is particularly relevant as health systems face challenges of changing burdens of disease, climate change, epidemic outbreaks and more. PMID:29194544

  17. Clinical case in digital technology for nursing students' learning: An integrative review.

    PubMed

    Hara, Cristina Yuri Nakata; Aredes, Natália Del Angelo; Fonseca, Luciana Mara Monti; Silveira, Renata Cristina de Campos Pereira; Camargo, Rosangela Andrade Aukar; de Goes, Fernanda Santos Nogueira

    2016-03-01

    This review aimed to analyze the available evidences in literature about clinical case studies inserted in digital technologies for nursing education, characterizing the technology resources and cognitive, procedural and attitudinal learnings. Integrative review of literature with the following steps: development of the research problem, data collection, data extraction and critic evaluation, data analysis and interpretation and presentation of results. The research question was: how does the clinical case study inserted in educational digital technology collaborate for cognitive, attitudinal and procedural learning of nursing students? data bases LILACS, PUBMED, CINAHL and Scopus. the search resulted in 437 studies: 136 from LILACS, 122 from PUBMED, 104 from Scopus and 75 from CINAHL. Of these, 143 did not meet the including criteria, 93 were duplicated and four studies were unavailable. After analyzing all abstracts based on inclusion and exclusion criteria, there were selected 197 studies and after full text analysis the final sample resulted in 21 primary studies. Case study use in educational digital technologies allowed the students to build different types of learning: cognitive learning (n 16 studies), attitudinal learning (n=12 studies) and procedural learning (n=8 studies). It is possible to conclude that case studies can collaborate with the students to develop different learnings which can be built integrate, continuous, informative and formative, aiming integral formation and aligned to policies of formation in nursing, both national and international. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Risks to Drinking Water from Oil and Gas Wellbore Construction and Integrity: Case Studies and Lessons Learned

    EPA Pesticide Factsheets

    This presentation examines various published reports from two drinking water contamination cases, and discuss the potential roles of wellbore construction and integrity and hydraulic fracturing in the resultant drinking water contamination.

  19. Case Studies for School Administrators: Managing Change in Education.

    ERIC Educational Resources Information Center

    Benham, Maenette K. P. Ah Nee

    This book examines case-based learning in educational leadership courses, discusses case-based learning as an educational tool, exemplifies methods of writing a case study, and contains 14 case-studies by teachers and administrators. "Stakeholders in a House of Cards," by Audrey Burgher, discusses integrating technology with innovation.…

  20. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lundstrom, Blake; Chakraborty, Sudipta; Lauss, Georg

    This paper presents a concise description of state-of-the-art real-time simulation-based testing methods and demonstrates how they can be used independently and/or in combination as an integrated development and validation approach for smart grid DERs and systems. A three-part case study demonstrating the application of this integrated approach at the different stages of development and validation of a system-integrated smart photovoltaic (PV) inverter is also presented. Laboratory testing results and perspectives from two international research laboratories are included in the case study.

  1. Health Informatics and Technology for Integrated Elderly Care in the Context of Hong Kong: A Case Study.

    PubMed

    Chau, Cheuk Wing; Leung, Eman

    2017-01-01

    The aging population creates tremendous pressure to healthcare. To resolve, scholars recognized the solution to this challenge is integrated care. To facilitate integrated care, health information technologies (HIT) is a critical enabler. This paper will first review how technology enhanced integrated care, and review on the existing literatures in system effective use and the three key external factors that enable HIT implementation. Applying Burton-Jones and Volkoff's contextualized theories of effective use of HIT to understand the role of health informatics and technology in the unique context of Hong Kong, we have conducted a case study research to identify the levers for improving HK integration of care through HIT.

  2. Capacity Building through Integration and Transformational Leadership--A Case Study

    ERIC Educational Resources Information Center

    Stöcklin, Sacha

    2011-01-01

    This article suggests that educational managers can have an influence through leadership by establishing certain moderators that integrate and shape the faculty into a solid team working towards a high performing organisation. The study looks at a case in China and draws suggestions that could be used in other similar settings. The conclusion is…

  3. Innovation and Integration: Case Studies of Effective Teacher Practices in the Use of Handheld Computers

    ERIC Educational Resources Information Center

    Chavez, Raymond Anthony

    2010-01-01

    Previous research conducted on the use of handheld computers in K-12 education has focused on how handheld computer use affects student motivation, engagement, and productivity. These four case studies sought to identify effective teacher practices in the integration of handhelds into the curriculum and the factors that affect those practices. The…

  4. Technology Integration in a One-to-One Laptop Initiative: A Multiple Case Study Analysis

    ERIC Educational Resources Information Center

    Jones, Marsha B.

    2013-01-01

    The purpose of this multiple case study analysis was to examine teachers' experiences and perceptions in order to understand what actions and interactions supported or inhibited technology integration during a one-to-one laptop initiative. This research sought to gain teachers' perspectives on the challenges and successes they faced as classroom…

  5. A Case Study in an Integrated Development and Problem Solving Environment

    ERIC Educational Resources Information Center

    Deek, Fadi P.; McHugh, James A.

    2003-01-01

    This article describes an integrated problem solving and program development environment, illustrating the application of the system with a detailed case study of a small-scale programming problem. The system, which is based on an explicit cognitive model, is intended to guide the novice programmer through the stages of problem solving and program…

  6. A Case Study of a Program for University STEM Faculty to Redesign Courses Using Technology

    ERIC Educational Resources Information Center

    Bernal, Elaine V.

    2016-01-01

    The purpose of this case study was to evaluate a multi-campus university program designed to support STEM faculty in redesigning bottleneck courses, with integration of technology as one strategy. Despite the positive student learning outcomes in course redesign programs with an aim to support faculty in technology integration, there remains a…

  7. A Case Study of Enabling Factors in the Technology Integration Change Process

    ERIC Educational Resources Information Center

    Hsu, Pi-Sui; Sharma, Priya

    2008-01-01

    The purpose of this qualitative case study was to analyze enabling factors in the technology integration change process in a multi-section science methods course, SCIED 408 (pseudonym), from 1997 to 2003 at a large northeastern university in the United States. We used two major data collection methods, in-depth interviewing and document reviews.…

  8. Integrating Dialectical Behavior Therapy and Prolonged Exposure to Treat Co-Occurring Borderline Personality Disorder and PTSD: Two Case Studies

    ERIC Educational Resources Information Center

    Harned, Melanie S.; Linehan, Marsha M.

    2008-01-01

    Despite the high rate of trauma and PTSD among individuals with borderline personality disorder (BPD), no studies have specifically evaluated the treatment of PTSD in a BPD population. These case studies illustrate the use of a protocol based on prolonged exposure therapy that can be integrated into standard dialectical behavior therapy to treat…

  9. Portraits of Pre-Service Classroom Teachers: Exploring Intentions to Integrate Music through the Lens of the Theory of Planned Behavior

    ERIC Educational Resources Information Center

    Harney, Kristin

    2014-01-01

    The primary purpose of this short-term study was to examine pre-service classroom teachers' intentions to integrate music in their future classrooms. Using the theory of planned behavior (Fishbein & Ajzen, 2010) as a framework, and embedded, multiple-case study design, I developed case studies of six pre-service classroom teachers enrolled in…

  10. Integrating Nuclear Energy to Oilfield Operations – Two Case Studies

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Eric P. Robertson; Lee O. Nelson; Michael G. McKellar

    2011-11-01

    Fossil fuel resources that require large energy inputs for extraction, such as the Canadian oil sands and the Green River oil shale resource in the western USA, could benefit from the use of nuclear power instead of power generated by natural gas combustion. This paper discusses the technical and economic aspects of integrating nuclear energy with oil sands operations and the development of oil shale resources. A high temperature gas reactor (HTGR) that produces heat in the form of high pressure steam (no electricity production) was selected as the nuclear power source for both fossil fuel resources. Both cases weremore » based on 50,000 bbl/day output. The oil sands case was a steam-assisted, gravity-drainage (SAGD) operation located in the Canadian oil sands belt. The oil shale development was an in-situ oil shale retorting operation located in western Colorado, USA. The technical feasibility of the integrating nuclear power was assessed. The economic feasibility of each case was evaluated using a discounted cash flow, rate of return analysis. Integrating an HTGR to both the SAGD oil sands operation and the oil shale development was found to be technically feasible for both cases. In the oil sands case, integrating an HTGR eliminated natural gas combustion and associated CO2 emissions, although there were still some emissions associated with imported electrical power. In the in situ oil shale case, integrating an HTGR reduced CO2 emissions by 88% and increased natural gas production by 100%. Economic viabilities of both nuclear integrated cases were poorer than the non-nuclear-integrated cases when CO2 emissions were not taxed. However, taxing the CO2 emissions had a significant effect on the economics of the non-nuclear base cases, bringing them in line with the economics of the nuclear-integrated cases. As we move toward limiting CO2 emissions, integrating non-CO2-emitting energy sources to the development of energy-intense fossil fuel resources is becoming increasingly important. This paper attempts to reduce the barriers that have traditionally separated fossil fuel development and application of nuclear power and to promote serious discussion of ideas about hybrid energy systems.« less

  11. Students' perceptions of vertical and horizontal integration in a discipline-based dental school.

    PubMed

    Postma, T C; White, J G

    2017-05-01

    Integration is a key concern in discipline-based undergraduate dental curricula. Therefore, this study compared feedback on integration from students who participated in different instructional designs in a Comprehensive Patient Care course. The study was conducted at the University of Pretoria (2009-2011). Third-year cohorts (Cohorts A, B and C) participated in pre-clinical case-based learning, whilst fourth-year cohorts (Cohorts D and E) received didactic teaching in Comprehensive Patient Care. Cohorts A, D and E practised clinical Comprehensive Patient Care in a discipline-based clinic. Cohort B conducted their Comprehensive Patient Care patient examinations in a dedicated facility supervised by dedicated faculty responsible to teach integration. Students had to indicate on visual analogue scales whether the way they were taught at the school helped them to integrate knowledge from the same (horizontal integration) and preceding (vertical integration) year of study. The end-points of the scales were defined as 'definitely' and 'not at all'. Analysis of variance (ANOVA) was employed to measure the differences between cohorts according to the year of study. Third-year case-based learning cohorts rated the horizontal integration close to 80/100 and vertical integration ranging from 64 to 71/100. In year four, Cohort B rated vertical and horizontal integration 9-15% higher (ANOVA, P < 0.05) than Cohorts A and D. In year five, Cohort A rated vertical and horizontal integration 11-18% higher (ANOVA, P < 0.05) than Cohorts D and E. Pre-clinical case-based learning and Comprehensive Patient Care supervised by dedicated faculty were associated with more favourable perceptions about integration in the discipline-based undergraduate dental curriculum. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Design and Use of a Proton Pump Inhibitor Case to Integrate Physiology, Pharmacology, and Biochemistry

    ERIC Educational Resources Information Center

    Lee, Michael W.

    2014-01-01

    The use of drugs to integrate basic and clinical sciences is frequently used in a lecture format, but the availability of alternative pedagogical approaches that address higher-order learning are not widely available. The use of case studies and case-based projects to reinforce lectures can help link basic and clinical disciplines and promote…

  13. Integrating Art into Science Education: A Survey of Science Teachers' Practices

    ERIC Educational Resources Information Center

    Turkka, Jaakko; Haatainen, Outi; Aksela, Maija

    2017-01-01

    Numerous case studies suggest that integrating art and science education could engage students with creative projects and encourage students to express science in multitude of ways. However, little is known about art integration practices in everyday science teaching. With a qualitative e-survey, this study explores the art integration of science…

  14. A Model for Integrating New Technologies into Pre-Service Teacher Training Programs Ajman University (A Case Study)

    ERIC Educational Resources Information Center

    Shaqour, Ali Zuhdi H.

    2005-01-01

    This study introduces a "Technology Integration Model" for a learning environment utilizing constructivist learning principles and integrating new technologies namely computers and the Internet into pre-service teacher training programs. The technology integrated programs and learning environments may assist learners to gain experiences…

  15. Integrated Case Learning: Teaching Clinical Reasoning

    ERIC Educational Resources Information Center

    Radomski, Natalie; Russell, John

    2010-01-01

    Learning how to "think like doctors" can be difficult for undergraduate medical students in their early clinical years. Our model of collaborative Integrated Case Learning (ICL) and simulated clinical reasoning aims to address these issues. Taking a socio-cultural perspective, this study investigates the reflective learning interactions…

  16. Lessons learned: A comparative study of the integration experiences of Armenian and Palestinian refugees in Lebanon

    DTIC Science & Technology

    2017-06-01

    design is based on two comparative case studies, examining Palestinian and Armenian refugees in Lebanon, respectively. These two cases are particularly...A COMPARATIVE STUDY OF THE INTEGRATION EXPERIENCES OF ARMENIAN AND PALESTINIAN REFUGEES IN LEBANON by Pascal Ghobeira June 2017 Thesis...REPORT DATE June 2017 3. REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE LESSONS LEARNED: A COMPARATIVE STUDY OF THE

  17. Integrating ergonomics in design processes: a case study within an engineering consultancy firm.

    PubMed

    Sørensen, Lene Bjerg; Broberg, Ole

    2012-01-01

    This paper reports on a case study within an engineering consultancy firm, where engineering designers and ergonomists were working together on the design of a new hospital sterile processing plant. The objective of the paper is to gain a better understanding of the premises for integrating ergonomics into engineering design processes and how different factors either promote or limit the integration. Based on a grounded theory approach a model illustrating these factors is developed and different hypotheses about how these factors either promote and/or limit the integration of ergonomics into design processes is presented along with the model.

  18. The Integration of Mathematics in Physics Problem Solving: A Case Study of Greek Upper Secondary School Students

    ERIC Educational Resources Information Center

    Meli, Kalliopi; Zacharos, Konstantinos; Koliopoulos, Dimitrios

    2016-01-01

    This article presents a case study that examines the level of integration of mathematical knowledge in physics problem solving among first grade students of upper secondary school. We explore the ways in which two specific students utilize their knowledge and we attempt to identify the epistemological framings they refer to while solving a physics…

  19. Application of a Reference Framework for Integration of Web Resources in Dotlrn--Case Study of Physics--Topic: Waves

    ERIC Educational Resources Information Center

    Gomez, Fabinton Sotelo; Ordóñez, Armando

    2016-01-01

    Previously a framework for integrating web resources providing educational services in dotLRN was presented. The present paper describes the application of this framework in a rural school in Cauca--Colombia. The case study includes two web resources about the topic of waves (physics) which is oriented in secondary education. Web classes and…

  20. An Exploratory Investigation of Online Forum Mediated Collaborative Learning of Speech Writing: A Case Study

    ERIC Educational Resources Information Center

    Lata, Pushp; Luhach, Suman

    2014-01-01

    Learning Management Systems (LMS) are being integrated in the curriculum by many educational institutions to extend teaching and learning beyond classroom. This paper is based on a case study exploring the integration of LMS Nalanda created on Moodle in Effective Public Speaking (EPS) classroom to give students an additional platform to practice,…

  1. Integrating Education for Sustainability in Preservice Teacher Education: A Case Study from a Regional Australian University

    ERIC Educational Resources Information Center

    Mills, Reece; Tomas, Louisa

    2013-01-01

    Education for Sustainability (EfS) has been prioritised in the School of Education at James Cook University (JCU), Townsville, Australia. This article presents a case study that explores the ways in which teacher educators integrate EfS in their teaching in the Bachelor of Education (BEd) (Primary) at JCU, and their perceptions of enablers and…

  2. Acculturation Strategy, Integration Paradoxes and Educational Adaptation--A Case Study of Chinese Visiting Scholar's Family in the United States

    ERIC Educational Resources Information Center

    Weidong, Li; Chen, Sisi

    2017-01-01

    In this case study, we developed a theoretical framework for examining the relationship between acculturation strategy and educational adaptation. By interviews and observations of one Chinese visiting scholar's family in the United States, we found that the family utilized "integration" as the acculturation strategy to adapt to the US…

  3. Development of Integrative STEM Curriculum: A Multiple Case Study of Multi-Disciplinary Teams in Two Pennsylvania High Schools

    ERIC Educational Resources Information Center

    Rider-Bertrand, Joey H.

    2017-01-01

    At the start of the 21st century, STEM education was a new priority in many schools as the focus shifted from separate disciplines to integrative STEM education. Unfortunately, there was limited research to offer guidance to practitioners (Brown, 2012; Honey, Pearson & Schweingruber, 2014). This qualitative, multiple case study explored the…

  4. Sharing knowledge with the public during a crisis: NASA's public portal

    NASA Technical Reports Server (NTRS)

    Holm, Jeanne

    2003-01-01

    This case study looks at integrating the web governance policies and procedures, migration to a single content management solution, and integrating best-of-breed technology with high-impact, interactive components. In particular, this case study is interesting in the dynamic scalability of this application to meet the needs of an organization on the front lines during a crisis.

  5. Preparing Public Relations and Advertising Students for the 21st Century: A Case Study.

    ERIC Educational Resources Information Center

    Carroll, Robert A.

    In 1993, the Task Force on Integrated Communications reported that public relations and advertising students would better be prepared to enter a changing communications industry through an "integrated" curriculum. This paper is a case study of how one university has attempted to meet that challenge. The work has resulted in the development of an…

  6. Data Integrity-A Study of Current Regulatory Thinking and Action.

    PubMed

    Shafiei, Nader; De Montardy, Regis; Rivera-Martinez, Edwin

    2015-01-01

    In reaction to breaches of data integrity in the pharmaceutical industry, regulatory authorities have introduced inspection approaches or initiatives with the aim of reducing occurrences of data integrity problems. This review article-based on study of 65 cases of regulatory action from 2002 to 2014-provides an overview of current regulatory thinking and action on breaches of data integrity affecting GxP (health-related regulations) processes supporting non-clinical studies, clinical studies, laboratory controls, and production controls. These case studies largely represent position of the U.S. Food and Drug Administration and the regulatory agencies affiliated with the European Medicines Agency. Also discussed is the role of human factors as a potential source of data integrity problems. The article concludes by recommending some remedial controls that could be established to avoid or reduce occurrences of data integrity problems.Lay Abstract: In fulfilling their mission to protect public health, regulatory agencies (e.g., U.S. Food and Drug Administration, European Medicines Agency) must establish confidence that medical products they approve are fit for their intended use. In so doing they rely on scientific and operational data generated during research, development, manufacturing, sales, marketing, distribution, and post-marketing surveillance activities. The level of confidence they build is directly proportional to the scientific validity and integrity of data presented to them by the sponsors of medical products. In this article we present analysis of 65 case studies that document regulatory action taken by various regulatory agencies on breach of data integrity between 2002 and 2014. The ensuing discussion on current trends largely represents position of the U.S. Food and Drug Administration and European Medicines Agency. The article concludes by proposing some remedial controls that could be established by pharmaceutical companies to avoid or reduce occurrences of data integrity problems. © PDA, Inc. 2015.

  7. Assessing the Role of Surgical Strike Operations in Support of a Special Warfare Campaign

    DTIC Science & Technology

    2017-06-09

    16 Surgical Strike Management and Integration ............................................................... 19 Summary...Integration and Management .................................................................................... 37 Case Study 2 VSO in Kunar Province...Effectiveness ............................................................................................................. 48 Integration and Management

  8. Evaluation of integration methods for hybrid simulation of complex structural systems through collapse

    NASA Astrophysics Data System (ADS)

    Del Carpio R., Maikol; Hashemi, M. Javad; Mosqueda, Gilberto

    2017-10-01

    This study examines the performance of integration methods for hybrid simulation of large and complex structural systems in the context of structural collapse due to seismic excitations. The target application is not necessarily for real-time testing, but rather for models that involve large-scale physical sub-structures and highly nonlinear numerical models. Four case studies are presented and discussed. In the first case study, the accuracy of integration schemes including two widely used methods, namely, modified version of the implicit Newmark with fixed-number of iteration (iterative) and the operator-splitting (non-iterative) is examined through pure numerical simulations. The second case study presents the results of 10 hybrid simulations repeated with the two aforementioned integration methods considering various time steps and fixed-number of iterations for the iterative integration method. The physical sub-structure in these tests consists of a single-degree-of-freedom (SDOF) cantilever column with replaceable steel coupons that provides repeatable highlynonlinear behavior including fracture-type strength and stiffness degradations. In case study three, the implicit Newmark with fixed-number of iterations is applied for hybrid simulations of a 1:2 scale steel moment frame that includes a relatively complex nonlinear numerical substructure. Lastly, a more complex numerical substructure is considered by constructing a nonlinear computational model of a moment frame coupled to a hybrid model of a 1:2 scale steel gravity frame. The last two case studies are conducted on the same porotype structure and the selection of time steps and fixed number of iterations are closely examined in pre-test simulations. The generated unbalance forces is used as an index to track the equilibrium error and predict the accuracy and stability of the simulations.

  9. Faces of integration.

    PubMed

    Williams, Paul; Sullivan, Helen

    2009-12-22

    Two central themes permeate this paper-the interplay between structure and agency in integration processes and the extent to which this is mediated through sensemaking by individual actors. The empirical base for the paper is provided by case study research from Wales which draws on examples of different types of integration in health and social care. The individual case studies highlight different interpretations of integration set against a background of the resources involved, processes employed and outcomes achieved. A wide ranging discussion exposes the complex interplay and dynamics between structural factors and the manner in which they enable or constrain integration, and individual actors realising their potential agency through leadership, professionalism and boundary spanning to influence outcomes. The importance of structure and agency complementing each other to determine effective integration is emphasised, together with the scope that is available for interpretation and meaning by individual actors within the contested discourse of integration.

  10. Teacher Efficacy and Professional Development Needs of Mid-Career Agriculture Educators Integrating the Next Generation Science Standards and Other Content Areas

    ERIC Educational Resources Information Center

    Drape, Tiffany A.; Lopez, Megan; Radford, Donna

    2016-01-01

    The purpose of this case study was to examine the phenomenon regarding agriculture education teacher's efficacy by integrating the Next Gen Science Standards and other content areas into their classroom teaching. This was a single case study with two units of analysis consisting of two agriculture education programs in the Eastern United States…

  11. Integrating Best Practices in Positive Behavior Support and Clinical Psychology for a Child with Autism and Anxiety-Related Problem Behavior: A Clinical Case Study

    ERIC Educational Resources Information Center

    Neufeld, Vanessa; Law, Kimberley C. Y.; Lucyshyn, Joseph M.

    2014-01-01

    This clinical case study investigated the effectiveness of a multicomponent intervention for a child with autism and anxiety-related problem behavior that integrated components of cognitive behavior therapy (CBT) with positive behavior support (PBS). One child with autism and his family participated. The dependent variable was the number of steps…

  12. Numbers, systems, people: how interactions influence integration. Insights from case studies of HIV and reproductive health services delivery in Kenya.

    PubMed

    Mayhew, Susannah H; Sweeney, Sedona; Warren, Charlotte E; Collumbien, Martine; Ndwiga, Charity; Mutemwa, Richard; Lut, Irina; Colombini, Manuela; Vassall, Anna

    2017-11-01

    Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored the interaction of systems hardware and software factors to explain why some facilities were able to implement and sustain integrated service delivery while others were not. This article draws on detailed mixed-methods data for four case-study facilities offering reproductive-health and HIV services between 2009 and 2013 in Kenya: (i) time-series client flow, tracking service uptake for 8841 clients; (ii) structured questionnaires with 24 providers; (iii) in-depth interviews with 17 providers; (iv) workload and facility data using a periodic activity review and cost-instruments; and (v) contextual data on external activities related to integration in study sites. Overall, our findings suggested that although structural factors like stock-outs, distribution of staffing and workload, rotation of staff can affect how integrated care is provided, all these factors can be influenced by staff themselves: both frontline and management. Facilities where staff displayed agency of decision making, worked as a team to share workload and had management that supported this, showed better integration delivery and staff were able to overcome some structural deficiencies to enable integrated care. Poor-performing facilities had good structural integration, but staff were unable to utilize this because they were poorly organized, unsupported or teams were dysfunctional. Conscientious objection and moralistic attitudes were also barriers.Integra has demonstrated that structural integration is not sufficient for integrated service delivery. Rather, our case studies show that in some cases excellent leadership and peer-teamwork enabled facilities to perform well despite resource shortages. The ability to provide support for staff to work flexibly to deliver integrated services and build resilient health systems to meet changing needs is particularly relevant as health systems face challenges of changing burdens of disease, climate change, epidemic outbreaks and more. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  13. Integrated Approaches to Testing and Assessment Under ...

    EPA Pesticide Factsheets

    Presentation on IATA case study for phenols which is joint project with Health Canada and NCCT, presented at the OECD IATA Case Study Meeting No. 2 in Paris, France. Presentation on IATA case study for phenols which is joint project with Health Canada and NCCT, presented at the OECD IATA Case Study Meeting No. 2 in Paris, France.

  14. Participative Case Studies: Integrating Case Writing and a Traditional Case Study Approach in a Marketing Context

    ERIC Educational Resources Information Center

    Forman, Howard

    2006-01-01

    Case-based pedagogy is a valuable tool for applying business concepts and theories to organizational contexts. Traditional case-based pedagogy offers such learning opportunities. What this pedagogy lacks, however, is an element of real-time experiential learning opportunities. This research focuses on the advantages of incorporating a case-writing…

  15. Improving the Effectiveness of Professional Education: Learning Managerial Accounting via a Complex Case.

    ERIC Educational Resources Information Center

    Carter, Melissa; And Others

    To give students more experience with real situations, many professional schools use case studies in their courses. Creating complex cases, case experiences that immerse students in complex problems, rather than mere case studies that require armchair analysis should help students gain better and more integrated knowledge. Designing, implementing,…

  16. Integrating care for high-risk patients in England using the virtual ward model: lessons in the process of care integration from three case sites

    PubMed Central

    Lewis, Geraint; Vaithianathan, Rhema; Wright, Lorraine; Brice, Mary R; Lovell, Paul; Rankin, Seth; Bardsley, Martin

    2013-01-01

    Background Patients at high risk of emergency hospitalisation are particularly likely to experience fragmentation in care. The virtual ward model attempts to integrate health and social care by offering multidisciplinary case management to people at high predicted risk of unplanned hospitalisation. Objective To describe the care practice in three virtual ward sites in England and to explore how well each site had achieved meaningful integration. Method Case studies conducted in Croydon, Devon and Wandsworth during 2011–2012, consisting of semi-structured interviews, workshops, and site visits. Results Different versions of the virtual wards intervention had been implemented in each site. In Croydon, multidisciplinary care had reverted back to one-to-one case management. Conclusions To integrate successfully, virtual ward projects should safeguard the multidisciplinary nature of the intervention, ensure the active involvement of General Practitioners, and establish feedback processes to monitor performance such as the number of professions represented at each team meeting. PMID:24250284

  17. Alteration of gene expression in human hepatocellular carcinoma with integrated hepatitis B virus DNA.

    PubMed

    Tamori, Akihiro; Yamanishi, Yoshihiro; Kawashima, Shuichi; Kanehisa, Minoru; Enomoto, Masaru; Tanaka, Hiromu; Kubo, Shoji; Shiomi, Susumu; Nishiguchi, Shuhei

    2005-08-15

    Integration of hepatitis B virus (HBV) DNA into the human genome is one of the most important steps in HBV-related carcinogenesis. This study attempted to find the link between HBV DNA, the adjoining cellular sequence, and altered gene expression in hepatocellular carcinoma (HCC) with integrated HBV DNA. We examined 15 cases of HCC infected with HBV by cassette ligation-mediated PCR. The human DNA adjacent to the integrated HBV DNA was sequenced. Protein coding sequences were searched for in the human sequence. In five cases with HBV DNA integration, from which good quality RNA was extracted, gene expression was examined by cDNA microarray analysis. The human DNA sequence successive to integrated HBV DNA was determined in the 15 HCCs. Eight protein-coding regions were involved: ras-responsive element binding protein 1, calmodulin 1, mixed lineage leukemia 2 (MLL2), FLJ333655, LOC220272, LOC255345, LOC220220, and LOC168991. The MLL2 gene was expressed in three cases with HBV DNA integrated into exon 3 of MLL2 and in one case with HBV DNA integrated into intron 3 of MLL2. Gene expression analysis suggested that two HCCs with HBV integrated into MLL2 had similar patterns of gene expression compared with three HCCs with HBV integrated into other loci of human chromosomes. HBV DNA was integrated at random sites of human DNA, and the MLL2 gene was one of the targets for integration. Our results suggest that HBV DNA might modulate human genes near integration sites, followed by integration site-specific expression of such genes during hepatocarcinogenesis.

  18. Integrating care for older people with complex needs: key insights and lessons from a seven-country cross-case analysis.

    PubMed

    Wodchis, Walter P; Dixon, Anna; Anderson, Geoff M; Goodwin, Nick

    2015-01-01

    To address the challenges of caring for a growing number of older people with a mix of both health problems and functional impairment, programmes in different countries have different approaches to integrating health and social service supports. The goal of this analysis is to identify important lessons for policy makers and service providers to enable better design, implementation and spread of successful integrated care models. This paper provides a structured cross-case synthesis of seven integrated care programmes in Australia, Canada, the Netherlands, New Zealand, Sweden, the UK and the USA. All seven programmes involved bottom-up innovation driven by local needs and included: (1) a single point of entry, (2) holistic care assessments, (3) comprehensive care planning, (4) care co-ordination and (5) a well-connected provider network. The process of achieving successful integration involves collaboration and, although the specific types of collaboration varied considerably across the seven case studies, all involved a care coordinator or case manager. Most programmes were not systematically evaluated but the two with formal external evaluations showed benefit and have been expanded. Case managers or care coordinators who support patient-centred collaborative care are key to successful integration in all our cases as are policies that provide funds and support for local initiatives that allow for bottom-up innovation. However, more robust and systematic evaluation of these initiatives is needed to clarify the 'business case' for integrated health and social care and to ensure successful generalization of local successes.

  19. Microscope-Integrated OCT Feasibility and Utility With the EnFocus System in the DISCOVER Study.

    PubMed

    Runkle, Anne; Srivastava, Sunil K; Ehlers, Justis P

    2017-03-01

    To evaluate the feasibility and utility of a novel microscope-integrated intraoperative optical coherence tomography (OCT) system. The DISCOVER study is an investigational device study evaluating microscope-integrated intraoperative OCT systems for ophthalmic surgery. This report focuses on subjects imaged with the EnFocus prototype system (Leica Microsystems/Bioptigen, Morrisville, NC). OCT was performed at surgeon-directed milestones. Surgeons completed a questionnaire after each case to evaluate the impact of OCT on intraoperative management. Fifty eyes underwent imaging with the EnFocus system. Successful imaging was obtained in 46 of 50 eyes (92%). In eight cases (16%), surgical management was changed based on intraoperative OCT findings. In membrane peeling procedures, intraoperative OCT findings were discordant from the surgeon's initial impression in seven of 20 cases (35%). This study demonstrates the feasibility of microscope-integrated intraoperative OCT using the Bioptigen EnFocus system. Intraoperative OCT may provide surgeons with additional information that may influence surgical decision-making. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:216-222.]. Copyright 2017, SLACK Incorporated.

  20. Benefits of Integration of Aerojet Rocketdyne and RTI Advanced Gasification Technologies for Hydrogen-Rich Syngas Production

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gupta, Vijay; Denton, David; SHarma, Pradeep

    The key objective for this project was to evaluate the potential to achieve substantial reductions in the production cost of H 2-rich syngas via coal gasification with near-zero emissions due to the cumulative and synergistic benefits realized when multiple advanced technologies are integrated into the overall conversion process. In this project, Aerojet Rocketdyne’s (AR’s) advanced gasification technology (currently being offered as R-GAS™) and RTI International’s (RTI’s) advanced warm syngas cleanup technologies were evaluated via a number of comparative techno-economic case studies. AR’s advanced gasification technology consists of a dry solids pump and a compact gasifier system. Based on the uniquemore » design of this gasifier, it has been shown to reduce the capital cost of the gasification block by between 40 and 50%. At the start of this project, actual experimental work had been demonstrated through pilot plant systems for both the gasifier and dry solids pump. RTI’s advanced warm syngas cleanup technologies consist primarily of RTI’s Warm Gas Desulfurization Process (WDP) technology, which effectively allows decoupling of the sulfur and CO 2 removal allowing for more flexibility in the selection of the CO 2 removal technology, plus associated advanced technologies for direct sulfur recovery and water gas shift (WGS). WDP has been demonstrated at pre-commercial scale using an activated amine carbon dioxide recovery process which would not have been possible if a majority of the sulfur had not been removed from the syngas by WDP. This pre-commercial demonstration of RTI’s advanced warm syngas cleanup system was conducted in parallel to the activities on this project. The technical data and cost information from this pre-commercial demonstration were extensively used in this project during the techno-economic analysis. With this project, both of RTI’s advanced WGS technologies were investigated. Because RT’s advanced fixed-bed WGS (AFWGS) process was successfully implemented in the WDP pre-commercial demonstration test mentioned above, this technology was used as part of RTI’s advanced warm syngas technology package for the techno-economic analyses for this project. RTI’s advanced transport-reactor-based WGS (ATWGS) process was still conceptual at the start of this project, but one of the tasks for this project was to evaluate the technical feasibility of this technology. In each of the three application-based comparison studies conducted as part of this project, the reference case was based on an existing Department of Energy National Energy Technology Laboratory (DOE/NETL) system study. Each of these references cases used existing commercial technology and the system resulted in > 90% carbon capture. In the comparison studies for the use of the hydrogen-rich syngas generated in either an Integrated Gasification Combined Cycle (IGCC) or a Coal-to-Methanol (CTM) plant, the comparison cases consisted of the reference case, a case with the integration of each individual advanced technology (either AR or RTI), and finally a case with the integration of all the advanced technologies (AR and RTI combined). In the Coal-to-Liquids (CTL) comparison study, the comparison study consisted of only three cases, which included a reference case, a case with just RTI’s advanced syngas cleaning technology, and a case with AR’s and RTI’s advanced technologies. The results from these comparison studies showed that the integration of the advanced technologies did result in substantial benefits, and by far the greatest benefits were achieved for cases integrating all the advanced technologies. For the IGCC study, the fully integrated case resulted in a 1.4% net efficiency improvement, an 18% reduction in capital cost per kW of capacity, a 12% reduction in the operating cost per kWh, and a 75–79% reduction in sulfur emissions. For the CTM case, the fully integrated plant resulted in a 22% reduction in capital cost, a 13% reduction in operating costs, a > 99% net reduction in sulfur emissions, and a reduction of 13–15% in CO 2 emissions. Because the capital cost represents over 60% of the methanol Required Selling Price (RSP), the significant reduction in the capital cost for the advanced technology case resulted in an 18% reduction in methanol RSP. For the CTL case, the fully integrated plant resulted in a 16% reduction in capital cost, which represented a 13% reduction in diesel RSP. Finally, the technical feasibility analysis of RTI’s ATWGS process demonstrated that a fluid-bed catalyst with sufficient attrition resistance and WGS activity could be made and that the process achieved about a 24% reduction in capital cost compared to a conventional fixed-bed commercial process.« less

  1. Promoting Career Development in the Early Years of a Person's Life through Self- and Career Construction Counselling (Using an Integrated, Qualitative + Quantitative Approach): A Case Study

    ERIC Educational Resources Information Center

    Maree, Jacobus G.

    2018-01-01

    This article reports on the value of career construction counselling (integrating qualitative and quantitative strategies and associated techniques) for a young person. The participant was purposefully selected from a number of people who had sought career counselling in a private practice context. An intrinsic, single-case study design was…

  2. A case study of intersections between a physics classroom and industry

    NASA Astrophysics Data System (ADS)

    Jadonath, Capildeo

    The purpose of this study was to describe a journey for one teacher and his students. This journey involved bridging the gap between his classroom and high-tech workplaces, while engaging students in an integrated physics curriculum called Advanced Technology Education (ATE). This integrated curriculum is grounded in physics and interwoven with both Principles of Technology (PT) and Integrated Systems Technology (IST). ATE integrates the learning of technical skills, people skills, and academics through real world applications in manufacturing, production and engineering technology. The study was qualitative and employed a specific genre of research, the case study and it included both qualitative and quantitative data collection. This case study design originated from anthropology and has the following four characteristics: particularistic, descriptive, heuristic, and inductive. Data were collected over a 2-year period (August 1996-June 1998), by the researcher who was simultaneously the participants' instructor. This allowed me to be the prime instrument for the study and also become an "insider". The techniques of data collection were guided primarily by the research questions. Multiple sources of evidence included: documents, interviews, archival records, direct observations, participant observations, physical artifacts, and surveys (students, parents, and faculty).

  3. Organizational Context Matters: A Research Toolkit for Conducting Standardized Case Studies of Integrated Care Initiatives

    PubMed Central

    Grudniewicz, Agnes; Gray, Carolyn Steele; Wodchis, Walter P.; Carswell, Peter; Baker, G. Ross

    2017-01-01

    Introduction: The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context. Yet, organizational contexts are rarely described, understood, or measured with sufficient depth and breadth in empirical studies or in practice. We thus lack knowledge of when and specifically how organizational contexts matter. To facilitate the accumulation of evidence, we developed a research toolkit for conducting case studies using standardized measures of the (inter-)organizational context for integrating care. Theory and Methods: We used a multi-method approach to develop the research toolkit: (1) development and validation of the Context and Capabilities for Integrating Care (CCIC) Framework, (2) identification, assessment, and selection of survey instruments, (3) development of document review methods, (4) development of interview guide resources, and (5) pilot testing of the document review guidelines, consolidated survey, and interview guide. Results: The toolkit provides a framework and measurement tools that examine 18 organizational and inter-organizational factors that affect the implementation and success of integrated care initiatives. Discussion and Conclusion: The toolkit can be used to characterize and compare organizational contexts across cases and enable comparison of results across studies. This information can enhance our understanding of the influence of organizational contexts, support the transfer of best practices, and help explain why some integrated care initiatives succeed and some fail. PMID:28970750

  4. A Comparison of Self-Reported Educational Technology Integration Proficiencies and Evidence-Based Educational Technology Integration Practices among Select Elementary Language Arts Teachers

    ERIC Educational Resources Information Center

    Anderson, Monika R.

    2014-01-01

    The purpose of this study was to use a variety of techniques and data sources, to describe and to compare the self-reported educational technology integration proficiency levels with the evidence-based educational technology integration practices among select elementary language arts teachers. A collective case study design (Stake, 1995) was used…

  5. Integrating Human Factors into Crew Exploration Vehicle (CEV) Design

    NASA Technical Reports Server (NTRS)

    Whitmore, Mihriban; Holden, Kritina; Baggerman, Susan; Campbell, Paul

    2007-01-01

    The purpose of this design process is to apply Human Engineering (HE) requirements and guidelines to hardware/software and to provide HE design, analysis and evaluation of crew interfaces. The topics include: 1) Background/Purpose; 2) HE Activities; 3) CASE STUDY: Net Habitable Volume (NHV) Study; 4) CASE STUDY: Human Modeling Approach; 5) CASE STUDY: Human Modeling Results; 6) CASE STUDY: Human Modeling Conclusions; 7) CASE STUDY: Human-in-the-Loop Evaluation Approach; 8) CASE STUDY: Unsuited Evaluation Results; 9) CASE STUDY: Suited Evaluation Results; 10) CASE STUDY: Human-in-the-Loop Evaluation Conclusions; 11) Near-Term Plan; and 12) In Conclusion

  6. Environment And Genetics in Lung cancer Etiology (EAGLE) study: an integrative population-based case-control study of lung cancer.

    PubMed

    Landi, Maria Teresa; Consonni, Dario; Rotunno, Melissa; Bergen, Andrew W; Goldstein, Alisa M; Lubin, Jay H; Goldin, Lynn; Alavanja, Michael; Morgan, Glen; Subar, Amy F; Linnoila, Ilona; Previdi, Fabrizio; Corno, Massimo; Rubagotti, Maurizia; Marinelli, Barbara; Albetti, Benedetta; Colombi, Antonio; Tucker, Margaret; Wacholder, Sholom; Pesatori, Angela C; Caporaso, Neil E; Bertazzi, Pier Alberto

    2008-06-06

    Lung cancer is the leading cause of cancer mortality worldwide. Tobacco smoking is its primary cause, and yet the precise molecular alterations induced by smoking in lung tissue that lead to lung cancer and impact survival have remained obscure. A new framework of research is needed to address the challenges offered by this complex disease. We designed a large population-based case-control study that combines a traditional molecular epidemiology design with a more integrative approach to investigate the dynamic process that begins with smoking initiation, proceeds through dependency/smoking persistence, continues with lung cancer development and ends with progression to disseminated disease or response to therapy and survival. The study allows the integration of data from multiple sources in the same subjects (risk factors, germline variation, genomic alterations in tumors, and clinical endpoints) to tackle the disease etiology from different angles. Before beginning the study, we conducted a phone survey and pilot investigations to identify the best approach to ensure an acceptable participation in the study from cases and controls. Between 2002 and 2005, we enrolled 2101 incident primary lung cancer cases and 2120 population controls, with 86.6% and 72.4% participation rate, respectively, from a catchment area including 216 municipalities in the Lombardy region of Italy. Lung cancer cases were enrolled in 13 hospitals and population controls were randomly sampled from the area to match the cases by age, gender and residence. Detailed epidemiological information and biospecimens were collected from each participant, and clinical data and tissue specimens from the cases. Collection of follow-up data on treatment and survival is ongoing. EAGLE is a new population-based case-control study that explores the full spectrum of lung cancer etiology, from smoking addiction to lung cancer outcome, through examination of epidemiological, molecular, and clinical data. We have provided a detailed description of the study design, field activities, management, and opportunities for research following this integrative approach, which allows a sharper and more comprehensive vision of the complex nature of this disease. The study is poised to accelerate the emergence of new preventive and therapeutic strategies with potentially enormous impact on public health.

  7. The Practice of Integrity Within the University.

    ERIC Educational Resources Information Center

    Calabrese, Raymond L.; Barton, Angela Calabrese

    2000-01-01

    Examines the practice of integrity within university programs and its relation to faculty and the community, and presents case studies that demonstrate the complexity of organizational integrity. States that aligning values with practical theories requires a commitment to ethical action and integrity in order to fulfill the tenets of the…

  8. Examples of the Integration of Technology in the Classroom.

    ERIC Educational Resources Information Center

    Kealey, Robert J., Ed.

    This book presents the following case studies of how some Catholic schools have integrated technology: (1) "A Plan for the Integration of Technology" (Teresa Anthony); (2) "Integrating Technology in the Classroom" (Charlotte Bennett); (3) "From Commodore 64 to the Millennium Technology" (Ann Heidkamp); (4) "A Technology Project for the Eighth…

  9. Secondary School Socio-Cultural Context Influencing ICT Integration: A Case Study Approach

    ERIC Educational Resources Information Center

    Divaharan, Shanti; Ping, Lim Cher

    2010-01-01

    This paper proposes the use of activity theory and multi-level activity systems as a framework to analyse the effectiveness of ICT integration in Singapore secondary school classrooms. Three levels of activity systems are developed to study the effectiveness of ICT integration at the classroom: the classroom activity system, the department…

  10. Leading Integrated Schools: A Study of the Multicultural Perspectives of Northern Irish Principals

    ERIC Educational Resources Information Center

    McGlynn, Claire

    2008-01-01

    This article is concerned with the sustained peace education initiative of integrated schooling and in particular with leadership responses to cultural diversity. Using a case study group of principals of integrated (mixed Catholic, Protestant and other) schools in Northern Ireland, the author explores how principals perceive and lead their…

  11. Using Clinical Gait Case Studies to Enhance Learning in Biomechanics

    ERIC Educational Resources Information Center

    Chester, Victoria

    2011-01-01

    Clinical case studies facilitate the development of clinical reasoning strategies through knowledge and integration of the basic sciences. Case studies have been shown to be more effective in developing problem-solving abilities than the traditional lecture format. To enhance the learning experiences of students in biomechanics, clinical case…

  12. Prediction of Gut Wall Integrity Loss in Viral Gastroenteritis by Non-Invasive Marker

    PubMed Central

    Elnady, Hala G.; Sherif, Lobna S.; Saleh, Maysa T.; El-Alameey, Inas R.; Youssef, Mai M.; El Shafie, Amal I.; Helwa, Iman; Raouf, Haiam Abdel; EL-Taweel, Ahmed N.

    2015-01-01

    BACKGROUND: Intestinal fatty acid binding proteins (I-FABPs) are mainly expressed in the intestinal villi, which are the initial site of destruction in viral gastroenteritis. AIM: This study was designed to assess serum I-FABPs as a predictor of gut wall integrity loss in viral gastroenteritis. PATIENTS AND METHODS: This case-control cross-sectional study was conducted on 93 cases of acute viral gastroenteritis. Twenty-eight healthy children matching in age were recruited as control group. Serum I-FABPs were measured using ELISA technique. Viral detection and typing were done by PCR for adenovirus, and by Reverse transcriptase PCR for rotavirus, astrovirus and norovirus. RESULTS: Serum I-FABPs level was significantly higher in the cases compared to the controls and was also higher in the 46 rotavirus gastroenteritis cases compared to other viral gastroenteritis cases. Serum I- FABPs level was significantly higher in severely dehydrated cases as compared to mildly dehydrated ones (P=0.037). CONCLUSION: Serum I-FABPs could be used as an early and sensitive predictor marker of gut wall integrity loss in children with viral gastroenteritis and its level can indicate case severity. PMID:27275194

  13. Assessing clinical competency in the health sciences

    NASA Astrophysics Data System (ADS)

    Panzarella, Karen Joanne

    To test the success of integrated curricula in schools of health sciences, meaningful measurements of student performance are required to assess clinical competency. This research project analyzed a new performance assessment tool, the Integrated Standardized Patient Examination (ISPE), for assessing clinical competency: specifically, to assess Doctor of Physical Therapy (DPT) students' clinical competence as the ability to integrate basic science knowledge with clinical communication skills. Thirty-four DPT students performed two ISPE cases, one of a patient who sustained a stroke and the other a patient with a herniated lumbar disc. Cases were portrayed by standardized patients (SPs) in a simulated clinical setting. Each case was scored by an expert evaluator in the exam room and then by one investigator and the students themselves via videotape. The SPs scored each student on an overall encounter rubric. Written feedback was obtained from all participants in the study. Acceptable reliability was demonstrated via inter-rater agreement as well as inter-rater correlations on items that used a dichotomous scale, whereas the items requiring the use of the 4-point rubric were somewhat less reliable. For the entire scale both cases had a significant correlation between the Expert-Investigator pair of raters, for the CVA case r = .547, p < .05 and for the HD case r = .700, p < .01. The SPs scored students higher than the other raters. Students' self-assessments were most closely aligned with the investigator. Effects were apparent due to case. Content validity was gathered in the process of developing cases and patient scenarios that were used in this study. Construct validity was obtained from the survey results analyzed from the experts and students. Future studies should examine the effect of rater training upon the reliability. Criterion or predictive validity could be further studied by comparing students' performances on the ISPE with other independent estimates of students' competence. The unique integration questions of the ISPE were judged to have good content validity from experts and students, suggestive that integration, a most crucial element of clinical competence, while done in the mind of the student, can be practiced, learned and assessed.

  14. ICT Integration in Mathematics Initial Teacher Training and Its Impact on Visualization: The Case of GeoGebra

    ERIC Educational Resources Information Center

    Dockendorff, Monika; Solar, Horacio

    2018-01-01

    This case study investigates the impact of the integration of information and communications technology (ICT) in mathematics visualization skills and initial teacher education programmes. It reports on the influence GeoGebra dynamic software use has on promoting mathematical learning at secondary school and on its impact on teachers' conceptions…

  15. Integrating Entrepreneurship Education across University-Wide Curricula: The Case of Two Public Universities in Tanzania

    ERIC Educational Resources Information Center

    Kalimasi, Perpetua Joseph; Herman, Chaya

    2016-01-01

    This qualitative case study explores the integration of entrepreneurship education (EE) across the curricula in two public universities in Tanzania. Based on Shapero's model of the entrepreneurial event, the feasibility and desirability of EE in the selected universities are analysed. In-depth interviews and document analysis were used for data…

  16. Toward Integrating Environmental and Economic Education: Lessons from the U.S. Acid Rain Program

    ERIC Educational Resources Information Center

    Ellerbrock, Michael J.; Regn, Ann M.

    2004-01-01

    This field report presents an actual case study which illustrates that the natural and social sciences, in this case ecology and economics, can and should be integrated in environmental education and the formulation of public policy. After outlining basic economic approaches for addressing environmental problems, we focus on the process and…

  17. Introduction of vertical integration and case-based learning in anatomy for undergraduate physical therapy and occupational therapy students.

    PubMed

    Parmar, Suresh K; Rathinam, Bertha A D

    2011-01-01

    The purpose of the present pilot study was to evaluate the benefits of innovative teaching methodologies introduced to final year occupational and physical therapy students in Christian Medical College in India. Students' satisfactions along the long-term retention of knowledge and clinical application of the respiratory anatomy have been assessed. The final year undergraduate physical therapy and occupational therapy students had respiratory anatomy teaching over two sessions. The teaching involved case-based learning and integrated anatomy lectures (vertical integration) with the Anatomy department. Pretest and immediate and follow-up post-tests were conducted to assess the effectiveness of the innovative methods. A feedback questionnaire was marked to grade case-based learning. The method of integrated and case-based teaching was appreciated and found to be useful in imparting knowledge to the students. Students retained the gained knowledge adequately and the same was inferred by statistically significant improvement in both post-test scores. Vertical integration of anatomy in the final year reinforces their existing knowledge of anatomy. Case-based learning may facilitate the development of effective and clinically sound therapists. Copyright © 2011 American Association of Anatomists.

  18. Increasing character value and conservation behavior through integrated ethnoscience chemistry in chemistry learning: A Case Study in The Department of Science Universitas Negeri Semarang.

    NASA Astrophysics Data System (ADS)

    Sudarmin; Sumarni, Woro

    2018-04-01

    The purpose of this study was to obtain a factual picture of the improvement of students' conservation character and conservation behavior through the application integrated ethnoscience chemistry learning. This research was a case study on students majoring in the Department Of Science Mathematics and Natural Science Faculty Universitas Negeri Semarang. The subjects of the study were 30 students attending ethnoscience course in one of the teacher education institutions in the even semester of the academic year of 2016/2017. The subjects were given chemistry learning integrated into ethnoscience for eight weeks. The technique of data collection was done by using attitude scale arranged based on Likert scale. The data were analyzed by using qualitative descriptive. The results showed that the integrated ethnoscience chemistry learning contributed positively to the improvement of the character value and conservation behavior

  19. BIPV: a real-time building performance study for a roof-integrated facility

    NASA Astrophysics Data System (ADS)

    Aaditya, Gayathri; Mani, Monto

    2018-03-01

    Building integrated photovoltaic system (BIPV) is a photovoltaic (PV) integration that generates energy and serves as a building envelope. A building element (e.g. roof and wall) is based on its functional performance, which could include structure, durability, maintenance, weathering, thermal insulation, acoustics, and so on. The present paper discusses the suitability of PV as a building element in terms of thermal performance based on a case study of a 5.25 kWp roof-integrated BIPV system in tropical regions. Performance of PV has been compared with conventional construction materials and various scenarios have been simulated to understand the impact on occupant comfort levels. In the current case study, PV as a roofing material has been shown to cause significant thermal discomfort to the occupants. The study has been based on real-time data monitoring supported by computer-based building simulation model.

  20. Developing Metrics in Systems Integration (ISS Program COTS Integration Model)

    NASA Technical Reports Server (NTRS)

    Lueders, Kathryn

    2007-01-01

    This viewgraph presentation reviews some of the complications in developing metrics for systems integration. Specifically it reviews a case study of how two programs within NASA try to develop and measure performance while meeting the encompassing organizational goals.

  1. Understanding the Role of Representation in Interorganizational Knowledge Integration: A Case Study of an IT Outsourcing Project

    ERIC Educational Resources Information Center

    Werr, Andreas; Runsten, Philip

    2013-01-01

    Purpose: The current paper aims at contributing to the understanding of interorganizational knowledge integration by highlighting the role of individuals' understandings of the task and how they shape knowledge integrating behaviours. Design/methodology/approach: The paper presents a framework of knowledge integration as heedful interrelating.…

  2. The Complexity of Integrity Culture Change: A Case Study of a Liberal Arts College

    ERIC Educational Resources Information Center

    Bertram Gallant, Tricia

    2007-01-01

    The concept of academic integrity has been resurrected in both literature and practice in response to a perceived problem of student academic dishonesty. Most specifically, academic integrity advocates suggest changing the student academic culture to normalize academic integrity and reduce occurrences of academic dishonesty. Theories of…

  3. An Instrumental Case Study of Effective Science Integration in a Traditional Agricultural Education Program

    ERIC Educational Resources Information Center

    Baker, Marshall A.; Bunch, J. C.; Kelsey, Kathleen D.

    2015-01-01

    The integration of science and agriculture has been discussed since the inception of agricultural education. However, the standards-based focus in public secondary education and changing climate of agriculture has brought science integration back to the forefront. Though research has indicated that the integration of science into agricultural…

  4. A Cooperative Learning Group Procedure for Improving CTE and Science Integration

    ERIC Educational Resources Information Center

    Spindler, Matt

    2016-01-01

    The purpose of this case study was to create information about the employment of Cooperative Learning Groups (CLG) to enhance the science integrating learning objectives utilized in secondary CTE courses. The objectives of the study were to determine if CLGs were an effective means for increasing the number of: a) science integrating learning…

  5. A Discursive Formation that Undermined Integration at a Historically Advantaged School in South Africa

    ERIC Educational Resources Information Center

    Naidoo, Devika

    2010-01-01

    This paper provides an analysis of the extent of integration at a historically advantaged school. A qualitative multi-method case study allowed for in-depth analysis of integration in the school. Bernstein's theory of code, classification, boundary and power framed the study. Data analysis showed that: racial desegregation was achieved at student…

  6. A Case Study: Testing in the Albuquerque Public Schools.

    ERIC Educational Resources Information Center

    Robinson, Carol

    1983-01-01

    This case study of testing in the Albuquerque public schools highlights improvement of test results dissemination and use through cooperative planning, integrated database development, and a partnership with public media. (Author)

  7. Infusing research integrity principles and practices into a regional master's degree-intensive university: a case study.

    PubMed

    Thompson, Carla J; Podemski, Richard; Brown, H Quincy

    2012-01-01

    The need for institutions of higher education to advance research and scholarly integrity across graduate degree programs involves a strong commitment from each institution to develop a comprehensive approach for promoting responsible conduct of research (RCR). In response to this need, one master's-intensive regional university implemented a three-tier model project (focusing, developing, and evaluating/sustaining) for infusing research integrity principles and practices while promoting RCR. Components of the model and implementation strategies are presented as a case study analysis. Implications of the model for promoting the RCR are projected relative to graduate programs focused on applied research.

  8. Nursing diagnoses in pemphigus vulgaris: a case study.

    PubMed

    Pena, Silvana B; Guimarães, Heloísa C Q C P; Bassoli, Sidinéia R B; Casarin, Santina N A; Herdman, Trace Heather; de Barros, Alba L B L

    2013-10-01

    This case study illustrates the use of the nursing process based upon the standardized nursing diagnoses approved by NANDA International (NANDA-I), and using the Nursing Outcomes Classification (NOC) and the Nursing Interventions Classification (NIC) in the care of a patient with pemphigus vulgaris (PV). The published literature on PV and the experience and expertise of the authors in working with people with impaired skin integrity and PV were used to develop this case study. The accuracy of nursing diagnoses and appropriateness of the nursing interventions were supported by the positive health outcomes of the patient. Impaired skin integrity is a human response diagnosed by nurses, and early treatment is important due to the vulnerability of these patients. The case study contributes to nursing knowledge for professionals who care for patients with PV. © 2013 NANDA International.

  9. An Instrumental Case Study of Administrative Smart Practices for Fully Online Programs and Degrees

    ERIC Educational Resources Information Center

    Gregory, Charles V.

    2017-01-01

    The purpose of this instrumental case study was to explore administrators' responses to significant administrative challenges of fully online programs and degrees. The case was a single public community college located in the Integrated Postsecondary Education Data System Plains Region. In this study Bardach's (1994) method to identify and…

  10. Case Studies, Ethics, Philosophy, and Liberal Learning for the Management Profession

    ERIC Educational Resources Information Center

    Rendtorff, Jacob Dahl

    2015-01-01

    Case studies can be an important methodology for ethics and philosophy in humanistic management and liberal education as well as in the social sciences because they integrate a deeper, reflective, philosophical, and ethical understanding of the organization. A case study approach based on philosophy of management contributes to putting into…

  11. The Impact of Perceptions of Ethical Leadership Styles on Perceptions of Police Integrity Violations: The Case of Diyarbakir Police

    ERIC Educational Resources Information Center

    Guclu, Timur

    2013-01-01

    This study has two main areas: first, the study evaluates whether the ethical leadership style of a direct supervisor has an impact on the police officers' perception of the integrity violations; second, the study scrutinizes whether police officers' moral judgment of integrity violations makes a difference in the amount of such violations. The…

  12. A Case Study of the Application of SAMR and TPACK for Reflection on Technology Integration into Two Social Studies Classrooms

    ERIC Educational Resources Information Center

    Hilton, Jason Theodore

    2016-01-01

    As emerging technology continues to enter the social studies classroom, teachers need to approach integration of such technology in a systematic manner to ensure that such technology enhances the learning of their students. Currently, scholars of technology integration advocate for the use of one of two different models, either SAMR or TPACK. This…

  13. Integrated catchment modelling within a strategic planning and decision making process: Werra case study

    NASA Astrophysics Data System (ADS)

    Dietrich, Jörg; Funke, Markus

    Integrated water resources management (IWRM) redefines conventional water management approaches through a closer cross-linkage between environment and society. The role of public participation and socio-economic considerations becomes more important within the planning and decision making process. In this paper we address aspects of the integration of catchment models into such a process taking the implementation of the European Water Framework Directive (WFD) as an example. Within a case study situated in the Werra river basin (Central Germany), a systems analytic decision process model was developed. This model uses the semantics of the Unified Modeling Language (UML) activity model. As an example application, the catchment model SWAT and the water quality model RWQM1 were applied to simulate the effect of phosphorus emissions from non-point and point sources on water quality. The decision process model was able to guide the participants of the case study through the interdisciplinary planning and negotiation of actions. Further improvements of the integration framework include tools for quantitative uncertainty analyses, which are crucial for real life application of models within an IWRM decision making toolbox. For the case study, the multi-criteria assessment of actions indicates that the polluter pays principle can be met at larger scales (sub-catchment or river basin) without significantly compromising cost efficiency for the local situation.

  14. Systematic review of sensory integration therapy for individuals with disabilities: Single case design studies.

    PubMed

    Leong, H M; Carter, Mark; Stephenson, Jennifer

    2015-12-01

    Sensory integration therapy (SIT) is a controversial intervention that is widely used for people with disabilities. Systematic analysis was conducted on the outcomes of 17 single case design studies on sensory integration therapy for people with, or at-risk of, a developmental or learning disability, disorder or delay. An assessment of the quality of methodology of the studies found most used weak designs and poor methodology, with a tendency for higher quality studies to produce negative results. Based on limited comparative evidence, functional analysis-based interventions for challenging behavior were more effective that SIT. Overall the studies do not provide convincing evidence for the efficacy of sensory integration therapy. Given the findings of the present review and other recent analyses it is advised that the use of SIT be limited to experimental contexts. Issues with the studies and possible improvements for future research are discussed including the need to employ designs that allow for adequate demonstration of experimental control. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. Exploring the Use of Enterprise Content Management Systems in Unification Types of Organizations

    NASA Astrophysics Data System (ADS)

    Izza Arshad, Noreen; Mehat, Mazlina; Ariff, Mohamed Imran Mohamed

    2014-03-01

    The aim of this paper is to better understand how highly standardized and integrated businesses known as unification types of organizations use Enterprise Content Management Systems (ECMS) to support their business processes. Multiple case study approach was used to study the ways two unification organizations use their ECMS in their daily work practices. Arising from these case studies are insights into the differing ways in which ECMS is used to support businesses. Based on the comparisons of the two cases, this study proposed that unification organizations may use ECMS in four ways, for: (1) collaboration, (2) information sharing that supports a standardized process structure, (3) building custom workflows that support integrated and standardized processes, and (4) providing links and access to information systems. These findings may guide organizations that are highly standardized and integrated in fashion, to achieve their intended ECMS-use, to understand reasons for ECMS failures and underutilization and to exploit technologies investments.

  16. Case study: Lockheed-Georgia Company integrated design process

    NASA Technical Reports Server (NTRS)

    Waldrop, C. T.

    1980-01-01

    A case study of the development of an Integrated Design Process is presented. The approach taken in preparing for the development of an integrated design process includes some of the IPAD approaches such as developing a Design Process Model, cataloging Technical Program Elements (TPE's), and examining data characteristics and interfaces between contiguous TPE's. The implementation plan is based on an incremental development of capabilities over a period of time with each step directed toward, and consistent with, the final architecture of a total integrated system. Because of time schedules and different computer hardware, this system will not be the same as the final IPAD release; however, many IPAD concepts will no doubt prove applicable as the best approach. Full advantage will be taken of the IPAD development experience. A scenario that could be typical for many companies, even outside the aerospace industry, in developing an integrated design process for an IPAD-type environment is represented.

  17. An integrated hypnotherapeutic model for the treatment of childhood sexual trauma: a case study.

    PubMed

    Fourie, Gerda; Guse, Tharina

    2011-01-01

    Sexual abuse appears to constitute a major risk factor for a variety of problems in adult life. The effects of abuse on adult living are not uniform therefore intervention strategies should be individualized to address unique symptom constellations. The purpose of this paper is to introduce an integrated Ericksonian and Ego state therapy approach, based on a strengths perspective for the treatment of survivors of childhood sexual abuse. The theoretical foundation for this model is described, followed by a case study. The case study demonstrates how application of this model enabled the client to resolve the experience of sexual abuse, as well as to enhance her sense of general psychological well-being.

  18. The "Total Worker Health" Concept: A Case Study in a Rural Workplace.

    PubMed

    Watkins, Cecilia; Macy, Gretchen; Golla, Vijay; Lartey, Grace; Basham, Jacqueline

    2018-05-01

    This case study was conducted to identify barriers of integration of health protection and health promotion in rural workplaces with tailored interventions that address the identified barriers. Data on a workplace's ability to integrate wellness programs and health protection programs were collected through a questionnaire along with a seven-question interview. Descriptive statistics were used to analyze the quantitative data. Qualitative measures were assessed using thematic analysis. Based off the results of the assessments, the company received tailored training sessions. The largest hindrance to organizational support was time. However, improved knowledge about the need and importance of integration helped the participants to conceptualize and plan for more collaboration between departments. New ways to increase integration at workplaces, especially rural workplaces are needed. More comprehensive interventions that include management are also needed.

  19. INTEGRATING MODELS WITH STAKEHOLDER PREFERENCE OF WATER QUALITY INDICATORS: A CASE STUDY OF LAKE LANIER, GEORGIA, USA

    EPA Science Inventory

    One important aspect of Integrated Environmental Assessment is combining a scientific expertise and stakeholder concerns. Here, we propose a method to integrate stakeholder preferences, in particular preferences of stakeholders with differing environmental perspectives with a se...

  20. Energy System Basics and Distribution Integration Video Series | Energy

    Science.gov Websites

    renewablesparticularly solar photovoltaic (PV) technologiesonto the distribution grid. Solar Energy Technologies PV Integration Case Studies Integrating Photovoltaic Systems onto Secondary Network Distribution Systems Standards and Codes for U.S. Photovoltaic System Installation Network-Optimal Control of Photovoltaics on

  1. Tephritid Integrative Taxonomy: Where We Are Now, with a Focus on the Resolution of Three Tropical Fruit Fly Species Complexes.

    PubMed

    Schutze, Mark K; Virgilio, Massimiliano; Norrbom, Allen; Clarke, Anthony R

    2017-01-31

    Accurate species delimitation underpins good taxonomy. Formalization of integrative taxonomy in the past decade has provided a framework for using multidisciplinary data to make species delimitation hypotheses more rigorous. We address the current state of integrative taxonomy by using as a case study an international project targeted at resolving three important tephritid species complexes: Bactrocera dorsalis complex, Anastrepha fraterculus complex, and Ceratitis FAR (C. fasciventris, C. anonae, C. rosa) complex. The integrative taxonomic approach has helped deliver significant advances in resolving these complexes: It has been used to identify some taxa as belonging to the same biological species as well as to confirm hidden cryptic diversity under a single taxonomic name. Nevertheless, the general application of integrative taxonomy has not been without issue, revealing challenges that must be considered when undertaking an integrative taxonomy project. Scrutiny of this international case study provides a unique opportunity to document lessons learned for the benefit of not only tephritid taxonomists, but also the wider taxonomic community.

  2. Integrating human health into environmental impact assessment: an unrealized opportunity for environmental health and justice.

    PubMed

    Bhatia, Rajiv; Wernham, Aaron

    2008-08-01

    The National Environmental Policy Act and related state laws require many public agencies to analyze and disclose potentially significant environmental effects of agency actions, including effects on human health. In this paper we review the purpose and procedures of environmental impact assessment (EIA), existing regulatory requirements for health effects analysis, and potential barriers to and opportunities for improving integration of human health concerns within the EIA process. We use statutes, regulations, guidelines, court opinions, and empirical research on EIA along with recent case examples of integrated health impact assessment (HIA)/EIA at both the state and federal level. We extract lessons and recommendations for integrated HIA/EIA practice from both existing practices as well as case studies. The case studies demonstrate the adequacy, scope, and power of existing statutory requirements for health analysis within EIA. The following support the success of integrated HIA/EIA: a proponent recognizing EIA as an available regulatory strategy for public health; the openness of the agency conducting the EIA; involvement of public health institutions; and complementary objectives among community stakeholders and health practitioners. We recommend greater collaboration among institutions responsible for EIA, public health institutions, and affected stakeholders along with guidance, resources, and training for integrated HIA/EIA practice.

  3. Integrating Human Health into Environmental Impact Assessment: An Unrealized Opportunity for Environmental Health and Justice

    PubMed Central

    Bhatia, Rajiv; Wernham, Aaron

    2008-01-01

    Objectives The National Environmental Policy Act and related state laws require many public agencies to analyze and disclose potentially significant environmental effects of agency actions, including effects on human health. In this paper we review the purpose and procedures of environmental impact assessment (EIA), existing regulatory requirements for health effects analysis, and potential barriers to and opportunities for improving integration of human health concerns within the EIA process. Data sources We use statutes, regulations, guidelines, court opinions, and empirical research on EIA along with recent case examples of integrated health impact assessment (HIA)/EIA at both the state and federal level. Data synthesis We extract lessons and recommendations for integrated HIA/EIA practice from both existing practices as well as case studies. Conclusions The case studies demonstrate the adequacy, scope, and power of existing statutory requirements for health analysis within EIA. The following support the success of integrated HIA/EIA: a proponent recognizing EIA as an available regulatory strategy for public health; the openness of the agency conducting the EIA; involvement of public health institutions; and complementary objectives among community stakeholders and health practitioners. We recommend greater collaboration among institutions responsible for EIA, public health institutions, and affected stakeholders along with guidance, resources, and training for integrated HIA/EIA practice. PMID:18709140

  4. Quantifying an Integral Ecology Framework: A Case Study of the Riverina, Australia

    NASA Astrophysics Data System (ADS)

    Wheeler, Sarah A.; Haensch, Juliane; Edwards, Jane; Schirmer, Jackie; Zuo, Alec

    2018-02-01

    Communities in Australia's Murray-Darling Basin face the challenge of trying to achieve social, economic, and environmental sustainability; but experience entrenched conflict about the best way to achieve a sustainable future, especially for small rural communities. Integral ecology is a philosophical concept that seeks to address community, economic, social, and environmental sustainability simultaneously. Its inclusive processes are designed to reduce stakeholder conflict. However, to date the application of the integral ecology concept has been largely qualitative in nature. This study developed a quantitative integral ecology framework, and applied this framework to a case study of the Riverina, in the Murray-Darling Basin. Seventy-seven community-focused initiatives were assessed, ranked, and quantified. The majority of the community-focused ranked initiatives did not exhibit all aspects of integral ecology. Initiatives typically prioritized either (1) economic and community development or (2) environmental health; rarely both together. The integral ecology framework developed here enables recommendations on future community initiatives and may provide a pathway for community leaders and other policy-makers to more readily apply integral ecology objectives. Further research refining the framework's operationalization, application and implementation to a wider-scale may enhance communities' capacity to develop and grow sustainably.

  5. It's on Us: A Case Study of Academic Integrity in A Mid-Western Community College

    ERIC Educational Resources Information Center

    Parnther, Ceceilia

    2016-01-01

    Academic ethics and integrity are necessary elements of a quality education. The need for academic integrity education on campuses has been well documented (Bertram Gallant, 2008, 2016; Bertram Gallant & Drinan, 2006; Liebler, 2009; McCabe, Butterfield, & Trevino, 2004). Academic integrity is a cornerstone of the learning process (Bretag…

  6. The Story of an Arts Integration School on English-Language-Learner Development: A Qualitative Study of Collaboration, Integrity, and Confidence

    ERIC Educational Resources Information Center

    Ingraham, Nissa; Nuttall, Susanne

    2016-01-01

    This qualitative case study of a southwest regional elementary school used interviews, focus groups, and document collection to better understand how this arts-integrated school is meeting the needs of English-language learner (ELL) students, discerning increased test performance on state standardized tests. Data were analyzed using open coding.…

  7. [Coral as support of traumatic articular compression. A prospective study of 23 cases involving the lower limb].

    PubMed

    de Peretti, F; Trojani, C; Cambas, P M; Loubière, R; Argenson, C

    1996-01-01

    Infection risk makes the management of a bone bank more and more difficult. On the other hand, realizing an autologous graft is not always without consequences. That is why we estimated the mechanical quality, the osteo-integration and the biocompatability of a coral graft. Between 1988 and 1992, two of us systematically used coral graft as "support" after lifting of some articular depression in fractures of inferior limb. Osteosynthesis was systematically associated. In this way, we operated 13 fractures of the lateral tibial plateau, 8 thalamic fractures of the calcaneus and 2 fractures of the inferior extremity of the tibia. Average follow-up is 20 months, with extremes of 68 and 12 months. Material ablation was realized 13 times and coral graft biopsy 4 times. Bone integration was estimated radiologically in 3 stages: stage 1: non union = "margin" around the coral, stage 2: possible integration = the coral is perfectly visible, but its borders grow indistinct, stage 3: certain integration = peripheral disparition of the coral weft, radiological interpenetration between coral and bone framework. We systematically searched for secondary displacements and complications. Mechanical conditions were respected, there was no secondary displacement. "Possible integration" (stage 2) was found in 8 cases at an average follow-up of 20 months. In 9 cases, we found "certain integration" (stage 3), at an average follow-up of 28 months. It is possible that a more important follow-up time would allow to find more integration cases. Biocompatibility is debatable under the operating conditions of the authors. We counted 5 aseptic serous flows which continued to be aseptic (1 tibial plateau, 1 inferior extremity of the tibia, 3 calcaneum). Three coral grafts were removed to obtain healing. When biocompatibility is satisfactory the integration is certain. The longer the follow-up time, the more stage 3 cases can be observed. Nevertheless, this integration runs out with time. We did not find any explication to aseptic serous flows. It may result from some impurities. On the other hand, use of the coralin hydroxyapatite does not seem to drive to allergic complications. In accordance with this study, we use the coral graft only in case of tibial plateau fracture. Our experience with coral graft in the other fields of bone surgery is not sufficient to express an opinion.

  8. Integrating Solar PV in Utility System Operations: Analytical Framework and Arizona Case Study

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wu, Jing; Botterud, Audun; Mills, Andrew

    2015-06-01

    A systematic framework is proposed to estimate the impact on operating costs due to uncertainty and variability in renewable resources. The framework quantifies the integration costs associated with subhourly variability and uncertainty as well as day-ahead forecasting errors in solar PV (photovoltaics) power. A case study illustrates how changes in system operations may affect these costs for a utility in the southwestern United States (Arizona Public Service Company). We conduct an extensive sensitivity analysis under different assumptions about balancing reserves, system flexibility, fuel prices, and forecasting errors. We find that high solar PV penetrations may lead to operational challenges, particularlymore » during low-load and high solar periods. Increased system flexibility is essential for minimizing integration costs and maintaining reliability. In a set of sensitivity cases where such flexibility is provided, in part, by flexible operations of nuclear power plants, the estimated integration costs vary between $1.0 and $4.4/MWh-PV for a PV penetration level of 17%. The integration costs are primarily due to higher needs for hour-ahead balancing reserves to address the increased sub-hourly variability and uncertainty in the PV resource. (C) 2015 Elsevier Ltd. All rights reserved.« less

  9. The Integration of Women into Combat Units in the Republic of Korea Army

    DTIC Science & Technology

    2014-12-12

    five generally accepted methods for gathering data in qualitative research : biography, phenomenology , grounded theory , ethnography , and a case study .1... methods of various research materials to address the primary research question. The case studies of the transition and development of female...Data collection for this study used the case study method , as it focused on

  10. Wisconsin District Case Study. A Report and Estimating Tool for K-12 School Districts

    ERIC Educational Resources Information Center

    Consortium for School Networking, 2004

    2004-01-01

    The Wisconsin case study school district is primarily urban and growing with 21,500 students on 40 campuses. This document contains case studies that are presented in the same format at the 2003 studies, but also have a focus on additional technologies beyond the base distributed computing model. These new technologies are voice/data integration,…

  11. Faculty Workshops for Teaching Information Assurance through Hands-On Exercises and Case Studies

    ERIC Educational Resources Information Center

    Yuan, Xiaohong; Williams, Kenneth; Yu, Huiming; Rorrer, Audrey; Chu, Bei-Tseng; Yang, Li; Winters, Kathy; Kizza, Joseph

    2017-01-01

    Though many Information Assurance (IA) educators agree that hands-on exercises and case studies improve student learning, hands-on exercises and case studies are not widely adopted due to the time needed to develop them and integrate them into curricula. Under the support of the National Science Foundation (NSF) Scholarship for Service program, we…

  12. Learning & Growing: Integrating Technology Undergraduates into the Development of an Industrial Case Study

    ERIC Educational Resources Information Center

    Newton, Kathryne; Schmidt, Edie

    2004-01-01

    A national industrial distribution association approached the authors to develop a case study for its association members. The national association assumed responsibility for identifying educational needs of upper level, mid level, and lower level personnel in the industry. In the previous year, a case study had been developed to educate upper…

  13. Hamlet's Suicide Soliloquy: A Case Study in Suicide Ideology.

    ERIC Educational Resources Information Center

    Jenkins, Andrew P.

    This paper presents a secondary-level teaching technique that can be used in an integrated English and health education curriculum. The exercise provides students and teachers with a case study of a suicidal person for the purpose of teaching the warning signs of suicide, appropriate questioning, and referral skills. The case study uses Hamlet's…

  14. Social Networking as a Platform for Role-Playing Scientific Case Studies

    ERIC Educational Resources Information Center

    Geyer, Andrea M.

    2014-01-01

    This work discusses the design and implementation of two online case studies in a face-to-face general chemistry course. The case studies were integrated into the course to emphasize the need for science literacy in general society, to enhance critical thinking, to introduce database searching, and to improve primary literature reading skills. An…

  15. Evaluating Consumer Product Life Cycle Sustainability with Integrated Metrics: A Paper Towel Case Study

    EPA Science Inventory

    Integrated sustainability metrics provide an enriched set of information to inform decision-making. However, such approaches are rarely used to assess product supply chains. In this work, four integrated metrics—presented in terms of land, resources, value added, and stability—ar...

  16. Digital Participatory Pedagogy: Digital Participation as a Method for Technology Integration in Curriculum

    ERIC Educational Resources Information Center

    Dooley, Caitlin McMunn; Lewis Ellison, Tisha; Welch, Meghan M.; Allen, Mindy; Bauer, Dennis

    2016-01-01

    This qualitative participatory action research study provides two case studies to demonstrate how teachers in Grades 4 and 6 integrated digital tools into everyday, content-focused classroom instruction. The study demonstrates how teachers' technological pedagogical knowledge might combine with a participatory stance to encourage students to…

  17. Integration of a Professional Dancer into College

    ERIC Educational Resources Information Center

    Pulinkala, Ivan

    2011-01-01

    This paper evaluates the experience of integrating a professional dancer into a collegiate environment using a case study method of qualitative research. Interviews, focus groups, observation studies and document analysis techniques were used to gather qualitative data for this study. The innovation of diffusion theory was used to highlight the…

  18. California Integrated Service Delivery Evaluation Report. Phase I

    ERIC Educational Resources Information Center

    Moore, Richard W.; Rossy, Gerard; Roberts, William; Chapman, Kenneth; Sanchez, Urte; Hanley, Chris

    2010-01-01

    This study is a formative evaluation of the OneStop Career Center Integrated Service Delivery (ISD) Model within the California Workforce System. The study was sponsored by the California Workforce Investment Board. The study completed four in-depth case studies of California OneStops to describe how they implemented the ISD model which brings…

  19. Developing a regional ITS architecture : a cross-cutting study : building a framework for regional ITS integration

    DOT National Transportation Integrated Search

    1999-09-01

    This report highlights cross-cutting findings and perspectives gleaned from a series of case studies that examined the development processes of regional and statewide Intelligent Transportation Systems (ITS) architectures. Each of the case studies is...

  20. Interventions and approaches to integrating HIV and mental health services: a systematic review

    PubMed Central

    Chuah, Fiona Leh Hoon; Haldane, Victoria Elizabeth; Cervero-Liceras, Francisco; Ong, Suan Ee; Sigfrid, Louise A; Murphy, Georgina; Watt, Nicola; Balabanova, Dina; Hogarth, Sue; Maimaris, Will; Otero, Laura; Buse, Kent; McKee, Martin; Piot, Peter; Perel, Pablo; Legido-Quigley, Helena

    2017-01-01

    Abstract Background The frequency in which HIV and AIDS and mental health problems co-exist, and the complex bi-directional relationship between them, highlights the need for effective care models combining services for HIV and mental health. Here, we present a systematic review that synthesizes the literature on interventions and approaches integrating these services. Methods This review was part of a larger systematic review on integration of services for HIV and non-communicable diseases. Eligible studies included those that described or evaluated an intervention or approach aimed at integrating HIV and mental health care. We searched multiple databases from inception until October 2015, independently screened articles identified for inclusion, conducted data extraction, and assessed evaluative papers for risk of bias. Results Forty-five articles were eligible for this review. We identified three models of integration at the meso and micro levels: single-facility integration, multi-facility integration, and integrated care coordinated by a non-physician case manager. Single-site integration enhances multidisciplinary coordination and reduces access barriers for patients. However, the practicality and cost-effectiveness of providing a full continuum of specialized care on-site for patients with complex needs is arguable. Integration based on a collaborative network of specialized agencies may serve those with multiple co-morbidities but fragmented and poorly coordinated care can pose barriers. Integrated care coordinated by a single case manager can enable continuity of care for patients but requires appropriate training and support for case managers. Involving patients as key actors in facilitating integration within their own treatment plan is a promising approach. Conclusion This review identified much diversity in integration models combining HIV and mental health services, which are shown to have potential in yielding positive patient and service delivery outcomes when implemented within appropriate contexts. Our review revealed a lack of research in low- and middle- income countries, and was limited to most studies being descriptive. Overall, studies that seek to evaluate and compare integration models in terms of long-term outcomes and cost-effectiveness are needed, particularly at the health system level and in regions with high HIV and AIDS burden. PMID:29106512

  1. Quality Management Tools: Facilitating Clinical Research Data Integrity by Utilizing Specialized Reports with Electronic Case Report Forms

    PubMed Central

    Trocky, NM; Fontinha, M

    2005-01-01

    Data collected throughout the course of a clinical research trial must be reviewed for accuracy and completeness continually. The Oracle Clinical® (OC) data management application utilized to capture clinical data facilitates data integrity through pre-programmed validations, edit and range checks, and discrepancy management modules. These functions were not enough. Coupled with the use of specially created reports in Oracle Discoverer® and Integrated Review TM, both ad-hoc query and reporting tools, research staff have enhanced their ability to clean, analyze and report more accurate data captured within and among Case Report Forms (eCRFs) by individual study or across multiple studies. PMID:16779428

  2. Developing a health information network within an integrated delivery system: a case study.

    PubMed

    Wager, K A; Heda, S; Austin, C J

    1997-05-01

    Changes in the health care environment, such as the growth of integrated delivery systems and the proliferation of managed care, are having a profound impact on the way in which health care organizations manage both clinical and financial information. Health information networks (HINs) are emerging to support the goals and internal needs of integrated delivery systems. In this environment, health care managers must assume a leadership role in planning for the development of HINs. The article provides an overview of the principal issues that should be addressed in an organization's information systems plan when a HIN is being developed and includes a case study that illustrates the key points discussed.

  3. A case study of exploiting enterprise resource planning requirements

    NASA Astrophysics Data System (ADS)

    Niu, Nan; Jin, Mingzhou; Cheng, Jing-Ru C.

    2011-05-01

    The requirements engineering (RE) processes have become a key to conceptualising corporate-wide integrated solutions based on packaged enterprise resource planning (ERP) software. The RE literature has mainly focused on procuring the most suitable ERP package. Little is known about how an organisation exploits the chosen ERP RE model to frame the business application development. This article reports an exploratory case study of a key tenet of ERP RE adoption, namely that aligning business applications to the packaged RE model leads to integral practices and economic development. The case study analysed a series interrelated pilot projects developed for a business division of a large IT manufacturing and service company, using Oracle's appl1ication implementation method (AIM). The study indicated that AIM RE improved team collaboration and project management experience, but needed to make hidden assumptions explicit to support data visibility and integrity. Our study can direct researchers towards rigorous empirical evaluations of ERP RE adoption, collect experiences and lessons learned for practitioners, and help generate more effective and mature processes when exploiting ERP RE methods.

  4. Integrating Education: Parekhian Multiculturalism and Good Practice

    ERIC Educational Resources Information Center

    McGlynn, Claire

    2009-01-01

    This paper explores the concept of good practice in integrating education in divided societies. Using Northern Ireland as a case study, the paper draws on data from eight schools (both integrated Catholic and Protestant, and separate) that are identified as exemplifying good practice in response to cultural diversity. Analysis is provided through…

  5. Extending Current Theories of Cross-Boundary Information Sharing and Integration: A Case Study of Taiwan e-Government

    ERIC Educational Resources Information Center

    Yang, Tung-Mou

    2011-01-01

    Information sharing and integration has long been considered an important approach for increasing organizational efficiency and performance. With advancements in information and communication technologies, sharing and integrating information across organizations becomes more attractive and practical to organizations. However, achieving…

  6. Berkeley Lab - Materials Sciences Division

    Science.gov Websites

    ? Click Here! Resources for MSD Safety MSD Safety MSD's Integrated Safety Management Plan [PDF] Safety culture and policies at MSD MSD0010: Integrated Safety Management: Principles and Case Studies Calendar for MSD classes on Integrated Safety Management MSD0015 Handout - Waste Briefing Document [PDF] Waste

  7. Science Integrating Learning Objectives: A Cooperative Learning Group Process

    ERIC Educational Resources Information Center

    Spindler, Matt

    2015-01-01

    The integration of agricultural and science curricular content that capitalizes on natural and inherent connections represents a challenge for secondary agricultural educators. The purpose of this case study was to create information about the employment of Cooperative Learning Groups (CLG) to enhance the science integrating learning objectives…

  8. An Integrated Strategy for Teaching Biochemistry to Biotechnology Specialty Students

    ERIC Educational Resources Information Center

    Ouyang, Liming; Ou, Ling; Zhang, Yuanxing

    2007-01-01

    The faculty of biochemistry established an integrated teaching strategy for biotechnology specialty students, by intermeshing the case-study method, web-assistant teaching, and improved lecture format with a brief content and multimedia courseware. Teaching practice showed that the integrated teaching strategy could retain the best features of…

  9. [Not Available].

    PubMed

    Turcotte, Geneviève; Chamberland, Claire; Lemay, Louise; Sanchez, Isabelle

    2016-03-14

    MAP (mothers with power) is a program that proposes a comprehensive approach to promote social and professional integration of low income single mothers with children under six years old. Using the results of a qualitative evaluation of the program 's outcomes and the contextual factors that produced them, this article aims to identify the aspects of the program that are the most promising for practise. To assess the program's outcomes, the study uses two monitoring tools and an information sheet on each participant. An in-depth analysis of the connections between the program's outcomes and the contextual factors that produced them is conducted using 16 case studies, a case being defined as the integration path of each participant during the participation in the program. For each case, four data sources were used: in addition to the monitoring tools, semi-structured interviews were conducted with the participants and the case workers at two points in time. Data show positive outcomes of this program. After three years, a majority of participants went back to school, finished high school, started collegial studies or found a job. These outcomes resulted from a set of factors: structuring actions on the life environment, support from an intervention team working closely with the participants and personalized references to programs and services in the community. The results support the relevance of an integrated and comprehensive approach to the social and professional integration of low-income single mothers.

  10. Integrating to Learn and Learning to Integrate: A Case Study of an Online Master's Program on Science-Mathematics Integration for Middle School Teachers

    ERIC Educational Resources Information Center

    Lee, Mimi Miyoung; Chauvot, Jennifer; Plankis, Brian; Vowell, Julie; Culpepper, Shea

    2011-01-01

    iSMART (Integration of Science, Mathematics, and Reflective Teaching) Program is an online science and mathematics integrated graduate program for middle school teachers across the state of Texas. As part of a large design-based research project, this paper describes the initial stages of the design process of the iSMART program for its first…

  11. Online CTE in the Community College

    ERIC Educational Resources Information Center

    Garza Mitchell, Regina L.; Etshim, Rachal; Dietz, Brian T.

    2016-01-01

    This single-site case study explored how one community college integrated online education into CTE courses and programs. Through semi-structured interviews and document analysis, the study explores how one college integrated online education (fully online, hybrid, and web-enhanced) into areas typically considered "hands-on".…

  12. [Coordination between pharmaceutical services for integrated pharmacotherapy: the case of Catalonia].

    PubMed

    Costa, Karen Sarmento; Goldbaum, Moisés; Guayta-Escolies, Rafel; Modamio, Pilar; Mariño, Eduardo Luis; Tolsá, José Luis Segú

    2017-08-01

    Pharmaceutical policies have been considered strategies to contribute to the guarantee of care coordination and clinical integration. This study sought to describe the pharmaceutical services developed at different levels of care in the health network in Catalonia, as well as to identify and analyze the mechanisms and instruments that act as facilitators and/or barriers to the coordination of pharmacotherapy. This is a descriptive study of 12 cases of hospital pharmacy services, primary care and community pharmacies. Advances related to the perception, formalization and clinical and assistance coordination of the pharmaceutical services were identified. However, weaknesses and potential improvements in coordination were observed. The conclusion drawn was that the different tools and instruments implemented appear to facilitate a greater possibility of integration between pharmaceutical services and the latter with the health services network to contribute to integrated pharmacotherapy.

  13. Risk-Based Decision Making Case Study: Application at a Superfund Cleanup.

    ERIC Educational Resources Information Center

    Blacker, Stanley; Goodman, Daniel

    1994-01-01

    Describes a case study comparing an integrated approach to Superfund cleanup with traditional approaches at a particular Superfund site. Emphasizes ways to save time and money while still achieving the desired risk reduction level. (LZ)

  14. Do Developmental Constraints and High Integration Limit the Evolution of the Marsupial Oral Apparatus?

    PubMed

    Goswami, Anjali; Randau, Marcela; Polly, P David; Weisbecker, Vera; Bennett, C Verity; Hautier, Lionel; Sánchez-Villagra, Marcelo R

    2016-09-01

    Developmental constraints can have significant influence on the magnitude and direction of evolutionary change, and many studies have demonstrated that these effects are manifested on macroevolutionary scales. Phenotypic integration, or the strong interactions among traits, has been similarly invoked as a major influence on morphological variation, and many studies have demonstrated that trait integration changes through ontogeny, in many cases decreasing with age. Here, we unify these perspectives in a case study of the ontogeny of the mammalian cranium, focusing on a comparison between marsupials and placentals. Marsupials are born at an extremely altricial state, requiring, in most cases, the use of the forelimbs to climb to the pouch, and, in all cases, an extended period of continuous suckling, during which most of their development occurs. Previous work has shown that marsupials are less disparate in adult cranial form than are placentals, particularly in the oral apparatus, and in forelimb ontogeny and adult morphology, presumably due to functional selection pressures on these two systems during early postnatal development. Using phenotypic trajectory analysis to quantify prenatal and early postnatal cranial ontogeny in 10 species of therian mammals, we demonstrate that this pattern of limited variation is also apparent in the development of the oral apparatus of marsupials, relative to placentals, but not in the skull more generally. Combined with the observation that marsupials show extremely high integration of the oral apparatus in early postnatal ontogeny, while other cranial regions show similar levels of integration to that observed in placentals, we suggest that high integration may compound the effects of the functional constraints for continuous suckling to ultimately limit the ontogenetic and adult disparity of the marsupial oral apparatus throughout their evolutionary history. © The Author 2016. Published by Oxford University Press on behalf of the Society for Integrative and Comparative Biology.

  15. Developing Digital Wisdom by Students and Teachers: The Impact of Integrating Tablet Computers on Learning and Pedagogy in an Elementary School

    ERIC Educational Resources Information Center

    Shamir-Inbal, Tamar; Blau, Ina

    2016-01-01

    This article investigates a pilot of integrating tablet computers in the elementary education. The research questions address the impact of tablet integration on learning and pedagogy. This qualitative case study crosschecks non-participated observations on students who work with tablet PCs, the school staff reflection on the integration as…

  16. Case Studies in Environment Integration

    DTIC Science & Technology

    1991-12-01

    such as CADRE Teamwork and Frame Technology FrameMaker , are integrated. Future plans include integrating additional software development tools into...Pictures, Sabre C, and Interleaf or FrameMaker . Cad- re Technologies has announced integration agreements with Saber C and Pansophic, as well as offering...access to the Interleaf and FrameMaker documentation tools. While some of the current agreements between vendors to create tool coalitions are

  17. Preservice Teachers' Use of the Technology Integration Planning Cycle to Integrate iPads into Literacy Instruction

    ERIC Educational Resources Information Center

    Hutchison, Amy; Colwell, Jamie

    2016-01-01

    The purpose of this case study was to examine preservice teachers' use of the Technology Integration Planning Cycle (TIPC; Hutchison & Woodward, 2014) to integrate iPads into literacy instruction. Analysis revealed two findings related to using the TIPC to plan instruction: (a) Though the TIPC provides a structured approach to planning that…

  18. Case study of the integration of a local health department and a community health center.

    PubMed Central

    Lambrew, J M; Ricketts, T C; Morrissey, J P

    1993-01-01

    As rural communities struggle to sustain health services locally, innovative alternatives to traditional programs are being developed. A significant adaptation is the rural health network or alliance that links local health departments and community health centers. The authors describe how a rural local health department and community health center, the core organizations in publicly sponsored primary care, came to share a building and administrative and service activities. Both the details of this alliance and its development are examined. The case history reveals that circumstance and State involvement were the catalysts for service integration, more so than the need for or the benefits of the arrangement. The closure of a county-owned hospital created a situation in which State officials were able to broker a cooperative agreement between the two agencies. This case study suggests two hypotheses: that need for integrated services alone may not be sufficient to catalyze the development of primary care alliances and that strong policy support may override any local and internal resistance to integration. PMID:8434093

  19. Measuring primary care practice performance within an integrated delivery system: a case study.

    PubMed

    Stewart, Louis J; Greisler, David

    2002-01-01

    This article examines the use of an integrated performance measurement system to plan and control primary care service delivery within an integrated delivery system. We review a growing body of literature that focuses on the development and implementation of management reporting systems among healthcare providers. Our study extends the existing literature by examining the use of performance information generated by an integrated performance measurement system within a healthcare organization. We conduct our examination through a case study of the WMG Primary Care Medicine Group, the primary care medical group practice of WellSpan Health System. WellSpan Health System is an integrated delivery system that serves south central Pennsylvania and northern Maryland. Our study examines the linkage between WellSpan Health's strategic objectives and its primary care medicine group's integrated performance measurement system. The conceptual design of this integrated performance measurement system combines financial metrics with practice management and clinical operating metrics to provide a more complete picture of medical group performance. Our findings demonstrate that WellSpan Health was able to achieve superior financial results despite a weak linkage between its integrated performance measurement system and its strategic objectives. WellSpan Health achieved this objective for its primary care medicine group by linking clinical performance information to physician compensation and reporting practice management performance through the use of statistical process charts. They found that the combined mechanisms of integrated performance measurement and statistical process control charts improved organizational learning and communications between organizational stakeholders.

  20. Social Constructivism and Case-Writing for an Integrated Curriculum

    ERIC Educational Resources Information Center

    Doubleday, Alison F.; Brown, Blase; Patston, Philip A.; Jurgens-Toepke, Pamela; Strotman, Meaghan Driscoll; Koerber, Anne; Haley, Colin; Briggs, Charlotte; Knight, G. William

    2015-01-01

    Case-writing within an integrated, systems-based health professions education curriculum presents many unique challenges. Specifically, case-writing in this context must consider integration of multidisciplinary learning objectives and synthesis of biomedical and clinical sciences. Establishing an effective process for content integration and…

  1. Integrating Army Aviation into the Combined Arms Team: Operational Art in Desert Shield and Desert Storm

    DTIC Science & Technology

    2017-05-25

    new doctrine, the ideal organization, and what would eventually become a branch. The framework for the historical case study is the doctrinal...operational art were apparent in the case study , and were enabled, either directly or indirectly, by rotary-wing aviation. This case study illuminated the...would eventually become a branch. The framework for the historical case study is the doctrinal relationship between the elements of operational art

  2. Translating the Elements of Health Governance for Integrated Care from Theory to Practice: A Case Study Approach.

    PubMed

    Nicholson, Caroline; Hepworth, Julie; Burridge, Letitia; Marley, John; Jackson, Claire

    2018-01-31

    Against a paucity of evidence, a model describing elements of health governance best suited to achieving integrated care internationally was developed. The aim of this study was to explore how health meso-level organisations used, or planned to use, the governance elements. A case study design was used to offer two contrasting contexts of health governance. Semi-structured interviews were conducted with participants who held senior governance roles. Data were thematically analysed to identify if the elements of health governance were being used, or intended to be in the future. While all participants agreed that the ten elements were essential to developing future integrated care, most were not used. Three major themes were identified: (1) organisational versus system focus, (2) leadership and culture, and, (3) community (dis)engagement. Several barriers and enablers to the use of the elements were identified and would require addressing in order to make evidence-based changes. Despite a clear international policy direction in support of integrated care this study identified a number of significant barriers to its implementation. The study reconfirmed that a focus on all ten elements of health governance is essential to achieve integrated care.

  3. A New Approach to Integrate Internet-of-Things and Software-as-a-Service Model for Logistic Systems: A Case Study

    PubMed Central

    Chen, Shang-Liang; Chen, Yun-Yao; Hsu, Chiang

    2014-01-01

    Cloud computing is changing the ways software is developed and managed in enterprises, which is changing the way of doing business in that dynamically scalable and virtualized resources are regarded as services over the Internet. Traditional manufacturing systems such as supply chain management (SCM), customer relationship management (CRM), and enterprise resource planning (ERP) are often developed case by case. However, effective collaboration between different systems, platforms, programming languages, and interfaces has been suggested by researchers. In cloud-computing-based systems, distributed resources are encapsulated into cloud services and centrally managed, which allows high automation, flexibility, fast provision, and ease of integration at low cost. The integration between physical resources and cloud services can be improved by combining Internet of things (IoT) technology and Software-as-a-Service (SaaS) technology. This study proposes a new approach for developing cloud-based manufacturing systems based on a four-layer SaaS model. There are three main contributions of this paper: (1) enterprises can develop their own cloud-based logistic management information systems based on the approach proposed in this paper; (2) a case study based on literature reviews with experimental results is proposed to verify that the system performance is remarkable; (3) challenges encountered and feedback collected from T Company in the case study are discussed in this paper for the purpose of enterprise deployment. PMID:24686728

  4. A new approach to integrate Internet-of-things and software-as-a-service model for logistic systems: a case study.

    PubMed

    Chen, Shang-Liang; Chen, Yun-Yao; Hsu, Chiang

    2014-03-28

    Cloud computing is changing the ways software is developed and managed in enterprises, which is changing the way of doing business in that dynamically scalable and virtualized resources are regarded as services over the Internet. Traditional manufacturing systems such as supply chain management (SCM), customer relationship management (CRM), and enterprise resource planning (ERP) are often developed case by case. However, effective collaboration between different systems, platforms, programming languages, and interfaces has been suggested by researchers. In cloud-computing-based systems, distributed resources are encapsulated into cloud services and centrally managed, which allows high automation, flexibility, fast provision, and ease of integration at low cost. The integration between physical resources and cloud services can be improved by combining Internet of things (IoT) technology and Software-as-a-Service (SaaS) technology. This study proposes a new approach for developing cloud-based manufacturing systems based on a four-layer SaaS model. There are three main contributions of this paper: (1) enterprises can develop their own cloud-based logistic management information systems based on the approach proposed in this paper; (2) a case study based on literature reviews with experimental results is proposed to verify that the system performance is remarkable; (3) challenges encountered and feedback collected from T Company in the case study are discussed in this paper for the purpose of enterprise deployment.

  5. Creating a Minor in Applied Data Science: Case Western Reserve University Engages Business Leaders to Produce T-Shaped Professionals. A BHEF Case Study

    ERIC Educational Resources Information Center

    Business-Higher Education Forum, 2016

    2016-01-01

    This case study examines how Business-Higher Education Forum (BHEF) member Case Western Reserve University is integrating T-shaped skills into a minor in applied data science. Through the collaboration of its business and higher education members, BHEF launched the National Higher Education and Workforce Initiative to create new undergraduate…

  6. A Pilot Study of Integrated Listening Systems for Children with Sensory Processing Problems

    ERIC Educational Resources Information Center

    Schoen, Sarah A.; Miller, Lucy J.; Sullivan, Jillian

    2015-01-01

    This pilot study explored the effects of Integrated Listening Systems (iLs) Focus Series on individualized parent goals for children with sensory processing impairments. A nonconcurrent multiple baseline, repeated measure across participants, single-case study design was employed (n = 7). The 40-session intervention was delivered at home and in…

  7. Driving Performance Improvements by Integrating Competencies with Human Resource Practices

    ERIC Educational Resources Information Center

    Lee, Jin Gu; Park, Yongho; Yang, Gi Hun

    2010-01-01

    This study explores the issues in the development and application of a competency model and provides implications for more precise integration of competencies into human resource (HR) functions driving performance improvement. This research is based on a case study from a Korean consumer corporation. This study employed document reviews,…

  8. Secondary Mathematics Pre-Service Teachers' Processes of Selection and Integration of Technology

    ERIC Educational Resources Information Center

    Uzan, Erol

    2017-01-01

    This study investigated secondary mathematics pre-service teachers' (PSTs) knowledge of resources in terms of digital technologies, and explored the processes of both selection and integration of technology into their lesson plans. This study employed a case study design. Participants were six secondary mathematics PSTs who enrolled in a methods…

  9. A Homogenization Approach for Design and Simulation of Blast Resistant Composites

    NASA Astrophysics Data System (ADS)

    Sheyka, Michael

    Structural composites have been used in aerospace and structural engineering due to their high strength to weight ratio. Composite laminates have been successfully and extensively used in blast mitigation. This dissertation examines the use of the homogenization approach to design and simulate blast resistant composites. Three case studies are performed to examine the usefulness of different methods that may be used in designing and optimizing composite plates for blast resistance. The first case study utilizes a single degree of freedom system to simulate the blast and a reliability based approach. The first case study examines homogeneous plates and the optimal stacking sequence and plate thicknesses are determined. The second and third case studies use the homogenization method to calculate the properties of composite unit cell made of two different materials. The methods are integrated with dynamic simulation environments and advanced optimization algorithms. The second case study is 2-D and uses an implicit blast simulation, while the third case study is 3-D and simulates blast using the explicit blast method. Both case studies 2 and 3 rely on multi-objective genetic algorithms for the optimization process. Pareto optimal solutions are determined in case studies 2 and 3. Case study 3 is an integrative method for determining optimal stacking sequence, microstructure and plate thicknesses. The validity of the different methods such as homogenization, reliability, explicit blast modeling and multi-objective genetic algorithms are discussed. Possible extension of the methods to include strain rate effects and parallel computation is also examined.

  10. Towards a macrosystems approach for successful coastal management

    EPA Science Inventory

    Managing coastal resources for resiliency and sustainability often requires integrative, multi-disciplinary approaches across varying spatial and temporal scales to engage stakeholders and inform decision-makers. We discuss case studies integrating wetland ecology, economics, soc...

  11. The Challenge of Integration in Interdisciplinary Education

    ERIC Educational Resources Information Center

    Minnis, Michele; John-Steiner, Vera

    2005-01-01

    Focused on an interdisciplinary graduate program in water resources management, this case study illustrates how theory-into-practice integration occurred in a field course and clarified students' expectations that faculty model interdisciplinary ways of knowing.

  12. The Integration of Children with Disabilities into Regular Schools. A Naturalistic Study. Stage 2 Report.

    ERIC Educational Resources Information Center

    Center, Yola; And Others

    The study used a multiple case study method to investigate the quality of the educational and social experiences of elementary-level and secondary-level children with disabilities currently integrated within the Australian regular school system. This second stage of the study used for its sample 23 children with intellectual disabilities, 18 with…

  13. How do primary health care teams learn to integrate intimate partner violence (IPV) management? A realist evaluation protocol.

    PubMed

    Goicolea, Isabel; Vives-Cases, Carmen; San Sebastian, Miguel; Marchal, Bruno; Kegels, Guy; Hurtig, Anna-Karin

    2013-03-23

    Despite the existence of ample literature dealing, on the one hand, with the integration of innovations within health systems and team learning, and, on the other hand, with different aspects of the detection and management of intimate partner violence (IPV) within healthcare facilities, research that explores how health innovations that go beyond biomedical issues-such as IPV management-get integrated into health systems, and that focuses on healthcare teams' learning processes is, to the best of our knowledge, very scarce if not absent. This realist evaluation protocol aims to ascertain: why, how, and under what circumstances primary healthcare teams engage (if at all) in a learning process to integrate IPV management in their practices; and why, how, and under what circumstances team learning processes lead to the development of organizational culture and values regarding IPV management, and the delivery of IPV management services. This study will be conducted in Spain using a multiple-case study design. Data will be collected from selected cases (primary healthcare teams) through different methods: individual and group interviews, routinely collected statistical data, documentary review, and observation. Cases will be purposively selected in order to enable testing the initial middle-range theory (MRT). After in-depth exploration of a limited number of cases, additional cases will be chosen for their ability to contribute to refining the emerging MRT to explain how primary healthcare learn to integrate intimate partner violence management. Evaluations of health sector responses to IPV are scarce, and even fewer focus on why, how, and when the healthcare services integrate IPV management. There is a consensus that healthcare professionals and healthcare teams play a key role in this integration, and that training is important in order to realize changes. However, little is known about team learning of IPV management, both in terms of how to trigger such learning and how team learning is connected with changes in organizational culture and values, and in service delivery. This realist evaluation protocol aims to contribute to this knowledge by conducting this project in a country, Spain, where great endeavours have been made towards the integration of IPV management within the health system.

  14. [Barriers and facilitators to health care coordination in two integrated health care organizations in Catalonia (Spain)].

    PubMed

    Vargas Lorenzo, Ingrid; Vázquez Navarrete, M Luisa

    2007-01-01

    To analyze 2 integrated delivery systems (IDS) in Catalonia and identify areas for future development to improve their effectiveness. An exploratory, descriptive, qualitative study was carried out based on case studies by means of document analysis and semi-structured individual interviews. A criterion sample of cases and, for each case, of documents and informants was selected. Study cases consisted of the Consorci Sanitari del Maresme (CSdM) and the Consorci Sanitari de Terrassa/Fundació Hospital Sant Llàtzer (FHSLL). A total of 127 documents were analyzed and 29 informants were interviewed: IDS managers (n = 10), technical staff (n = 5), operational unit managers (n = 5) and health professionals (n = 9). Content analysis was conducted, with mixed generation of categories and segmentation by cases and subjects. CSdM and CSdT/FHSLL are health care organizations with backward vertical integration, total services production, and real (CSdM) and virtual (CSdT/FHSLL) ownership. Funds are allocated by care level. The governing body is centralized in CSdM and decentralized in CSdT/FHSLL. In both organizations, the global objectives are oriented toward improving coordination and efficiency but are not in line with those of the operational units. Both organizations present a functional structure with integration of support functions and utilize mechanisms for collaboration between care levels based on work processes standardization. Both IDS present facilitators and barriers to health care coordination. To improve coordination, changes in external elements (payment mechanism) and in internal elements (governing body role, organizational structure and coordination mechanisms) are required.

  15. A case study of full integration of the arts into core subject area instruction in one East Texas secondary school

    NASA Astrophysics Data System (ADS)

    Leysath, Maggie

    This exploratory phenomenological case study investigated the influence the full integration of the arts into core subject instruction has on classroom environment, student academic achievement, and student engagement as perceived by administrators, teachers, and students in one East Texas secondary school. Participant interviews were analyzed using Creswell's (2012) six-step method for analyzing phenomenological studies. The researcher implemented three learning activities in which ceramics learning objectives were fully integrated with chemistry learning objectives. The first activity combined clay properties and pottery wheel throwing with significant numbers. The second activity combined glaze formulation with moles. The third combined stoichiometry with the increased glaze formula for students to glaze the bowls they made. Findings suggest the full integration of art in core subject area instruction has numerous positive effects. Participants reported improved academic achievement for all students including reluctant learners. Students, teachers, and the administrator reported greater participation in the art integrated activities. Participants perceived a need for further training for teachers and administrators for greater success.

  16. Institutional conditions for IWRM: the Israeli case.

    PubMed

    Fischhendler, Itay

    2008-01-01

    Many places in the world are experiencing a water crisis. This water crisis is attributed to a governance crisis, whereas often fragmented institutional and physical water structures are used to explain a policy of overexploitation. The Israeli water system, which adopted integrated water resource management (IWRM), is often cited as a model for other countries struggling with fragmented water systems. Yet, despite the exceptional degree of integration, Israel in the past two decades has adopted an unsustainable water policy. The aim of this study is to understand this failure and thereby to postulate on the institutional conditions required for successful implementation of IWRM. The study focuses on the politics of water allocation during the drought of 1999 to 2002. It was found that the failure originates in setting administrative divisions in the decision-making process and in differential checks, with no balances implicitly instituted within the integrated water system. These two factors have resulted in a water system that is physically integrated but is not coupled by a balanced institutional structure. This case study teaches us that when reforming the water sector along IWRM lines, measures must be taken to ensure that the physical integration coincides with a balanced institutional integration-otherwise the results may be worse than if there were no integration at all.

  17. Effectiveness of integrating case studies in online and face-to-face instruction of pathophysiology: a comparative study.

    PubMed

    Saleh, Suha M; Asi, Yara M; Hamed, Kastro M

    2013-06-01

    Due to growing demand from students and facilitated by innovations in educational technology, institutions of higher learning are increasingly offering online courses. Subjects in the hard sciences, such as pathophysiology, have traditionally been taught in the face-to-face format, but growing demand for preclinical science courses has compelled educators to incorporate online components into their classes to promote comprehension. Learning tools such as case studies are being integrated into such courses to aid in student interaction, engagement, and critical thinking skills. Careful assessment of pedagogical techniques is essential; hence, this study aimed to evaluate and compare student perceptions of the use of case studies in face-to-face and fully online pathophysiology classes. A series of case studies was incorporated into the curriculum of a pathophysiology class for both class modes (online and face to face). At the end of the semester, students filled out a survey assessing the effectiveness of the case studies. Both groups offered positive responses about the incorporation of case studies in the curriculum of the pathophysiology class. This study supports the argument that with proper use of innovative teaching tools, such as case studies, online pathophysiology classes can foster a sense of community and interaction that is typically only seen with face-to-face classes, based on student responses. Students also indicated that regardless of class teaching modality, use of case studies facilitates student learning and comprehension as well as prepares them for their future careers in health fields.

  18. Integration: Dirty Word or Golden Key?

    ERIC Educational Resources Information Center

    Kerry, Trevor

    2007-01-01

    This article examines the notion of integrated studies as a way of organising curriculum in schools. Drawing on the insights of educational philosophy, curriculum theory and learning theory it establishes the soundness of a theoretical case for integration. It examines what this view means for the art and science of teaching, and notes examples of…

  19. Evaluating the Integration of Key Skills and NVQs into an Undergraduate Degree Programme: A Case Study from the Graduate Apprenticeship Initiative.

    ERIC Educational Resources Information Center

    Thomas, Sarah; Grimes, Darren

    2003-01-01

    Graduate apprenticeships in a British college's hospitality management course involved integration of key skills and National Vocational Qualifications units. Qualitative and quantitative data from seven students indicated they felt that integration enabled formal recognition of competency, provided valuable managerial experience, and facilitated…

  20. Integrating a Learning Management System with a Student Assignments Digital Repository. A Case Study

    ERIC Educational Resources Information Center

    Díaz, Javier; Schiavoni, Alejandra; Osorio, María Alejandra; Amadeo, Ana Paola; Charnelli, María Emilia

    2013-01-01

    The integration of different platforms and information Systems in the academic environment is highly important and quite a challenge within the field of Information Technology. This integration allows for higher resource availability and improved interaction among intervening actors. In the field of e-Learning, where Learning Management Systems…

  1. A Critical Agency Network Model for Building an Integrated Outreach Program

    ERIC Educational Resources Information Center

    Kiyama, Judy Marquez; Lee, Jenny J.; Rhoades, Gary

    2012-01-01

    This study considers a distinct case of a college outreach program that integrates student affairs staff, academic administrators, and faculty across campus. The authors find that social networks and critical agency help to understand the integration of these various professionals and offer a critical agency network model of enacting change.…

  2. Unpacking the Revised Bloom's Taxonomy: Developing Case-Based Learning Activities

    ERIC Educational Resources Information Center

    Nkhoma, Mathews Zanda; Lam, Tri Khai; Sriratanaviriyakul, Narumon; Richardson, Joan; Kam, Booi; Lau, Kwok Hung

    2017-01-01

    Purpose: The purpose of this paper is to propose the use of case studies in teaching an undergraduate course of Internet for Business in class, based on the revised Bloom's taxonomy. The study provides the empirical evidence about the effect of case-based teaching method integrated the revised Bloom's taxonomy on students' incremental learning,…

  3. LGB-Affirmative Cognitive Behavioral Treatment for Social Anxiety: A Case Study Applying Evidence-Based Practice Principles

    ERIC Educational Resources Information Center

    Walsh, Kate; Hope, Debra A.

    2010-01-01

    Guided by the American Psychological Association's principles of evidence-based practice, this article reviews a single-case treatment outcome study whereby a client characteristic, sexual identity, was integrated into the assessment and treatment of social anxiety symptoms. The case involved a young adult European-American male who presented to a…

  4. A cloud-based production system for information and service integration: an internet of things case study on waste electronics

    NASA Astrophysics Data System (ADS)

    Wang, Xi Vincent; Wang, Lihui

    2017-08-01

    Cloud computing is the new enabling technology that offers centralised computing, flexible data storage and scalable services. In the manufacturing context, it is possible to utilise the Cloud technology to integrate and provide industrial resources and capabilities in terms of Cloud services. In this paper, a function block-based integration mechanism is developed to connect various types of production resources. A Cloud-based architecture is also deployed to offer a service pool which maintains these resources as production services. The proposed system provides a flexible and integrated information environment for the Cloud-based production system. As a specific type of manufacturing, Waste Electrical and Electronic Equipment (WEEE) remanufacturing experiences difficulties in system integration, information exchange and resource management. In this research, WEEE is selected as the example of Internet of Things to demonstrate how the obstacles and bottlenecks are overcome with the help of Cloud-based informatics approach. In the case studies, the WEEE recycle/recovery capabilities are also integrated and deployed as flexible Cloud services. Supporting mechanisms and technologies are presented and evaluated towards the end of the paper.

  5. Using mixed methods for evaluating an integrative approach to cancer care: a case study.

    PubMed

    Brazier, Alison; Cooke, Karen; Moravan, Veronika

    2008-03-01

    To evaluate the impact of participating in an integrative cancer care program at the Centre for Integrated Healing in Vancouver, British Columbia, on patients' lifestyle, quality of life, and overall well-being. A mixed-methods case study with a pre- and posttest design. No control group was utilized. All new patients starting at the Centre for Integrated Healing between May and September of 2004 were invited to join the study. Forty-six of 77 new patients agreed to participate. Quantitative data measuring quality of life, social support, anxiety and depression, locus of control, and hope were assessed at baseline (pre-program start) and at 6 weeks and 5 months from the start of the program. Qualitative data in the form of focus groups and interviews were collected midway through the follow-up period to further explore program impacts. No statistically significant improvements or declines were noted on the quantitative measures between baseline and the 5-month follow-up point. The qualitative findings revealed a theme of patients' active engagement in their cancer care involving empowered decision making and creating personal change. Facilitators of active patient engagement in their own care from the integrative program included healing partnerships with practitioners, information and resources, managing the integration of complementary and conventional therapies, emotional support, and a sense of hope. This case study was a first attempt at documenting the impact of an integrative cancer care program at the Centre for Integrated Healing. Study limitations included a small sample size, which limited power to detect quantitative changes on the questionnaires and a lack of a control group. Qualitative findings indicated that patients found value in the "person-oriented" holistic approach to care, which encouraged patients to take an active role in decision making and self-care. The use of a mixed-methods research design proved to be an effective approach to not only evaluating outcomes but also examining process issues of the experience. Additional research is greatly needed to better understand potential impacts of integrative approaches to cancer care.

  6. Dependence of normal brain integral dose and normal tissue complication probability on the prescription isodose values for γ-knife radiosurgery

    NASA Astrophysics Data System (ADS)

    Ma, Lijun

    2001-11-01

    A recent multi-institutional clinical study suggested possible benefits of lowering the prescription isodose lines for stereotactic radiosurgery procedures. In this study, we investigate the dependence of the normal brain integral dose and the normal tissue complication probability (NTCP) on the prescription isodose values for γ-knife radiosurgery. An analytical dose model was developed for γ-knife treatment planning. The dose model was commissioned by fitting the measured dose profiles for each helmet size. The dose model was validated by comparing its results with the Leksell gamma plan (LGP, version 5.30) calculations. The normal brain integral dose and the NTCP were computed and analysed for an ensemble of treatment cases. The functional dependence of the normal brain integral dose and the NCTP versus the prescribing isodose values was studied for these cases. We found that the normal brain integral dose and the NTCP increase significantly when lowering the prescription isodose lines from 50% to 35% of the maximum tumour dose. Alternatively, the normal brain integral dose and the NTCP decrease significantly when raising the prescribing isodose lines from 50% to 65% of the maximum tumour dose. The results may be used as a guideline for designing future dose escalation studies for γ-knife applications.

  7. Education and Social Integration: A Case Study of Institutional Effect on Malaysia.

    ERIC Educational Resources Information Center

    Bock, John C.

    The study's objective was to examine the interrelationships of education and other social institutions of Malaysia's transitional society to understand those conditions which facilitate, or impede, the formal educational institutions' effectiveness as an agent of directed social change, especially regarding national integration and shared…

  8. Best practices in intercultural health: five case studies in Latin America.

    PubMed

    Mignone, Javier; Bartlett, Judith; O'Neil, John; Orchard, Treena

    2007-09-05

    The practice of integrating western and traditional indigenous medicine is fast becoming an accepted and more widely used approach in health care systems throughout the world. However, debates about intercultural health approaches have raised significant concerns. This paper reports findings of five case studies on intercultural health in Chile, Colombia, Ecuador, Guatemala, and Suriname. It presents summary information on each case study, comparatively analyzes the initiatives following four main analytical themes, and examines the case studies against a series of the best practice criteria.

  9. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Soria-Lara, Julio A., E-mail: julio.soria-lara@ouce.ox.ac.uk; Bertolini, Luca, E-mail: l.bertolini@uva.nl; Brömmelstroet, Marco te, E-mail: M.C.G.teBrommelstroet@uva.nl

    The integration of knowledge from stakeholders and the public at large is seen as one of the biggest process-related barriers during the scoping phase of EIA application in transport planning. While the academic literature offers abundant analyses, discussions and suggestions how to overcome this problem, the proposed solutions are yet to be adequately tested in practice. In order to address this gap, we test the effectiveness of a set of interventions and trigger mechanisms for improving different aspects of knowledge integration. The interventions are tested in an experiential study with two sequential cases, representing “close-to-real-life” conditions, in the context ofmore » two cities in Andalusia, Spain. In general terms, the participants perceived that the integration of knowledge improved during the simulation of the EIA scoping phase. Certain shortcomings were also discussed, fundamentally related to how the time spent during the scoping phase was crucial to lead an effective learning process between the involved people. The study concludes with a reflection on the effectiveness of the tested interventions according to similarities and differences obtained from the two experiential case studies, as well as with a discussion of the potential to generate new knowledge through the use of experiential studies in EIA practice. - Highlights: • It tests a set of interventions and mechanisms to improve the integration of knowledge. • The scoping phase of EIA is simulated to assess the effectiveness of interventions. • Two sequential case studies are used.« less

  10. Integrating Disabled Employees into the Workplace.

    ERIC Educational Resources Information Center

    Nathanson, Robert B.; Lambert, Jeffrey

    1981-01-01

    Negative attitudes are one of the biggest barriers to successful integration of disabled employees. Using case-study examples, the authors illustrate seven attitudinal syndromes and their impact on mainstreaming efforts. Attitudes include pity, overprotection, rejection, guilt, and discomfort. (CT)

  11. Overcoming Barriers to Integrating Behavioral Health and Primary Care Services

    PubMed Central

    Grazier, Kyle L.; Smiley, Mary L.; Bondalapati, Kirsten S.

    2016-01-01

    Objective: Despite barriers, organizations with varying characteristics have achieved full integration of primary care services with providers and services that identify, treat, and manage those with mental health and substance use disorders. What are the key factors and common themes in stories of this success? Methods: A systematic literature review and snowball sampling technique was used to identify organizations. Site visits and key informant interviews were conducted with 6 organizations that had over time integrated behavioral health and primary care services. Case studies of each organization were independently coded to identify traits common to multiple organizations. Results: Common characteristics include prioritized vulnerable populations, extensive community collaboration, team approaches that included the patient and family, diversified funding streams, and data-driven approaches and practices. Conclusions: While significant barriers to integrating behavioral health and primary care services exist, case studies of organizations that have successfully overcome these barriers share certain common factors. PMID:27380923

  12. Integrating strategic environmental assessment with industry planning: a case study of the Pasquai-Porcupine forest management plan, Saskatchewan, Canada.

    PubMed

    Noble, Bram F

    2004-03-01

    Strategic environmental assessment (SEA) is gaining widespread recognition as a tool for integrating environmental considerations in policy, plan, and program development and decision-making. Notwithstanding the potential of SEA to improve higher-order decision processes, there has been very little attention given to integrating SEA with industry planning practices. As a result, the benefits of SEA have yet to be fully realized among industrial proponents. That said, SEA practice is ongoing, albeit informally and often under a different label, and is proving to be a valuable tool for industry planning and decision-making. Based on a case study of the Pasquai-Porcupine forest management plan in Saskatchewan, Canada, this paper illustrates how an integrated approach to SEA can contribute to industry environmental decision-making and can enhance the quality and deliverability of industry plans.

  13. Sustainability in Housing: A Curriculum Case Study.

    ERIC Educational Resources Information Center

    Parrott, Kathleen; Emmel, Joann M.

    2001-01-01

    Explores the influence of environmental issues on the field of housing, from the perspective of sustainable housing. Presents a case study of the development of a college course to address these issues by integrating energy management, air quality, water quality, and waste management. (Author)

  14. Assessing Student Work to Support Curriculum Development: An Engineering Case Study

    ERIC Educational Resources Information Center

    Saunders, Kevin; Brumm, Thomas; Brooke, Corly; Mickelson, Steve; Freeman, Steve

    2013-01-01

    Knowledge and abilities associated with interdisciplinary education include integrating knowledge across disciplines, applying knowledge to real-world situations, and demonstrating skills in creativity, teamwork, communication, and collaboration. This case study discusses how a departmental curriculum committee in Agricultural and Biosystems…

  15. Simulations & Case Studies. [SITE 2002 Section].

    ERIC Educational Resources Information Center

    Seymour, Cathy R., Ed.

    This document contains the following papers on simulations and case studies from the SITE (Society for Information Technology & Teacher Education) 2002 conference: "3-D Virtual Classroom Technology" (Kimberly Arseneau Miller, Angela Glod); "Simulated Lesson Design Studios" (Willis Copeland); "Lights, Camera, Integration: Presentation Programs and…

  16. Island Roots, Global Reach: A Case Study in Internationalizing Kapi'olani Community College

    ERIC Educational Resources Information Center

    Richards, Leon; Franco, Robert W.

    2007-01-01

    This chapter offers a case study of Kapi'olani Community College, an institution that initiated its Asia-Pacific emphasis in 1988, strengthened the emphasis throughout the 1990s, and expanded it to an integrated international emphasis in 2007.

  17. A Business Casebook for Young Decision Makers.

    ERIC Educational Resources Information Center

    Tedesco, Paul H., Ed.; And Others

    Ten case studies taken from the business world are presented to help secondary school students develop a realistic understanding of economic problems. Discussion of the cases can be integrated into economics or social studies programs. By studying concrete examples of business reacting to changing economic conditions, students should learn to…

  18. Academic Capitalism and Academic Culture: A Case Study

    ERIC Educational Resources Information Center

    Mendoza, Pilar; Berger, Joseph B.

    2008-01-01

    This case study investigated the impact of academic capitalism on academic culture by examining the perspectives of faculty members in an American academic department with significant industrial funding. The results of this study indicate that faculty members believe that the broad integrity of the academic culture remains unaffected in this…

  19. Measuring healthcare integration: Operationalization of a framework for a systems evaluation of palliative care structures, processes, and outcomes.

    PubMed

    Bainbridge, Daryl; Brazil, Kevin; Ploeg, Jenny; Krueger, Paul; Taniguchi, Alan

    2016-06-01

    Healthcare integration is a priority in many countries, yet there remains little direction on how to systematically evaluate this construct to inform further development. The examination of community-based palliative care networks provides an ideal opportunity for the advancement of integration measures, in consideration of how fundamental provider cohesion is to effective care at end of life. This article presents a variable-oriented analysis from a theory-based case study of a palliative care network to help bridge the knowledge gap in integration measurement. Data from a mixed-methods case study were mapped to a conceptual framework for evaluating integrated palliative care and a visual array depicting the extent of key factors in the represented palliative care network was formulated. The study included data from 21 palliative care network administrators, 86 healthcare professionals, and 111 family caregivers, all from an established palliative care network in Ontario, Canada. The framework used to guide this research proved useful in assessing qualities of integration and functioning in the palliative care network. The resulting visual array of elements illustrates that while this network performed relatively well at the multiple levels considered, room for improvement exists, particularly in terms of interventions that could facilitate the sharing of information. This study, along with the other evaluative examples mentioned, represents important initial attempts at empirically and comprehensively examining network-integrated palliative care and healthcare integration in general. © The Author(s) 2016.

  20. B2B collaboration method through trust values for e-supply chain integrator: a case study of Malaysian construction industry

    NASA Astrophysics Data System (ADS)

    Ab. Aziz, Norshakirah; Ahmad, Rohiza; Dhanapal Durai, Dominic

    2011-12-01

    Limited trust, cooperation and communication have been identified as some of the issues that hinder collaboration among business partners. These one also true in the acceptance of e-supply chain integrator among organizations that involve in the same industry. On top of that, the huge number of components in supply chain industry also makes it impossible to include entire supply chain components in the integrator. Hence, this study intends to propose a method for identifying "trusted" collaborators for inclusion into an e-supply chain integrator. For the purpose of constructing and validating the method, the Malaysian construction industry is chosen as the case study due to its size and importance to the economy. This paper puts forward the background of the research, some relevant literatures which lead to trust values elements formulation, data collection from Malaysian Construction Supply Chain and a glimpse of the proposed method for trusted partner selection. Future work is also presented to highlight the next step of this research.

  1. An Analysis of Teacher Perceptions of a Principal's Leadership Behaviors Associated with the Integration of a One-to-One Laptop Program for Students in a Parochial Secondary School

    ERIC Educational Resources Information Center

    Skevakis, Anthony

    2010-01-01

    The purpose of this explanatory single-case case study (Yin, 2003) was to investigate teachers' perceptions of a principal's leadership behavior associated with the integration of a one-to-one laptop program in a parochial secondary school. The sample included the school principal and teachers who have had at least one year of teaching experience…

  2. A Study of the Barriers K-12 Teachers Encounter when Integrating Technology into the Curriculum

    ERIC Educational Resources Information Center

    Brown-Joseph, Theresa Denise

    2010-01-01

    This study utilized an outlined plan for a qualitative case study to explore the perceived barriers that teachers in K-12 grades encounter when integrating technology into the curriculum. A purposive sample of 20 teachers from both elementary and high schools provided information during structured interviews about their experiences with…

  3. Ionospheric threats to the integrity of airborne GPS users

    NASA Astrophysics Data System (ADS)

    Datta-Barua, Seebany

    The Global Positioning System (GPS) has both revolutionized and entwined the worlds of aviation and atmospheric science. As the largest and most unpredictable source of GPS positioning error, the ionospheric layer of the atmosphere, if left unchecked, can endanger the safety, or "integrity," of the single frequency airborne user. An augmentation system is a differential-GPS-based navigation system that provides integrity through independent ionospheric monitoring by reference stations. However, the monitor stations are not in general colocated with the user's GPS receiver. The augmentation system must protect users from possible ionosphere density variations occurring between its measurements and the user's. This study analyzes observations from ionospherically active periods to identify what types of ionospheric disturbances may cause threats to user safety if left unmitigated. This work identifies when such disturbances may occur using a geomagnetic measure of activity and then considers two disturbances as case studies. The first case study indicates the need for a non-trivial threat model for the Federal Aviation Administration's Local Area Augmentation System (LAAS) that was not known prior to the work. The second case study uses ground- and space-based data to model an ionospheric disturbance of interest to the Federal Aviation Administration's Wide Area Augmentation System (WAAS). This work is a step in the justification for, and possible future refinement of, one of the WAAS integrity algorithms. For both WAAS and LAAS, integrity threats are basically caused by events that may be occurring but are unobservable. Prior to the data available in this solar cycle, events of such magnitude were not known to be possible. This work serves as evidence that the ionospheric threat models developed for WARS and LAAS are warranted and that they are sufficiently conservative to maintain user integrity even under extreme ionospheric behavior.

  4. Towards Effective International Work-Integrated Learning Practica in Development Studies: Reflections on the Australian Consortium for "In-Country" Indonesian Studies' Development Studies Professional Practicum

    ERIC Educational Resources Information Center

    Rosser, Andrew

    2012-01-01

    In recent years, overseas work-integrated learning practica have become an increasingly important part of development studies curricula in "Northern" universities. This paper examines the factors that shape pedagogical effectiveness in the provision of such programmes, focusing on the case of the Australian Consortium for…

  5. Assuring structural integrity in Army systems

    NASA Technical Reports Server (NTRS)

    1985-01-01

    The object of this study was to recommend possible improvements in the manner in which structural integrity of Army systems is assured. The elements of a structural integrity program are described, and relevant practices used in various industries and government organizations are reviewed. Some case histories of Army weapon systems are examined. The mandatory imposition of a structural integrity program patterned after the Air Force Aircraft Structural Integrity Program is recommended and the benefits of such an action are identified.

  6. A Framework of Knowledge Integration and Discovery for Supporting Pharmacogenomics Target Predication of Adverse Drug Events: A Case Study of Drug-Induced Long QT Syndrome.

    PubMed

    Jiang, Guoqian; Wang, Chen; Zhu, Qian; Chute, Christopher G

    2013-01-01

    Knowledge-driven text mining is becoming an important research area for identifying pharmacogenomics target genes. However, few of such studies have been focused on the pharmacogenomics targets of adverse drug events (ADEs). The objective of the present study is to build a framework of knowledge integration and discovery that aims to support pharmacogenomics target predication of ADEs. We integrate a semantically annotated literature corpus Semantic MEDLINE with a semantically coded ADE knowledgebase known as ADEpedia using a semantic web based framework. We developed a knowledge discovery approach combining a network analysis of a protein-protein interaction (PPI) network and a gene functional classification approach. We performed a case study of drug-induced long QT syndrome for demonstrating the usefulness of the framework in predicting potential pharmacogenomics targets of ADEs.

  7. The Role of Integrated Modelling and Assessment for Decision-Making: Lessons from Water Allocation Issues in Australia

    NASA Astrophysics Data System (ADS)

    Jakeman, A. J.; Guillaume, J. H. A.; El Sawah, S.; Hamilton, S.

    2014-12-01

    Integrated modelling and assessment (IMA) is best regarded as a process that can support environmental decision-making when issues are strongly contested and uncertainties pervasive. To be most useful, the process must be multi-dimensional and phased. Principally, it must be tailored to the problem context to encompass diverse issues of concern, management settings and stakeholders. This in turn requires the integration of multiple processes and components of natural and human systems and their corresponding spatial and temporal scales. Modellers therefore need to be able to integrate multiple disciplines, methods, models, tools and data, and many sources and types of uncertainty. These dimensions are incorporated into iteration between the various phases of the IMA process, including scoping, problem framing and formulation, assessing options and communicating findings. Two case studies in Australia are employed to share the lessons of how integration can be achieved in these IMA phases using a mix of stakeholder participation processes and modelling tools. One case study aims to improve the relevance of modelling by incorporating stakeholder's views of irrigated viticulture and water management decision making. It used a novel methodology with the acronym ICTAM, consisting of Interviews to elicit mental models, Cognitive maps to represent and analyse individual and group mental models, Time-sequence diagrams to chronologically structure the decision making process, an All-encompassing conceptual model, and computational Models of stakeholder decision making. The second case uses a hydro-economic river network model to examine basin-wide impacts of water allocation cuts and adoption of farm innovations. The knowledge exchange approach used in each case was designed to integrate data and knowledge bearing in mind the contextual dimensions of the problem at hand, and the specific contributions that environmental modelling was thought to be able to make.

  8. Developing integrated clinical reasoning competencies in dental students using scaffolded case-based learning - empirical evidence.

    PubMed

    Postma, T C; White, J G

    2016-08-01

    This study provides empirical evidence of the development of integrated clinical reasoning in the discipline-based School of Dentistry, University of Pretoria, South Africa. Students were exposed to case-based learning in comprehensive patient care (CPC) in the preclinical year of study, scaffolded by means of the four-component instructional design model for complex learning. Progress test scores of third- to fifth-year dental students, who received case-based teaching and learning in the third year (2009-2011), were compared to the scores of preceding fourth- and fifth-year cohorts. These fourth- and fifth-year cohorts received content-based teaching concurrently with their clinical training in CPC. The progress test consisted of a complex case study and 32 MCQs on tracer conditions. Students had to gather the necessary information and had to make diagnostic and treatment-planning decisions. Preclinical students who participated in the case-based teaching and learning achieved similar scores compared to final-year students who received lecture-based teaching and learning. Final-year students who participated in the case-based learning made three more correct clinical decisions per student, compared to those who received content-based teaching. Students struggled more with treatment-planning than with diagnostic decisions. The scaffolded case-based learning appears to contribute to accurate clinical decisions when compared to lecture-based teaching. It is suggested that the development of integrated reasoning competencies starts as early as possible in a dental curriculum, perhaps even in the preclinical year of study. Treatment-planning should receive particular attention. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Navigating Access and Maintaining Established Practice: Social Studies Teachers' Technology Integration at Three Florida Middle Schools

    ERIC Educational Resources Information Center

    Sheffield, Caroline

    2011-01-01

    This mixed methods multiple case study explored middle school social studies teachers' instructional use of digital technology at three suburban middle schools This mixed methods, multiple-case study explored middle school social studies teachers' instructional use of digital technology at three suburban middle schools in a large Florida school…

  10. Geometry, Heat Equation and Path Integrals on the Poincaré Upper Half-Plane

    NASA Astrophysics Data System (ADS)

    Kubo, R.

    1988-01-01

    Geometry, heat equation and Feynman's path integrals are studied on the Poincaré upper half-plane. The fundamental solution to the heat equation partial f/partial t = Delta_{H} f is expressed in terms of a path integral defined on the upper half-plane. It is shown that Kac's statement that Feynman's path integral satisfies the Schrödinger equation is also valid for our case.

  11. Specification of an integrated information architecture for a mobile teleoperated robot for home telecare.

    PubMed

    Iannuzzi, David; Grant, Andrew; Corriveau, Hélène; Boissy, Patrick; Michaud, Francois

    2016-12-01

    The objective of this study was to design effectively integrated information architecture for a mobile teleoperated robot in remote assistance to the delivery of home health care. Three role classes were identified related to the deployment of a telerobot, namely, engineer, technology integrator, and health professional. Patients and natural caregivers were indirectly considered, this being a component of future field studies. Interviewing representatives of each class provided the functions, and information content and flows for each function. Interview transcripts enabled the formulation of UML (Universal Modeling Language) diagrams for feedback from participants. The proposed information architecture was validated with a use-case scenario. The integrated information architecture incorporates progressive design, ergonomic integration, and the home care needs from medical specialist, nursing, physiotherapy, occupational therapy, and social worker care perspectives. The integrated architecture iterative process promoted insight among participants. The use-case scenario evaluation showed the design's robustness. Complex innovation such as a telerobot must coherently mesh with health-care service delivery needs. The deployment of integrated information architecture bridging development, with specialist and home care applications, is necessary for home care technology innovation. It enables continuing evolution of robot and novel health information design in the same integrated architecture, while accounting for patient ecological need.

  12. Challenges in Achieving Trajectory-Based Operations

    NASA Technical Reports Server (NTRS)

    Cate, Karen Tung

    2012-01-01

    In the past few years much of the global ATM research community has proposed advanced systems based on Trajectory-Based Operations (TBO). The concept of TBO uses four-dimensional aircraft trajectories as the base information for managing safety and capacity. Both the US and European advanced ATM programs call for the sharing of trajectory data across different decision support tools for successful operations. However, the actual integration of TBO systems presents many challenges. Trajectory predictors are built to meet the specific needs of a particular system and are not always compatible with others. Two case studies are presented which examine the challenges of introducing a new concept into two legacy systems in regards to their trajectory prediction software. The first case describes the issues with integrating a new decision support tool with a legacy operational system which overlap in domain space. These tools perform similar functions but are driven by different requirements. The difference in the resulting trajectories can lead to conflicting advisories. The second case looks at integrating this same new tool with a legacy system originally developed as an integrated system, but diverged many years ago. Both cases illustrate how the lack of common architecture concepts for the trajectory predictors added cost and complexity to the integration efforts.

  13. Interventions and approaches to integrating HIV and mental health services: a systematic review.

    PubMed

    Chuah, Fiona Leh Hoon; Haldane, Victoria Elizabeth; Cervero-Liceras, Francisco; Ong, Suan Ee; Sigfrid, Louise A; Murphy, Georgina; Watt, Nicola; Balabanova, Dina; Hogarth, Sue; Maimaris, Will; Otero, Laura; Buse, Kent; McKee, Martin; Piot, Peter; Perel, Pablo; Legido-Quigley, Helena

    2017-11-01

    The frequency in which HIV and AIDS and mental health problems co-exist, and the complex bi-directional relationship between them, highlights the need for effective care models combining services for HIV and mental health. Here, we present a systematic review that synthesizes the literature on interventions and approaches integrating these services. This review was part of a larger systematic review on integration of services for HIV and non-communicable diseases. Eligible studies included those that described or evaluated an intervention or approach aimed at integrating HIV and mental health care. We searched multiple databases from inception until October 2015, independently screened articles identified for inclusion, conducted data extraction, and assessed evaluative papers for risk of bias. Forty-five articles were eligible for this review. We identified three models of integration at the meso and micro levels: single-facility integration, multi-facility integration, and integrated care coordinated by a non-physician case manager. Single-site integration enhances multidisciplinary coordination and reduces access barriers for patients. However, the practicality and cost-effectiveness of providing a full continuum of specialized care on-site for patients with complex needs is arguable. Integration based on a collaborative network of specialized agencies may serve those with multiple co-morbidities but fragmented and poorly coordinated care can pose barriers. Integrated care coordinated by a single case manager can enable continuity of care for patients but requires appropriate training and support for case managers. Involving patients as key actors in facilitating integration within their own treatment plan is a promising approach. This review identified much diversity in integration models combining HIV and mental health services, which are shown to have potential in yielding positive patient and service delivery outcomes when implemented within appropriate contexts. Our review revealed a lack of research in low- and middle- income countries, and was limited to most studies being descriptive. Overall, studies that seek to evaluate and compare integration models in terms of long-term outcomes and cost-effectiveness are needed, particularly at the health system level and in regions with high HIV and AIDS burden. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  14. The University of Utah's Integrated Core: A Case Study from a "Commuter Campus"

    ERIC Educational Resources Information Center

    Paisley, Karen; Spencer, Callie; Wells, Mary Sarah; Schwab, Keri

    2013-01-01

    This paper describes the Integrated Core (IC), the University of Utah's version of integrated curricula. We begin with a rationale for the IC, providing a background on the unique student demographics, and University-wide requirements that propelled our design. Our IC focuses specifically on active living, sustainability, and social justice as…

  15. Integrating 3D Printing into an Early Childhood Teacher Preparation Course: Reflections on Practice

    ERIC Educational Resources Information Center

    Sullivan, Pamela; McCartney, Holly

    2017-01-01

    This reflection on practice describes a case study integrating 3D printing into a creativity course for preservice teachers. The theoretical rationale is discussed, and the steps for integration are outlined. Student responses and reflections on the experience provide the basis for our analysis. Examples and resources are provided, as well as a…

  16. Curriculum Integration in Context: An Exploration of How Structures and Circumstances Affect Design and Implementation.

    ERIC Educational Resources Information Center

    Johnson, Amy Bell; Charner, Ivan; White, Robin

    In order to obtain firsthand information about different approaches and strategies for curriculum integration, case studies of curriculum integration models were conducted in seven sites across the United States. It was concluded that the presence or lack of certain contextual factors related to structure and operations had implications for the…

  17. Understanding Science Teachers' Implementations of Integrated STEM Curricular Units through a Phenomenological Multiple Case Study

    ERIC Educational Resources Information Center

    Dare, Emily A.; Ellis, Joshua A.; Roehrig, Gillian H.

    2018-01-01

    Background: Current reforms in K-12 STEM education call for integration between science, technology, engineering, and mathematics (STEM). Such integration of STEM disciplines at the K-12 level offers students an opportunity to experience learning in real-world, multidisciplinary contexts; however, there is little reported research about teachers'…

  18. Designing and Integrating Reusable Learning Objects for Meaningful Learning: Cases from a Graduate Programme

    ERIC Educational Resources Information Center

    Koh, Joyce Hwee Ling

    2017-01-01

    E-learning quality depends on sound pedagogical integration between the content resources and lesson activities within an e-learning system. This study proposes that a meaningful learning with technology framework can be used to guide the design and integration of content resources with e-learning activities in ways that promote learning…

  19. Integration of a Zero-footprint Cloud-based Picture Archiving and Communication System with Customizable Forms for Radiology Research and Education.

    PubMed

    Hostetter, Jason; Khanna, Nishanth; Mandell, Jacob C

    2018-06-01

    The purpose of this study was to integrate web-based forms with a zero-footprint cloud-based Picture Archiving and Communication Systems (PACS) to create a tool of potential benefit to radiology research and education. Web-based forms were created with a front-end and back-end architecture utilizing common programming languages including Vue.js, Node.js and MongoDB, and integrated into an existing zero-footprint cloud-based PACS. The web-based forms application can be accessed in any modern internet browser on desktop or mobile devices and allows the creation of customizable forms consisting of a variety of questions types. Each form can be linked to an individual DICOM examination or a collection of DICOM examinations. Several uses are demonstrated through a series of case studies, including implementation of a research platform for multi-reader multi-case (MRMC) studies and other imaging research, and creation of an online Objective Structure Clinical Examination (OSCE) and an educational case file. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  20. Sharing Health Big Data for Research - A Design by Use Cases: The INSHARE Platform Approach.

    PubMed

    Bouzillé, Guillaume; Westerlynck, Richard; Defossez, Gautier; Bouslimi, Dalel; Bayat, Sahar; Riou, Christine; Busnel, Yann; Le Guillou, Clara; Cauvin, Jean-Michel; Jacquelinet, Christian; Pladys, Patrick; Oger, Emmanuel; Stindel, Eric; Ingrand, Pierre; Coatrieux, Gouenou; Cuggia, Marc

    2017-01-01

    Sharing and exploiting Health Big Data (HBD) allow tackling challenges: data protection/governance taking into account legal, ethical, and deontological aspects enables trust, transparent and win-win relationship between researchers, citizens, and data providers. Lack of interoperability: compartmentalized and syntactically/semantica heterogeneous data. INSHARE project using experimental proof of concept explores how recent technologies overcome such issues. Using 6 data providers, platform is designed via 3 steps to: (1) analyze use cases, needs, and requirements; (2) define data sharing governance, secure access to platform; and (3) define platform specifications. Three use cases - from 5 studies and 11 data sources - were analyzed for platform design. Governance derived from SCANNER model was adapted to data sharing. Platform architecture integrates: data repository and hosting, semantic integration services, data processing, aggregate computing, data quality and integrity monitoring, Id linking, multisource query builder, visualization and data export services, data governance, study management service and security including data watermarking.

  1. The Lavelle Affair: An Air Force Case Study in Ethics

    DTIC Science & Technology

    2016-06-01

    THE LAVELLE AFFAIR: AN AIR FORCE CASE STUDY IN ETHICS BY KRISTINA ELLIS A THESIS PRESENTED TO THE FACULTY OF THE SCHOOL OF... ethical transgressions. As such, the story of General Lavelle’s wartime command experiences became a case study in ethics and integrity within Air...1 1 THE LIFE AND CAREER OF GENERAL LAVELLE 8 1 VIETNAM 14 2 CIVIL-MILITARY RELATIONS 25 2 ETHICAL

  2. Integrating Wikis in the Support and Practice of Historical Analysis Skills

    ERIC Educational Resources Information Center

    Cabiness, Catherine; Donovan, Loretta; Green, Tim D.

    2013-01-01

    This case study examines the benefits of integrating wikis into the World History curriculum. Six middle school students chosen because of their designation in relevant subgroups--GATE, AVID, and RSP--participated in this 20-week study. Abstract historical concepts can be difficult to grasp; therefore, students collaborated via a wiki on topics…

  3. From ICT Coordination to ICT Integration: A Longitudinal Case Study

    ERIC Educational Resources Information Center

    Tondeur, J.; Cooper, M.; Newhouse, C. P.

    2010-01-01

    This study utilizes a school-improvement perspective to examine the role of curriculum coordination in the integration of information and communication technologies (ICT) into primary schools. The nature and impact of this role is examined in seven primary schools in Australia. These seven schools were drawn from a longitudinal intervention that…

  4. Generating Alternative Engineering Designs by Integrating Desktop VR with Genetic Algorithms

    ERIC Educational Resources Information Center

    Chandramouli, Magesh; Bertoline, Gary; Connolly, Patrick

    2009-01-01

    This study proposes an innovative solution to the problem of multiobjective engineering design optimization by integrating desktop VR with genetic computing. Although, this study considers the case of construction design as an example to illustrate the framework, this method can very much be extended to other engineering design problems as well.…

  5. Student Learning and Engagement in the Context of Curriculum Integration

    ERIC Educational Resources Information Center

    Brinegar, Kathleen; Bishop, Penny A.

    2011-01-01

    Although curriculum integration has a long history of myriad models, rarely have those stakeholders most connected to the practice--the students--been consulted about the efficacy of the approach. This study applied a longitudinal, intrinsic case study approach (Stake, 2000) to examine middle school students' perceptions of learning and engagement…

  6. Integrating Guided Inquiry into a Traditional Chemistry Curricular Framework

    ERIC Educational Resources Information Center

    Smithenry, Dennis William

    2010-01-01

    The case study presented in this paper examines the work of one high school chemistry teacher who has integrated guided inquiry into a yearlong, traditional curricular framework in ways that take into account the constraints and realities of her classroom. The study's findings suggest (1) the extent and frequency to which teachers can…

  7. Exploring Conditions for Transformative Learning in Work-Integrated Education

    ERIC Educational Resources Information Center

    McRae, Norah

    2015-01-01

    A qualitative study was undertaken that explored the conditions for transformative learning in cooperative education as a form of work-integrated learning (WIL), towards the development of a theoretical model. Four case studies were analyzed based on interviews with WIL students, supervisors and their co-op coordinator. The findings revealed that…

  8. Preservice Teachers' Knowledge of Interdisciplinary Pedagogy: The Case of Elementary Mathematics-Science Integrated Lessons

    ERIC Educational Resources Information Center

    An, Song A.

    2017-01-01

    The purpose of the study is to explore how elementary preservice teachers' mathematics-science integrated teaching strategies changed as a result of participating in exemplary interdisciplinary activities with multiple themes across school curricula. The participating elementary preservice teachers (n = 28) were recruited for this study from the…

  9. Integration of Vocational and Academic Curricula through the NSF Advanced Technological Education Program (ATE).

    ERIC Educational Resources Information Center

    Bailey, Thomas R.; Matsuzuka, Yukari

    A study examined the impact of the Advanced Technological Education (ATE) program on efforts in academic and vocational integration. A case study of 10 community colleges housing ATE-funded projects collected data through interviews with administrators, faculty, ATE program practitioners, and faculty and administrators at collaborating high…

  10. Integrating Culture and Second Language Teaching through Yoruba Personal Names

    ERIC Educational Resources Information Center

    Akinyemi, Akintunde

    2005-01-01

    Using Yoruba as a case study, this article demonstrates the fact that the languages of Africa and the cultures of its peoples are inseparable. Therefore, the study advocates that appropriate aspects of these cultures should form an integral part of African language teaching. This article discusses specifically how language teachers can transmit…

  11. Integrating Social Responsibility into an Entrepreneurship Education Program: A Case Study

    ERIC Educational Resources Information Center

    Maistry, Suriamurthee Moonsamy; Ramdhani, Jugathambal

    2010-01-01

    Entrepreneurship education in South Africa is often presented as a neutral discipline. Yet fundamental to any entrepreneurship education program should be the integration of key issues, such as ethics, values and social responsibility. This paper reports on a study that set out to explore student teachers experiences of engaging in an…

  12. Pre-Service Teachers' Use of a Technology Integration Planning Cycle: A Case Study

    ERIC Educational Resources Information Center

    Beschorner, Beth; Kruse, Jerrid

    2016-01-01

    This study explored pre-service teachers' use of Hutchison and Woodward's (2014) Technology Integration Planning Cycle for instructional lesson planning in literacy. Ten pre-service teachers enrolled in a course entitled Literacy Assessment and Instruction II participated. As part of the course, each pre-service teacher developed and delivered…

  13. Digital Story-Based Problem Solving Applications: Preservice Primary Teachers' Experiences and Future Integration Plans

    ERIC Educational Resources Information Center

    Kilic, Çigdem; Sancar-Tokmak, Hatice

    2017-01-01

    This case study investigates how preservice primary school teachers describe their experiences with digital story-based problem solving applications and their plans for the future integration of this technology into their teaching. Totally 113 preservice primary school teachers participated in the study. Data collection tools included a…

  14. A Mathematics Teacher's Practice in a Technological Environment: A Case Study Analysis Using Two Complementary Theories

    ERIC Educational Resources Information Center

    Tabach, Michal

    2011-01-01

    Integrating technology in school mathematics has become more and more common. The teacher is a key person in integrating technology into everyday practice. To understand teacher practice in a technological environment, this study proposes using two theoretical perspectives: the theory of technological pedagogical content knowledge to analyze…

  15. Analysis of the development and diffusion of technological innovations in oil spill forecasting: The MEDESS-4MS case

    NASA Astrophysics Data System (ADS)

    Marcati, Alberto; Prete, M. Irene; Mileti, Antonio; Cortese, Mario; Zodiatis, George; Karaolia, Andria; Gauci, Adam; Drago, Aldo

    2016-11-01

    This paper presents a case study on the management of users' engagement in the development of a new technology. Based on the experience of MEDESS-4MS, an integrated operational model for oil spill Decision Support System covering the whole Mediterranean Sea, the case study is aimed at the development of a framework for user engagement and for the management of its dual logic. Indeed, users may play a dual role in the innovation process, contributing to both the design of the innovation and its promotion. Users contribute to shaping the innovation, by aggregating and integrating knowledge, and they facilitate its diffusion, by adopting the innovation and fostering its adoption within the socio-economic system.

  16. Role of innovative institutional structures in integrated governance. A case study of integrating health and nutrition programs in Chhattisgarh, India.

    PubMed

    Kalita, Anuska; Mondal, Shinjini

    2012-01-01

    The aim of this paper is to highlight the significance of integrated governance in bringing about community participation, improved service delivery, accountability of public systems and human resource rationalisation. It discusses the strategies of innovative institutional structures in translating such integration in the areas of public health and nutrition for poor communities. The paper draws on experience of initiating integrated governance through innovations in health and nutrition programming in the resource-poor state of Chhattisgarh, India, at different levels of governance structures--hamlets, villages, clusters, blocks, districts and at the state. The study uses mixed methods--i.e. document analysis, interviews, discussions and quantitative data from facilities surveys--to present a case study analyzing the process and outcome of integration. The data indicate that integrated governance initiatives improved convergence between health and nutrition departments of the state at all levels. Also, innovative structures are important to implement the idea of integration, especially in contexts that do not have historical experience of such partnerships. Integration also contributed towards improved participation of communities in self-governance, community monitoring of government programs, and therefore, better services. As governments across the world, especially in developing countries, struggle towards achieving better governance, integration can serve as a desirable process to address this. Integration can affect the decentralisation of power, inclusion, efficiency, accountability and improved service quality in government programs. The institutional structures detailed in this paper can provide models for replication in other similar contexts for translating and sustaining the idea of integrated governance. This paper is one of the few to investigate innovative public institutions of a and community mobilisation to explore this important, and under-researched, topic.

  17. Long-term effectiveness of the integrated schistosomiasis control strategy with emphasis on infectious source control in China: a 10-year evaluation from 2005 to 2014.

    PubMed

    Wang, Xiaoli; Wang, Wei; Wang, Peng

    2017-02-01

    Schistosomiasis is a neglected tropical parasitic disease of great public health significance worldwide. Currently, mass drug administration with praziquantel remains the major strategy for global schistosomiasis control programs. Since 2005, an integrated strategy with emphasis on infectious source control was implemented for the control of schistosomiasis japonica, a major public health concern in China, and pilot studies have demonstrated that such a strategy is effective to reduce the prevalence of Schistosoma japonicum infection in both humans and bovines. However, there is little knowledge on the long-term effectiveness of this integrated strategy for controlling schistosomiasis japonica. The aim of this study was to evaluate the long-term effectiveness of the integrated strategy for schistosomiasis control following the 10-year implementation, based on the data from the national schistosomiasis control program released by the Ministry of Health, People's Republic of China. In 2014, there were 5 counties in which the transmission of schistosomiasis japonica had not been interrupted, which reduced by 95.2% as compared to that in 2005 (105 counties). The number of schistosomiasis patients and acute cases reduced by 85.5 and 99.7% in 2014 (115,614 cases and 2 cases) as compared to that in 2005 (798,762 cases and 564 cases), and the number of bovines and S. japonicum-infected bovines reduced by 47.9 and 98% in 2014 (919,579 bovines and 666 infected bovines) as compared to that in 2005 (1,764,472 bovines and 33,736 infected bovines), respectively. During the 10-year implementation of the integrated strategy, however, there was a minor fluctuation in the area of Oncomelania hupensis snail habitats, and there was only a 5.6% reduction in the area of snail habitats in 2014 relative to in 2005. The results of the current study demonstrate that the 10-year implementation of the integrated strategy with emphasis on infectious source has greatly reduced schistosomiasis-related morbidity in humans and bovines. It is concluded that the new integrated strategy has remarkable long-term effectiveness on the transmission of schistosomiasis japonica in China, which facilitates the shift of the national schistosomiasis control program from transmission control to transmission interruption and elimination. However, such a strategy seems to have little effect on the shrinking of areas of snail habitats.

  18. Translating the Elements of Health Governance for Integrated Care from Theory to Practice: A Case Study Approach

    PubMed Central

    Hepworth, Julie; Burridge, Letitia; Marley, John; Jackson, Claire

    2018-01-01

    Introduction: Against a paucity of evidence, a model describing elements of health governance best suited to achieving integrated care internationally was developed. The aim of this study was to explore how health meso-level organisations used, or planned to use, the governance elements. Methods: A case study design was used to offer two contrasting contexts of health governance. Semi-structured interviews were conducted with participants who held senior governance roles. Data were thematically analysed to identify if the elements of health governance were being used, or intended to be in the future. Results: While all participants agreed that the ten elements were essential to developing future integrated care, most were not used. Three major themes were identified: (1) organisational versus system focus, (2) leadership and culture, and, (3) community (dis)engagement. Discussion: Several barriers and enablers to the use of the elements were identified and would require addressing in order to make evidence-based changes. Conclusion: Despite a clear international policy direction in support of integrated care this study identified a number of significant barriers to its implementation. The study reconfirmed that a focus on all ten elements of health governance is essential to achieve integrated care. PMID:29588645

  19. Research misconduct oversight: defining case costs.

    PubMed

    Gammon, Elizabeth; Franzini, Luisa

    2013-01-01

    This study uses a sequential mixed method study design to define cost elements of research misconduct among faculty at academic medical centers. Using time driven activity based costing, the model estimates a per case cost for 17 cases of research misconduct reported by the Office of Research Integrity for the period of 2000-2005. Per case cost of research misconduct was found to range from $116,160 to $2,192,620. Research misconduct cost drivers are identified.

  20. The role of technical advances in the adoption and integration of patient-reported outcomes in clinical care.

    PubMed

    Jensen, Roxanne E; Rothrock, Nan E; DeWitt, Esi M; Spiegel, Brennan; Tucker, Carole A; Crane, Heidi M; Forrest, Christopher B; Patrick, Donald L; Fredericksen, Rob; Shulman, Lisa M; Cella, David; Crane, Paul K

    2015-02-01

    Patient-reported outcomes (PROs) are gaining recognition as key measures for improving the quality of patient care in clinical care settings. Three factors have made the implementation of PROs in clinical care more feasible: increased use of modern measurement methods in PRO design and validation, rapid progression of technology (eg, touchscreen tablets, Internet accessibility, and electronic health records), and greater demand for measurement and monitoring of PROs by regulators, payers, accreditors, and professional organizations. As electronic PRO collection and reporting capabilities have improved, the challenges of collecting PRO data have changed. To update information on PRO adoption considerations in clinical care, highlighting electronic and technical advances with respect to measure selection, clinical workflow, data infrastructure, and outcomes reporting. Five practical case studies across diverse health care settings and patient populations are used to explore how implementation barriers were addressed to promote the successful integration of PRO collection into the clinical workflow. The case studies address selecting and reporting of relevant content, workflow integration, previsit screening, effective evaluation, and electronic health record integration. These case studies exemplify elements of well-designed electronic systems, including response automation, tailoring of item selection and reporting algorithms, flexibility of collection location, and integration with patient health care data elements. They also highlight emerging logistical barriers in this area, such as the need for specialized technological and methodological expertise, and design limitations of current electronic data capture systems.

  1. The Role of Technical Advances in the Adoption and Integration of Patient-Reported Outcomes in Clinical Care

    PubMed Central

    Jensen, Roxanne E.; Rothrock, Nan E.; DeWitt, Esi Morgan; Spiegel, Brennan; Tucker, Carole A.; Crane, Heidi M.; Forrest, Christopher B.; Patrick, Donald L.; Fredericksen, Rob; Shulman, Lisa M.; Cella, David; Crane, Paul K.

    2016-01-01

    Background Patient-reported outcomes (PROs) are gaining recognition as key measures for improving the quality of patient care in clinical care settings. Three factors have made the implementation of PROs in clinical care more feasible: increased use of modern measurement methods in PRO design and validation, rapid progression of technology (e.g., touch screen tablets, Internet accessibility, and electronic health records (EHRs)), and greater demand for measurement and monitoring of PROs by regulators, payers, accreditors, and professional organizations. As electronic PRO collection and reporting capabilities have improved, the challenges of collecting PRO data have changed. Objectives To update information on PRO adoption considerations in clinical care, highlighting electronic and technical advances with respect to measure selection, clinical workflow, data infrastructure, and outcomes reporting. Methods Five practical case studies across diverse healthcare settings and patient populations are used to explore how implementation barriers were addressed to promote the successful integration of PRO collection into the clinical workflow. The case studies address selecting and reporting of relevant content, workflow integration, pre-visit screening, effective evaluation, and EHR integration. Conclusions These case studies exemplify elements of well-designed electronic systems, including response automation, tailoring of item selection and reporting algorithms, flexibility of collection location, and integration with patient health care data elements. They also highlight emerging logistical barriers in this area, such as the need for specialized technological and methodological expertise, and design limitations of current electronic data capture systems. PMID:25588135

  2. Study of Sommerfeld and Phase-Integral Approaches for Green’s Functions for PEC-terminated Inhomogeneous Media

    DTIC Science & Technology

    2010-01-08

    is shown through some simple examples that the Phase-Integral method is a general case when conventional WKB solutions fail at the turning points...44 4. QUALITATIVE REVIEW OF TECHNIQUES AND SCOPE FOR FURTHER WORK ................ 45 4.1 Comparative Review of Some Methodologies...virtue of generating reference solutions for appropriate cases of interest. The asymptotic techniques are E-1 useful but care must be exercised in their

  3. Western U.S.-Canada crossborder case study : activity 2 : task D : conduct regional and local trucking case studies

    DOT National Transportation Integrated Search

    2012-08-01

    This report presents the test plan for conducting the Technical Capability Analysis for the United States Department of Transportation (U.S. DOT) evaluation of the San Diego Integrated Corridor Management (ICM) Initiative Demonstration. The ICM proje...

  4. A Case Study of Teachers' Development of Well-Structured Mathematical Modelling Activities

    ERIC Educational Resources Information Center

    Stohlmann, Micah; Maiorca, Cathrine; Allen, Charlie

    2017-01-01

    This case study investigated how three teachers developed mathematical modelling activities integrated with content standards through participation in a course on mathematical modelling. The class activities involved experiencing a mathematical modelling activity, reading and rating example mathematical modelling activities, reading articles about…

  5. Fostering Integrated Learning and Faculty Collaboration through Curriculum Design: A Case Study

    ERIC Educational Resources Information Center

    Routhieaux, Robert L.

    2015-01-01

    Designing and implementing innovative curricula can enhance student learning while simultaneously fostering faculty collaboration. However, innovative curricula can also surface numerous challenges for faculty, staff, students, and administration. This case study documents the design and implementation of an innovative Master of Business…

  6. BASINs and WEPP Climate Assessment Tools (CAT): Case Study Guide to Potential Applications (Final Report)

    EPA Science Inventory

    EPA announced the release of the final report, BASINs and WEPP Climate Assessment Tools (CAT): Case Study Guide to Potential Applications. This report supports application of two recently developed water modeling tools, the Better Assessment Science Integrating point & ...

  7. Multiple Case Study of STEM in School-Based Agricultural Education

    ERIC Educational Resources Information Center

    Stubbs, Eric A.; Myers, Brian E.

    2015-01-01

    This multiple case study investigated the integration of science, technology, engineering, and mathematics (STEM) in three Florida high school agriculture programs. Observations, interviews, documents, and artifacts provided qualitative data that indicated the types of STEM knowledge taught. Variables of interest included student and teacher…

  8. Quantization of simple parametrized systems

    NASA Astrophysics Data System (ADS)

    Ruffini, G.

    2005-11-01

    I study the canonical formulation and quantization of some simple parametrized systems, including the non-relativistic parametrized particle and the relativistic parametrized particle. Using Dirac's formalism I construct for each case the classical reduced phase space and study the dependence on the gauge fixing used. Two separate features of these systems can make this construction difficult: the actions are not invariant at the boundaries, and the constraints may have disconnected solution spaces. The relativistic particle is affected by both, while the non-relativistic particle displays only by the first. Analyzing the role of canonical transformations in the reduced phase space, I show that a change of gauge fixing is equivalent to a canonical transformation. In the relativistic case, quantization of one branch of the constraint at the time is applied and I analyze the electromagenetic backgrounds in which it is possible to quantize simultaneously both branches and still obtain a covariant unitary quantum theory. To preserve unitarity and space-time covariance, second quantization is needed unless there is no electric field. I motivate a definition of the inner product in all these cases and derive the Klein-Gordon inner product for the relativistic case. I construct phase space path integral representations for amplitudes for the BFV and the Faddeev path integrals, from which the path integrals in coordinate space (Faddeev-Popov and geometric path integrals) are derived.

  9. Teaching Auditing Using Cases in an Online Learning Environment: The Role of ePortfolio Assessment

    ERIC Educational Resources Information Center

    Mihret, Dessalegn Getie; Abayadeera, Nadana; Watty, Kim; McKay, Jade

    2017-01-01

    While teaching auditing using cases is regarded as an effective approach, spatial separation of students and teachers in online contexts can restrict the application of case teaching. This study examines an undergraduate auditing course implemented to address this challenge by integrating case teaching with ePortfolio assessment. Students' written…

  10. Physical Activity Promotion in General Practices of Barcelona: A Case Study

    ERIC Educational Resources Information Center

    Puig Ribera, Anna; McKenna, Jim; Riddoch, Chris

    2006-01-01

    This case study aimed to generate explanations for the lack of integration of physical activity (PA) promotion in general practices of Barcelona, the capital of Catalonia. This explanatory study adopted a qualitative approach, based on three techniques; focus groups (n = 3), semi-structured (n = 25) and short individual interviews (n = 5). These…

  11. A Case Study in Collaboration for Curriculum Reform.

    ERIC Educational Resources Information Center

    Markowitz, Nancy Lourie; Crane, Beverley

    This paper presents a case study describing the collaboration between a state university, a local school district, and Dialog Information Services, Inc. that was designed to include the use of online searching in a social studies methodology course and to encourage school curriculum reform in the area of technology by integrating online searching…

  12. Integrating Progress Files into the Academic Process: A Review of Case Studies

    ERIC Educational Resources Information Center

    Haigh, Jackie

    2008-01-01

    A literature review of published case studies reporting progress file implementation was conducted with the intent of discovering how this is being interpreted and implemented in higher education institutions. The three studies found were analysed using an ideal type categorization developed by Clegg and Bradley (2006), that is, professional,…

  13. Rethinking Workplace Learning in the Digital World: A Case Study of Open Badges

    ERIC Educational Resources Information Center

    Eaglen Bertrando, Sharen Linn

    2017-01-01

    The purpose of this collective case study was to explore digital badging in educational institutions as support for K-12 practitioners struggling to integrate technology into pedagogical practices. The researcher conducted a mixed-method study that captured perceptions about digital badges and follow-up interviews with selected badge users to…

  14. Applying the Decoding the Disciplines Process to Teaching Structural Mechanics: An Autoethnographic Case Study

    ERIC Educational Resources Information Center

    Tingerthal, John Steven

    2013-01-01

    Using case study methodology and autoethnographic methods, this study examines a process of curricular development known as "Decoding the Disciplines" (Decoding) by documenting the experience of its application in a construction engineering mechanics course. Motivated by the call to integrate what is known about teaching and learning…

  15. Integrated corridor management transit vehicle real-time data demonstration: Dallas case study

    DOT National Transportation Integrated Search

    2014-12-01

    As part of the U.S. Department of Transportations Integrated Corridor Management (ICM) Initiative, Dallas Area Rapid Transit (DART) purchased new automatic passenger counter (APC) technology for its Red and Orange line light rail vehicles to provi...

  16. Organizing for intelligent transportation systems : case study of emergency operations in San Francisco Bay area

    DOT National Transportation Integrated Search

    1997-01-01

    Computer-integrated transportation (CIT) is envisioned as an integrated network of public and private transportation organizations, each with unique responsibilities but working toward a common mission of facilitating travel across all modes of trans...

  17. INTEGRATED RISK ASSESSMENT - RESULTS FROM AN INTERNATIONAL WORKSHOP

    EPA Science Inventory

    The WHO International Programme on Chemical Safety and international partners have developed a framework for integrated assessment of human health and ecological risks and four case studies. An international workshop was convened to consider how ecological and health risk assess...

  18. Double light-cone dynamics establish thermal states in integrable 1D Bose gases

    NASA Astrophysics Data System (ADS)

    Langen, T.; Schweigler, T.; Demler, E.; Schmiedmayer, J.

    2018-02-01

    We theoretically investigate the non-equilibrium dynamics in a quenched pair of one-dimensional Bose gases with density imbalance. We describe the system using its low-energy effective theory, the Luttinger liquid model. In this framework the system shows strictly integrable relaxation dynamics via dephasing of its approximate many-body eigenstates. In the balanced case, this leads to the well-known light-cone-like establishment of a prethermalized state, which can be described by a generalized Gibbs ensemble. In the imbalanced case the integrable dephasing leads to a state that, counter-intuitively, closely resembles a thermal equilibrium state. The approach to this state is characterized by two separate light-cone dynamics with distinct characteristic velocities. This behavior is a result of the fact that in the imbalanced case observables are not aligned with the conserved quantities of the integrable system. We discuss a concrete experimental realization to study this effect using matterwave interferometry and many-body revivals on an atom chip.

  19. A case study of data integration for aquatic resources using semantic web technologies

    USGS Publications Warehouse

    Gordon, Janice M.; Chkhenkeli, Nina; Govoni, David L.; Lightsom, Frances L.; Ostroff, Andrea C.; Schweitzer, Peter N.; Thongsavanh, Phethala; Varanka, Dalia E.; Zednik, Stephan

    2015-01-01

    Use cases, information modeling, and linked data techniques are Semantic Web technologies used to develop a prototype system that integrates scientific observations from four independent USGS and cooperator data systems. The techniques were tested with a use case goal of creating a data set for use in exploring potential relationships among freshwater fish populations and environmental factors. The resulting prototype extracts data from the BioData Retrieval System, the Multistate Aquatic Resource Information System, the National Geochemical Survey, and the National Hydrography Dataset. A prototype user interface allows a scientist to select observations from these data systems and combine them into a single data set in RDF format that includes explicitly defined relationships and data definitions. The project was funded by the USGS Community for Data Integration and undertaken by the Community for Data Integration Semantic Web Working Group in order to demonstrate use of Semantic Web technologies by scientists. This allows scientists to simultaneously explore data that are available in multiple, disparate systems beyond those they traditionally have used.

  20. Legal and policy barriers to sharing data between public health programs in New York City: a case study.

    PubMed

    Gasner, M Rose; Fuld, Jennifer; Drobnik, Ann; Varma, Jay K

    2014-06-01

    Integration of public health surveillance data within health departments is important for public health activities and cost-efficient coordination of care. Access to and use of surveillance data are governed by public health law and by agency confidentiality and security policies. In New York City, we examined public health laws and agency policies for data sharing across HIV, sexually transmitted disease, tuberculosis, and viral hepatitis surveillance programs. We found that recent changes to state laws provide greater opportunities for data sharing but that agency policies must be updated because they limit increased data integration. Our case study can help other health departments conduct similar reviews of laws and policies to increase data sharing and integration of surveillance data.

  1. Integration of DNA barcoding for the initial recordings of Lessepsian fishes: a case study of the Indo-Pacific slender ponyfish Equulites elongatus.

    PubMed

    Sakinan, S; Karahan, A; Ok, M

    2017-03-01

    In this study, the DNA barcode of a regional Lessepsian sighting of the slender ponyfish Equulites elongatus is integrated with morphometric and meristic descriptors as a case study to address further identification problems in the Mediterranean Sea. The study also aims to contribute to the regional mitochondrial cytochrome oxidase I information pool, to support other potential uses. The initial sighting of E. elongatus from the north-eastern Mediterranean coast of Turkey is provided from a trawl survey on 3 June 2015, where 76 specimens were captured during a 15 min tow. © 2016 The Fisheries Society of the British Isles.

  2. The Views of Mathematics Teachers on the Factors Affecting the Integration of Technology in Mathematics Courses

    ERIC Educational Resources Information Center

    Kaleli-Yilmaz, Gül

    2015-01-01

    The aim of this study was to determine the views of mathematics teachers on the factors that affect the integration of technology in mathematic courses. It is a qualitative case study. The sample size of the study is 10 teachers who are receiving postgraduate education in a university in Turkey. The current study was conducted in three stages. At…

  3. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Madenoor Ramapriya, Gautham; Jiang, Zheyu; Tawarmalani, Mohit

    We propose a general method to consolidate distillation columns of a distillation configuration using heat and mass integration. The proposed method encompasses all heat and mass integrations known till date, and includes many more. Each heat and mass integration eliminates a distillation column, a condenser, a reboiler and the heat duty associated with a reboiler. Thus, heat and mass integration can potentially offer significant capital and operating cost benefits. In this talk, we will study the various possible heat and mass integrations in detail, and demonstrate their benefits using case studies. This work will lay out a framework to synthesizemore » an entire new class of useful configurations based on heat and mass integration of distillation columns.« less

  4. State-of-the-lagoon reports as vehicles of cross-disciplinary integration.

    PubMed

    Zaucha, Jacek; Davoudi, Simin; Slob, Adriaan; Bouma, Geiske; van Meerkerk, Ingmar; Oen, Amy Mp; Breedveld, Gijs D

    2016-10-01

    An integrative approach across disciplines is needed for sustainable lagoon and estuary management as identified by integrated coastal zone management. The ARCH research project (Architecture and roadmap to manage multiple pressures on lagoons) has taken initial steps to overcome the boundaries between disciplines and focus on cross-disciplinary integration by addressing the driving forces, challenges, and problems at various case study sites. A model was developed as a boundary-spanning activity to produce joint knowledge and understanding. The backbone of the model is formed by the interaction between the natural and human systems, including economy and governance-based subsystems. The model was used to create state-of-the-lagoon reports for 10 case study sites (lagoons and estuarine coastal areas), with a geographical distribution covering all major seas surrounding Europe. The reports functioned as boundary objects to build joint knowledge. The experiences related to the framing of the model and its subsequent implementation at the case study sites have resulted in key recommendations on how to address the challenges of cross-disciplinary work required for the proper management of complex social-ecological systems such as lagoons, estuarine areas, and other land-sea regions. Cross-disciplinary integration is initially resource intensive and time consuming; one should set aside the required resources and invest efforts at the forefront. It is crucial to create engagement among the group of researchers by focusing on a joint, appealing overall concept that will stimulate cross-sectoral thinking and focusing on the identified problems as a link between collected evidence and future management needs. Different methods for collecting evidence should be applied including both quantitative (jointly agreed indicators) and qualitative (narratives) information. Cross-disciplinary integration is facilitated by functional boundary objects. Integration offers important rewards in terms of developing a better understanding and subsequently improved management of complex social-ecological systems. Integr Environ Assess Manag 2016;12:690-700. © 2016 SETAC. © 2016 SETAC.

  5. Integration of molecular typing results into tuberculosis surveillance in Germany—A pilot study

    PubMed Central

    Fiebig, Lena; Priwitzer, Martin; Richter, Elvira; Rüsch-Gerdes, Sabine; Haas, Walter; Niemann, Stefan; Brodhun, Bonita

    2017-01-01

    An integrated molecular surveillance for tuberculosis (TB) improves the understanding of ongoing TB transmission by combining molecular typing and epidemiological data. However, the implementation of an integrated molecular surveillance for TB is complex and requires thoughtful consideration of feasibility, demand, public health benefits and legal issues. We aimed to pilot the integration of molecular typing results between 2008 and 2010 in the German Federal State of Baden-Württemberg (population 10.88 Million) as preparation for a nationwide implementation. Culture positive TB cases were typed by IS6110 DNA fingerprinting and results were integrated into routine notification data. Demographic and clinical characteristics of cases and clusters were described and new epidemiological links detected after integrating typing data were calculated. Furthermore, a cross-sectional survey was performed among local public health offices to evaluate their perception and experiences. Overall, typing results were available for 83% of notified culture positive TB cases, out of which 25% were clustered. Age <15 years (OR = 4.96, 95% CI: 1.69–14.55) and being born in Germany (OR = 2.01, 95% CI: 1.44–2.80) were associated with clustering. At cluster level, molecular typing information allowed the identification of previously unknown epidemiological links in 11% of the clusters. In 59% of the clusters it was not possible to identify any epidemiological link. Clusters extending over different counties were less likely to have epidemiological links identified among their cases (OR = 11.53, 95% CI: 3.48–98.23). The majority of local public health offices found molecular typing useful for their work. Our study illustrates the feasibility of integrating typing data into the German TB notification system and depicts its added public health value as complementary strategy in TB surveillance, especially to uncover transmission events among geographically separated TB patients. It also emphasizes that special efforts are required to strengthen the communication between local public health offices in different counties to enhance TB control. PMID:29166403

  6. Integration of molecular typing results into tuberculosis surveillance in Germany-A pilot study.

    PubMed

    Andrés, Marta; Göhring-Zwacka, Elke; Fiebig, Lena; Priwitzer, Martin; Richter, Elvira; Rüsch-Gerdes, Sabine; Haas, Walter; Niemann, Stefan; Brodhun, Bonita

    2017-01-01

    An integrated molecular surveillance for tuberculosis (TB) improves the understanding of ongoing TB transmission by combining molecular typing and epidemiological data. However, the implementation of an integrated molecular surveillance for TB is complex and requires thoughtful consideration of feasibility, demand, public health benefits and legal issues. We aimed to pilot the integration of molecular typing results between 2008 and 2010 in the German Federal State of Baden-Württemberg (population 10.88 Million) as preparation for a nationwide implementation. Culture positive TB cases were typed by IS6110 DNA fingerprinting and results were integrated into routine notification data. Demographic and clinical characteristics of cases and clusters were described and new epidemiological links detected after integrating typing data were calculated. Furthermore, a cross-sectional survey was performed among local public health offices to evaluate their perception and experiences. Overall, typing results were available for 83% of notified culture positive TB cases, out of which 25% were clustered. Age <15 years (OR = 4.96, 95% CI: 1.69-14.55) and being born in Germany (OR = 2.01, 95% CI: 1.44-2.80) were associated with clustering. At cluster level, molecular typing information allowed the identification of previously unknown epidemiological links in 11% of the clusters. In 59% of the clusters it was not possible to identify any epidemiological link. Clusters extending over different counties were less likely to have epidemiological links identified among their cases (OR = 11.53, 95% CI: 3.48-98.23). The majority of local public health offices found molecular typing useful for their work. Our study illustrates the feasibility of integrating typing data into the German TB notification system and depicts its added public health value as complementary strategy in TB surveillance, especially to uncover transmission events among geographically separated TB patients. It also emphasizes that special efforts are required to strengthen the communication between local public health offices in different counties to enhance TB control.

  7. Best practices in intercultural health: five case studies in Latin America

    PubMed Central

    Mignone, Javier; Bartlett, Judith; O'Neil, John; Orchard, Treena

    2007-01-01

    The practice of integrating western and traditional indigenous medicine is fast becoming an accepted and more widely used approach in health care systems throughout the world. However, debates about intercultural health approaches have raised significant concerns. This paper reports findings of five case studies on intercultural health in Chile, Colombia, Ecuador, Guatemala, and Suriname. It presents summary information on each case study, comparatively analyzes the initiatives following four main analytical themes, and examines the case studies against a series of the best practice criteria. PMID:17803820

  8. Plagiarism, Cheating and Research Integrity: Case Studies from a Masters Program in Peru.

    PubMed

    Carnero, Andres M; Mayta-Tristan, Percy; Konda, Kelika A; Mezones-Holguin, Edward; Bernabe-Ortiz, Antonio; Alvarado, German F; Canelo-Aybar, Carlos; Maguiña, Jorge L; Segura, Eddy R; Quispe, Antonio M; Smith, Edward S; Bayer, Angela M; Lescano, Andres G

    2017-08-01

    Plagiarism is a serious, yet widespread type of research misconduct, and is often neglected in developing countries. Despite its far-reaching implications, plagiarism is poorly acknowledged and discussed in the academic setting, and insufficient evidence exists in Latin America and developing countries to inform the development of preventive strategies. In this context, we present a longitudinal case study of seven instances of plagiarism and cheating arising in four consecutive classes (2011-2014) of an Epidemiology Masters program in Lima, Peru, and describes the implementation and outcomes of a multifaceted, "zero-tolerance" policy aimed at introducing research integrity. Two cases involved cheating in graded assignments, and five cases correspond to plagiarism in the thesis protocol. Cases revealed poor awareness of high tolerance to plagiarism, poor academic performance, and widespread writing deficiencies, compensated with patchwriting and copy-pasting. Depending on the events' severity, penalties included course failure (6/7) and separation from the program (3/7). Students at fault did not engage in further plagiarism. Between 2011 and 2013, the Masters program sequentially introduced a preventive policy consisting of: (i) intensified research integrity and scientific writing education, (ii) a stepwise, cumulative writing process; (iii) honor codes; (iv) active search for plagiarism in all academic products; and (v) a "zero-tolerance" policy in response to documented cases. No cases were detected in 2014. In conclusion, plagiarism seems to be widespread in resource-limited settings and a greater response with educational and zero-tolerance components is needed to prevent it.

  9. The integrable case of Adler-van Moerbeke. Discriminant set and bifurcation diagram

    NASA Astrophysics Data System (ADS)

    Ryabov, Pavel E.; Oshemkov, Andrej A.; Sokolov, Sergei V.

    2016-09-01

    The Adler-van Moerbeke integrable case of the Euler equations on the Lie algebra so(4) is investigated. For the L- A pair found by Reyman and Semenov-Tian-Shansky for this system, we explicitly present a spectral curve and construct the corresponding discriminant set. The singularities of the Adler-van Moerbeke integrable case and its bifurcation diagram are discussed. We explicitly describe singular points of rank 0, determine their types, and show that the momentum mapping takes them to self-intersection points of the real part of the discriminant set. In particular, the described structure of singularities of the Adler-van Moerbeke integrable case shows that it is topologically different from the other known integrable cases on so(4).

  10. Poisson structure of dynamical systems with three degrees of freedom

    NASA Astrophysics Data System (ADS)

    Gümral, Hasan; Nutku, Yavuz

    1993-12-01

    It is shown that the Poisson structure of dynamical systems with three degrees of freedom can be defined in terms of an integrable one-form in three dimensions. Advantage is taken of this fact and the theory of foliations is used in discussing the geometrical structure underlying complete and partial integrability. Techniques for finding Poisson structures are presented and applied to various examples such as the Halphen system which has been studied as the two-monopole problem by Atiyah and Hitchin. It is shown that the Halphen system can be formulated in terms of a flat SL(2,R)-valued connection and belongs to a nontrivial Godbillon-Vey class. On the other hand, for the Euler top and a special case of three-species Lotka-Volterra equations which are contained in the Halphen system as limiting cases, this structure degenerates into the form of globally integrable bi-Hamiltonian structures. The globally integrable bi-Hamiltonian case is a linear and the SL(2,R) structure is a quadratic unfolding of an integrable one-form in 3+1 dimensions. It is shown that the existence of a vector field compatible with the flow is a powerful tool in the investigation of Poisson structure and some new techniques for incorporating arbitrary constants into the Poisson one-form are presented herein. This leads to some extensions, analogous to q extensions, of Poisson structure. The Kermack-McKendrick model and some of its generalizations describing the spread of epidemics, as well as the integrable cases of the Lorenz, Lotka-Volterra, May-Leonard, and Maxwell-Bloch systems admit globally integrable bi-Hamiltonian structure.

  11. A single-institution experience: the integrated vascular surgery residency's effect on fellowship and general surgery resident case volume and diversity.

    PubMed

    Carroll, Megan I; Downes, Kathryne; Miladinovic, Branko; Illig, Karl A; Armstrong, Paul A; Back, Martin R; Johnson, Brad L; Shames, Murray L

    2014-01-01

    To determine whether the formation of an integrated vascular surgery residency (0 + 5) has negatively impacted the case volume and diversity of the vascular surgery fellows (5 + 2) and chief general surgeons at the same institution. Operative data from the vascular integrated (0 + 5), independent (5 + 2), and general surgery residencies at a single institution were retrospectively reviewed and analyzed to determine vascular surgery case volumes from 2006-2012. National operative data (Residency Review Committee) were used for comparison of diversity and volume. Standard statistical methods were applied. During this period, the 5 + 2 fellows at our institution performed on average 741 (range, 554-1002) primary cases and 1091 (range, 844-1479) combined primary and secondary cases for the 2-year fellowship. Our integrated residency began in July 2007. Our fellows' primary case volumes remained relatively stable between 2006 and 2011, with a 4% increase in the number of cases, although their total (primary and secondary) case volumes fell 15%; by comparison, the equivalent national 50th percentile rates rose 16% during this time frame. Our institution's general surgery residents performed an average of 116 (range, 56-221) vascular cases individually during their 5-year residency from 2005-2011. From 2006-2011, the total case volume fell only 5%, while the national 50th percentile rate fell 24%. Across all years, however, resident and fellow volumes both continue to be above Accreditation Council for Graduate Medical Education minimum requirements, and the major vascular case volume at our institution in all groups studied remained statistically greater than or equal to the national 50th percentile of cases. Our first integrated resident to graduate finished in June 2012 with 931 total vascular cases and 249 general surgery cases for a total operative experience of 1180 cases during the 5-year residency. Finally, after an 8-year period (2003-2010) in which none of our general surgery residents pursued vascular training, 1 resident in each of the 2011, 2012, and 2013 graduating years has now done so. At our institution, the introduction of a 0 + 5 vascular residency has correlated with a modest drop (15%) in overall case volume for the 5 + 2 fellows, but the number of primary cases have actually increased slightly and they continue to meet or exceed Accreditation Council for Graduate Medical Education requirements and national 50th percentile rates. General surgery residents' vascular volumes, by contrast, have remained stable, and interest in vascular surgery by residents has increased. Our integrated vascular residents are projected to exceed the fellows' 50th percentile case volume and diversity targets during their residency experience. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. On the Coplanar Integrable Case of the Twice-Averaged Hill Problem with Central Body Oblateness

    NASA Astrophysics Data System (ADS)

    Vashkov'yak, M. A.

    2018-01-01

    The twice-averaged Hill problem with the oblateness of the central planet is considered in the case where its equatorial plane coincides with the plane of its orbital motion relative to the perturbing body. A qualitative study of this so-called coplanar integrable case was begun by Y. Kozai in 1963 and continued by M.L. Lidov and M.V. Yarskaya in 1974. However, no rigorous analytical solution of the problem can be obtained due to the complexity of the integrals. In this paper we obtain some quantitative evolution characteristics and propose an approximate constructive-analytical solution of the evolution system in the form of explicit time dependences of satellite orbit elements. The methodical accuracy has been estimated for several orbits of artificial lunar satellites by comparison with the numerical solution of the evolution system.

  13. Internet Telehealth for Pediatric Asthma Case Management: Integrating Computerized and Case Manager Features for Tailoring a Web-Based Asthma Education Program

    PubMed Central

    Wise, Meg; Gustafson, David H.; Sorkness, Christine A.; Molfenter, Todd; Staresinic, Anthony; Meis, Tracy; Hawkins, Robert P.; Shanovich, Kathleen Kelly; Walker, Nola P.

    2008-01-01

    This article reports on the development of a personalized, Web-based asthma-education program for parents whose 4- to 12-year-old children have moderate to severe asthma. Personalization includes computer-based tailored messages and a human coach to build asthma self-management skills. Computerized features include the Asthma Manager, My Calendar/Reminder, My Goals, and a tailored home page. These are integrated with monthly asthma-education phone calls from an asthmanurse case manager. The authors discuss the development process and issues and describe the current randomized evaluation study to test whether the yearlong integrated intervention can improve adherence to a daily asthma controller medication, asthma control, and parent quality of life to reduce asthma-related healthcare utilization. Implications for health education for chronic disease management are raised. PMID:16928987

  14. Application of the critical pathway and integrated case teaching method to nursing orientation.

    PubMed

    Goodman, D

    1997-01-01

    Nursing staff development programs must be responsive to current changes in healthcare. New nursing staff must be prepared to manage continuous change and to function competently in clinical practice. The orientation pathway, based on a case management model, is used as a structure for the orientation phase of staff development. The integrated case is incorporated as a teaching strategy in orientation. The integrated case method is based on discussion and analysis of patient situations with emphasis on role modeling and integration of theory and skill. The orientation pathway and integrated case teaching method provide a useful framework for orientation of new staff. Educators, preceptors and orientees find the structure provided by the orientation pathway very useful. Orientation that is developed, implemented and evaluated based on a case management model with the use of an orientation pathway and incorporation of an integrated case teaching method provides a standardized structure for orientation of new staff. This approach is designed for the adult learner, promotes conceptual reasoning, and encourages the social and contextual basis for continued learning.

  15. Artifacts on electroencephalograms may influence the amplitude-integrated EEG classification: a qualitative analysis in neonatal encephalopathy.

    PubMed

    Hagmann, Cornelia Franziska; Robertson, Nicola Jayne; Azzopardi, Denis

    2006-12-01

    This is a case report and a descriptive study demonstrating that artifacts are common during long-term recording of amplitude-integrated electroencephalograms and may lead to erroneous classification of the amplitude-integrated electroencephalogram trace. Artifacts occurred in 12% of 200 hours of recording time sampled from a representative sample of 20 infants with neonatal encephalopathy. Artifacts derived from electrical or movement interference occurred with similar frequency; both types of artifacts influenced the voltage and width of the amplitude-integrated electroencephalogram band. This is important knowledge especially if amplitude-integrated electroencephalogram is used as a selection tool for neuroprotection intervention studies.

  16. A case study of a mathematics teacher's and science teacher's use of teacher wisdom in integrating middle school mathematics and science content

    NASA Astrophysics Data System (ADS)

    Saam, Julie Reinhardt

    The National Science Education Standards, the National Council of Teachers of Mathematics Curriculum Standards, the Interdisciplinary Team Organization structure and the Middle School movement collectively suggest to teachers to make connections between their subject areas. This case study of a middle school mathematics teacher and science teacher utilizes the framework of teacher wisdom to bring a unique perspective to the process of developing and implementing integrated curriculum. Data collection consisted of interviews with the teachers, students, and their principal; documents such lesson plans, team meeting minutes and teacher journal entries; and field notes acquired within team meetings and classroom instruction. The interpretations of this study reveal that teacher development of integrated curriculum occurs in two ways: naturally and intentionally. The natural label used to describe when teachers comfortably share information that could serve as connections between subjects. The intentional label used to describe when the teachers purposely plan integrated lessons and units. These findings also provide an image of middle school integration. This image exhibits more than connections between subject area content; it also shows connections with away-from-school skills and events, lifeskills, and lifelong guidelines. Although these teachers found it frustrating and overwhelming to meet the many views of integration, they assembled integration curriculum that followed their philosophy of education, coincided with their personal characteristics and met the needs of their students. The interpretations of this study reveal a new model of middle school integration. Teachers can use this model as a collection of integration examples. Integration researchers can use this model as a conceptual framework to analyze the integration efforts of middle level teachers. Additional research needs to focus on: developing new modeling and evaluation tools for teachers, evaluating middle school professional development programs, investigating middle school teachers' characteristics, and continuing the study of integration's worth. The results of this study and additional research may help: (a) administrators to target specific teachers for middle school positions, (b) educators to plan and implement new programs for inservice and preservice middle school teachers, and (c) teachers to experiment with new and innovative strategies for middle school integration.

  17. Grade One: Math Computation. Case Study #1

    ERIC Educational Resources Information Center

    Powell, Sarah R.; Seethaler, Pamela M.

    2007-01-01

    The purpose of this case study is to highlight the integral role that progress monitoring (PM) plays throughout any Response to Intervention (RTI) process. This example uses a three-level, responsiveness-to-intervention (RTI) method for identifying students with learning difficulties. Using a fictional first-grade classroom as the setting for…

  18. Multiple Images, Common Threads. Case Studies of Good Practice in Adult Community Education.

    ERIC Educational Resources Information Center

    Bradshaw, Delia

    This document presents 10 case studies of adult community education programs (ACE) in the state of Victoria, Australia, in the mid 1990s, that were identified as exemplifying the following principles of good practice in ACE: expansiveness, integration, responsiveness, innovation, belonging, explicitness, autonomy, accessibility, synthesis, and…

  19. Service-Learning and Interior Design: A Case Study

    ERIC Educational Resources Information Center

    Sterling, Mary

    2007-01-01

    The case study approach was used to analyze experiential learning through its three components: knowledge, action, and reflection. Two interior design courses were integrated through a university service-learning project. The restoration/adaptive reuse of a 95-year-old library building was to serve as a prototype for future off-campus…

  20. Student-Authored Case Studies as a Reflective Component of Teacher Education

    ERIC Educational Resources Information Center

    Rosse-Richards, Kevin Andrews; Hemphill, Michael A.; Wilson, Wesley J.

    2015-01-01

    Field experiences are often conceptualized as integral to teacher education programming. However, there are often inconsistencies between the beliefs and values espoused in teacher education and those pre-service teachers encounter in schools that they must navigate to be successful. Among other strategies, writing case studies about their…

  1. Modeling Technology Integration for Preservice Teachers: A PT3 Case Study

    ERIC Educational Resources Information Center

    Hall, Leslie

    2006-01-01

    This case study describes the outcomes of 4 years of professional development funded by a PT3 grant. Participants included general education university faculty members, teacher education faculty members, school administrators, and K-12 teachers. All professional development activities were based on the "National Educational Technology…

  2. Being an Insider Researcher while Conducting Case Study Research

    ERIC Educational Resources Information Center

    Unluer, Sema

    2012-01-01

    It is crucial for social researchers to clarify their researchers' roles, especially for those utilizing qualitative methodology to make their research credible. The purpose of this paper is to examine the advantages and disadvantages of the researcher's insider role, an instructor, occupied within case study research on the integration of…

  3. Inside the Black Box--An Implementation Evaluation Case Study

    ERIC Educational Resources Information Center

    Rector, Patricia; Bakacs, Michele; Rowe, Amy; Barbour, Bruce

    2016-01-01

    The case study presented in this article is an example of an implementation evaluation. The evaluation investigated significant components of the implementation of a long-term environmental educational program. Direct observation, evaluation-specific survey data, and historical data were used to determine program integrity as identified by…

  4. Integrated Bioprocess Design: A Case Study for Undergraduates.

    ERIC Educational Resources Information Center

    Titchener-Hooker, Nigel; Zhou, Yu-Hong

    2000-01-01

    Presents a case study for use in the teaching of bioprocess design. Taking the production and isolation of the intracellular protein s. cerevisae, demonstrates how undergraduates can use a range of data to construct and then investigate the range of processes flowsheet options available for a process duty. (Author/SAH)

  5. "People at the Heart of Our Processes", a Case Study of How a Nursery School and Children's Centre Promotes Community Cohesion

    ERIC Educational Resources Information Center

    Duggan Bio, Martine

    2017-01-01

    This article reports on a doctoral case study of how an English integrated nursery school and children's centre fulfils its legal duty to promote community cohesion. The provocation for the enquiry derives from the author's growing unease over the perceived limitations of a target-driven culture currently pervading English schools. A case is made…

  6. Integrating Equity in a Public Health Funding Strategy.

    PubMed

    Joseph, Kristy T; Rice, Ketra; Li, Chunyu

    2016-01-01

    Equity can be valuable to guide decision makers about where to target funds; however, there are few studies for modeling vertical equity in public health program funding strategies. This case study modeled vertical equity in the funding strategy of the Centers for Disease Control and Prevention's Colorectal Cancer Control Program. To integrate vertical equity by using historical funding and health data, we (a) examined the need for colorectal cancer screening, (b) conducted multiple regressions to examine the relationship between factors of need and funding of states, (c) stratified states into similar need groups, (d) estimated vertical equity within groups, and (e) assessed equity in the funding distribution. Certain states with similar needs had high relative funding, whereas other states with similar needs had low relative funding. The methods used to integrate vertical equity in this case study could be applied in publicly funded programs to potentially minimize inequities and improve outcomes.

  7. Engineering and Economic Analysis of an Advanced Ultra-Supercritical Pulverized Coal Power Plant with and without Post-Combustion Carbon Capture Task 7. Design and Economic Studies

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Booras, George; Powers, J.; Riley, C.

    2015-09-01

    This report evaluates the economics and performance of two A-USC PC power plants; Case 1 is a conventionally configured A-USC PC power plant with superior emission controls, but without CO 2 removal; and Case 2 adds a post-combustion carbon capture (PCC) system to the plant from Case 1, using the design and heat integration strategies from EPRI’s 2015 report, “Best Integrated Coal Plant.” The capture design basis for this case is “partial,” to meet EPA’s proposed New Source Performance Standard, which was initially proposed as 500 kg-CO 2/MWh (gross) or 1100 lb-CO 2/MWh (gross), but modified in August 2015 tomore » 635 kg-CO 2/MWh (gross) or 1400 lb-CO 2/MWh (gross). This report draws upon the collective experience of consortium members, with EPRI and General Electric leading the study. General Electric provided the steam cycle analysis as well as v the steam turbine design and cost estimating. EPRI performed integrated plant performance analysis using EPRI’s PC Cost model.« less

  8. Curriculum Integration in the Senior Secondary School: A Case Study in A National Assessment Context

    ERIC Educational Resources Information Center

    McPhail, Graham

    2018-01-01

    This paper considers curriculum integration in the secondary school context and investigates the claims made that it can enhance learning outcomes for students. I argue that curriculum integration should be utilized not as a main means of curricular delivery but as a supplementary opportunity to put disciplinary knowledge to use in certain,…

  9. The Management of Pupil Difference in Catholic-Protestant and Palestinian-Jewish Integrated Education in Northern Ireland and Israel

    ERIC Educational Resources Information Center

    McGlynn, Claire; Bekerman, Zvi

    2007-01-01

    This paper considers issues related to integration in education, specifically those related to the integration of ethnic/religious populations in conflict. The case study we will use is the educating together of Catholic and Protestant children and Palestinian and Jewish children in two troubled societies, Northern Ireland and Israel, where…

  10. Integrating Science, Technology, Engineering, and Mathematics: Issues, Reflections, and Ways Forward. Teaching and Learning in Science Series

    ERIC Educational Resources Information Center

    Rennie, Leonie, Ed.; Venville, Grady, Ed.; Wallace, John, Ed.

    2012-01-01

    How can curriculum integration of school science with the related disciplines of technology, engineering and mathematics (STEM) enhance students' skills and their ability to link what they learn in school with the world outside the classroom? Featuring actual case studies of teachers' attempts to integrate their curriculum, their reasons for doing…

  11. INTEGRATION OF SATELLITE, MODELED, AND GROUND BASED AEROSOL DATA FOR USE IN AIR QUALITY AND PUBLIC HEALTH APPLICATIONS

    EPA Science Inventory

    Case studies of severe pollution events due to forest fires/dust storms/industrial haze, from the integrated 2001 aerosol dataset, will be presented within the context of air quality and human health.

  12. Rebel Integration in Conflict Settlements: Past Lessons and the Prospects of MILF Reintegration

    DTIC Science & Technology

    2017-12-01

    ethnicity, religion, or language among a nation’s citizens.33 A series of investigations on case studies conducted by Matthew Hoddie and Caroline Hartzell...rebel reintegration from previous peace agreements was consulted. The selected case studies center on the peace agreements in Zimbabwe, Rwanda...Dayton.” 85 Akyol. 86 David Wage and Lois Haigh, “A Case Study on the Arusha Peace Agreement” (Florida State University, July 19, 2004), http

  13. Increased Use of Community Medicine Distributors and Rational Use of Drugs in Children Less than Five Years of Age in Uganda Caused by Integrated Community Case Management of Fever

    PubMed Central

    Kalyango, Joan N.; Lindstrand, Ann; Rutebemberwa, Elizeus; Ssali, Sarah; Kadobera, Daniel; Karamagi, Charles; Peterson, Stefan; Alfven, Tobias

    2012-01-01

    We compared use of community medicine distributors (CMDs) and drug use under integrated community case management and home-based management strategies in children 6–59 months of age in eastern Uganda. A cross-sectional study with 1,095 children was nested in a cluster randomized trial with integrated community case management (CMDs treating malaria and pneumonia) as the intervention and home-based management (CMDs treating only malaria) as the control. Care-seeking from CMDs was higher in intervention areas (31%) than in control areas (22%; P = 0.01). Prompt and appropriate treatment of malaria was higher in intervention areas (18%) than in control areas (12%; P = 0.03) and among CMD users (37%) than other health providers (9%). The mean number of drugs among CMD users compared with other health providers was 1.6 versus 2.4 in intervention areas and 1.4 versus 2.3 in control areas. Use of CMDs was low. However, integrated community case management of childhood illnesses increased use of CMDs and rational drug use. PMID:23136276

  14. Molecular characterization of occult hepatitis B virus infection in patients with end-stage liver disease in Colombia

    PubMed Central

    Rendon, Julio Cesar; Cortes-Mancera, Fabian; Restrepo-Gutierrez, Juan Carlos; Hoyos, Sergio

    2017-01-01

    Background Hepatitis B virus (HBV) occult infection (OBI) is a risk factor to be taken into account in transfusion, hemodialysis and organ transplantation. The aim of this study was to identify and characterize at the molecular level OBI cases in patients with end-stage liver disease. Methods Sixty-six liver samples were obtained from patients with diagnosis of end-stage liver disease submitted to liver transplantation in Medellin (North West, Colombia). Samples obtained from patients who were negative for the surface antigen of HBV (n = 50) were tested for viral DNA detection by nested PCR for ORFs S, C, and X and confirmed by Southern-Blot. OBI cases were analyzed by sequencing the viral genome to determine the genotype and mutations; additionally, viral genome integration events were examined by the Alu-PCR technique. Results In five cases out of 50 patients (10%) the criteria for OBI was confirmed. HBV genotype F (subgenotypes F1 and F3), genotype A and genotype D were characterized in liver samples. Three integration events in chromosomes 5q14.1, 16p13 and 20q12 affecting Receptor-type tyrosine-protein phosphatase T, Ras Protein Specific Guanine Nucleotide Releasing Factor 2, and the zinc finger 263 genes were identified in two OBI cases. Sequence analysis of the viral genome of the 5 OBI cases showed several punctual missense and nonsense mutations affecting ORFs S, P, Core and X. Conclusions This is the first characterization of OBI in patients with end-stage liver disease in Colombia. The OBI cases were identified in patients with HCV infection or cryptogenic cirrhosis. The integration events (5q14.1, 16p13 and 20q12) described in this study have not been previously reported. Further studies are required to validate the role of mutations and integration events in OBI pathogenesis. PMID:28686707

  15. Integrated care: theory to practice.

    PubMed

    Stokes, Jonathan; Checkland, Kath; Kristensen, Søren Rud

    2016-10-01

    'Integrated care' is pitched as the solution to current health system challenges. In the literature, what integrated care actually involves is complex and contested. Multi-disciplinary team case management is frequently the primary focus of integrated care when implemented internationally. We examine the practical application of integrated care in the NHS in England to exemplify the prevalence of the case management focus. We look at the evidence for effectiveness of multi-disciplinary team case management, for the focus on high-risk groups and for integrated care more generally. We suggest realistic expectations of what integration of care alone can achieve and additional research questions. © The Author(s) 2016.

  16. The Use of an Autoregressive Integrated Moving Average Model for Prediction of the Incidence of Dysentery in Jiangsu, China.

    PubMed

    Wang, Kewei; Song, Wentao; Li, Jinping; Lu, Wu; Yu, Jiangang; Han, Xiaofeng

    2016-05-01

    The aim of this study is to forecast the incidence of bacillary dysentery with a prediction model. We collected the annual and monthly laboratory data of confirmed cases from January 2004 to December 2014. In this study, we applied an autoregressive integrated moving average (ARIMA) model to forecast bacillary dysentery incidence in Jiangsu, China. The ARIMA (1, 1, 1) × (1, 1, 2)12 model fitted exactly with the number of cases during January 2004 to December 2014. The fitted model was then used to predict bacillary dysentery incidence during the period January to August 2015, and the number of cases fell within the model's CI for the predicted number of cases during January-August 2015. This study shows that the ARIMA model fits the fluctuations in bacillary dysentery frequency, and it can be used for future forecasting when applied to bacillary dysentery prevention and control. © 2016 APJPH.

  17. The Case Management Team: Building Community Connections.

    ERIC Educational Resources Information Center

    Lippert, Toni

    This guidebook presents ideas about how families and case managers can use case management to increase the integration of people with developmental disabilities into their communities, and how public officials and advocates can promote the trend toward community integration. The guide advocates implementation of the integration philosophy, which…

  18. Case Management for Patients with Complex Multimorbidity: Development and Validation of a Coordinated Intervention between Primary and Hospital Care

    PubMed Central

    Giménez-Campos, María Soledad; Villar-López, Julia; Faubel-Cava, Raquel; Donat-Castelló, Lucas; Valdivieso-Martínez, Bernardo; Soriano-Melchor, Elisa; Bahamontes-Mulió, Amparo; García-Gómez, Juan M.

    2017-01-01

    In the past few years, healthcare systems have been facing a growing demand related to the high prevalence of chronic diseases. Case management programs have emerged as an integrated care approach for the management of chronic disease. Nevertheless, there is little scientific evidence on the impact of using a case management program for patients with complex multimorbidity regarding hospital resource utilisation. We evaluated an integrated case management intervention set up by community-based care at outpatient clinics with nurse case managers from a telemedicine unit. The hypothesis to be tested was whether improved continuity of care resulting from the integration of community-based and hospital services reduced the use of hospital resources amongst patients with complex multimorbidity. A retrospective cohort study was performed using a sample of 714 adult patients admitted to the program between January 2012 and January 2015. We found a significant decrease in the number of emergency room visits, unplanned hospitalizations, and length of stay, and an expected increase in the home care hospital-based episodes. These results support the hypothesis that case management interventions can reduce the use of unplanned hospital admissions when applied to patients with complex multimorbidity. PMID:28970745

  19. An evaluation of the discriminating power of an Integrated Ballistics Identification System® Heritage™system with the NIST standard cartridge case (Standard Reference Material 2461).

    PubMed

    Morris, Keith B; Law, Eric F; Jefferys, Roger L; Dearth, Elizabeth C; Fabyanic, Emily B

    2017-11-01

    Through analysis and comparison of firing pin, breech face, and ejector impressions, where appropriate, firearm examiners may connect a cartridge case to a suspect firearm with a certain likelihood in a criminal investigation. When a firearm is not present, an examiner may use the Integrated Ballistics Identification System (IBIS ® ), an automated search and retrieval system coupled with the National Integrated Ballistics Information Network (NIBIN), a database of images showing the markings on fired cartridge cases and bullets from crime scenes along with test fired firearms. For the purpose of measurement quality control of these IBIS ® systems the National Institute of Standards and Technology (NIST) initiated the Standard Reference Material (SRM) 2460/2461 standard bullets and cartridge cases project. The aim of this study was to evaluate the overall performance of the IBIS ® system by using NIST standard cartridge cases. By evaluating the resulting correlation scores, error rates, and percent recovery, both the variability between and within examiners when using IBIS ® , in addition to any inter- and intra-variability between SRM cartridge cases was observed. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. The Integration of Teacher's Pedagogical Content Knowledge Components in Teaching Linear Equation

    ERIC Educational Resources Information Center

    Yusof, Yusminah Mohd.; Effandi, Zakaria

    2015-01-01

    This qualitative research aimed to explore the integration of the components of pedagogical content knowledge (PCK) in teaching Linear Equation with one unknown. For the purpose of the study, a single local case study with multiple participants was used. The selection of the participants was made based on various criteria: having more than 5 years…

  1. Descriptive Indicators of Future Teachers' Technology Integration in the PK-12 Classroom: Trends from a Laptop-Infused Teacher Education Program

    ERIC Educational Resources Information Center

    Hughes, Joan E.

    2013-01-01

    This research examined preservice teacher graduates' positioning toward integrating technology in future teaching. Participants included 115 preservice teachers across three cohorts in 2008-2009 who graduated from a laptop-infused teacher education program. The study implemented a case study methodology that included a survey administered upon…

  2. Reculturing for Equity through Integrated Services: A Case Study of One District's Reform

    ERIC Educational Resources Information Center

    Dentith, Audrey; Frattura, Elise; Kaylor, Maria

    2013-01-01

    The purpose of this paper is to analyse the early stages of an urban district's special education reform effort in which the entire district moved from a programme model to an integrated services delivery approach. We studied teacher and building administrator's responses garnered through focus group, individual interviews and observations at five…

  3. Integrating Mobile Technologies into Very Young Second Language Learners' Curriculum

    ERIC Educational Resources Information Center

    Sadykova, Gulnara; Gimaletdinova, Gulnara; Khalitova, Liliia; Kayumova, Albina

    2016-01-01

    This report is based on an exploratory case study of a private multilingual preschool language program that integrated a Mobile-Assisted Language Learning (MALL) project into the curriculum of five/six year-old children whose native language(s) is/are Russian and/or Tatar. The purpose of the study was to reveal teachers' and parents' perceptions…

  4. Integrating Augmented Reality in Higher Education: A Multidisciplinary Study of Student Perceptions

    ERIC Educational Resources Information Center

    Delello, Julie A.; McWhorter, Rochell R.; Camp, Kerri M.

    2015-01-01

    Augmented reality (AR) is an emerging technology that blends physical objects with virtual reality. Through the integration of digital and print media, a gap between the "on and offline" worlds are merged, radically shifting student-computer interaction in the classroom. This research examined the results of a multiple case study on the…

  5. Implementing Vertical and Horizontal Engineering Students' Integration and Assessment of Consequence Academic Achievement

    ERIC Educational Resources Information Center

    Al-Zubaidy, Sarim; Abdulaziz, Nidhal; Dashtpour, Reza

    2012-01-01

    Recent scholarship references indicate that integration of the student body can result in an enhanced learning experience for students and also greater satisfaction. This paper reports the results of a case study whereby mechanical engineering students studying at a newly established branch campus in Dubai of a British university were exposed to…

  6. Opening the Black Box of Clinical Collaboration in Integrated Care Models for Frail, Elderly Patients

    ERIC Educational Resources Information Center

    de Stampa, Matthieu; Vedel, Isabelle; Bergman, Howard; Novella, Jean-Luc; Lechowski, Laurent; Ankri, Joel; Lapointe, Liette

    2013-01-01

    Purpose: The purpose of the study was to understand better the clinical collaboration process among primary care physicians (PCPs), case managers (CMs), and geriatricians in integrated models of care. Methods: We conducted a qualitative study with semistructured interviews. A purposive sample of 35 PCPs, 7 CMs, and 4 geriatricians was selected in…

  7. Respect, Recognition and Reconciliation: Emerging Models of Integrated Education in Regions of Conflict

    ERIC Educational Resources Information Center

    Ben-Nun, Merav

    2009-01-01

    A comparative case study of integrated schools in two regions of conflict, this study addresses the potential and limitations of education to promote individual and societal processes of change and peace building. In modern societies, education is expected to play a central function in socializing young generations into their culture and the…

  8. Understanding the Technological, Pedagogical, and Mathematical Issues That Emerge as Secondary Mathematics Teachers Design Lessons That Integrate Technology

    ERIC Educational Resources Information Center

    Gonzalez, Marggie Denise

    2016-01-01

    This multiple case study examines four groups of secondary mathematics teachers engaged in a Lesson Study approach to professional development where they planned and taught lessons that integrate technology. Informed by current literature, a framework was developed to focus on the dimensions of teacher's knowledge to teach mathematics with…

  9. Mentoring Women of Color at the University of Minnesota: Challenges for Organizational Transformation.

    ERIC Educational Resources Information Center

    Dickey, Corinne

    This paper summarizes a research study on women in three programs designed to recruit, retain, and graduate persons of color at the University of Minnesota. The literature on mentoring is reviewed in terms of social integration, academic integration, a supportive institutional climate, and quality mentoring. The study used qualitative case study…

  10. Integrating Enterprise Resource Planning (SAP) in the Accounting Curriculum: A Systematic Literature Review and Case Study

    ERIC Educational Resources Information Center

    Blount, Yvette; Abedin, Babak; Vatanasakdakul, Savanid; Erfani, Seyedezahra

    2016-01-01

    This study investigates how an enterprise resource planning (ERP) software package SAP was integrated into the curriculum of an accounting information systems (AIS) course in an Australian university. Furthermore, the paper provides a systematic literature review of articles published between 1990 and 2013 to understand how ERP systems were…

  11. Examining Current Beliefs, Practices and Barriers about Technology Integration: A Case Study

    ERIC Educational Resources Information Center

    Hsu, Pi-Sui

    2016-01-01

    The purpose of this mixed-methods study was to examine the current beliefs, practices and barriers concerning technology integration of Kindergarten through Grade Six teachers in the midwestern United States. The three data collection methods were online surveys with 152 teachers as well as interviews and observations with 8 teachers. The findings…

  12. Integration of School Features into Taiwanese Elementary School New English Curriculum

    ERIC Educational Resources Information Center

    Chien, Chin-Wen

    2014-01-01

    Elementary school English activation curriculum, an additional two culture classes, has been implemented only in New Taipei City in Taiwan starting from 2010, so only a few studies focus on it. This is a case study of an English teacher's integration of a school's features into the activation curriculum in a rural elementary school. This study…

  13. Admiral Furman Academy: A Case Study in Selected Not-for-Profit Auditing Issues

    ERIC Educational Resources Information Center

    Grippo, Frank J.; Nassiripour, Sia

    2009-01-01

    The purpose of this case is to help students explore accounting and auditing issues often confronted by auditors of not-for-profit organizations. Given final financial statements, the goal of the case is to require students to prepare the footnotes that would be considered an integral part of the financial statements. The case is intended for…

  14. The Impact of School Design and Arrangement on Learning Experiences: A Case Study of an Architecturally Significant Elementary School

    ERIC Educational Resources Information Center

    Churchill, Deirdre Lyne

    2014-01-01

    This qualitative study examined the impact of architectural design and arrangement on the learning experiences of students. Specifically, it examined how school design and arrangement foster interactions and relationships among students and adults relevant to integral learning experiences. This case study was limited to the breadth of knowledge…

  15. Integrating Factors of Grit in School Culture: Case Studies of Two Freshman Academies

    ERIC Educational Resources Information Center

    Coates, Margaret Marie

    2017-01-01

    The purpose of this qualitative case study is to explore the cultural manifestation of grit in two freshman academy environments and describe factors of grit that support student success. This study used purposeful sampling to select sites and participants. Data were collected through: administration of Douglas' (1982) grid and group 24-question…

  16. Pedagogical Approaches for ICT Integration into Primary School English and Mathematics: A Singapore Case Study

    ERIC Educational Resources Information Center

    Tay, Lee Yong; Lim, Siew Khiaw; Lim, Cher Ping; Koh, Joyce Hwee Ling

    2012-01-01

    This case study research attempts to examine the pedagogical approaches for the teaching of English and mathematics with information communication technology (ICT) in a primary school in Singapore. The study uses the learning "with" and learning "from" ICT framework in reporting and analysing how ICT has been used in the…

  17. A Multiple Case Study of Verbal Short-Term Memory in Velo-Cardio-Facial Syndrome

    ERIC Educational Resources Information Center

    Majerus, S.; Glaser, B.; Van der Linden, M.; Eliez, S.

    2006-01-01

    Background: Velo-cardio-facial syndrome (VCFS, 22q 11.2 deletion) is characterized by severely delayed language development. The current study explored the integrity of verbal short-term memory (STM), a cognitive function critically involved in language development, in eight children with VCFS. Methods: Using a multiple case study design, we…

  18. The Role of Higher Education in the Competitiveness of a Developing Nation: A Case Study of Algeria

    ERIC Educational Resources Information Center

    Chirouf, Ahmed

    2017-01-01

    This study examines the relationship between higher education (HE) and economic development. Through the use of Algeria as a case study, this study specifically addresses how the Algerian economy needs to integrate HE to promote the country's competitiveness and reduce its dependency on oil. Although the country has adopted European educational…

  19. Coaching Tutors: An Instrumental Case Study on Testing an Integrated Framework for Tutoring Sessions

    ERIC Educational Resources Information Center

    Holland, Alicia L.; Grant, Chris; Donthamsetty, Reshema

    2017-01-01

    The objective for the current qualitative case study was to examine participants' perceptions on the tutor coaching and session review frameworks. The location of the study was at the tutor coaches' place of business. At the beginning of the study, tutor coaches were trained on how to implement the tutoring coaching framework with their tutors,…

  20. The Second Prototype of the Development of a Technological Pedagogical Content Knowledge Based Instructional Design Model: An Implementation Study in a Technology Integration Course

    ERIC Educational Resources Information Center

    Lee, Chia-Jung; Kim, ChanMin

    2014-01-01

    This study presents a refined technological pedagogical content knowledge (also known as TPACK) based instructional design model, which was revised using findings from the implementation study of a prior model. The refined model was applied in a technology integration course with 38 preservice teachers. A case study approach was used in this…

  1. Resource Materials on Scientific Integrity Issues.

    ERIC Educational Resources Information Center

    Macrina, Francis L., Ed.; Munro, Cindy L., Ed.

    1993-01-01

    The annotated bibliography contains 26 citations of books, monographs, and articles that may be useful to faculty and students in courses on scientific integrity. Topics addressed include ethical and legal considerations, fraud, technical writing and publication, intellectual property, notetaking, case study approach, conflict of interest, and…

  2. Collaboration process for integrated social and health care strategy implementation.

    PubMed

    Korpela, Jukka; Elfvengren, Kalle; Kaarna, Tanja; Tepponen, Merja; Tuominen, Markku

    2012-01-01

    To present a collaboration process for creating a roadmap for the implementation of a strategy for integrated health and social care. The developed collaboration process includes multiple phases and uses electronic group decision support system technology (GDSS). A case study done in the South Karelia District of Social and Health Services in Finland during 2010-2011. An expert panel of 13 participants was used in the planning process of the strategy implementation. The participants were interviewed and observed during the case study. As a practical result, a roadmap for integrated health and social care strategy implementation has been developed. The strategic roadmap includes detailed plans of several projects which are needed for successful integration strategy implementation. As an academic result, a collaboration process to create such a roadmap has been developed. The collaboration process and technology seem to suit the planning process well. The participants of the meetings were satisfied with the collaboration process and the GDSS technology. The strategic roadmap was accepted by the participants, which indicates satisfaction with the developed process.

  3. Determination of feasibility and utility of microscope-integrated optical coherence tomography during ophthalmic surgery: the DISCOVER Study RESCAN Results.

    PubMed

    Ehlers, Justis P; Goshe, Jeff; Dupps, William J; Kaiser, Peter K; Singh, Rishi P; Gans, Richard; Eisengart, Jonathan; Srivastava, Sunil K

    2015-10-01

    Optical coherence tomography (OCT) has transformed the clinical management of a myriad of ophthalmic conditions. Applying OCT to ophthalmic surgery may have implications for surgical decision making and patient outcomes. To assess the feasibility and effect on surgical decision making of a microscope-integrated intraoperative OCT (iOCT) system. Report highlighting the 1-year results (March 2014-February 2015) of the RESCAN 700 portion of the DISCOVER (Determination of Feasibility of Intraoperative Spectral Domain Microscope Combined/Integrated OCT Visualization During En Face Retinal and Ophthalmic Surgery) study, a single-site, multisurgeon, prospective consecutive case series regarding this investigational device. Participants included patients undergoing ophthalmic surgery. Data on clinical characteristics were collected, and iOCT was performed during surgical milestones, as directed by the operating surgeon. A surgeon questionnaire was issued to each surgeon and was completed after each case to evaluate the role of iOCT during surgery and its particular role in select surgical procedures. Percentage of cases with successful acquisition of iOCT (ie, feasibility). Percentage of cases in which iOCT altered surgical decision making (ie, utility). During year 1 of the DISCOVER study, a total of 227 eyes (91 anterior segment cases and 136 posterior segment cases) underwent imaging with the RESCAN 700 system. Successful imaging (eg, the ability to acquire an OCT image of the tissue of interest) was obtained for 224 of 227 eyes (99% [95% CI, 98%-100%]). During lamellar keratoplasty, the iOCT data provided information that altered the surgeon's decision making in 38% of the cases (eg, complete graft apposition when the surgeon believed there was interface fluid). In membrane peeling procedures, iOCT information was discordant with the surgeon's impression of membrane peel completeness in 19% of cases (eg, lack of residual membrane or presence of occult membrane), thus affecting additional surgical maneuvers. The DISCOVER study demonstrates the feasibility of real-time iOCT with a microscope-integrated iOCT system for ophthalmic surgery. The information gained from iOCT appears to allow surgeons to assess subtle details in a unique perspective from standard en face visualization, which can affect surgical decision making some of the time, although the effect of these changes in decision making on outcomes remains unknown. A prospective randomized masked trial is needed to confirm these results.

  4. Introducing Case-Based Peer-Assisted Learning in a Professional Course

    ERIC Educational Resources Information Center

    Hodgson, Yvonne; Brack, Charlotte; Benson, Robyn

    2014-01-01

    This paper describes students' experience of participating in a case-based peer-assisted learning (PAL) program in order to examine whether the approach is pedagogically effective and likely to contribute to students' professional development. It presents the findings of a study which examined the integration of PAL and case-based learning (CBL)…

  5. School-Based Cognitive-Behavioral Therapy for an Adolescent Presenting with ADHD and Explosive Anger: A Case Study

    ERIC Educational Resources Information Center

    Parker, Janise; Zaboski, Brian; Joyce-Beaulieu, Diana

    2016-01-01

    This case demonstrates the efficacy of utilizing an intensive, multi-faceted behavioral intervention paradigm. A comprehensive, integrative, school-based service model was applied to address attention deficit hyperactivity disorder symptomology, oppositional behaviors, and explosive anger at the secondary level. The case reviews a multi-modal…

  6. Regional Military Integration in West Africa: A Case Study of the Multi-National Joint Task Force in the Fight against Boko Haram

    DTIC Science & Technology

    2016-06-10

    detailed description of issues surrounding a subject matter. The use of case studies provides the experimental foundation for qualitative analysis. As...The chapter provided a description of the case studies -based QCA methodology, highlighted how the Charles Ragin QCA will be used for data analysis...world. Against this backdrop, a study assessing the challenges and prospects of sub- regional post -conflict peacebuilding efforts will not only be

  7. Climate change, water security and the need for integrated policy development: the case of on-farm infrastructure investment in the Australian irrigation sector

    NASA Astrophysics Data System (ADS)

    Maraseni, T. N.; Mushtaq, S.; Reardon-Smith, K.

    2012-09-01

    The Australian Government is currently addressing the challenge of increasing water scarcity through significant on-farm infrastructure investment to facilitate the adoption of new water-efficient pressurized irrigation systems. However, it is highly likely that conversion to these systems will increase on-farm energy consumption and greenhouse gas (GHG) emissions, suggesting potential conflicts in terms of mitigation and adaptation policies. This study explored the trade-offs associated with the adoption of more water efficient but energy-intensive irrigation technologies by developing an integrated assessment framework. Integrated analysis of five case studies revealed trade-offs between water security and environmental security when conversion to pressurized irrigation systems was evaluated in terms of fuel and energy-related emissions, except in cases where older hand-shift sprinkler irrigation systems were replaced. These results suggest that priority should be given, in implementing on-farm infrastructure investment policy, to replacing inefficient and energy-intensive sprinkler irrigation systems such as hand-shift and roll-line. The results indicated that associated changes in the use of agricultural machinery and agrochemicals may also be important. The findings of this study support the use of an integrated approach to avoid possible conflicts in designing national climate change mitigation and adaptation policies, both of which are being developed in Australia.

  8. Choquet integral as an alternative aggregation method to measure the overall academic performance of primary school students: A case study

    NASA Astrophysics Data System (ADS)

    Kasim, Maznah Mat; Abdullah, Siti Rohana Goh

    2014-07-01

    Many average methods are available to aggregate a set of numbers to become single number. However these methods do not consider the interdependencies between the criteria of the related numbers. This paper is highlighting the Choquet Integral method as an alternative aggregation method where the interdependency estimates between the criteria are comprised in the aggregation process. The interdependency values can be estimated by using lambda fuzzy measure method. By considering the interdependencies or interaction between the criteria, the resulted aggregated values are more meaningful as compared to the ones obtained by normal average methods. The application of the Choquet Integral is illustrated in a case study of finding the overall academic achievement of year six pupils in a selected primary school in a northern state of Malaysia.

  9. Upstairs downstairs: vertical integration of a pediatric service.

    PubMed

    Racine, A D; Stein, R E; Belamarich, P F; Levine, E; Okun, A; Porder, K; Rosenfeld, J L; Schechter, M

    1998-07-01

    The combined effects of recent changes in health care financing and training priorities have compelled academic medical centers to develop innovative structures to maintain service commitments yet conform to health care marketplace demands. In 1992, a municipal hospital in the Bronx, New York, affiliated with a major academic medical center reorganized its pediatric service into a vertically integrated system of four interdependent practice teams that provided comprehensive care in the ambulatory as well as inpatient settings. One of the goals of the new system was to conserve inpatient resources. To describe the development of a new vertically integrated pediatric service at an inner-city municipal hospital and to test whether its adoption was associated with the use of fewer inpatient resources. A descriptive analysis of the rationale, goals, implementation strategies, and structure of the vertically integrated pediatric service combined with a before-and-after comparison of in-hospital resource consumption. A before-and-after comparison was conducted for two periods: the period before vertical integration, from January 1989 to December 1991, and the period after the adoption of vertical integration, from July 1992 to December 1994. Four measures of inpatient resource use were compared after adjustment for case mix index: mean certified length of stay per case, mean number of radiologic tests per case, mean number of ancillary tests per case, and mean number of laboratory tests per case. Difference-in-differences-in-differences estimators were used to control for institution-wide trends throughout the time period and regional trends in inpatient pediatric practice occurring across institutions. Results. In 1992, the Department of Pediatrics at the Albert Einstein College of Medicine reorganized the pediatric service at Jacobi Medical Center, one of its principal municipal hospital affiliates, into a vertically integrated pediatric service that combines ambulatory and inpatient activities into four interdependent practice teams composed of attending pediatricians, allied health professionals, house officers, and social workers. The new vertically integrated service was designed to improve continuity of care for patients, provide a model of practice for professional trainees, conserve scarce resources, and create a clinical research infrastructure. The vertically integrated pediatric service augmented the role of attending pediatricians, extended the use of allied health professionals from the ambulatory to the inpatient sites, established interdisciplinary practice teams that unified the care of pediatric patients and their families, and used less inpatient resources. Controlling for trends within the study institution and trends in the practice of pediatrics across institutions throughout the time period, the vertical integration was associated with a decline in 0.6 days per case, the use of 0.62 fewer radiologic tests per case, 0.21 fewer ancillary tests per case, and 2.68 fewer laboratory tests per case. We conclude that vertical integration of a pediatric service at an inner-city municipal hospital is achievable; conveys advantages of improved continuity of care, enhanced opportunities for primary care training, and increased participation of senior clinicians; and has the potential to conserve significant amounts of inpatient resources.

  10. Costs of Physician-Hospital Integration

    PubMed Central

    Cho, Na-Eun

    2015-01-01

    Abstract Given that the enactment of the Patient Protection and Affordable Care Act of 2010 is expected to generate forces toward physician-hospital integration, this study examined an understudied, albeit important, area of costs incurred in physician-hospital integration. Such costs were analyzed through 24 semi-structured interviews with physicians and hospital administrators in a multiple-case, inductive study. Two extreme types of physician-hospital arrangements were examined: an employed model (ie, integrated salary model, a group of physicians integrated by a hospital system) and a private practice (ie, a physician or group of physicians who are independent of economic or policy control). Interviews noted that integration leads to 3 evident costs, namely, monitoring, coordination, and cooperation costs. Improving our understanding of the kinds of costs that are incurred after physician-hospital integration will help hospitals and physicians to avoid common failures after integration. PMID:26496300

  11. Notes on integral identities for 3d supersymmetric dualities

    NASA Astrophysics Data System (ADS)

    Aghaei, Nezhla; Amariti, Antonio; Sekiguchi, Yuta

    2018-04-01

    Four dimensional N=2 Argyres-Douglas theories have been recently conjectured to be described by N=1 Lagrangian theories. Such models, once reduced to 3d, should be mirror dual to Lagrangian N=4 theories. This has been numerically checked through the matching of the partition functions on the three sphere. In this article, we provide an analytic derivation for this result in the A 2 n-1 case via hyperbolic hypergeometric integrals. We study the D 4 case as well, commenting on some open questions and possible resolutions. In the second part of the paper we discuss other integral identities leading to the matching of the partition functions in 3d dual pairs involving higher monopole superpotentials.

  12. From "Additive" to "Integrative": Experiences of Faculty Teaching Developmental Integrated Reading and Writing Courses. CCRC Working Paper No. 96

    ERIC Educational Resources Information Center

    Bickerstaff, Sarah; Raufman, Julia

    2017-01-01

    This paper documents the perceptions and experiences of faculty members in the midst of statewide reform efforts in Virginia and North Carolina to integrate developmental reading and writing courses. Using interview and focus group data from 161 faculty and administrators in both states (combined) as well as three detailed case studies of faculty…

  13. TARA: Tool Assisted Requirements Analysis

    DTIC Science & Technology

    1988-05-01

    provided during the project and to aid tool integration . Chapter 6 provides a brief discussion of the experience of specifying the ASET case study in CORE...set of Prolog clauses. This includes the context-free grammar rules depicted in Figure 2.1, integrity constraints such as those defining the binding...Jeremaes (1986). This was developed originally for specifying database management ". semantics (for example, the preservation of integrity constraints

  14. Sensemaking: a driving force behind the integration of professional practices.

    PubMed

    Sylvain, Chantal; Lamothe, Lise

    2012-01-01

    There has been considerable effort in recent years to link and integrate professional services more closely for patients with comorbidities. However, difficulties persist, especially at the clinical level. This study aims to shed light on these difficulties by examining the process of sensemaking in professionals directly involved in this integration. The authors conducted an eight-year longitudinal case study of an organization specializing in mental health and substance abuse. Different data collection methods were used, including 34 interviews conducted between 2003 and 2009, observations and document analysis. The authors performed a qualitative analysis of the data using a processual perspective. This paper provides empirical insights about the nature of the sensemaking process in which professionals collectively participate and the effects of this process on the evolution of integrated services. It suggests that the development of integrated practices results from an evolutional and collective process of constructing meanings that is rooted in the work activities of the professionals involved. By drawing attention to the capacity of professionals to shape the projects they are implementing, this study questions the capacity of managers to actually manage such a process. In order to obtain the expected benefits of integration projects, such emergent dynamics must first be recognized and then supported. Only then can thought be given to mastering them. The fact that this is a single case study is not a limitation per se, although it does raise the issue of the transferability of results. Replicating the study in other contexts would verify the applicability of the authors' conclusions. This study offers a fresh perspective on the difficulties generally encountered at the clinical level when trying to integrate services. It makes a significant contribution to work on the dynamics of sensemaking in organizational life.

  15. Analysis of the efficiency-integration nexus of Japanese stock market

    NASA Astrophysics Data System (ADS)

    Rizvi, Syed Aun R.; Arshad, Shaista

    2017-03-01

    This paper attempts a novel approach in analysing the Japanese economy through a dual-dimension analysis of its stock market, examining the efficiency and market integration. Taking a period of 24 years, this study employs MFDFA and MGARCH to understand how the efficiency and integration of the stock market faired during different business cycle phases of the Japanese economy. The results showed improving efficiency over the time period. For the case of market integration, our findings conform to recent literature on business cycles and stock market integration that every succeeding recession creates a break into integration levels resulting in a decrease.

  16. Reengineering outcomes management: an integrated approach to managing data, systems, and processes.

    PubMed

    Neuman, K; Malloch, K; Ruetten, V

    1999-01-01

    The integration of outcomes management into organizational reengineering projects is often overlooked or marginalized in proportion to the entire project. Incorporation of an integrated outcomes management program strengthens the overall quality of reengineering projects and enhances their sustainability. This article presents a case study in which data, systems, and processes were reengineered to form an effective Outcomes Management program as a component of the organization's overall project. The authors describe eight steps to develop and monitor an integrated outcomes management program. An example of an integrated report format is included.

  17. Practice and Policy to Enhance Student Induction and Transition: A Case Study of Institution-Wide Change

    ERIC Educational Resources Information Center

    Alsford, Sally; Rose, Christine

    2014-01-01

    This case study gives an analytical account of institutional development in induction provision. Driven by student experience concerns, a London post-1992 University set up an "enhanced induction project" to provide a more integrated, personalised approach through more coordinated processes. In a large, diverse context, university-wide…

  18. Practices of Management Development: A Malaysian Case Study

    ERIC Educational Resources Information Center

    Law, Kian Aun

    2008-01-01

    This paper deals with a case study of Management Development (MD) practices at Malaysian Assurance Alliance (MAA). The aim of this research is to investigate how a large Malaysian insurance corporation developed and integrated MD initiatives with current organizational needs and tasks. Attempts were made to map and categorize the MD initiatives…

  19. Interdisciplinary Student Teams Projects: A Case Study

    ERIC Educational Resources Information Center

    Kruck, S. E.; Teer, Faye P.

    2009-01-01

    In today's organizations team work has become an integral part of the day-to-day routine. For this reason, University professors are including group projects in many courses. In such group assessments, we advocate the use of interdisciplinary teams, where possible. As a case study, we report an interdisciplinary group technical project with…

  20. Interpersonal Consulting Skills for Instructional Technology Consultants: A Multiple Case Study

    ERIC Educational Resources Information Center

    van Leusen, Peter; Ottenbreit-Lefwich, Anne T.; Brush, Thomas

    2016-01-01

    Building a trust-based relationship with faculty is one of the most important attributes of effective Instructional Technology Consultants (ITC) in order to integrate emerging technologies into higher education. Utilizing a multiple case study research design, four experienced ITCs at a large urban research university located in the Midwest showed…

  1. Problem Solving by 5-6 Years Old Kindergarten Children in a Computer Programming Environment: A Case Study

    ERIC Educational Resources Information Center

    Fessakis, G.; Gouli, E.; Mavroudi, E.

    2013-01-01

    Computer programming is considered an important competence for the development of higher-order thinking in addition to algorithmic problem solving skills. Its horizontal integration throughout all educational levels is considered worthwhile and attracts the attention of researchers. Towards this direction, an exploratory case study is presented…

  2. Online Software Applications for Learning: Observations from an Elementary School

    ERIC Educational Resources Information Center

    Tay, Lee Yong; Lim, Cher Ping; Nair, Shanthi Suraj; Lim, Siew Khiaw

    2014-01-01

    This exploratory case study research describes the integration of Information Communication Technology (ICT) into the teaching and learning of English, mathematics and science in an elementary school in Singapore. The school in this case study research is one of the first primary-level future schools that was set up under the…

  3. The Significance of Motivation in Student-Centred Learning: A Reflective Case Study

    ERIC Educational Resources Information Center

    Maclellan, Effie

    2008-01-01

    The theoretical underpinnings of student-centred learning suggest motivation to be an integral component. However, lack of clarification of what is involved in motivation in education often results in unchallenged assumptions that fail to recognise that what motivates some students may alienate others. This case study, using socio-cognitive…

  4. Using Clinical Cases to Teach General Chemistry

    ERIC Educational Resources Information Center

    Dewprashad, Brahmadeo; Kosky, Charles; Vaz, Geraldine S.; Martin, Charlotte L.

    2004-01-01

    A clinical study was designed and used to show the relationship of health and medicine, in a typical clinical scenario, where many chemical principles are involved and that an integrated knowledge of chemistry and biology is essential to the understanding, diagnosing and treating of illnesses. A case study would be a positive learning experience…

  5. Mentoring Postsecondary Tenure-Track Faculty: A Theory-Building Case Study and Implications for Institutional Policy

    ERIC Educational Resources Information Center

    Davis, Dannielle Joy; Boyer, Patricia; Russell, Isela

    2011-01-01

    The featured research uses theory-building case study to understand the experiences of junior faculty in a mentoring program. Findings suggest the importance of professional interaction for faculty members' integration into their campus communities. An explanatory model illustrates the findings and supplements discussion of the implications for…

  6. Does Online Game-Based Learning Work in Formal Education at School? A Case Study of VISOLE

    ERIC Educational Resources Information Center

    Jong, Morris S. Y.

    2015-01-01

    VISOLE (Virtual Interactive Student-Oriented Environment) is a teacher-facilitated pedagogical approach to integrating constructivist online game-based learning into formal curriculum teaching in school education. This paper reports a case study on the implementation of VISOLE in secondary Geography education. We compared the pedagogical…

  7. Classifying Language-Minority Students: A Closer Look at Individual Student Data

    ERIC Educational Resources Information Center

    Okhremtchouk, Irina S.

    2014-01-01

    This article presents an exploratory case study of site-level classification practices for language-minority students. The study examines individual classification data of 439 language-minority student cases from one California urban school district and two of its schools. The review process involved a thorough examination of data integrity,…

  8. Early Career Teachers' Emotional Experiences and Development--A Norwegian Case Study

    ERIC Educational Resources Information Center

    Jakhelln, Rachel

    2011-01-01

    Emotional experiences that are an integral part of the process of becoming teachers have been insufficiently explored in the research literature. The early experiences of three new teachers in a Norwegian upper secondary school are analysed using a collective case-study design and a socio-cultural theoretical framework. Emotions arising in the…

  9. It System Integration: Global Medical Acquisition of Health Tech Case Study

    ERIC Educational Resources Information Center

    Russo, Mark; White, Bruce

    2013-01-01

    Mergers and Acquisitions are just part of life in business. For example, in the health care technology field in 2012, Veritas Capital Partners acquired Thomson Reuters' Healthcare. Other major active acquisition companies included: Medical Transcription Billing, T-System Technologies and Sharecare. In this case study, a larger health technology…

  10. "Do You Know Actimel?" The Adaptive Nature of Dialogic Teacher-Led Discussions in the CLIL Science Classroom: A Case Study

    ERIC Educational Resources Information Center

    Escobar Urmeneta, Cristina; Evnitskaya, Natalia

    2014-01-01

    This interpretive case study is framed within recent sociocultural conceptualisations of learning. It draws on research on teacher-led classroom discussions, and investigates the conversational intricacies through which "dialogicity" is accomplished in adaptive ways in one content and language integrated learning (CLIL) science…

  11. Stormwater Management for TMDLs in an Arid Climate: A Case Study Application of SUSTAIN in Albuquerque, New Mexico - report

    EPA Science Inventory

    This case study for the Albuquerque, New Mexico area was conducted under contract with the U.S. Environmental Protection Agency (EPA) Office of Research and Development using the System for Urban Stormwater Treatment and Integration Analysis (SUSTAIN). The effort focuses on inve...

  12. Teaching and Learning Hand in Hand: Adaptive Teaching and Self-Regulated Learning

    ERIC Educational Resources Information Center

    Randi, Judi

    2017-01-01

    This article presents case studies of two novice teachers and their mentors who, without formal knowledge of self-regulation theory, established a classroom environment that promoted self-regulated learning. This case was drawn from a larger descriptive study of novice teachers learning to integrate a student-centered visual literacy instructional…

  13. Counseling a Biracial Female College Student with an Eating Disorder: A Case Study Applying an Integrative Biopsychosocialcultural Perspective

    ERIC Educational Resources Information Center

    Smart, Rebekah

    2010-01-01

    This case study describes short-term counseling with a young biracial woman experiencing an eating disorder. A biopsychosocialcultural conceptualization of the problem is described. The counseling approach is informed by feminist and multicultural theory and uses both interpersonal and cognitive behavior therapy. (Contains 1 figure.)

  14. Teaching Trump: A Case Study of Two Teachers and the Election of 2016

    ERIC Educational Resources Information Center

    Anderson, Derek L.; Zyhowski, Joni

    2018-01-01

    This case study investigated how two 8th-grade teachers planned for, delivered, and reflected on their teaching of the 2016 Presidential Election. Data sources included classroom observations, teacher interviews, and lesson plans. Despite integrating student-centered lessons about the election with social and political events in US History from…

  15. Modification of Personal Hygiene and Grooming Behaviors with Contingency Contracting: A Brief Review and Case Study.

    ERIC Educational Resources Information Center

    Allen, Sarah J.; Kramer, Jack J.

    1990-01-01

    Presents discussion of basic components and characteristics of contingency contracts. Includes case study in which contingency contracting procedures were integrated within a behavioral consultation model used by a school psychologist consulting with a classroom teacher to modify personal hygiene of 12-year-old male. (Author/ABL)

  16. Case Study of the Triad Approach: Expedited Characterization of Petroleum Constituents and PCBs Using Test Kits and a Mobile Chromatography Laboratory at the Former Cos Cob Power Plant Site

    EPA Pesticide Factsheets

    The case study was developed as part of EPA's ongoing initiative to promote the use of an integrated Triad approach to limit decision uncertainty at hazardous waste sites through the use of sound science.

  17. ESL and Digital Video Integration: Case Studies

    ERIC Educational Resources Information Center

    Li, J., Ed.; Gromik, N., Ed.; Edwards, N., Ed.

    2013-01-01

    It should come as no surprise that digital video technology is of particular interest to English language learners; students are drawn to its visual appeal and vibrant creative potential. The seven original case studies in this book demonstrate how video can be an effective and powerful tool to create fluid, fun, interactive, and collaborative…

  18. Introducing integrated product and process development into the education of science and engineering undergraduates: a lecture course with an accompanying case-study programme at the ETH chemistry department.

    PubMed

    Fenner, K; Jödicke, G; Alean-Kirkpatrick, P; Hungerbühler, K

    2001-04-01

    Increased quality requirements in the development of chemical products and a growing awareness within society of the activities of chemical companies present a new challenge to the education of young scientists. Nowadays, the teaching of chemists, chemical engineers and environmental scientists at universities has to go beyond the traditional, discipline-orientated knowledge acquisition. The students also have to learn to work and communicate in interdisciplinary teams, to solve application-oriented tasks and to integrate scientific, economical, ecological and social aspects into their work. For this reason, a case-study programme was launched at the chemistry department of the Swiss Federal Institute of Technology. In this paper, we describe the organisational aspects of the programme, its inclusion into academic and industrial environments and summarise some of the scientific methodologies applied. One of the seven case-studies, an assessment of a modern insecticide, is presented in more detail. Finally, we discuss how far the case-study programme is suitable for introducing a new mode of knowledge production to universities.

  19. Case Study: Converting Paper-based Case Report Forms to an Electronic Format (e-CRF) with ACASI Self-Report Integration.

    PubMed

    Mierzwa, Stan; Souidi, Samir; Akello, Carolyne; Etima, Juliane; Ssebagala, Richard; Nolan, Monica; Kabwigu, Samuel; Nakablito, Clemensia

    2017-01-01

    This paper will discuss the integration of electronic Case Report Forms (e-CRFs) into an already existing Android-based Audio Computer-Assisted Self-Interview (ACASI) software solution that was developed for a public health project in Kampala, Uganda, the technical outcome results, and lessons learned that may be useful to other projects requiring or considering such a technology solution. The developed product can function without a connection to the Internet and allows for synchronizing collected data once connectivity is possible. Previously, only paper-based CRFs were utilized at the Uganda project site. A subset or select group of CRFs were targeted for integration with ACASI in order to test feasibility and success. Survey volume, error rate, and acceptance of the system, as well as the operational and technical design of the solution, will be discussed.

  20. Integrated rare variant-based risk gene prioritization in disease case-control sequencing studies.

    PubMed

    Lin, Jhih-Rong; Zhang, Quanwei; Cai, Ying; Morrow, Bernice E; Zhang, Zhengdong D

    2017-12-01

    Rare variants of major effect play an important role in human complex diseases and can be discovered by sequencing-based genome-wide association studies. Here, we introduce an integrated approach that combines the rare variant association test with gene network and phenotype information to identify risk genes implicated by rare variants for human complex diseases. Our data integration method follows a 'discovery-driven' strategy without relying on prior knowledge about the disease and thus maintains the unbiased character of genome-wide association studies. Simulations reveal that our method can outperform a widely-used rare variant association test method by 2 to 3 times. In a case study of a small disease cohort, we uncovered putative risk genes and the corresponding rare variants that may act as genetic modifiers of congenital heart disease in 22q11.2 deletion syndrome patients. These variants were missed by a conventional approach that relied on the rare variant association test alone.

  1. Incorporating Budget Impact Analysis in the Implementation of Complex Interventions: A Case of an Integrated Intervention for Multimorbid Patients within the CareWell Study.

    PubMed

    Soto-Gordoa, Myriam; Arrospide, Arantzazu; Merino Hernández, Marisa; Mora Amengual, Joana; Fullaondo Zabala, Ane; Larrañaga, Igor; de Manuel, Esteban; Mar, Javier

    2017-01-01

    To develop a framework for the management of complex health care interventions within the Deming continuous improvement cycle and to test the framework in the case of an integrated intervention for multimorbid patients in the Basque Country within the CareWell project. Statistical analysis alone, although necessary, may not always represent the practical significance of the intervention. Thus, to ascertain the true economic impact of the intervention, the statistical results can be integrated into the budget impact analysis. The intervention of the case study consisted of a comprehensive approach that integrated new provider roles and new technological infrastructure for multimorbid patients, with the aim of reducing patient decompensations by 10% over 5 years. The study period was 2012 to 2020. Given the aging of the general population, the conventional scenario predicts an increase of 21% in the health care budget for care of multimorbid patients during the study period. With a successful intervention, this figure should drop to 18%. The statistical analysis, however, showed no significant differences in costs either in primary care or in hospital care between 2012 and 2014. The real costs in 2014 were by far closer to those in the conventional scenario than to the reductions expected in the objective scenario. The present implementation should be reappraised, because the present expenditure did not move closer to the objective budget. This work demonstrates the capacity of budget impact analysis to enhance the implementation of complex interventions. Its integration in the context of the continuous improvement cycle is transferable to other contexts in which implementation depth and time are important. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  2. Hypertext Interchange Using ICA.

    ERIC Educational Resources Information Center

    Rada, Roy; And Others

    1995-01-01

    Discusses extended ICA (Integrated Chameleon Architecture), a public domain toolset for generating text-to-hypertext translators. A system called SGML-MUCH has been developed using E-ICA (Extended Integrated Chameleon Architecture) and is presented as a case study with converters for the hypertext systems MUCH, Guide, Hyperties, and Toolbook.…

  3. Benefit-Cost Analysis of Integrated Paratransit Systems : Volume 4. Issues in Community Acceptance and IP Implementation.

    DOT National Transportation Integrated Search

    1979-09-01

    The report describes various factors which influence community acceptance of integrated paratransit (IP) systems. In order to fully explore past events in those communities which have already accepted IP, a case study approach has been used. Seven we...

  4. An Integrated Approach to Environmental Education: A Case Study

    ERIC Educational Resources Information Center

    du Preez, Nicolaas P.; Mohr-Swart, Maryna

    2004-01-01

    In 1994, the Executive Management Committee (EMC) of Technikon Pretoria took a strategic decision to develop educational programmes in environmental management and sustainable development. The EMC also decided to integrate these programmes with the development and implementation of an environmental management policy for Technikon Pretoria. This…

  5. Systematic Technology Planning: GSFC Perspective

    NASA Technical Reports Server (NTRS)

    Steiner, Mark

    2004-01-01

    This viewgraph presentation describes the experiences of Goddard Space Flight Center (GSFC) in integrating systematic technology investment planning into the process of architecting NASA space missions. The presentation uses the assessment of a lidar mission as a case study, and illustrates integration strategies through flow charts and dynamic systems models.

  6. Organisational Learning through International M&A Integration Strategies

    ERIC Educational Resources Information Center

    Holland, Wayne; Salama, Alzira

    2010-01-01

    Purpose: The purpose of this research paper is to explore the learning process associated with international mergers and acquisitions (M&A) integration strategies. Design/methodology/approach: The paper employs a comparative case study methodology, utilising qualitative data through in-depth interviews with top management responsible for…

  7. Reflections on a Technology Integration Project.

    ERIC Educational Resources Information Center

    Kovalik, Cindy

    2003-01-01

    Describes Technology-Enhanced Learning Outcomes (TELO), a grant funded by the Ohio Learning Network to help K-12 teachers integrate technology by having teams of undergraduate education students design and develop technology-enhanced instructional unites using existing curriculum topics. Presents a case study that investigated the nature and…

  8. Organizing integrated care in a university hospital: application of a conceptual framework.

    PubMed

    Axelsson, Runo; Axelsson, Susanna Bihari; Gustafsson, Jeppe; Seemann, Janne

    2014-04-01

    As a result of New Public Management, a number of industrial models of quality management have been implemented in health care, mainly in hospitals. At the same time, the concept of integrated care has been developed within other parts of the health sector. The aim of the article is to discuss the relevance of integrated care for hospitals. The discussion is based on application of a conceptual framework outlining a number of organizational models of integrated care. These models are illustrated in a case study of a Danish university hospital implementing a new organization for improving the patient flows of the hospital. The study of the reorganization is based mainly on qualitative data from individual and focus group interviews. The new organization of the university hospital can be regarded as a matrix structure combining a vertical integration of clinical departments with a horizontal integration of patient flows. This structure has elements of both interprofessional and interorganizational integration. A strong focus on teamwork, meetings and information exchange is combined with elements of case management and co-location. It seems that integrated care can be a relevant concept for a hospital. Although the organizational models may challenge established professional boundaries and financial control systems, this concept can be a more promising way to improve the quality of care than the industrial models that have been imported into health care. This application of the concept may also contribute to widen the field of integrated care.

  9. Integration of the TDWR and LLWAS wind shear detection system

    NASA Technical Reports Server (NTRS)

    Cornman, Larry

    1991-01-01

    Operational demonstrations of a prototype TDWR/LLWAS (Terminal Doppler Weather Radar/Low Level Wind shear Alarm System) integrated wind shear detection system were conducted. The integration of wind shear detection systems is needed to provide end-users with a single, consensus source of information. A properly implemented integrated system provides wind shear warnings of a higher quality than stand-alone LLWAS or TDWR systems. The algorithmic concept used to generate the TDWR/LLWAS integrated products and several case studies are discussed, indicating the viability and potential of integrated wind shear detection systems. Implications for integrating ground and airborne wind shear detection systems are briefly examined.

  10. Mechatronic system design course for undergraduate programmes

    NASA Astrophysics Data System (ADS)

    Saleem, A.; Tutunji, T.; Al-Sharif, L.

    2011-08-01

    Technology advancement and human needs have led to integration among many engineering disciplines. Mechatronics engineering is an integrated discipline that focuses on the design and analysis of complete engineering systems. These systems include mechanical, electrical, computer and control subsystems. In this paper, the importance of teaching mechatronic system design to undergraduate engineering students is emphasised. The paper offers the collaborative experience in preparing and delivering the course material for two universities in Jordan. A detailed description of such a course is provided and a case study is presented. The case study used is a final year project, where students applied a six-stage design procedure that is described in the paper.

  11. Missing Link: Integrated Individual Leadership Development, Employee Engagement, and Customer Value-Added Improvement

    ERIC Educational Resources Information Center

    Heldenbrand, Lois; Simms, Michael S.

    2012-01-01

    Long-term care is a key public issue that affects all of us in some way at some time of our lives. Nowhere is performance improvement and quality management more imperative. Through an 8-month field study and follow-up case study, we discuss how using an integrated approach to individual leadership development, employee engagement, and customer…

  12. Developing Pre-Service Teachers' Subject Matter Knowledge of Electromagnetism by Integrating Concept Maps and Collaborative Learning

    ERIC Educational Resources Information Center

    Govender, Nadaraj

    2015-01-01

    This case study explored the development of two pre-service teachers' subject matter knowledge (SMK) of electromagnetism while integrating the use of concept maps (CM) and collaborative learning (CL) strategies. The study aimed at capturing how these pre-service teachers' SMK in electromagnetism was enhanced after having been taught SMK in a…

  13. Social Integration as a Factor in Academic Achievements of Children: A Case Study of African Immigrants in Louisville, Kentucky

    ERIC Educational Resources Information Center

    Odetunde, Florence Olayinka

    2013-01-01

    This study explored how social integration of African immigrants in the Louisville metropolitan area of Kentucky could be a factor in the academic achievements of their children. It involved critically investigating how the process of their adjustments as immigrants might have been shaped by various personal and environmental factors such as…

  14. The Impact of Multilevel Factors on Technology Integration: The Case of Taiwanese Grade 1-9 Teachers and Schools

    ERIC Educational Resources Information Center

    Hsu, Shihkuan; Kuan, Ping-Yin

    2013-01-01

    Technology integration is influenced by many factors related to the teacher and the school environment. While many studies have examined factors that influence teachers' use of Information and Communication Technology (ICT) at the teacher level, a growing number of studies have suggested that it is beneficial to examine those factors using…

  15. An Integrated Skills Approach Using Feature Movies in EFL at Tertiary Level

    ERIC Educational Resources Information Center

    Tuncay, Hidayet

    2014-01-01

    This paper presents the results of a case study based on an integrated skills approach using feature movies (DVDs) in EFL syllabi at the tertiary level. 100 students took part in the study and the data was collected through a three - section survey questionnaire: demographic items, 18 likert scale questions and an open-ended question. The data…

  16. Self-Efficacy: A South African Case Study on Teachers' Commitment to Integrate Climate Change Resilience into Their Teaching Practices

    ERIC Educational Resources Information Center

    Raath, Schalk; Hay, Anette

    2016-01-01

    A strong sense of self-efficacy in teachers has in many studies been consistently related to positive teaching behaviours and learner outcomes. This research reports on the differences among teachers regarding their self-efficacy and how this relates to their confidence and commitment to integrate climate change in their teaching practice. A…

  17. Generational, Cultural, and Linguistic Integration for Literacy Learning and Teaching in Uganda: Pedagogical Possibilities, Challenges, and Lessons from One NGO

    ERIC Educational Resources Information Center

    Ngaka, Willy; Graham, Ross; Masaazi, Fred Masagazi; Anyandru, Elly Moses

    2016-01-01

    This qualitative case study focuses on a volunteer-led local NGO in Uganda to examine how integrating generations, cultures, and languages is enhancing literacy learning to help ethnically and linguistically diverse rural communities survive in the prevailing globally competitive neoliberal environment. Immersing the study in the social practices…

  18. Developing a Questionnaire on Technology-Integrated Mathematics Instruction: A Case Study of the AMA Training Course in Xinjiang and Taiwan

    ERIC Educational Resources Information Center

    Lee, Chun-Yi; Chen, Ming-Jang

    2016-01-01

    This study describes the development of a questionnaire to evaluate how teachers perceive technology-integrated math instruction. Following an AMA (Activate Mind Attention) training course, we surveyed 322 teachers to understand their views on the implantation of AMA in the classroom. We also analyzed differences in viewpoints between teachers…

  19. Ergonomic problems regarding the interactive touch input via screens in onboard and ground-based flight control

    NASA Technical Reports Server (NTRS)

    Holzhausen, K. P.; Gaertner, K. P.

    1985-01-01

    A significant problem concerning the integration of display and switching functions is related to the fact that numerous informative data which have to be processed by man must be read from only a few display devices. A satisfactory ergonomic design of integrated display devices and keyboards is in many cases difficult, because not all functions which can be displayed and selected are simultaneously available. A technical solution which provides an integration of display and functional elements on the basis of the highest flexibility is obtained by using a cathode ray tube with a touch-sensitive screen. The employment of an integrated data input/output system is demonstrated for the cases of onboard and ground-based flight control. Ergonomic studies conducted to investigate the suitability of an employment of touch-sensitive screens are also discussed.

  20. Plagiarism, Cheating and Research Integrity: Case Studies from a Masters Program in Peru

    PubMed Central

    Carnero, Andres M.; Mayta-Tristan, Percy; Konda, Kelika A.; Mezones-Holguin, Edward; Bernabe-Ortiz, Antonio; Alvarado, German F.; Canelo-Aybar, Carlos; Maguiña, Jorge L.; Segura, Eddy R.; Quispe, Antonio M.; Smith, Edward S.; Bayer, Angela M.; Lescano, Andres G.

    2017-01-01

    Plagiarism is a serious, yet widespread type of research misconduct, and is often neglected in developing countries. Despite its far-reaching implications, plagiarism is poorly acknowledged and discussed in the academic setting, and insufficient evidence exists in Latin America and developing countries to inform the development of preventive strategies. In this context, we present a longitudinal case study of seven instances of plagiarism and cheating arising in four consecutive classes (2011–2014) of an Epidemiology Masters program in Lima, Peru, and describes the implementation and outcomes of a multifaceted, “zero-tolerance” policy aimed at introducing research integrity. Two cases involved cheating in graded assignments, and five cases correspond to plagiarism in the thesis protocol. Cases revealed poor awareness of high tolerance to plagiarism, poor academic performance, and widespread writing deficiencies, compensated with patchwriting and copy-pasting. Depending on the events’ severity, penalties included course failure (6/7) and separation from the program (3/7). Students at fault did not engage in further plagiarism. Between 2011 and 2013, the Masters program sequentially introduced a preventive policy consisting of: (i) intensified research integrity and scientific writing education, (ii) a stepwise, cumulative writing process; (iii) honor codes; (iv) active search for plagiarism in all academic products; and (v) a “zero-tolerance” policy in response to documented cases. No cases were detected in 2014. In conclusion, plagiarism seems to be widespread in resource-limited settings and a greater response with educational and zero-tolerance components is needed to prevent it. PMID:27848191

  1. Community health center integration: experience in the State of Ohio.

    PubMed

    McAlearney, John S; McAlearney, Ann Scheck

    2006-02-01

    In the face of severe financial challenges and demands to improve quality and service to patients, many community health centers (CHCs) have aligned or integrated with other CHCs, physician groups, or hospitals. Yet the nature of and rationale for these organizational decisions are not well understood. Our research applied an organizational theoretical framework to test whether strategic adaptation theory or institutional theory best describes the integration activity of CHCs in Ohio. We collected primary data from case studies of seven CHCs selected for geographic representation and studied December 2000-January 2001. Semi-structured interviews and a case study database supported our chain of evidence. We found that CHC integration activity was substantial (five of seven CHCs integrated) and extremely varied. Consistent with strategic adaptation theory, we determined that CHC integration actions were predominantly center-specific, rational responses to environmental challenges and were initiated to improve operations or financial performance. Rarely did CHCs initiate major organizational change merely to mimic other CHC actions, as might have been expected of highly institutionalized organizations. Understanding the basis for CHCs' strategic decisions while monitoring financial health will remain critical as lawmakers and administrators work to develop policies that both maintain progress made and improve primary care access for the poor, the uninsured, and those with special health care needs served by these important safety net providers.

  2. DEVELOPING AN INTEGRATED MANAGEMENT SYSTEM FOR URBAN AND ENERGY PLANNING TOWARDS A LOW-CARBON CITY

    NASA Astrophysics Data System (ADS)

    Maeda, Hideto; Nakakubo, Toyohiko; Tokai, Akihiro

    In this study, we developed an integrated management model that supports local government to make a promising energy saving measure on a block-scale combined with urban planning. We applied the model to Osaka city and estimated CO2 emissions from the residential and commercial buildings to 2050. The urban renewal cases selected in this study included advanced multipole accumulation case, normal multipole accumulation case, and actual trend continuation case. The energy saving options introduced in each case included all-electric HP system, micro grid system, and we also set the option where the greater CO2 reduction one is selected in each block. The results showed that CO2 emission in 2050 would be reduced by 54.8-57.6% relative to the actual condition by introducing the new energy system in all cases. In addition, the amount of CO2 reduction in actual trend continuation case was highest. The major factor was that the effect of CO2 emission reductions by installing the solar power generation panel was higher than the effect by utilizing heated water mutually on the high-density blocks in terms of total urban buildings' energy consumption.

  3. A Case Study Transforming Suspected Academic Misconduct among Undergraduate Health Professions Majors into Ethical Program Policy and Practice

    ERIC Educational Resources Information Center

    Hopwood, Julie D.; Scott, Victoria G.; Ferguson, Paul W.

    2011-01-01

    Academic misconduct and technology have coupled to create a significant threat to the development and maintenance of professional responsibility and academic integrity among today's university students. This case study illustrates the gap between faculty and student acceptance and understanding of the use of technology as a study aid and the ways…

  4. Using Dynamic Geometry Software To Add Contrast to Geometric Situations--A Case Study.

    ERIC Educational Resources Information Center

    Holzl, Reinhard

    2001-01-01

    Uses of Dynamic Geometry Software (DGS) are often limited purely to a verifying role. Presents a case study that emerged from a project in which DGS formed an integral part of the pedagogical arrangement. The study demonstrates how the contrasting power of DGS might be utilized in a guided discovery setting. (Contains 17 references.) (Author/ASK)

  5. The Social Integration of Employees with Disabilities in the Workplace: An Explanatory Case Study of Supervisors' Current Practices

    ERIC Educational Resources Information Center

    Angotta, Jill E.

    2013-01-01

    This study is an exploratory case study on supervisors' and front line managers' current practices towards the promotion of the socialization of employees with disabilities with their non-disabled peers. The researcher interviewed eight participants, four men and four women, purposefully selected from Connecticut and Indiana in person or over the…

  6. Design and Construction Process of Two LEED Certified University Buildings: A Collective Case Study

    ERIC Educational Resources Information Center

    Rich, Kim

    2011-01-01

    This study was conducted at the early stages of integrating LEED into the design process in which a clearer understanding of what sustainable and ecological design was about became evident through the duration of designing and building of two academic buildings on a university campus. In this case study, due to utilizing a grounded theory…

  7. Moving the School and Dancing Education: Case Study Research of K-5 Students' Experiences in a Dance Residency

    ERIC Educational Resources Information Center

    Leonard, Alison E.

    2012-01-01

    This dissertation chronicles the qualitative case study of a dance artist-in-residence at a diverse and inclusive K-5 school in an urban district, integrating science, social studies, physical education, music, and visual arts school curriculum and culminating in two public performances. This study focused on how students made meaning through this…

  8. Implementation of integrated care for diabetes mellitus type 2 by two Dutch care groups: a case study.

    PubMed

    Busetto, Loraine; Luijkx, Katrien; Huizing, Anna; Vrijhoef, Bert

    2015-08-21

    Even though previous research has demonstrated improved outcomes of integrated care initiatives, it is not clear why and when integrated care works. This study aims to contribute to filling this knowledge gap by examining the implementation of integrated care for type 2 diabetes by two Dutch care groups. An embedded single case study was conducted including 26 interviews with management staff, care purchasers and health professionals. The Context + Mechanism = Outcome Model was used to study the relationship between context factors, mechanisms and outcomes. Dutch integrated care involves care groups, bundled payments, patient involvement, health professional cooperation and task substitution, evidence-based care protocols and a shared clinical information system. Community involvement is not (yet) part of Dutch integrated care. Barriers to the implementation of integrated care included insufficient integration between the patient databases, decreased earnings for some health professionals, patients' insufficient medical and policy-making expertise, resistance by general practitioner assistants due to perceived competition, too much care provided by practice nurses instead of general practitioners and the funding system incentivising the provision of care exactly as described in the care protocols. Facilitators included performance monitoring via the care chain information system, increased earnings for some health professionals, increased focus on self-management, innovators in primary and secondary care, diabetes nurses acting as integrators and financial incentives for guideline adherence. Economic and political context and health IT-related barriers were discussed as the most problematic areas of integrated care implementation. The implementation of integrated care led to improved communication and cooperation but also to insufficient and unnecessary care provision and deteriorated preconditions for person-centred care. Dutch integrated diabetes care is still a work in progress, in the academic and the practice setting. This makes it difficult to establish whether overall quality of care has improved. Future efforts should focus on areas that this study found to be problematic or to not have received enough attention yet. Increased efforts are needed to improve the interoperability of the patient databases and to keep the negative consequences of the bundled payment system in check. Moreover, patient and community involvement should be incorporated.

  9. Renewable Electricity-to-Grid Integration | Energy Systems Integration

    Science.gov Websites

    distribution management system (ADMS) use cases at the ESIF's national, vendor-neutral ADMS test bed. Example use cases include: Integration of transmission-to-building operations for demand response

  10. Construction of integrated case environments.

    PubMed

    Losavio, Francisca; Matteo, Alfredo; Pérez, María

    2003-01-01

    The main goal of Computer-Aided Software Engineering (CASE) technology is to improve the entire software system development process. The CASE approach is not merely a technology; it involves a fundamental change in the process of software development. The tendency of the CASE approach, technically speaking, is the integration of tools that assist in the application of specific methods. In this sense, the environment architecture, which includes the platform and the system's hardware and software, constitutes the base of the CASE environment. The problem of tools integration has been proposed for two decades. Current integration efforts emphasize the interoperability of tools, especially in distributed environments. In this work we use the Brown approach. The environment resulting from the application of this model is called a federative environment, focusing on the fact that this architecture pays special attention to the connections among the components of the environment. This approach is now being used in component-based design. This paper describes a concrete experience in civil engineering and architecture fields, for the construction of an integrated CASE environment. A generic architectural framework based on an intermediary architectural pattern is applied to achieve the integration of the different tools. This intermediary represents the control perspective of the PAC (Presentation-Abstraction-Control) style, which has been implemented as a Mediator pattern and it has been used in the interactive systems domain. In addition, a process is given to construct the integrated CASE.

  11. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kozlov, I K

    In this paper we study topological properties of an integrable case for Euler's equations on the Lie algebra so(4), which can be regarded as an analogue of the classical Kovalevskaya case in rigid body dynamics. In particular, for all values of the parameters of the system under consideration, the bifurcation diagrams of the momentum mapping are constructed, the types of critical points of rank 0 are determined, the bifurcations of Liouville tori are described, and the loop molecules are computed for all singular points of the bifurcation diagrams. It follows from the obtained results that some topological properties of the classicalmore » Kovalevskaya case can be obtained from the corresponding properties of the considered integrable case on the Lie algebra so(4) by taking a natural limit. Bibliography: 21 titles.« less

  12. Do Undergraduate Paramedic Students Embrace Case Based Learning Using a Blended Teaching Approach? A 3-Year Review

    ERIC Educational Resources Information Center

    Williams, Brett

    2009-01-01

    This paper presents the results of a descriptive longitudinal study which aimed to identify student paramedic perceptions of case based learning used in the clinical curriculum of the Bachelor of Emergency Health (BEH) degree at Monash University, Victoria, Australia. Case based learning and its integration within clinical curriculum is an…

  13. Designing an Online Case-Based Library for Technology Integration in Teacher Education

    ERIC Educational Resources Information Center

    Hebebci, Mustafa Tevfik; Kucuk, Sirin; Celik, Ismail; Akturk, A. Oguz; Sahin, Ismail; Eren, Fetah

    2014-01-01

    The purpose of this paper is to introduce an interactive online case-study library website developed in a national project. The design goal of the website is to provide interactive, enhanced, case-based and online educational resource for educators through the purpose and within the scope of a national project. The ADDIE instructional design model…

  14. Task-Based Language Teaching with Smartphones: A Case Study in Pakistan

    ERIC Educational Resources Information Center

    Rashid, Shaista; Cunningham, Una; Watson, Kevin

    2017-01-01

    Integration of technology in task-based language teaching (TBLT) has long been a source of attraction for language teachers (Pierson, 2015). In the case of developing countries, such as Pakistan, mobile phones are the modern form of technology commonly available at low cost to individuals as well as institutions. The present descriptive case study…

  15. Digital Technology: A Double-Edged Sword for a School Principal in Rural Pennsylvania

    ERIC Educational Resources Information Center

    Kotok, Stephen; Kryst, Erica L.

    2017-01-01

    This case study was inspired by visits to several different rural high schools in Pennsylvania. The case illuminates the challenges faced by rural principals and superintendents who want to integrate digital technology into their curriculum, but who lack certain financial and human capital resources. Although this case occurred in a remote, rural…

  16. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kanna, T.; Sakkaravarthi, K.; Kumar, C. Senthil

    In this paper, we have studied the integrability nature of a system of three-coupled Gross-Pitaevskii type nonlinear evolution equations arising in the context of spinor Bose-Einstein condensates by applying the Painleve singularity structure analysis. We show that only for two sets of parametric choices, corresponding to the known integrable cases, the system passes the Painleve test.

  17. Exploring the Benefits of Teacher-Modeling Strategies Integrated into Career and Technical Education

    ERIC Educational Resources Information Center

    Cathers, Thomas J., Sr.

    2013-01-01

    This case study examined how career and technical education classes function using multiple instructional modeling strategies integrated into vocational and technical training environments. Seven New Jersey public school technical teachers received an introductory overview of the investigation and participated by responding to 10 open-end…

  18. An Integrated Approach to an Undergraduate Kinesiology Curriculum: A Case Study about Stalling in Wrestling

    ERIC Educational Resources Information Center

    Ward, Kevin P.; Kretchmar, R. Scott

    2008-01-01

    Kinesiology is a broad field that draws from numerous domains, including biomechanics, physiology, psychology, and philosophy. Professors from each specialty emphasize discipline-specific content, which results in a lack of cross-disciplinary integration. Consequently, kinesiology undergraduates are exposed to coursework in various disciplines,…

  19. Teaching Integration with Layers and Representations: A Case Study

    ERIC Educational Resources Information Center

    Von Korff, Joshua; Rebello, N. Sanjay

    2012-01-01

    We designed a sequence of seven lessons to facilitate learning of integration in a physics context. We implemented this sequence with a single college sophomore, "Amber," who was concurrently enrolled in a first-semester calculus-based introductory physics course which covered topics in mechanics. We outline the philosophy underpinning these…

  20. Integrating Engineering into an Urban Science Classroom

    ERIC Educational Resources Information Center

    Meyer, Helen

    2017-01-01

    This article presents a single case study of an experienced physical science teacher (Janet) integrating engineering practices into her urban science classroom over a two-year time frame. The article traces how Janet's understanding of the role engineering in her teaching expanded beyond engineering as an application of science and mathematics to…

  1. Reinforcing Zionist Ableism in Israeli Wheelchair Folk Dancing

    ERIC Educational Resources Information Center

    Broyer, Nili R.

    2017-01-01

    This article examines a culturally specific case study of integrated dance. While integrated dance must constantly combat what I termed as "disdance" to earn legitimacy, each project might do this differently in its particular context. Based on documentary analysis and ethnography, I argue that in the Israeli context, wheelchair folk…

  2. Integrated Reading-Writing Instruction for Elementary School Emergent Bilingual Students

    ERIC Educational Resources Information Center

    Malova, Irina

    2017-01-01

    This comparative case study investigated integrated reading-writing instruction (IRWI) as an approach for writing instruction implemented after the adoption of Common Core State Standards (NGA & CCSSO, 2010a). Specifically, I explored the nature of IRWI through video-recorded observations of writing instruction, teachers' perspectives towards…

  3. Integrated Cognitive-neuroscience Architectures for Understanding Sensemaking (ICArUS): Transition to the Intelligence Community

    DTIC Science & Technology

    2014-12-01

    Case Study P U Pc Pt Ft Pa 1 Clinical vs. Actuarial Geospatial Profiling Strategies X X 2 Route Security in Baghdad X X X X 3 International...Information Sciences , 176, 1570-1589. Burns, K., & Bonaceto, C. (2014). Integrated Cognitive-neuroscience Architectures for Understanding Sensemaking

  4. Developing a Program-Level Faith Integration Curriculum: A Case Study from Physics

    ERIC Educational Resources Information Center

    McCoy, Bradley K.

    2014-01-01

    Integrating faith with academics possesses significant benefits for students, because it connects major disciplines to students' personal values and goals, prepares students to be effective and faithful professionals in their discipline and vocation, and develops students' understanding of the nature of their discipline. However, to…

  5. Integrating Shamanic Methodology into the Spirituality of Addictions Recovery Work

    ERIC Educational Resources Information Center

    Rich, Marcia L.

    2012-01-01

    Responding to an increased recognition of the importance of spirituality in the aetiology and treatment of addictions, this article provides an overview of the potential contributions of both transpersonal psychology and shamanic methodology for the addictions field. A case study is provided to illustrate the integration of conventional,…

  6. Teacher Perceptions of Electronic Portfolios as a Technology Integration Tool

    ERIC Educational Resources Information Center

    Blackwell, John P., III.

    2013-01-01

    This qualitative case study explored the problem that teachers' attitudes and perceptions about technology often serve as barriers to successful technology integration in elementary school classrooms. Trends have showed that technology teachers directly responsible for teaching students technology skills are being laid off due to budget cuts…

  7. Applications of a Case Library of Technology Integration Stories for Teachers

    ERIC Educational Resources Information Center

    Wang, Feng-Kwei; Jonassen, David H.; Strobel, Johannes; Cernusca, Dawn

    2003-01-01

    Stories are the most natural form of communication and learning among humans. In this paper, we describe how we have designed and implemented an case library of technology integration stories to support pre-service and in-service teachers learning how to integrate technologies into their teaching. The case library was built using the artificial…

  8. Advanced Risk Reduction Tool (ARRT) Special Case Study Report: Science and Engineering Technical Assessments (SETA) Program

    NASA Technical Reports Server (NTRS)

    Kirsch, Paul J.; Hayes, Jane; Zelinski, Lillian

    2000-01-01

    This special case study report presents the Science and Engineering Technical Assessments (SETA) team's findings for exploring the correlation between the underlying models of Advanced Risk Reduction Tool (ARRT) relative to how it identifies, estimates, and integrates Independent Verification & Validation (IV&V) activities. The special case study was conducted under the provisions of SETA Contract Task Order (CTO) 15 and the approved technical approach documented in the CTO-15 Modification #1 Task Project Plan.

  9. An Investigation into the Process of Transference, through the Integration of Art with Science and Math Curricula, in a California Community College: A Case Study

    ERIC Educational Resources Information Center

    Rachford, Maryann Kvietkauskas

    2011-01-01

    The transference of learning from one discipline to another creates new knowledge between subjects. Students can connect and apply what they learn in one subject to previously existing knowledge. Art expression is an integral part of human nature and has been a means of communication throughout history. Through the integration of art with science…

  10. An Integrated Loop Model of Corrective Feedback and Oral English Learning: A Case of International Students in the United States

    ERIC Educational Resources Information Center

    Lee, Eun Jeong

    2017-01-01

    The author in this study introduces an integrated corrective feedback (CF) loop to schematize the interplay between CF and independent practice in L2 oral English learning among advanced-level adult ESL students. The CF loop integrates insights from the Interaction, Output, and Noticing Hypotheses to show how CF can help or harm L2 learners'…

  11. The integration of occupational therapy into primary care: a multiple case study design

    PubMed Central

    2013-01-01

    Background For over two decades occupational therapists have been encouraged to enhance their roles within primary care and focus on health promotion and prevention activities. While there is a clear fit between occupational therapy and primary care, there have been few practice examples, despite a growing body of evidence to support the role. In 2010, the province of Ontario, Canada provided funding to include occupational therapists as members of Family Health Teams, an interprofessional model of primary care. The integration of occupational therapists into this model of primary care is one of the first large scale initiatives of its kind in North America. The objective of the study was to examine how occupational therapy services are being integrated into primary care teams and understand the structures supporting the integration. Methods A multiple case study design was used to provide an in-depth description of the integration of occupational therapy. Four Family Health Teams with occupational therapists as part of the team were identified. Data collection included in-depth interviews, document analyses, and questionnaires. Results Each Family Health Team had a unique organizational structure that contributed to the integration of occupational therapy. Communication, trust and understanding of occupational therapy were key elements in the integration of occupational therapy into Family Health Teams, and were supported by a number of strategies including co-location, electronic medical records and team meetings. An understanding of occupational therapy was critical for integration into the team and physicians were less likely to understand the occupational therapy role than other health providers. Conclusion With an increased emphasis on interprofessional primary care, new professions will be integrated into primary healthcare teams. The study found that explicit strategies and structures are required to facilitate the integration of a new professional group. An understanding of professional roles, trust and communication are foundations for interprofessional collaborative practice. PMID:23679667

  12. Integrating Customer Intimacy Into Radiology to Improve the Patient Perspective: The Case of Breast Cancer Screening.

    PubMed

    Chhor, Chloe M; Mercado, Cecilia L

    2016-02-01

    The customer intimacy business model has emerged as a key operational approach for health care organizations as they move toward patient-centered care. The question arises how the customer intimacy approach can be implemented in the clinical setting and whether it can help practitioners address problems and improve quality of care. Breast cancer screening and its emphasis on the patient perspective provides an interesting case study for understanding how the customer intimacy approach can be integrated into radiologic practice to improve the patient experience.

  13. Care transitions for frail, older people from acute hospital wards within an integrated healthcare system in England: a qualitative case study

    PubMed Central

    Baillie, Lesley; Gallini, Andrew; Corser, Rachael; Elworthy, Gina; Scotcher, Ann; Barrand, Annabelle

    2014-01-01

    Introduction Frail older people experience frequent care transitions and an integrated healthcare system could reduce barriers to transitions between different settings. The study aimed to investigate care transitions of frail older people from acute hospital wards to community healthcare or community hospital wards, within a system that had vertically integrated acute hospital and community healthcare services. Theory and methods The research design was a multimethod, qualitative case study of one healthcare system in England; four acute hospital wards and two community hospital wards were studied in depth. The data were collected through: interviews with key staff (n = 17); focus groups (n = 9) with ward staff (n = 36); interviews with frail older people (n = 4). The data were analysed using the framework approach. Findings Three themes are presented: Care transitions within a vertically integrated healthcare system, Interprofessional communication and relationships; Patient and family involvement in care transitions. Discussion and conclusions A vertically integrated healthcare system supported care transitions from acute hospital wards through removal of organisational boundaries. However, boundaries between staff in different settings remained a barrier to transitions, as did capacity issues in community healthcare and social care. Staff in acute and community settings need opportunities to gain better understanding of each other's roles and build relationships and trust. PMID:24868193

  14. Students' Research Experiences during Consulting Projects: Three Themes Emerging from Case Studies

    ERIC Educational Resources Information Center

    Phillips, Carissa M. Holler

    2010-01-01

    Student consulting projects, an advanced form of problem-based learning, allow students to apply the skills developed in their classes on behalf of client organizations. A review of selected case studies in business education and other management education literature shows that research is an integral part of this consulting process. More than…

  15. Developing and Using a Logic Model for Evaluation and Assessment of University Student Affairs Programming: A Case Study

    ERIC Educational Resources Information Center

    Cooper, Jeff

    2009-01-01

    This dissertation addresses theory and practice of evaluation and assessment in university student affairs, by applying logic modeling/program theory to a case study. I intend to add knowledge to ongoing dialogue among evaluation scholars and practitioners on student affairs program planning and improvement as integral considerations that serve…

  16. Northeastern IPM Center - Northeastern IPM Center

    Science.gov Websites

    Management Case Study: School IPM Risk Management Case Study: School IPM Since children spend much of their Management How IPM Works as Risk Management IPM can reduce actual risks-not just the financial effects of Center promotes and funds integrated pest management for environmental, human health, and economic

  17. Life in the Cloud: A WorldShare Management Services Case Study

    ERIC Educational Resources Information Center

    Hartman, Robin R.

    2012-01-01

    A small, private academic library took the risk of moving from a traditional integrated library system to adopting a system "in the cloud." This case study presents the setting, history, and local needs of the library, including staffing challenges, and explains the decision-making rationale and process. A description of the library's transition…

  18. An Ethnographic-Case Study of Beliefs, Context Factors, and Practices of Teachers Integrating Technology

    ERIC Educational Resources Information Center

    Angers, Julie; Machtmes, Krisanna

    2005-01-01

    This ethnographic-case study explored the beliefs, context factors, and practices of three middle school exemplary teachers that led to a technology-enriched curriculum. Findings suggest that these middle school teachers believe technology is a tool that adds value to lessons and to students learning and motivation. Due to a personal interest in…

  19. Project-Based Learning in Education: Integrating Business Needs and Student Learning

    ERIC Educational Resources Information Center

    Cho, Yonjoo; Brown, Catherine

    2013-01-01

    Purpose: The purpose of this case study was to investigate how project-based learning (PBL) is being practiced in Columbus Signature Academy (CSA), a high school located in Columbus, Indiana, USA. Design/methodology/approach: The authors used the case study method to provide qualitative details about CSA's use of PBL that is being practiced in a…

  20. Initiating Differentiated Instruction in General Education Classrooms with Inclusion Learning Support Students: A Multiple Case Study

    ERIC Educational Resources Information Center

    Berbaum, K. A.

    2009-01-01

    The purpose of this multiple case study was to describe and evaluate the experience of 5 general education teachers from a northeastern urban middle school as they integrated differentiated instruction with students who have specific learning disabilities. Educators are challenged to implement instruction that engages students with specific…

  1. Institutional Strategies That Foster Academic Integrity: A Faculty-­Based Case Study

    ERIC Educational Resources Information Center

    Prins, Sebastian; Jones, Edward; Lathrop, Anna H.

    2014-01-01

    In recognition that student academic misconduct is a complex issue that requires a holistic and institutional approach, this case study explores the impact of an intervention strategy adopted by the Faculty of Applied Health Sciences (comprised of approximately 80 faculty and an average of 3,240 undergraduate students) at Brock University, St.…

  2. Technology and Multiculturalism in the Classroom: Case Studies in Attitudes and Motivations.

    ERIC Educational Resources Information Center

    Chisholm, Ines Marquez; Wetzel, Keith

    2001-01-01

    Uses a case study approach in examining the attitudes and motivations of five teacher educators who used technology in their classroom. Identifies and discusses six common elements of multicultural technology integration and concludes with a general discussion on the need to combine pedagogical methods with a practical vision of technology use and…

  3. Surviving as an English Teacher in the West: A Case Study of Iranian English Teachers in Australia

    ERIC Educational Resources Information Center

    Fotovatian, Sepideh

    2010-01-01

    This paper provides an account of social integration and professional recognition of non-English-speaking-background (NESB) teachers of English in Australia. The case study profiles two Iranian postgraduate students of English teaching in an Australian university and describes their struggle to construct a social and professional identity. The…

  4. 78 FR 16681 - International Conference on Harmonisation; Proposed Change to Rodent Carcinogenicity Testing of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    ... investigational pharmaceutical under study, guided by the WOE approach described in Appendix 1 of this document.... However, if conducted on a case-by-case basis, a transgenic mouse carcinogenicity study can contribute to... potential change is to introduce a more comprehensive and integrated approach to address the risk of human...

  5. Transformational Leadership & Professional Development for Digitally Rich Learning Environments: A Case Study of the Galileo Educational Network.

    ERIC Educational Resources Information Center

    Jacobsen, Michele; Clifford, Pat; Friesen, Sharon

    The Galileo Educational Network is an innovative educational reform initiative that brings learning to learners. Expert teachers work alongside teachers and students in schools to create new images of engaged learning, technology integration and professional development. This case study is based on the nine schools involved with Galileo in…

  6. Improved Attitude and Achievement: A Case Study of an Elementary School Academic Advisement Intervention

    ERIC Educational Resources Information Center

    Kamrath, Barry; Brooker, Teresa

    2018-01-01

    School counselors are often called upon to develop and implement academic interventions. In this case study of one urban elementary school, a school counselor conducted a small group academic advisement intervention. The results suggest that integrating the activities into the elementary school counseling program can be an effective Response to…

  7. The Impact of Instructor Grouping Strategies on Student Efficacy in Inquiry Science Labs: A Phenomenological Case Study of Grouping Perceptions and Strategies

    ERIC Educational Resources Information Center

    Miller, Nathaniel J.

    2015-01-01

    Abundant educational research has integrated Albert Bandura's concepts of self-efficacy and collective efficacy within educational settings. In this phenomenological case study, the investigation sought to capture the manifestation of self-efficacy and collective efficacy within inquiry-based science laboratory courses. Qualitative data was…

  8. Suggestions for Educational and Therapeutic Interventions with the Rett Syndrome Child.

    ERIC Educational Resources Information Center

    International Rett Syndrome Association, Inc., Fort Washington, MD.

    This paper comprises a compilation of nine case studies of girls (aged 4-16 years) with Rett Syndrome. The educational settings involved are various and include private day school, public elementary school in both integrated and special needs classrooms, and a county-operated preschool program for handicapped children. Each case study outlines the…

  9. Bitter Strawberries: The Construction of Differences in a Multicultural School: A Case Study

    ERIC Educational Resources Information Center

    González-Faraco, Juan Carlos; Jiménez-Vicioso, Juan Ramón; Pérez-Moreno, Heliodoro Manuel

    2013-01-01

    This paper presents the results of a case study looking at the views of teachers and other educational professionals pertaining to the academic progress and general integration of immigrant schoolchildren in multicultural schools in the province of Huelva (Andalusia, Spain). It is organised into three sections: first, the geographical and social…

  10. Academic Integrity, Remix Culture, Globalization: A Canadian Case Study of Student and Faculty Perceptions of Plagiarism

    ERIC Educational Resources Information Center

    Evans-Tokaryk, Tyler

    2014-01-01

    This article presents the results of a case study at a Canadian university that used a combination of surveys and focus groups to explore faculty members' and students' perceptions of plagiarism. The research suggests that the globalization of education and remix culture have contributed to competing and contradictory understandings of plagiarism…

  11. Rethinking the Use of Video in Teacher Education: A Holistic Approach

    ERIC Educational Resources Information Center

    Masats, Dolors; Dooly, Melinda

    2011-01-01

    Video case studies are commonly used in teacher training programmes, usually to develop one specific area of competence. The need for an integrative model that meets diverse learning objectives and competences led to a study on how to effectively use videos to guide student-teachers towards professional development. The analysis of case studies…

  12. Identification of Students' Content Mastery and Cognitive and Affective Percepts of a Bioinformatics Miniunit: A Case Study with Recommendations for Teacher Education

    ERIC Educational Resources Information Center

    Wefer, Stephen H.; Anderson, O. Roger

    2008-01-01

    Bioinformatics, merging biological data with computer science, is increasingly incorporated into school curricula at all levels. This case study of 10 secondary school students highlights student individual differences (especially the way they processed information and integrated procedural and analytical thought) and summarizes a variety of…

  13. Cognitive-Behavioral Treatment for Specific Phobias with a Child Demonstrating Severe Problem Behavior and Developmental Delays

    ERIC Educational Resources Information Center

    Davis, Thompson E., III; Kurtz, Patricia F.; Gardner, Andrew W.; Carman, Nicole B.

    2007-01-01

    Cognitive-behavioral treatments (CBTs) are widely used for anxiety disorders in typically developing children; however, there has been no previous attempt to administer CBT for specific phobia (in this case study, one-session treatment) to developmentally or intellectually disabled children. This case study integrates both cognitive-behavioral and…

  14. Sustaining Environmental Pedagogy in Times of Educational Conservatism: A Case Study of Integrated Curriculum Programs

    ERIC Educational Resources Information Center

    Sharpe, Erin; Breunig, Mary

    2009-01-01

    Although the global call for environmental education is persistent, on a local or regional level, this call can be confronted by educational policies that drive environmental education out of the curriculum. This paper reports on a qualitative case study of the factors contributing to the sustainability of three teacher-driven integrated…

  15. Integrating multimodal transport into cellulosic biofuel supply chain design under feedstock seasonality with a case study based on California.

    PubMed

    Xie, Fei; Huang, Yongxi; Eksioglu, Sandra

    2014-01-01

    A multistage, mixed integer programing model was developed that fully integrates multimodal transport into the cellulosic biofuel supply chain design under feedstock seasonality. Three transport modes are considered: truck, single railcar, and unit train. The goal is to minimize the total cost for infrastructure, feedstock harvesting, biofuel production, and transportation. Strategic decisions including the locations and capacities of transshipment hubs, biorefineries, and terminals and tactical decisions on system operations are optimized in an integrated manner. When the model was implemented to a case study of cellulosic ethanol production in California, it was found that trucks are convenient for short-haul deliveries while rails are more effective for long-haul transportation. Taking the advantage of these benefits, the multimodal transport provides more cost effective solutions than the single-mode transport (truck). Copyright © 2013 Elsevier Ltd. All rights reserved.

  16. A case study: semantic integration of gene-disease associations for type 2 diabetes mellitus from literature and biomedical data resources.

    PubMed

    Rebholz-Schuhmann, Dietrich; Grabmüller, Christoph; Kavaliauskas, Silvestras; Croset, Samuel; Woollard, Peter; Backofen, Rolf; Filsell, Wendy; Clark, Dominic

    2014-07-01

    In the Semantic Enrichment of the Scientific Literature (SESL) project, researchers from academia and from life science and publishing companies collaborated in a pre-competitive way to integrate and share information for type 2 diabetes mellitus (T2DM) in adults. This case study exposes benefits from semantic interoperability after integrating the scientific literature with biomedical data resources, such as UniProt Knowledgebase (UniProtKB) and the Gene Expression Atlas (GXA). We annotated scientific documents in a standardized way, by applying public terminological resources for diseases and proteins, and other text-mining approaches. Eventually, we compared the genetic causes of T2DM across the data resources to demonstrate the benefits from the SESL triple store. Our solution enables publishers to distribute their content with little overhead into remote data infrastructures, such as into any Virtual Knowledge Broker. Copyright © 2013. Published by Elsevier Ltd.

  17. Perceptions of Plagiarism by STEM Graduate Students: A Case Study.

    PubMed

    Leonard, Michelle; Schwieder, David; Buhler, Amy; Bennett, Denise Beaubien; Royster, Melody

    2015-12-01

    Issues of academic integrity, specifically knowledge of, perceptions and attitudes toward plagiarism, are well documented in post-secondary settings using case studies for specific courses, recording discourse with focus groups, analyzing cross-cultural education philosophies, and reviewing the current literature. In this paper, the authors examine the perceptions of graduate students in science, technology, engineering, and mathematics (STEM) disciplines at the University of Florida regarding misconduct and integrity issues. Results revealed students' perceptions of the definition and seriousness of potential academic misconduct, knowledge of institutional procedures, and views on faculty actions, all with a focus on divergences between U.S. and internationally-educated students. The open-ended questions provide anecdotal evidence to highlight personal experiences, positive and negative, aimed at the faculty, international students and undergraduates. Combined, these findings outline an important part of the campus academic integrity culture at a major American university. Recommendations for local actions also are discussed.

  18. ICT integration in mathematics initial teacher training and its impact on visualization: the case of GeoGebra

    NASA Astrophysics Data System (ADS)

    Dockendorff, Monika; Solar, Horacio

    2018-01-01

    This case study investigates the impact of the integration of information and communications technology (ICT) in mathematics visualization skills and initial teacher education programmes. It reports on the influence GeoGebra dynamic software use has on promoting mathematical learning at secondary school and on its impact on teachers' conceptions about teaching and learning mathematics. This paper describes how GeoGebra-based dynamic applets - designed and used in an exploratory manner - promote mathematical processes such as conjectures. It also refers to the changes prospective teachers experience regarding the relevance visual dynamic representations acquire in teaching mathematics. This study observes a shift in school routines when incorporating technology into the mathematics classroom. Visualization appears as a basic competence associated to key mathematical processes. Implications of an early integration of ICT in mathematics initial teacher training and its impact on developing technological pedagogical content knowledge (TPCK) are drawn.

  19. The Cost-Effectiveness of Integrating HIV Counseling and Testing into Primary Health Care in the Ukraine.

    PubMed

    Johns, Benjamin; Doroshenko, Olena; Tarantino, Lisa; Cowley, Peter

    2017-03-01

    We estimate the number of HIV cases diagnosed, costs, and cost per HIV case detected associated with integrating HIV counseling and testing (HCT) into primary health care facilities in Ukraine. The study uses a difference-in-difference design with four districts implementing the intervention compared to 20 districts where HCT were offered only at specialized HIV clinics. There was a 2.01 (95 % CI: 1.12-3.61) times increase in the number of HIV cases detected per capita in intervention districts compared to other districts. The incremental cost of the intervention was $21,017 and the incremental cost per HIV case detected was $369. The average cost per HIV case detected before the intervention was $558. Engaging primary health care facilities to provide HCT is likely desirable from an efficiency point-of-view. However, the affordability of the intervention needs to be assessed because expansion will require additional investment.

  20. A solution for two-dimensional Fredholm integral equations of the second kind with periodic, semiperiodic, or nonperiodic kernels. [integral representation of the stationary Navier-Stokes problem

    NASA Technical Reports Server (NTRS)

    Gabrielsen, R. E.; Uenal, A.

    1981-01-01

    A numerical scheme for solving two dimensional Fredholm integral equations of the second kind is developed. The proof of the convergence of the numerical scheme is shown for three cases: the case of periodic kernels, the case of semiperiodic kernels, and the case of nonperiodic kernels. Applications to the incompressible, stationary Navier-Stokes problem are of primary interest.

  1. Retention of Differential and Integral Calculus: A Case Study of a University Student in Physical Chemistry

    ERIC Educational Resources Information Center

    Jukic Matic, Ljerka; Dahl, Bettina

    2014-01-01

    This paper reports a study on retention of differential and integral calculus concepts of a second-year student of physical chemistry at a Danish university. The focus was on what knowledge the student retained 14 months after the course and on what effect beliefs about mathematics had on the retention. We argue that if a student can quickly…

  2. Courseware Integration into Task-Based Learning: A Case Study of Multimedia Courseware-Supported Oral Presentations for Non-English Major Students

    ERIC Educational Resources Information Center

    Tsai, Shu-Chiao

    2011-01-01

    This study reports on the integration of English for Specific Purposes (ESP) multimedia courseware for oral presentations into a self-learning and elective program for non-English major students in an English as a Foreign Language (EFL) setting. A computer-aided instruction approach, combined with a task-based learning approach, was adopted.…

  3. Economic Community of West African States Conflict Management and Resolution: A Case Study

    DTIC Science & Technology

    2003-06-06

    directed at enhancing economic development of its members and the economic integration of the subregion. The thesis further recommended future studies...in area of the economic development and integration, devoid of Anglo-francophone dichotomy for the West African subregion. iv ACKNOWLEDGMENTS This...Mediation Committee IGAD Inter-Governmental Authority for Development IGNU Interim Government of National Unity ILA Inter Legislative Assembly INEC

  4. Early Stages of Musical Development: Relationships between Sensory Integration Dysfunction, Parental Influence, and Musical Disposition of a Three-Year-Old "Maestro"

    ERIC Educational Resources Information Center

    Hendricks, Karin S.; McPherson, Gary E.

    2010-01-01

    Current literature offers only scant information on very young children who display high attention and engagement in music, but who are not drawn from normal populations. This study of three-year-old Danny, who possesses the neurological disorder Sensory Integration Dysfunction, provides a case study of the types of parent-child interactions that…

  5. Using Autobiographical Digital Storytelling for the Integration of a Foreign Student in the School Environment. A Case Study

    ERIC Educational Resources Information Center

    Fokides, Emmanuel

    2016-01-01

    Immigrant students face a multitude of problems, among which are poor social adaptation and school integration. On the other hand, although digital narrations are widely used in education, they are rarely used for aiding students or for the resolution of complex problems. This study exploits the potential of digital narrations towards this end, by…

  6. The ECE Pre-Service Teachers' Perception on Factors Affecting the Integration of Educational Computer Games in Two Conditions: Selecting versus Redesigning

    ERIC Educational Resources Information Center

    Sancar Tokmak, Hatice; Ozgelen, Sinan

    2013-01-01

    This case study aimed to examine early childhood education (ECE) pre-service teachers' perception on the factors affecting integration of educational computer games to their instruction in two areas: selecting and redesigning. Twenty-six ECE pre-service teachers participated in the study. The data was collected through open-ended questionnaires,…

  7. Making mathematics and science integration happen: key aspects of practice

    NASA Astrophysics Data System (ADS)

    Ríordáin, Máire Ní; Johnston, Jennifer; Walshe, Gráinne

    2016-02-01

    The integration of mathematics and science teaching and learning facilitates student learning, engagement, motivation, problem-solving, criticality and real-life application. However, the actual implementation of an integrative approach to the teaching and learning of both subjects at classroom level, with in-service teachers working collaboratively, at second-level education, is under-researched due to the complexities of school-based research. This study reports on a year-long case study on the implementation of an integrated unit of learning on distance, speed and time, within three second-level schools in Ireland. This study employed a qualitative approach and examined the key aspects of practice that impact on the integration of mathematics and science teaching and learning. We argue that teacher perspective, teacher knowledge of the 'other subject' and of technological pedagogical content knowledge (TPACK), and teacher collaboration and support all impact on the implementation of an integrative approach to mathematics and science education.

  8. Integrating LMINET with TAAM and SIMMOD: A Feasibility Study

    NASA Technical Reports Server (NTRS)

    Long, Dou; Stouffer-Coston, Virginia; Kostiuk, Peter; Kula, Richard; Yackovetsky, Robert (Technical Monitor)

    2001-01-01

    LMINET is a queuing network air traffic simulation model implemented at 64 large airports and the entire National Airspace System in the United States. TAAM and SIMMOD are two widely used air traffic event-driven simulation models mostly for airports. Based on our proposed Progressive Augmented window approach, TAAM and SIMMOD are integrated with LMINET though flight schedules. In the integration, the flight schedules are modified through the flight delays reported by the other models. The benefit to the local simulation study is to let TAAM or SIMMOD take the modified schedule from LMINET, which takes into account of the air traffic congestion and flight delays at the national network level. We demonstrate the value of the integrated models by the case studies at Chicago O'Hare International Airport and Washington Dulles International Airport. Details of the integration are reported and future work for a full-blown integration is identified.

  9. Fluorescence errors in integrating sphere measurements of remote phosphor type LED light sources

    NASA Astrophysics Data System (ADS)

    Keppens, A.; Zong, Y.; Podobedov, V. B.; Nadal, M. E.; Hanselaer, P.; Ohno, Y.

    2011-05-01

    The relative spectral radiant flux error caused by phosphor fluorescence during integrating sphere measurements is investigated both theoretically and experimentally. Integrating sphere and goniophotometer measurements are compared and used for model validation, while a case study provides additional clarification. Criteria for reducing fluorescence errors to a degree of negligibility as well as a fluorescence error correction method based on simple matrix algebra are presented. Only remote phosphor type LED light sources are studied because of their large phosphor surfaces and high application potential in general lighting.

  10. Systematic literature review of integrated community case management and the private sector in Africa: Relevant experiences and potential next steps.

    PubMed

    Awor, Phyllis; Miller, Jane; Peterson, Stefan

    2014-12-01

    Despite substantial investments made over the past 40 years in low income countries, governments cannot be viewed as the principal health care provider in many countries. Evidence on the role of the private sector in the delivery of health services is becoming increasingly available. In this study, we set out to determine the extent to which the private sector has been utilized in providing integrated care for sick children under 5 years of age with community-acquired malaria, pneumonia or diarrhoea. We reviewed the published literature for integrated community case management (iCCM) related experiences within both the public and private sector. We searched PubMed and Google/Google Scholar for all relevant literature until July 2014. The search terms used were "malaria", "pneumonia", "diarrhoea", "private sector" and "community case management". A total of 383 articles referred to malaria, pneumonia or diarrhoea in the private sector. The large majority of these studies (290) were only malaria related. Most of the iCCM-related studies evaluated introduction of only malaria drugs and/or diagnostics into the private sector. Only one study evaluated the introduction of drugs and diagnostics for malaria, pneumonia and diarrhoea in the private sector. In contrast, most iCCM-related studies in the public sector directly reported on community case management of 2 or more of the illnesses. While the private sector is an important source of care for children in low income countries, little has been done to harness the potential of this sector in improving access to care for non-malaria-associated fever in children within the community. It would be logical for iCCM programs to expand their activities to include the private sector to achieve higher population coverage. An implementation research agenda for private sector integrated care of febrile childhood illness needs to be developed and implemented in conjunction with private sector intervention programs.

  11. Systematic literature review of integrated community case management and the private sector in Africa: Relevant experiences and potential next steps

    PubMed Central

    Awor, Phyllis; Miller, Jane; Peterson, Stefan

    2014-01-01

    Background Despite substantial investments made over the past 40 years in low income countries, governments cannot be viewed as the principal health care provider in many countries. Evidence on the role of the private sector in the delivery of health services is becoming increasingly available. In this study, we set out to determine the extent to which the private sector has been utilized in providing integrated care for sick children under 5 years of age with community–acquired malaria, pneumonia or diarrhoea. Methods We reviewed the published literature for integrated community case management (iCCM) related experiences within both the public and private sector. We searched PubMed and Google/Google Scholar for all relevant literature until July 2014. The search terms used were “malaria”, “pneumonia”, “diarrhoea”, “private sector” and “community case management”. Results A total of 383 articles referred to malaria, pneumonia or diarrhoea in the private sector. The large majority of these studies (290) were only malaria related. Most of the iCCM–related studies evaluated introduction of only malaria drugs and/or diagnostics into the private sector. Only one study evaluated the introduction of drugs and diagnostics for malaria, pneumonia and diarrhoea in the private sector. In contrast, most iCCM–related studies in the public sector directly reported on community case management of 2 or more of the illnesses. Conclusions While the private sector is an important source of care for children in low income countries, little has been done to harness the potential of this sector in improving access to care for non–malaria–associated fever in children within the community. It would be logical for iCCM programs to expand their activities to include the private sector to achieve higher population coverage. An implementation research agenda for private sector integrated care of febrile childhood illness needs to be developed and implemented in conjunction with private sector intervention programs. PMID:25520804

  12. Integration of informal recycling sector in Brazil and the case of Sorocaba City.

    PubMed

    Silva de Souza Lima, Nathalia; Mancini, Sandro Donnini

    2017-07-01

    Catadores are people who collect and sell materials that can be recycled. This activity has been done informally in many countries for years. Recently, a recognition process has begun for the informal recycling sector, with public and private initiatives. In Brazil, catadores started out associating with each other in co-operatives in the 1980s. In 2010, the Solid Waste National Policy was approved, promoting the inclusion of theses co-operatives in the formal waste management system. However, only in 25 out of 5670 Brazilian municipalities have hired co-operatives as Private Service Providers. The integration of the informal sector has contributed with social, economic and environmental benefits; income generation, reduction of poverty and resource preservation are highlights. Although there was a legal progress, there are great challenges for various actors involved. This paper aims to diagnose the informal recycling sector, emphasizing the integration process that has happened in Brazil. For this, a substantial literature review and a case study were conducted, applying the tool 'InteRa' to the case of Sorocaba. The case showed that it is possible to improve the integration of catadores in the formal waste management system. The co-operatives achieve recycling rates of 2%, higher than the official national rate of 1%. However, we estimate that autonomous pickers increase total recycling in Sorocaba to 9%, still short of the 25% target via source segregation. Therefore, continuing the integration process will benefit both the pickers, and also the municipality through savings on landfill costs.

  13. Exact solutions for coupled Einstein, Dirac, Maxwell, and zero-mass scalar fields

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Patra, A.C.; Ray, D.

    1987-12-01

    Coupled equations for Einstein, Maxwell, Dirac, and zero-mass scalar fields studied by Krori, Bhattacharya, and Nandi are integrated for plane-symmetric time-independent case. It is shown that solutions do not exist for the plane-symmetric time-dependent case.

  14. Period Integrals, L--Functions, and Applications to Subconvexity Bound and Mass Equidistribution

    NASA Astrophysics Data System (ADS)

    Hu, Yueke

    In this thesis we first study a period integral which gives the cuspidal part of a restricted Eisenstein series defined over a quadratic extension. This integral can be thought of as a complementary case to the well-known Rankin-Selberg integral and Triple product formula. We shall show the L-functions it represents and compute local integrals with ramifications. In the second part we will give explicit formula or bound for Triple product integral with very general ramifications. Such results can be applied to prove the subconvexity bound of triple product L--function and Mass equidistribution problems, greatly generalizing previous works.

  15. An Integrative Psychotherapy Approach to Foster Community Engagement and Rehabilitation in Schizophrenia: A Case Study Illustration.

    PubMed

    Kukla, Marina; Whitesel, Frankie; Lysaker, Paul H

    2016-02-01

    This case study illustrates the use of a long-term integrative psychotherapy approach with a middle- aged man with chronic schizophrenia and a mood disorder. The case of "Holst" describes a man with a history of insecure attachment and trauma who later went on to contract a serious chronic illness, precipitating the onset of psychotic symptoms, depression, and chronic suicidal ideation, resulting in multiple hospitalizations. Combining metacognition-oriented therapy with elements of cognitive behavioral therapy and psychiatric rehabilitation, this approach fostered significantly improved community functioning and attainment of personal goals over time. Through the journey of therapy, the patient also developed a more coherent narrative about his life, established a stable sense of self, and became an active agent in the world. This case illustration demonstrates that these three different approaches can be used in a sequential and complementary fashion to foster recovery in the midst of serious physical and mental illness. © 2015 Wiley Periodicals, Inc.

  16. Integrative dynamic therapy for bulimia nervosa: An evidence-based case study.

    PubMed

    Richards, Lauren K; Shingleton, Rebecca M; Goldman, Rachel; Siegel, Deborah; Thompson-Brenner, Heather

    2016-06-01

    Both cognitive-behavioral therapy (CBT) and psychodynamic psychotherapy are commonly used to treat eating disorders. To further investigate the effectiveness of integrative dynamic therapy (IDT) for bulimia nervosa (BN), our research group undertook a randomized, controlled pilot study comparing IDT with CBT for BN. The case described here was selected from a sample of N = 38 female patients with the symptoms of BN who enrolled in the study. IDT incorporated aspects of the first 4-week stage of CBT, including psychoeducation, self-monitoring, and regular eating. Subsequently, the treatment focused on emotional expression, emotion regulation (defenses), intrapsychic conflict, and interpersonal relationships. The objectives of the report are to demonstrate the effectiveness of an integrative approach to the treatment of eating disorders to address the symptoms of BN and personality issues using pre-, mid-, and posttreatment data, and to illustrate the patient and clinician reactions to each approach to treatment using excerpts from session transcripts and alliance data. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  17. Integrating preventive care and nursing standardized terminologies in nursing education: a case study.

    PubMed

    Burkhart, Lisa; Sommer, Sheryl

    2007-01-01

    This study investigated the development of a community-focused curriculum integrating primary, secondary, and tertiary prevention and nursing standardized terminologies as an organizing infrastructure. This is a case study of the curriculum redesign of the Marcella Niehoff School of Nursing, Loyola University Chicago. Faculty developed a conceptual framework integrating core concepts into curriculum design, course content, and clinical applications. A coherent curriculum was designed using a community-focused approach; primary, secondary, and tertiary prevention strategies; and standardized terminologies as the organizing infrastructure to teach and apply nursing practice. The curriculum provides a meaningful correlation between the classroom and clinical experience. Students journey with their patients throughout the health care experience, applying nursing concepts using standardized terminologies. Clinical experiences provide students with the opportunity to transfer knowledge to the health experiences of patients in their care. Patient encounters, whether at the primary, secondary, or tertiary level of prevention, are used to assist students in developing critical thinking skills through the use of standardized nursing terminologies.

  18. Professor Eric Can't See: A Project-Based Learning Case for Neurobiology Students.

    PubMed

    Ogilvie, Judith Mosinger; Ribbens, Eric

    2016-01-01

    "Professor Eric Can't See" is a semi-biographical case study written for an upper level undergraduate Neurobiology of Disease course. The case is integrated into a unit using a project-based learning approach to investigate the retinal degenerative disorder Retinitis pigmentosa and the visual system. Some case study scenes provide specific questions for student discussion and problem-based learning, while others provide background for student inquiry and related active learning exercises. The case was adapted from "'Chemical Eric' Can't See," and could be adapted for courses in general neuroscience or sensory neuroscience.

  19. The integration and evaluation of a social-media facilitated journal club to enhance the student learning experience of evidence-based practice: A case study.

    PubMed

    Ferguson, Caleb; DiGiacomo, Michelle; Gholizadeh, Leila; Ferguson, Leila E; Hickman, Louise D

    2017-01-01

    Nurses are required to interpret and apply knowledge so communities will receive care based on best available evidence, as opposed to care that is simply based on tradition or authority. Fostering nursing students' critical appraisal skills will assist in their capacity to engage with, interpret and use best evidence. Journal clubs are frequently used approach to engage learners with research and develop critical appraisal skills. Given new flipped and blended approaches to teaching and learning there is need to rejuvenate how research is utilised and integrated within journal clubs to maximise engagement and translation of evidence. This paper provides a case study of a single site Australian university experience of transitioning a traditional physical journal club, to a social media-facilitated club within a postgraduate health subject to stimulate and facilitate engagement with the chosen manuscripts. This case study is based on our own experiences, supported by literature and includes qualitative comments obtained via student feedback surveys during November 2015. Case study. Social media-facilitated journal clubs offer an efficient way to continue developing critical appraisal skills in nursing students. The integration of a social media-facilitated journal clubs increased student attention, engagement with presented activities and overall student satisfaction within this evidence-based practice subject. Future rigorously-designed, large-scale studies are required to evaluate the impact of online journal clubs on the uptake of evidence-based practice, including those resulting in improved patient outcomes. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. A Case Study of Four Latina/o Pre-Service Teachers in Learning to Teach Mathematics for Understanding and Integrate a Child's Out-of-School Mathematical Knowledge and Experiences

    ERIC Educational Resources Information Center

    Kalinec-Craig, Crystal

    2012-01-01

    This dissertation study examines the experiences of four Latina/o pre-service teachers (PSTs) as they learn about teaching mathematics for understanding (TM4U) and integrating a child's out-of-school mathematical knowledge and experiences during instruction. Studying the knowledge and experiences of Latina/o PSTs is necessary because PSTs…

  1. Invited Reaction: The Strategic Value of HRD in Lean Strategy Implementation

    ERIC Educational Resources Information Center

    Yorks, Lyle; Barto, Jody

    2013-01-01

    This study by Meera Alagaraja and Toby Egan provides a case study of a Lean strategy implementation in which HRD was an integrated part of the process and offers a model that can give direction for both future research and strategic advocacy on behalf of HRD practice. The case is actually more a study of the importance of cross-functional and…

  2. A Case Study: The Local Education Authorities (LEAs) Capacity Support on ICT Integration National Policy in Public Secondary Schools in Kepulauan Riau Province, Indonesia

    ERIC Educational Resources Information Center

    Putera, Rahmat Ady; Mochtar, Mahani; Candra, Muhammad

    2015-01-01

    This study addresses the support towards the policy of ICT implementation in public secondary schools from the local education authorities (LEAs) as part of society capacity, in case of Kepulauan Riau province, Indonesia. The study involves three sub themes; local policy support, management program, and partnership. Therefore, the researcher…

  3. Integrating the fundamentals of care framework in baccalaureate nursing education: An example from a nursing school in Denmark.

    PubMed

    Voldbjerg, Siri Lygum; Laugesen, Britt; Bahnsen, Iben Bøgh; Jørgensen, Lone; Sørensen, Ingrid Maria; Grønkjaer, Mette; Sørensen, Erik Elgaard

    2018-06-01

    To describe and discuss the process of integrating the Fundamentals of Care framework in a baccalaureate nursing education at a School of Nursing in Denmark. Nursing education plays an essential role in educating nurses to work within healthcare systems in which a demanding workload on nurses results in fundamental nursing care being left undone. Newly graduated nurses often lack knowledge and skills to meet the challenges of delivering fundamental care in clinical practice. To develop nursing students' understanding of fundamental nursing, the conceptual Fundamentals of Care framework has been integrated in nursing education at a School of Nursing in Denmark. Discursive paper using an adjusted descriptive case study design for describing and discussing the process of integrating the conceptual Fundamentals of Care Framework in nursing education. The process of integrating the Fundamentals of Care framework is illuminated through a description of the context, in which the process occurs including the faculty members, lectures, case-based work and simulation laboratory in nursing education. Based on this description, opportunities such as supporting a holistic approach to an evidence-based integrative patient care and challenges such as scepticism among the faculty are discussed. It is suggested how integration of Fundamentals of Care Framework in lectures, case-based work and simulation laboratory can make fundamental nursing care more explicit in nursing education, support critical thinking and underline the relevance of evidence-based practice. The process relies on a supportive context, a well-informed and engaged faculty, and continuous reflections on how the conceptual framework can be integrated. Integrating the Fundamentals of Care framework can support nursing students' critical thinking and reflection on what fundamental nursing care is and requires and eventually educate nurses in providing evidence-based fundamental nursing care. © 2018 John Wiley & Sons Ltd.

  4. Organisational design for an integrated oncological department

    PubMed Central

    Meiss-de Haas, Ch.L.; Falkmann, H.; Douma, J.; van Gassel, J.G.; Peters, W.G.; van Mierlo, R.; van Turnhout, J.M.; Verhagen, C.A.H.H.V.M.; Schrijvers, A.J.P.

    2001-01-01

    Abstract Objective The outcomes of a Strength, Weakness, Opportunities and Threat (SWOT) analysis of three Integrated Oncological Departments were compared with their present situation three years later to define factors that can influence a successful implementation and development of an Integrated Oncological Department in- and outside (i.e. home care) the hospital. Research design Comparative Qualitative Case Study. Methods Auditing based on care-as-usual norms by an external, experienced auditing committee. Research setting Integrated Oncological Departments of three hospitals. Results Successful multidisciplinary care in an integrated, oncological department needs broad support inside the hospital and a well-defined organisational plan. PMID:16896411

  5. Extent of Integration of Priority Interventions into General Health Systems: A Case Study of Neglected Tropical Diseases Programme in the Western Region of Ghana

    PubMed Central

    Mensah, Ernest O.; Aikins, Moses K.; Gyapong, Margaret; Anto, Francis; Bockarie, Moses J.; Gyapong, John O.

    2016-01-01

    Background The global health system has a large arsenal of interventions, medical products and technologies to address current global health challenges. However, identifying the most effective and efficient strategies to deliver these resources to where they are most needed has been a challenge. Targeted and integrated interventions have been the main delivery strategies. However, the health system discourse increasingly favours integrated strategies in the context of functionally merging targeted interventions with multifunctional health care delivery systems with a focus on strengthening country health systems to deliver needed interventions. Neglected Tropical Diseases (NTD) have been identified to promote and perpetuate poverty hence there has been global effort to combat these diseases. The Neglected Tropical Diseases Programme (NTDP) in Ghana has a national programme team and office, however, it depends on the multifunctional health delivery system at the regional and district level to implement interventions. The NTDP seeks further health system integration to accelerate achievement of coverage targets. The study estimated the extent of integration of the NTDP at the national, regional and district levels to provide evidence to guide further integration. Methodology/Principal Findings The research design was a descriptive case study that interviewed key persons involved in the programme at the three levels of the health system as well as extensive document review. Integration was assessed on two planes—across health system functions–stewardship and governance, financing, planning, service delivery, monitoring and evaluation and demand generation; and across three administrative levels of the health system–national, regional and district. A composite measure of integration designated Cumulative Integration Index (CII) with a range of 0.00–1.00 was used to estimate extent of integration at the three levels of the health system. Service delivery was most integrated while financing and planning were least integrated. Extent of integration was partial at all levels of the health system with a CII of 0.48–0.68; however it was higher at the district compared to the national and regional levels. Conclusions/Significance To ensure further integration of the NTDP, planning and finance management activities must be decentralized to involve regional and district levels of the health system. The study provides an empirical measure of extent of integration and indicators to guide further integration. PMID:27203854

  6. Extent of Integration of Priority Interventions into General Health Systems: A Case Study of Neglected Tropical Diseases Programme in the Western Region of Ghana.

    PubMed

    Mensah, Ernest O; Aikins, Moses K; Gyapong, Margaret; Anto, Francis; Bockarie, Moses J; Gyapong, John O

    2016-05-01

    The global health system has a large arsenal of interventions, medical products and technologies to address current global health challenges. However, identifying the most effective and efficient strategies to deliver these resources to where they are most needed has been a challenge. Targeted and integrated interventions have been the main delivery strategies. However, the health system discourse increasingly favours integrated strategies in the context of functionally merging targeted interventions with multifunctional health care delivery systems with a focus on strengthening country health systems to deliver needed interventions. Neglected Tropical Diseases (NTD) have been identified to promote and perpetuate poverty hence there has been global effort to combat these diseases. The Neglected Tropical Diseases Programme (NTDP) in Ghana has a national programme team and office, however, it depends on the multifunctional health delivery system at the regional and district level to implement interventions. The NTDP seeks further health system integration to accelerate achievement of coverage targets. The study estimated the extent of integration of the NTDP at the national, regional and district levels to provide evidence to guide further integration. The research design was a descriptive case study that interviewed key persons involved in the programme at the three levels of the health system as well as extensive document review. Integration was assessed on two planes-across health system functions-stewardship and governance, financing, planning, service delivery, monitoring and evaluation and demand generation; and across three administrative levels of the health system-national, regional and district. A composite measure of integration designated Cumulative Integration Index (CII) with a range of 0.00-1.00 was used to estimate extent of integration at the three levels of the health system. Service delivery was most integrated while financing and planning were least integrated. Extent of integration was partial at all levels of the health system with a CII of 0.48-0.68; however it was higher at the district compared to the national and regional levels. To ensure further integration of the NTDP, planning and finance management activities must be decentralized to involve regional and district levels of the health system. The study provides an empirical measure of extent of integration and indicators to guide further integration.

  7. Vertical integration of teaching in Australian general practice--a survey of regional training providers.

    PubMed

    Stocks, Nigel P; Frank, Oliver; Linn, Andrew M; Anderson, Katrina; Meertens, Sarah

    2011-06-06

    To examine vertical integration of teaching and clinical training in general practice and describe practical examples being undertaken by Australian general practice regional training providers (RTPs). A qualitative study of all RTPs in Australia, mid 2010. All 17 RTPs in Australia responded. Eleven had developed some vertical integration initiatives. Several encouraged registrars to teach junior doctors and medical students, others encouraged general practitioner supervisors to run multilevel educational sessions, a few coordinated placements, linkages and support across their region. Three RTPs provided case studies of vertical integration. Many RTPs in Australia use vertical integration of teaching in their training programs. RTPs with close associations with universities and rural clinical schools seem to be leading these initiatives.

  8. Integrating art into science education: a survey of science teachers' practices

    NASA Astrophysics Data System (ADS)

    Turkka, Jaakko; Haatainen, Outi; Aksela, Maija

    2017-07-01

    Numerous case studies suggest that integrating art and science education could engage students with creative projects and encourage students to express science in multitude of ways. However, little is known about art integration practices in everyday science teaching. With a qualitative e-survey, this study explores the art integration of science teachers (n = 66). A pedagogical model for science teachers' art integration emerged from a qualitative content analysis conducted on examples of art integration. In the model, art integration is characterised as integration through content and activities. Whilst the links in the content were facilitated either directly between concepts and ideas or indirectly through themes or artefacts, the integration through activity often connected an activity in one domain and a concept, idea or artefact in the other domain with the exception of some activities that could belong to both domains. Moreover, the examples of art integration in everyday classroom did not include expression of emotions often associated with art. In addition, quantitative part of the survey confirmed that integration is infrequent in all mapped areas. The findings of this study have implications for science teacher education that should offer opportunities for more consistent art integration.

  9. Facilitating Case Studies in Massage Therapy Clinical Education

    PubMed Central

    Baskwill, Amanda

    2013-01-01

    The integration of evidence into reflective health care practice has been on the rise in recent years and is a phenomenon that has affected all health care professions, including massage therapy. Clinical case studies are a research design that follows one patient or subject, making the studies ideal for use in clinical practice. They are valuable for communicating information from clinical practice to the broader community. Case studies have face validity that may be more valuable to individual practitioners than homogeneous randomized controlled trials, as the practitioner may recognize a complex patient in the case report. At Humber College, Student Massage Therapists (SMTs) create, conduct, and communicate results of a clinical case study prior to graduation. This article describes the process and experience. PMID:23730397

  10. Chemical Understanding and Graphing Skills in an Honors Case-Based Computerized Chemistry Laboratory Environment: The Value of Bidirectional Visual and Textual Representations

    ERIC Educational Resources Information Center

    Dori, Yehudit J.; Sasson, Irit

    2008-01-01

    The case-based computerized laboratory (CCL) is a chemistry learning environment that integrates computerized experiments with emphasis on scientific inquiry and comprehension of case studies. The research objective was to investigate chemical understanding and graphing skills of high school honors students via bidirectional visual and textual…

  11. Web-Enabled Mechanistic Case Diagramming: A Novel Tool for Assessing Students' Ability to Integrate Foundational and Clinical Sciences.

    PubMed

    Ferguson, Kristi J; Kreiter, Clarence D; Haugen, Thomas H; Dee, Fred R

    2018-02-20

    As medical schools move from discipline-based courses to more integrated approaches, identifying assessment tools that parallel this change is an important goal. The authors describe the use of test item statistics to assess the reliability and validity of web-enabled mechanistic case diagrams (MCDs) as a potential tool to assess students' ability to integrate basic science and clinical information. Students review a narrative clinical case and construct an MCD using items provided by the case author. Students identify the relationships among underlying risk factors, etiology, pathogenesis and pathophysiology, and the patients' signs and symptoms. They receive one point for each correctly-identified link. In 2014-15 and 2015-16, case diagrams were implemented in consecutive classes of 150 medical students. The alpha reliability coefficient for the overall score, constructed using each student's mean proportion correct across all cases, was 0.82. Discrimination indices for each of the case scores with the overall score ranged from 0.23 to 0.51. In a G study using those students with complete data (n = 251) on all 16 cases, 10% of the variance was true score variance, and systematic case variance was large. Using 16 cases generated a G coefficient (relative score reliability) equal to .72 and a Phi equal to .65. The next phase of the project will involve deploying MCDs in higher-stakes settings to determine whether similar results can be achieved. Further analyses will determine whether these assessments correlate with other measures of higher-order thinking skills.

  12. How 3 rural safety net clinics integrate care for patients: a qualitative case study.

    PubMed

    Derrett, Sarah; Gunter, Kathryn E; Nocon, Robert S; Quinn, Michael T; Coleman, Katie; Daniel, Donna M; Wagner, Edward H; Chin, Marshall H

    2014-11-01

    Integrated care focuses on care coordination and patient centeredness. Integrated care supports continuity of care over time, with care that is coordinated within and between settings and is responsive to patients' needs. Currently, little is known about care integration for rural patients. To examine challenges to care integration in rural safety net clinics and strategies to address these challenges. Qualitative case study. Thirty-six providers and staff from 3 rural clinics in the Safety Net Medical Home Initiative. Interviews were analyzed using the framework method with themes organized within 3 constructs: Team Coordination and Empanelment, External Coordination and Partnerships, and Patient-centered and Community-centered Care. Participants described challenges common to safety net clinics, including limited access to specialists for Medicaid and uninsured patients, difficulty communicating with external providers, and payment models with limited support for care integration activities. Rurality compounded these challenges. Respondents reported benefits of empanelment and team-based care, and leveraged local resources to support care for patients. Rural clinics diversified roles within teams, shared responsibility for patient care, and colocated providers, as strategies to support care integration. Care integration was supported by 2 fundamental changes to organize and deliver care to patients-(1) empanelment with a designated group of patients being cared for by a provider; and (2) a multidisciplinary team able to address rural issues. New funding and organizational initiatives of the Affordable Care Act may help to further improve care integration, although additional solutions may be necessary to address particular needs of rural communities.

  13. Organizing integrated care in a university hospital: application of a conceptual framework

    PubMed Central

    Axelsson, Runo; Axelsson, Susanna Bihari; Gustafsson, Jeppe; Seemann, Janne

    2014-01-01

    Background and aim As a result of New Public Management, a number of industrial models of quality management have been implemented in health care, mainly in hospitals. At the same time, the concept of integrated care has been developed within other parts of the health sector. The aim of the article is to discuss the relevance of integrated care for hospitals. Theory and methods The discussion is based on application of a conceptual framework outlining a number of organizational models of integrated care. These models are illustrated in a case study of a Danish university hospital implementing a new organization for improving the patient flows of the hospital. The study of the reorganization is based mainly on qualitative data from individual and focus group interviews. Results The new organization of the university hospital can be regarded as a matrix structure combining a vertical integration of clinical departments with a horizontal integration of patient flows. This structure has elements of both interprofessional and interorganizational integration. A strong focus on teamwork, meetings and information exchange is combined with elements of case management and co-location. Conclusions It seems that integrated care can be a relevant concept for a hospital. Although the organizational models may challenge established professional boundaries and financial control systems, this concept can be a more promising way to improve the quality of care than the industrial models that have been imported into health care. This application of the concept may also contribute to widen the field of integrated care. PMID:24966806

  14. PathCase-SB architecture and database design

    PubMed Central

    2011-01-01

    Background Integration of metabolic pathways resources and regulatory metabolic network models, and deploying new tools on the integrated platform can help perform more effective and more efficient systems biology research on understanding the regulation in metabolic networks. Therefore, the tasks of (a) integrating under a single database environment regulatory metabolic networks and existing models, and (b) building tools to help with modeling and analysis are desirable and intellectually challenging computational tasks. Description PathCase Systems Biology (PathCase-SB) is built and released. The PathCase-SB database provides data and API for multiple user interfaces and software tools. The current PathCase-SB system provides a database-enabled framework and web-based computational tools towards facilitating the development of kinetic models for biological systems. PathCase-SB aims to integrate data of selected biological data sources on the web (currently, BioModels database and KEGG), and to provide more powerful and/or new capabilities via the new web-based integrative framework. This paper describes architecture and database design issues encountered in PathCase-SB's design and implementation, and presents the current design of PathCase-SB's architecture and database. Conclusions PathCase-SB architecture and database provide a highly extensible and scalable environment with easy and fast (real-time) access to the data in the database. PathCase-SB itself is already being used by researchers across the world. PMID:22070889

  15. Science Education and the Challenges Facing Its Integration into the 21st Century School System in a Globalized World: A Case of Igbo Nation

    ERIC Educational Resources Information Center

    Ezeudu, F. O.; Nkokelonye, C. U.; Ezeudu, S. A.

    2013-01-01

    This paper is a study of historical foundations of science education in Igboland, its nature and scope as well as the challenges facing its integration into the 21st century school system in a globalized world. The authors found that there were many scientific activities in Igbo culture, but many problems hinder their integration into the basic…

  16. Ozone and Interdisciplinary Science Teaching--Learning to Address the Things That Count Most.

    ERIC Educational Resources Information Center

    Hobson, Art

    1993-01-01

    Presents the ozone depletion story as an excellent case study for the integration of science-related social issues into the college science curriculum. Describes the history of ozone depletion and efforts to remedy the problem. Provides a lecture outline on ozone depletion. Discusses integrating other science-related interdisciplinary topics in…

  17. Why Faculty Did--And Did Not--Integrate Instructional Software in Their Undergraduate Classrooms

    ERIC Educational Resources Information Center

    Weston, Timothy J.

    2005-01-01

    Using a comparative case study approach, the researcher followed 13 instructors for 2 years as they attempted to integrate the Visible Human Dissector, an educational software program, into their undergraduate anatomy courses. Instructors were motivated to use the software as a supplement for limited educational resources and because of its…

  18. The Acquisition of Integrated Science Process Skills in a Web-Based Learning Environment

    ERIC Educational Resources Information Center

    Saat, Rohaida Mohd

    2004-01-01

    Web-based learning is becoming prevalent in science learning. Some use specially designed programs, while others use materials available on the Internet. This qualitative case study examined the process of acquisition of integrated science process skills, particularly the skill of controlling variables, in a web-based learning environment among…

  19. Integrating Writing Skills and Ethics Training in Business Communication Pedagogy: A Resume Case Study Exemplar

    ERIC Educational Resources Information Center

    Conn, Cynthia E.

    2008-01-01

    An integrated approach to teaching resume construction in the business communication classroom focuses on simultaneously (a) emphasizing writing-related proficiencies and (b) encouraging ethical and moral orientations to this task. This article provides a resume construction exemplar that operationalizes these two pedagogical goals. The techniques…

  20. Culturally Relevant Design Practices: A Case Study for Designing Interactive Algebra Lessons for Urban Youth

    ERIC Educational Resources Information Center

    Gilbert, Juan E.; Eugene, Wanda; Swanier, Cheryl; Arbuthnot, Keena; Hood, Stafford; Grant, Michael McKenzie; West, Melanie L.

    2008-01-01

    When culture is integrated into the mathematics classroom, it improves students' academic achievement, helps move classrooms towards an equitable learning environment, helps students to have positive beliefs about mathematics, and integrates mathematics with other disciplines. Moreover, if you observe today's kids, the use of video games in their…

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