The role of health information technology on critical care services in Thailand.

PubMed

Wacharasint, Petch

2014-01-01

Health information technology (IT) has become an important part of current medical practice, especially in critical care services. One significant advance is the use of telemedicine which was initiated in Thailand nearly two decades ago. Telemedicine is also used in the intensive care unit or what has been termed the "Tele-ICU". It has evolved as an alternate paradigm linking the intensivist and critical care specialists to critically ill patients in remote areas. In this article, the author has reviewed the evidence of health IT on critical care services in Thailand, focusing on telemedicine, as well as the concept of the 'Tele-ICU' and its challenges. These factors may assist intensivists to reach more critically ill patients in remote areas.

Younger and Older Adults’ Associative Memory for Social Information: The Role of Information Importance

PubMed Central

Hargis, Mary B.; Castel, Alan D.

2017-01-01

The ability to associate items in memory is critical for social interactions. Older adults show deficits in remembering associative information, but can sometimes remember high-value information. In two experiments, younger and older participants studied faces, names, and occupations that were of differing social value. There were no age differences in the recall of important information in Experiment 1, but age differences were present for less important information. In Experiment 2, when younger adults’ encoding time was reduced, age differences were largely absent. These findings are considered in light of value-directed strategies when remembering social associative information. PMID:28581330

Nano-objects as biomaterials: immense opportunities, significant challenges and the important use of surface analytical methods

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

Baer, Donald R.; Shutthanandan, Vaithiyalingam

Nano-sized objects are increasingly important as biomaterials and their surfaces play critical roles in determining their beneficial or deleterious behaviors in biological systems. Important characteristics of nanomaterials that impact their application in many areas are described with a strong focus on the importance of particle surfaces and surface characterization. Understanding aspects of the inherent nature of nano-objects and the important role that surfaces play in these applications is a universal need for any research or product development using such materials in biological applications. The role of surface analysis methods in collecting critical information about the nature of particle surfaces andmore » physicochemical properties of nano-objects is described along with the importance of including sample history and analysis results in a record of provenance information regarding specific batches of nano-objects.« less

The USGS National Streamflow Information Program and the importance of preserving long-term streamgages

USGS Publications Warehouse

Hodgkins, Glenn A.; Norris, J. Michael; Lent, Robert M.

2014-01-01

Long-term streamflow information is critical for use in several water-related areas that are important to humans and wildlife, including water management, computation of flood and drought flows for water infrastructure, and analysis of climate-related trends. Specific uses are many and diverse and range from informing water rights across state and international boundaries to designing dams and bridges.

Scoping Study Investigating PWR Instrumentation during a Severe Accident Scenario

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

Rempe, J. L.; Knudson, D. L.; Lutz, R. J.

The accidents at the Three Mile Island Unit 2 (TMI-2) and Fukushima Daiichi Units 1, 2, and 3 nuclear power plants demonstrate the critical importance of accurate, relevant, and timely information on the status of reactor systems during a severe accident. These events also highlight the critical importance of understanding and focusing on the key elements of system status information in an environment where operators may be overwhelmed with superfluous and sometimes conflicting data. While progress in these areas has been made since TMI-2, the events at Fukushima suggests that there may still be a potential need to ensure thatmore » critical plant information is available to plant operators. Recognizing the significant technical and economic challenges associated with plant modifications, it is important to focus on instrumentation that can address these information critical needs. As part of a program initiated by the Department of Energy, Office of Nuclear Energy (DOE-NE), a scoping effort was initiated to assess critical information needs identified for severe accident management and mitigation in commercial Light Water Reactors (LWRs), to quantify the environment instruments monitoring this data would have to survive, and to identify gaps where predicted environments exceed instrumentation qualification envelop (QE) limits. Results from the Pressurized Water Reactor (PWR) scoping evaluations are documented in this report. The PWR evaluations were limited in this scoping evaluation to quantifying the environmental conditions for an unmitigated Short-Term Station BlackOut (STSBO) sequence in one unit at the Surry nuclear power station. Results were obtained using the MELCOR models developed for the US Nuclear Regulatory Commission (NRC)-sponsored State of the Art Consequence Assessment (SOARCA) program project. Results from this scoping evaluation indicate that some instrumentation identified to provide critical information would be exposed to conditions that significantly exceeded QE limits for extended time periods for the low frequency STSBO sequence evaluated in this study. It is recognized that the core damage frequency (CDF) of the sequence evaluated in this scoping effort would be considerably lower if evaluations considered new FLEX equipment being installed by industry. Nevertheless, because of uncertainties in instrumentation response when exposed to conditions beyond QE limits and alternate challenges associated with different sequences that may impact sensor performance, it is recommended that additional evaluations of instrumentation performance be completed to provide confidence that operators have access to accurate, relevant, and timely information on the status of reactor systems for a broad range of challenges associated with risk important severe accident sequences.« less

78 FR 63561 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-24

.... 147, page 46404. This research is important for establishing the scientific basis for air tour... information collection. Background: The data from this research are critically important for establishing the... Parks Air Tour Management Act of 2000 (NPATMA). The research expands on previous aircraft noise dose...

76 FR 4079 - Information Technology (IT) Security

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-24

... Technology (IT) Security AGENCY: National Aeronautics and Space Administration. ACTION: Final rule. SUMMARY: NASA is revising the NASA FAR Supplement (NFS) to update requirements related to Information Technology... Security clause. However, due to the critical importance of protecting the Agency's Information Technology...

Climate in Context - How partnerships evolve in regions

NASA Astrophysics Data System (ADS)

Parris, A. S.

2014-12-01

In 2015, NOAA's RISA program will celebrate its 20th year of exploration in the development of usable climate information. In the mid-1990s, a vision emerged to develop interdisciplinary research efforts at the regional scale for several important reasons. Recognizable climate patterns, such as the El Nino Southern Oscillation (ENSO), emerge at the regional level where our understanding of observations and models coalesce. Critical resources for society are managed in a context of regional systems, such as water supply and human populations. Multiple scales of governance (local, state, and federal) with complex institutional relationships can be examined across a region. Climate information (i.e. data, science, research etc) developed within these contexts has greater potential for use. All of this work rests on a foundation of iterative engagement between scientists and decision makers. Throughout these interactions, RISAs have navigated diverse politics, extreme events and disasters, socio-economic and ecological disruptions, and advances in both science and technology. Our understanding of information needs is evolving into a richer understanding of complex institutional, legal, political, and cultural contexts within which people can use science to make informed decisions. The outcome of RISA work includes both cases where climate information was used in decisions and cases where capacity for using climate information and making climate resilient decisions has increased over time. In addition to balancing supply and demand of scientific information, RISAs are engaged in a social process of reconciling climate information use with important drivers of society. Because partnerships are critical for sustained engagement, and because engagement is critically important to the use of science, the rapid development of new capacity in regionally-based science programs focused on providing climate decision support is both needed and challenging. New actors can bolster existing partnerships, but also impact trust developed through engagement. Examining other partnership-driven science initiatives, such as Digital Coast or NIDIS, can help identify critical elements of governance and network management that could be applied to the regional climate programs.

Critical Infrastructure Protection II, The International Federation for Information Processing, Volume 290.

NASA Astrophysics Data System (ADS)

Papa, Mauricio; Shenoi, Sujeet

The information infrastructure -- comprising computers, embedded devices, networks and software systems -- is vital to day-to-day operations in every sector: information and telecommunications, banking and finance, energy, chemicals and hazardous materials, agriculture, food, water, public health, emergency services, transportation, postal and shipping, government and defense. Global business and industry, governments, indeed society itself, cannot function effectively if major components of the critical information infrastructure are degraded, disabled or destroyed. Critical Infrastructure Protection II describes original research results and innovative applications in the interdisciplinary field of critical infrastructure protection. Also, it highlights the importance of weaving science, technology and policy in crafting sophisticated, yet practical, solutions that will help secure information, computer and network assets in the various critical infrastructure sectors. Areas of coverage include: - Themes and Issues - Infrastructure Security - Control Systems Security - Security Strategies - Infrastructure Interdependencies - Infrastructure Modeling and Simulation This book is the second volume in the annual series produced by the International Federation for Information Processing (IFIP) Working Group 11.10 on Critical Infrastructure Protection, an international community of scientists, engineers, practitioners and policy makers dedicated to advancing research, development and implementation efforts focused on infrastructure protection. The book contains a selection of twenty edited papers from the Second Annual IFIP WG 11.10 International Conference on Critical Infrastructure Protection held at George Mason University, Arlington, Virginia, USA in the spring of 2008.

THE IMPORTANCE OF SPATIAL ACCURACY FOR CHEMICAL INFORMATION MANAGEMENT

EPA Science Inventory

Information about chemicals can be critical to making timely decisions. The results of these decisions may not be realized for many years. In order to increase the value of chemical information and to create and utilize meaningful environmental models, the Environmental Prote...

Unsilencing voices: a study of zoo signs and their language of authority

NASA Astrophysics Data System (ADS)

Fogelberg, Katherine

2014-12-01

Zoo signs are important for informal learning, but their effect on visitor perception of animals has been sparsely studied. Other studies have established the importance of informal learning in American society; this study discusses zoo signs in the context of such learning. Through the lens of Critical Theory framed by informal learning, and by applying critical discourse analysis, I discovered subtle institutional power on zoo signs. This may influence visitors through dominant ideological discursive formations and emergent discourse objects, adding to the paradox of "saving" wild animals while simultaneously oppressing them. Signs covering a variety of species from two different United States-accredited zoos were analyzed. Critical Theory looks to emancipate oppressed human populations; here I apply it zoo animals. As physical emancipation is not practical, I define emancipation in the sociological sense—in this case, freedom from silence. Through this research, perhaps we can find a way to represent animals as living beings who have their own lives and voices, by presenting them honestly, with care and compassion.

Younger and older adults' associative memory for social information: The role of information importance.

PubMed

Hargis, Mary B; Castel, Alan D

2017-06-01

The ability to associate items in memory is critical for social interactions. Older adults show deficits in remembering associative information but can sometimes remember high-value information. In two experiments, younger and older participants studied faces, names, and occupations that were of differing social value. There were no age differences in the recall of important information in Experiment 1, but age differences were present for less important information. In Experiment 2, when younger adults' encoding time was reduced, age differences were largely absent. These findings are considered in light of value-directed strategies when remembering social associative information. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Variations in Party Line Information Requirements for Flight Crew Situation Awareness in the Datalink Environment

NASA Technical Reports Server (NTRS)

Pritchett, Amy R.; Hansman, R. John

1994-01-01

Current Air Traffic Control communications use shared very high frequency (VHF) voice frequencies from which pilots can obtain 'Party Line' Information (PLI) by overhearing communications addressed to other aircraft. A prior study has shown pilots perceive this PLI to be important. There is concern that some critical PLI may be lost in the proposed datalink environment where communications will be discretely addressed. Different types of flight operations will be, equipped with datalink equipment at different times, generating a 'mixed environment' where some pilots may rely on PLI while others will receive their information by datalink. To research the importance, availability and accuracy of PLI and to query pilots on the information they feel is necessary, a survey was distributed to pilots. The pilots were selected from four flight operation groups to study the variations in PLI requirements in the mixed datalink environment. Pilots perceived PLI to be important overall. Specific information elements pertaining to traffic and weather information were identified as Critical. Most PLI elements followed a pattern of higher perceived importance during terminal area operations, final approach and landing. Pilots from the different flight operation groups identified some elements as particularly important. Pilots perceived PLI to be only moderately available and accurate overall. Several PLI elements received very low availability and accuracy ratings but are perceived as important. In a free response question designed to find the information requirements for global situation awareness, pilots frequently indicated a need for traffic and weather information. These elements were also frequently cited by them as information that could be presented by a datalink system. The results of this survey identify specific concerns to be addressed when implementing datalink communications.

Variations Among Pilots from Different Flight Operations in Party Line Information Requirements for Situation Awareness

NASA Technical Reports Server (NTRS)

Pritchett, Amy; Hansman, John

1997-01-01

Current air traffic control communications use shared VHF voice frequencies from which pilots can obtain 'party line' information (PLI) by overhearing communications addressed to other aircraft. Previous studies have shown that pilots perceive PLI to be important. There is concern that some critical PLI may be lost in the proposed data link environment, where communications will be discretely addressed. Different types of flight operations will be equipped with data link equipment at different times, generating a mixed environment in which some pilots will rely on PLI, while others will receive their information by data link. To research the importance, availability, and accuracy of PLI and to query pilots on the information they feel is necessary for global situation awareness, a survey was distributed to pilots. The pilots were selected from four flight operation groups to study the variations in PLI requirements in the mixed data link environment. Pilots perceived PLI to be important overall, with specific traffic and weather information elements identified as critical. Most PLI elements followed a pattern of higher perceived importance during terminal area operations, final approach, and landing. Pilots from the different flight operation groups identified some elements as particularly important. In a free-response question designed to identify the information requirements for global situation awareness, pilots frequently indicated a need for traffic and weather information. The results of this survey reveal specific concerns to be addressed when implementing data link communications.

Bridging the Gap: Integrating Information Literacy into Communication Courses

ERIC Educational Resources Information Center

Sjoberg, Lisa M.; Ahlfeldt, Stephanie L.

2010-01-01

Information literacy programs focus on teaching students how to conduct effective research. Perhaps even more important is that they teach students how to critically evaluate the information they find. Engaging students in a significant information literacy unit helps them realize the value of the research process and the limitations of relying…

Understanding Information Security Culture in an Organization: An Interpretive Case Study

ERIC Educational Resources Information Center

Bess, Donald Arlo

2012-01-01

Information systems are considered to be a critical and strategic part of most organizations today. Because of this it has become increasingly important to ensure that there is an effective information security program in place protecting those information systems. It has been well established by researchers that the success of an information…

The Information Function for the One-Parameter Logistic Model: Is it Reliability?

ERIC Educational Resources Information Center

Doran, Harold C.

2005-01-01

The information function is an important statistic in item response theory (IRT) applications. Although the information function is often described as the IRT version of reliability, it differs from the classical notion of reliability from a critical perspective: replication. This article first explores the information function for the…

76 FR 57615 - National Health Information Technology Week, 2011

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-15

... Health Information Technology Week, 2011 #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal... Technology Week, 2011 By the President of the United States of America A Proclamation Technological advances... Week, we highlight the critical importance of secure and efficient information systems to improving the...

The Parent Perspective: “Being a Good Parent” When Making Critical Decisions in the PICU

PubMed Central

October, Tessie W.; Fisher, Kiondra R.; Feudtner, Chris; Hinds, Pamela S.

2015-01-01

Objective To identify factors important to parents making decisions for their critically ill child. Design Prospective cross-sectional study. Setting Single center, tertiary care PICU. Subjects Parents making critical treatment decisions for their child. Intervention One-on-one interviews that used the Good Parent Tool-2 open-ended question that asks parents to describe factors important for parenting their ill child and how clinicians could help them achieve their definition of “being a good parent” to their child. Parent responses were analyzed thematically. Parents also ranked themes in order of importance to them using the Good Parent Ranking Exercise. Measurement and Main Results Of 53 eligible parents, 43 (81%) participated. We identified nine themes through content analysis of the parent’s narrative statements from the Good Parent Tool. Most commonly (60% of quotes) components of being a good parent described by parents included focusing on their child’s quality of life, advocating for their child with the medical team, and putting their child’s needs above their own. Themes key to parental decision making were similar regardless of parent race and socioeconomic status or child’s clinical status. We identified nine clinician strategies identified by parents as helping them fulfill their parenting role, most commonly, parents wanted to be kept informed (32% of quotes). Using the Good Parent Ranking Exercise, fathers ranked making informed medical decisions as most important, whereas mothers ranked focusing on the child’s health and putting their child’s needs above their own as most important. However, mothers who were not part of a couple ranked making informed medical decisions as most important. Conclusion These findings suggest a range of themes important for parents to “be a good parent” to their child while making critical decisions. Further studies need to explore whether clinician’s knowledge of the parent’s most valued factor can improve family-centered care. PMID:24583502

Critically Reflective Work Behavior of Health Care Professionals

ERIC Educational Resources Information Center

de Groot, Esther; Jaarsma, Debbie; Endedijk, Maaike; Mainhard, Tim; Lam, Ineke; Simons, Robert-Jan; van Beukelen, Peter

2012-01-01

Introduction: Better understanding of critically reflective work behavior (CRWB), an approach for work-related informal learning, is important in order to gain more profound insight in the continuing development of health care professionals. Methods: A survey, developed to measure CRWB and its predictors, was distributed to veterinary…

Simple street tree sampling

Treesearch

David J. Nowak; Jeffrey T. Walton; James Baldwin; Jerry Bond

2015-01-01

Information on street trees is critical for management of this important resource. Sampling of street tree populations provides an efficient means to obtain street tree population information. Long-term repeat measures of street tree samples supply additional information on street tree changes and can be used to report damages from catastrophic events. Analyses of...

Managing Records as Evidence and Information.

ERIC Educational Resources Information Center

Cox, Richard J.

For the past three decades, policies regarding a variety of information issues have emanated from federal agencies, legislative chambers, and corporate boardrooms. Records policies are critically important for records professionals to develop and use as a means of strategically managing the information and evidence found in the millions of records…

Technology Watch and Competitive Intelligence: A New Challenge in Education for Information.

ERIC Educational Resources Information Center

Dou, Henri; And Others

1993-01-01

Discusses the need for education of information professionals in France to change because of changing needs for scientific, technological, and economic information. The functions of technology watch and competitive intelligence based on an organization's critical success factor are shown to be important. (13 references) (EAM)

Information needs for the rapid response team electronic clinical tool.

PubMed

Barwise, Amelia; Caples, Sean; Jensen, Jeffrey; Pickering, Brian; Herasevich, Vitaly

2017-10-02

Information overload in healthcare is dangerous. It can lead to critical errors and delays. During Rapid Response Team (RRT) activations providers must make decisions quickly to rescue patients from physiological deterioration. In order to understand the clinical data required and how best to present that information in electronic systems we aimed to better assess the data needs of providers on the RRT when they respond to an event. A web based survey to evaluate clinical data requirements was created and distributed to all RRT providers at our institution. Participants were asked to rate the importance of each data item in guiding clinical decisions during a RRT event response. There were 96 surveys completed (24.5% response rate) with fairly even distribution throughout all clinical roles on the RRT. Physiological data including heart rate, respiratory rate, and blood pressure were ranked by more than 80% of responders as being critical information. Resuscitation status was also considered critically useful by more than 85% of providers. There is a limited dataset that is considered important during an RRT. The data is widely available in EMR. The findings from this study could be used to improve user-centered EMR interfaces.

Remote Inspection Challenge

ERIC Educational Resources Information Center

Roman, Harry T.

2013-01-01

The ability to remotely inspect equipment of an aging infrastructure is becoming of major interest to many industries. Often the ability to just get a look at a piece of critical equipment can yield very important information. With millions of miles of piping installed throughout the United States, this vast network is critical to oil, natural…

Critical Thinking Skills for Language Students

ERIC Educational Resources Information Center

Djiwandono, Patrisius Istiarto

2013-01-01

Recent developments in language teaching increasingly put a stronger importance on critical thinking skills. While studies in this area have begun to emerge, it is believed that a probe into the learners' mind when they process information can contribute significantly to the effort of identifying exactly how our learners think. This study was…

Critical Communicative Methodology: Informing Real Social Transformation through Research

ERIC Educational Resources Information Center

Gomez, Aitor; Puigvert, Lidia; Flecha, Ramon

2011-01-01

The critical communicative methodology (CCM) is a methodological response to the dialogic turn of societies and sciences that has already had an important impact in transforming situations of inequality and exclusion. Research conducted with the CCM implies continuous and egalitarian dialogue among researchers and the people involved in the…

Beyond Composite Scores and Cronbach's Alpha: Advancing Methodological Rigor in Recreation Research

ERIC Educational Resources Information Center

Gagnon, Ryan J.; Stone, Garrett A.; Garst, Barry A.

2017-01-01

Critically examining common statistical approaches and their strengths and weaknesses is an important step in advancing recreation and leisure sciences. To continue this critical examination and to inform methodological decision making, this study compared three approaches to determine how alternative approaches may result in contradictory…

Historicity, The Television Critic, and the Third World Scholar.

ERIC Educational Resources Information Center

Oseguera, A. Anthony

The communication technologies of television and common carriers have an important correlativity to message formation, due to their ability to bring the public information at lightning speed. Historicity, the science of writing history, can be used by the television critic in order to critique national and international broadcasting. Blacks,…

An Exploration of Search Patterns and Credibility Issues among Older Adults Seeking Online Health Information

ERIC Educational Resources Information Center

Robertson-Lang, Laura; Major, Sonya; Hemming, Heather

2011-01-01

The Internet is an important resource for health information, among younger and older people alike. Unfortunately, there are limitations associated with online health information. Research is needed on the quality of information found online and on whether users are being critical consumers of the information they find. Also, there is a need for…

Exploring the Relationship between Authentic Leadership and Project Outcomes and Job Satisfaction with Information Technology Professionals

ERIC Educational Resources Information Center

Fischer, Mark A.

2014-01-01

One of the most important issues for organizations and information technology (IT) professionals is measuring the success or failure of information technology projects. How we understand the value and usefulness of IT projects is critical to how information technology executives evaluate and decide on technology investments. In a 2009 CHAOS…

Science News Infographics

ERIC Educational Resources Information Center

Lamb, Gary; Polman, Joseph L.; Newman, Alan; Smith, Cynthia Graville

2014-01-01

Information graphics, or "infographics," are widely used to convey complex science and its importance to society. To be educated consumers and citizens, students need to understand and be critical of information presented in graphical form. Researchers, accordingly, have called for fostering the "representational competence" of…

Information Technology Adoption for Service Innovation Practices and Competitive Advantage: The Case of Financial Firms

ERIC Educational Resources Information Center

Chen, J. S.; Tsou, H. T.

2007-01-01

Background: The importance of information technology to current business practices has long drawn the attention of practitioners and academicians. Aim: This paper aims to broaden understanding about service innovation as a critical organizational capability through which information technology adoption influences the competitive advantage of a…

Situational awareness and information flow in prehospital emergency medical care from the perspective of paramedic field supervisors: a scenario-based study.

PubMed

Norri-Sederholm, Teija; Paakkonen, Heikki; Kurola, Jouni; Saranto, Kaija

2015-01-16

In prehospital emergency medical services, one of the key factors in the successful delivery of appropriate care is the efficient management and supervision of the area's emergency medical services units. Paramedic field supervisors have an important role in this task. One of the key factors in the daily work of paramedic field supervisors is ensuring that they have enough of the right type of information when co-operating with other authorities and making decisions. However, a gap in information sharing still exists especially due to information overload. The aim of this study was to find out what type of critical information paramedic field supervisors need during multi-authority missions in order to manage their emergency medical services area successfully. The study also investigated both the flow of information, and interactions with the paramedic field supervisors and the differences that occur depending on the incident type. Ten paramedic field supervisors from four Finnish rescue departments participated in the study in January-March 2012. The data were collected using semi-structured interviews based on three progressive real-life scenarios and a questionnaire. Data were analysed using deductive content analysis. Data management and analysis were performed using Atlas.ti 7 software. Five critical information categories were formulated: Incident data, Mission status, Area status, Safety at work, and Tactics. Each category's importance varied depending on the incident and on whether it was about information needed or information delivered by the paramedic field supervisors. The main communication equipment used to receive information was the authority radio network (TETRA). However, when delivering information, mobile phones and TETRA were of equal importance. Paramedic field supervisors needed more information relating to area status. Paramedic field supervisors communicate actively with EMS units and other authorities such as Emergency Medical Dispatch, police, and rescue services during the multi-authority incidents. This study provides knowledge about the critical information categories when receiving and sharing the information to obtain and maintain situational awareness. However, further research is needed to examine more the information flow in prehospital emergency care to enable a better understanding of required communication in situational awareness formation.

Students' Perceptions of Teacher Feedback and Physical Competence in Physical Education Classes: Gender Effects

ERIC Educational Resources Information Center

Nicaise, Virginie; Cogerino, Genevieve; Bois, Julien E.; Amorose, Anthony J.

2006-01-01

Feedback is considered a critical teaching function, and researchers in sport pedagogy have shown interest in verifying its importance in physical education. Many observational studies have found that boys receive more attention and feedback, particularly praise, criticism, and technical information, than girls. Nevertheless, little is known about…

Sexuality and Sexual Identity: Critical Possibilities for Teaching Dance Appreciation and Dance History

ERIC Educational Resources Information Center

Dils, Ann

2004-01-01

The intersections of dance and sexuality and sexual identity are part of the critical discourse important to teaching dance appreciation and dance history. This essay presents aspects of my teaching practice, informed by current writings in queer studies, dance studies, education, and sociology. Awareness of potential classroom diversity helps…

Parent's Influence on Acquiring Critical Internet Skills

ERIC Educational Resources Information Center

Sánchez-Valle, María; de-Frutos-Torres, Belinda; Vázquez-Barrio, Tamara

2017-01-01

The accessibility and ease-of-use for children of Information and Communication Technologies lead us to suggest that one of the key questions for their potential empowerment is linked to their analytical use by means of the acquisition of critical skills. The family environment is considered an important factor in digital literacy and the…

Case Study: Assessing Critical-Thinking Skills Using Articles from the Popular Press

ERIC Educational Resources Information Center

Terry, David R.

2012-01-01

Meaningful science education requires an understanding of essential concepts, but it is just as important for scientifically literate persons to use critical thinking as they apply scientific understanding to their lives. Students should learn to use scientific information appropriately to make wise choices and to effectively solve problems that…

Who Done It? Connecting Murder Mysteries to the Communication Classroom

ERIC Educational Resources Information Center

Macchi, Stacey; Ridle, Cynthia

2012-01-01

It is important for students to understand various communication principles and be able to apply them in a variety of settings using critical thinking skills. Students must learn how to think critically, which includes the ability to apply, connect, analyze, and evaluate information. Teachers, instructors, and professors who are able to integrate…

Philosophical inquiry and the goals of nursing: a critical approach for disciplinary knowledge development and action.

PubMed

Grace, Pamela J; Perry, Donna J

2013-01-01

Philosophical inquiry remains critically important for nursing education, practice, and knowledge development. We propose a 3-level taxonomy of philosophical inquiry to guide nursing curricula and research development. Important background information about philosophy and the development of philosophical methods is given. Then philosophical inquiry is linked to the goals of nursing using our proposed taxonomy: level I-cultivating an attitude of "critical consciousness" related to all nursing situations and actions, level II-analysis and application of philosophical perspectives to nursing problems and level III-generating new knowledge for nursing purposes including new theories of practice and research.

E-learning for Critical Thinking: Using Nominal Focus Group Method to Inform Software Content and Design.

PubMed

Parker, Steve; Mayner, Lidia; Michael Gillham, David

2015-12-01

Undergraduate nursing students are often confused by multiple understandings of critical thinking. In response to this situation, the Critiique for critical thinking (CCT) project was implemented to provide consistent structured guidance about critical thinking. This paper introduces Critiique software, describes initial validation of the content of this critical thinking tool and explores wider applications of the Critiique software. Critiique is flexible, authorable software that guides students step-by-step through critical appraisal of research papers. The spelling of Critiique was deliberate, so as to acquire a unique web domain name and associated logo. The CCT project involved implementation of a modified nominal focus group process with academic staff working together to establish common understandings of critical thinking. Previous work established a consensus about critical thinking in nursing and provided a starting point for the focus groups. The study was conducted at an Australian university campus with the focus group guided by open ended questions. Focus group data established categories of content that academic staff identified as important for teaching critical thinking. This emerging focus group data was then used to inform modification of Critiique software so that students had access to consistent and structured guidance in relation to critical thinking and critical appraisal. The project succeeded in using focus group data from academics to inform software development while at the same time retaining the benefits of broader philosophical dimensions of critical thinking.

E-learning for Critical Thinking: Using Nominal Focus Group Method to Inform Software Content and Design

PubMed Central

Parker, Steve; Mayner, Lidia; Michael Gillham, David

2015-01-01

Background: Undergraduate nursing students are often confused by multiple understandings of critical thinking. In response to this situation, the Critiique for critical thinking (CCT) project was implemented to provide consistent structured guidance about critical thinking. Objectives: This paper introduces Critiique software, describes initial validation of the content of this critical thinking tool and explores wider applications of the Critiique software. Materials and Methods: Critiique is flexible, authorable software that guides students step-by-step through critical appraisal of research papers. The spelling of Critiique was deliberate, so as to acquire a unique web domain name and associated logo. The CCT project involved implementation of a modified nominal focus group process with academic staff working together to establish common understandings of critical thinking. Previous work established a consensus about critical thinking in nursing and provided a starting point for the focus groups. The study was conducted at an Australian university campus with the focus group guided by open ended questions. Results: Focus group data established categories of content that academic staff identified as important for teaching critical thinking. This emerging focus group data was then used to inform modification of Critiique software so that students had access to consistent and structured guidance in relation to critical thinking and critical appraisal. Conclusions: The project succeeded in using focus group data from academics to inform software development while at the same time retaining the benefits of broader philosophical dimensions of critical thinking. PMID:26835469

Baccalaureate Nursing Students' Abilities in Critically Identifying and Evaluating the Quality of Online Health Information.

PubMed

Theron, Maggie; Redmond, Anne; Borycki, Elizabeth M

2017-01-01

Both the Internet and social media have become important tools that patients and health professionals, including health professional students, use to obtain information and support their decision-making surrounding health care. Students in the health sciences require increased competence to select, appraise, and use online sources to adequately educate and support patients and advocate for patient needs and best practices. The purpose of this study was to ascertain if second year nursing students have the ability to critically identify and evaluate the quality of online health information through comparisons between student and expert assessments of selected online health information postings using an adapted Trust in Online Health Information scale. Interviews with experts provided understanding of how experts applied the selected criteria and what experts recommend for implementing nursing informatics literacy in curriculums. The difference between student and expert assessments of the quality of the online information is on average close to 40%. Themes from the interviews highlighted several possible factors that may influence informatics competency levels in students, specifically regarding the critical appraisal of the quality of online health information.

Criticality Safety Basics for INL FMHs and CSOs

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

V. L. Putman

2012-04-01

Nuclear power is a valuable and efficient energy alternative in our energy-intensive society. However, material that can generate nuclear power has properties that require this material be handled with caution. If improperly handled, a criticality accident could result, which could severely harm workers. This document is a modular self-study guide about Criticality Safety Principles. This guide's purpose it to help you work safely in areas where fissionable nuclear materials may be present, avoiding the severe radiological and programmatic impacts of a criticality accident. It is designed to stress the fundamental physical concepts behind criticality controls and the importance of criticalitymore » safety when handling fissionable materials outside nuclear reactors. This study guide was developed for fissionable-material-handler and criticality-safety-officer candidates to use with related web-based course 00INL189, BEA Criticality Safety Principles, and to help prepare for the course exams. These individuals must understand basic information presented here. This guide may also be useful to other Idaho National Laboratory personnel who must know criticality safety basics to perform their assignments safely or to design critically safe equipment or operations. This guide also includes additional information that will not be included in 00INL189 tests. The additional information is in appendices and paragraphs with headings that begin with 'Did you know,' or with, 'Been there Done that'. Fissionable-material-handler and criticality-safety-officer candidates may review additional information at their own discretion. This guide is revised as needed to reflect program changes, user requests, and better information. Issued in 2006, Revision 0 established the basic text and integrated various programs from former contractors. Revision 1 incorporates operation and program changes implemented since 2006. It also incorporates suggestions, clarifications, and additional information from readers and from personnel who took course 00INL189. Revision 1 also completely reorganized the training to better emphasize physical concepts behind the criticality controls that fissionable material handlers and criticality safety officers must understand. The reorganization is based on and consistent with changes made to course 00INL189 due to a review of course exam results and to discussions with personnel who conduct area-specific training.« less

Information Literacy in Biology Education: An Example from an Advanced Cell Biology Course

ERIC Educational Resources Information Center

Porter, John R.

2005-01-01

Information literacy skills are critically important for the undergraduate biology student. The ability to find, understand, evaluate, and use information, whether from the scientific literature or from Web resources, is essential for a good understanding of a topic and for the conduct of research. A project in which students receive information…

Uninformed in the Information Age: Why Media Necessitate Critical Thinking Education

ERIC Educational Resources Information Center

McBrien, J. Lynn

2005-01-01

Much has been written about the power of media to influence the public through instruments of advertising and a variety of venues (Considine & Haley, 1999; Cortes, 2000; Kilbourne, 1999). In this chapter, the author has chosen to use a singular media focus--news--to support the critical importance of teaching media literacy skills to students. She…

Post Traumatic Stress Disorder: Implications for Seasonal Lifeguards.

ERIC Educational Resources Information Center

Grosse, Susan J.

2001-01-01

Discusses the importance of including information on posttraumatic stress disorder (PTSD) in preseason and inservice training for lifeguards as well as critical information on stress management. The article defines PTSD; examines lifeguard-related causes of PTSD; discusses the recognition, treatment, and prevention of PTSD; and notes implications…

Gender Parity in Critical Care Medicine.

PubMed

Mehta, Sangeeta; Burns, Karen E A; Machado, Flavia R; Fox-Robichaud, Alison E; Cook, Deborah J; Calfee, Carolyn S; Ware, Lorraine B; Burnham, Ellen L; Kissoon, Niranjan; Marshall, John C; Mancebo, Jordi; Finfer, Simon; Hartog, Christiane; Reinhart, Konrad; Maitland, Kathryn; Stapleton, Renee D; Kwizera, Arthur; Amin, Pravin; Abroug, Fekri; Smith, Orla; Laake, Jon H; Shrestha, Gentle S; Herridge, Margaret S

2017-08-15

Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. These documents inform and shape patient care around the world. In this Perspective we discuss the importance of diversity on guideline panels, the disproportionately low representation of women on critical care guideline panels, and existing initiatives to increase the representation of women in corporations, universities, and government. We propose five strategies to ensure gender parity within critical care medicine.

Accounting for trip frequency in importance-performance analysis

Treesearch

Joshua K. Gill; J.M. Bowker; John C. Bergstrom; Stanley J. Zarnoch

2010-01-01

Understanding customer satisfaction is critical to the successful operation of both privately and publicly managed recreation venues. A popular tool for assessing recreation visitor satisfaction is Importance- Performance Analysis (IPA). IPA provides resource managers, government officials, and private businesses with easy-to-understand and -use information about...

The Multiple Choices of Sex Education

ERIC Educational Resources Information Center

Hamilton, Rashea; Sanders, Megan; Anderman, Eric M.

2013-01-01

Sex education in middle and high school health classes is critically important because it frequently comprises the primary mechanism for conveying information about sexual health to adolescents. Deliver evidence-based information on HIV and pregnancy prevention practices and they will be less likely to engage in risky sexual behaviors, the theory…

75 FR 40839 - Agency Information Collection Activities; Proposed Collection; Comment Request; Hazard Analysis...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-14

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0357] Agency Information Collection Activities; Proposed Collection; Comment Request; Hazard Analysis and Critical Control Point Procedures for the Safe and Sanitary Processing and Importing of Juice AGENCY: Food...

The Critical Importance of Costs for Education Decisions. REL 2017-274

ERIC Educational Resources Information Center

Hollands, Fiona M.; Levin, Henry M.

2017-01-01

This brief provides guidance to decision makers in schools, districts, state education departments, and intermediary organizations about ways that cost analyses can help inform their decisions about program choices, budgets, and strategies. It addresses questions about: (1) why cost information matters in education; (2) what cost metrics are…

The Role of the Hippocampus in Retaining Relational Information across Short Delays: The Importance of Memory Load

ERIC Educational Resources Information Center

Jeneson, Annette; Mauldin, Kristin N.; Hopkins, Ramona O.; Squire, Larry R.

2011-01-01

Patients with hippocampal damage are sometimes impaired at remembering information across delays as short as a few seconds. How are these impairments to be understood? One possibility is that retention of some kinds of information is critically dependent on the hippocampus, regardless of the retention interval and regardless of whether the task…

A Conceptual Framework for Best Practices in Information Literacy Instruction Based on Stakeholders' Perceptions: A Case Study of Four Vietnamese Academic Libraries

ERIC Educational Resources Information Center

Diep, Kim Chi

2011-01-01

Information Literacy (IL) competencies are defined as "the ability to locate, evaluate, and use information effectively" and are considered essential for students in their academic lives and future careers (ALA, 1989). IL plays an important role in developing critical thinking and problem solving skills, and improving academic…

Information Skills and Critical Literacy: Where Are Our Digikids at with Online Searching and Are Their Teachers Helping?

ERIC Educational Resources Information Center

Ladbrook, Judine; Prober, Elizabeth

2011-01-01

International studies and theorists have posited that digital technologies play an important role in students' lives and that students display a broad range of literacy skills when using them. The New Zealand Curriculum (2007) states that students should be literate, critical thinkers who actively seek, use and create knowledge. This paper reports…

Analysis and critical assessment of the current and near future plans of the Brazilian satellite applications program and its role in the global space program

NASA Technical Reports Server (NTRS)

Parada, N. D. J. (Principal Investigator)

1983-01-01

Brazilian programs using satellites for remote sensing, meteorology and communications are analyzed including their current status and near future plans. The experience gained and available information are used to critically discuss some aspects of great importance for the existing and prospective user countries.

Teacher Exchange as a Means of Social Studies Curriculum Internationalization

ERIC Educational Resources Information Center

Rapoport, Anatoli

2013-01-01

Lack or complete neglect of international experiences among social studies teachers leads to superficial understanding of the importance of the development of global competences among students, neglect to very important themes in citizenship education, or even informal taboo on some critical controversial topics that address sensitive questions of…

Privacy Policy Implementation on the Nation-Wide EHR in Japan for Hospitals and Patients.

PubMed

Kume, Naoto; Kobayashi, Shinji; Araki, Kenji; Yoshihara, Hiroyuki

2017-01-01

Shared clinical information is an important contribution to regional medicine. Clinical information sharing with patients is also recommended to motivate patients and promote health. On the other hand, the threat of information leaks, caused by internet connected records, is critical to hospitals. The traditional approach is complete isolation of hospital networks, instead of information sharing. The authors propose methods here to maximize information sharing by following hospital preferences for electronic health records.

Improvement of in-hospital telemetry monitoring in coronary care units: an intervention study for achieving optimal electrode placement and attachment, hygiene and delivery of critical information to patients.

PubMed

Pettersen, Trond R; Fålun, Nina; Norekvål, Tone M

2014-12-01

In-hospital telemetry monitoring is important for diagnosis and treatment of patients at risk of developing life-threatening arrhythmias. It is widely used in critical and non-critical care wards. Nurses are responsible for correct electrode placement, thus ensuring optimal quality of the monitoring. The aims of this study were to determine whether a complex educational intervention improves (a) optimal electrode placement, (b) hygiene, and (c) delivery of critical information to patients (reason for monitoring, limitations in cellular phone use, and not to leave the ward without informing a member of staff). A prospective interventional study design was used, with data collection occurring over two six-week periods: before implementation of the intervention (n=201) and after the intervention (n=165). Standard abstraction forms were used to obtain data on patients' clinical characteristics, and 10 variables related to electrode placement and attachment, hygiene and delivery of critical information. At pre-intervention registration, 26% of the electrodes were misplaced. Twelve per cent of the patients received information about limiting their cellular phone use while monitored, 70% were informed of the purpose of monitoring, and 71% used a protective cover for their unit. Post-intervention, outcome measures for the three variables improved significantly: use of protective cover (p<0.001), information about the purpose of monitoring (p=0.005) and information about limitations in cellular phone use (p=0.003). Nonetheless, 23% of the electrodes were still misplaced. The study highlights the need for better, continued education for in-hospital telemetry monitoring in coronary care units, and other units that monitor patients with telemetry. © The European Society of Cardiology 2013.

Information thermodynamics of near-equilibrium computation

NASA Astrophysics Data System (ADS)

Prokopenko, Mikhail; Einav, Itai

2015-06-01

In studying fundamental physical limits and properties of computational processes, one is faced with the challenges of interpreting primitive information-processing functions through well-defined information-theoretic as well as thermodynamic quantities. In particular, transfer entropy, characterizing the function of computational transmission and its predictability, is known to peak near critical regimes. We focus on a thermodynamic interpretation of transfer entropy aiming to explain the underlying critical behavior by associating information flows intrinsic to computational transmission with particular physical fluxes. Specifically, in isothermal systems near thermodynamic equilibrium, the gradient of the average transfer entropy is shown to be dynamically related to Fisher information and the curvature of system's entropy. This relationship explicitly connects the predictability, sensitivity, and uncertainty of computational processes intrinsic to complex systems and allows us to consider thermodynamic interpretations of several important extreme cases and trade-offs.

Perceptions of the use of critical thinking teaching methods.

PubMed

Kowalczyk, Nina; Hackworth, Ruth; Case-Smith, Jane

2012-01-01

To identify the perceived level of competence in teaching and assessing critical thinking skills and the difficulties facing radiologic science program directors in implementing student-centered teaching methods. A total of 692 program directors received an invitation to complete an electronic survey soliciting information regarding the importance of critical thinking skills, their confidence in applying teaching methods and assessing student performance, and perceived obstacles. Statistical analysis included descriptive data, correlation coefficients, and ANOVA. Responses were received from 317 participants indicating program directors perceive critical thinking to be an essential element in the education of the student; however, they identified several areas for improvement. A high correlation was identified between the program directors' perceived level of skill and their confidence in critical thinking, and between their perceived level of skill and ability to assess the students' critical thinking. Key barriers to implementing critical thinking teaching strategies were identified. Program directors value the importance of implementing critical thinking teaching methods and perceive a need for professional development in critical thinking educational methods. Regardless of the type of educational institution in which the academic program is located, the level of education held by the program director was a significant factor regarding perceived confidence in the ability to model critical thinking skills and the ability to assess student critical thinking skills.

A Structural Equation Model to Analyse the Antecedents to Students' Web-Based Problem-Solving Performance

ERIC Educational Resources Information Center

Hwang, Gwo-Jen; Kuo, Fan-Ray

2015-01-01

Web-based problem-solving, a compound ability of critical thinking, creative thinking, reasoning thinking and information-searching abilities, has been recognised as an important competence for elementary school students. Some researchers have reported the possible correlations between problem-solving competence and information searching ability;…

A Correlative Study between Spirituality and Retention among Information Technology Workers

ERIC Educational Resources Information Center

Douglas, Jonathan

2010-01-01

With the downturn in growth of the U.S. economy and significant layoffs in the IT industry in 2009, retaining information technology (IT) workers is increasingly important to businesses as IT workers carry broad responsibilities for the analysis, design, implementation, and maintenance of critical business systems. Turnover of IT workers causes a…

Validating the Octave Allegro Information Systems Risk Assessment Methodology: A Case Study

ERIC Educational Resources Information Center

Keating, Corland G.

2014-01-01

An information system (IS) risk assessment is an important part of any successful security management strategy. Risk assessments help organizations to identify mission-critical IS assets and prioritize risk mitigation efforts. Many risk assessment methodologies, however, are complex and can only be completed successfully by highly qualified and…

How Can Research Mediators Better Mediate?: The Importance of Inward-Looking Processes

ERIC Educational Resources Information Center

Shaw, Jessica

2018-01-01

Science can provide empirically-informed strategies and resources to inform and improve policy and practice, though all too often science, policy, and practice operate independently from one another. Research mediators play a critical role by attempting to connect these different worlds. This practice paper presents lessons learned and…

Environmental audit: III. Improving the management of environmental information for toxic substances

NASA Astrophysics Data System (ADS)

Sokolik, Stanley L.; Schaeffer, David J.

1986-05-01

Environmental programs have been commonly driven by a preoccupation with the collection of data in the mistaken belief that data is synonymous with information. The distinction between data (that is, the quantified and qualitative attributes of a particular environment) and information (specifically, data processed so as to focus upon a particular environmental problem) will become far more important to environmental managers. They will increasingly manage their information through use of what has become known as information resource management (IRM) and the attendant use of critical success factors methodology. Environmental managers will thereby move away from concerns about data and specific EDP hardware and applications toward managing information as a valuable agency resource. In applying IRM, they will find it helpful to include a number of planning elements and to resolve early a number of issues critical to its successful use.

The Effects of Safety Information on Aeronautical Decision Making

NASA Technical Reports Server (NTRS)

Lee, Jang R.; Fanjoy, Richard O.; Dillman, Brian G.

2005-01-01

The importance of aeronautical decision making (ADM) has been considered one of the most critical issues of flight education for future professional pilots. Researchers have suggested that a safety information system based on information from incidents and near misses is an important tool to improve the intelligence and readiness of pilots. This paper describes a study that examines the effect of safety information on aeronautical decision making for students in a collegiate flight program. Data was collected from study participants who were exposed to periodic information about local aircraft malfunctions. Participants were then evaluated using a flight simulator profile and a pen and pencil test of situational judgment. Findings suggest that regular access to the described safety information program significantly improves decision making of student pilots.

Harnessing Information Technology to Improve the Process of Students' Evaluations of Teaching: An Exploration of Students' Critical Success Factors of Online Evaluations

ERIC Educational Resources Information Center

Nevo, Dorit; McClean, Ron; Nevo, Saggi

2010-01-01

This paper discusses the relative advantage offered by online Students' Evaluations of Teaching (SET) and describes a study conducted at a Canadian university to identify critical success factors of online evaluations from students' point of view. Factors identified as important by the students include anonymity, ease of use (of both SET survey…

Implementing NICU critical thinking programs: one unit's experience.

PubMed

Zimmerman, Denise; Pilcher, Jobeth

2008-01-01

Critical thinking is the hallmark of today's nursing practice environment. Nowhere is this more critical than in the high-tech environment of the NICU. Despite the importance of critical thinking in nursing practice, there is limited information on the process of teaching new NICU nurses to think critically. Based on the principles of adult education, orientation and continuing education for NICU nurses should be goal directed, build on the learner's prior experience, and build in opportunities for active participation, reflection, and experiential learning. This article reviews the principles of adult education and their application to the process of teaching critical thinking in the NICU. One unit's experience of critical thinking education is used to provide concrete examples of how NICU education can be transformed from a traditional didactic methodology to a more dynamic experiential approach.

The role of the University of the West Indies Mona libraries in HIV/AIDS information access and dissemination.

PubMed

Harris, S

2013-01-01

The recommendations for controlling HIV/AIDS, whether prescriptive or descriptive, underscore the value of information: its translation into knowledge, and knowledge into behaviour. Thus, accessing, evaluating, disseminating and applying authoritative, credible and scholarly information on HIV/AIDS are critical elements in the control of this pandemic in the Web 2.0 era. The University of the West Indies (UWI) Mona libraries have embraced this information role. This article provides insights into three of the information initiatives implemented by the UWI Mona libraries in this important capacity. In this regard, it also provides ideas for other West Indian information units and enhances communication on access to information products and services, albeit incrementally, in an important area of health services for the West Indies.

Cognitive analysis of physicians' medication ordering activity.

PubMed

Pelayo, Sylvia; Leroy, Nicolas; Guerlinger, Sandra; Degoulet, Patrice; Meaux, Jean-Jacques; Beuscart-Zéphir, Marie-Catherine

2005-01-01

Computerized Physician Order Entry (CPOE) addresses critical functions in healthcare systems. As the name clearly indicates, these systems focus on order entry. With regard to medication orders, such systems generally force physicians to enter exhaustively documented orders. But a cognitive analysis of the physician's medication ordering task shows that order entry is the last (and least) important step of the entire cognitive therapeutic decision making task. We performed a comparative analysis of these complex cognitive tasks in two working environments, computer-based and paper-based. The results showed that information gathering, selection and interpretation are critical cognitive functions to support the therapeutic decision making. Thus the most important requirement from the physician's perspective would be an efficient display of relevant information provided first in the form of a summarized view of the patient's current treatment, followed by in a more detailed focused display of those items pertinent to the current situation. The CPOE system examined obviously failed to provide the physicians this critical summarized view. Following these results, consistent with users' complaints, the Company decided to engage in a significant re-engineering process of their application.

Challenges and Issues of Radiation Damage Tools for Space Missions

NASA Astrophysics Data System (ADS)

Tripathi, Ram; Wilson, John

2006-04-01

NASA has a new vision for space exploration in the 21st Century encompassing a broad range of human and robotic missions including missions to Moon, Mars and beyond. Exposure from the hazards of severe space radiation in deep space long duration missions is `the show stopper.' Thus, protection from the hazards of severe space radiation is of paramount importance for the new vision. Accurate risk assessments critically depend on the accuracy of the input information about the interaction of ions with materials, electronics and tissues. A huge amount of essential experimental information for all the ions in space, across the periodic table, for a wide range of energies of several (up to a Trillion) orders of magnitude are needed for the radiation protection engineering for space missions that is simply not available (due to the high costs) and probably never will be. In addition, the accuracy of the input information and database is very critical and of paramount importance for space exposure assessments particularly in view the agency's vision for deep space exploration. The vital role and importance of nuclear physics, related challenges and issues, for space missions will be discussed, and a few examples will be presented for space missions.

Performance specifications of critical results management.

PubMed

Piva, Elisa; Sciacovelli, Laura; Pelloso, Michela; Plebani, Mario

2017-07-01

Formerly defined "critical values", the importance of critical results (CRs) management in patient care has grown in recent years. According to the George Lundberg definition the result becomes "critical" when, exceeding actionable thresholds, it suggests imminent danger for the patient, unless appropriate therapy is initiated promptly. As required in most important accreditation standards, such as the ISO:15,189 or the Joint Commission standards, a quality reporting system should deliver the correct result to the appropriate clinician in a time-frame that ensures patient safety. From this point of view, medical laboratories should implement a process that assures the most effective communication in a timely manner, to the referring physician or care team member. Failure in communication, particularly in this type of situation, continues to be one of the most common factors contributing to the occurrence of adverse events. In the last few decades, Information Technology (IT) in Health Care has become increasingly important. The ability to interface radiology, anatomic pathology or laboratory information systems with electronic medical records is now a real opportunity, offering much safer communication than in the past. Future achievements on performance criteria and quality indicators for the notification of CRs, should ensure a comparable examination across different institutions, adding value to clinical laboratories in controlling post-analytical processes that concern patient safety. Therefore, the novel approach to CRs should combine quality initiatives, IT solutions and a culture to strengthen professional interaction. Copyright © 2017. Published by Elsevier Inc.

International comparisons in critical care: a necessity and challenge.

PubMed

Wunsch, Hannah; Rowan, Kathryn M; Angus, Derek C

2007-12-01

Understanding variation in critical care resources, and delivery of care between countries will allow for improved disaster planning, evaluation of research findings, and assessment of the utility of critical care itself. This review describes the available data for international comparisons and the many factors that need to be addressed for an appropriate interpretation of results. Recent studies on subgroups of critical care patients include data from many different countries. These new studies provide important information on the overall incidence of these disease states, but most of these international studies do not take into account the critical care resources of the countries being discussed. For an appropriate interpretation of findings the relevant baseline critical care resources, prevalence of diseases, and cultural practices, need to be quantified. The existence of these other factors prevents the use of a severity of illness scoring system alone to account for differences between countries. Many recent critical care studies include data from multiple countries. With continued movement towards international studies, and improvements in data collection systems, comparisons between countries are becoming easier. These findings need to be interpreted in the context of all the relevant country information.

Assessing Digital Information Literacy in Higher Education: A Review of Existing Frameworks and Assessments with Recommendations for Next-Generation Assessment. Research Report. ETS RR-16-32

ERIC Educational Resources Information Center

Sparks, Jesse R.; Katz, Irvin R.; Beile, Penny M.

2016-01-01

Digital information literacy (DIL)--generally defined as the ability to obtain, understand, evaluate, and use information in a variety of digital technology contexts--is a critically important skill deemed necessary for success in higher education as well as in the global networked economy. To determine whether college graduates possess the…

Memory for Allergies and Health Foods: How Younger and Older Adults Strategically Remember Critical Health Information

PubMed Central

McGillivray, Shannon; Murayama, Kou; Castel, Alan D.

2016-01-01

Objectives: While older adults often display memory deficits, with practice, they can sometimes selectively remember valuable information at the expense of less value information. We examined age-related differences and similarities in memory for health-related information under conditions where some information was critical to remember. Method: In Experiment 1, participants studied 3 lists of allergens, ranging in severity from 0 (not a health risk) to 10 (potentially fatal), with the instruction that it was particularly important to remember items to which a fictional relative was most severely allergic. After each list, participants received feedback regarding their recall of the high-value allergens. Experiment 2 examined memory for health benefits, presenting foods that were potentially beneficial to the relative’s immune system. Results: While younger adults exhibited better overall memory for the allergens, both age groups in Experiment 1 developed improved selectivity across the lists, with no evident age differences in severe allergen recall by List 2. Selectivity also developed in Experiment 2, although age differences for items of high health benefit were present. Discussion: The results have implications for models of selective memory in older age, and for how aging influences the ability to strategically remember important information within health-related contexts. PMID:25975293

Influences on GPs' decision to prescribe new drugs-the importance of who says what.

PubMed

Prosser, Helen; Almond, Solomon; Walley, Tom

2003-02-01

The aim of this study was to understand the range of factors that influence GPs' uptake of new drugs A total of 107 GPs selected purposively from high, medium and low new drug prescribing practices in two health authorities in the north west of England were interviewed using the critical incident technique with semi-structured interviews. Interview topics included reasons for prescribing new drugs launched between January 1998 and May 1999; reasons for prescribing the new drug rather than alternatives; and sources of information used for each prescribed drug. Important biomedical influences were the failure of current therapy and adverse effect profile. More influential than these, however, was the pharmaceutical representative. Hospital consultants and observation of hospital prescribing was cited next most frequently. Patient request for a drug, and patient convenience and acceptability were also likely to influence new drug uptake. Written information was of limited importance except for local guidelines. GPs were largely reactive and opportunistic recipients of new drug information, rarely reporting an active information search. The decision to initiate a new drug is heavily influenced by 'who says what', in particular the pharmaceutical industry, hospital consultants and patients. The decision to 'adopt' a new drug is clinched by subsequent personal clinical experience. Prescribing of new drugs is not simply related to biomedical evaluation and critical appraisal but, more importantly, to the mode of exposure to pharmacological information and social influences on decision making. Viewed within this broad context, prescribing variation becomes more understandable. Findings have implications for the implementation of evidence-based medicine, which requires a multifaceted approach.

Assessing and Measuring Statistics Cognition in Higher Education Online Environments: Emerging Research and Opportunities

ERIC Educational Resources Information Center

Chase, Justin P.; Yan, Zheng

2017-01-01

The ability to effective learn, process, and retain new information is critical to the success of any student. Since mathematics are becoming increasingly more important in our educational systems, it is imperative that we devise an efficient system to measure these types of information recall. "Assessing and Measuring Statistics Cognition in…

Incorporating remotely sensed tree canopy cover data into broad scale assessments of wildlife habitat distribution and conservation

Treesearch

Sebastian Martinuzzi; Lee A. Vierling; William A. Gould; Kerri T. Vierling; Andrew T. Hudak

2009-01-01

Remote sensing provides critical information for broad scale assessments of wildlife habitat distribution and conservation. However, such efforts have been typically unable to incorporate information about vegetation structure, a variable important for explaining the distribution of many wildlife species. We evaluated the consequences of incorporating remotely sensed...

Self-organized criticality in neural networks

NASA Astrophysics Data System (ADS)

Makarenkov, Vladimir I.; Kirillov, A. B.

1991-08-01

Possible mechanisms of creating different types of persistent states for informational processing are regarded. It is presented two origins of criticalities - self-organized and phase transition. A comparative analyses of their behavior is given. It is demonstrated that despite a likeness there are important differences. These differences can play a significant role to explain the physical issue of such highest functions of the brain as a short-term memory and attention. 1.

The critical success factor approach to strategic alignment: seeking a trail from a health organization's goals to its management information infrastructure.

PubMed

Tan, J K

1999-11-01

The critical success factor (CSF) approach is a technique that will aid health administrators, planners and managers to identify, specify and sort among the most relevant and critical factors determining an organization's survival and success. Following a top-down management perspective, this paper discusses the CSF methodology as a strategic information management process comprising several important phases: (i) understanding the external factors such as the organization's industry, market and environment; (ii) achieving strong support and championship from top management; (iii) encouraging the proactive involvement of management and staff in generic CSF identification; (iv) educating and directing the participation of staff members in CSF verification and further refinement of generic CSFs into specific CSFs; and (v) aggregating, prioritizing and translating activity-related CSFs into organizational information requirements for the design of the organization's management information infrastructure. The implementation of this CSF approach is illustrated in the context of a British Columbia community hospital, with insights provided into key issues for future health researchers and practitioners.

Investigating the Perception of Stakeholders on Soft Skills Development of Students: Evidence from South Africa

ERIC Educational Resources Information Center

Taylor, Estelle

2016-01-01

Soft skills are becoming increasingly important and will be critical for success in the Information Systems profession. Employers complain about a lack in soft skills among graduates from tertiary education institutions. No agreement exists about what these skills actually are, which are of importance, and how acquiring these soft skills should be…

Velocity dependence of vestibular information for postural control on tilting surfaces

PubMed Central

Kluzik, JoAnn; Hlavacka, Frantisek

2016-01-01

Vestibular information is known to be important for postural stability on tilting surfaces, but the relative importance of vestibular information across a wide range of surface tilt velocities is less clear. We compared how tilt velocity influences postural orientation and stability in nine subjects with bilateral vestibular loss and nine age-matched, control subjects. Subjects stood on a force platform that tilted 6 deg, toes-up at eight velocities (0.25 to 32 deg/s), with and without vision. Results showed that visual information effectively compensated for lack of vestibular information at all tilt velocities. However, with eyes closed, subjects with vestibular loss were most unstable within a critical tilt velocity range of 2 to 8 deg/s. Subjects with vestibular deficiency lost their balance in more than 90% of trials during the 4 deg/s condition, but never fell during slower tilts (0.25–1 deg/s) and fell only very rarely during faster tilts (16–32 deg/s). At the critical velocity range in which falls occurred, the body center of mass stayed aligned with respect to the surface, onset of ankle dorsiflexion was delayed, and there was delayed or absent gastrocnemius inhibition, suggesting that subjects were attempting to actively align their upper bodies with respect to the moving surface instead of to gravity. Vestibular information may be critical for stability at velocities of 2 to 8 deg/s because postural sway above 2 deg/s may be too fast to elicit stabilizing responses through the graviceptive somatosensory system, and postural sway below 8 deg/s may be too slow for somatosensory-triggered responses or passive stabilization from trunk inertia. PMID:27486101

Conflicting health information: a critical research need.

PubMed

Carpenter, Delesha M; Geryk, Lorie L; Chen, Annie T; Nagler, Rebekah H; Dieckmann, Nathan F; Han, Paul K J

2016-12-01

Conflicting health information is increasing in amount and visibility, as evidenced most recently by the controversy surrounding the risks and benefits of childhood vaccinations. The mechanisms through which conflicting information affects individuals are poorly understood; thus, we are unprepared to help people process conflicting information when making important health decisions. In this viewpoint article, we describe this problem, summarize insights from the existing literature on the prevalence and effects of conflicting health information, and identify important knowledge gaps. We propose a working definition of conflicting health information and describe a conceptual typology to guide future research in this area. The typology classifies conflicting information according to four fundamental dimensions: the substantive issue under conflict, the number of conflicting sources (multiplicity), the degree of evidence heterogeneity and the degree of temporal inconsistency. © 2015 The Authors. Health Expectations Published by John Wiley & Sons Ltd.

End-of-life care practices of critical care nurses: A national cross-sectional survey.

PubMed

Ranse, Kristen; Yates, Patsy; Coyer, Fiona

2016-05-01

The critical care context presents important opportunities for nurses to deliver skilled, comprehensive care to patients at the end of life and their families. Limited research has identified the actual end-of-life care practices of critical care nurses. To identify the end-of-life care practices of critical care nurses. A national cross-sectional online survey. The survey was distributed to members of an Australian critical care nursing association and 392 critical care nurses (response rate 25%) completed the survey. Exploratory factor analysis using principal axis factoring with oblique rotation was undertaken on survey responses to identify the domains of end-of-life care practice. Descriptive statistics were calculated for individual survey items. Exploratory factor analysis identified six domains of end-of-life care practice: information sharing, environmental modification, emotional support, patient and family centred decision-making, symptom management and spiritual support. Descriptive statistics identified a high level of engagement in information sharing and environmental modification practices and less frequent engagement in items from the emotional support and symptom management practice areas. The findings of this study identified domains of end-of-life care practice, and critical care nurse engagement in these practices. The findings highlight future training and practice development opportunities, including the need for experiential learning targeting the emotional support practice domain. Further research is needed to enhance knowledge of symptom management practices during the provision of end-of-life care to inform and improve practice in this area. Copyright © 2015 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

How long-term memory and accentuation interact during spoken language comprehension.

PubMed

Li, Xiaoqing; Yang, Yufang

2013-04-01

Spoken language comprehension requires immediate integration of different information types, such as semantics, syntax, and prosody. Meanwhile, both the information derived from speech signals and the information retrieved from long-term memory exert their influence on language comprehension immediately. Using EEG (electroencephalogram), the present study investigated how the information retrieved from long-term memory interacts with accentuation during spoken language comprehension. Mini Chinese discourses were used as stimuli, with an interrogative or assertive context sentence preceding the target sentence. The target sentence included one critical word conveying new information. The critical word was either highly expected or lowly expected given the information retrieved from long-term memory. Moreover, the critical word was either consistently accented or inconsistently de-accented. The results revealed that for lowly expected new information, inconsistently de-accented words elicited a larger N400 and larger theta power increases (4-6 Hz) than consistently accented words. In contrast, for the highly expected new information, consistently accented words elicited a larger N400 and larger alpha power decreases (8-14 Hz) than inconsistently de-accented words. The results suggest that, during spoken language comprehension, the effect of accentuation interacted with the information retrieved from long-term memory immediately. Moreover, our results also have important consequences for our understanding of the processing nature of the N400. The N400 amplitude is not only enhanced for incorrect information (new and de-accented word) but also enhanced for correct information (new and accented words). Copyright © 2013 Elsevier Ltd. All rights reserved.

Improving College Choice: Helping Students and Parents Make Better Informed Decisions. Data for Action 2012

ERIC Educational Resources Information Center

Data Quality Campaign, 2012

2012-01-01

As the demand for college graduates increases, it is critical (from both supply and demand perspectives) that students choose the postsecondary option that best meets their needs. Improved college readiness is an important first step to better informed choices about college. Parents and students need access to easy-to-understand data to make the…

Promotional literature: how do we critically appraise?

PubMed

Shetty, V V; Karve, A V

2008-01-01

There has been a tremendous increase in the number of new and generic drugs coming into the market. The busy practitioner obtains the information from various sources, of which promotional literature forms an important source. The promotional literature provided by the pharmaceutical companies cannot be entirely relied upon; moreover, very few physicians are equipped with the skills of critically appraising it. The new drug should be relevant to the clinician's practice in terms of population studied, the disease and the need for new treatment. The methodology of the study should be carefully judged to determine the authenticity of the evidence. The new drug should be preferred over the existing one if it offers clear advantages in terms of safety, tolerability, efficacy and price. Critical appraisal of promotional literature can provide valuable information to the busy physician to practice evidence-based medicine.

Progress and challenges: implementation and use of health information technology among critical-access hospitals.

PubMed

Gabriel, Meghan Hufstader; Jones, Emily B; Samy, Leila; King, Jennifer

2014-07-01

Despite major national investments to support the adoption of health information technology (IT), concerns persist that barriers are inhibiting that adoption and the use of advanced health IT capabilities in rural areas in particular. Using a survey of Medicare-certified critical-access hospitals, we examined electronic health record (EHR) adoption, key EHR functionalities, telehealth, and teleradiology, as well as challenges to EHR adoption. In 2013, 89 percent of critical-access hospitals had implemented a full or partial EHR. Adoption of key EHR capabilities varied. Critical-access hospitals that had certain types of technical assistance and resources available to support health IT were more likely to have adopted health IT capabilities and less likely to report significant challenges to EHR implementation and use, compared to other hospitals in the survey. It is important to ensure that the necessary resources and support are available to critical-access hospitals, especially those that operate independently, to assist them in adopting health IT and becoming able to electronically link to the broader health care system. Project HOPE—The People-to-People Health Foundation, Inc.

A computer-based education intervention to enhance surrogates' informed consent for genomics research.

PubMed

Shelton, Ann K; Freeman, Bradley D; Fish, Anne F; Bachman, Jean A; Richardson, Lloyd I

2015-03-01

Many research studies conducted today in critical care have a genomics component. Patients' surrogates asked to authorize participation in genomics research for a loved one in the intensive care unit may not be prepared to make informed decisions about a patient's participation in the research. To examine the effectiveness of a new, computer-based education module on surrogates' understanding of the process of informed consent for genomics research. A pilot study was conducted with visitors in the waiting rooms of 2 intensive care units in a Midwestern tertiary care medical center. Visitors were randomly assigned to the experimental (education module plus a sample genomics consent form; n = 65) or the control (sample genomics consent form only; n = 69) group. Participants later completed a test on informed genomics consent. Understanding the process of informed consent was greater (P = .001) in the experimental group than in the control group. Specifically, compared with the control group, the experimental group had a greater understanding of 8 of 13 elements of informed consent: intended benefits of research (P = .02), definition of surrogate consenter (P= .001), withdrawal from the study (P = .001), explanation of risk (P = .002), purpose of the institutional review board (P = .001), definition of substituted judgment (P = .03), compensation for harm (P = .001), and alternative treatments (P = .004). Computer-based education modules may be an important addition to conventional approaches for obtaining informed consent in the intensive care unit. Preparing patients' family members who may consider serving as surrogate consenters is critical to facilitating genomics research in critical care. ©2015 American Association of Critical-Care Nurses.

EFFECTIVENESS ASSESSMENT OF COMMUNITY OUTREACH ACTIVITIES

EPA Science Inventory

Providing access to information is critical for allowing the public to meaningfully participate in Agency decisions. However, just as important as how much we communicate, is how well we communicate. Through the use of customer satisfaction surveys and public meeting evaluation...

Freight transportation and the potential for invasions of exotic insects in urban and periurban forests of the United States

Treesearch

Manuel Colunga-Garcia; Robert A. Haack; Adesoji O. Adelaja

2009-01-01

Freight transportation is an important pathway for the introduction and dissemination of exotic forest insects (EFI). Identifying the final destination of imports is critical in determining the likelihood of EFI establishment. We analyzed the use of regional freight transport information to characterize risk of urban and periurban areas to EFI introductions. Specifc...

Thrombospondins: old players, new games.

PubMed

Stenina-Adognravi, Olga

2013-10-01

Thrombospondins (TSPs) are secreted extracellular matrix (ECM) proteins from TSP family, which consists of five homologous members. They share a complex domain structure and have numerous binding partners in ECM and multiple cell surface receptors. Information that has emerged over the past decade identifies TSPs as important mediators of cellular homeostasis, assigning new important roles in cardiovascular pathology to these proteins. Recent studies of the functions of TSP in the cardiovascular system, diabetes and aging, which placed several TSPs in a position of critical regulators, demonstrated the involvement of these proteins in practically every aspect of cardiovascular pathophysiology related to atherosclerosis: inflammation, immunity, leukocyte recruitment and function, function of vascular cells, angiogenesis, and responses to hypoxia, ischemia and hyperglycemia. TSPs are also critically important in the development and ultimate outcome of the complications associated with atherosclerosis--myocardial infarction, and heart hypertrophy and failure. Their expression and significance increase with age and with the progression of diabetes, two major contributors to the development of atherosclerosis and its complications. This overview of recent literature examines the latest information on the newfound functions of TSPs that emphasize the importance of ECM in cardiovascular homeostasis and pathology. The functions of TSPs in myocardium, vasculature, vascular complications of diabetes, aging and immunity are discussed.

American Thyroid Association statement on the essential elements of interdisciplinary communication of perioperative information for patients undergoing thyroid cancer surgery.

PubMed

Carty, Sally E; Doherty, Gerard M; Inabnet, William B; Pasieka, Janice L; Randolph, Gregory W; Shaha, Ashok R; Terris, David J; Tufano, Ralph P; Tuttle, R Michael

2012-04-01

Thyroid cancer specialists require specific perioperative information to develop a management plan for patients with thyroid cancer, but there is not yet a model for effective interdisciplinary data communication. The American Thyroid Association Surgical Affairs Committee was asked to define a suggested essential perioperative dataset representing the critical information that should be readily available to participating members of the treatment team. To identify and agree upon a multidisciplinary set of critical perioperative findings requiring communication, we examined diverse best-practice documents relating to thyroidectomy and extracted common features felt to enhance precise, direct communication with nonsurgical caregivers. Suggested essential datasets for the preoperative, intraoperative, and immediate postoperative findings and management of patients undergoing surgery for thyroid cancer were identified and are presented. For operative reporting, the essential features of both a dictated narrative format and a synoptic computer format are modeled in detail. The importance of interdisciplinary communication is discussed with regard to the extent of required resection, the final pathology findings, surgical complications, and other factors that may influence risk stratification, adjuvant treatment, and surveillance. Accurate communication of the important findings and sequelae of thyroidectomy for cancer is critical to individualized risk stratification as well as to the clinical issues of thyroid cancer care that are often jointly managed in the postoperative setting. True interdisciplinary care is essential to providing optimal care and surveillance.

The Warfighter Associate: Decision-Support and Metrics for Mission Command

DTIC Science & Technology

2013-01-01

complex situations can be captured it makes sense to use software to provide this important adjunct to complex human cognitive problems. As a software...tasks that could distract the user from the important events occurring. An Associate System also observes the actions undertaken by a human operator...the Commander’s Critical Information Requirements. ‡It is important to note that the Warfighter Associate maintains a human -in-the-loop for decision

Openness Versus Obstruction: The Importance of Protecting Open Data and Transparency, While Guarding Against Obstruction and Interference

NASA Astrophysics Data System (ADS)

Rosenthal, S.; Kurtz, L.

2017-12-01

Open data plays an important role in facilitating scientific progress and developing sound public policies. However, sometimes important scientific initiatives can be subverted by those seeking to politicize science and attack scientists. There is a critical distinction between data openness, and forcing scientists to live in a fishbowl by demanding disclosure of traditionally confidential materials, such as peer review correspondence or preliminary drafts. The former is intended to promote scientific advances (which may well involve criticisms and disagreements), while the latter is an attempt to chill and disrupt research. Agenda-driven groups have sought to obtain scientists' private emails, preliminary drafts, and peer critiques - which may include technical jargon and "what if" debates that can easily be taken out of context - in an effort to intimidate researchers and disrupt their work. Fostering true transparency requires an understanding of what should be shared to advance scientific research, including disclosing information that might expose potential biases (such as funding information), while also protecting the candid debate, open collaboration, and academic freedom that is integral to the scientific process.

Memory for Allergies and Health Foods: How Younger and Older Adults Strategically Remember Critical Health Information.

PubMed

Middlebrooks, Catherine D; McGillivray, Shannon; Murayama, Kou; Castel, Alan D

2016-05-01

While older adults often display memory deficits, with practice, they can sometimes selectively remember valuable information at the expense of less value information. We examined age-related differences and similarities in memory for health-related information under conditions where some information was critical to remember. In Experiment 1, participants studied 3 lists of allergens, ranging in severity from 0 (not a health risk) to 10 (potentially fatal), with the instruction that it was particularly important to remember items to which a fictional relative was most severely allergic. After each list, participants received feedback regarding their recall of the high-value allergens. Experiment 2 examined memory for health benefits, presenting foods that were potentially beneficial to the relative's immune system. While younger adults exhibited better overall memory for the allergens, both age groups in Experiment 1 developed improved selectivity across the lists, with no evident age differences in severe allergen recall by List 2. Selectivity also developed in Experiment 2, although age differences for items of high health benefit were present. The results have implications for models of selective memory in older age, and for how aging influences the ability to strategically remember important information within health-related contexts. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Internet embeddedness: links with online health information seeking, expectancy value/quality of health information websites, and Internet usage patterns.

PubMed

Leung, Louis

2008-10-01

To see how the Internet is actually embedded in our lives, this exploratory study examines how Internet users search the Web for important information, especially health or medical information, to make critical decisions, and the perception of how intimately our lives are embedded in the Internet intersects with patterns of health information seeking online and the expected quality of health information websites. Data from a probability sample of 569 Internet users found four types of commonly sought health information clusters online which included information on (a) health improvement, (b) medical treatment, (c) family health, and (d) health issues that are difficult to talk about. Results also show that behavior or behavioral intentions in health information seeking are in fact either a function of value expectancy or the evaluation of health information websites. More importantly, people who often go to the Internet for health information and have high expectations of the value and quality of health information websites (especially in terms of reliability, relevance/context, and interaction) tend to be those who are more likely to perceive the Internet as playing an important role in life decisions or rate the Internet as more embedded in their lives.

Critical thinking in health professions education: summary and consensus statements of the Millennium Conference 2011.

PubMed

Huang, Grace C; Newman, Lori R; Schwartzstein, Richard M

2014-01-01

Critical thinking is central to the function of health care professionals. However, this topic is not explicitly taught or assessed within current programs, yet the need is greater than ever, in an era of information explosion, spiraling health care costs, and increased understanding about metacognition. To address the importance of teaching critical thinking in health professions education, the Shapiro Institute for Education and Research and the Josiah Macy Jr. Foundation jointly sponsored the Millennium Conference 2011 on Critical Thinking. Teams of physician and nurse educators were selected through an application process. Attendees proposed strategies for integrating principles of critical thinking more explicitly into health professions curricula. Working in interprofessional, multi-institutional groups, participants tackled questions about teaching, assessment, and faculty development. Deliberations were summarized into consensus statements. Educational leaders participated in a structured dialogue about the enhancement of critical thinking in health professions education and recommend strategies to teach critical thinking.

Sleep Deprivation in Critical Illness: Its Role in Physical and Psychological Recovery

PubMed Central

Kamdar, Biren B.; Needham, Dale M.; Collop, Nancy A.

2012-01-01

Critically ill patients frequently experience poor sleep, characterized by frequent disruptions, loss of circadian rhythms, and a paucity of time spent in restorative sleep stages. Factors that are associated with sleep disruption in the intensive care unit (ICU) include patient-ventilator dysynchrony, medications, patient care interactions, and environmental noise and light. As the field of critical care increasingly focuses on patients' physical and psychological outcomes following critical illness, understanding the potential contribution of ICU-related sleep disruption on patient recovery is an important area of investigation. This review article summarizes the literature regarding sleep architecture and measurement in the critically ill, causes of ICU sleep fragmentation, and potential implications of ICU-related sleep disruption on patients' recovery from critical illness. With this background information, strategies to optimize sleep in the ICU are also discussed. PMID:21220271

Institutional networks and adaptive water governance in the Klamath River Basin, USA.

EPA Science Inventory

Polycentric networks of formal organizations and informal stakeholder groups, as opposed to centralized institutional hierarchies, can be critically important for strengthening the capacity of governance systems to adapt to unexpected social and biophysical change. Adaptive gover...

Needs of relatives of critically ill patients in an academic hospital in Chile.

PubMed

Padilla-Fortunatti, C; Rojas-Silva, N; Amthauer-Rojas, M; Molina-Muñoz, Y

To identify the importance of the needs of family members of patients in an intensive care unit (ICU). Descriptive, comparative and cross-sectional study based on a secondary data analysis of 251 relatives of ICU patients at a university hospital in Santiago, Chile. Using non-random sampling, the 'Critical Care Family Needs Inventory' was used to establish the family needs, as well as a sociodemographic questionnaire that included: age, gender, educational level, patient relationship and previous ICU experience. A descriptive statistical analysis, Student's T test and ANOVA were performed. The most important family needs related to the dimensions of 'security' (mean=3.90) and 'information' (mean=3.76), while those of minor importance with 'support' (mean=3.09). In the latter, differences were observed at an older age (P<.05), an educational level (P<.001) and relationship with the patient (P<.05). The most relevant needs for family members in the ICU are related to safety and information. Less important needs are influenced by certain sociodemographic variables. Identifying the degree of importance of family needs will allow the health team to improve its relationship with families in ICUs. Copyright © 2017 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Publicado por Elsevier España, S.L.U. All rights reserved.

Main information requests of family members of patients in Intensive Care Units.

PubMed

Velasco Bueno, J M; Alonso-Ovies, A; Heras La Calle, G; Zaforteza Lallemand, C

2017-11-03

To compile an inventory of information requests prioritized by the family members, to find out which professionals them consider able to respond these requests, and to explore the differences in perception between family members and professionals. Qualitative analysis of content validation and descriptive cross-sectional study. 41 Spanish ICU. Relatives, physicians and nurses of critical patients. From an initial list of questions extracted from literature review, physicians, nurses, and relatives of critical patients incorporated issues that they considered not included. After analyzing content validity, a new list was obtained, which was again submitted to the participants' assessment to evaluate the level of importance that they assigned to each question and which professional they considered appropriate to answer it. most important questions for the relatives: concern about the clinical situation, measures to be taken, prognosis and information. There was a coincidence between relatives and professionals in the priority issues for families. There were significant differences in the importance given to each question: between doctors and relatives (72/82 questions), and between nurses and relatives (66/82 questions) (P<.05). For the relatives, 63% of the questions could be answered by doctors or nurses, 27% preferably by doctors and 10% by nurses. The most relevant issues for families were prognosis and severity, but also the need for information. Healthcare professionals tend to underestimate the importance of many of the questions that concern families. Relatives feel that most of their concerns can be resolved either by doctors or nurses. Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

Health information technology and the idea of informed consent.

PubMed

Goldstein, Melissa M

2010-01-01

During this early stage of HIT adoption, it is critical that we engage in discussions regarding informed consent's proper role in a health care environment in which electronic information sharing holds primary importance. This article discusses current implementation of the doctrine within health information exchange networks; the relationship between informed consent and privacy; the variety of ways that the concept is referenced in discussions of information sharing; and challenges that surround incorporation of the doctrine into the evolving HIT environment. The article concludes by reviewing the purpose behind the traditional obligation to obtain informed consent and the possibility of maintaining its relevance in the new environment.

Knowledge mobilisation in healthcare: a critical review of health sector and generic management literature.

PubMed

Ferlie, Ewan; Crilly, Tessa; Jashapara, Ashok; Peckham, Anna

2012-04-01

The health policy domain has displayed increasing interest in questions of knowledge management and knowledge mobilisation within healthcare organisations. We analyse here the findings of a critical review of generic management and health-related literatures, covering the period 2000-2008. Using 29 pre-selected journals, supplemented by a search of selected electronic databases, we map twelve substantive domains classified into four broad groups: taxonomic and philosophical (e.g. different types of knowledge); theoretical discourse (e.g. critical organisational studies); disciplinary fields (e.g. organisational learning and Information Systems/Information Technology); and organisational processes and structures (e.g. organisational form). We explore cross-overs and gaps between these traditionally separate literature streams. We found that health sector literature has absorbed some generic concepts, notably Communities of Practice, but has not yet deployed the performance-oriented perspective of the Resource Based View (RBV) of the Firm. The generic literature uses healthcare sites to develop critical analyses of power and control in knowledge management, rooted in neo-Marxist/labour process and Foucauldian approaches. The review generates three theoretically grounded statements to inform future enquiry, by: (a) importing the RBV stream; (b) developing the critical organisational studies perspective further; and (c) exploring the theoretical argument that networks and other alternative organisational forms facilitate knowledge sharing. Copyright © 2012 Elsevier Ltd. All rights reserved.

Measuring Florida Extension Faculty's Agricultural Paradigmatic Preferences

ERIC Educational Resources Information Center

Warner, Laura A.; Murphrey, Theresa Pesl; Lawver, David E.; Baker, Matt; Lindner, James R.

2014-01-01

The demand for sustainable agriculture has increased, and many institutions, including the University of Florida, have adopted agricultural sustainability as a major goal. Extension has been identified as a critical information source, important in disseminating sustainable agricultural growing techniques. However, research has demonstrated that…

HIPAA Compliance and Training: A Perfect Storm for Professionalism Education?

PubMed

Agris, Julie L; Spandorfer, John M

2016-12-01

The HIPAA Rules continue to support and bolster the importance of protecting the privacy and security of patients' protected health information. The HIPAA training requirements are at the cornerstone of meaningful implementation and provide a ripe opportunity for critical education.

Intensive care nurses' knowledge of enteral nutrition: A descriptive questionnaire.

PubMed

Morphet, Julia; Clarke, Angelique B; Bloomer, Melissa J

2016-12-01

Nurses have an important role in the delivery and management of enteral nutrition in critically ill patients, to prevent iatrogenic malnutrition. It is not clear how nurses source enteral nutrition information. This study aimed to explore Australian nurses' enteral nutrition knowledge and sources of information. Data were collected from members of the Australian College of Critical Care Nurses in May 2014 using an online questionnaire. A combination of descriptive statistics and non-parametric analyses were undertaken to evaluate quantitative data. Content analysis was used to evaluate qualitative data. 359 responses were included in data analysis. All respondents were Registered Nurses with experience working in an Australian intensive care unit or high dependency unit. Most respondents reported their enteral nutrition knowledge was good (n=205, 60.1%) or excellent (n=35, 10.3%), but many lacked knowledge regarding the effect of malnutrition on patient outcomes. Dietitians and hospital protocols were the most valuable sources of enteral nutrition information, but were not consistently utilised. Significant knowledge deficits in relation to enteral nutrition were identified. Dietitians were the preferred source of nurses' enteral nutrition information, however their limited availability impacted their efficacy as an information resource. Educational opportunities for nurses need to be improved to enable appropriate nutritional care in critically ill patients. Copyright © 2016 Elsevier Ltd. All rights reserved.

Freight transportation and the potential for invasions of exotic insects in urban and periurban forests of the United States.

PubMed

Colunga-Garcia, Manuel; Haack, Robert A; Adelaja, Adesoji O

2009-02-01

Freight transportation is an important pathway for the introduction and dissemination of exotic forest insects (EFI). Identifying the final destination of imports is critical in determining the likelihood of EFI establishment. We analyzed the use of regional freight transport information to characterize risk of urban and periurban areas to EFI introductions. Specific objectives were to 1) approximate the final distribution of selected imports among urban areas of the United States, 2) characterize the final distribution of imports in terms of their spatial aggregation and dominant world region of origin, and 3) assess the effect of the final distribution of imports on the level of risk to urban and periurban forests from EFI. Freight pattern analyses were conducted for three categories of imports whose products or packaging materials are associated with EFI: wood products, nonmetallic mineral products, and machinery. The final distribution of wood products was the most evenly distributed of the three selected imports, whereas machinery was most spatially concentrated. We found that the type of import and the world region of origin greatly influence the final distribution of imported products. Risk assessment models were built based on the amount of forestland and imports for each urban area The model indicated that 84-88% of the imported tonnage went to only 4-6% of the urban areas in the contiguous United States. We concluded that freight movement information is critical for proper risk assessment of EFI. Implications of our findings and future research needs are discussed.

Interpreting patient-reported outcomes from clinical trials in COPD: a discussion

PubMed Central

Jones, Paul W; Rennard, Stephen; Tabberer, Maggie; Riley, John H; Vahdati-Bolouri, Mitra; Barnes, Neil C

2016-01-01

One of the challenges faced by the practising physician is the interpretation of patient-reported outcomes (PROs) in clinical trials and the relevance of such data to their patients. This is especially true when caring for patients with progressive diseases such as COPD. In an attempt to incorporate the patient perspective, many clinical trials now include assessments of PROs. These are formalized methods of capturing patient-centered information. Given the importance of PROs in evaluating the potential utility of an intervention for a patient with COPD, it is important that physicians are able to critically interpret (and critique) the results derived from them. Therefore, in this paper, a series of questions is posed for the practising physician to consider when reviewing the treatment effectiveness as assessed by PROs. The focus is on the St George’s Respiratory Questionnaire for worked examples, but the principles apply equally to other symptom-based questionnaires. A number of different ways of presenting PRO data are discussed, including the concept of the minimum clinically important difference, whether there is a ceiling effect to PRO results, and the strengths and weaknesses of responder analyses. Using a worked example, the value of including a placebo arm in a study is illustrated, and the influence of the study on PRO results is considered, in terms of the design, patient withdrawal, and the selection of the study population. For the practising clinician, the most important consideration is the importance of individualization of treatment (and of treatment goals). To inform such treatment, clinicians need to critically review PRO data. The hope is that the questions posed here will help to build a framework for this critical review. PMID:27994447

Interpreting patient-reported outcomes from clinical trials in COPD: a discussion.

PubMed

Jones, Paul W; Rennard, Stephen; Tabberer, Maggie; Riley, John H; Vahdati-Bolouri, Mitra; Barnes, Neil C

2016-01-01

One of the challenges faced by the practising physician is the interpretation of patient-reported outcomes (PROs) in clinical trials and the relevance of such data to their patients. This is especially true when caring for patients with progressive diseases such as COPD. In an attempt to incorporate the patient perspective, many clinical trials now include assessments of PROs. These are formalized methods of capturing patient-centered information. Given the importance of PROs in evaluating the potential utility of an intervention for a patient with COPD, it is important that physicians are able to critically interpret (and critique) the results derived from them. Therefore, in this paper, a series of questions is posed for the practising physician to consider when reviewing the treatment effectiveness as assessed by PROs. The focus is on the St George's Respiratory Questionnaire for worked examples, but the principles apply equally to other symptom-based questionnaires. A number of different ways of presenting PRO data are discussed, including the concept of the minimum clinically important difference, whether there is a ceiling effect to PRO results, and the strengths and weaknesses of responder analyses. Using a worked example, the value of including a placebo arm in a study is illustrated, and the influence of the study on PRO results is considered, in terms of the design, patient withdrawal, and the selection of the study population. For the practising clinician, the most important consideration is the importance of individualization of treatment (and of treatment goals). To inform such treatment, clinicians need to critically review PRO data. The hope is that the questions posed here will help to build a framework for this critical review.

Medical messages in the media--barriers and solutions to improving medical journalism.

PubMed

Larsson, Anna; Oxman, Andrew D; Carling, Cheryl; Herrin, Jeph

2003-12-01

Medical issues are widely reported in the mass media. These reports influence the general public, policy makers and health-care professionals. This information should be valid, but is often criticized for being speculative, inaccurate and misleading. An understanding of the obstacles medical reporters meet in their work can guide strategies for improving the informative value of medical journalism. To investigate constraints on improving the informative value of medical reports in the mass media and elucidate possible strategies for addressing these. We reviewed the literature and organized focus groups, a survey of medical journalists in 37 countries, and semi-structured telephone interviews. We identified nine barriers to improving the informative value of medical journalism: lack of time, space and knowledge; competition for space and audience; difficulties with terminology; problems finding and using sources; problems with editors and commercialism. Lack of time, space and knowledge were the most common obstacles. The importance of different obstacles varied with the type of media and experience. Many health reporters feel that it is difficult to find independent experts willing to assist journalists, and also think that editors need more education in critical appraisal of medical news. Almost all of the respondents agreed that the informative value of their reporting is important. Nearly everyone wanted access to short, reliable and up-to-date background information on various topics available on the Internet. A majority (79%) was interested in participating in a trial to evaluate strategies to overcome identified constraints. Medical journalists agree that the validity of medical reporting in the mass media is important. A majority acknowledge many constraints. Mutual efforts of health-care professionals and journalists employing a variety of strategies will be needed to address these constraints.

Medical messages in the media – barriers and solutions to improving medical journalism

PubMed Central

Larsson, Anna; Oxman, Andrew D; Carling, Cheryl; Herrin, Jeph

2003-01-01

Abstract Context  Medical issues are widely reported in the mass media. These reports influence the general public, policy makers and health‐care professionals. This information should be valid, but is often criticized for being speculative, inaccurate and misleading. An understanding of the obstacles medical reporters meet in their work can guide strategies for improving the informative value of medical journalism. Objective  To investigate constraints on improving the informative value of medical reports in the mass media and elucidate possible strategies for addressing these. Design  We reviewed the literature and organized focus groups, a survey of medical journalists in 37 countries, and semi‐structured telephone interviews. Results  We identified nine barriers to improving the informative value of medical journalism: lack of time, space and knowledge; competition for space and audience; difficulties with terminology; problems finding and using sources; problems with editors and commercialism. Lack of time, space and knowledge were the most common obstacles. The importance of different obstacles varied with the type of media and experience. Many health reporters feel that it is difficult to find independent experts willing to assist journalists, and also think that editors need more education in critical appraisal of medical news. Almost all of the respondents agreed that the informative value of their reporting is important. Nearly everyone wanted access to short, reliable and up‐to‐date background information on various topics available on the Internet. A majority (79%) was interested in participating in a trial to evaluate strategies to overcome identified constraints. Conclusion  Medical journalists agree that the validity of medical reporting in the mass media is important. A majority acknowledge many constraints. Mutual efforts of health‐care professionals and journalists employing a variety of strategies will be needed to address these constraints. PMID:15040794

Gathering and using information on a global scale

NASA Technical Reports Server (NTRS)

Mathews, C. W.

1977-01-01

The importance of information gathered, integrated and analyzed over broad regions of the world is discussed. Means of acquiring information on critical areas are outlined, and the particular role that remote sensing can play is described in each case. The possible implementation of a global information system and some of the current difficulties in initiation of such a system on an operational basis are explored. In this way, issues will be surfaced for consideration. Topics include: the importance of innovative leadership, and some actions that the government might take, both in Congress and in the Executive Branch; the relationship of U.S. government activities to international interests and to industry; and the need to stimulate more private sector initiative and to transfer responsibilities from government to commercial interests.

Encourage Risk, Failure and Values-Driven Decision Making, by Developing and Integrating Ethical and Critical Thinking in Geocurricula

NASA Astrophysics Data System (ADS)

Vasko, A.

2015-12-01

Critical thinking is characterized by risk or uncertainty. Ethical thinking determines if an individual will conform to accepted cultural or professional standards of conduct. Both of these skills are desirable, but have attributes that people tend to resist or avoid. This presentation briefly examines the cognitive nature and development of these two skills. Various outcomes and consequences are illustrated when different ethics and critical thinking strategies are employed to solve the same problem. Further discussion around: why are these skills important, and what particular traits directly impact geosciences? How can educators integrate ethical and critical thinking skills into formal or informal teaching environments? What are the benefits to geoscience and society with individuals who are engaged as ethical and critical thinkers? Do we as geoscientists, have a responsibility to advocate in promoting the development of positive critical and ethical thinking abilities?

Important and Critical Psychological Attributes of USAF MQ-1 Predator and MQ-9 Reaper Pilots According to Subject Matter Experts

DTIC Science & Technology

2011-05-01

and skills required for military-specific RPAs such as the Pioneer (e.g., Ref 20,21) and Global Hawk (Nagy JE, Muse K , Eaton G , Phillips A, U.S. Air...Analyses, Predator Pilot Front End Analysis (FEA) Report, SURVIAC-TR-06-203, Feb 2006 ; available through the Defense Technical Information Center to U.S...assessing the critical attributes (e.g., subscales of verbal and performance intelligence quotients ) prior to entering the training pipeline. Aeromedical

Becoming business critical: Knowledge for Healthcare.

PubMed

Lacey Bryant, Sue; Stewart, David; Goswami, Louise; Grant, Maria J

2016-09-01

Significant progress has been made in implementing Knowledge for Healthcare. This editorial reports the central contribution of effective partnerships and the involvement of librarians and knowledge specialists in this work. There are compelling business priorities. Key elements of work-streams on demonstrating impact, workforce development and streamlining are indicated, along with areas of growing importance - knowledge management, embedded roles and health information for the public and patients. Knowledge, and the skills to help people to use it, are business critical. © 2016 Health Libraries Group.

Content Is King: Databases Preserve the Collective Information of Science.

PubMed

Yates, John R

2018-04-01

Databases store sequence information experimentally gathered to create resources that further science. In the last 20 years databases have become critical components of fields like proteomics where they provide the basis for large-scale and high-throughput proteomic informatics. Amos Bairoch, winner of the Association of Biomolecular Resource Facilities Frederick Sanger Award, has created some of the important databases proteomic research depends upon for accurate interpretation of data.

Using internet search engines and library catalogs to locate toxicology information.

PubMed

Wukovitz, L D

2001-01-12

The increasing importance of the Internet demands that toxicologists become aquainted with its resources. To find information, researchers must be able to effectively use Internet search engines, directories, subject-oriented websites, and library catalogs. The article will explain these resources, explore their benefits and weaknesses, and identify skills that help the researcher to improve search results and critically evaluate sources for their relevancy, validity, accuracy, and timeliness.

Bootstrap percolation on spatial networks

NASA Astrophysics Data System (ADS)

Gao, Jian; Zhou, Tao; Hu, Yanqing

2015-10-01

Bootstrap percolation is a general representation of some networked activation process, which has found applications in explaining many important social phenomena, such as the propagation of information. Inspired by some recent findings on spatial structure of online social networks, here we study bootstrap percolation on undirected spatial networks, with the probability density function of long-range links’ lengths being a power law with tunable exponent. Setting the size of the giant active component as the order parameter, we find a parameter-dependent critical value for the power-law exponent, above which there is a double phase transition, mixed of a second-order phase transition and a hybrid phase transition with two varying critical points, otherwise there is only a second-order phase transition. We further find a parameter-independent critical value around -1, about which the two critical points for the double phase transition are almost constant. To our surprise, this critical value -1 is just equal or very close to the values of many real online social networks, including LiveJournal, HP Labs email network, Belgian mobile phone network, etc. This work helps us in better understanding the self-organization of spatial structure of online social networks, in terms of the effective function for information spreading.

BrassiBase: introduction to a novel knowledge database on Brassicaceae evolution.

PubMed

Kiefer, Markus; Schmickl, Roswitha; German, Dmitry A; Mandáková, Terezie; Lysak, Martin A; Al-Shehbaz, Ihsan A; Franzke, Andreas; Mummenhoff, Klaus; Stamatakis, Alexandros; Koch, Marcus A

2014-01-01

The Brassicaceae family (mustards or crucifers) includes Arabidopsis thaliana as one of the most important model species in plant biology and a number of important crop plants such as the various Brassica species (e.g. cabbage, canola and mustard). Moreover, the family comprises an increasing number of species that serve as study systems in many fields of plant science and evolutionary research. However, the systematics and taxonomy of the family are very complex and access to scientifically valuable and reliable information linked to species and genus names and its interpretation are often difficult. BrassiBase is a continuously developing and growing knowledge database (http://brassibase.cos.uni-heidelberg.de) that aims at providing direct access to many different types of information ranging from taxonomy and systematics to phylo- and cytogenetics. Providing critically revised key information, the database intends to optimize comparative evolutionary research in this family and supports the introduction of the Brassicaceae as the model family for evolutionary biology and plant sciences. Some features that should help to accomplish these goals within a comprehensive taxonomic framework have now been implemented in the new version 1.1.9. A 'Phylogenetic Placement Tool' should help to identify critical accessions and germplasm and provide a first visualization of phylogenetic relationships. The 'Cytogenetics Tool' provides in-depth information on genome sizes, chromosome numbers and polyploidy, and sets this information into a Brassicaceae-wide context.

Investment Policies for College and University Endowments.

ERIC Educational Resources Information Center

Spitz, William T.

1999-01-01

College trustees have a responsibility to institute investment policies that preserve real endowment value. The chief financial officer's responsibility varies, but at a minimum should provide the board with essential information and ensure that trustees understand the importance of policy decisions. Critical tasks include establishing and…

Retirement Preparation Guide.

ERIC Educational Resources Information Center

Maddron, Edith, Ed.

This guide consists of ten articles, each introducing a separate issue important to retirement planning. The series discusses a wide range of information about critical retirement issues and explores the uncertainties, expectations, and decisions that confront the future retiree. The articles also contain suggestions and planning aids, worksheets,…

Who needs environmental monitoring?

Treesearch

Gary M. Lovett; Douglas A. Burns; Charles T. Driscoll; Jennifer C. Jenkins; Myron J. Mitchell; Lindsey Rustad; James B. Shanley; Gene E. Likens; Richard Haeuber

2007-01-01

Environmental monitoring is often criticized as being unscientific, too expensive, and wasteful. While some monitoring studies do suffer from these problems, there are also many highly successful long-term monitoring programs that have provided important scientific advances and crucial information for environmental policy. Here, we discuss the characteristics of...

How chemical ripeners of sugarcane affect the starch and color quality of juices

USDA-ARS?s Scientific Manuscript database

The application of chemical ripeners is an important component of sugarcane cultivation management to increase sucrose concentrations. Unfortunately, very little information is available concerning the effects of ripener on quality parameters which are critical to both factory and refinery processi...

Early Detection of Regime Shifts in Complex Systems from Fisher Information

EPA Science Inventory

The central goal of sustainability is the maintenance of environmental conditions, which are favorable to human existence. A critically important element then is the resilience of the dynamic regime that one wishes to sustain. Resilient systems are able to withstand perturbations...

Scientists not Sponges: STEM Interest and Inquiry in Early Childhood

NASA Astrophysics Data System (ADS)

Jipson, J. L.; Callanan, M. A.; Schultz, G.; Hurst, A.

2014-07-01

Young children are fascinated by the natural world. They explore endlessly, with both a sense of wonder and determination, usually in self-directed investigations or informal interactions with peers and adults. Capitalizing on this early period of spontaneous interest and inquiry is critical to efforts to promote lifelong STEM literacy. To inform education and public outreach efforts, it is important to consider common assumptions about how children of this age learn and consider how such assumptions influence the ways we support children's learning. Four metaphors for children learning are investigated in this paper: the young child as sponge, the young child as unlit match, the young child as scientist, and the young child as apprentice. As we critically evaluate these views on learning, we share research findings from developmental psychology that demonstrate that children's engagement with STEM begins well before kindergarten, that children between three and five years of age develop surprisingly sophisticated scientific reasoning capacities and conceptual knowledge, and that parents play an important role in structuring and supporting preschool children's learning.

The public role in promoting child health information technology.

PubMed

Conway, Patrick H; White, P Jonathan; Clancy, Carolyn

2009-01-01

The public sector plays an important role in promoting child health information technology. Public sector support is essential in 5 main aspects of child health information technology, namely, data standards, pediatric functions in health information systems, privacy policies, research and implementation funding, and incentives for technology adoption. Some innovations in health information technology for adult populations can be transferred to or adapted for children, but there also are unique needs in the pediatric population. Development of health information technology that addresses children's needs and effective adoption of that technology are critical for US children to receive care of the highest possible quality in the future.

A Systematic Investigation on Barriers and Critical Success Factors for Clinical Information Systems in Integrated Care Settings.

PubMed

Hoerbst, A; Schweitzer, M

2015-08-13

Clinical Information Systems (CIS) have ever since the introduction of information technology in healthcare played an important role to support healthcare professionals and the process of treatment. With the rise of the concept of integrated care organizational borders, the sole focus on data aggregation or healthcare professionals as users disappear more and more. The manuscript discusses the concept of CISs and investigates critical success factors for CISs in the context of integrated care and in the course of time. In order to identify critical success factors and barriers for CISs a systematic literature review was conducted based on the results from PubMed and Cochrane, using MaxQDA. Search results were thereby limited to reviews or meta-analysis. We have found 1919 references of which 40 met the inclusion criteria. The analysis of the manuscripts resulted in a comprehensive list of success factors and barriers related to CISs in integrated care settings. Most barriers were user-related whereas for the success factors an even distribution of organizational, technical and user-related factors was observed. The vast majority of publications was focused on healthcare professionals. It is important to incorporate experiences made/ collected over time, as the problems encountered seem to remain almost unvaried. In order to support further systematic investigations on the topic it is necessary to rethink existing concepts and definitions to realign them with the ideas of integrated care.

Order Without Intellectual Property Law: Open Science in Influenza.

PubMed

Kapczynski, Amy

Today, intellectual property (IP) scholars accept that IP as an approach to information production has serious limits. But what lies beyond IP? A new literature on "intellectual production without IP" (or "IP without IP") has emerged to explore this question, but its examples and explanations have yet to convince skeptics. This Article reorients this new literature via a study of a hard case: a global influenza virus-sharing network that has for decades produced critically important information goods, at significant expense, and in a loose-knit group--all without recourse to IP. I analyze the Network as an example of "open science," a mode of information production that differs strikingly from conventional IP, and yet that successfully produces important scientific goods in response to social need. The theory and example developed here refute the most powerful criticisms of the emerging "IP without IP" literature, and provide a stronger foundation for this important new field. Even where capital costs are high, creation without IP can be reasonably effective in social terms, if it can link sources of funding to reputational and evaluative feedback loops like those that characterize open science. It can also be sustained over time, even by loose-knit groups and where the stakes are high, because organizations and other forms of law can help to stabilize cooperation. I also show that contract law is well suited to modes of information production that rely upon a "supply side" rather than "demand side" model. In its most important instances, "order without IP" is not order without governance, nor order without law. Recognizing this can help us better ground this new field, and better study and support forms of knowledge production that deserve our attention, and that sometimes sustain our very lives.

Current thinking in qualitative research: evidence-based practice, moral philosophies, and political struggle.

PubMed

Papadimitriou, Christina; Magasi, Susan; Frank, Gelya

2012-01-01

In this introduction to the special issue on current thinking in qualitative research and occupational therapy and science, the authors focus on the importance of rigorous qualitative research to inform occupational therapy practice. The authors chosen for this special issue reflect a "second generation of qualitative researchers" who are critical, theoretically sophisticated, methodologically productive, and politically relevant to show that working with disabled clients is political work. Three themes emerged across the articles included in this special issue: (1) recognizing and addressing social justice issues; (2) learning from clients' experiences; and (3) critically reframing occupational therapy's role. These themes can inform occupational therapy practice, research, and education to reflect a more client-centered and politically engaging approach. Copyright 2012, SLACK Incorporated.

Assessing congenital malformation risk from medications used in pregnancy: The contribution of NBDPS in pregnancy labeling of prescription drug products.

PubMed

Tassinari, Melissa S; Sahin, Leyla; Yao, Lynne P

2015-08-01

Obtaining human pregnancy data to inform product labeling is important for drug and biological products. Collection and analyses of safety data on their use during pregnancy is usually performed after approval. The Centers for Disease Control National Birth Defects Prevention Study has provided important data on the relationship between drug use in pregnancy and birth defects. The Pregnancy and Lactation Labeling Rule will set new and improved standards for the inclusion of information about the use of prescription drugs and biological products during pregnancy; the National Birth Defects Prevention Study, along with other data sources, will be critical for providing safety data to inform product labeling. © 2015 Wiley Periodicals, Inc.

Research Library Issues: A Report from ARL, CNI, and SPARC. RLI 283

ERIC Educational Resources Information Center

Baughman, M. Sue, Ed.

2013-01-01

"Research Library Issues" ("RLI") focuses on current and emerging topics that are strategically important to research libraries. The articles explore issues, share information, pose critical questions, and provide examples. This issue includes the following articles: (1) Special at the Core: Aligning, Integrating, and…

Psychology and Adult Learning. Second Edition.

ERIC Educational Resources Information Center

Tennant, Mark

This book provides a critical account of the psychological theories that have informed contemporary adult education theory and practice. Chapter 1 discusses the importance of balancing description, critique, and comments on each theory's influence on adult education and the need to understand psychological development throughout the life span. The…

Beginning Farmer Education in Iowa: Implications to Extension.

ERIC Educational Resources Information Center

Trede, Larry D.

1998-01-01

Responses from 138 of 286 beginning Iowa farmers rated experiential learning, problem solving, and critical thinking as important skills. Cutting-edge technologies were preferred for extension program delivery, as well as verbal rather than printed information. Highly rated topics included business management of farming. Extension was well…

Critical factors for sustainable food procurement in zoological collections.

PubMed

Hanson, Jonathan H

2015-01-01

Food procurement can play an important role in sustainable food supply chain management by zoos, linking organizational operations to the biodiversity conservation and sustainability mission of zoological collections. This study therefore examines the critical factors that shape sustainable food procurement in zoo and aquariums. Using a web-based survey data was collected from 41 members of the British and Irish Association of Zoos and Aquariums (BIAZA). This included information on the sustainable food procurement practices of these institutions for both their human and animal food supply chains, as well as profile information and data on the factors contributing to and inhibiting sustainable procurement practices. Zoological collections operated by charities, and those with a certified sustainability standard, were found to have significantly higher levels of sustainable food procurement. Zoos and aquariums whose human food operations were not contracted to an external party were also found to have significantly higher levels of sustainable food procurement in their human food supply chain. The most important drivers of sustainable food procurement were cost savings, adequate financial support and improved product quality. The highest ranking barriers were higher costs, other issues taking priority and a lack of alternative suppliers. The results suggest that a number of critical factors shape sustainable food procurement in zoological collections in the British Isles. Financial factors, such as cost savings, were important considerations. The significance of mission-related factors, such as charity status, indicated that core values held by zoos and aquariums can also influence their food procurement practices. © 2015 Wiley Periodicals, Inc.

Virtual test: A student-centered software to measure student's critical thinking on human disease

NASA Astrophysics Data System (ADS)

Rusyati, Lilit; Firman, Harry

2016-02-01

The study "Virtual Test: A Student-Centered Software to Measure Student's Critical Thinking on Human Disease" is descriptive research. The background is importance of computer-based test that use element and sub element of critical thinking. Aim of this study is development of multiple choices to measure critical thinking that made by student-centered software. Instruments to collect data are (1) construct validity sheet by expert judge (lecturer and medical doctor) and professional judge (science teacher); and (2) test legibility sheet by science teacher and junior high school student. Participants consisted of science teacher, lecturer, and medical doctor as validator; and the students as respondent. Result of this study are describe about characteristic of virtual test that use to measure student's critical thinking on human disease, analyze result of legibility test by students and science teachers, analyze result of expert judgment by science teachers and medical doctor, and analyze result of trial test of virtual test at junior high school. Generally, result analysis shown characteristic of multiple choices to measure critical thinking was made by eight elements and 26 sub elements that developed by Inch et al.; complete by relevant information; and have validity and reliability more than "enough". Furthermore, specific characteristic of multiple choices to measure critical thinking are information in form science comic, table, figure, article, and video; correct structure of language; add source of citation; and question can guide student to critical thinking logically.

Working memory for conjunctions relies on the medial temporal lobe.

PubMed

Olson, Ingrid R; Page, Katie; Moore, Katherine Sledge; Chatterjee, Anjan; Verfaellie, Mieke

2006-04-26

A prominent theory of hippocampal function proposes that the hippocampus is importantly involved in relating or binding together separate pieces of information to form an episodic representation. This hypothesis has only been applied to studies of long-term memory because the paradigmatic view of the hippocampus is that it is not critical for short-term forms of memory. However, relational processing is important in many working memory tasks, especially tasks using visual stimuli. Here, we test the hypothesis that the medial temporal lobes are important for relational memory even over short delays. The task required patients with medial temporal lobe amnesia and controls to remember three objects, locations, or object-location conjunctions over 1 or 8 s delays. The results show that working memory for objects and locations was at normal levels, but that memory for conjunctions was severely impaired at 8 s delays. Additional analyses suggest that the hippocampus per se is critical for accurate conjunction working memory. We propose that the hippocampus is critically involved in memory for conjunctions at both short and long delays.

Working Memory for Conjunctions Relies on the Medial Temporal Lobe

PubMed Central

Olson, Ingrid R.; Page, Katie; Moore, Katherine Sledge; Chatterjee, Anjan; Verfaellie, Mieke

2006-01-01

A prominent theory of hippocampal function proposes that the hippocampus is importantly involved in relating or binding together separate pieces of information to form an episodic representation. This hypothesis has only been applied to studies of long-term memory because the paradigmatic view of the hippocampus is that it is not critical for short-term forms of memory. However, relational processing is important in many working memory tasks, especially tasks using visual stimuli. Here, we test the hypothesis that the medial temporal lobes are important for relational memory even over short delays. The task required patients with medial temporal lobe amnesia and controls to remember three objects, locations, or object-location conjunctions over 1 or 8 s delays. The results show that working memory for objects and locations was at normal levels, but that memory for conjunctions was severely impaired at 8 s delays. Additional analyses suggest that the hippocampus per se is critical for accurate conjunction working memory. We propose that the hippocampus is critically involved in memory for conjunctions at both short and long delays. PMID:16641239

Assessing Space Exploration Technology Requirements as a First Step Towards Ensuring Technology Readiness for International Cooperation in Space Exploration

NASA Technical Reports Server (NTRS)

Laurini, Kathleen C.; Hufenbach, Bernhard; Satoh, Maoki; Piedboeuf, Jean-Claude; Neumann, Benjamin

2010-01-01

Advancing critical and enhancing technologies is considered essential to enabling sustainable and affordable human space exploration. Critical technologies are those that enable a certain class of mission, such as technologies necessary for safe landing on the Martian surface, advanced propulsion, and closed loop life support. Others enhance the mission by leading to a greater satisfaction of mission objectives or increased probability of mission success. Advanced technologies are needed to reduce mass and cost. Many space agencies have studied exploration mission architectures and scenarios with the resulting lists of critical and enhancing technologies being very similar. With this in mind, and with the recognition that human space exploration will only be enabled by agencies working together to address these challenges, interested agencies participating in the International Space Exploration Coordination Group (ISECG) have agreed to perform a technology assessment as an important step in exploring cooperation opportunities for future exploration mission scenarios. "The Global Exploration Strategy: The Framework for Coordination" was developed by fourteen space agencies and released in May 2007. Since the fall of 2008, several International Space Exploration Coordination Group (ISECG) participating space agencies have been studying concepts for human exploration of the moon. They have identified technologies considered critical and enhancing of sustainable space exploration. Technologies such as in-situ resource utilization, advanced power generation/energy storage systems, reliable dust resistant mobility systems, and closed loop life support systems are important examples. Similarly, agencies such as NASA, ESA, and Russia have studied Mars exploration missions and identified critical technologies. They recognize that human and robotic precursor missions to destinations such as LEO, moon, and near earth objects provide opportunities to demonstrate the technologies needed for Mars mission. Agencies see the importance of assessing gaps and overlaps in their plans to advance technologies in order to leverage their investments and enable exciting missions as soon as practical. They see the importance of respecting the ability of any agency to invest in any technologies considered interesting or strategic. This paper will describe the importance of developing an appropriate international strategy for technology development and ideas for effective mechanisms for advancing an international strategy. This work will both inform and be informed by the development of an ISECG Global Exploration Roadmap and serve as a concrete step forward in advancing the Global Exploration Strategy.

Advancing the Science of Qualitative Research to Promote Health Equity.

PubMed

Griffith, Derek M; Shelton, Rachel C; Kegler, Michelle

2017-10-01

Qualitative methods have long been a part of health education research, but how qualitative approaches advance health equity has not been well described. Qualitative research is an increasingly important methodologic tool to use in efforts to understand, inform, and advance health equity. Qualitative research provides critical insight into the subjective meaning and context of health that can be essential for understanding where and how to intervene to inform health equity research and practice. We describe the larger context for this special theme issue of Health Education & Behavior, provide brief overviews of the 15 articles that comprise the issue, and discuss the promise of qualitative research that seeks to contextualize and illuminate answers to research questions in efforts to promote health equity. We highlight the critical role that qualitative research can play in considering and incorporating a diverse array of contextual information that is difficult to capture in quantitative research.

Vital pathways for hospital librarians: present and future roles

PubMed Central

Holst, Ruth; Funk, Carla J.; Adams, Heidi Sue; Bandy, Margaret; Boss, Catherine Mary; Hill, Beth; Joseph, Claire B.; Lett, Rosalind K.

2009-01-01

Objectives: The research objectives were to (1) describe the current and future roles of hospital librarians and the challenges they face and (2) find evidence supporting the hypothesis that librarians are essential to hospitals in achieving the organizations' mission-critical goals. Method: The authors used results from a previous research study that identified the five organizational mission-critical goals important to hospital administrators and then searched the literature and solicited examples from hospital librarians to describe the librarian's role in helping hospitals achieve these goals. Results: The literature supports the hypothesis that hospital librarians play important roles in the success of the hospital. Librarians support quality clinical care, efficient and effective hospital operations, continuing education for staff, research and innovation, and patient, family, and community health information needs. Conclusion: Hospital librarians fulfill many mission-critical roles in today's hospital, providing the right information at the right time in a variety of ways to enhance hospital and medical staff effectiveness, optimize patient care, improve patient outcomes, and increase patient and family satisfaction with the hospital and its services. Because hospital librarians and their services provide an excellent return on investment for the hospital and help the hospital keep its competitive edge, hospital staff should have access to the services of a professional librarian. PMID:19851493

Vital pathways for hospital librarians: present and future roles.

PubMed

Holst, Ruth; Funk, Carla J; Adams, Heidi Sue; Bandy, Margaret; Boss, Catherine Mary; Hill, Beth; Joseph, Claire B; Lett, Rosalind K

2009-10-01

The research objectives were to (1) describe the current and future roles of hospital librarians and the challenges they face and (2) find evidence supporting the hypothesis that librarians are essential to hospitals in achieving the organizations' mission-critical goals. The authors used results from a previous research study that identified the five organizational mission-critical goals important to hospital administrators and then searched the literature and solicited examples from hospital librarians to describe the librarian's role in helping hospitals achieve these goals. The literature supports the hypothesis that hospital librarians play important roles in the success of the hospital. Librarians support quality clinical care, efficient and effective hospital operations, continuing education for staff, research and innovation, and patient, family, and community health information needs. Hospital librarians fulfill many mission-critical roles in today's hospital, providing the right information at the right time in a variety of ways to enhance hospital and medical staff effectiveness, optimize patient care, improve patient outcomes, and increase patient and family satisfaction with the hospital and its services. Because hospital librarians and their services provide an excellent return on investment for the hospital and help the hospital keep its competitive edge, hospital staff should have access to the services of a professional librarian.

Participatory Design, User Involvement and Health IT Evaluation.

PubMed

Kushniruk, Andre; Nøhr, Christian

2016-01-01

End user involvement and input into the design and evaluation of information systems has been recognized as being a critical success factor in the adoption of information systems. Nowhere is this need more critical than in the design of health information systems. Consistent with evidence from the general software engineering literature, the degree of user input into design of complex systems has been identified as one of the most important factors in the success or failure of complex information systems. The participatory approach goes beyond user-centered design and co-operative design approaches to include end users as more active participants in design ideas and decision making. Proponents of participatory approaches argue for greater end user participation in both design and evaluative processes. Evidence regarding the effectiveness of increased user involvement in design is explored in this contribution in the context of health IT. The contribution will discuss several approaches to including users in design and evaluation. Challenges in IT evaluation during participatory design will be described and explored along with several case studies.

Drug Information Services Today: Current Role and Future Perspectives in Rational Drug Therapy.

PubMed

Amundstuen Reppe, Linda; Spigset, Olav; Schjøtt, Jan

2016-02-01

Polypharmacy and complex drug treatment regimens are becoming increasingly common, which may lead to adverse drug reactions, drug interactions, medication nonadherence, and increasing costs and thus challenge the rational use of drugs. At the same time, the accessibility of drug information increases, and health care professionals may have limited opportunities and capabilities to search and critically evaluate drug information. Clinicians have reported difficulties in searching the best evidence and translating study findings into clinically meaningful information applicable to specific patients. Consequently, it remains a challenge to ensure the rational use of drugs in the years to come. Drug information centers (DICs) have been established to promote the rational use of drugs. One of the most important tasks of DICs is the question and answer services for health care professionals posing drug-related questions. DICs staffed by pharmacists and clinical pharmacologists hold expertise in searching for drug information and critical evaluation of the literature. The uniqueness in this service lies not only in the identification and interpretation of the scientific literature but also in the adaptation of the findings into specific clinical situations and the discussion of possible solutions with the enquirer. Thus, DICs could provide valuable decision support to the clinic. Taking into account the increasing number of possible drug-related questions that will arise today and in the future, the DICs will remain highly relevant in the years to come. However, the DICs must follow the developments in health information technology to disseminate relevant, unbiased drug information to old and new users of the service. Moreover, the DICs are important tools to counterbalance the drug information published by the pharmaceutical industry. Copyright © 2016 Elsevier HS Journals, Inc. All rights reserved.

Selective exposure: the impact of collectivism and individualism.

PubMed

Kastenmüller, Andreas; Greitemeyer, Tobias; Jonas, Eva; Fischer, Peter; Frey, Dieter

2010-12-01

Previous research has found that people prefer information that supports rather than conflicts with their decisions (selective exposure). In the present three studies, we investigated the impact of collectivism and individualism on this bias. First, based on previous findings showing that collectivists compared to individualists are inclined to seek the 'middle way' and tend towards self-criticism, we predicted and found that the confirmation bias was more negative among collectivists compared to individualists. Second, we assumed that the difference between selected supporting versus conflicting information would move more in favour of conflicting information among both collectivists and individualists when the domain was important to them. As predicted (chronic and primed), collectivists and individualists, respectively, sought more conflicting (compared to supporting) information depending on whether collectivistic (e.g., the family) or individualistic (e.g., one's own uniqueness) attributes were important.

Regulation of health information processing in an outsourcing environment.

PubMed

2004-06-01

Policy makers must consider the work force, technology, cost, and legal implications of their legislative proposals. AHIMA, AAMT, CHIA, and MTIA urge lawmakers to craft regulatory solutions that enforce HIPAA and support advancements in modern health information processing practices that improve the quality and cost of healthcare. We also urge increased investment in health information work force development and implementation of new technologies to advance critical healthcare outcomes--timely, accurate, accessible, and secure information to support patient care. It is essential that state legislatures reinforce the importance of improving information processing solutions for healthcare and not take actions that will produce unintended and detrimental consequences.

New research developments and insights from Metabolism

PubMed Central

Farr, Olivia M.; Camp, Michelle; Mantzoros, Christos S.

2015-01-01

In a field of great importance to daily life and clinical care, metabolic-related research covers a wealth of information and knowledge. This broad field encompasses a number of physical states that are increasingly critical to study, including obesity, type 2 diabetes, metabolic syndrome, and cardiovascular disease. Additionally, the impacts of diet, nutrition, and exercise on these physical states are an area of ever-important and expanding research. With the latest advances in metabolic research, much knowledge has been gained. Here, we present the newest findings from research published in Metabolism. We hope that these results provide not only critical knowledge needed for clinical care and daily life, but also a platform for the continuing expansion of research into metabolic-related issues. PMID:25549908

Geologic Measurements using Rover Images: Lessons from Pathfinder with Application to Mars 2001

NASA Technical Reports Server (NTRS)

Bridges, N. T.; Haldemann, A. F. C.; Herkenhoff, K. E.

1999-01-01

The Pathfinder Sojourner rover successfully acquired images that provided important and exciting information on the geology of Mars. This included the documentation of rock textures, barchan dunes, soil crusts, wind tails, and ventifacts. It is expected that the Marie Curie rover cameras will also successfully return important information on landing site geology. Critical to a proper analysis of these images will be a rigorous determination of rover location and orientation. Here, the methods that were used to compute rover position for Sojourner image analysis are reviewed. Based on this experience, specific recommendations are made that should improve this process on the '01 mission.

Aggregate measures of ecosystem services: Can we take the pulse of nature?

USGS Publications Warehouse

Meyerson, L.A.; Baron, Jill S.; Melillo, J.M.; Naiman, R.J.; O'Malley, R.I.; Orians, G.; Palmer, Margaret A.; Pfaff, Alexander S.P.; Running, S.W.; Sala, O.E.

2005-01-01

National scale aggregate indicators of ecosystem services are useful for stimulating and supporting a broad public discussion about trends in the provision of these services. There are important considerations involved in producing an aggregate indicator, including whether the scientific and technological capacity exists, how to address varying perceptions of the societal importance of different services, and how to communicate information about these services to both decision makers and the general public. Although the challenges are formidable, they are not insurmountable. Quantification of ecosystem services and dissemination of information to decision makers and the public is critical for the responsible and sustainable management of natural resources.

Advancing the Profession: Facilitating Critical Research

ERIC Educational Resources Information Center

Learning & Leading with Technology, 2007

2007-01-01

The field of educational technology is under external pressure to provide evidence of identifiable learning outcomes that can be attributed to technology. Leaders within the educational technology research community agree about the importance of such evidence. Each year, ISTE and the Society for Information Technology and Teacher Education (SITE)…

Building Participation through Market Research. The Guide Series in Continuing Education.

ERIC Educational Resources Information Center

Campbell, M. Donald

Market research, important for professional renewal, is a critical part of continuing education program planning. It includes attention to learning needs and learner motivation to participate in continuing education. Informal market research makes use of internal sources, such as enrollment data, program evaluations, policy statements, and staff…

In Situ Carbon Stable Isotope Tracer Experiments Elucidate Carbon Translocation Rates and Allocation Patterns in Zostera marina L. (eelgrass)

EPA Science Inventory

The intertidal seagrass Zostera marina is an important species that provides critical habitat for a number of estuarine species. Despite its widespread distribution, there is limited information on seasonal patterns of carbon dynamics of plants growing in situ, particularly esti...

To Cheat or Not to Cheat: Rationalizing Academic Impropriety

ERIC Educational Resources Information Center

MacGregor, Jason; Stuebs, Martin

2012-01-01

Academic cheating and fraud are becoming more prevalent. The Internet removes barriers and opens access to information and increases the opportunities for academic fraud. The incentives to succeed academically also are increasing as higher education continues to grow in importance. A student's rationalization is the last, critical piece needed to…

EnviroAtlas: A Tool for Accessing, Viewing, & Analyzing Diverse Information for Better Decisions

EPA Science Inventory

EnviroAtlas provides interactive tools and resources for exploring the benefits people receive from nature or :ecosystem goods and services.: Ecosystem goods and services are critically important to human health and well-being, but they are often overlooked due to lack of informa...

Requirements Analysis is Key to Realizing Increased Value from Remote Sensing

NASA Technical Reports Server (NTRS)

Ryan, Robert; Alexander, Timothy M.

2001-01-01

This note explores requirements analysis - one of the critical and very often overlooked activities that enable satellites to measure what is important and to translate observations into effective and affordable information. Recent experience at the Stennis Space Center is used to illuminate some approaches for improving requirements practice.

Using Social Network Analysis to Evaluate Research Productivity and Collaborations

ERIC Educational Resources Information Center

Royal, Kenneth D.; Akers, Kathryn S.; Lybarger, Melanie A.; Zakrajsek, Todd D.

2014-01-01

Research productivity and collaborations are essential aspects of advancing academia. Publishing is a critical mechanism in higher education to allow faculty members to share new information in all disciplinary fields. Due to its importance, scholarly work is often heavily considered for promotion, tenure, compensation, and other merit decisions.…

Dice and DNA

ERIC Educational Resources Information Center

Wernersson, Rasmus

2007-01-01

An important part of teaching students how to use the BLAST tool for searching large sequence databases, is to train the students to think critically about the quality of the sequence hits found--both in terms of the statistical significance and how informative the individual hits are. This paper describes how generating truly random sequences by…

Teaching Writing in the Republic of Colombia, 1800-1850

ERIC Educational Resources Information Center

Clark, Meri L.

2010-01-01

This article examines the enduring importance of handwriting in the early republic of Colombia. Colonial practice informed writing instruction but Colombians re-established it in national terms from the 1820s onward. Teaching writing became a critical tool of state formation: an ideal republic of virtuous functionaries depended on uniform…

Crossroads of Public Art, Nature and Environmental Education

ERIC Educational Resources Information Center

Song, Young Imm Kang

2012-01-01

This paper explores how environmental education through ecological art can help students develop creativity, critical thinking, and an arts-informed notion of being a citizen of the world. In illustrating the importance of uncovering the relationship between environmental education and ecological art, the paper examines how this may be used to…

Critical Evaluation of Animal Alternative Tests for the Identification of Endocrine Active Substances

EPA Science Inventory

A significant amount of research is currently targeted to evaluate alternative test methods that may reduce, refine, or replace the use of animals, while ensuring human and environmental health and safety. It is important that the information gained from the alternative tests pr...

Employer Perceptions of Student Informational Interviewing Skills and Behaviors

ERIC Educational Resources Information Center

Orr, Claudia; Sherony, Bruce; Steinhaus, Carol

2011-01-01

Employers continue to report that soft skills are critically important in obtaining employment and achieving long-term career success. Given the challenging job market for college graduates, business school faculty need to provide practical opportunities for students to develop their soft skills in professional settings. A longitudinal study was…

Improving Undergraduate Climate Change Literacy through Writing: A Pilot Study

ERIC Educational Resources Information Center

Small Griswold, Jennifer D.

2017-01-01

A climate-literate population, capable of making informed decisions related to climate change, is of critical importance as society faces ever-increasing global temperatures and changes in the climate system. This project evaluates the effectiveness of a novel instructional approach that incorporates climate change science into a first-year…

Tackling Climate Change in the Science Classroom

ERIC Educational Resources Information Center

Johnson, Roberta

2013-01-01

Despite the pressures on education and educators today -- seemingly from all sides -- science teachers provide critically important opportunities for students to develop the scientific knowledge and skills they will need as adults. This preparation empowers them to make well-informed decisions as citizens, as well as to use this knowledge as a…

The Experience of Unemployment for Fishery Workers in Newfoundland: What Helps and Hinders.

ERIC Educational Resources Information Center

Borgen, William A.; Amundson, Norman E.; McVicar, Jonathan

2002-01-01

Explores the unemployment experience of people involved in the fishery and living in the outports of Newfoundland and Labrador. Fifty-three critical incident interviews were conducted by community outreach workers. These interviews yielded important information about the factors that facilitated or hindered the unemployment experience. (Contains…

Navigating the Measurement and Monitoring Maze

ERIC Educational Resources Information Center

Brigham, Frederick J.; Berkeley, Sheri; Walker, Erin

2012-01-01

Assessment of students with disabilities is a critical component of special education. In addition to the complexity of assessment (e.g., high-stakes assessments, progress monitoring, diagnosis), the issue is complicated further by the use of acronyms. This can make both explaining and understanding important information related to students very…

The essential SOAP note in an EHR age.

PubMed

Pearce, Patricia F; Ferguson, Laurie Anne; George, Gwen S; Langford, Cynthia A

2016-02-18

This article reviews the traditional Subjective, Objective, Assessment, and Plan (SOAP) note documentation format. The information in the SOAP note is useful to both providers and students for history taking and physical exam, and highlights the importance of including critical documentation details with or without an electronic health record.

78 FR 69689 - Agency Information Collection Activities; Proposed Collection; Comment Request; Hazard Analysis...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-20

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-1427... Critical Control Point Procedures for the Safe and Sanitary Processing and Importing of Juice AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is...

Setting up a CFO Trust Fund

ERIC Educational Resources Information Center

Schaffhauser, Dian

2011-01-01

Understanding the importance of a solid relationship with the head of finance is critical to success, both for the IT department and the institution as a whole. Never has this been truer than in today's bleak economy, as CFOs become increasingly cautious about initiatives that involve significant expense, yet information technology can help…

Adjustment to Kindergarten: Child, Family, and Kindergarten Program Factors.

ERIC Educational Resources Information Center

Hausken, Elvira Germino; Rathbun, Amy H.

Noting that the kindergarten year is important in establishing competencies critical to children's success and achievement in school, and the lack of information on how children make the transition to kindergarten, this study examined differences in parental reports of children's adjustment behaviors for a large, nationally representative sample…

75 FR 49454 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-13

... live poultry from Argentina and the Mexican States of Campeche, Quintana Roo, and Yucatan under certain... will provide APHIS with critical information concerning the origin and history of the items destined... effective defense against the incursion of END from poultry and poultry products imported from Argentina and...

The Analysis of Flipped Learning Centered on Prospective Study

ERIC Educational Resources Information Center

Jeong, Lae-Ok; Kim, Yong-Myeong; Kang, Mun-Koo

2018-01-01

This article describes how the advent of the Information Age has brought an educational tendency to focus on the quality and morality, excluding the quantity of education and rote learning. This highlights the importance of developing competence of critical insight, problem solving, collaboration, communication, creative thinking, and cultural…

Strategic Planning: The Commission on School's Final Report.

ERIC Educational Resources Information Center

Gose, Kenneth F.

1995-01-01

Presents findings from activities undertaken by the North Central Association to determine strategic planning needs for 1995-2000, including a survey of 213 member schools and an environmental scan. Indicates that 91% of the members expressed the importance of keeping schools informed about standards. Lists eight critical elements discovered in…

Linking Academic Emotions and Student Engagement: Mature-Aged Distance Students' Transition to University

ERIC Educational Resources Information Center

Kahu, Ella; Stephens, Christine; Leach, Linda; Zepke, Nick

2015-01-01

Research into both student engagement and student emotions is increasing, with widespread agreement that both are critical determinants of student success in higher education. Less researched are the complex, reciprocal relationships between these important influences. Two theoretical frameworks inform this paper: Pekrun's taxonomy of academic…

Improving management decision processes through centralized communication linkages

NASA Technical Reports Server (NTRS)

Simanton, D. F.; Garman, J. R.

1985-01-01

Information flow is a critical element to intelligent and timely decision-making. At NASA's Johnson Space Center the flow of information is being automated through the use of a centralized backbone network. The theoretical basis of this network, its implications to the horizontal and vertical flow of information, and the technical challenges involved in its implementation are the focus of this paper. The importance of the use of common tools among programs and some future concerns related to file transfer, graphics transfer, and merging of voice and data are also discussed.

Milestones of critical thinking: a developmental model for medicine and nursing.

PubMed

Papp, Klara K; Huang, Grace C; Lauzon Clabo, Laurie M; Delva, Dianne; Fischer, Melissa; Konopasek, Lyuba; Schwartzstein, Richard M; Gusic, Maryellen

2014-05-01

Critical thinking is essential to a health professional's competence to assess, diagnose, and care for patients. Defined as the ability to apply higher-order cognitive skills (conceptualization, analysis, evaluation) and the disposition to be deliberate about thinking (being open-minded or intellectually honest) that lead to action that is logical and appropriate, critical thinking represents a "meta-competency" that transcends other knowledge, skills, abilities, and behaviors required in health care professions. Despite its importance, the developmental stages of critical thinking have not been delineated for nurses and physicians. As part of a task force of educators who considered different developmental stage theories, the authors have iteratively refined and proposed milestones in critical thinking. The attributes associated with unreflective, beginning, practicing, advanced, accomplished, and challenged critical thinkers are conceived as independent of an individual's level of training. Depending on circumstances and environmental factors, even the most experienced clinician may demonstrate attributes associated with a challenged thinker. The authors use the illustrative case of a patient with abdominal pain to demonstrate how critical thinking may manifest in learners at different stages of development, analyzing how the learner at each stage applies information obtained in the patient interaction to arrive at a differential diagnosis and plan for evaluation. The authors share important considerations and provide this work as a foundation for the development of effective approaches to teaching and promoting critical thinking and to establishing expectations for learners in this essential meta-competency.

Part 1: Pressure ulcer assessment - the development of Critical Care Pressure Ulcer Assessment Tool made Easy (CALCULATE).

PubMed

Richardson, Annette; Barrow, Isabel

2015-11-01

Critically ill patients are at high risk of developing pressure ulcers resulting in serious untoward patient and health care system outcomes. Pressure ulcer prevention is therefore an important patient safety priority and establishing a structured approach to pressure ulcer risk assessment to identify patients at risk is a critical first step. The literature was searched using three electronic databases from 2000 to 2011 to identify papers reporting on pressure ulcer risk factors and assessment in adult critical care. The review and appraisal of papers were conducted by two critical care nurses. Papers underwent detailed review if they met inclusion criteria where they identified pressure ulcer assessment scores, scales or risk factors and related to adult critical care patients Seven papers were reviewed. No single assessment tool was sufficiently validated for critically ill patients and seven key critical care risk factors were identified. These risk factors were: mechanical ventilation, impaired circulation, dialysis, long surgery, low protein and too unstable to turn. The tool Critical Care Pressure Ulcer Assessment Tool made Easy (CALCULATE) was developed utilizing the risk factors from the literature and expert critical care nursing consensus decision-making. In the absence of current consensus, valid assessment scales and limited evidence for the most appropriate pressure ulcer assessment for critically ill patients, this assessment tool offers an easy, appropriate alternative for critically ill patients than existing tools primarily validated for acute care wards. 'CALCULATE' offers an important contribution towards the advancement and development of critical care pressure ulcer risk assessment. Future research is needed to further enhance and inform pressure ulcer risk assessment of the critically ill patients. The identification of critical care risk factors may be an indicative method of assessing pressure ulcer risk in the critically ill patients. © 2015 British Association of Critical Care Nurses.

6 CFR 29.4 - Protected Critical Infrastructure Information Program administration.

Code of Federal Regulations, 2014 CFR

2014-01-01

...) Protected Critical Infrastructure Information Management System (PCIIMS). The PCII Program Manager shall... be known as the “Protected Critical Infrastructure Information Management System” (PCIIMS), to record... 6 Domestic Security 1 2014-01-01 2014-01-01 false Protected Critical Infrastructure Information...

6 CFR 29.4 - Protected Critical Infrastructure Information Program administration.

Code of Federal Regulations, 2011 CFR

2011-01-01

...) Protected Critical Infrastructure Information Management System (PCIIMS). The PCII Program Manager shall... be known as the “Protected Critical Infrastructure Information Management System” (PCIIMS), to record... 6 Domestic Security 1 2011-01-01 2011-01-01 false Protected Critical Infrastructure Information...

6 CFR 29.4 - Protected Critical Infrastructure Information Program administration.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Protected Critical Infrastructure Information Management System (PCIIMS). The PCII Program Manager shall... be known as the “Protected Critical Infrastructure Information Management System” (PCIIMS), to record... 6 Domestic Security 1 2010-01-01 2010-01-01 false Protected Critical Infrastructure Information...

6 CFR 29.4 - Protected Critical Infrastructure Information Program administration.

Code of Federal Regulations, 2012 CFR

2012-01-01

...) Protected Critical Infrastructure Information Management System (PCIIMS). The PCII Program Manager shall... be known as the “Protected Critical Infrastructure Information Management System” (PCIIMS), to record... 6 Domestic Security 1 2012-01-01 2012-01-01 false Protected Critical Infrastructure Information...

6 CFR 29.4 - Protected Critical Infrastructure Information Program administration.

Code of Federal Regulations, 2013 CFR

2013-01-01

...) Protected Critical Infrastructure Information Management System (PCIIMS). The PCII Program Manager shall... be known as the “Protected Critical Infrastructure Information Management System” (PCIIMS), to record... 6 Domestic Security 1 2013-01-01 2013-01-01 false Protected Critical Infrastructure Information...

A new approach to design and use of management information.

PubMed

Daft, R L; MacIntosh, N B

1978-01-01

Information, that is both accurate and timely, is probably the most important resource needed by managers to make sound decisions regarding the problems and issues facing their organizations. Unfortunately, sophisticated information systems often fail to meet this need. Managers complain that the data produced by information systems arrive too late, are too general and lack accuracy. Daft and MacIntosh studied the system problems of a number of organizations, discovering that understanding their work activities is critical to the design of successful information systems. The authors also considered the volume of information, preciseness of information and the way in which it is handled by users to develop a model describing information systems. The article illustrates how the model was applied successfully to four case situations.

18 CFR 388.112 - Requests for privileged treatment and Critical Energy Infrastructure Information (CEII) treatment...

Code of Federal Regulations, 2013 CFR

2013-04-01

... treatment and Critical Energy Infrastructure Information (CEII) treatment for documents submitted to the... treatment and Critical Energy Infrastructure Information (CEII) treatment for documents submitted to the... of exemption from disclosure under FOIA, including critical energy infrastructure information (CEII...

18 CFR 388.112 - Requests for privileged treatment and Critical Energy Infrastructure Information (CEII) treatment...

Code of Federal Regulations, 2014 CFR

2014-04-01

... treatment and Critical Energy Infrastructure Information (CEII) treatment for documents submitted to the... treatment and Critical Energy Infrastructure Information (CEII) treatment for documents submitted to the... of exemption from disclosure under FOIA, including critical energy infrastructure information (CEII...

Developing measurement indices to enhance protection and resilience of critical infrastructure and key resources.

PubMed

Fisher, Ronald E; Norman, Michael

2010-07-01

The US Department of Homeland Security (DHS) is developing indices to better assist in the risk management of critical infrastructures. The first of these indices is the Protective Measures Index - a quantitative index that measures overall protection across component categories: physical security, security management, security force, information sharing, protective measures and dependencies. The Protective Measures Index, which can also be recalculated as the Vulnerability Index, is a way to compare differing protective measures (eg fence versus security training). The second of these indices is the Resilience Index, which assesses a site's resilience and consists of three primary components: robustness, resourcefulness and recovery. The third index is the Criticality Index, which assesses the importance of a facility. The Criticality Index includes economic, human, governance and mass evacuation impacts. The Protective Measures Index, Resilience Index and Criticality Index are being developed as part of the Enhanced Critical Infrastructure Protection initiative that DHS protective security advisers implement across the nation at critical facilities. This paper describes two core themes: determination of the vulnerability, resilience and criticality of a facility and comparison of the indices at different facilities.

Data collapse and critical dynamics in neuronal avalanche data

NASA Astrophysics Data System (ADS)

Butler, Thomas; Friedman, Nir; Dahmen, Karin; Beggs, John; Deville, Lee; Ito, Shinya

2012-02-01

The tasks of information processing, computation, and response to stimuli require neural computation to be remarkably flexible and diverse. To optimally satisfy the demands of neural computation, neuronal networks have been hypothesized to operate near a non-equilibrium critical point. In spite of their importance for neural dynamics, experimental evidence for critical dynamics has been primarily limited to power law statistics that can also emerge from non-critical mechanisms. By tracking the firing of large numbers of synaptically connected cortical neurons and comparing the resulting data to the predictions of critical phenomena, we show that cortical tissues in vitro can function near criticality. Among the most striking predictions of critical dynamics is that the mean temporal profiles of avalanches of widely varying durations are quantitatively described by a single universal scaling function (data collapse). We show for the first time that this prediction is confirmed in neuronal networks. We also show that the data have three additional features predicted by critical phenomena: approximate power law distributions of avalanche sizes and durations, samples in subcritical and supercritical phases, and scaling laws between anomalous exponents.

The Importance of Data Quality in Using Health Information Exchange (HIE) Networks to Improve Health Outcomes: Case Study of a HIE Extracted Dataset of Patients with Congestive Heart Failure Participating in a Regional HIE

ERIC Educational Resources Information Center

Cartron-Mizeracki, Marie-Astrid

2016-01-01

Expenditures on health information technology (HIT) for healthcare organizations are growing exponentially and the value of it is the subject of criticism and skepticism. Because HIT is viewed as capable of improving major health care indicators, the government offers incentives to health care providers and organizations to implement solutions.…

EMS Response to Mass Casualty Incidents: The Critical Importance of Automatic Statewide Mutual Aid and MCI Training

DTIC Science & Technology

2008-09-01

difficulty in implementation for each case study. After an overview, each case study is given a score against each of the criteria of “meets” or “exceeds...While expectations may be different for different individuals, the narrative section provides supporting information for the assigned score , with...decrease in response time will improve patient outcome? The narrative discussing the score will give information from the case study on the specific

18 CFR 375.313 - Delegations to the Critical Energy Infrastructure Information Coordinator.

Code of Federal Regulations, 2012 CFR

2012-04-01

... Critical Energy Infrastructure Information Coordinator. 375.313 Section 375.313 Conservation of Power and... COMMISSION Delegations § 375.313 Delegations to the Critical Energy Infrastructure Information Coordinator... requests for critical energy infrastructure information as defined in § 388.113(c)(1). (b) Make...

18 CFR 375.313 - Delegations to the Critical Energy Infrastructure Information Coordinator.

Code of Federal Regulations, 2014 CFR

2014-04-01

... Critical Energy Infrastructure Information Coordinator. 375.313 Section 375.313 Conservation of Power and... COMMISSION Delegations § 375.313 Delegations to the Critical Energy Infrastructure Information Coordinator... requests for critical energy infrastructure information as defined in § 388.113(c)(1). (b) Make...

18 CFR 375.313 - Delegations to the Critical Energy Infrastructure Information Coordinator.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Critical Energy Infrastructure Information Coordinator. 375.313 Section 375.313 Conservation of Power and... COMMISSION Delegations § 375.313 Delegations to the Critical Energy Infrastructure Information Coordinator... requests for critical energy infrastructure information as defined in § 388.113(c)(1). (b) Make...

18 CFR 375.313 - Delegations to the Critical Energy Infrastructure Information Coordinator.

Code of Federal Regulations, 2013 CFR

2013-04-01

... Critical Energy Infrastructure Information Coordinator. 375.313 Section 375.313 Conservation of Power and... COMMISSION Delegations § 375.313 Delegations to the Critical Energy Infrastructure Information Coordinator... requests for critical energy infrastructure information as defined in § 388.113(c)(1). (b) Make...

18 CFR 375.313 - Delegations to the Critical Energy Infrastructure Information Coordinator.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Critical Energy Infrastructure Information Coordinator. 375.313 Section 375.313 Conservation of Power and... COMMISSION Delegations § 375.313 Delegations to the Critical Energy Infrastructure Information Coordinator... requests for critical energy infrastructure information as defined in § 388.113(c)(1). (b) Make...

Palliative Care in Critical Care Settings: A Systematic Review of Communication-Based Competencies Essential for Patient and Family Satisfaction.

PubMed

Schram, Andrew W; Hougham, Gavin W; Meltzer, David O; Ruhnke, Gregory W

2017-11-01

There is an emerging literature on the physician competencies most meaningful to patients and their families. However, there has been no systematic review on physician competency domains outside direct clinical care most important for patient- and family-centered outcomes in critical care settings at the end of life (EOL). Physician competencies are an essential component of palliative care (PC) provided at the EOL, but the literature on those competencies relevant for patient and family satisfaction is limited. A systematic review of this important topic can inform future research and assist in curricular development. Review of qualitative and quantitative empirical studies of the impact of physician competencies on patient- and family-reported outcomes conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines for systematic reviews. The data sources used were PubMed, MEDLINE, Web of Science, and Google Scholar. Fifteen studies (5 qualitative and 10 quantitative) meeting inclusion and exclusion criteria were identified. The competencies identified as critical for the delivery of high-quality PC in critical care settings are prognostication, conflict mediation, empathic communication, and family-centered aspects of care, the latter being the competency most frequently acknowledged in the literature identified. Prognostication, conflict mediation, empathic communication, and family-centered aspects of care are the most important identified competencies for patient- and family-centered PC in critical care settings. Incorporation of education on these competencies is likely to improve patient and family satisfaction with EOL care.

QoS Challenges and Opportunities in Wireless Sensor/Actuator Networks

PubMed Central

Xia, Feng

2008-01-01

A wireless sensor/actuator network (WSAN) is a group of sensors and actuators that are geographically distributed and interconnected by wireless networks. Sensors gather information about the state of physical world. Actuators react to this information by performing appropriate actions. WSANs thus enable cyber systems to monitor and manipulate the behavior of the physical world. WSANs are growing at a tremendous pace, just like the exploding evolution of Internet. Supporting quality of service (QoS) will be of critical importance for pervasive WSANs that serve as the network infrastructure of diverse applications. To spark new research and development interests in this field, this paper examines and discusses the requirements, critical challenges, and open research issues on QoS management in WSANs. A brief overview of recent progress is given. PMID:27879755

Open systems & non-formal education

NASA Astrophysics Data System (ADS)

Wheeler, Gerald F.

1988-10-01

Professor Dib created an important structure that can be used to attach the many and various activities that fall in the category of this title. While I plan to use his structure, I will be emphasizing a different component of his spectrum and promoting a different need. Professor Dib suggested a critical need to move our teaching styles away from formal modes to non-formal modes of delivery. I suggest an equally critical need in the area of informal education. And, I will propose aways to move us toward the same goal, non-formal activities. I believe we need to find ways to use the many informal education activities that occur almost automatically in our societies to move our potential learners to richer non-formal endeavors. Both needs are real; both activities are valid.

Distant supervision for neural relation extraction integrated with word attention and property features.

PubMed

Qu, Jianfeng; Ouyang, Dantong; Hua, Wen; Ye, Yuxin; Li, Ximing

2018-04-01

Distant supervision for neural relation extraction is an efficient approach to extracting massive relations with reference to plain texts. However, the existing neural methods fail to capture the critical words in sentence encoding and meanwhile lack useful sentence information for some positive training instances. To address the above issues, we propose a novel neural relation extraction model. First, we develop a word-level attention mechanism to distinguish the importance of each individual word in a sentence, increasing the attention weights for those critical words. Second, we investigate the semantic information from word embeddings of target entities, which can be developed as a supplementary feature for the extractor. Experimental results show that our model outperforms previous state-of-the-art baselines. Copyright © 2018 Elsevier Ltd. All rights reserved.

An analysis of pilot error-related aircraft accidents

NASA Technical Reports Server (NTRS)

Kowalsky, N. B.; Masters, R. L.; Stone, R. B.; Babcock, G. L.; Rypka, E. W.

1974-01-01

A multidisciplinary team approach to pilot error-related U.S. air carrier jet aircraft accident investigation records successfully reclaimed hidden human error information not shown in statistical studies. New analytic techniques were developed and applied to the data to discover and identify multiple elements of commonality and shared characteristics within this group of accidents. Three techniques of analysis were used: Critical element analysis, which demonstrated the importance of a subjective qualitative approach to raw accident data and surfaced information heretofore unavailable. Cluster analysis, which was an exploratory research tool that will lead to increased understanding and improved organization of facts, the discovery of new meaning in large data sets, and the generation of explanatory hypotheses. Pattern recognition, by which accidents can be categorized by pattern conformity after critical element identification by cluster analysis.

The influence of critical thinking skills on performance and progression in a pre-registration nursing program.

PubMed

Pitt, Victoria; Powis, David; Levett-Jones, Tracy; Hunter, Sharyn

2015-01-01

The importance of developing critical thinking skills in preregistration nursing students is recognized worldwide. Yet, there has been limited exploration of how students' critical thinking skill scores on entry to pre-registration nursing education influence their academic and clinical performance and progression. The aim of this study was to: i) describe entry and exit critical thinking scores of nursing students enrolled in a three year bachelor of nursing program in Australia in comparison to norm scores; ii) explore entry critical thinking scores in relation to demographic characteristics, students' performance and progression. This longitudinal correlational study used the Health Sciences Reasoning Test (HSRT) to measure critical thinking skills in a sample (n=134) of students, at entry and exit (three years later). A one sample t-test was used to determine if differences existed between matched student critical thinking scores between entry and exit points. Academic performance, clinical performance and progression data were collected and correlations with entry critical thinking scores were examined. There was a significant relationship between critical thinking scores, academic performance and students' risk of failing, especially in the first semester of study. Critical thinking scores were predictive of program completion within three years. The increase in critical thinking scores from entry to exit was significant for the 28 students measured. In comparison to norm scores, entry level critical thinking scores were significantly lower, but exit scores were comparable. Critical thinking scores had no significant relationship to clinical performance. Entry critical thinking scores significantly correlate to academic performance and predict students risk of course failure and ability to complete a nursing degree in three years. Students' critical thinking scores are an important determinant of their success and as such can inform curriculum development and selection strategies. Copyright © 2014 Elsevier Ltd. All rights reserved.

Building Stronger State Partnerships with the US Department of Energy (Energy Assurance)

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

Mike Keogh

2011-09-30

From 2007 until 2011, the National Association of Regulatory Utility Commissioners (NARUC) engaged in a partnership with the National Energy Technology Lab (NETL) to improve State-Federal coordination on electricity policy and energy assurance issues. This project allowed State Public Utility Commissioners and their staffs to engage on the most cutting-edge level in the arenas of energy assurance and electricity policy. Four tasks were outlined in the Statement of Performance Objectives: Task 1 - Training for Commissions on Critical Infrastructure Topics; Task 2 - Analyze and Implement Recommendations on Energy Assurance Issues; Task 3 - Ongoing liaison activities & outreach tomore » build stronger networks between federal agencies and state regulators; and Task 4 - Additional Activities. Although four tasks were prescribed, in practice these tasks were carried out under two major activity areas: the critical infrastructure and energy assurance partnership with the US Department of Energy's Infrastructure Security and Emergency Response office, and the National Council on Electricity Policy, a collaborative which since 1994 has brought together State and Federal policymakers to address the most pressing issues facing the grid from restructuring to smart grid implementation. On Critical Infrastructure protection, this cooperative agreement helped State officials yield several important advances. The lead role on NARUC's side was played by our Committee on Critical Infrastructure Protection. Key lessons learned in this arena include the following: (1) Tabletops and exercises work - They improve the capacity of policymakers and their industry counterparts to face the most challenging energy emergencies, and thereby equip these actors with the capacity to face everything up to that point as well. (2) Information sharing is critical - Connecting people who need information with people who have information is a key success factor. However, exposure of critical infrastructure information to bad actors also creates new vulnerabilities. (3) Tensions exist between the transparency-driven basis of regulatory activity and the information-protection requirements of asset protection. (4) Coordination between states is a key success factor - Because comparatively little federal authority exists over electricity and other energy infrastructure, the interstate nature of these energy grids defy centralized command and control governance. Patchwork responses are a risk when addressed at a state-by-state level. Coordination is the key to ensuring consistent response to shared threats. In Electricity Policy, the National Council on Electricity Policy continued to make important strides forward. Coordinated electricity policy among States remains the best surrogate for an absent national electricity policy. In every area from energy efficiency to clean coal, State policies are driving the country's electricity policy, and regional responses to climate change, infrastructure planning, market operation, and new technology deployment depend on a forum for bringing the States together.« less

Optimal channel efficiency in a sensory network

NASA Astrophysics Data System (ADS)

Mosqueiro, Thiago S.; Maia, Leonardo P.

2013-07-01

Spontaneous neural activity has been increasingly recognized as a subject of key relevance in neuroscience. It exhibits nontrivial spatiotemporal structure reflecting the organization of the underlying neural network and has proved to be closely intertwined with stimulus-induced activity patterns. As an additional contribution in this regard, we report computational studies that strongly suggest that a stimulus-free feature rules the behavior of an important psychophysical measure of the sensibility of a sensory system to a stimulus, the so-called dynamic range. Indeed in this paper we show that the entropy of the distribution of avalanche lifetimes (information efficiency, since it can be interpreted as the efficiency of the network seen as a communication channel) always accompanies the dynamic range in the benchmark model for sensory systems. Specifically, by simulating the Kinouchi-Copelli (KC) model on two broad families of model networks, we generically observed that both quantities always increase or decrease together as functions of the average branching ratio (the control parameter of the KC model) and that the information efficiency typically exhibits critical optimization jointly with the dynamic range (i.e., both quantities are optimized at the same value of that control parameter, that turns out to be the critical point of a nonequilibrium phase transition). In contrast with the practice of taking power laws to identify critical points in most studies describing measured neuronal avalanches, we rely on data collapses as more robust signatures of criticality to claim that critical optimization may happen even when the distribution of avalanche lifetimes is not a power law, as suggested by a recent experiment. Finally, we note that the entropy of the size distribution of avalanches (information capacity) does not always follow the dynamic range and the information efficiency when they are critically optimized, despite being more widely used than the latter to describe the computational capabilities of a neural network. This strongly suggests that dynamical rules allowing a proper temporal matching of the states of the interacting neurons is the key for achieving good performance in information processing, rather than increasing the number of available units.

Between-Person and Within-Person Subscore Reliability: Comparison of Unidimensional and Multidimensional IRT Models

ERIC Educational Resources Information Center

Bulut, Okan

2013-01-01

The importance of subscores in educational and psychological assessments is undeniable. Subscores yield diagnostic information that can be used for determining how each examinee's abilities/skills vary over different content domains. One of the most common criticisms about reporting and using subscores is insufficient reliability of subscores.…

Information Sharing in the Age of Hyper-Competition: Opening an International Branch Campus

ERIC Educational Resources Information Center

Streitwieser, Bernhard; Beecher, Bradley

2017-01-01

Higher education institutions today are locked in fierce global competition. This is driven by many factors, but perhaps mostly by the highly public international rankings that exert tremendous pressures on institutional leaders. The importance that rankings have taken on recently (Yudkevich, Altbach, & Rumbley, 2016) critically affects the…

The Role of Spatial Ability and Strategy Preference for Spatial Problem Solving in Organic Chemistry

ERIC Educational Resources Information Center

Stieff, Mike; Ryu, Minjung; Dixon, Bonnie; Hegarty, Mary

2012-01-01

In organic chemistry, spatial reasoning is critical for reasoning about spatial relationships in three dimensions and representing spatial information in diagrams. Despite its importance, little is known about the underlying cognitive components of spatial reasoning and the strategies that students employ to solve spatial problems in organic…

Pictorial Visual Rotation Ability of Engineering Design Graphics Students

ERIC Educational Resources Information Center

Ernst, Jeremy Vaughn; Lane, Diarmaid; Clark, Aaron C.

2015-01-01

The ability to rotate visual mental images is a complex cognitive skill. It requires the building of graphical libraries of information through short or long term memory systems and the subsequent retrieval and manipulation of these towards a specified goal. The development of mental rotation skill is of critical importance within engineering…

Finding Balance at the Elusive Mean

ERIC Educational Resources Information Center

Hudson, Rick A.

2012-01-01

Data analysis plays an important role in people's lives. Citizens need to be able to conduct critical analyses of statistical information in the work place, in their personal lives, and when portrayed by the media. However, becoming a conscientious consumer of statistics is a gradual process. The experiences that students have with data in the…

Nuclear Bashing in Chernobyl Coverage: Fact or Fiction?

ERIC Educational Resources Information Center

Friedman, Sharon M.; And Others

Critics of coverage of nuclear power have charged that the media overemphasize the importance of nuclear accidents, encourage public fear, and omit information vital to public understanding of nuclear power and risk. Some also feel there is an anti-nuclear bias among reporters and editors. A study was conducted to determine if such charges were…

Influences on Participation in a University Faculty and Staff Annual Giving Campaign

ERIC Educational Resources Information Center

Knight, William E.

2004-01-01

As tuition and state support become increasingly constrained, private fund raising is becoming an ever more important source of institutional revenue. Internal faculty and staff giving campaigns are a key part of fund-raising efforts. This study, carried out at a mid-sized, state-assisted, Midwestern university, provided critical information about…

Recognition Decisions from Visual Working Memory Are Mediated by Continuous Latent Strengths

ERIC Educational Resources Information Center

Ricker, Timothy J.; Thiele, Jonathan E.; Swagman, April R.; Rouder, Jeffrey N.

2017-01-01

Making recognition decisions often requires us to reference the contents of working memory, the information available for ongoing cognitive processing. As such, understanding how recognition decisions are made when based on the contents of working memory is of critical importance. In this work we examine whether recognition decisions based on the…

Family Health History Communication Networks of Older Adults: Importance of Social Relationships and Disease Perceptions

ERIC Educational Resources Information Center

Ashida, Sato; Kaphingst, Kimberly A.; Goodman, Melody; Schafer, Ellen J.

2013-01-01

Older individuals play a critical role in disseminating family health history (FHH) information that can facilitate disease prevention among younger family members. This study evaluated the characteristics of older adults and their familial networks associated with two types of communication ("have shared" and "intend to share…

Potential for Knowledge in Action? An Analysis of Korean Green Energy Related K3-12 Curriculum and Texts

ERIC Educational Resources Information Center

Gress, Douglas R.; Shin, Jungyeop

2017-01-01

While understanding green energy development and what drives it are important, there is increasing consensus that sustainability transitions concerning usage need to be viewed in terms of the place specific contexts, including education, that critically mold them. In order to "support" sustainability transitions, information and…

21st Century Skills: The Challenges Ahead

ERIC Educational Resources Information Center

Rotherham, Andrew J.; Willingham, Daniel

2009-01-01

The skills that students need for the 21st century are not really new, assert Rotherham and Willingham. Critical thinking, problem solving, information literacy, and global awareness have been important to human progress throughout history, at least among the elites in different societies. What is new is the extent to which individual and…

The Market Value of Information System (IS) Security: An Event Study of E-Banking Service Providers

ERIC Educational Resources Information Center

Brock, Linda

2012-01-01

Understanding the financial value resulting from IS security investments is critically important to organizations focused on protecting service confidentiality, integrity, and availability in order to preserve firm revenues and reputations. Quantifying the financial effect from IS security investments is difficult to derive. This study…

How do we improve peer review for manuscripts from culturally divergent origins?

PubMed Central

Dart, Anthony

2015-01-01

Objective and informed peer review is critically important to the progress of science. These standards can sometimes be at risk in the evaluation of manuscripts from less culturally familiar places and such evaluations therefore require particular vigilance. Alternative publication strategies may be particularly helpful in these circumstances. PMID:26097688

Building and Strengthening Policy Research Capacity: Key Issues in Canadian Higher Education

ERIC Educational Resources Information Center

Jones, Glen A.

2014-01-01

Given the importance of higher education in social and economic development, governments need to build a strong higher education data and policy research infrastructure to support informed decision-making, provide policy advice, and offer a critical assessment of key trends and issues. The author discusses the decline of higher education policy…

Using Pesticides Safely. Special Circular 296.

ERIC Educational Resources Information Center

Hock, W. K.

The use of pesticides is necessary to aid in the production of food, feed and fiber, and is equally important in the control of home garden and household pests, but correct use is critical in preventing injury to persons, animals, and plants. This circular contains information on State of Pennsylvania and federal pesticide laws; different types of…

76 FR 4918 - Agency Information Collection Activities; Announcement of Office of Management and Budget...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-27

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0357...; Hazard Analysis and Critical Control Point Procedures for the Safe and Sanitary Processing and Importing of Juice AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug...

Commentary: The History of Education for the Next America

ERIC Educational Resources Information Center

Anderson, James

2017-01-01

The Centennial article by Ruben Donato and Jarrod Hanson demonstrates the critical importance of writing the history of America's variegated ethnicity not only for a comprehensive understanding of the past but also to inform future struggles to overturn segregation and inequality in America's schools (see e.g., Ball, 2006). Donato and Hanson…

How do we improve peer review for manuscripts from culturally divergent origins?

PubMed

Dart, Anthony

2015-01-01

Objective and informed peer review is critically important to the progress of science. These standards can sometimes be at risk in the evaluation of manuscripts from less culturally familiar places and such evaluations therefore require particular vigilance. Alternative publication strategies may be particularly helpful in these circumstances.

75 FR 18211 - Agency Information Collection Activities; Proposed Collection; Comment Request; Procedures for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-09

... Importing of Fish and Fishery Products--21 CFR Part 123 (OMB Control Number 0910-0354)-- Extension FDA regulations in part 123 (21 CFR part 123) mandate the application of hazard analysis and critical control point (HACCP) principles to the processing of seafood. HACCP is a preventive system of hazard control...

Parents' and Providers' Views of Important Aspects of Child Care Quality. Publication #2015-13

ERIC Educational Resources Information Center

Sosinsky, Laura; Halle, Tamara; Susman-Stillman, Amy; Cleveland, Jennifer; Li, Weilin

2015-01-01

The Maryland-Minnesota Child Care Research Partnership brought together two states committed to examining critical issues in early care and education and using research findings to inform policy with an interdisciplinary team of researchers experienced in conducting studies on (1) subsidy policy; (2) quality improvement strategies; and (3)…

Core Intervention Components: Identifying and Operationalizing What Makes Programs Work. ASPE Research Brief

ERIC Educational Resources Information Center

Blase, Karen; Fixsen, Dean

2013-01-01

This brief is part of a series that explores key implementation considerations. It focuses on the importance of identifying, operationalizing, and implementing the "core components" of evidence-based and evidence-informed interventions that likely are critical to producing positive outcomes. The brief offers a definition of "core components",…

Product costing program for wood component manufacturers

Treesearch

Adrienn Andersch; Urs Buehlmann; Jeff Palmer; Janice K Wiedenbeck; Steve Lawser

2013-01-01

Accurate and timely product costing information is critically important for companies in planning the optimal utilization of company resources. While an overestimation of product costs can lead to loss of potential business and market share, underestimation of product costs can result in financial losses to the company. This article introduces a product costing program...

A Study of the Effectiveness of the Louisiana Algebra I Online Course

ERIC Educational Resources Information Center

O'Dwyer, Laura M.; Carey, Rebecca; Kleiman, Glenn

2007-01-01

Student enrollment in K-12 online learning programs showed a tenfold expansion in the years between 2002 and 2005. Despite increased implementation to fulfill critical local needs, there is very little evidence-based research available to inform education leaders' decisions relating to these initiatives. To address the important question of…

Building a Personal Learning Network for Intellectual Freedom: Join the Conversation

ERIC Educational Resources Information Center

Keuler, Annalisa

2012-01-01

Building a personal learning network (PLN) for intellectual freedom has long been an important role of a school librarian; however, in the steadily increasing onslaught of digital information that librarians face today, and in the future, the task has become mission-critical. Personal learning, it stands to reason, requires an appropriate dialogue…

The Role of Elaboration in the Comprehension and Retention of Prose: A Critical Review.

ERIC Educational Resources Information Center

Reder, Lynne M.

1980-01-01

Recent research in the area of prose comprehension is reviewed, including factors that affect amount of recall, representations of text structures, and use of world knowledge to aid comprehension. The need for more information processing models of comprehension is emphasized. Elaboration is considered important for comprehension and retention.…

Sexuality and the Schools: Handling the Critical Issues. the Practicing Administrator's Leadership Series. Roadmaps to Success.

ERIC Educational Resources Information Center

Curcio, Joan L.; And Others

This book provides suggestions for handling important and emotionally charged issues of sexuality in the schools. Six chapters offer information on teenage pregnancy, HIV and Acquired Immune Deficiency Syndrome (AIDS), sexual orientation, sexual harassment, and sex education. The chapters are: (1) "Introduction"; (2) "Searching for Intimacy"…

Research Library Issues: A Report from ARL, CNI, and SPARC. Special Issue on Copyright. RLI 285

ERIC Educational Resources Information Center

Baughman, M. Sue, Ed.

2015-01-01

"Research Library Issues" ("RLI") focuses on current and emerging topics that are strategically important to research libraries. The articles explore issues, share information, pose critical questions, and provide examples. This issue includes the following articles: (1) Special Issue on Copyright (Prudence S. Adler); (2) Fair…

Combining Information to Answer Questions about Names and Categories

ERIC Educational Resources Information Center

Kelso, Ginger L.

2009-01-01

Children's language and world knowledge grows explosively in the preschool years. One critical contributor to this growth is their developing ability to infer relations beyond those that have been directly taught or modeled. Categorization is one type of skill commonly taught in preschool in which inference is an important aspect. This study…

Introduction to positivism, interpretivism and critical theory.

PubMed

Ryan, Gemma

2018-03-16

There are three commonly known philosophical research paradigms used to guide research methods and analysis: positivism, interpretivism and critical theory. Being able to justify the decision to adopt or reject a philosophy should be part of the basis of research. It is therefore important to understand these paradigms, their origins and principles, and to decide which is appropriate for a study and inform its design, methodology and analysis. To help those new to research philosophy by explaining positivism, interpretivism and critical theory. Positivism resulted from foundationalism and empiricism; positivists value objectivity and proving or disproving hypotheses. Interpretivism is in direct opposition to positivism; it originated from principles developed by Kant and values subjectivity. Critical theory originated in the Frankfurt School and considers the wider oppressive nature of politics or societal influences, and often includes feminist research. This paper introduces the historical context of three well-referenced research philosophies and explains the common principles and values of each. The paper enables nurse researchers to make informed and rational decisions when embarking on research. ©2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

Improving Insider Threat Training Awareness and Mitigation Programs at Nuclear Facilities.

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

Abbott, Shannon

In recent years, insider threat programs have become an important aspect of nuclear security, and nuclear security training courses. However, many nuclear security insider threat programs fail to address the insider threat attack and monitoring potential that exists on information technology (IT) systems. This failure is critical because of the importance of information technology and networks in today’s world. IT systems offer an opportunity to perpetrate dangerous insider attacks, but they also present an opportunity to monitor for them and prevent them. This paper suggests a number of best practices for monitoring and preventing insider attacks on IT systems, andmore » proposes the development of a new IT insider threat tabletop that can be used to help train nuclear security practitioners on how best to implement IT insider threat prevention best practices. The development of IT insider threat best practices and a practical tabletop exercise will allow nuclear security practitioners to improve nuclear security trainings as it integrates a critical part of insider threat prevention into the broader nuclear security system.« less

A critical pathway for the frail elderly cardiac patient.

PubMed

Wit, Mirjam; Schaap, Annet; Umans, Victor

2011-12-01

The medical community needs to better respond to the predictable complexities associated with admission of frail and elderly cardiac patients who may need specific attention and care programs. The nurse practitioner can play an important role to continue and coordinate nursing and medical care. We propose a new critical pathway designed to improve cardiac and nursing care for frail elderly cardiac patients admitted with heart failure or atrial fibrillation. The critical pathway is developed by the nurse practitioner who will act as a pathway coordinator and take care of the medical care of these patients in a teaching hospital setting. This critical pathway is applied to all patients aged >75 years who are admitted for heart failure or atrial fibrillation. The pathway implementation identified 5 important socio-medical parameters that may account for a delayed length of stay, even in patients without a complicated medical situation: delirium and fall prevention, nutritional awareness, fluid restriction efforts, and information optimization of patients and spouses. We developed a critical care pathway for the frail elderly patients who are admitted for heart failure or atrial fibrillation. In doing so, we have been able to change the medical and social management of these patients at a general cardiology ward in a teaching hospital.

Critical incident technique: a user's guide for nurse researchers.

PubMed

Schluter, Jessica; Seaton, Philippa; Chaboyer, Wendy

2008-01-01

This paper is a description of the development and processes of the critical incident technique and its applicability to nursing research, using a recently-conducted study of the Australian nursing workforce as an exemplar. Issues are raised for consideration prior to the technique being put into practice. Since 1954, the critical incident technique has been used to study people's activities in a variety of professions. This five-step technique can be modified for specific settings and research questions. The fruitfulness of a study using the technique relies on gaining three important pieces of information. First, participants' complete and rich descriptions of the situation or event to be explored; secondly, the specific actions of the person/s involved in the event to aid understanding of why certain decisions were made; thirdly, the outcome of the event, to ascertain the effectiveness of the behaviour. As in other qualitative methodologies, an inductive analysis process can be used with the critical incident technique. Rich contextual information can be obtained using this technique. It generates information and uncovers tacit knowledge through assisting participants to describe their thought processes and actions during the event. Use of probing questions that determine how participants take part in certain events, or act in the ways they do, greatly enhances the outcome. A full interpretation of the event can only occur when all its aspects are provided. The critical incident technique is a practical method that allows researchers to understand complexities of the nursing role and function, and the interactions between nurses and other clinicians.

A Multisite Survey Study of EMR Review Habits, Information Needs, and Display Preferences among Medical ICU Clinicians Evaluating New Patients.

PubMed

Nolan, Matthew E; Cartin-Ceba, Rodrigo; Moreno-Franco, Pablo; Pickering, Brian; Herasevich, Vitaly

2017-10-01

The electronic chart review habits of intensive care unit (ICU) clinicians admitting new patients are largely unknown but necessary to inform the design of existing and future critical care information systems. We conducted a survey study to assess the electronic chart review practices, information needs, workflow, and data display preferences among medical ICU clinicians admitting new patients. We surveyed rotating residents, critical care fellows, advanced practice providers, and attending physicians at three Mayo Clinic sites (Minnesota, Florida, and Arizona) via email with a single follow-up reminder message. Of 234 clinicians invited, 156 completed the full survey (67% response rate). Ninety-two percent of medical ICU clinicians performed electronic chart review for the majority of new patients. Clinicians estimated spending a median (interquartile range (IQR)) of 15 (10-20) minutes for a typical case, and 25 (15-40) minutes for complex cases, with no difference across training levels. Chart review spans 3 or more years for two-thirds of clinicians, with the most relevant categories being imaging, laboratory studies, diagnostic studies, microbiology reports, and clinical notes, although most time is spent reviewing notes. Most clinicians (77%) worry about overlooking important information due to the volume of data (74%) and inadequate display/organization (63%). Potential solutions are chronologic ordering of disparate data types, color coding, and explicit data filtering techniques. The ability to dynamically customize information display for different users and varying clinical scenarios is paramount. Electronic chart review of historical data is an important, prevalent, and potentially time-consuming activity among medical ICU clinicians who would benefit from improved information display systems. Schattauer GmbH Stuttgart.

Staff Training on the Use of Health Information Systems: What Do We Know?

PubMed

Bygholm, Ann

2018-01-01

Staff training is acknowledged as an important activity when implementing health information systems (HISs). This paper reviews the literature on staff training in connection with HIS implementation. The aim is to identify critical issues to reflect on when planning or evaluating this type of training. Searches were conducted in three research databases, resulting in 423 hits. Sixty-four papers were retrieved for more detailed examination, and 12 papers were selected for analysis. The analysis focused on the content, organization and pedagogical approach. In general, the review revealed minor primarily descriptive studies focused on aspects of staff training rather than strategies for staff training. The review revealed specific agreed-upon issues that are considered important for the success of the training. The issues identified are transfer of knowledge and skills is not enough, ongoing training is important, training should be related to practice and address individual learning needs, and super-users are important facilitators.

USGS perspectives on an integrated approach to watershed and coastal management

USGS Publications Warehouse

Larsen, Matthew C.; Hamilton, Pixie A.; Haines, John W.; Mason, Jr., Robert R.

2010-01-01

The writers discuss three critically important steps necessary for achieving the goal for improved integrated approaches on watershed and coastal protection and management. These steps involve modernization of monitoring networks, creation of common data and web services infrastructures, and development of modeling, assessment, and research tools. Long-term monitoring is needed for tracking the effectiveness approaches for controlling land-based sources of nutrients, contaminants, and invasive species. The integration of mapping and monitoring with conceptual and mathematical models, and multidisciplinary assessments is important in making well-informed decisions. Moreover, a better integrated data network is essential for mapping, statistical, and modeling applications, and timely dissemination of data and information products to a broad community of users.

Implementing and Simulating Dynamic Traffic Assignment with Intelligent Transportation Systems in Cube Avenue

NASA Technical Reports Server (NTRS)

Foytik, Peter; Robinson, Mike

2010-01-01

As urban populations and traffic congestion levels increase, effective use of information and communication tools and intelligent transportation systems as becoming increasingly important in order to maximize the efficiency of transportation networks. The appropriate placement and employment of these tools within a network is critical to their effectiveness. This presentation proposes and demonstrates the use of a commercial transportation simulation tool to simulate dynamic traffic assignment and rerouting to model route modifications as a result of traffic information.

"RU486: Misconceptions, myths and morals." A critique of the criticisms.

PubMed

Cottingham, J; Van Look, P

1993-01-01

This article was written to counter some of the misinformation contained in the book "RU486: Misconceptions, Myths and Morals." The book concludes that use of RU486 constitutes yet another form of medical violence against women which will have unknown longterm effects. One of the major goals of the women's health movement is to disseminate information about women's health through information networks which also expose abusive reproductive health practices. Critiques about new products and procedures are important because what is considered clinically safe may pose problems for women in practice. While the book on RU486 is important from this viewpoint, it lacks careful scrutiny of its criticisms. Thus, the book suggests that animal testing has been inadequate at 17 months when, in fact, this time frame meets all standards for a single dose drug. The authors also mislabel the exclusion criterion for experimental trials as "contraindications" for use and claim that this incorrectly inflated number of contraindications prohibits the use of RU-486 as a viable alternative to other methods of abortion. In several instances the authors present inaccurate information about the pharmacodynamics and dosages of the drugs involved. The use of prostaglandins is also unjustly criticized by drawing comparisons with other uses of the prostaglandins which involve different doses and delivery periods. The authors act irresponsibly when they suggest that incomplete abortion with Ru-486 may result in uterine cancer or that the simultaneous use of aspirin will result in an almost guaranteed incomplete abortion. Additional ill-founded remarks overemphasize the failure rate, demand unrealistic guarantees about fetal abnormality, and charge that the World Health Organization has "discarded" suction curettage abortion. The book grew out of valid concerns and raises important questions about the best ways to serve women's interests, but these concerns and questions are obfuscated by unsubstantiated and far-flung claims.

Memory for Medication Side Effects in Younger and Older Adults: The Role of Subjective and Objective Importance

PubMed Central

Friedman, Michael C.; McGillivray, Shannon; Murayama, Kou; Castel, Alan D.

2014-01-01

Older adults often experience memory impairments, but can sometimes use selective processing and schematic support to remember important information. The current experiments investigate to what degree younger and healthy older adults remember medication side effects that were subjectively or objectively important to remember. Participants studied a list of common side effects, and rated how negative these effects were if they were to experience them, and were then given a free recall test. In Experiment 1, the severity of the side effects ranged from mild (e.g., itching) to severe (e.g., stroke), and in Experiment 2, certain side effects were indicated as critical to remember (i.e., “contact your doctor if you experience this”). There were no age differences in terms of free recall of the side effects, and older adults remembered more severe side effects relative to mild effects. However, older adults were less likely to recognize critical side effects on a later recognition test, relative to younger adults. The findings suggest that older adults can selectively remember medication side effects, but have difficulty identifying familiar but potentially critical side effects, and this has implications for monitoring medication use in older age. PMID:25331278

Latent variable modeling to analyze the effects of process parameters on the dissolution of paracetamol tablet

PubMed Central

Sun, Fei; Xu, Bing; Zhang, Yi; Dai, Shengyun; Shi, Xinyuan; Qiao, Yanjiang

2017-01-01

ABSTRACT The dissolution is one of the critical quality attributes (CQAs) of oral solid dosage forms because it relates to the absorption of drug. In this paper, the influence of raw materials, granules and process parameters on the dissolution of paracetamol tablet was analyzed using latent variable modeling methods. The variability in raw materials and granules was understood based on the principle component analysis (PCA), respectively. A multi-block partial least squares (MBPLS) model was used to determine the critical factors affecting the dissolution. The results showed that the binder amount, the post granulation time, the API content in granule, the fill depth and the punch tip separation distance were the critical factors with variable importance in the projection (VIP) values larger than 1. The importance of each unit of the whole process was also ranked using the block importance in the projection (BIP) index. It was concluded that latent variable models (LVMs) were very useful tools to extract information from the available data and improve the understanding on dissolution behavior of paracetamol tablet. The obtained LVMs were also helpful to propose the process design space and to design control strategies in the further research. PMID:27689242

The Practice and Promise of Critical Information Literacy: Academic Librarians' Involvement in Critical Library Instruction

ERIC Educational Resources Information Center

Tewell, Eamon C.

2018-01-01

Critical information literacy is a way of thinking and teaching that examines the social construction and political dimensions of libraries and information, problematizing information's production and use so that library users may think critically about such forces. Being an educational approach that acknowledges and emboldens learners' agency,…

Gravity, light and plant form

NASA Technical Reports Server (NTRS)

Hangarter, R. P.

1997-01-01

Plants have evolved highly sensitive and selective mechanisms that detect and respond to various aspects of their environment. As a plant develops, it integrates the environmental information perceived by all of its sensory systems and adapts its growth to the prevailing environmental conditions. Light is of critical importance because plants depend on it for energy and, thus, survival. The quantity, quality and direction of light are perceived by several different photosensory systems that together regulate nearly all stages of plant development, presumably in order to maintain photosynthetic efficiency. Gravity provides an almost constant stimulus that is the source of critical spatial information about its surroundings and provides important cues for orientating plant growth. Gravity plays a particularly important role during the early stages of seedling growth by stimulating a negative gravitropic response in the primary shoot that orientates it towards the source of light, and a positive gravitropic response in the primary root that causes it to grow down into the soil, providing support and nutrient acquisition. Gravity also influences plant form during later stages of development through its effect on lateral organs and supporting structures. Thus, the final form of a plant depends on the cumulative effects of light, gravity and other environmental sensory inputs on endogenous developmental programs. This article is focused on developmental interactions modulated by light and gravity.

Gravity, light and plant form.

PubMed

Hangarter, R P

1997-06-01

Plants have evolved highly sensitive and selective mechanisms that detect and respond to various aspects of their environment. As a plant develops, it integrates the environmental information perceived by all of its sensory systems and adapts its growth to the prevailing environmental conditions. Light is of critical importance because plants depend on it for energy and, thus, survival. The quantity, quality and direction of light are perceived by several different photosensory systems that together regulate nearly all stages of plant development, presumably in order to maintain photosynthetic efficiency. Gravity provides an almost constant stimulus that is the source of critical spatial information about its surroundings and provides important cues for orientating plant growth. Gravity plays a particularly important role during the early stages of seedling growth by stimulating a negative gravitropic response in the primary shoot that orientates it towards the source of light, and a positive gravitropic response in the primary root that causes it to grow down into the soil, providing support and nutrient acquisition. Gravity also influences plant form during later stages of development through its effect on lateral organs and supporting structures. Thus, the final form of a plant depends on the cumulative effects of light, gravity and other environmental sensory inputs on endogenous developmental programs. This article is focused on developmental interactions modulated by light and gravity.

Context Oriented Information Integration

NASA Astrophysics Data System (ADS)

Mohania, Mukesh; Bhide, Manish; Roy, Prasan; Chakaravarthy, Venkatesan T.; Gupta, Himanshu

Faced with growing knowledge management needs, enterprises are increasingly realizing the importance of seamlessly integrating critical business information distributed across both structured and unstructured data sources. Academicians have focused on this problem but there still remain a lot of obstacles for its widespread use in practice. One of the key problems is the absence of schema in unstructured text. In this paper we present a new paradigm for integrating information which overcomes this problem - that of Context Oriented Information Integration. The goal is to integrate unstructured data with the structured data present in the enterprise and use the extracted information to generate actionable insights for the enterprise. We present two techniques which enable context oriented information integration and show how they can be used for solving real world problems.

Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management.

PubMed

Heijmans, Monique; Waverijn, Geeke; Rademakers, Jany; van der Vaart, Rosalie; Rijken, Mieke

2015-01-01

To provide insight into the level of health literacy among chronic disease patients in the Netherlands, to identify subgroups with low literacy and to examine the associations between health literacy and self-management. Self-report questionnaires were sent to a nationwide sample of 1.341 chronic disease patients. The Dutch Functional Communicative and Critical Health Literacy scale (FCCHL), the Partners in Health scale (PIH) and Perceived Efficacy in Patient-Doctor Interactions (PEPPI-5) were used to assess health literacy and aspects of self-management. In general, health literacy skills were good. A higher age, lower education, lower income, multi-morbidity and/or functional limitations were associated with lower levels of health literacy. Communicative and critical health literacy were related to some aspects of self-management but not to all. Functional health literacy was less important. Communicative and critical health literacy play a role in successful self-management of chronic disease but the impact differs by context. Health literacy levels vary according to socio-demographic and disease characteristics of patients. Health care professionals should tailor their information and support to the health literacy skills and personal context of their patients. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Impact of nitrogen deposition at the species level.

PubMed

Payne, Richard J; Dise, Nancy B; Stevens, Carly J; Gowing, David J

2013-01-15

In Europe and, increasingly, the rest of the world, the key policy tool for the control of air pollution is the critical load, a level of pollution below which there are no known significant harmful effects on the environment. Critical loads are used to map sensitive regions and habitats, permit individual polluting activities, and frame international negotiations on transboundary air pollution. Despite their fundamental importance in environmental science and policy, there has been no systematic attempt to verify a critical load with field survey data. Here, we use a large dataset of European grasslands along a gradient of nitrogen (N) deposition to show statistically significant declines in the abundance of species from the lowest level of N deposition at which it is possible to identify a change. Approximately 60% of species change points occur at or below the range of the currently established critical load. If this result is found more widely, the underlying principle of no harm in pollution policy may need to be modified to one of informed decisions on how much harm is acceptable. Our results highlight the importance of protecting currently unpolluted areas from new pollution sources, because we cannot rule out ecological impacts from even relatively small increases in reactive N deposition.

Critical care providers refer to information tools less during communication tasks after a critical care clinical information system introduction.

PubMed

Ballermann, Mark; Shaw, Nicola T; Mayes, Damon C; Gibney, R T Noel

2011-01-01

Electronic documentation methods may assist critical care providers with information management tasks in Intensive Care Units (ICUs). We conducted a quasi-experimental observational study to investigate patterns of information tool use by ICU physicians, nurses, and respiratory therapists during verbal communication tasks. Critical care providers used tools less at 3 months after the CCIS introduction. At 12 months, care providers referred to paper and permanent records, especially during shift changes. The results suggest potential areas of improvement for clinical information systems in assisting critical care providers in ensuring informational continuity around their patients.

Differential use of sensory information in sexual behavior as a function of gender.

PubMed

Herz, R S; Cahill, E D

1997-09-01

Olfactory information is critical to mammalian sexual behavior. Based on parental investment theory the relative importance of olfaction compared with vision, touch, and hearing should be different for human males and females. In particular, because of its link to immunological profile and offspring viability, odor should be a more important determinant of sexual choice and arousal for females than for males. To test this hypothesis a questionnaire was developed and administered to 332 adults (166 males, 166 females). Subjects used a 1-7 scale to indicate how much they agreed with a series of statements concerning the importance of olfactory, visual, auditory, and tactile information for their sexual responsivity. The data reveal that males rated visual and olfactory information as being equally important for selecting a lover, while females considered olfactory information to be the single most important variable in mate choice. Additionally, when considering sexual activity, females singled out body odor from all other sensory experiences as most able to negatively affect desire, while males regarded odors as much more neutral stimuli for sexual arousal. The present results support recent findings in mice and humans concerning the relation of female preferences in body odor and major histocompatibility complex (MHC) compatibility and can be explained by an evolutionary analysis of sex differences in reproductive strategies. This work represents the first direct examination of the role of different forms of sensory information in human sexual behavior.

Compressing climate model simulations: reducing storage burden while preserving information

NASA Astrophysics Data System (ADS)

Hammerling, Dorit; Baker, Allison; Xu, Haiying; Clyne, John; Li, Samuel

2017-04-01

Climate models, which are run at high spatial and temporal resolutions, generate massive quantities of data. As our computing capabilities continue to increase, storing all of the generated data is becoming a bottleneck, which negatively affects scientific progress. It is thus important to develop methods for representing the full datasets by smaller compressed versions, which still preserve all the critical information and, as an added benefit, allow for faster read and write operations during analysis work. Traditional lossy compression algorithms, as for example used for image files, are not necessarily ideally suited for climate data. While visual appearance is relevant, climate data has additional critical features such as the preservation of extreme values and spatial and temporal gradients. Developing alternative metrics to quantify information loss in a manner that is meaningful to climate scientists is an ongoing process still in its early stages. We will provide an overview of current efforts to develop such metrics to assess existing algorithms and to guide the development of tailored compression algorithms to address this pressing challenge.

Horizontal and vertical integration in hospital laboratories and the laboratory information system.

PubMed

Friedman, B A; Mitchell, W

1990-09-01

An understanding of horizontal and vertical integration and their quasi-integration variants is important for pathologists to formulate a competitive strategy for hospital clinical laboratories. These basic organizational concepts, in turn, are based on the need to establish control over critical laboratory inputs and outputs. The pathologist seeks greater control of mission-critical system inputs and outputs to increase the quality and efficiency of the laboratory operations. The LIS produces horizontal integration of the various hospital laboratories by integrating them vertically. Forward vertical quasi-integration of the laboratories is mediated primarily by the LIS through front-end valued-added features such as reporting of results and creating a long-term on-line test result archive. These features increase the value of the information product of pathology for clinicians and increase the cost of switching to another system. The LIS can also serve as a means for customizing the information product of the laboratories to appeal to new market segments such as hospital administrators.

Two roles of the context in Pavlovian fear conditioning.

PubMed

Urcelay, Gonzalo P; Miller, Ralph R

2010-04-01

At both empirical and theoretical levels, multiple functional roles of contextual information upon memory performance have been proposed without a clear dissociation of these roles. Some theories have assumed that contexts are functionally similar to cues, whereas other views emphasize the retrieval facilitating properties of contextual information. In Experiment 1, we observed that one critical parameter, the spacing of trials, could determine whether the context would function as a conditioned stimulus or as a retrieval cue for memories trained in different phases. Experiments 2 and 3 doubly dissociated these functions by selectively disrupting one role but not the other, and vice versa. Overall, these observations identify one determinant of different functions of contextual information and pose a major challenge to theories of learning that assume exclusively one or the other function of the context. Moreover, these data emphasize the importance of parametric variations on behavioral control, which has critical implications for studies designed to understand the role of the hippocampus in processing of contextual attributes.

An important Norwegian contribution to the study of the bursae of the upper and lower extremities.

PubMed

Musil, Vladimir; Selnes, Christoffer V; Falck, Aleksander T; Sandve, Lars; Shekarchi, Siamek; O'Donnell, Bruce; Kachlik, David

2010-10-01

We present a critical analysis of the monograph of A.S.D. Synnestvedt (1869) “En anatomisk beskrivelse af de paa over- og underestremiteterne forekommende Bursae mucosae”. The analysis was completed using anatomical information from the historically oldest publications dealing with the bursae of the extremities: Albinus (1734) , Monro (1788) , Rosenmüller (1799) . We are of the opinion that Synnestvedt's publication is important, not only historically but also as a source of information for recent medical practitioners. Synnestvedt's monograph has a wealth of literary citations, unambiguous opinions of seasoned anatomists regarding the structure and function of the synovial membrane, and detailed descriptions of dissections he performed on fetal and adult cadavers. The information in this publication may enhance the diagnosis of bursopathies and enthesopathies of the extremities.

An important Norwegian contribution to the study of the bursae of the upper and lower extremities

PubMed Central

2010-01-01

We present a critical analysis of the monograph of A.S.D. Synnestvedt (1869) “En anatomisk beskrivelse af de paa over- og underestremiteterne forekommende Bursae mucosae”. The analysis was completed using anatomical information from the historically oldest publications dealing with the bursae of the extremities: Albinus (1734), Monro (1788), Rosenmüller (1799). We are of the opinion that Synnestvedt's publication is important, not only historically but also as a source of information for recent medical practitioners. Synnestvedt's monograph has a wealth of literary citations, unambiguous opinions of seasoned anatomists regarding the structure and function of the synovial membrane, and detailed descriptions of dissections he performed on fetal and adult cadavers. The information in this publication may enhance the diagnosis of bursopathies and enthesopathies of the extremities. PMID:20860444

From condemnation to understanding: Views on suicidal behavior in Ghana in transition.

PubMed

Osafo, Joseph; Akotia, Charity S; Hjelmeland, Heidi; Knizek, Birthe L

2017-09-01

The cultural context in which suicide occurs has been emphasized as critical in understanding the act and informing prevention. Yet the penchant of psychiatrizing suicidality in mainstream suicidology relegates cultural issues to the background. Through the lenses of critical cultural suicidology, the authors have re-emphasized the importance of culture by reviewing the two major meanings of suicide as observed in our 8-year study in Ghana: moral transgression and life crisis. They have also showed the usefulness of the life crisis perspective of suicidality in reducing stigma and sustaining advocacy in decriminalizing attempted suicide in the country.

Reptile Critical Care and Common Emergencies.

PubMed

Music, Meera Kumar; Strunk, Anneliese

2016-05-01

Reptile emergencies are an important part of exotic animal critical care, both true emergencies and those perceived as emergencies by owners. The most common presentations for reptile emergencies are addressed here, with information on differential diagnoses, helpful diagnostics, and approach to treatment. In many cases, reptile emergencies are actually acute presentations originating from a chronic problem, and the treatment plan must include both clinical treatment and addressing husbandry and dietary deficiencies at home. Accurate owner expectations must be set in order to have owner compliance to long-term treatment plans. Copyright © 2016 Elsevier Inc. All rights reserved.

The failure of AHERF: 5 important lessons.

PubMed

Goldstein, Lisa

2008-08-01

Important lessons from AHERF's downfall: Strong governance and oversight of management are needed to ensure accountability; Disciplined growth strategies need to be supported by rigorous financial planning and feasibility analysis; Physician integration is critical to grow market share, but needs to be methodical and measured; Robust information systems are necessary to manage costs, maximize revenue, and provide differentiation in quality and clinical outcomes; Disclosure of the financial performance of all of a health system's operations creates greater transparency and builds credibility.

A database management capability for Ada

NASA Technical Reports Server (NTRS)

Chan, Arvola; Danberg, SY; Fox, Stephen; Landers, Terry; Nori, Anil; Smith, John M.

1986-01-01

The data requirements of mission critical defense systems have been increasing dramatically. Command and control, intelligence, logistics, and even weapons systems are being required to integrate, process, and share ever increasing volumes of information. To meet this need, systems are now being specified that incorporate data base management subsystems for handling storage and retrieval of information. It is expected that a large number of the next generation of mission critical systems will contain embedded data base management systems. Since the use of Ada has been mandated for most of these systems, it is important to address the issues of providing data base management capabilities that can be closely coupled with Ada. A comprehensive distributed data base management project has been investigated. The key deliverables of this project are three closely related prototype systems implemented in Ada. These three systems are discussed.

Vaccine-criticism on the internet: new insights based on French-speaking websites.

PubMed

Ward, Jeremy K; Peretti-Watel, Patrick; Larson, Heidi J; Raude, Jocelyn; Verger, Pierre

2015-02-18

The internet is playing an increasingly important part in fueling vaccine related controversies and in generating vaccine hesitant behaviors. English language Antivaccination websites have been thoroughly analyzed, however, little is known of the arguments presented in other languages on the internet. This study presents three types of results: (1) Authors apply a time tested content analysis methodology to describe the information diffused by French language vaccine critical websites in comparison with English speaking websites. The contents of French language vaccine critical websites are very similar to those of English language websites except for the relative absence of moral and religious arguments. (2) Authors evaluate the likelihood that internet users will find those websites through vaccine-related queries on a variety of French-language versions of google. Queries on controversial vaccines generated many more vaccine critical websites than queries on vaccination in general. (3) Authors propose a typology of vaccine critical websites. Authors distinguish between (a) websites that criticize all vaccines ("antivaccine" websites) and websites that criticize only some vaccines ("vaccine-selective" websites), and between (b) websites that focus on vaccines ("vaccine-focused" websites) and those for which vaccines were only a secondary topic of interest ("generalist" websites). The differences in stances by groups and websites affect the likelihood that they will be believed and by whom. This study therefore helps understand the different information landscapes that may contribute to the variety of forms of vaccine hesitancy. Public authorities should have better awareness and understanding of these stances to bring appropriate answers to the different controversies about vaccination. Copyright © 2014 Elsevier Ltd. All rights reserved.

Contextual Information for the Potential Enhancement of Annual Radiation Protection Program Review Reports.

PubMed

Emery, Robert J; Gutiérrez, Janet M

2017-08-01

Organizations possessing sources of ionizing radiation are required to develop, document, and implement a "radiation protection program" that is commensurate with the scope and extent of permitted activities and sufficient to ensure compliance with basic radiation safety regulations. The radiation protection program must also be reviewed at least annually, assessing program content and implementation. A convenience sample assessment of web-accessible and voluntarily-submitted radiation protection program annual review reports revealed that while the reports consistently documented compliance with necessary regulatory elements, very few included any critical contextual information describing how important the ability to possess radiation sources was to the central mission of the organization. Information regarding how much radioactive material was currently possessed as compared to license limits was also missing. Summarized here are suggested contextual elements that can be considered for possible inclusion in annual radiation protection program reviews to enhance stakeholder understanding and appreciation of the importance of the ability to possess radiation sources and the importance of maintaining compliance with associated regulatory requirements.

Interdisciplinary Explorations: Promoting Critical Thinking via Problem-Based Learning in an Advanced Biochemistry Class

ERIC Educational Resources Information Center

Cowden, Chapel D.; Santiago, Manuel F.

2016-01-01

Interdisciplinary approaches to research in the sciences have become increasingly important in solving a wide range of pressing problems at both global and local levels. It is imperative then that science majors in higher education understand the need for exploring information from a wide array of disciplines. With this in mind, interdisciplinary…

Status and opportunities associated with product costing strategies in wood component manufacturing

Treesearch

Adrienn Andersch; Urs Buehlmann; Jan Wiedenbeck; Steve Lawser

2013-01-01

Product costing systems are critically important for businesses because they help reduce costs, price products at competitive prices, and enable strategic decisionmaking. This article reports the results of a survey designed to collect information about practices used by the North American hardwood dimension and components industry to calculate the cost of their...

Supporting Interethnic and Interracial Friendships among Youth to Reduce Prejudice and Racism in Schools: The Role of the School Counselor

ERIC Educational Resources Information Center

Pica-Smith, Cinzia; Poynton, Timothy A.

2015-01-01

Supporting interethnic and interracial friendships in schools among children and adolescents is an important part of a progressive educational agenda informed in equity, social justice frameworks, and critical multicultural education that leads to a reduction in racial prejudice. Positive intergroup contact is a necessary condition in prejudice…

Assessing the remote sensing derived evaporative stress index with ground observations of crop conditions to advance drought early warning

USDA-ARS?s Scientific Manuscript database

Drought has significant impacts over broad spatial and temporal scales, and information about the timing and extent of such conditions is of critical importance to many end users in the agricultural and water resource management communities. The ability to accurately monitor effects on crops, and p...

Physical and Emotional Abuse in Romantic Relationships: Motivation for Perpetration among College Women

ERIC Educational Resources Information Center

Leisring, Penny A.

2013-01-01

Intimate partner violence is extremely common in college samples. To inform prevention and intervention efforts, understanding the motivation for engaging in partner aggression is critically important. The predominant view in the domestic violence field has been that women's use of intimate partner violence occurs in the context of self-defense.…

KM Critical Success Factors: A Comparison of Perceived Importance Versus Implementation in Malaysian ICT Companies

ERIC Educational Resources Information Center

Chong, Siong Choy

2006-01-01

Purpose: This research examines the level of perception and implementation of 11 identified knowledge management (KM) success factors and their differences among the information and communication technology (ICT) companies operating in Malaysia. Design/methodology/approach: The survey data was obtained from a study of 427 middle managers from 194…

Critical Care Coding for Neurologists.

PubMed

Nuwer, Marc R; Vespa, Paul M

2015-10-01

Accurate coding is an important function of neurologic practice. This contribution to Continuum is part of an ongoing series that presents helpful coding information along with examples related to the issue topic. Tips for diagnosis coding, Evaluation and Management coding, procedure coding, or a combination are presented, depending on which is most applicable to the subject area of the issue.

Current Issues: Critical Issues Confronting the Nation and the World. 1987 Edition.

ERIC Educational Resources Information Center

Carwile, John; Zack, David R.

This annual publication seeks to inform interested readers about important concerns of currently confronting the United States. An introduction provides: a brief discussion of individuals in the Reagan Administration; a list of the leadership positions and committees in the 100th Congress--the reader must fill in the person for each position; a…

An Investigation of Self-Regulatory Mechanisms in Learning to Program Visual Basic

ERIC Educational Resources Information Center

Kuo, Feng-Yang; Wu, Wen-Hsiung; Lin, Cathy S.

2013-01-01

Today, information technology (IT) has permeated virtually every aspect of our society and the learning of software programming is becoming increasingly important to the creation and maintenance of the IT infrastructure critical to our daily life. In this article, we report the results of a study that demonstrates how the self-regulation paradigm…

The Latino Workforce at Mid-Decade. CSRC Research Report. Number 10

ERIC Educational Resources Information Center

Catanzarite, Lisa; Trimble, Lindsey

2007-01-01

The Latino workforce is increasingly critical to the vitality of the U.S. economy. Despite the importance of Latinos in the labor market, their economic contributions are limited by significant disadvantages. This research report provides an overview of Latino workers in the United States at mid-decade. We provide background information on labor…

Establishing a Community of Inquiry through Hybrid Courses in Clinical Social Work Education

ERIC Educational Resources Information Center

Ferrera, Maria; Ostrander, Noam; Crabtree-Nelson, Sonya

2013-01-01

Utilizing the conceptual framework of Garrison, Anderson, and Archer for critical inquiry, this paper outlines the importance of the community of inquiry (COI) model and how it may inform online social work education. Integrating the COI model, we discuss how online learning in the classroom with a hybrid approach has been used to facilitate…

A Day at the Museum: The Impact of Field Trips on Middle School Science Achievement

ERIC Educational Resources Information Center

Whitesell, Emilyn Ruble

2016-01-01

Field trips are an important feature of the United States' education system, although in the current context of high-stakes tests and school accountability, many schools are shifting resources away from enrichment. It is critical to understand how field trips and other informal learning experiences contribute to student test scores, but little…

Using Community Forums to Enhance Public Engagement in Environmental Issues

Treesearch

M.C. Monroe; A. Oxarart; L. McDonell; R. Plate

2009-01-01

As environmental issues become more complex, the public may be less interested in becoming knowledgeable enough to participate in decision-making. Yet its input can be critically important in some community-based issues. A community forum is one tool designed to provide information, enable participants to ask questions to experts and create an open atmosphere for...

Knowledge and Attitudes towards Biotechnology of Elementary Education Preservice Teachers: The First Spanish Experience

ERIC Educational Resources Information Center

Casanoves, Marina; González, Ángel; Salvadó, Zoel; Haro, Juan; Novo, Maite

2015-01-01

Due to the important impact that biotechnology has on current Western societies, well-informed critical citizens are needed. People prepared to make conscious decisions about aspects of biotechnology that relate to their own lives. Teachers play a central role in all education systems. Thus, the biotechnological literacy of preservice teachers is…

Building Valued-Added Assessment into Michigan's Accountability System: Lessons from Other States. Research Report 1

ERIC Educational Resources Information Center

Lee, Kwangyhuyn; Weimer, Debbi

2002-01-01

Michigan is designing a new accountability system that combines high standards and statewide testing within a school accreditation framework. Sound assessment techniques are critical if the accountability system is to provide relevant information to schools and policymakers. One important component of a sound assessment system is measurement of…

Explaining Semantic Short-Term Memory Deficits: Evidence for the Critical Role of Semantic Control

ERIC Educational Resources Information Center

Hoffman, Paul; Jefferies, Elizabeth; Lambon Ralph, Matthew A.

2011-01-01

Patients with apparently selective short-term memory (STM) deficits for semantic information have played an important role in developing multi-store theories of STM and challenge the idea that verbal STM is supported by maintaining activation in the language system. We propose that semantic STM deficits are not as selective as previously thought…

Profiles of Adolescent Stress: The Development of the Adolescent Stress Questionnaire (ASQ)

ERIC Educational Resources Information Center

Byrne, D. G.; Davenport, S. C.; Mazanov, J.

2007-01-01

The importance of stress in the understanding of adolescent health and well-being is widely documented. The measurement of adolescent stress has however been subjected to sufficient methodological and conceptual criticism in recent times to warrant a concerted re-evaluation of the exercise. This study sought information on the nature of adolescent…

Voltage Imaging of Waking Mouse Cortex Reveals Emergence of Critical Neuronal Dynamics

PubMed Central

Scott, Gregory; Fagerholm, Erik D.; Mutoh, Hiroki; Leech, Robert; Sharp, David J.; Shew, Woodrow L.

2014-01-01

Complex cognitive processes require neuronal activity to be coordinated across multiple scales, ranging from local microcircuits to cortex-wide networks. However, multiscale cortical dynamics are not well understood because few experimental approaches have provided sufficient support for hypotheses involving multiscale interactions. To address these limitations, we used, in experiments involving mice, genetically encoded voltage indicator imaging, which measures cortex-wide electrical activity at high spatiotemporal resolution. Here we show that, as mice recovered from anesthesia, scale-invariant spatiotemporal patterns of neuronal activity gradually emerge. We show for the first time that this scale-invariant activity spans four orders of magnitude in awake mice. In contrast, we found that the cortical dynamics of anesthetized mice were not scale invariant. Our results bridge empirical evidence from disparate scales and support theoretical predictions that the awake cortex operates in a dynamical regime known as criticality. The criticality hypothesis predicts that small-scale cortical dynamics are governed by the same principles as those governing larger-scale dynamics. Importantly, these scale-invariant principles also optimize certain aspects of information processing. Our results suggest that during the emergence from anesthesia, criticality arises as information processing demands increase. We expect that, as measurement tools advance toward larger scales and greater resolution, the multiscale framework offered by criticality will continue to provide quantitative predictions and insight on how neurons, microcircuits, and large-scale networks are dynamically coordinated in the brain. PMID:25505314

Criticality in conserved dynamical systems: experimental observation vs. exact properties.

PubMed

Marković, Dimitrije; Gros, Claudius; Schuelein, André

2013-03-01

Conserved dynamical systems are generally considered to be critical. We study a class of critical routing models, equivalent to random maps, which can be solved rigorously in the thermodynamic limit. The information flow is conserved for these routing models and governed by cyclic attractors. We consider two classes of information flow, Markovian routing without memory and vertex routing involving a one-step routing memory. Investigating the respective cycle length distributions for complete graphs, we find log corrections to power-law scaling for the mean cycle length, as a function of the number of vertices, and a sub-polynomial growth for the overall number of cycles. When observing experimentally a real-world dynamical system one normally samples stochastically its phase space. The number and the length of the attractors are then weighted by the size of their respective basins of attraction. This situation is equivalent, for theory studies, to "on the fly" generation of the dynamical transition probabilities. For the case of vertex routing models, we find in this case power law scaling for the weighted average length of attractors, for both conserved routing models. These results show that the critical dynamical systems are generically not scale-invariant but may show power-law scaling when sampled stochastically. It is hence important to distinguish between intrinsic properties of a critical dynamical system and its behavior that one would observe when randomly probing its phase space.

National survey on critical values reporting in a cohort of Italian laboratories.

PubMed

Lippi, Giuseppe; Giavarina, Davide; Montagnana, Martina; Luca Salvagno, Gian; Cappelletti, Piero; Plebani, Mario; Guidi, Gian Cesare

2007-01-01

Critical values' reporting is an essential requisite for clinical laboratories. Local policies were investigated within an indicative cohort of Italian laboratories to monitor the situation and establish a performance benchmark. A five-point questionnaire was administered to 150 laboratory specialists attending the SIMEL (Italian Society of Laboratory Medicine) National Meeting in June 2006. A total of 107 questionnaires (71.3%) were returned with a 100% individual question response rate. Only 55% of the participants acknowledge critical values reporting as an essential practice, 80% admit that a comprehensive list of critical values is unavailable in the laboratory and 4% do not promptly communicate critical values. The list of critical values is variable among laboratories, ranging from none to 20 analytes included. The requesting physician or his/her office staff receives the great majority (97%) of notifications by telephone for outpatients. Critical values for inpatients are notified directly by telephone (81%) and in a minority of cases by either fax or computer (19%). In the inpatient setting, the information is notified to physicians (77%), nurses (15%) or other healthcare staff in the clinic (8%). It was found that 49% of the participants adopt a standard (digital or written) policy for routine recording of notifications; in 32% of the cases the registration is left to individual attitudes, whereas in 20% of the cases the notification is not recorded. No laboratory has yet adopted a read-back verification of the complete test result by the person receiving the information. The importance of critical value reporting is still poorly recognized in Italy and uniform or internationally accredited practices for communication and recording are not currently implemented.

6 CFR 29.7 - Safeguarding of Protected Critical Infrastructure Information.

Code of Federal Regulations, 2012 CFR

2012-01-01

... prevents unauthorized retrieval, such as shredding or incineration. (f) Transmission of information. PCII... Infrastructure Information. 29.7 Section 29.7 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROTECTED CRITICAL INFRASTRUCTURE INFORMATION § 29.7 Safeguarding of Protected Critical...

6 CFR 29.7 - Safeguarding of Protected Critical Infrastructure Information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... prevents unauthorized retrieval, such as shredding or incineration. (f) Transmission of information. PCII... Infrastructure Information. 29.7 Section 29.7 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROTECTED CRITICAL INFRASTRUCTURE INFORMATION § 29.7 Safeguarding of Protected Critical...

6 CFR 29.7 - Safeguarding of Protected Critical Infrastructure Information.

Code of Federal Regulations, 2013 CFR

2013-01-01

... prevents unauthorized retrieval, such as shredding or incineration. (f) Transmission of information. PCII... Infrastructure Information. 29.7 Section 29.7 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROTECTED CRITICAL INFRASTRUCTURE INFORMATION § 29.7 Safeguarding of Protected Critical...

6 CFR 29.7 - Safeguarding of Protected Critical Infrastructure Information.

Code of Federal Regulations, 2014 CFR

2014-01-01

... prevents unauthorized retrieval, such as shredding or incineration. (f) Transmission of information. PCII... Infrastructure Information. 29.7 Section 29.7 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROTECTED CRITICAL INFRASTRUCTURE INFORMATION § 29.7 Safeguarding of Protected Critical...

6 CFR 29.7 - Safeguarding of Protected Critical Infrastructure Information.

Code of Federal Regulations, 2010 CFR

2010-01-01

... prevents unauthorized retrieval, such as shredding or incineration. (f) Transmission of information. PCII... Infrastructure Information. 29.7 Section 29.7 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROTECTED CRITICAL INFRASTRUCTURE INFORMATION § 29.7 Safeguarding of Protected Critical...

Critical Information Literacy in Practice: An Interpretive Synthesis

ERIC Educational Resources Information Center

McDonough, Beth Allsopp

2014-01-01

More than two decades of debate since the Association of College and Research Libraries (ACRL) adopted the term information literacy have been marked by ongoing criticism of its associated definitions and standards. Some scholars and practitioners have argued for a critical information literacy, which applies the precepts of critical pedagogy to…

The neurolinguistic approach to awake surgery reviewed.

PubMed

De Witte, Elke; Mariën, Peter

2013-02-01

Intraoperative direct electrical stimulation (DES) is increasingly used in patients operated on for tumours in critical language areas. Although a positive impact of DES on postoperative linguistic outcome is generally advocated, the literature is only scantily documented with information about the linguistic methods applied in awake surgery. This article critically reviews the neurolinguistic procedures currently used in awake studies. Based on an extensive review of the literature, an overview is given of the language mapping techniques applied in brain tumour surgery. Studies investigating linguistic testing and outcome in awake surgery were analysed. Information about the timing of the assessment(s), the linguistic tasks, the linguistic stimuli and the indication for awake surgery was also discussed. Intraoperative DES remains the 'gold standard' for language mapping, but pre- and postoperative non-invasive mapping methods are important adjuncts. In the pre- and postoperative phase, standardised linguistic test batteries are generally used to assess language function. In the intraoperative phase, only naming and number counting are commonly applied. Most often no detailed information about the linguistic stimuli is provided and no standardised protocols measuring different linguistic levels have been described. Awake surgery with DES is a useful tool for preserving linguistic functions in patients undergoing surgery in critical brain regions. However, no studies exist that apply a well-balanced and standardised linguistic protocol to reliably identify the critical language zones. The availability of a standardised linguistic protocol might substantially increase intraoperative comfort and might improve outcome and quality of life. Copyright © 2012 Elsevier B.V. All rights reserved.

Critical health literacy in American deaf college students.

PubMed

Kushalnagar, Poorna; Ryan, Claire; Smith, Scott; Kushalnagar, Raja

2017-05-24

This study investigates the relationship between critical health literacy (CHL) and discussion of health information among college deaf students who use American Sign Language. CHL is crucial in making appropriate health-related decisions for oneself and aiding others in making good health-choices. Research on general youth population shows that frequent health-related discussions with both friends and family is associated with higher health literacy. However, for our sample of deaf college-aged students who might have had less access to communication at home, we hypothesize that health-related discussions with same-age peers may be more important for critical health literacy. We asked two questions to assess the frequency of health-related discussions with friends and families: "How often do you discuss health-related information with your friends" and "How often do you discuss your family medical history with your family?". Participants rated their experience on a scale from 1-5 (1=never, 5=always). To assess CHL, 38 deaf and 38 hearing participants were shown a short scenario that showed a woman confiding in her friend after finding a lump in her breast. Participants were then asked what the friend should say. Responses were scored by a team of 3 raters using a CHL rubric. As predicted, results showed a strong relationship between discussion of health-related information with friends and CHL in both deaf and hearing samples. Discussion with family was linked to CHL only for hearing participants, but not deaf participants in our study. These findings underscore the importance of socializing with health-literate, accessible peers to improve the health literacy and health outcomes of all deaf people. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Black hole based quantum computing in labs and in the sky

NASA Astrophysics Data System (ADS)

Dvali, Gia; Panchenko, Mischa

2016-08-01

Analyzing some well established facts, we give a model-independent parameterization of black hole quantum computing in terms of a set of macro and micro quantities and their relations. These include the relations between the extraordinarily-small energy gap of black hole qubits and important time-scales of information-processing, such as, scrambling time and Page's time. We then show, confirming and extending previous results, that other systems of nature with identical quantum informatics features are attractive Bose-Einstein systems at the critical point of quantum phase transition. Here we establish a complete isomorphy between the quantum computational properties of these two systems. In particular, we show that the quantum hair of a critical condensate is strikingly similar to the quantum hair of a black hole. Irrespectively whether one takes the similarity between the two systems as a remarkable coincidence or as a sign of a deeper underlying connection, the following is evident. Black holes are not unique in their way of quantum information processing and we can manufacture black hole based quantum computers in labs by taking advantage of quantum criticality.

76 FR 18743 - Commission Information Collection Activities (FERC-603); Comment Request; Extension

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-05

... FERC-603 ``Critical Energy Infrastructure Information'' (OMB No. 1902-0197) is used by the Commission to implement procedures for gaining access to critical energy infrastructure information (CEII) that... information about ``existing or proposed critical infrastructure that (i) relates to the production...

Flow-Boiling Critical Heat Flux Experiments Performed in Reduced Gravity

NASA Technical Reports Server (NTRS)

Hasan, Mohammad M.; Mudawar, Issam

2005-01-01

Poor understanding of flow boiling in microgravity has recently emerged as a key obstacle to the development of many types of power generation and advanced life support systems intended for space exploration. The critical heat flux (CHF) is perhaps the most important thermal design parameter for boiling systems involving both heatflux-controlled devices and intense heat removal. Exceeding the CHF limit can lead to permanent damage, including physical burnout of the heat-dissipating device. The importance of the CHF limit creates an urgent need to develop predictive design tools to ensure both the safe and reliable operation of a two-phase thermal management system under the reduced-gravity (like that on the Moon and Mars) and microgravity environments of space. At present, very limited information is available on flow-boiling heat transfer and the CHF under these conditions.

Critical appraisal of published literature

PubMed Central

Umesh, Goneppanavar; Karippacheril, John George; Magazine, Rahul

2016-01-01

With a large output of medical literature coming out every year, it is impossible for readers to read every article. Critical appraisal of scientific literature is an important skill to be mastered not only by academic medical professionals but also by those involved in clinical practice. Before incorporating changes into the management of their patients, a thorough evaluation of the current or published literature is an important step in clinical practice. It is necessary for assessing the published literature for its scientific validity and generalizability to the specific patient community and reader's work environment. Simple steps have been provided by Consolidated Standard for Reporting Trial statements, Scottish Intercollegiate Guidelines Network and several other resources which if implemented may help the reader to avoid reading flawed literature and prevent the incorporation of biased or untrustworthy information into our practice. PMID:27729695

Patient and nurse safety: how information technology makes a difference.

PubMed

Simpson, Roy L

2005-01-01

The Institute of Medicine's landmark report asserted medical error is seldom the fault of individuals, but the result of faulty healthcare policy/procedure systems. Numerous studies have shown that information technology can shore up weak systems. For nursing, information technology plays a key role in protecting patients by eliminating nursing mistakes and protecting nurses by reducing their negative exposure. However, managing information technology is a function of managing the people who use it. This article examines critical issues that impact patient and nurse safety, both physical and professional. It discusses the importance of eliminating the culture of blame, the requirements of process change, how to implement technology in harmony with the organization and the significance of vision.

Developing critical thinking disposition and emotional intelligence of nursing students: a longitudinal research.

PubMed

Kaya, Hülya; Şenyuva, Emine; Bodur, Gönül

2017-01-01

Emotional Intelligence is considered as an important characteristic of nurses that can affect the quality of their work including clinical decision-making, critical thinking, evidence and knowledge use in practice. The study is aimed to determine nursing students' critical thinking disposition and emotional intelligence in an academic year. A longitudinal design. The focus population of this longitudinal study consists of 197 freshman students studying at a faculty of nursing. Asymmetrical cluster sampling method was used to determine sample group and all the students registered in the first year were included in scope of the study. Information Form, California Critical Thinking Disposition Scale and Emotional Intelligence Assessment Scale were used for data collection. SPSS version 11.5 was used for data analysis. Nursing students have a low level of critical thinking disposition and intermediate level of emotional intelligence both at the beginning and end of academic year. There was no statistically significant difference in both skills at the beginning and end of year. There was a statistically significant difference between students' critical thinking disposition and emotional intelligence at the beginning of academic year. There was a positive correlation at a medium level between students' critical thinking disposition and emotional intelligence at the beginning and end of academic year. In light of these results, it is that suggested the study should be prolonged as longitudinal because development of both skills require a long time. The current study holds importance that it sheds light on other relevant studies and nursing education programs. Copyright © 2016 Elsevier Ltd. All rights reserved.

Care needs of older patients in the intensive care units.

PubMed

Chang, Ching-Wen; Chen, Yuh-Min; Su, Ching-Ching

2012-03-01

To explore the care needs of older patients in the intensive care units. Background.  As the numbers of older patients admitted to the intensive care units are growing, care quality of critically ill older patients has become an important issue. However, there are few studies directly investigating perceived care needs of hospitalised older patients and the studies on care needs of older patients in the intensive care units are even fewer. The identification of care needs from older patients' perspective will help develop qualified nursing practice. A qualitative exploratory design. Purposive sampling was performed to recruit 35 older patients from three hospitals in Taiwan. The interview transcripts were analysed by qualitative content analysis. The results revealed that care needs of older patients in the intensive care units are multidimensional, including physical, informational and psychosocial dimensions. Older patients' needs of the physical dimension included relieving pain and discomfort, starting oral intake as soon as possible and having continuous sleep. Informational needs included adequate explanations about their disease progression and prognosis and information on recovery-promoting activity. Psychosocial needs included caring behaviour of intensive care units staff, flexible visiting hours, increase in control ability and maintenance of good communication with intensive care units staff. The findings can assist nurses in understanding the interventions necessary to meet care needs of critically ill older patients. The critically ill older adults need more than medical-technical care. They need more holistic care. The psychosocial and informational needs must be considered commensurate with the presenting physical needs. Nurses have an important role in meeting intensive care units older patients' care needs. Intensive care units nurses should conduct comprehensive assessment regarding older patients' needs at the beginning and at various points in their intensive care units stay and match these needs with appropriate nursing interventions. © 2011 Blackwell Publishing Ltd.

College students' understanding of stereochemistry: Difficulties in learning and critical junctures

NASA Astrophysics Data System (ADS)

Lyon, Gary Lester

Because stereochemistry is an important part of both high school and college chemistry curricula, a study of difficulties experienced by students in the learning of stereochemistry was undertaken in a one-semester college organic chemistry course. This study, conducted over the course of two semesters with more than two hundred students, utilized clinical interviews, concept maps, and student journals to identify these difficulties, which were then tabulated and categorized. Although student journals were not a productive source of information, the types of difficulties that emerged from the concept maps were compared and contrasted with those that emerged from the clinical interviews. Data from the concept maps were analyzed using Kendall's W, a nonparametric statistic that was deemed appropriate for determining concordance between individual concept maps. The correlation between values of Kendall's W for sets of concept maps and multiple choice questions designed to evaluate the content of these same maps was determined, with values of Pearson's r of .8093 (p = .051) and .7191 (p = .044) for the Fall, 1997 and Spring, 1998 semesters, respectively. These data were used to estimate the occurrence of critical junctures in the learning of stereochemistry, or points at which students must possess a certain framework of understanding of previous concepts in order to master new material (Trowbridge & Wandersee, 1994). One critical juncture was identified that occurred when the topics of enantiorners, absolute configuration, and inversion of configuration were introduced. Among the more important conclusions of this study to the learning of stereochemistry are the following. Both concept maps and interviews provided useful information regarding difficulties in the learning of stereochemistry; this information was complementary in some aspects and similar in others. Concept maps were useful in diagnosing difficulties in application of terms and definitions, whereas interviews were useful when seeking information about difficulties in the manipulation of chemical structures. Both concept maps and interviews were superior to student journals as tools to probe student difficulties in the learning of stereochemistry.

Engagement and Education

PubMed Central

Tosh, Pritish K.; Hick, John L.; Hanfling, Dan; Geiling, James; Reed, Mary Jane; Uyeki, Timothy M.; Shah, Umair A.; Fagbuyi, Daniel B.; Skippen, Peter; Dichter, Jeffrey R.; Kissoon, Niranjan; Christian, Michael D.; Upperman, Jeffrey S.; Christian, Michael D.; Devereaux, Asha V.; Dichter, Jeffrey R.; Kissoon, Niranjan; Rubinson, Lewis; Amundson, Dennis; Anderson, Michael R.; Balk, Robert; Barfield, Wanda D.; Bartz, Martha; Benditt, Josh; Beninati, William; Berkowitz, Kenneth A.; Daugherty Biddison, Lee; Braner, Dana; Branson, Richard D; Burkle, Frederick M.; Cairns, Bruce A.; Carr, Brendan G.; Courtney, Brooke; DeDecker, Lisa D.; De Jong, Marla J.; Dominguez-Cherit, Guillermo; Dries, David; Einav, Sharon; Erstad, Brian L.; Etienne, Mill; Fagbuyi, Daniel B.; Fang, Ray; Feldman, Henry; Garzon, Hernando; Geiling, James; Gomersall, Charles D.; Grissom, Colin K.; Hanfling, Dan; Hick, John L.; Hodge, James G.; Hupert, Nathaniel; Ingbar, David; Kanter, Robert K.; King, Mary A.; Kuhnley, Robert N.; Lawler, James; Leung, Sharon; Levy, Deborah A.; Lim, Matthew L.; Livinski, Alicia; Luyckx, Valerie; Marcozzi, David; Medina, Justine; Miramontes, David A.; Mutter, Ryan; Niven, Alexander S.; Penn, Matthew S.; Pepe, Paul E.; Powell, Tia; Prezant, David; Reed, Mary Jane; Rich, Preston; Rodriquez, Dario; Roxland, Beth E.; Sarani, Babak; Shah, Umair A.; Skippen, Peter; Sprung, Charles L.; Subbarao, Italo; Talmor, Daniel; Toner, Eric S.; Tosh, Pritish K.; Upperman, Jeffrey S.; Uyeki, Timothy M.; Weireter, Leonard J.; West, T. Eoin; Wilgis, John; Ornelas, Joe; McBride, Deborah; Reid, David; Baez, Amado; Baldisseri, Marie; Blumenstock, James S.; Cooper, Art; Ellender, Tim; Helminiak, Clare; Jimenez, Edgar; Krug, Steve; Lamana, Joe; Masur, Henry; Mathivha, L. Rudo; Osterholm, Michael T.; Reynolds, H. Neal; Sandrock, Christian; Sprecher, Armand; Tillyard, Andrew; White, Douglas; Wise, Robert; Yeskey, Kevin

2014-01-01

BACKGROUND: Engagement and education of ICU clinicians in disaster preparedness is fragmented by time constraints and institutional barriers and frequently occurs during a disaster. We reviewed the existing literature from 2007 to April 2013 and expert opinions about clinician engagement and education for critical care during a pandemic or disaster and offer suggestions for integrating ICU clinicians into planning and response. The suggestions in this article are important for all of those involved in a pandemic or large-scale disaster with multiple critically ill or injured patients, including front-line clinicians, hospital administrators, and public health or government officials. METHODS: A systematic literature review was performed and suggestions formulated according to the American College of Chest Physicians (CHEST) Consensus Statement development methodology. We assessed articles, documents, reports, and gray literature reported since 2007. Following expert-informed sorting and review of the literature, key priority areas and questions were developed. No studies of sufficient quality were identified upon which to make evidence-based recommendations. Therefore, the panel developed expert opinion-based suggestions using a modified Delphi process. RESULTS: Twenty-three suggestions were formulated based on literature-informed consensus opinion. These suggestions are grouped according to the following thematic elements: (1) situational awareness, (2) clinician roles and responsibilities, (3) education, and (4) community engagement. Together, these four elements are considered to form the basis for effective ICU clinician engagement for mass critical care. CONCLUSIONS: The optimal engagement of the ICU clinical team in caring for large numbers of critically ill patients due to a pandemic or disaster will require a departure from the routine independent systems operating in hospitals. An effective response will require robust information systems; coordination among clinicians, hospitals, and governmental organizations; pre-event engagement of relevant stakeholders; and standardized core competencies for the education and training of critical care clinicians. PMID:25144161

A Critical Information Literacy Model: Library Leadership within the Curriculum

ERIC Educational Resources Information Center

Swanson, Troy

2011-01-01

It is a time for a new model for teaching students to find, evaluate, and use information by drawing on critical pedagogy theory in the education literature. This critical information literacy model views the information world as a dynamic place where authors create knowledge for many reasons; it seeks to understand students as information users,…

Transforming Patient-Centered Care: Development of the Evidence Informed Decision Making through Engagement Model.

PubMed

Moore, Jennifer E; Titler, Marita G; Kane Low, Lisa; Dalton, Vanessa K; Sampselle, Carolyn M

2015-01-01

In response to the passage of the Affordable Care Act in the United States, clinicians and researchers are critically evaluating methods to engage patients in implementing evidence-based care to improve health outcomes. However, most models on implementation only target clinicians or health systems as the adopters of evidence. Patients are largely ignored in these models. A new implementation model that captures the complex but important role of patients in the uptake of evidence may be a critical missing link. Through a process of theory evaluation and development, we explore patient-centered concepts (patient activation and shared decision making) within an implementation model by mapping qualitative data from an elective induction of labor study to assess the model's ability to capture these key concepts. The process demonstrated that a new, patient-centered model for implementation is needed. In response, the Evidence Informed Decision Making through Engagement Model is presented. We conclude that, by fully integrating women into an implementation model, outcomes that are important to both the clinician and patient will improve. In the interest of providing evidence-based care to women during pregnancy and childbirth, it is essential that care is patient centered. The inclusion of concepts discussed in this article has the potential to extend beyond maternity care and influence other clinical areas. Utilizing the newly developed Evidence Informed Decision Making through Engagement Model provides a framework for utilizing evidence and translating it into practice while acknowledging the important role that women have in the process. Published by Elsevier Inc.

Quantification of network structural dissimilarities.

PubMed

Schieber, Tiago A; Carpi, Laura; Díaz-Guilera, Albert; Pardalos, Panos M; Masoller, Cristina; Ravetti, Martín G

2017-01-09

Identifying and quantifying dissimilarities among graphs is a fundamental and challenging problem of practical importance in many fields of science. Current methods of network comparison are limited to extract only partial information or are computationally very demanding. Here we propose an efficient and precise measure for network comparison, which is based on quantifying differences among distance probability distributions extracted from the networks. Extensive experiments on synthetic and real-world networks show that this measure returns non-zero values only when the graphs are non-isomorphic. Most importantly, the measure proposed here can identify and quantify structural topological differences that have a practical impact on the information flow through the network, such as the presence or absence of critical links that connect or disconnect connected components.

Cancer-related direct-to-consumer advertising: a critical review.

PubMed

Kontos, Emily Z; Viswanath, K

2011-02-01

The direct-to-consumer advertising (DTCA) phenomenon has received attention because of its attempt to reach out to consumers by bypassing important gatekeepers such as physicians. The emergence of new information platforms and the introduction of genetic tests directly to the consumer have heightened the concern with DTCA and its potential consequences. These effects of DTCA are particularly important given the communication inequalities among social groups, with class, race and ethnicity influencing how people access, seek, process and act on information. This Science and Society article reviews the major issues regarding general and cancer-related DTCA and also offers data from a national survey in the United States as an example of the communication inequalities in genetic testing awareness.

Databases in the Area of Pharmacogenetics

PubMed Central

Sim, Sarah C.; Altman, Russ B.; Ingelman-Sundberg, Magnus

2012-01-01

In the area of pharmacogenetics and personalized health care it is obvious that databases, providing important information of the occurrence and consequences of variant genes encoding drug metabolizing enzymes, drug transporters, drug targets, and other proteins of importance for drug response or toxicity, are of critical value for scientists, physicians, and industry. The primary outcome of the pharmacogenomic field is the identification of biomarkers that can predict drug toxicity and drug response, thereby individualizing and improving drug treatment of patients. The drug in question and the polymorphic gene exerting the impact are the main issues to be searched for in the databases. Here, we review the databases that provide useful information in this respect, of benefit for the development of the pharmacogenomic field. PMID:21309040

Identifying the Critical Links in Road Transportation Networks: Centrality-based approach utilizing structural properties

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

Chinthavali, Supriya

Surface transportation road networks share structural properties similar to other complex networks (e.g., social networks, information networks, biological networks, and so on). This research investigates the structural properties of road networks for any possible correlation with the traffic characteristics such as link flows those determined independently. Additionally, we define a criticality index for the links of the road network that identifies the relative importance in the network. We tested our hypotheses with two sample road networks. Results show that, correlation exists between the link flows and centrality measures of a link of the road (dual graph approach is followed) andmore » the criticality index is found to be effective for one test network to identify the vulnerable nodes.« less

Cultural Shifts: Putting Critical Information Literacy into Practice

ERIC Educational Resources Information Center

Hicks, Alison

2013-01-01

This paper uses the example of foreign languages to explore the integration of critical information literacy into the curriculum of various disciplines. By closely examining the practices and values inherent in the foreign language information environment, the paper suggests that a critical vision of information literacy provides the most…

The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The Society for Pediatric Anesthesia Critical Events Checklists.

PubMed

Clebone, Anna; Burian, Barbara K; Watkins, Scott C; Gálvez, Jorge A; Lockman, Justin L; Heitmiller, Eugenie S

2017-03-01

Cognitive aids such as checklists are commonly used in modern operating rooms for routine processes, and the use of such aids may be even more important during critical events. The Quality and Safety Committee of the Society for Pediatric Anesthesia (SPA) has developed a set of critical-event checklists and cognitive aids designed for 3 purposes: (1) as a repository of the latest evidence-based and expert opinion-based information to guide response and management of critical events, (2) as a source of just-in-time information during critical events, and (3) as a method to facilitate a shared understanding of required actions among team members during a critical event. Committee members, who represented children's hospitals from across the nation, used the recent literature and established guidelines (where available) and incorporated the expertise of colleagues at their institutions to develop these checklists, which included relevant factors to consider and steps to take in response to critical events. Human factors principles were incorporated to enhance checklist usability, facilitate error-free accomplishment, and ensure a common approach to checklist layout, formatting, structure, and design.The checklists were made available in multiple formats: a PDF version for easy printing, a mobile application, and at some institutions, a Web-based application using the anesthesia information management system. After the checklists were created, training commenced, and plans for validation were begun. User training is essential for successful implementation and should ideally include explanation of the organization of the checklists; familiarization of users with the layout, structure, and formatting of the checklists; coaching in how to use the checklists in a team environment; reviewing of the items; and simulation of checklist use. Because of the rare and unpredictable nature of critical events, clinical trials that use crisis checklists are difficult to conduct; however, recent and future simulation studies with adult checklists provide a promising avenue for future validation of the SPA checklists. This article will review the developmental steps in producing the SPA crisis checklists, including creation of content, incorporation of human factors elements, and validation in simulation. Critical-events checklists have the potential to improve patient care during emergency events, and it is hoped that incorporating the elements presented in this article will aid in successful implementation of these essential cognitive aids.

Aviation occupant survival factors: an empirical study of the SQ006 accident.

PubMed

Chang, Yu-Hern; Yang, Hui-Hua

2010-03-01

We present an empirical study of Singapore Airline (SIA) flight SQ006 to illustrate the critical factors that influence airplane occupant survivability. The Fuzzy Delphi Method was used to identify and rank the survival factors that may reduce injury and fatality in potentially survivable accidents. This is the first attempt by a group from both the public and private sectors in Taiwan to focus on cabin-safety issues related to survival factors. We designed a comprehensive survey based on our discussions with aviation safety experts. We next designed an array of important cabin-safety dimensions and then investigated and selected the critical survival factors for each dimension. Our findings reveal important cabin safety and survivability information that should provide a valuable reference for developing and evaluating aviation safety programs. We also believe that the results will be practical for designing cabin-safety education material for air travelers. Finally, the major contribution of this research is that it has identified 47 critical factors that influence accident survivability; therefore, it may encourage improvements that will promote more successful cabin-safety management. Copyright 2009 Elsevier Ltd. All rights reserved.

Using a Prediction Model to Manage Cyber Security Threats.

PubMed

Jaganathan, Venkatesh; Cherurveettil, Priyesh; Muthu Sivashanmugam, Premapriya

2015-01-01

Cyber-attacks are an important issue faced by all organizations. Securing information systems is critical. Organizations should be able to understand the ecosystem and predict attacks. Predicting attacks quantitatively should be part of risk management. The cost impact due to worms, viruses, or other malicious software is significant. This paper proposes a mathematical model to predict the impact of an attack based on significant factors that influence cyber security. This model also considers the environmental information required. It is generalized and can be customized to the needs of the individual organization.

Using a Prediction Model to Manage Cyber Security Threats

PubMed Central

Muthu Sivashanmugam, Premapriya

2015-01-01

Cyber-attacks are an important issue faced by all organizations. Securing information systems is critical. Organizations should be able to understand the ecosystem and predict attacks. Predicting attacks quantitatively should be part of risk management. The cost impact due to worms, viruses, or other malicious software is significant. This paper proposes a mathematical model to predict the impact of an attack based on significant factors that influence cyber security. This model also considers the environmental information required. It is generalized and can be customized to the needs of the individual organization. PMID:26065024

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

Hall, Debora Lynn

Los Alamos National Laboratory is committed to an environmental management strategy aimed at reducing the Laboratory's environmental impacts, while still maintaining or increasing operating efficiencies. This training is designed to help you understand the critical importance of environmental management to the continuing success of the Laboratory and your personal role in this essential endeavor. If you are new to this training, you may wish to explore the various links that will take you to more in-depth information. If this is refresher training, you will find new information concerning the Laboratory's current institutional objectives and targets for environmental management.

An Optimization-Driven Analysis Pipeline to Uncover Biomarkers and Signaling Paths: Cervix Cancer.

PubMed

Lorenzo, Enery; Camacho-Caceres, Katia; Ropelewski, Alexander J; Rosas, Juan; Ortiz-Mojer, Michael; Perez-Marty, Lynn; Irizarry, Juan; Gonzalez, Valerie; Rodríguez, Jesús A; Cabrera-Rios, Mauricio; Isaza, Clara

2015-06-01

Establishing how a series of potentially important genes might relate to each other is relevant to understand the origin and evolution of illnesses, such as cancer. High-throughput biological experiments have played a critical role in providing information in this regard. A special challenge, however, is that of trying to conciliate information from separate microarray experiments to build a potential genetic signaling path. This work proposes a two-step analysis pipeline, based on optimization, to approach meta-analysis aiming to build a proxy for a genetic signaling path.

Effective radiology dashboards: key research findings.

PubMed

Karami, Mahtab; Safdari, Reza; Rahimi, Azin

2013-01-01

Innovative organizations have access to information for business intelligence through the objectives displayed in dashboards. In healthcare organizations, where the goal is to improve quality of care along with reducing costs, the radiology department is important from both financial and clinical aspects. Therefore, how to manage this department has critical impact on the effectiveness and efficiency of the organization. Today, since the information in this department not only has different data structure but also is gathered from different data sources, a well defined, comprehensive dashboard can be an effective tool to enhance performance.

Informal payments and the financing of health care in developing and transition countries.

PubMed

Lewis, Maureen

2007-01-01

Informal, under-the-table payments to public health care providers are increasingly viewed as a critically important source of health care financing in developing and transition countries. With minimal funding levels and limited accountability, publicly financed and delivered care falls prey to illegal payments, which require payments that can exceed 100 percent of a country's median income. Methods to address the abuse include establishing official fees, combined with improved oversight and accountability for public health care providers, and a role for communities in holding providers accountable.

Communicating Science Broadly: An NSF Point of View

NASA Astrophysics Data System (ADS)

Leinen, M. S.

2006-12-01

In the view of NSF, communicating about both the process of doing science and about scientific results are of paramount importance. But those of us in the agency are not the ones who do the science or generate the results. Thus, our policy is to encourage the community we fund to communicate their results as broadly as possible. Why does NSF feel so strongly about communicating scientific results? First, science only moves forward when there is free and open debate about scientific results through public mechanisms in which there is an opportunity for thorough analysis (e.g. scientific literature, professional meetings and workshops). Second, the research we support is done for the good of the public and should be communicated to the public. Third, scientific results are critical to many important decision-making processes and policy-making processes. Democracies thrive when an informed public is engaged, so communicating science broadly to the lay public is important. Why does NSF feel so strongly about communicating about the process of science? Science is a habit of mind; an orderly process for testing ideas. But many do not understand how science is done, the difference between fact and conjecture, why speculation, hypotheses and theory are critical to progress, or why the culture of constructive criticism is essential to progress. Without this context, science can be misunderstood as magic, opinion, or argument. Thus the efforts that we fund to enhance scientific education and outreach are critical to having discourse about scientific results.

Braided Stories and Bricolaged Symbols: Critical Reflection and Transformative Learning Theory for Teachers

ERIC Educational Resources Information Center

Brigham, Susan Mary

2011-01-01

In this paper I make the case that transformative learning theory, a specific adult learning theory, and an arts-informed research method have important value for teacher professional practice and teacher education. I refer to two phases of a study involving women who have immigrated to Maritime Canada and were teachers in their countries of…

77 FR 74435 - Protection of Stratospheric Ozone: The 2013 Critical Use Exemption From the Phaseout of Methyl...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-14

.... EPA will post information regarding a hearing, if one is requested, on the Ozone Protection Web site... considers all pre-phaseout inventory to be suitable for both pre-plant and post harvest uses. The aggregate... the amount of methyl bromide that may be produced, imported, or supplied from existing pre-phaseout...

Normalized algorithm for mapping and dating forest disturbances and regrowth for the United States

Treesearch

Liming He; Jing M. Chen; Shaoliang Zhang; Gustavo Gomez; Yude Pan; Kevin McCullough; Richard Birdsey; Jeffrey G. Masek

2011-01-01

Forest disturbances such as harvesting, wildfire and insect infestation are critical ecosystem processes affecting the carbon cycle. Because carbon dynamics are related to time since disturbance, forest stand age that can be used as a surrogate for major clear-cut/fire disturbance information has recently been recognized as an important input to forest carbon cycle...

Park signs and visitor behavior: A research summary

Treesearch

P.L. Winter

2008-01-01

National park staffs rely on sign to inform visitors of a great variety of expected behaviors. Where park rangers or volunteers physically cannot be present to remind visitors of important rules, signs can be especially helpful. However, as any ranger will attest, signs vary in eff ectiveness. The reasons for this are numerous, but message content is a critical factor...

Avoiding Legal Hassles: What School Administrators Really Need To Know. Second Edition.

ERIC Educational Resources Information Center

Streshly, William A.; Walsh, John; Frase, Larry E.

An understanding of school law is of critical importance if one is to remain successful as a school administrator in America. This book's purpose is to provide busy school administrators with a quick source of information about the law and court decisions that shape the education playing field. It is both comprehensive and brief. Chapter 1…

The Devil Is in the Details: Development of Policy and Procedure in the Battle River Project

ERIC Educational Resources Information Center

Gleddie, Doug L.

2012-01-01

Objective: Guidelines from a variety of jurisdictions for the health-promoting schools (HPS) approach include healthy school policy as a critical element. Research also supports the importance of policy; however, there seems to be a lack of information on how to develop and implement policy. The article examines the processes involved in one…

More than "Showing What Happened": Exploring the Potential of Teaching History with Film

ERIC Educational Resources Information Center

Stoddard, Jeremy D.; Marcus, Alan S.

2010-01-01

In a world where students and the general public are likely to access historical information from a television program, film, or even video game, it is important to equip students with the ability to view historical representation critically. In this essay we present arguments for using film to engage students in rigorous and authentic social…

Using daily field-scale evapotranspiration (ET) derived with multi-sensor data fusion for monitoring crop condition and yield in central Iowa, United States

USDA-ARS?s Scientific Manuscript database

Drought has significant impacts over broad spatial and temporal scales, and information about the timing and extent of such conditions is of critical importance to many end users in the agricultural and water resource management communities. The ability to accurately monitor effects on crops and pr...

Phenotypes, genome wide markers and structured genetic populations; a means to understand economically important traits in beta vulgaris and to inform the process of germplasm enhancement

USDA-ARS?s Scientific Manuscript database

Although hybrid seed systems in beet have been widely adopted due to profitability and productivity, the population remains the operational unit of beet improvement and thus characterizing populations in terms of markers and phenotypes is critical for novel trait discovery and eventual deployment of...

The Importance of Cognitive Factors that Guide Escalation of Force Decisions

DTIC Science & Technology

2012-07-01

L., Mathew, J., Elfenbein, H. A., Sanchez- Burks, J., & Ruark, G. A. (2009). Training Soldiers to decode nonverbal cues in cross - cultural ...procedures for engaging with noncombatants and (potential) combatants has become critical. A research program that explores the psychological ...factors that could influence those situations. Information was gathered from foundational and current psychological theories as well as from

A Qualitative Study of Students' Computational Thinking Skills in a Data-Driven Computing Class

ERIC Educational Resources Information Center

Yuen, Timothy T.; Robbins, Kay A.

2014-01-01

Critical thinking, problem solving, the use of tools, and the ability to consume and analyze information are important skills for the 21st century workforce. This article presents a qualitative case study that follows five undergraduate biology majors in a computer science course (CS0). This CS0 course teaches programming within a data-driven…

The Role of Human Error in Design, Construction, and Reliability of Marine Structures.

DTIC Science & Technology

1994-10-01

The 1979 Three Mile Island nuclear plant accident was largely a result of a failure to properly sort out and recognize critically important information...determinating the goals and objectives of the program and by evaluating and interpreting the results in terms of structural design, construction, and...67 Checking Models in Structural Design ....................................... 69 Nuclear Power Plants

Reforming for "All" or for "Some": Misalignment in the Discourses of Education Reformers and Implementers

ERIC Educational Resources Information Center

Lenhoff, Sarah Winchell; Ulmer, Jasmine B.

2016-01-01

The ways in which the language of reformers intersects with and informs reform implementation is important to our understanding of how education policy impacts practice. To explore this issue, we employed critical discourse analysis (CDA) to analyze the language used by a 21st century skills-focused reform organization to promote its program…

Effects of landscape composition and configuration on migrating songbirds: inference from and individual-based model

Treesearch

Emily Cohen; Scott Pearson; Frank Moore

2014-01-01

The behavior of long-distance migrants during stopover is constrained by the need to quickly and safely replenish energetic reserves. Replenishing fuel stores at stopover sites requires adjusting to unfamiliar landscapes with little to no information about the distribution of resources. Despite their critical importance to the success of songbird migration, the effects...

An Integrated Contextual and Web-Based Issue Quest Approach to Improving Students' Learning Achievements, Attitudes and Critical Thinking

ERIC Educational Resources Information Center

Sung, Han-Yu; Hwang, Gwo-Jen; Chang, Hong-Sheng

2015-01-01

In the era of computer and communication technologies, fostering students' high-level thinking abilities has become an important educational objective. Engaging students in web information searching to answer a series of questions related to a target issue has been recognized as a helpful approach for promoting students' thinking processes. In…

IT and Geography Teaching in Hong Kong Secondary Schools: A Critical Review of Possibilities, Trends and Implications

ERIC Educational Resources Information Center

Yeung, Stephen Pui-Ming

2010-01-01

Many countries have invested heavily in facilities and teacher training for the infusion of information technology (IT) into various school subjects. The background besetting this innovation and how far learning has improved thereby are important concerns for the education sector. They are examined here with respect to Hong Kong, which is a mixed…

Characterization and classification of vegetation canopy structure and distribution within the Great Smoky Mountains National Park using LiDAR

Treesearch

Jitendra Kumar; Jon Weiner; William W. Hargrove; Steve Norman; Forrest M. Hoffman; Doug Newcomb

2016-01-01

Vegetation canopy structure is a critically important habitat characteristic for many threatened and endangered birds and other animal species, and it is key information needed by forest and wildlife managers for monitoring and managing forest resources, conservation planning and fostering biodiversity. Advances in Light Detection and Ranging (LiDAR) technologies have...

Information Is Power! A Child Advocate's Guide to Fear-Free Fact Finding. Revised.

ERIC Educational Resources Information Center

Benjamin, Diane; Thompson, Kerri

Noting that obtaining facts and figures on important policy issues related to children is the critical first step toward identifying what is working and what needs improvement, this Kids Count guide is designed to help local community members find and use data on the condition of children and families in Minnesota. The guide describes how to…

Characteristics of aspen infected with heartrot: Implications for cavity-nesting birds

Treesearch

Chris Witt

2010-01-01

Phellinus tremulae is an important fungal decay agent common to aspen and a critical component to the cavity-nesting bird complex found in western aspen stands. Little information exists on the conditions that facilitate infection and spread of P. tremulae in aspen forests. I used Forest Inventory and Analysis (FIA) data to explore the relationships of several tree and...

Perspectives : anecdotal, historical and critical commentaries on genetics

Treesearch

Bryan K. Epperson

1999-01-01

The purpose of this article is to give a personal perspective of the person of Gustave Malecot and a conceptual account of his contributions to the field of population genetics. Some essential biographical information is given, but more important are some insights he himself gave into his early career. I was privileged to have him share these insights with me over the...

Are Torsos the Basis for Infants' Categorization of Cats Versus Dogs? A Reply to Vidic and Haaf (2004)

ERIC Educational Resources Information Center

Quinn, Paul C.

2005-01-01

Vidic and Haaf (2004) questioned the idea that infants use head information to categorize cats as distinct from dogs (Quinn & Eimas, 1996) and argued instead that the torso region is important. However, only null results were observed in the critical test comparisons between modified and unmodified stimuli. In addition, a priori preferences for…

The Link between the Process of Change and Coaching in an Organization--A Case Study

ERIC Educational Resources Information Center

Jim, Josephine

2016-01-01

The aim of this case study was to highlight coaching in the process of change using a real life information technology and operational change project in an institution. It demonstrates the critical importance of coaching in change management, for successful change to occur. Any sustaining change requires ongoing coaching as an integral part of the…

Remote Blood Glucose Monitoring in mHealth Scenarios: A Review.

PubMed

Lanzola, Giordano; Losiouk, Eleonora; Del Favero, Simone; Facchinetti, Andrea; Galderisi, Alfonso; Quaglini, Silvana; Magni, Lalo; Cobelli, Claudio

2016-11-24

Glucose concentration in the blood stream is a critical vital parameter and an effective monitoring of this quantity is crucial for diabetes treatment and intensive care management. Effective bio-sensing technology and advanced signal processing are therefore of unquestioned importance for blood glucose monitoring. Nevertheless, collecting measurements only represents part of the process as another critical task involves delivering the collected measures to the treating specialists and caregivers. These include the clinical staff, the patient's significant other, his/her family members, and many other actors helping with the patient treatment that may be located far away from him/her. In all of these cases, a remote monitoring system, in charge of delivering the relevant information to the right player, becomes an important part of the sensing architecture. In this paper, we review how the remote monitoring architectures have evolved over time, paralleling the progress in the Information and Communication Technologies, and describe our experiences with the design of telemedicine systems for blood glucose monitoring in three medical applications. The paper ends summarizing the lessons learned through the experiences of the authors and discussing the challenges arising from a large-scale integration of sensors and actuators.

Remote Blood Glucose Monitoring in mHealth Scenarios: A Review

PubMed Central

Lanzola, Giordano; Losiouk, Eleonora; Del Favero, Simone; Facchinetti, Andrea; Galderisi, Alfonso; Quaglini, Silvana; Magni, Lalo; Cobelli, Claudio

2016-01-01

Glucose concentration in the blood stream is a critical vital parameter and an effective monitoring of this quantity is crucial for diabetes treatment and intensive care management. Effective bio-sensing technology and advanced signal processing are therefore of unquestioned importance for blood glucose monitoring. Nevertheless, collecting measurements only represents part of the process as another critical task involves delivering the collected measures to the treating specialists and caregivers. These include the clinical staff, the patient’s significant other, his/her family members, and many other actors helping with the patient treatment that may be located far away from him/her. In all of these cases, a remote monitoring system, in charge of delivering the relevant information to the right player, becomes an important part of the sensing architecture. In this paper, we review how the remote monitoring architectures have evolved over time, paralleling the progress in the Information and Communication Technologies, and describe our experiences with the design of telemedicine systems for blood glucose monitoring in three medical applications. The paper ends summarizing the lessons learned through the experiences of the authors and discussing the challenges arising from a large-scale integration of sensors and actuators. PMID:27886122

Concerns about usage of smartphones in operating room and critical care scenario

PubMed Central

Attri, JP; Khetarpal, R; Chatrath, V; Kaur, J

2016-01-01

Smartphones and tablets have taken a central place in the lives of health care professionals. Their use has dramatically improved the communication and has become an important learning tool as the medical information can be assessed online at anytime. In critical care settings, use of smartphone facilitates quick passage of information through E-mail messaging and getting feedback from the concerned physician quickly, thereby reducing medical errors. However, in addition to the benefits offered, these devices have become a significant source of nosocomial infections, distraction for medical professionals and interfere with medical equipments. They may also put privacy and security of patients at stake. The benefits could be severely undermined if abuse and over use are not kept in check. This review article focuses on various applications of smartphones in healthcare practices, drawback of the use of these devices and the recommendations regarding the safe use of these devices. PMID:26952181

Concerns about usage of smartphones in operating room and critical care scenario.

PubMed

Attri, J P; Khetarpal, R; Chatrath, V; Kaur, J

2016-01-01

Smartphones and tablets have taken a central place in the lives of health care professionals. Their use has dramatically improved the communication and has become an important learning tool as the medical information can be assessed online at anytime. In critical care settings, use of smartphone facilitates quick passage of information through E-mail messaging and getting feedback from the concerned physician quickly, thereby reducing medical errors. However, in addition to the benefits offered, these devices have become a significant source of nosocomial infections, distraction for medical professionals and interfere with medical equipments. They may also put privacy and security of patients at stake. The benefits could be severely undermined if abuse and over use are not kept in check. This review article focuses on various applications of smartphones in healthcare practices, drawback of the use of these devices and the recommendations regarding the safe use of these devices.

Identifying organizational capacities and incentives for clinical data-sharing: the case of a regional perinatal information system.

PubMed

Korst, Lisa M; Signer, Jordana M K; Aydin, Carolyn E; Fink, Arlene

2008-01-01

The development of regional data-sharing among healthcare organizations is viewed as an important step in the development of health information technology (HIT), but little is known about this complex task. This is a case study of a regional perinatal data system that involved four hospitals, together responsible for over 10,000 births annually. Using standard qualitative methods, we chronicled project milestones, and identified 31 "critical incidents" that delayed or prevented their achievement. We then used these critical incidents to articulate six organizational capacity domains associated with the achievement of project milestones, and a seventh domain consisting of organizational incentives. Finally, we analyzed the relationship of milestone achievement to the presence of these capacities and incentives. This data center case suggests four requirements for sharing data across organizations: 1) a readiness assessment; 2) a perceived mandate; 3) a formal governance structure; and 4) a third party IT component.

Critical Theory and Information Studies: A Marcusean Infusion

ERIC Educational Resources Information Center

Pyati, Ajit K.

2006-01-01

In the field of library and information science, also known as information studies, critical theory is often not included in debates about the discipline's theoretical foundations. This paper argues that the critical theory of Herbert Marcuse, in particular, has a significant contribution to make to the field of information studies. Marcuse's…

Engagement and education: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement.

PubMed

Devereaux, Asha V; Tosh, Pritish K; Hick, John L; Hanfling, Dan; Geiling, James; Reed, Mary Jane; Uyeki, Timothy M; Shah, Umair A; Fagbuyi, Daniel B; Skippen, Peter; Dichter, Jeffrey R; Kissoon, Niranjan; Christian, Michael D; Upperman, Jeffrey S

2014-10-01

Engagement and education of ICU clinicians in disaster preparedness is fragmented by time constraints and institutional barriers and frequently occurs during a disaster. We reviewed the existing literature from 2007 to April 2013 and expert opinions about clinician engagement and education for critical care during a pandemic or disaster and offer suggestions for integrating ICU clinicians into planning and response. The suggestions in this article are important for all of those involved in a pandemic or large-scale disaster with multiple critically ill or injured patients, including front-line clinicians, hospital administrators, and public health or government officials. A systematic literature review was performed and suggestions formulated according to the American College of Chest Physicians (CHEST) Consensus Statement development methodology. We assessed articles, documents, reports, and gray literature reported since 2007. Following expert-informed sorting and review of the literature, key priority areas and questions were developed. No studies of sufficient quality were identified upon which to make evidence-based recommendations. Therefore, the panel developed expert opinion-based suggestions using a modified Delphi process. Twenty-three suggestions were formulated based on literature-informed consensus opinion. These suggestions are grouped according to the following thematic elements: (1) situational awareness, (2) clinician roles and responsibilities, (3) education, and (4) community engagement. Together, these four elements are considered to form the basis for effective ICU clinician engagement for mass critical care. The optimal engagement of the ICU clinical team in caring for large numbers of critically ill patients due to a pandemic or disaster will require a departure from the routine independent systems operating in hospitals. An effective response will require robust information systems; coordination among clinicians, hospitals, and governmental organizations; pre-event engagement of relevant stakeholders; and standardized core competencies for the education and training of critical care clinicians.

In the public interest: assessing expert and stakeholder influence in public deliberation about biobanks.

PubMed

MacLean, Samantha; Burgess, Michael M

2010-07-01

Providing technical and experiential information without overwhelming participants' perspectives presents a major challenge to public involvement in policy decisions. This article reports the design and analysis of a case study on incorporating expert and stakeholder knowledge without including them as deliberators, while supporting deliberative participants' ability to introduce and critically assess different perspectives. Analysis of audio-recorded deliberations illustrates how expert and stakeholder knowledge was cited, criticized and incorporated into deliberations. In conclusion, separating experts and stakeholders from deliberations may be an important prima facie principle when the goal is to enhance citizen representation on technical issues and related policy.

A guide to writing a scientific paper: a focus on high school through graduate level student research.

PubMed

Hesselbach, Renee A; Petering, David H; Berg, Craig A; Tomasiewicz, Henry; Weber, Daniel

2012-12-01

This article presents a detailed guide for high school through graduate level instructors that leads students to write effective and well-organized scientific papers. Interesting research emerges from the ability to ask questions, define problems, design experiments, analyze and interpret data, and make critical connections. This process is incomplete, unless new results are communicated to others because science fundamentally requires peer review and criticism to validate or discard proposed new knowledge. Thus, a concise and clearly written research paper is a critical step in the scientific process and is important for young researchers as they are mastering how to express scientific concepts and understanding. Moreover, learning to write a research paper provides a tool to improve science literacy as indicated in the National Research Council's National Science Education Standards (1996), and A Framework for K-12 Science Education (2011), the underlying foundation for the Next Generation Science Standards currently being developed. Background information explains the importance of peer review and communicating results, along with details of each critical component, the Abstract, Introduction, Methods, Results, and Discussion. Specific steps essential to helping students write clear and coherent research papers that follow a logical format, use effective communication, and develop scientific inquiry are described.

A Guide to Writing a Scientific Paper: A Focus on High School Through Graduate Level Student Research

PubMed Central

Petering, David H.; Berg, Craig A.; Tomasiewicz, Henry; Weber, Daniel

2012-01-01

Abstract This article presents a detailed guide for high school through graduate level instructors that leads students to write effective and well-organized scientific papers. Interesting research emerges from the ability to ask questions, define problems, design experiments, analyze and interpret data, and make critical connections. This process is incomplete, unless new results are communicated to others because science fundamentally requires peer review and criticism to validate or discard proposed new knowledge. Thus, a concise and clearly written research paper is a critical step in the scientific process and is important for young researchers as they are mastering how to express scientific concepts and understanding. Moreover, learning to write a research paper provides a tool to improve science literacy as indicated in the National Research Council's National Science Education Standards (1996), and A Framework for K–12 Science Education (2011), the underlying foundation for the Next Generation Science Standards currently being developed. Background information explains the importance of peer review and communicating results, along with details of each critical component, the Abstract, Introduction, Methods, Results, and Discussion. Specific steps essential to helping students write clear and coherent research papers that follow a logical format, use effective communication, and develop scientific inquiry are described. PMID:23094692

Impact of nitrogen deposition at the species level

PubMed Central

Payne, Richard J.; Dise, Nancy B.; Stevens, Carly J.; Gowing, David J.; Duprè, Cecilia; Dorland, Edu; Gaudnik, Cassandre; Bleeker, Albert; Diekmann, Martin; Alard, Didier; Bobbink, Roland; Fowler, David; Corcket, Emmanuel; Mountford, J. Owen; Vandvik, Vigdis; Aarrestad, Per Arild; Muller, Serge

2013-01-01

In Europe and, increasingly, the rest of the world, the key policy tool for the control of air pollution is the critical load, a level of pollution below which there are no known significant harmful effects on the environment. Critical loads are used to map sensitive regions and habitats, permit individual polluting activities, and frame international negotiations on transboundary air pollution. Despite their fundamental importance in environmental science and policy, there has been no systematic attempt to verify a critical load with field survey data. Here, we use a large dataset of European grasslands along a gradient of nitrogen (N) deposition to show statistically significant declines in the abundance of species from the lowest level of N deposition at which it is possible to identify a change. Approximately 60% of species change points occur at or below the range of the currently established critical load. If this result is found more widely, the underlying principle of no harm in pollution policy may need to be modified to one of informed decisions on how much harm is acceptable. Our results highlight the importance of protecting currently unpolluted areas from new pollution sources, because we cannot rule out ecological impacts from even relatively small increases in reactive N deposition. PMID:23271811

Databases for Microbiologists

DOE PAGES

Zhulin, Igor B.

2015-05-26

Databases play an increasingly important role in biology. They archive, store, maintain, and share information on genes, genomes, expression data, protein sequences and structures, metabolites and reactions, interactions, and pathways. All these data are critically important to microbiologists. Furthermore, microbiology has its own databases that deal with model microorganisms, microbial diversity, physiology, and pathogenesis. Thousands of biological databases are currently available, and it becomes increasingly difficult to keep up with their development. Finally, the purpose of this minireview is to provide a brief survey of current databases that are of interest to microbiologists.

Databases for Microbiologists

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

Zhulin, Igor B.

Databases play an increasingly important role in biology. They archive, store, maintain, and share information on genes, genomes, expression data, protein sequences and structures, metabolites and reactions, interactions, and pathways. All these data are critically important to microbiologists. Furthermore, microbiology has its own databases that deal with model microorganisms, microbial diversity, physiology, and pathogenesis. Thousands of biological databases are currently available, and it becomes increasingly difficult to keep up with their development. Finally, the purpose of this minireview is to provide a brief survey of current databases that are of interest to microbiologists.

Databases for Microbiologists

PubMed Central

2015-01-01

Databases play an increasingly important role in biology. They archive, store, maintain, and share information on genes, genomes, expression data, protein sequences and structures, metabolites and reactions, interactions, and pathways. All these data are critically important to microbiologists. Furthermore, microbiology has its own databases that deal with model microorganisms, microbial diversity, physiology, and pathogenesis. Thousands of biological databases are currently available, and it becomes increasingly difficult to keep up with their development. The purpose of this minireview is to provide a brief survey of current databases that are of interest to microbiologists. PMID:26013493

Anticipating and Training the Physician of the Future: The Importance of Caring in an Age of Artificial Intelligence.

PubMed

Johnston, S Claiborne

2018-02-13

Artificial intelligence and other forms of information technology are only just beginning to change the practice of medicine. The pace of change is expected to accelerate as tools improve and as demands for analyzing a rapidly growing body of knowledge and array of data increase. The medical students of today will practice in a world where information technology is sophisticated and omnipresent. In this world, the tasks of memorization and analysis will be less important to them as practicing physicians. On the other hand, the non-analytical, humanistic aspects of medicine-most importantly, the art of caring-will remain a critical function of the physician, and facility with improving systems of care will be required. Communication, empathy, shared decision making, leadership, team building, and creativity are all skills that will continue to gain importance for physicians. These skills should be further prioritized in medical school curricula to produce an even more effective physician for the future.

Interface, information, interaction: a narrative review of design and functional requirements for clinical decision support.

PubMed

Miller, Kristen; Mosby, Danielle; Capan, Muge; Kowalski, Rebecca; Ratwani, Raj; Noaiseh, Yaman; Kraft, Rachel; Schwartz, Sanford; Weintraub, William S; Arnold, Ryan

2018-05-01

Provider acceptance and associated patient outcomes are widely discussed in the evaluation of clinical decision support systems (CDSSs), but critical design criteria for tools have generally been overlooked. The objective of this work is to inform electronic health record alert optimization and clinical practice workflow by identifying, compiling, and reporting design recommendations for CDSS to support the efficient, effective, and timely delivery of high-quality care. A narrative review was conducted from 2000 to 2016 in PubMed and The Journal of Human Factors and Ergonomics Society to identify papers that discussed/recommended design features of CDSSs that are associated with the success of these systems. Fourteen papers were included as meeting the criteria and were found to have a total of 42 unique recommendations; 11 were classified as interface features, 10 as information features, and 21 as interaction features. Features are defined and described, providing actionable guidance that can be applied to CDSS development and policy. To our knowledge, no reviews have been completed that discuss/recommend design features of CDSS at this scale, and thus we found that this was important for the body of literature. The recommendations identified in this narrative review will help to optimize design, organization, management, presentation, and utilization of information through presentation, content, and function. The designation of 3 categories (interface, information, and interaction) should be further evaluated to determine the critical importance of the categories. Future work will determine how to prioritize them with limited resources for designers and developers in order to maximize the clinical utility of CDSS. This review will expand the field of knowledge and provide a novel organization structure to identify key recommendations for CDSS.

Radiology resident recruitment: A study of the impact of web-based information and interview day activities.

PubMed

Deloney, Linda A; Perrot, L J; Lensing, Shelly Y; Jambhekar, Kedar

2014-07-01

Residency recruitment is a critical and expensive process. A program's Web site may improve recruitment, but little is known about how applicants use program sites or what constitutes optimal content. The importance of an interview day and interactions with a program's residents has been described, but candidate preferences for various activities and schedules have not been widely reported. We investigated contemporary use and perceived utility of information provided on radiology program Web sites, as well as preferences for the interview day experience. Using an anonymous cross-sectional survey, we studied 111 candidates who were interviewed between November 1, 2012 and January 19, 2013 for a diagnostic radiology residency position at our institution. Participation in this institutional review board-approved study was entirely voluntary, and no identifying information was collected. Responses were sealed and not analyzed until after the match. A total of 70 candidates returned a completed survey (63% response rate). Optimal content considered necessary for a "complete" Web site was identified. The most important factor in deciding where to apply was geographical connection to a program. "AuntMinnie" was the most popular source of program information on social media. Candidates overwhelmingly preferred one-on-one faculty interviews but had no preference between a Saturday and weekday schedule. The ideal interview experience should include a "meet and greet" with residents off campus and a personal interview with the program director. The overall "feel" or "personality" of the program was critical to a candidate's rank order decision. Our findings offer insight into what factors make programs appealing to radiology applicants. This information will be useful to medical educators engaged in career counseling and recruitment. Copyright © 2014 AUR. Published by Elsevier Inc. All rights reserved.

Designing Courses that Encourage Post-College Scientific Literacy in General Education Students

NASA Astrophysics Data System (ADS)

Horodyskyj, L.

2010-12-01

In a time when domestic and foreign policy is becoming increasingly dependent on a robust understanding of scientific concepts (especially in regards to climate science), it is of vital importance that non-specialist students taking geoscience courses gain an understanding not only of Earth system processes, but also of how to discern scientific information from "spin". An experimental introductory level environmental geology course was developed at the Glendale Community College in Glendale, Arizona, in the fall of 2010 that sought to integrate collaborative learning, online resources, and science in the media. The goal of this course was for students to end the semester with not just an understanding of basic Earth systems concepts, but also with a set of tools for evaluating information presented by the media. This was accomplished by integrating several online sites that interface scientific data with popular web tools (ie, Google Maps) and collaborative exercises that required students to generate ideas based on their observations followed by evaluation and refinement of these ideas through interactions with peers and the instructor. The capstone activity included a series of homework assignments that required students to make note of science-related news stories in the media early in the semester, and then gradually begin critically evaluating these news sources, which will become their primary source of post-college geoscience information. This combination of activities will benefit students long after the semester has ended by giving them access to primary sources of scientific information, encouraging them to discuss and evaluate their ideas with their peers, and, most importantly, to critically evaluate the information they receive from the media and their peers so that they can become more scientifically literate citizens.

Efficient network disintegration under incomplete information: the comic effect of link prediction

NASA Astrophysics Data System (ADS)

Tan, Suo-Yi; Wu, Jun; Lü, Linyuan; Li, Meng-Jun; Lu, Xin

2016-03-01

The study of network disintegration has attracted much attention due to its wide applications, including suppressing the epidemic spreading, destabilizing terrorist network, preventing financial contagion, controlling the rumor diffusion and perturbing cancer networks. The crux of this matter is to find the critical nodes whose removal will lead to network collapse. This paper studies the disintegration of networks with incomplete link information. An effective method is proposed to find the critical nodes by the assistance of link prediction techniques. Extensive experiments in both synthetic and real networks suggest that, by using link prediction method to recover partial missing links in advance, the method can largely improve the network disintegration performance. Besides, to our surprise, we find that when the size of missing information is relatively small, our method even outperforms than the results based on complete information. We refer to this phenomenon as the “comic effect” of link prediction, which means that the network is reshaped through the addition of some links that identified by link prediction algorithms, and the reshaped network is like an exaggerated but characteristic comic of the original one, where the important parts are emphasized.

Clinical handover of patients arriving by ambulance to the emergency department - a literature review.

PubMed

Bost, Nerolie; Crilly, Julia; Wallis, Marianne; Patterson, Elizabeth; Chaboyer, Wendy

2010-10-01

To provide a critical review of research on clinical handover between the ambulance service and emergency department (ED) in hospitals. Data base and hand searches were conducted using the keywords ambulance, handover, handoff, emergency department, emergency room, ER, communication, and clinical handover. Data were extracted, summarised and critically assessed to provide evidence of current clinical handover processes. From 252 documents, eight studies fitted the inclusion criteria of clinical handover and the ambulance to ED patient transfer. Three themes were identified in the review: (1) important information may be missed during clinical handover; (2) structured handovers that include both written and verbal components may improve information exchange; (3) multidisciplinary education about the clinical handover process may encourage teamwork, a shared common language and a framework for minimum patient information to be transferred from the ambulance service to the hospital ED. Knowledge gaps exist concerning handover information, consequences of poor handover, transfer of responsibility, staff perception of handovers, staff training and evaluation of recommended strategies to improve clinical handover. Evidence of strategies being implemented and further research is required to examine the ongoing effects of implementing the strategies. Copyright © 2009 Elsevier Ltd. All rights reserved.

Efficient network disintegration under incomplete information: the comic effect of link prediction.

PubMed

Tan, Suo-Yi; Wu, Jun; Lü, Linyuan; Li, Meng-Jun; Lu, Xin

2016-03-10

The study of network disintegration has attracted much attention due to its wide applications, including suppressing the epidemic spreading, destabilizing terrorist network, preventing financial contagion, controlling the rumor diffusion and perturbing cancer networks. The crux of this matter is to find the critical nodes whose removal will lead to network collapse. This paper studies the disintegration of networks with incomplete link information. An effective method is proposed to find the critical nodes by the assistance of link prediction techniques. Extensive experiments in both synthetic and real networks suggest that, by using link prediction method to recover partial missing links in advance, the method can largely improve the network disintegration performance. Besides, to our surprise, we find that when the size of missing information is relatively small, our method even outperforms than the results based on complete information. We refer to this phenomenon as the "comic effect" of link prediction, which means that the network is reshaped through the addition of some links that identified by link prediction algorithms, and the reshaped network is like an exaggerated but characteristic comic of the original one, where the important parts are emphasized.

Efficient network disintegration under incomplete information: the comic effect of link prediction

PubMed Central

Tan, Suo-Yi; Wu, Jun; Lü, Linyuan; Li, Meng-Jun; Lu, Xin

2016-01-01

The study of network disintegration has attracted much attention due to its wide applications, including suppressing the epidemic spreading, destabilizing terrorist network, preventing financial contagion, controlling the rumor diffusion and perturbing cancer networks. The crux of this matter is to find the critical nodes whose removal will lead to network collapse. This paper studies the disintegration of networks with incomplete link information. An effective method is proposed to find the critical nodes by the assistance of link prediction techniques. Extensive experiments in both synthetic and real networks suggest that, by using link prediction method to recover partial missing links in advance, the method can largely improve the network disintegration performance. Besides, to our surprise, we find that when the size of missing information is relatively small, our method even outperforms than the results based on complete information. We refer to this phenomenon as the “comic effect” of link prediction, which means that the network is reshaped through the addition of some links that identified by link prediction algorithms, and the reshaped network is like an exaggerated but characteristic comic of the original one, where the important parts are emphasized. PMID:26960247

Science and policy: valuing framing, language and listening.

PubMed

Forbes, Stephen

2011-01-01

This paper considers the context for science contributing to policy development and explores some critical issues that should inform science advocacy and influence with policy makers. The paper argues that the key challenges are at least as much in educating conservation scientists and science communicators about society and policy making as they are in educating society and policy makers about science. The importance of developing processes to ensure that scientists and science communicators invest in the development of relationships based on respect and understanding of their audience in both communities and amongst policy makers provides a critical first step. The objectives of the Global Strategy for Plant Conservation acknowledge the importance of developing the capacities and public engagement necessary to implement the Strategy, including knowledge transfer and community capacity building. However, the development of targets to equip institutions and plant conservation professionals to explicitly address the barriers to influencing policy development through knowledge transfer and integration require further consideration.

Nurses' prioritization of enteral nutrition in intensive care units: a national survey.

PubMed

Bloomer, Melissa J; Clarke, Angelique B; Morphet, Julia

2018-05-01

Enteral nutrition is important in critically ill patients to improve patient outcomes, with nurses playing a pivotal role in the delivery and ongoing care of enteral nutrition. A significant deficit in nurses' knowledge and education relating to enteral nutrition has been identified, leading to iatrogenic malnutrition and potentially compromising patient care. Enteral nutrition appears to be prioritized lower than many other aspects of care. However, there is scant research to show how nurses prioritize enteral nutrition. This study aimed to explore how nurses prioritize enteral nutrition when caring for a critically ill patient. A descriptive online questionnaire, administered in May 2014, was utilized to explore the study aim. Descriptive statistics were performed to evaluate quantitative data. Content analysis was used to evaluate qualitative data. A total of 359 responses were included in data analysis (response rate 20.8%). All respondents were registered nurses working within an Australian intensive care unit or high dependency unit. Nurses agreed that enteral nutrition was very important and should be commenced as soon as possible. However, life-saving procedures always took priority and there were often multiple barriers that hindered optimal delivery of enteral nutrition. Respondents relied on their clinical judgement to inform decisions in relation to enteral nutrition in critically ill patients. Most respondents agreed that enteral nutrition was an important aspect of patient care, but acknowledged that other aspects of care were prioritized more highly. Despite this, some delays to enteral nutrition were perceived to be avoidable, and nurses recognized a need to advocate on the patient's behalf to increase the visibility of enteral nutrition. The findings of this study demonstrate that enteral nutrition is often prioritized lower than other competing care needs in the critically ill patient. Given the importance of enteral nutrition to patient recovery, changes to clinical practice to improve enteral nutrition management are necessary. © 2017 British Association of Critical Care Nurses.

Computing, Information and Communications Technology (CICT) Website

NASA Technical Reports Server (NTRS)

Hardman, John; Tu, Eugene (Technical Monitor)

2002-01-01

The Computing, Information and Communications Technology Program (CICT) was established in 2001 to ensure NASA's Continuing leadership in emerging technologies. It is a coordinated, Agency-wide effort to develop and deploy key enabling technologies for a broad range of mission-critical tasks. The NASA CICT program is designed to address Agency-specific computing, information, and communications technology requirements beyond the projected capabilities of commercially available solutions. The areas of technical focus have been chosen for their impact on NASA's missions, their national importance, and the technical challenge they provide to the Program. In order to meet its objectives, the CICT Program is organized into the following four technology focused projects: 1) Computing, Networking and Information Systems (CNIS); 2) Intelligent Systems (IS); 3) Space Communications (SC); 4) Information Technology Strategic Research (ITSR).

A situation-response model for intelligent pilot aiding

NASA Technical Reports Server (NTRS)

Schudy, Robert; Corker, Kevin

1987-01-01

An intelligent pilot aiding system needs models of the pilot information processing to provide the computational basis for successful cooperation between the pilot and the aiding system. By combining artificial intelligence concepts with the human information processing model of Rasmussen, an abstraction hierarchy of states of knowledge, processing functions, and shortcuts are developed, which is useful for characterizing the information processing both of the pilot and of the aiding system. This approach is used in the conceptual design of a real time intelligent aiding system for flight crews of transport aircraft. One promising result was the tentative identification of a particular class of information processing shortcuts, from situation characterizations to appropriate responses, as the most important reliable pathway for dealing with complex time critical situations.

Informatics Resources to Support Health Care Quality Improvement in the Veterans Health Administration

PubMed Central

Hynes, Denise M.; Perrin, Ruth A.; Rappaport, Steven; Stevens, Joanne M.; Demakis, John G.

2004-01-01

Information systems are increasingly important for measuring and improving health care quality. A number of integrated health care delivery systems use advanced information systems and integrated decision support to carry out quality assurance activities, but none as large as the Veterans Health Administration (VHA). The VHA's Quality Enhancement Research Initiative (QUERI) is a large-scale, multidisciplinary quality improvement initiative designed to ensure excellence in all areas where VHA provides health care services, including inpatient, outpatient, and long-term care settings. In this paper, we describe the role of information systems in the VHA QUERI process, highlight the major information systems critical to this quality improvement process, and discuss issues associated with the use of these systems. PMID:15187063

Distinct roles of dopamine and subthalamic nucleus in learning and probabilistic decision making.

PubMed

Coulthard, Elizabeth J; Bogacz, Rafal; Javed, Shazia; Mooney, Lucy K; Murphy, Gillian; Keeley, Sophie; Whone, Alan L

2012-12-01

Even simple behaviour requires us to make decisions based on combining multiple pieces of learned and new information. Making such decisions requires both learning the optimal response to each given stimulus as well as combining probabilistic information from multiple stimuli before selecting a response. Computational theories of decision making predict that learning individual stimulus-response associations and rapid combination of information from multiple stimuli are dependent on different components of basal ganglia circuitry. In particular, learning and retention of memory, required for optimal response choice, are significantly reliant on dopamine, whereas integrating information probabilistically is critically dependent upon functioning of the glutamatergic subthalamic nucleus (computing the 'normalization term' in Bayes' theorem). Here, we test these theories by investigating 22 patients with Parkinson's disease either treated with deep brain stimulation to the subthalamic nucleus and dopaminergic therapy or managed with dopaminergic therapy alone. We use computerized tasks that probe three cognitive functions-information acquisition (learning), memory over a delay and information integration when multiple pieces of sequentially presented information have to be combined. Patients performed the tasks ON or OFF deep brain stimulation and/or ON or OFF dopaminergic therapy. Consistent with the computational theories, we show that stopping dopaminergic therapy impairs memory for probabilistic information over a delay, whereas deep brain stimulation to the region of the subthalamic nucleus disrupts decision making when multiple pieces of acquired information must be combined. Furthermore, we found that when participants needed to update their decision on the basis of the last piece of information presented in the decision-making task, patients with deep brain stimulation of the subthalamic nucleus region did not slow down appropriately to revise their plan, a pattern of behaviour that mirrors the impulsivity described clinically in some patients with subthalamic nucleus deep brain stimulation. Thus, we demonstrate distinct mechanisms for two important facets of human decision making: first, a role for dopamine in memory consolidation, and second, the critical importance of the subthalamic nucleus in successful decision making when multiple pieces of information must be combined.

Fisher information in a quantum-critical environment

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

Sun Zhe; Ma Jian; Lu Xiaoming

2010-08-15

We consider a process of parameter estimation in a spin-j system surrounded by a quantum-critical spin chain. Quantum Fisher information lies at the heart of the estimation task. We employ Ising spin chain in a transverse field as the environment which exhibits a quantum phase transition. Fisher information decays with time almost monotonously when the environment reaches the critical point. By choosing a fixed time or taking the time average, one can see the quantum Fisher information presents a sudden drop at the critical point. Different initial states of the environment are considered. The phenomenon that the quantum Fisher information,more » namely, the precision of estimation, changes dramatically can be used to detect the quantum criticality of the environment. We also introduce a general method to obtain the maximal Fisher information for a given state.« less

The potential risk of communication media in conveying critical information in the aircraft maintenance organisation: a case study

NASA Astrophysics Data System (ADS)

Shukri, S. Ahmad; Millar, R. M.; Gratton, G.; Garner, M.

2016-10-01

In the world of aircraft maintenance organisation, verbal and written communication plays a pivotal role in transferring critical information in relation to aircraft safety and efficiency. The communication media used to convey the critical information between departments at an aircraft maintenance organisation have potential risk in misunderstanding of the information. In this study, technical and non-technical personnel from five different departments at an aircraft maintenance organisation were interviewed on the communication media they normally utilised to communicate six different work procedures that are closely related to aircraft safety and efficiency. This is to discover which communication media pose higher risk in misunderstanding critical information. The findings reveal that written communication pose higher risk of misinterpretation compared with verbal communication when conveying critical information between departments.

Developing Flanagan's critical incident technique to elicit indicators of high and low quality nursing care from patients and their nurses.

PubMed

Norman, I J; Redfern, S J; Tomalin, D A; Oliver, S

1992-05-01

This paper discusses a development of Flanagan's critical incident technique (CIT) to elicit indicators of high and low quality nursing from patients and their nurses on medical, surgical and elderly care wards. Stages in undertaking the CIT are identified and presuppositions held by most researchers about the nature of the technique are identified. The paper describes how the authors moved to a different set of presuppositions during the course of the study. Preliminary analysis of interview transcripts revealed that critical incidents need not always be demarcated scenes with a clear beginning and end, but may arise from respondents summarizing their overall experience within their description of one incident. Characteristically respondents were unable to give a detailed account of such incidents but validity may be established by the fact that respondents appear to recount what actually happened as they saw it, and what they said was clearly important to them. The researchers found that the most appropriate basic unit of analysis was not the incident itself but 'happenings' revealed by incidents that are 'critical' by virtue of being important to respondents with respect to the quality of nursing care. The importance of CIT researchers achieving an understanding of the 'meaning' of critical happenings to respondents is emphasized. Analysis of the interview transcripts is facilitated by the use of INGRES, a relational database computer program which should enable a 'personal theory' of quality nursing for each respondent, both patients and nurses, to be described. The study suggests that the CIT is a flexible technique which may be adapted to meet the demands of nursing research. If carefully applied, the CIT seems capable of capitalizing on respondents' own stories and avoids the loss of information which occurs when complex narratives are reduced to simple descriptive categories. Patients and nurses have unique perspectives on nursing and their views are of primary importance in understanding what quality means with respect to the interpersonal processes that are integral to nursing care. This paper discusses the identification of indicators of quality nursing from interviews with patients and nurses using the authors' development of Flanagan's critical incident technique.

The state of the international organ trade: a provisional picture based on integration of available information.

PubMed

Shimazono, Yosuke

2007-12-01

Organ transplantation is widely practised worldwide. The expansion of organ transplantation has led to a critical shortage of organs and the development of the organ trade. Many patients travel to areas where organs are obtainable through commercial transactions. Although the international organ trade is regarded as an important health policy issue, its current state remains obscure because of scarce data and the lack of efforts to synthesize available data. This paper is an attempt to integrate information about the current international organ trade and create a tentative global picture based on a systematic review of 309 media reports, journal articles and other documents. The international organ trade is described in terms of its forms, the organ-exporting countries, the organ-importing countries and its outcomes and consequences.

Resilience: Theory and Application.

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

Carlson, J.L.; Haffenden, R.A.; Bassett, G.W.

2012-02-03

There is strong agreement among policymakers, practitioners, and academic researchers that the concept of resilience must play a major role in assessing the extent to which various entities - critical infrastructure owners and operators, communities, regions, and the Nation - are prepared to respond to and recover from the full range of threats they face. Despite this agreement, consensus regarding important issues, such as how resilience should be defined, assessed, and measured, is lacking. The analysis presented here is part of a broader research effort to develop and implement assessments of resilience at the asset/facility and community/regional levels. The literaturemore » contains various definitions of resilience. Some studies have defined resilience as the ability of an entity to recover, or 'bounce back,' from the adverse effects of a natural or manmade threat. Such a definition assumes that actions taken prior to the occurrence of an adverse event - actions typically associated with resistance and anticipation - are not properly included as determinants of resilience. Other analyses, in contrast, include one or more of these actions in their definitions. To accommodate these different definitions, we recognize a subset of resistance- and anticipation-related actions that are taken based on the assumption that an adverse event is going to occur. Such actions are in the domain of resilience because they reduce both the immediate and longer-term adverse consequences that result from an adverse event. Recognizing resistance- and anticipation-related actions that take the adverse event as a given accommodates the set of resilience-related actions in a clear-cut manner. With these considerations in mind, resilience can be defined as: 'the ability of an entity - e.g., asset, organization, community, region - to anticipate, resist, absorb, respond to, adapt to, and recover from a disturbance.' Because critical infrastructure resilience is important both in its own right and because of its implications for community/regional resilience, it is especially important to develop a sound methodology for assessing resilience at the asset/facility level. This objective will be accomplished by collecting data on four broadly defined groups of resilience-enhancing measures: preparedness, mitigation measures, response capabilities, and recovery mechanisms. Table ES-1 illustrates how the six components that define resilience are connected to the actions that enhance the capacity of an entity to be resilient. The relationships illustrated in Table ES-1 provide the framework for developing a survey instrument that will be used to elicit the information required to assess resilience at the asset/facility level. The resilience of a community/region is a function of the resilience of its subsystems, including its critical infrastructures, economy, civil society, governance (including emergency services), and supply chains/dependencies. The number and complexity of these subsystems will make the measurement of resilience more challenging as we move from individual assets/facilities to the community/regional level (where critical infrastructure resilience is only one component). Specific challenges include uncertainty about relationships (e.g., the composition of specific supply chains), data gaps, and time and budget constraints that prevent collection of all of the information needed to construct a comprehensive assessment of the resilience of a specific community or region. These challenges can be addressed, at least partially, by adopting a 'systems approach' to the assessment of resilience. In a systems approach, the extent to which the analysis addresses the resilience of the individual subsystems can vary. Specifically, high-level systems analysis can be used to identify the most important lower-level systems. In turn, within the most important lower-level systems, site assessment data should be collected only on the most critical asset-level components about which the least is known. Implementation of the strategies outlined here to assess resilience will facilitate the following four objectives: (1) Develop a methodology and supporting products to assess resilience at the asset/facility level, (2) Develop a methodology and supporting products to assess resilience at the critical infrastructure sector level, (3) Provide resilience-related information to critical infrastructure owners/operators to facilitate risk-based resource decision making, and (4) Provide resilience-related information to State and local mission partners to support their risk-based resource decision making.« less

49 CFR 15.15 - SSI disclosed by DOT.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Information Act. (h) Disclosure of Critical Infrastructure Information. Disclosure of information that is both SSI and has been designated as critical infrastructure information under section 214 of the Homeland...

49 CFR 15.15 - SSI disclosed by DOT.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Information Act. (h) Disclosure of Critical Infrastructure Information. Disclosure of information that is both SSI and has been designated as critical infrastructure information under section 214 of the Homeland...

49 CFR 15.15 - SSI disclosed by DOT.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Information Act. (h) Disclosure of Critical Infrastructure Information. Disclosure of information that is both SSI and has been designated as critical infrastructure information under section 214 of the Homeland...

Genesis of an oak-fire science consortium

Treesearch

Keith W. Grabner; Michael C. Stambaugh; Richard P. Guyette; Daniel C. Dey; Gary D. Wilson

2012-01-01

With respect to fire management and practices, one of the most overlooked regions lies in the middle of the country. In this region there is a critical need for both recognition of fire’s importance and sharing of fire information and expertise. Recently we proposed and were awarded funding by the Joint Fire Science Program to initiate the planning phase for a regional...

Game Theory and Uncertainty Quantification for Cyber Defense Applications

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

Chatterjee, Samrat; Halappanavar, Mahantesh; Tipireddy, Ramakrishna

Cyber-system defenders face the challenging task of protecting critical assets and information continually against multiple types of malicious attackers. Defenders typically operate within resource constraints while attackers operate at relatively low costs. As a result, design and development of resilient cyber-systems that can support mission goals under attack while accounting for the dynamics between attackers and defenders is an important research problem.

Great Lakes Instructional Materials for the Changing Earth System: An Earth Systems Education Effort of the Ohio Sea Grant College Program and the Ohio State University.

ERIC Educational Resources Information Center

Miller, Heidi, Ed.; Sheaffer, Amy, Ed.

This activity book was developed because of the importance of understanding both our water resources and the impact of global change. The materials in this set were designed to use current data and information access skills, offer productive collaboration experiences, and provide critical science decision-making opportunities. Activities are…

The Multiple Species Inventory and Monitoring Protocol: A Population, Community, and Biodiversity Monitoring Solution for National Forest System Lands

Treesearch

P. N. Manley; B. Van Horne

2006-01-01

The U.S. Forest Service manages approximately 76 million ha (191 million acres) of National Forest System (NFS) lands. The National Forest Management Act (1976) recognizes the importance of maintaining species and ecosystem diversity on NFS lands as a critical component of our ecological and cultural heritage. Information on the condition of populations and habitats of...

Provisioning in Agricultural Communities: Local, Regional and Global Cereal Prices and Local Production on Three Continents

NASA Technical Reports Server (NTRS)

Brown, Molly E.; Tondel, Fabien; Essam, Timothy; Thorne, Jennifer A.; Mann, Bristol F.; Eilerts, Gary

2012-01-01

Monitoring and incorporating diverse market and staple food information into food price indices is critical for food price analyses. Satellite remote sensing data and earth science models have an important role to play in improving humanitarian aid timing, delivery and distribution. Incorporating environmental observations into econometric models will improve food security analysis and understanding of market functioning.

Attitudes of College Graduates, Faculty, and Human Resource Managers Regarding the Importance of Skills Acquired in College and Needed for Job Performance and Career Advancement Potential in the Retail Sector

ERIC Educational Resources Information Center

Heimler, Ronald

2010-01-01

The purpose of this study was to empirically examine college graduate, faculty, and human resource manager descriptions of needed, received, and further training in eight employability dimensions of literacy and numeracy, critical thinking, management, leadership, interpersonal, information technology, systems thinking skills, and work ethic…

An Empirical Methodology for Engineering Human Systems Integration

DTIC Science & Technology

2009-12-01

scanning critical information and selectively skipping what is not important for the immediate task. This learned skill is called a proper “cross check...ability to recover from errors. Efficiency: the level of productivity that can be achieved once learning has occurred. 162 Learnability: the...use, to legacy systems. Knowing what design issues have plagued past operators can guide the generation of requirements to address the identified

The Road to Success: Importance of Construction on Reconstruction in Conflict-Affected States

DTIC Science & Technology

2011-12-01

provision of infrastructure services , formation of the market, management of the state‟s assets, international relations, and rule of law (p. 5). Both... international capability to speed project completion and raise quality of critical infrastructure development such as the electrical grid. Using...burden, to Washington headquarters Services , Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA

Post-learning arousal enhances veridical memory and reduces false memory in the Deese-Roediger-McDermott paradigm.

PubMed

Nielson, Kristy A; Correro, Anthony N

2017-10-01

The Deese-Roediger-McDermott (DRM) paradigm examines false memory by introducing words associated with a non-presented 'critical lure' as memoranda, which typically causes the lures to be remembered as frequently as studied words. Our prior work has shown enhanced veridical memory and reduced misinformation effects when arousal is induced after learning (i.e., during memory consolidation). These effects have not been examined in the DRM task, or with signal detection analysis, which can elucidate the mechanisms underlying memory alterations. Thus, 130 subjects studied and then immediately recalled six DRM lists, one after another, and then watched a 3-min arousing (n=61) or neutral (n=69) video. Recognition tested 70min later showed that arousal induced after learning led to better delayed discrimination of studied words from (a) critical lures, and (b) other non-presented 'weak associates.' Furthermore, arousal reduced liberal response bias (i.e., the tendency toward accepting dubious information) for studied words relative to all foils, including critical lures and 'weak associates.' Thus, arousal induced after learning effectively increased the distinction between signal and noise by enhancing access to verbatim information and reducing endorsement of dubious information. These findings provide important insights into the cognitive mechanisms by which arousal modulates early memory consolidation processes. Copyright © 2017 Elsevier Inc. All rights reserved.

Carbon footprint as an instrument for enhancing food quality: overview of the wine, olive oil and cereals sectors.

PubMed

Pattara, Claudio; Russo, Carlo; Antrodicchia, Vittoria; Cichelli, Angelo

2017-01-01

The quantification of greenhouse gases (GHG) emissions represents a critical issue for the future development of agro-food produces. Consumers' behaviour could play an important role in requiring environmental performance as an essential element for food quality. Nowadays, the carbon footprint (CFP) is a tool used worldwide by agro-food industries to communicate environmental information. This paper aims to investigate the role that CFP could have in consumers' choices in three significant agro-food sectors in the Mediterranean area: wine, olive oil and cereals. A critical review about the use of CFP was carried out along the supply chain of these three sectors, in order to identify opportunities for enhancing food quality and environmental sustainability and highlighting how environmental information could influence consumers' preferences. The analysis of the state of the art shows a great variability of the results about GHG emissions referred to agricultural and industrial processes. In many cases, the main environmental criticisms are linked to the agricultural phase, but the other phases of the supply chain could also contribute to the increased CFP. However, despite the wide use of CFP by companies as a communication tool to help consumers' choices in agro-food products, some improvements are needed in order to provide clearer and more understandable information. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

Critically reflective work behavior of health care professionals.

PubMed

Groot, Esther de; Jaarsma, Debbie; Endedijk, Maaike; Mainhard, Tim; Lam, Ineke; Simons, Robert-Jan; Beukelen, Peter van

2012-01-01

Better understanding of critically reflective work behavior (CRWB), an approach for work-related informal learning, is important in order to gain more profound insight in the continuing development of health care professionals. A survey, developed to measure CRWB and its predictors, was distributed to veterinary professionals. The authors specified a model relating CRWB to a Perceived Need for Lifelong Learning, Perceived Workload, and Opportunities for Feedback. Furthermore, research utilization was added to the concept of CRWB. The model was tested against the data, using structural equation modeling (SEM). The model was well represented by the data. Four factors that reflect aspects of CRWB were distinguished: (1) individual CRWB; (2) being critical in interactions with others; (3) cross-checking of information; and (4) openness to new findings. The latter 2 originated from the factor research utilization in CRWB. The Perceived Need for Lifelong Learning predicts CRWB. Neither Perceived Workload nor Opportunities for Feedback of other practitioners was related to CRWB. The results suggest that research utilization, such as cross-checking information and openness to new findings, is essential for CRWB. Furthermore, perceptions of the need for lifelong learning are more relevant for CRWB of health care professionals than qualities of the workplace. Copyright © 2012 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education.

Spatial characterization of the edge barrier in wide superconducting films

NASA Astrophysics Data System (ADS)

Sivakov, A. G.; Turutanov, O. G.; Kolinko, A. E.; Pokhila, A. S.

2018-03-01

The current-induced destruction of superconductivity is discussed in wide superconducting thin films, whose width is greater than the magnetic field penetration depth, in weak magnetic fields. Particular attention is paid to the role of the boundary potential barrier (the Bin-Livingston barrier) in critical state formation and detection of the edge responsible for this critical state with different mutual orientations of external perpendicular magnetic field and transport current. Critical and resistive states of the film were visualized using the space-resolving low-temperature laser scanning microscopy (LTLSM) method, which enables detection of critical current-determining areas on the film edges. Based on these observations, a simple technique was developed for investigation of the critical state separately at each film edge, and for the estimation of residual magnetic fields in cryostats. The proposed method only requires recording of the current-voltage characteristics of the film in a weak magnetic field, thus circumventing the need for complex LTLSM techniques. Information thus obtained is particularly important for interpretation of studies of superconducting film single-photon light emission detectors.

Family physicians' information seeking behaviors: a survey comparison with other specialties.

PubMed

Bennett, Nancy L; Casebeer, Linda L; Kristofco, Robert; Collins, Blanche C

2005-03-22

Using technology to access clinical information has become a critical skill for family physicians. The aims of this study were to assess the way family physicians use the Internet to look for clinical information and how their patterns vary from those of specialists. Further, we sought a better understanding of how family physicians used just-in-time information in clinical practice. A fax survey was provided with 17 items. The survey instrument, adapted from two previous studies, was sent to community-based physicians. The questions measured frequency of use and importance of the Internet, palm computers, Internet CME, and email for information seeking and CME. Barriers to use were explored. Demographic data was gathered concerning gender, years since medical school graduation, practice location, practice type, and practice specialty. Family physicians found the Internet to be useful and important as an information source. They were more likely to search for patient oriented material than were specialists who more often searched literature, journals and corresponded with colleagues. Hand held computers were used by almost half of family physicians. Family physicians consider the Internet important to the practice of medicine, and the majority use it regularly. Their searches differ from colleagues in other specialties with a focus on direct patient care questions. Almost half of family physicians use hand held computers, most often for drug reference.

Cyber security: a critical examination of information sharing versus data sensitivity issues for organisations at risk of cyber attack.

PubMed

Mallinder, Jason; Drabwell, Peter

Cyber threats are growing and evolving at an unprecedented rate.Consequently, it is becoming vitally important that organisations share information internally and externally before, during and after incidents they encounter so that lessons can be learned, good practice identified and new cyber resilience capabilities developed. Many organisations are reluctant to share such information for fear of divulging sensitive information or because it may be vague or incomplete. This provides organisations with a complex dilemma: how to share information as openly as possibly about cyber incidents, while protecting their confidentiality and focusing on service recovery from such incidents. This paper explores the dilemma of information sharing versus sensitivity and provides a practical overview of considerations every business continuity plan should address to plan effectively for information sharing in the event of a cyber incident.

Health information processing from television: the role of health orientation.

PubMed

Dutta, Mohan J

2007-01-01

The quintessential presence of television in modern American life has led to decades of research on the unhealthy effects of television. However, recent years have witnessed a surge in scholarship seeking to interrogate the positive health effects of television, particularly in the realm of incorporating health content into entertainment-based television programs. One of the important critical questions in the realm of the positive health effects of television focuses on the amount of health information learning contributed by health information content on television. This article takes a motivation-based approach to health information learning from television, arguing that health orientation influences the amount of health information learned by individuals from television. On the basis of 2 separate studies, the article demonstrates that individuals who learn health information from a variety of television programs are more health oriented than individuals who do not learn health information from these television programs.

The node-weighted Steiner tree approach to identify elements of cancer-related signaling pathways.

PubMed

Sun, Yahui; Ma, Chenkai; Halgamuge, Saman

2017-12-28

Cancer constitutes a momentous health burden in our society. Critical information on cancer may be hidden in its signaling pathways. However, even though a large amount of money has been spent on cancer research, some critical information on cancer-related signaling pathways still remains elusive. Hence, new works towards a complete understanding of cancer-related signaling pathways will greatly benefit the prevention, diagnosis, and treatment of cancer. We propose the node-weighted Steiner tree approach to identify important elements of cancer-related signaling pathways at the level of proteins. This new approach has advantages over previous approaches since it is fast in processing large protein-protein interaction networks. We apply this new approach to identify important elements of two well-known cancer-related signaling pathways: PI3K/Akt and MAPK. First, we generate a node-weighted protein-protein interaction network using protein and signaling pathway data. Second, we modify and use two preprocessing techniques and a state-of-the-art Steiner tree algorithm to identify a subnetwork in the generated network. Third, we propose two new metrics to select important elements from this subnetwork. On a commonly used personal computer, this new approach takes less than 2 s to identify the important elements of PI3K/Akt and MAPK signaling pathways in a large node-weighted protein-protein interaction network with 16,843 vertices and 1,736,922 edges. We further analyze and demonstrate the significance of these identified elements to cancer signal transduction by exploring previously reported experimental evidences. Our node-weighted Steiner tree approach is shown to be both fast and effective to identify important elements of cancer-related signaling pathways. Furthermore, it may provide new perspectives into the identification of signaling pathways for other human diseases.

Developing Critical Thinking for the Internet

ERIC Educational Resources Information Center

Pachtman, Andrew B.

2012-01-01

The internet is the defining technology for an entire generation. It requires the student to be able to critically evaluate information. It also requires the student to think critically about what information is contained in the information retrieved. How do we prepare developmental education students for these tasks? This article discusses the…

Identification of tyrosine 71 as a critical residue for the cytotoxic activity of Clostridium perfringens epsilon toxin towards MDCK cells.

PubMed

Jiang, Zhigang; Chang, Jitao; Wang, Fang; Yu, Li

2015-02-01

Clostridium perfringens epsilon toxin (Etx) is an extremely potent toxin, causing fatal enterotoxaemia in many animals. Several amino acids in domains I and II have been proposed to be critical for Etx to interact with MDCK cells. However, the critical amino acids in domain III remain undefined. Therefore, we assessed the effects of aromatic amino acids in domain III on Etx activity in this study. All of the results indicated that Y71 was critical for the cytotoxic activity of Etx towards MDCK cells, and this activity was dependent on the existence of an aromatic ring residue in position 71. Additionally, mutations in Y71 did not affect the binding of Etx to MDCK cells, indicating that Y71 is not a receptor binding site for Etx. In summary, we identified an amino acid in domain III that is important for the cytotoxic activity of Etx, thereby providing information on the structure-function relationship of Etx.

[Introduction to critical reading of articles: study design and biases].

PubMed

García Villar, C

2015-01-01

The critical evaluation of an article enables professionals to make good use of the new information and therefore has direct repercussions for the benefit of our patients. Before undertaking a detailed critical reading of the chosen article, we need to consider whether the study used the most appropriate design for the question it aimed to answer (i.e., whether the level of evidence is adequate). To do this, we need to know how to classify studies in function of their design (descriptive or analytical; prospective or retrospective; cross-sectional or longitudinal) as well as their correlation with the levels of evidence. In critical reading it is also important to know the main systematic errors or biases that can affect a study. Biases can appear in any phase of a study; they can affect the sample, the development of the study, or the measurement of the results. Copyright © 2014 SERAM. Published by Elsevier España, S.L.U. All rights reserved.

Random-fractal Ansatz for the configurations of two-dimensional critical systems

NASA Astrophysics Data System (ADS)

Lee, Ching Hua; Ozaki, Dai; Matsueda, Hiroaki

2016-12-01

Critical systems have always intrigued physicists and precipitated the development of new techniques. Recently, there has been renewed interest in the information contained in the configurations of classical critical systems, whose computation do not require full knowledge of the wave function. Inspired by holographic duality, we investigated the entanglement properties of the classical configurations (snapshots) of the Potts model by introducing an Ansatz ensemble of random fractal images. By virtue of the central limit theorem, our Ansatz accurately reproduces the entanglement spectra of actual Potts snapshots without any fine tuning of parameters or artificial restrictions on ensemble choice. It provides a microscopic interpretation of the results of previous studies, which established a relation between the scaling behavior of snapshot entropy and the critical exponent. More importantly, it elucidates the role of ensemble disorder in restoring conformal invariance, an aspect previously ignored. Away from criticality, the breakdown of scale invariance leads to a renormalization of the parameter Σ in the random fractal Ansatz, whose variation can be used as an alternative determination of the critical exponent. We conclude by providing a recipe for the explicit construction of fractal unit cells consistent with a given scaling exponent.

A comparison of problem-based and traditional education on nursing students' critical thinking dispositions.

PubMed

Ozturk, Candan; Muslu, Gonca Karayagiz; Dicle, Aklime

2008-07-01

Determining the critical thinking (CT) levels of students in undergraduate nursing schools is important in terms of establishing the methods of education that should be used. Although there is some evidence that active learning approaches like problem-based learning are effective in developing CT, the findings are inconclusive. This descriptive analytic study compared levels of critical thinking among senior nursing students (N=147) in two educational programs, one of which used a problem-based learning (PBL) model while the other used a traditional model. The California critical thinking disposition inventory (CCTDI) was used as a data collection tool. Comparisons between the groups were made using t-test analysis. There was a significant difference (p<0.05) between the critical thinking disposition scores of the seniors in the PBL school and those in the school implementing the traditional model. Analysis of sub-scale scores showed significant differences in truth-seeking and open-mindedness. These findings add to the evidence that the active and self-directed nature of PBL encourages students' ability to think critically, be tolerant of the ideas of others and evaluate conflicting information before reaching a conclusion.

Argumentation, critical thinking, nature of science and socioscientific issues: a dialogue between two researchers

NASA Astrophysics Data System (ADS)

Yacoubian, Hagop A.; Khishfe, Rola

2018-05-01

The purpose of this paper is to compare and contrast between two theoretical frameworks for addressing nature of science (NOS) and socioscientific issues (SSI) in school science. These frameworks are critical thinking (CT) and argumentation (AR). For the past years, the first and second authors of this paper have pursued research in this area using CT and AR as theoretical frameworks, respectively. Yacoubian argues that future citizens need to develop a critical mindset as they are guided to (1) practice making judgments on what views of NOS to acquire and (2) practice making decisions on SSI through applying their NOS understandings. Khishfe asserts that AR is an important component of decision making when dealing with SSI and the practice in AR in relation to controversial issues is needed for informed decision making. She argues that AR as a framework may assist in the development of more informed understandings of NOS. In this paper, the authors delve into a dialogue for (1) elucidating strengths and potential of each framework, (2) highlighting challenges that they face in their research using the frameworks in question, (3) exploring the extent to which the frameworks can overlap, and (4) proposing directions for future research.

Semantic Annotation of Complex Text Structures in Problem Reports

NASA Technical Reports Server (NTRS)

Malin, Jane T.; Throop, David R.; Fleming, Land D.

2011-01-01

Text analysis is important for effective information retrieval from databases where the critical information is embedded in text fields. Aerospace safety depends on effective retrieval of relevant and related problem reports for the purpose of trend analysis. The complex text syntax in problem descriptions has limited statistical text mining of problem reports. The presentation describes an intelligent tagging approach that applies syntactic and then semantic analysis to overcome this problem. The tags identify types of problems and equipment that are embedded in the text descriptions. The power of these tags is illustrated in a faceted searching and browsing interface for problem report trending that combines automatically generated tags with database code fields and temporal information.

Investigating the ways in which health information technology can promote antimicrobial stewardship: a conceptual overview.

PubMed

King, Abby; Cresswell, Kathrin M; Coleman, Jamie J; Pontefract, Sarah K; Slee, Ann; Williams, Robin; Sheikh, Aziz

2017-08-01

Antimicrobial resistance is now recognised as a threat to health worldwide. Antimicrobial stewardship aims to promote the responsible use of antibiotics and is high on international and national policy agendas. Health information technology has the potential to support antimicrobial stewardship in a number of ways, but this field is still poorly characterised and understood. Building on a recent systematic review and expert roundtable discussions, we take a lifecycle perspective of antibiotic use in hospitals and identify potential targets for health information technology-based interventions to support antimicrobial stewardship. We aim for this work to help chart a future research agenda in this critically important area.

Design guide for high pressure oxygen systems

NASA Technical Reports Server (NTRS)

Bond, A. C.; Pohl, H. O.; Chaffee, N. H.; Guy, W. W.; Allton, C. S.; Johnston, R. L.; Castner, W. L.; Stradling, J. S.

1983-01-01

A repository for critical and important detailed design data and information, hitherto unpublished, along with significant data on oxygen reactivity phenomena with metallic and nonmetallic materials in moderate to very high pressure environments is documented. This data and information provide a ready and easy to use reference for the guidance of designers of propulsion, power, and life support systems for use in space flight. The document is also applicable to designs for industrial and civilian uses of high pressure oxygen systems. The information presented herein are derived from data and design practices involving oxygen usage at pressures ranging from about 20 psia to 8000 psia equal with thermal conditions ranging from room temperatures up to 500 F.

A qualitative identification of categories of patient participation in decision-making by health care professionals and patients during surgical treatment.

PubMed

Heggland, Liv-Helen; Hausken, Kjell

2013-05-01

The aim of this article is to identify how health care professionals and patients experience patient participation in decision-making processes in hospitals. Eighteen semi-structured interviews with experts from different disciplines such as medicine and nursing in surgical departments as well as patients who have undergone surgical treatment constitute the data. By content analysis four categories of patient participation were identified: information dissemination, formulation of options, integration of information, and control. To meet the increasing demands of patient participation, this categorization with four identified critical areas for participation in decision-making has important implications in guiding information support for patients prior to surgery and during hospitalization.

An occlusion paradigm to assess the importance of the timing of the quiet eye fixation.

PubMed

Vine, Samuel J; Lee, Don Hyung; Walters-Symons, Rosanna; Wilson, Mark R

2017-02-01

The aim of the study was to explore the significance of the 'timing' of the quiet eye (QE), and the relative importance of late (online control) or early (pre-programming) visual information for accuracy. Twenty-seven skilled golfers completed a putting task using an occlusion paradigm with three conditions: early (prior to backswing), late (during putter stroke), and no (control) occlusion of vision. Performance, QE, and kinematic variables relating to the swing were measured. Results revealed that providing only early visual information (occluding late visual information) had a significant detrimental effect on performance and kinematic measures, compared to the control condition (no occlusion), despite QE durations being maintained. Conversely, providing only late visual information (occluding early visual information) was not significantly detrimental to performance or kinematics, with results similar to those in the control condition. These findings imply that the visual information extracted during movement execution - the late proportion of the QE - is critical when golf putting. The results challenge the predominant view that the QE serves only a pre-programming function. We propose that the different proportions of the QE (before and during movement) may serve different functions in supporting accuracy in golf putting.

49 CFR 1520.15 - SSI disclosed by TSA or the Coast Guard.

Code of Federal Regulations, 2013 CFR

2013-10-01

... under the Freedom of Information Act. (h) Disclosure of Critical Infrastructure Information. Disclosure of information that is both SSI and has been designated as critical infrastructure information under...

49 CFR 1520.15 - SSI disclosed by TSA or the Coast Guard.

Code of Federal Regulations, 2011 CFR

2011-10-01

... under the Freedom of Information Act. (h) Disclosure of Critical Infrastructure Information. Disclosure of information that is both SSI and has been designated as critical infrastructure information under...

49 CFR 1520.15 - SSI disclosed by TSA or the Coast Guard.

Code of Federal Regulations, 2012 CFR

2012-10-01

... under the Freedom of Information Act. (h) Disclosure of Critical Infrastructure Information. Disclosure of information that is both SSI and has been designated as critical infrastructure information under...

49 CFR 1520.15 - SSI disclosed by TSA or the Coast Guard.

Code of Federal Regulations, 2014 CFR

2014-10-01

... under the Freedom of Information Act. (h) Disclosure of Critical Infrastructure Information. Disclosure of information that is both SSI and has been designated as critical infrastructure information under...

Mixed venous oxygen saturation monitoring revisited: thoughts for critical care nursing practice.

PubMed

Christensen, Martin

2012-05-01

Less invasive methods of determining cardiac output are now readily available. Using indicator dilution technique, for example has made it easier to continuously measure cardiac output because it uses the existing intra-arterial line. Therefore gone is the need for a pulmonary artery floatation catheter and with it the ability to measure left atrial and left ventricular work indices as well the ability to monitor and measure a mixed venous saturation (SvO(2)). The aim of this paper is to put forward the notion that SvO(2) provides valuable information about oxygen consumption and venous reserve; important measures in the critically ill to ensure oxygen supply meets cellular demand. In an attempt to portray this, a simplified example of the septic patient is offered to highlight the changing pathophysiological sequelae of the inflammatory process and its importance for monitoring SvO(2). SvO(2) monitoring, it could be argued, provides the gold standard for assessing arterial and venous oxygen indices in the critically ill. For the bedside ICU nurse the plethora of information inherent in SvO(2) monitoring could provide them with important data that will assist in averting potential problems with oxygen delivery and consumption. However, it has been suggested that central venous saturation (ScvO(2)) might be an attractive alternative to SvO(2) because of its less invasiveness and ease of obtaining a sample for analysis. There are problems with this approach and these are to do with where the catheter tip is sited and the nature of the venous admixture at this site. Studies have shown that ScvO(2) is less accurate than SvO(2) and should not be used as a sole guiding variable for decision-making. These studies have demonstrated that there is an unacceptably wide range in variance between ScvO(2) and SvO(2) and this is dependent on the presenting disease, in some cases SvO(2) will be significantly lower than ScvO(2). Whilst newer technologies have been developed to continuously measure cardiac output, SvO(2) monitoring is still an important adjunct to clinical decision-making in the ICU. Given the information that it provides, seeking alternatives such as ScvO(2) or blood samples obtained from femorally placed central venous lines, can unnecessarily lead to inappropriate treatment being given or withheld. Instead when using ScvO(2), trending of this variable should provide clinical determinates that are useable for the bedside ICU nurse, remembering that in most conditions SvO(2) will be approximately 16% lower. Copyright © 2011 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

Cultural diversity in heart failure management: findings from the DISCOVER study (Part 2).

PubMed

Davidson, Patricia M; Macdonald, Peter; Moser, Debra K; Ang, Esther; Paull, Glenn; Choucair, Sam; Daly, John; Gholizadeh, Leila; Dracup, Kathleen

2007-01-01

Self-management is a critical dimension in managing chronic conditions, particularly in heart failure (HF). Knowledge, attitudes and beliefs, relating to both illness and wellness, are strongly influenced by culture and ethnicity, impacting upon an individual's capacity to engage in self-care behaviours. Effective management of HF is largely dependent on facilitation of culturally informed, self-care behaviours to increase adherence to both pharmacological and non-pharmacological strategies. The Understanding the cultural experiences of individuals with chronic heart failure (CHF) in South East Health (DISCOVER) study is an exploratory, observational study investigating health patterns, information needs and the adjustment process for overseas-born people with HF living in Australia. An integrative literature review was augmented by qualitative data derived from key informant interviews, focus groups and individual interviews. A key finding of this study is that culture provides an important context to aid interpretations of attitudes, values, beliefs and behaviours, not only in illness but in health. While individual differences in attitudes and beliefs were observed among participants, common themes and issues were identified across cultural groups. Data from the DISCOVER study revealed the primacy of family and kinship ties. These relationships were important in making decisions about treatment choices and care plans. Participants also revealed the critical role of the 'family doctor' in assisting people and their families in brokering the health care system. In this study, heart disease was considered to be a significant condition but cancer was the condition that people both feared and dreaded the most, despite the high mortality rates of HF. This sample reported that religious and traditional beliefs became more important as people aged and considered their mortality. As HF is predominately a condition of ageing, the information derived from this study will assist clinicians to tailor health care service delivery for older people with HF, across multiple ethnic backgrounds.

Afghanistan irrigation system assessment using remote sensing

NASA Astrophysics Data System (ADS)

Haack, Barry

1997-01-01

The Helmand-Arghandab Valley irrigation system in southern Afghanistan is one of the country's most important capital resources. Prior to the civil and military conflict that has engulfed Afghanistan for more than 15 years, agricultural lands irrigated by the system produced a large proportion of the country's food grains and cotton. This study successfully employed Landsat satellite imagery, Geographic Information Systems (GIS), Global Positioning Systems (GPS), and field surveys to assess changes that have occurred in this system since 1973 as a consequence of the war. This information is a critical step in irrigation rehabilitation for restoration of Afghanistan's agricultural productivity.

Clean Cities Strategic Planning White Paper: Light Duty Vehicle Fuel Economy

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

Saulsbury, Bo; Hopson, Dr Janet L; Greene, David

2015-04-01

Increasing the energy efficiency of motor vehicles is critical to achieving national energy goals of reduced petroleum dependence, protecting the global climate, and promoting continued economic prosperity. Even with fuel economy and greenhouse gas emissions standards and various economic incentives for clean and efficient vehicles, providing reliable and accurate fuel economy information to the public is important to achieving these goals. This white paper reviews the current status of light-duty vehicle fuel economy in the United States and the role of the Department of Energy (DOE) Clean Cities Program in disseminating fuel economy information to the public.

Chinese HIV-Positive Patients and Their Healthcare Providers

PubMed Central

Chen, Wei-Ti; Starks, Helene; Shiu, Cheng-Shi; Fredriksen-Goldsen, Karen; Simoni, Jane; Zhang, Fujie; Pearson, Cynthia; Zhao, Hongxin

2013-01-01

In this qualitative study, 29 HIV-positive, Chinese patients reported highly favorable impressions of their healthcare providers, who were seen as providing important medical-related, financial, and emotional support. Generally, the patient-provider relationship positively impacted the participants and their ability to maintain their health and was especially critical when patients were isolated from familial sources of support due to intense AIDS stigma. Often family members were informed of an HIV diagnosis before the patient, revealing tensions between Confucian principles of collectivism and familial authority and increasingly prevalent Western ideals of individual autonomy and the privileged status of personal health information. PMID:18025868

Shifting landscapes: immigrant women and postpartum depression.

PubMed

Morrow, Marina; Smith, Jules E; Lai, Yuan; Jaswal, Suman

2008-07-01

Utilizing an ethnographic narrative approach, we explored in the Canadian context the experiences of three groups of first-generation Punjabi-speaking, Cantonese-speaking, and Mandarin-speaking immigrant women with depression after childbirth. The information emerging from women's narratives of their experiences reveals the critical importance of the sociocultural context of childbirth in understanding postpartum depression. We suggest that an examination of women's narratives about their experiences of postpartum depression can broaden the understanding of the kinds of perinatal supports women need beyond health care provision and yet can also usefully inform the practice of health care professionals.

Physiology and pathophysiology of potassium homeostasis.

PubMed

Palmer, Biff F; Clegg, Deborah J

2016-12-01

Total body potassium content and proper distribution of potassium across the cell membrane is of critical importance for normal cellular function. Potassium homeostasis is maintained by several different methods. In the kidney, total body potassium content is achieved by alterations in renal excretion of potassium in response to variations in intake. Insulin and beta-adrenergic tone play critical roles in maintaining the internal distribution of potassium under normal conditions. Despite homeostatic pathways designed to maintain potassium levels within the normal range, disorders of altered potassium homeostasis are common. The clinical approach to designing effective treatments relies on understanding the pathophysiology and regulatory influences which govern the internal distribution and external balance of potassium. Here we provide an overview of the key regulatory aspects of normal potassium physiology. This review is designed to provide an overview of potassium homeostasis as well as provide references of seminal papers to guide the reader into a more in depth discussion of the importance of potassium balance. This review is designed to be a resource for educators and well-informed clinicians who are teaching trainees about the importance of potassium balance. Copyright © 2016 the American Physiological Society.

How do general practice registrars learn from their clinical experience? A critical incident study.

PubMed

Holmwood, C

1997-01-01

This preliminary study of RACGP registrars in the period of subsequent general practice experience examines the types of clinical experiences from which registrars learn, what they learn from the experiences and the process of learning from such experiences. A critical incident method was used on a semi structured interview process. Registrars were asked to recall clinical incidents where they had learnt something of importance. Data were sorted and categorised manually. Nine registrars were interviewed before new categories of data ceased to develop. Registrars learnt from the opportunity to follow up patients. An emotional response to the interaction was an important part of the learning process. Learning from such experiences is haphazard and unstructured. Registrars accessed human resources in response to their clinical difficulties rather than text or electronic based information sources. Registrars should be aware of their emotional responses to interactions with patients; these emotional responses often indicate important learning opportunities. Clinical interactions and resultant learning could be made less haphazard by structuring consultations with patients with specific problems. These learning opportunities should be augmented by the promotion of follow up of patients.

A rapid review of the impact of commissioning on service use, quality, outcomes and value for money: implications for Australian policy.

PubMed

Gardner, Karen; Davies, G Powell; Edwards, Karen; McDonald, Julie; Findlay, Terry; Kearns, Rachael; Joshi, Chandni; Harris, Mark

2016-01-01

The aim of this systematic review was to assess evidence of the impact of commissioning on health service use, quality, outcomes and value for money and to consider findings in the Australian context. Systematic searches of the literature identified 444 papers and, after exclusions, 36 were subject to full review. The commissioning cycle (planning, contracting, monitoring) formed a framework for analysis and impacts were assessed at individual, subpopulation and population levels. Little evidence of the effectiveness of commissioning at any level was available and observed impacts were highly context-dependent. There was insufficient evidence to identify a preferred model. Lack of skills and capacity were cited as major barriers to the implementation of commissioning. Successful commissioning requires a clear policy framework of national and regional priorities that define agreed targets for commissioning agencies. Engagement of consumers and providers, especially physicians, was considered to be critically important but is time consuming and has proven difficult to sustain. Adequate information on the cost, volume and quality of healthcare services is critically important for setting priorities, and for contracting and monitoring performance. Lack of information resulted in serious problems. High-quality nationally standardised performance measures and data requirements need to be built into contracts and ongoing monitoring and evaluation. In Australia, there is significant work to be done in areas of policy and governance, funding systems and incentives, patient enrolment or registration, information systems, individual and organisational capacity, community engagement and experience in commissioning.

Patients' family satisfaction with needs met at the medical intensive care unit.

PubMed

Khalaila, Rabia

2013-05-01

The current study investigated the perceived importance and the perceived met needs of family members in the medical intensive care unit and assessed family members' satisfaction with needs met. Studies conducted throughout the world over the past 30 years indicate that family needs are still neglected. Unmet needs of family members of patients in the intensive care unit lead to dissatisfaction with care. A cross-sectional study. A total of 70 family members of critically ill patients were included in this study conducted in a medical intensive care unit in Israel between October 2007-September 2008, using a structured interview. Three outcomes measured by the Family Satisfaction in the Intensive Care Unit Inventory were regressed separately for baseline variables and family needs met subscales as measured by the Critical Care Family Needs Inventory. Multivariate linear regression analysis was used to detect factors that could have predicted each outcome. The results showed differences between the perceived importance and the perceived met needs of family members. Satisfaction with care was positively related to meeting all needs domains except the information need. However, satisfaction with information and decision-making was related only to meeting information and emotional support needs. Continued unmet needs of family members of intensive care unit patients have a negative impact on family satisfaction. Only sweeping changes in clinical practice will succeed in meeting the unmet needs of patients' families. © 2012 Blackwell Publishing Ltd.

Teaching critical thinking in a developmental biology course at an American liberal arts college.

PubMed

Adams, Dany S

2003-01-01

We all expect our students to learn facts and concepts, but more importantly, we want them to learn how to evaluate new information from an educated and skeptical perspective; that is, we want them to become critical thinkers. For many of us who are scientists and teachers, critical thought is either intuitive or we learned it so long ago that it is not at all obvious how to pass on the skills to our students. Explicitly discussing the logic that underlies the experimental basis of developmental biology is an easy and very successful way to teach critical thinking skills. Here, I describe some simple changes to a lecture course that turn the practice of critical thinking into the centerpiece of the learning process. My starting point is the "Evidence and Antibodies" sidelight in Gilbert's Developmental Biology (2000), which I use as an introduction to the ideas of correlation, necessity and sufficiency, and to the kinds of experiments required to gather each type of evidence: observation ("show it"), loss of function ("block it") and gain of function ("move it"). Thereafter, every experiment can be understood quickly by the class and discussed intelligently with a common vocabulary. Both verbal and written reinforcement of these ideas dramatically improve the students' ability to evaluate new information. In particular, they are able to evaluate claims about cause and effect; they become experts at distinguishing between correlation and causation. Because the intellectual techniques are so powerful and the logic so satisfying, the students come to view the critical assessment of knowledge as a fun puzzle and the rigorous thinking behind formulating a question as an exciting challenge.

A qualitative analysis of the information needs of informal carers of terminally ill cancer patients.

PubMed

Rose, K E

1999-01-01

This article discusses issues relating to information arising from a qualitative study of the experiences of informal carers of terminally ill cancer patients. Qualitative data analysis, drawing on methods of literary criticism, revealed that information was a key area in carers' experience. The findings are presented in the context of needing to provide individualized care to every family and deal with information needs relating to the illness and prognosis. The question of who is in possession of what information is raised, and the effect that this can have on couples is discussed, together with the issue of false information which carers may receive. The discussion centres on the complexity of understanding carers' information needs and considers how these are affected by the context within which carers operate. The work of Glaser and Strauss on awareness contexts is discussed in this respect. Finally, the importance of the nurse's role as a sensitive mediator of information is considered.

Critical reading and critical thinking--study design and methodology: a personal approach on how to read the clinical literature.

PubMed

Lipman, Timothy O

2013-04-01

The volume of medical literature grows exponentially. Yet we are faced with the necessity to make clinical decisions based on the availability and quality of scientific information. The general strength (reliability, robustness) of any interpretation that guides us in clinical decision making is dependent on how information was obtained. All information and medical studies and, consequently, all conclusions are not created equal. It is incumbent upon us to be able to assess the quality of the information that guides us in the care of our patients. Being able to assess medical literature critically requires use of critical reading and critical thinking skills. To achieve these skills, to be able to analyze medical literature critically, takes a combination of education and practice, practice, and more practice.

The Interplay between Topic Shift and Focus in the Dynamic Construction of Discourse Representations.

PubMed

Yang, Xiaohong; Zhang, Xiuping; Wang, Cheng; Chang, Ruohan; Li, Weijun

2017-01-01

Previous studies have suggested that focusing an element can enhance the activation of the focused element and bring about a number of processing benefits. However, whether and how this local prominence of information interacts with global discourse organization remains unclear. In the present study, we addressed this issue in two experiments. Readers were presented with four-sentence discourses. The first sentence of each discourse contained a critical word that was either focused or unfocused in relation to a wh-question preceding the discourse. The second sentence either maintained or shifted the topic of the first sentence. Participants were told to read for comprehension and for a probe recognition task in which the memory of the critical words was tested. In Experiment 1, when the probe words were tested immediately after the point of topic shift, we found shorter response times for the focused critical words than the unfocused ones regardless of topic manipulation. However, in Experiment 2, when the probe words were tested two sentences away from the point of topic shift, we found the facilitation effect of focus only in the topic-maintained discourses, but not in the topic-shifted discourses. This suggests that the facilitation effect of focus was not immediately suppressed at the point of topic shifting, but when additional information was added to the new topic. Our findings provide evidence for the dynamic interplay between global topic structure and local salience of information and have important implications on how activation of information fluctuates in mental representation.

The Interplay between Topic Shift and Focus in the Dynamic Construction of Discourse Representations

PubMed Central

Yang, Xiaohong; Zhang, Xiuping; Wang, Cheng; Chang, Ruohan; Li, Weijun

2017-01-01

Previous studies have suggested that focusing an element can enhance the activation of the focused element and bring about a number of processing benefits. However, whether and how this local prominence of information interacts with global discourse organization remains unclear. In the present study, we addressed this issue in two experiments. Readers were presented with four-sentence discourses. The first sentence of each discourse contained a critical word that was either focused or unfocused in relation to a wh-question preceding the discourse. The second sentence either maintained or shifted the topic of the first sentence. Participants were told to read for comprehension and for a probe recognition task in which the memory of the critical words was tested. In Experiment 1, when the probe words were tested immediately after the point of topic shift, we found shorter response times for the focused critical words than the unfocused ones regardless of topic manipulation. However, in Experiment 2, when the probe words were tested two sentences away from the point of topic shift, we found the facilitation effect of focus only in the topic-maintained discourses, but not in the topic-shifted discourses. This suggests that the facilitation effect of focus was not immediately suppressed at the point of topic shifting, but when additional information was added to the new topic. Our findings provide evidence for the dynamic interplay between global topic structure and local salience of information and have important implications on how activation of information fluctuates in mental representation. PMID:29276496

“Guilt by Association” Is the Exception Rather Than the Rule in Gene Networks

PubMed Central

Gillis, Jesse; Pavlidis, Paul

2012-01-01

Gene networks are commonly interpreted as encoding functional information in their connections. An extensively validated principle called guilt by association states that genes which are associated or interacting are more likely to share function. Guilt by association provides the central top-down principle for analyzing gene networks in functional terms or assessing their quality in encoding functional information. In this work, we show that functional information within gene networks is typically concentrated in only a very few interactions whose properties cannot be reliably related to the rest of the network. In effect, the apparent encoding of function within networks has been largely driven by outliers whose behaviour cannot even be generalized to individual genes, let alone to the network at large. While experimentalist-driven analysis of interactions may use prior expert knowledge to focus on the small fraction of critically important data, large-scale computational analyses have typically assumed that high-performance cross-validation in a network is due to a generalizable encoding of function. Because we find that gene function is not systemically encoded in networks, but dependent on specific and critical interactions, we conclude it is necessary to focus on the details of how networks encode function and what information computational analyses use to extract functional meaning. We explore a number of consequences of this and find that network structure itself provides clues as to which connections are critical and that systemic properties, such as scale-free-like behaviour, do not map onto the functional connectivity within networks. PMID:22479173

Development of Craze and Impact Resistance in Glazing Plastics by Multiaxial Stretching

NASA Technical Reports Server (NTRS)

Kline, G M; Wolock, I; Axilrod, B M; Sherman, M A; George, D A; Cohen, V

1956-01-01

The loss of strength of cast polymethyl methacrylate plastic as a result of crazing is of considerable importance to the aircraft industry. Because of the critical need for basic information on the nature of crazing and the effects of various treatments and environmental conditions on its incidence and magnitude, an investigation of this phenomenon was undertaken. The following factors were examined: (1) the effect of stress-solvent crazing on tensile strength of polymethyl methacrylate; (2) the critical stress and strain for onset of crazing at various temperatures; (3) the effect of molecular weight on crazing; and (4) the effect of multiaxial stretching on crazing of polymethyl methacrylate and other acrylic glazing materials.

[Language Functions in the Frontal Association Area: Brain Mechanisms That Create Language].

PubMed

Yamamoto, Kayako; Sakai, Kuniyoshi L

2016-11-01

Broca's area is known to be critically involved in language processing for more than 150 years. Recent neuroimaging techniques, including functional magnetic resonance imaging (fMRI) and diffusion MRI, enabled the subdivision of Broca's area based on both functional and anatomical aspects. Networks among the frontal association areas, especially the left inferior frontal gyrus (IFG), and other cortical regions in the temporal/parietal association areas, are also important for language-related information processing. Here, we review how neuroimaging studies, combined with research paradigms based on theoretical linguistics, have contributed to clarifying the critical roles of the left IFG in syntactic processing and those of language-related networks, including cortical and cerebellar regions.

A Critical Evaluation of the Thermophysical Properties of Mercury

NASA Astrophysics Data System (ADS)

Holman, G. J. F.; ten Seldam, C. A.

1994-09-01

For the use of a mercury column for precise pressure measurements—such as the pressurized 30 meter mercury-in-steel column used at the Van der Waals-Zeeman Laboratory for the calibration of piston gauges up to nearly 300 MPa—it is highly important to have accurate knowledge of such properties of mercury as density, isobaric secant and tangent volume thermal expansion coefficients, and isothermal secant and tangent compressibilities as functions of temperature and pressure. In this paper we present a critical assessment of the available information on these properties. Recommended values are given for the properties mentioned and, in addition, for properties derived from theses such as entropy, enthalpy, internal energy, and the specific heat capacities.

Methodological update in Medicina Intensiva.

PubMed

García Garmendia, J L

2018-04-01

Research in the critically ill is complex by the heterogeneity of patients, the difficulties to achieve representative sample sizes and the number of variables simultaneously involved. However, the quantity and quality of records is high as well as the relevance of the variables used, such as survival. The methodological tools have evolved to offering new perspectives and analysis models that allow extracting relevant information from the data that accompanies the critically ill patient. The need for training in methodology and interpretation of results is an important challenge for the intensivists who wish to be updated on the research developments and clinical advances in Intensive Medicine. Copyright © 2017 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

Health literacy, emotionality, scientific evidence: Elements of an effective communication in public health.

PubMed

Biasio, Luigi Roberto; Carducci, Annalaura; Fara, Gaetano Maria; Giammanco, Giuseppe; Lopalco, Pier Luigi

2018-01-30

The importance of healthcare providers' communication abilities is still underestimated. Informing the population on the basis of documented evidence is essential but not enough to induce a change in the beliefs of who is doubtful or does not accept preventive interventions, such as vaccination. Lining up the offer of prevention to the knowledge of the citizens, also improving Health Literacy skills, is a critical step toward their empowerment and behavior change. The 2017 Erice Declaration was drafted to propose to the Institutions and the scientific community the main goals to improve communication and counteract Vaccine Hesitancy, at a very critical time, when mandatory vaccination was introduced in Italy.

Learning and Olfaction: Understanding and Enhancing a Critical Information Channel

DTIC Science & Technology

2013-05-13

a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. a ...REPORT Learning and Olfaction: Understanding and Enhancing a Critical Information Channel 14. ABSTRACT 16. SECURITY CLASSIFICATION OF: This research...Prescribed by ANSI Std. Z39.18 - 14-Feb-2013 Learning and Olfaction: Understanding and Enhancing a Critical Information Channel Report Title ABSTRACT This

Hazards, Disasters, and The National Map

USGS Publications Warehouse

,

2003-01-01

Governments depend on base geographic information that describes the Earth's surface and locates features. They use this information for economic and community development, land and natural resource management, delivery of health services, and ensuring public safety. It is also the foundation for studying and solving geographically based problems. Geographic information underpins an increasingly large part of the Nation's economy. It is an important part of our national infrastructure in the same way that the Interstate Highway System is an essential element of our transportation network. Federal, State, and local response and management personnel must have current, reliable, and easily accessible geographic information and maps to prepare for, respond to, or recover from emergency situations. In life-threatening events, such as earthquakes, floods, or wildland fires, geographic information is essential for locating critical infrastructure and carrying out evacuation and rescue operations.

Measurement of resilience and its application to enterprise information systems

NASA Astrophysics Data System (ADS)

Wang, J. W.; Gao, F.; Ip, W. H.

2010-05-01

In this article, we present a measure for resilience in the context of enterprise information systems or service systems in a more general sense. Resilience of the system is a property of the system, which focuses on the recovery ability of the system after a partial damage of the system. Enterprise information systems such as enterprise resource planning, supply chain management, customer relationship management, manufacturing execution system, etc. play a critical role in the daily operation of modern enterprises by timely and sustainable delivery of information. Therefore, resilience is especially important for the enterprise information systems. The proposed measure for resilience is based on the recovery ability of the system, which departs from the existing approaches in literature and presents a unique contribution. An example is given to illustrate how the proposed measure works.

Trust in health information websites: A systematic literature review on the antecedents of trust.

PubMed

Kim, Yeolib

2016-06-01

Health websites are important sources of information for consumers. In choosing websites, trust in websites largely determines which website to access and how to best utilize the information. Thus, it is critical to understand why consumers trust certain websites and distrust others. A systematic literature review was conducted with the goal of identifying the antecedents of trust in health information websites. After four rounds of screening process, 20 articles between 2000 and 2013 were harvested. Factors that determine trust are classified into individual difference antecedents, website-related antecedents, and consumer-to-website interaction-related antecedents. The most frequently studied antecedents were socio-demographics, information quality, appearance, and perceived reputation of the website. Each antecedent of trust are discussed in detail and future research directions are proposed. © The Author(s) 2014.

Meeting information needs of families of critical care patients.

PubMed

Barbret, L C; Westphal, C G; Daly, G A

1997-01-01

Families of patients in critical care experience extreme anxiety and frustration while awaiting their loved ones' recovery or stabilization. To study the hypothesis that meeting families' informational needs can reduce their anxiety and help them cope with the initial crisis, a small task force at a Midwest acute care facility, using a CQI approach, studied possible solutions. Initial findings showed low satisfaction for families of critically ill patients with the present system of imparting information to them. After initiation of a storyboard to present information by the critical care team, families reported increased satisfaction and greater knowledge recall.

Brain activity and cognition: a connection from thermodynamics and information theory.

PubMed

Collell, Guillem; Fauquet, Jordi

2015-01-01

The connection between brain and mind is an important scientific and philosophical question that we are still far from completely understanding. A crucial point to our work is noticing that thermodynamics provides a convenient framework to model brain activity, whereas cognition can be modeled in information-theoretical terms. In fact, several models have been proposed so far from both approaches. A second critical remark is the existence of deep theoretical connections between thermodynamics and information theory. In fact, some well-known authors claim that the laws of thermodynamics are nothing but principles in information theory. Unlike in physics or chemistry, a formalization of the relationship between information and energy is currently lacking in neuroscience. In this paper we propose a framework to connect physical brain and cognitive models by means of the theoretical connections between information theory and thermodynamics. Ultimately, this article aims at providing further insight on the formal relationship between cognition and neural activity.

Multifaceted determinants of online non-prescription drug information seeking and the impact on consumers' use of purchase channels.

PubMed

Holtgräfe, Catherine; Zentes, Joachim

2012-06-01

The growing importance of the Internet as an information and purchasing channel is drawing widespread attention from marketing decision makers. Nevertheless, the relevance of the Internet to the so-called self-medication market in Germany has been paid barely enough attention. Our study aims to contribute insights concerning the penetration of the Internet in this market, as well as to give an overview of the critical determinants of Internet use for non-prescription drug information seeking, such as the accessibility of professional information, trust in health professionals' opinion and the ability to search online, as well as the perceived usefulness and credibility of online non-prescription drug information. Furthermore, we demonstrate that the preferred use of the Internet as a non-prescription drug information source positively influences the choice of unconventional purchase channels for non-prescription drugs and negatively affects the use of stationary pharmacies.

Improving critical care discharge summaries: a collaborative quality improvement project using PDSA

PubMed Central

Goulding, Lucy; Parke, Hannah; Maharaj, Ritesh; Loveridge, Robert; McLoone, Anne; Hadfield, Sophie; Helme, Eloise; Hopkins, Philip; Sandall, Jane

2015-01-01

Around 110,000 people spend time in critical care units in England and Wales each year. The transition of care from the intensive care unit to the general ward exposes patients to potential harms from changes in healthcare providers and environment. Nurses working on general wards report anxiety and uncertainty when receiving patients from critical care. An innovative form of enhanced capability critical care outreach called ‘iMobile’ is being provided at King's College Hospital (KCH). Part of the remit of iMobile is to review patients who have been transferred from critical care to general wards. The iMobile team wished to improve the quality of critical care discharge summaries. A collaborative evidence-based quality improvement project was therefore undertaken by the iMobile team at KCH in conjunction with researchers from King's Improvement Science (KIS). Plan, Do, Study, Act (PDSA) methodology was used. Three PDSA cycles were undertaken. Methods adopted comprised: a scoping literature review to identify relevant guidelines and research evidence to inform all aspects of the quality improvement project; a process mapping exercise; informal focus groups / interviews with staff; patient story-telling work with people who had experienced critical care and subsequent discharge to a general ward; and regular audits of the quality of both medical and nursing critical care discharge summaries. The following behaviour change interventions were adopted, taking into account evidence of effectiveness from published systematic reviews and considering the local context: regular audit and feedback of the quality of discharge summaries, feedback of patient experience, and championing and education delivered by local opinion leaders. The audit results were mixed across the trajectory of the project, demonstrating the difficulty of sustaining positive change. This was particularly important as critical care bed occupancy and through-put fluctuates which then impacts on work-load, with new cohorts of staff regularly passing through critical care. In addition to presenting the results of this quality improvement project, we also reflect on the lessons learned and make suggestions for future projects. PMID:26734368

Soviet Youth Indoctrination

DTIC Science & Technology

1975-07-01

teacher "helps" students make the right decisions. Peer criticism and the encouragement of Informing on others is an important part of Soviet social ...are legal and officially recognized. The courts may even condemn 1 acts as being " socially undesirable." The court situation uses peer participation... social behavior in the test where the peers would be allowed to view the results. In the con- Adition where the adults would see the results, the

Critical Features of Visualizations of Transport through the Cell Membrane--an Empirical Study of Upper Secondary and Tertiary Students' Meaning-Making of a Still Image and an Animation

ERIC Educational Resources Information Center

Rundgren, Carl-Johan; Tibell, Lena A. E.

2010-01-01

Images, diagrams, and other forms of visualization are playing increasingly important roles in molecular life science teaching and research, both for conveying information and as conceptual tools, transforming the way we think about the events and processes the subject covers. This study examines how upper secondary and tertiary students interpret…

Using Student Development Theory to Inform Our Curriculum and Pedagogy: A Response to the Secretary of Education's Commission on the Future of Higher Education

ERIC Educational Resources Information Center

Yordy, Eric D.

2008-01-01

In September 2006, the Secretary of Education's Commission on the Future of Higher Education released its final report entitled "A Test of Leadership: Charting the Future of U.S. Higher Education" postulating that graduates today are lacking important skills such as reading, writing, problem solving, and critical thinking. In the field of…

The Role of Competence Level in the Self-Efficacy-Skills Relationship: An Empirical Examination of the Skill Acquisition Process and Its Implications for Information Technology Training

ERIC Educational Resources Information Center

Downey, James P.; Zeltmann, Steven

2009-01-01

The role of computer training has long been critical in organizations as reliance on technology for strategic advantage increases in importance. How to most effectively conduct such training has clear implications for organizations. This study examines one area of training which is not well understood: the role that competence level plays in the…

Vegetation Species Composition and Canopy Architecture Information Expressed in Leaf Water Absorption Measured in the 1000nm and 2200 nm Spectral Region by an Imaging Spectometer

NASA Technical Reports Server (NTRS)

Green, R. O.; Roberts, D. A.

1994-01-01

Plant species composition and plant architectural attributes are critical parameters required for the measuring, monitoring and modeling of terrestrial ecosystems. Remote sensing is commonly cited as an important tool for deriving vegetation properties at an appropriate scale for ecosystem studies, ranging from local, to regional and even synoptic scales (e.g. Wessman 1992).

A qualitative and quantitative analysis of risk perception and treatment options as related to wildfires in the USDA FS Region 3 National Forests

Treesearch

Ingrid M. Martin; Wade E. Martin; Carol B. Raish

2011-01-01

As the incidence of devastating fires rises, managing the risk posed by these fires has become critical. This report provides important information to examine the ways that different groups or disaster subcultures develop the mentalities or perceived realities that affect their views and responses concerning risk and disaster preparedness. Fire risk beliefs and...

Why a macroeconomic perspective is critical to the prevention of noncommunicable disease.

PubMed

Smith, Richard

2012-09-21

Effective prevention of noncommunicable diseases will require changes in how we live, and thereby effect important economic changes across populations, sectors, and countries. What we do not know is which populations, sectors, or countries will be positively or negatively affected by such changes, nor by how much. Without this information we cannot know which policies will produce effects that are beneficial both for economies and for health.

The role of evidence based medicine in neurotrauma.

PubMed

Honeybul, S; Ho, K M

2015-04-01

The introduction of evidence based medicine de-emphasised clinical experience and so-called "background information" and stressed the importance of evidence gained from clinical research when making clinical decisions. For many years randomised controlled trials have been seen to be the only way to advance clinical practice, however, applying this methodology in the context of severe trauma can be problematic. In addition, it is increasingly recognised that considerable clinical experience is required in order to critically evaluate the quality of the evidence and the validity of the conclusions as presented. A contemporary example is seen when considering the role of decompressive craniectomy in the management of neurotrauma. Although there is a considerable amount of evidence available attesting to the efficacy of the procedure, considerable clinical expertise is required in order to properly interpret the results of these studies and the implications for clinical practice. Given these limitations the time may have come for a redesign of the traditional pyramid of evidence, to a model that re-emphasises the importance of "background information" such as pathophysiology and acknowledges the role of clinical experience such that the evidence can be critically evaluated in its appropriate context and the subsequent implications for clinical practice be clearly and objectively defined. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

Comparative Analysis of Supply Risk-Mitigation Strategies for Critical Byproduct Minerals: A Case Study of Tellurium.

PubMed

Bustamante, Michele L; Gaustad, Gabrielle; Alonso, Elisa

2018-01-02

Materials criticality assessment is a screening framework increasingly applied to identify materials of importance that face scarcity risks. Although these assessments highlight materials for the implicit purpose of informing future action, the aggregated nature of their findings make them difficult to use for guidance in developing nuanced mitigation strategy and policy response. As a first step in the selection of mitigation strategies, the present work proposes a modeling framework and accompanying set of metrics to directly compare strategies by measuring effectiveness of risk reduction as a function of the features of projected supply demand balance over time. The work focuses on byproduct materials, whose criticality is particularly important to understand because their supplies are inherently less responsive to market balancing forces, i.e., price feedbacks. Tellurium, a byproduct of copper refining, which is critical to solar photovoltaics, is chosen as a case study, and three commonly discussed byproduct-relevant strategies are selected: dematerialization of end-use product, byproduct yield improvement, and end-of-life recycling rate improvement. Results suggest that dematerialization will be nearly twice as effective at reducing supply risk as the next best option, yield improvement. Finally, due to its infrequent use at present and its dependence upon long product lifespans, recycling end-of-life products is expected to be the least effective option despite potentially offering other benefits (e.g., cost savings and environmental impact reduction).

In the Information Age, do dementia caregivers get the information they need? Semi-structured interviews to determine informal caregivers' education needs, barriers, and preferences.

PubMed

Peterson, Kendra; Hahn, Howard; Lee, Amber J; Madison, Catherine A; Atri, Alireza

2016-09-23

Most patients with dementia or cognitive impairment receive care from family members, often untrained for this challenging role. Caregivers may not access publicly available caregiving information, and caregiver education programs are not widely implemented clinically. Prior large surveys yielded broad quantitative understanding of caregiver information needs, but do not illuminate the in-depth, rich, and nuanced caregiver perspectives that can be gleaned using qualitative methodology. We aimed to understand perspectives about information sources, barriers and preferences, through semi-structured interviews with 27 caregivers. Content analysis identified important themes. We interviewed 19 women, 8 men; mean age 58.5 years; most adult children (15) or spouses (8) of the care recipient. Dementia symptoms often developed insidiously, with delayed disease acknowledgement and caregiver self-identification. While memory loss was common, behavioral symptoms were most troublesome, often initially unrecognized as disease indicators. Emerging themes: 1.) Barriers to seeking information often result from knowledge gaps, rather than reluctance to assume the caregiver role; 2.) Most caregivers currently receive insufficient information. Caregivers are open to many information sources, settings, and technologies, including referrals to other healthcare professionals, print material, and community and internet resources, but expect the primary care provider (PCP) to recommend, endorse, and guide them to specific sources. These findings replicated and expanded on results from previous quantitative surveys and, importantly, revealed a previously unrecognized essential factor: despite receiving insufficient information, caregivers place critical value on their relationship with care recipient PCPs to receive recommendations, guidance and endorsement to sources of caregiving information. Implications include: 1.) Greater public education is needed to help caregivers identify and describe diverse cognitive, functional and behavioral symptoms that lead to dementia, and recognize the benefits of early detection in accessing information regarding multi-modality management and care; 2.) Improved methods are needed for PCPs to detect and manage cognitive and behavioral changes, as well as mechanisms that facilitate the busy PCP, either directly or via referral, to provide caregiver information, education, support, and services. The critical relationship between caregivers and PCPs should not be circumvented but should be facilitated to provide more effective guidance regarding dementia caregiver needs.

Critical to quality in telemedicine service management: application of DFSS (Design for Six Sigma) and SERVQUAL).

PubMed

Yun, Eun Kyoung; Chun, Kee Moon

2008-01-01

Telemedicine generally refers to the use of communications and information technologies for the delivery of health care. owever, telemedicine is not merely a simple combination of health care and technology. The researchers propose a systematic approach for assessing needs of telemedicine customers, called critical-to-quality (CTQ) in Six Sigma, with a purpose of continuous quality improvement. The combination approach using DFSS (Design for Six Sigma) and SERVQUAL (Service Quality Framework) was applied to define the critical quality attributes of telemedicine service management and to match them with the current telemedicine process. With a step-by-step procedure, telemedicine service process was reviewed and all the important CTQ candidates identified via a case study. The findings suggest that nurses need further understanding and research methods that will improve and manage the quality of health care service in various medical fields.

Environmental endocrinology of salmon smoltification

USGS Publications Warehouse

Bjornsson, Bjorn Thrandur; Stefansson, S.O.; McCormick, S.D.

2011-01-01

Smolting is a hormone-driven developmental process that is adaptive for downstream migration and ocean survival and growth in anadromous salmonids. Smolting includes increased salinity tolerance, increased metabolism, downstream migratory and schooling behavior, silvering and darkened fin margins, and olfactory imprinting. These changes are promoted by growth hormone, insulin-like growth factor I, cortisol, thyroid hormones, whereas prolactin is inhibitory. Photoperiod and temperature are critical environmental cues for smolt development, and their relative importance will be critical in determining responses to future climate change. Most of our knowledge of the environmental control and endocrine mediation of smolting is based on laboratory and hatchery studies, yet there is emerging information on fish in the wild that indicates substantial differences. Such differences may arise from differences in environmental stimuli in artificial rearing environments, and may be critical to ocean survival and population sustainability. Endocrine disruptors, acidification and other contaminants can perturb smolt development, resulting in poor survival after seawater entry. ?? 2010.

Ethics and the psychiatry journal editor: responsibilities and dilemmas.

PubMed

Greenberg, David; D Strous, Rael

2014-01-01

An array of potential ethical stumbling blocks awaits the editors of scientific journals. There are issues of particular relevance to mental health journals, and others unique to local journals with a relatively small circulation and low impact factor. The blind review system, conflict of interests, redundant publication, fraud and plagiarism, guest and ghost authorship and ghost writing, advertising, language and stigma, patient consent, and "rigging" the Impact Factor are all issues of importance. It is critical that editors are aware and informed of these important issues, and have an accessible forum for evaluating problems as they arise.

Blood Pressure Measurement Guidelines for Physical Therapists

PubMed Central

Fick, Ann; Sadowsky, H. Steven

2011-01-01

Vital sign measurement and assessment are important components of the review of systems in a physical therapy examination for individuals with and without documented cardiopulmonary disease. The measurement of blood pressure gives the therapist information regarding the patient's baseline cardiovascular status, response to exercise/activity, and guides exercise prescription. Accurate measurement of blood pressure is critical for making appropriate clinical decisions especially if physical therapists wish to play an important role as primary health care providers. The purpose of this paper is to present recommended guidelines for blood pressure measurement by physical therapists and physical therapist assistants. PMID:21637392

Blood pressure measurement guidelines for physical therapists.

PubMed

Frese, Ethel M; Fick, Ann; Sadowsky, H Steven

2011-06-01

Vital sign measurement and assessment are important components of the review of systems in a physical therapy examination for individuals with and without documented cardiopulmonary disease. The measurement of blood pressure gives the therapist information regarding the patient's baseline cardiovascular status, response to exercise/activity, and guides exercise prescription. Accurate measurement of blood pressure is critical for making appropriate clinical decisions especially if physical therapists wish to play an important role as primary health care providers. The purpose of this paper is to present recommended guidelines for blood pressure measurement by physical therapists and physical therapist assistants.

18 CFR 141.300 - FERC Form No. 715, Annual Transmission Planning and Evaluation Report.

Code of Federal Regulations, 2011 CFR

2011-04-01

... form. (d) Critical Energy Infrastructure Information. (1) If the instructions in Form No. 715 require a utility to reveal Critical Energy Infrastructure Information (CEII), as defined in § 388.113(c) of this... Critical Energy Infrastructure Information (CEII) may be found at 18 CFR 388.113. Requests for access to...

18 CFR 141.300 - FERC Form No. 715, Annual Transmission Planning and Evaluation Report.

Code of Federal Regulations, 2013 CFR

2013-04-01

... form. (d) Critical Energy Infrastructure Information. (1) If the instructions in Form No. 715 require a utility to reveal Critical Energy Infrastructure Information (CEII), as defined in § 388.113(c) of this... Critical Energy Infrastructure Information (CEII) may be found at 18 CFR 388.113. Requests for access to...

18 CFR 141.300 - FERC Form No. 715, Annual Transmission Planning and Evaluation Report.

Code of Federal Regulations, 2014 CFR

2014-04-01

... form. (d) Critical Energy Infrastructure Information. (1) If the instructions in Form No. 715 require a utility to reveal Critical Energy Infrastructure Information (CEII), as defined in § 388.113(c) of this... Critical Energy Infrastructure Information (CEII) may be found at 18 CFR 388.113. Requests for access to...

18 CFR 141.300 - FERC Form No. 715, Annual Transmission Planning and Evaluation Report.

Code of Federal Regulations, 2012 CFR

2012-04-01

... form. (d) Critical Energy Infrastructure Information. (1) If the instructions in Form No. 715 require a utility to reveal Critical Energy Infrastructure Information (CEII), as defined in § 388.113(c) of this... Critical Energy Infrastructure Information (CEII) may be found at 18 CFR 388.113. Requests for access to...

The Influence of Language Choice in Acceptable Use Polices on Students' Locus of Control

ERIC Educational Resources Information Center

Lickteig, Stacy L.

2017-01-01

One of the goals of education is for students to develop critical thinking skills. In order to build those skills, students must become critical and engaged users of information. Students become engaged and critical users of information when they have opportunities to explore and immerse themselves in information from different viewpoints and…

Ethics of phase 1 oncology studies: reexamining the arguments and data.

PubMed

Agrawal, Manish; Emanuel, Ezekiel J

2003-08-27

Phase 1 oncology trials are critical to improving the treatment of cancer. Critics have raised 2 fundamental ethical challenges about phase 1 cancer research: the paucity of benefits with substantial risks and poor-quality informed consent. Despite 3 decades of controversy about phase 1 oncology research, there is little critical analysis of the arguments or of the data relevant to these questions. Existing but old data reveal that about 5% of patients in phase 1 trials experience shrinkage of their tumor, with a 0.5% mortality rate. In some notable cases, patients in phase 1 trials have been cured or sustained long-term remissions. Limited data suggest that patients in phase 1 trials may have better quality of life than comparable patients receiving supportive care. More important, the risks and benefits of phase 1 trials are not clearly worse than risk-benefit ratios used by the US Food and Drug Administration to approve chemotherapeutic agents for clinical use. The objections based on informed consent are deficiencies of disclosure, understanding, and voluntariness. The available data do not support the claim that disclosure is deficient. Although studies evaluating patient understanding have substantial methodological problems, they demonstrate that more than 70% of patients understand that they may not directly benefit even when they hope they will personally benefit. Finally, a closer look at issues of voluntariness reveals that patients with advanced cancer who participate in phase 1 research may have a different set of values than do critics and are not coerced. Overall, it appears that phase 1 oncology trials satisfy the requirement for a favorable risk-benefit ratio and that patients who enroll provide adequate informed consent.

Information as Resoures ; A View toward the 2lst Century - Let's Construct Databases by Ourselves -

NASA Astrophysics Data System (ADS)

Ohmi, Akira

A highly-developed information-oriented society based on “Information Network Technology” will be realized in the 21st century. In enterprises, fundamental research will be regarded as important more and more, and the effective use of information as resources will be indispensable. From the viewpoint of international distribution of information there is a criticism that Japan has been offering the information on science and technology insufficiently to the overseas countries, but, for example, in the steel industry lots of house-organ technical journals in English version has been offered overseas. And recently several information firms have started translating Japanese information into English and providing overseas. However, there are some problems to be taken into consideration; 1. The information is not integrated, 2. there is not any co-ordination among the firms, 3. others. Then the author proposes communal use of machine translation system and construction of database for overseas that integrate such firms” work preserving each individuality.

Integrating Resources into Curriculum with the Systems Connect Planning Guide

NASA Astrophysics Data System (ADS)

Oshry, A.; Bean, J. R.

2017-12-01

A broadly applicable and guided approach for planning curriculum and instruction around new academic standards or initiatives is critical for implementation success. Curriculum and assessment differs across schools and districts, so built-in adaptability is important for maximal adoption and ease of use by educators. The Systems Connect Planning Guide directs the flow of instruction for building conceptual links between topics in a unit/curriculum through critical vetting and integration of relevant resources. This curricular template is flexible for use in any setting or subject area, and ensures applicability, high impact and responsiveness to academic standards while providing inquiry-based, real-world investigations and action that incorporate authentic research and data. These needs are what informed the creation of the three components of the planning guide:• Curriculum Anchor: alignment with academic standards & learning outcomes and setting the context of the topic• Issues Investigations: informing how students explore topics, and incorporate authentic research and data into learning progressions• Civic Action: development of how students could apply their knowledgeThe Planning Guide also incorporates criteria from transdisciplinary practices, cross-cutting concepts, and organizational charts for outlining guiding questions and conceptual links embedded in the guide. Integration of experiential learning and real-world connections into curricula is important for proficiency and deeper understanding of content, replacing discrete, stand-alone experiences which are not explicitly connected. Rather than information being dispelled through individual activities, relying on students to make the connections, intentionally documenting explicit connections provides opportunities to foster deeper understanding by building conceptual links between topics, which is how fundamental knowledge about earth and living systems is gained. Through the critical vetting and sequencing of these resources, educators establish cohesive learning progressions that explicitly build conceptual links between topics, enabling students to use these activities to develop evidence-based explanations of the natural world.

Family centred care before and during life-sustaining treatment withdrawal in intensive care: A survey of information provided to families by Australasian critical care nurses.

PubMed

Ranse, Kristen; Bloomer, Melissa; Coombs, Maureen; Endacott, Ruth

2016-11-01

A core component of family-centred nursing care during the provision of end-of-life care in intensive care settings is information sharing with families. Yet little is known about information provided in these circumstances. To identify information most frequently given by critical care nurses to families in preparation for and during withdrawal of life-sustaining treatment. An online cross-sectional survey. During May 2015, critical care nurses in Australia and New Zealand were invited to complete the Preparing Families for Treatment Withdrawal questionnaire. Data analysis included descriptive statistics to identify areas of information most and least frequently shared with families. Cross tabulations with demographic data were used to explore any associations in the data. From the responses of 159 critical care nurses, information related to the emotional care and support of the family was most frequently provided to families in preparation for and during withdrawal of life-sustaining treatment. Variation was noted in the frequency of provision of information across body systems and their associated physical changes during the dying process. Significant associations (p<0.05) were identified between the variables gender, nursing experience and critical care experiences and some of the information items most and least frequently provided. The provision of information during end-of-life care reflects a family-centred care approach by critical care nurses with information pertaining to emotional care and support of the family paramount. The findings of this study provide a useful framework for the development of interventions to improve practice and support nurses in communicating with families at this time. Copyright © 2016 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

Model-supported estimation of mortality rates in Baltic cod (Gadus morhua callarias L.) larvae: the varying impact of 'critical periods'

PubMed Central

Voss, Rüdiger; Hinrichsen, Hans-Harald; Wieland, Kai

2001-01-01

Background Changes in the survival-rate during the larval phase may strongly influence the recruitment level in marine fish species. During the larval phase different 'critical periods' are discussed, e.g. the hatching period and the first-feeding period. No such information was available for the Baltic cod stock, a commercially important stock showing reproduction failure during the last years. We calculated field-based mortality rates for larval Baltic cod during these phases using basin-wide abundance estimates from two consecutive surveys. Survey information was corrected by three dimensional hydrodynamic model runs. Results The corrections applied for transport were of variable impact, depending on the prevailing circulation patterns. Especially at high wind forcing scenarios, abundance estimates have the potential to be biased without accounting for transport processes. In May 1988 mortality between hatch and first feeding amounted to approximately 20% per day. Mortality rates during the onset of feeding were considerably lower with only 7% per day. In August 1991 the situation was vice versa: Extremely low mortality rates of 0.08% per day were calculated between hatch and first feeding, while the period between the onset of feeding to the state of an established feeder was more critical with mortality rates of 22% per day. Conclusions Mortality rates during the different proposed 'critical periods' were found to be highly variable. Survival rates of Baltic cod are not only influenced by a single 'critical period', but can be limited at different points during the larval phase, depending on several biotic and abiotic factors. PMID:11737879

Measurement Invariance and Child Temperament: An Evaluation of Sex and Informant Differences on the Child Behavior Questionnaire

PubMed Central

Clark, D. Angus; Listro, Caitlin J.; Lo, Sharon L.; Durbin, C. Emily; Donnellan, M. Brent; Neppl, Tricia K.

2016-01-01

Parent reports of temperament are used to study many important topics in child development, such as whether boys and girls differ in their levels of emotional reactivity and self-regulation. However, questions regarding measurement equivalence in parental reports of temperament are largely unexplored, despite the fact that this issue is critical for drawing the correct conclusions from mean-level comparisons. In the current study, measurement invariance across boys and girls (as targets), and mothers and fathers (as informants), was investigated in the Child Behavior Questionnaire (CBQ; Rothbart et al., 2001) using a sample of children ranging in age from 3 to 7 years (N = 605). Several instances of non-invariance were identified across both girls and boys, and mothers and fathers. An evaluation of effect size indices suggests that the practical impact of this non-invariance ranges from negligible to moderate. All told, this study illustrates the importance of taking a psychometrically informed approach to the use of parent reports of child temperament. PMID:26914022

The Critical Importance of Retrieval--and Spacing--for Learning.

PubMed

Soderstrom, Nicholas C; Kerr, Tyson K; Bjork, Robert A

2016-02-01

We examined the impact of repeated testing and repeated studying on long-term learning. In Experiment 1, we replicated Karpicke and Roediger's (2008) influential results showing that once information can be recalled, repeated testing on that information enhances learning, whereas restudying that information does not. We then examined whether the apparent ineffectiveness of restudying might be attributable to the spacing differences between items that were inherent in the between-subjects design employed by Karpicke and Roediger. When we controlled for these spacing differences by manipulating the various learning conditions within subjects in Experiment 2, we found that both repeated testing and restudying improved learning, and that learners' awareness of the relative mnemonic benefits of these strategies was enhanced. These findings contribute to understanding how two important factors in learning-test-induced retrieval processes and spacing-can interact, and they illustrate that such interactions can play out differently in between-subjects and within-subjects experimental designs. © The Author(s) 2015.

Supporting safe driving with arthritis: developing a driving toolkit for clinical practice and consumer use.

PubMed

Vrkljan, Brenda H; Cranney, Ann; Worswick, Julia; O'Donnell, Siobhan; Li, Linda C; Gélinas, Isabelle; Byszewski, Anna; Man-Son-Hing, Malcolm; Marshall, Shawn

2010-01-01

We conducted a series of focus groups to explore the information needs of clinicians and consumers related to arthritis and driving. An open coding analysis identified common themes across both consumer and clinician-based focus groups that underscored the importance of addressing driving-related concerns and the challenges associated with assessing safety. The results revealed that although driving is critical for maintaining independence and community mobility, drivers with arthritis experience several problems that can affect safe operation of a motor vehicle. Findings from this study are part of a broader research initiative that will inform the development of the Arthritis and Driving toolkit. This toolkit outlines strategies to support safe mobility for people with arthritis and will be an important resource in the coming years given the aging population.

Profile of NASA software engineering: Lessons learned from building the baseline

NASA Technical Reports Server (NTRS)

Hall, Dana; Mcgarry, Frank

1993-01-01

It is critically important in any improvement activity to first understand the organization's current status, strengths, and weaknesses and, only after that understanding is achieved, examine and implement promising improvements. This fundamental rule is certainly true for an organization seeking to further its software viability and effectiveness. This paper addresses the role of the organizational process baseline in a software improvement effort and the lessons we learned assembling such an understanding for NASA overall and for the NASA Goddard Space Flight Center in particular. We discuss important, core data that must be captured and contrast that with our experience in actually finding such information. Our baselining efforts have evolved into a set of data gathering, analysis, and crosschecking techniques and information presentation formats that may prove useful to others seeking to establish similar baselines for their organization.

Access Control Model for Sharing Composite Electronic Health Records

NASA Astrophysics Data System (ADS)

Jin, Jing; Ahn, Gail-Joon; Covington, Michael J.; Zhang, Xinwen

The adoption of electronically formatted medical records, so called Electronic Health Records (EHRs), has become extremely important in healthcare systems to enable the exchange of medical information among stakeholders. An EHR generally consists of data with different types and sensitivity degrees which must be selectively shared based on the need-to-know principle. Security mechanisms are required to guarantee that only authorized users have access to specific portions of such critical record for legitimate purposes. In this paper, we propose a novel approach for modelling access control scheme for composite EHRs. Our model formulates the semantics and structural composition of an EHR document, from which we introduce a notion of authorized zones of the composite EHR at different granularity levels, taking into consideration of several important criteria such as data types, intended purposes and information sensitivities.

48 CFR 3002.101 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... information: (1) Protected Critical Infrastructure Information (PCII) as set out in the Critical Infrastructure Information Act of 2002 (Title II, Subtitle B, of the Homeland Security Act, Pub. L. 107-296, 196...

Factors of accepting pain management decision support systems by nurse anesthetists

PubMed Central

2013-01-01

Background Pain management is a critical but complex issue for the relief of acute pain, particularly for postoperative pain and severe pain in cancer patients. It also plays important roles in promoting quality of care. The introduction of pain management decision support systems (PM-DSS) is considered a potential solution for addressing the complex problems encountered in pain management. This study aims to investigate factors affecting acceptance of PM-DSS from a nurse anesthetist perspective. Methods A questionnaire survey was conducted to collect data from nurse anesthetists in a case hospital. A total of 113 questionnaires were distributed, and 101 complete copies were returned, indicating a valid response rate of 89.3%. Collected data were analyzed by structure equation modeling using the partial least square tool. Results The results show that perceived information quality (γ=.451, p<.001), computer self-efficacy (γ=.315, p<.01), and organizational structure (γ=.210, p<.05), both significantly impact nurse anesthetists’ perceived usefulness of PM-DSS. Information quality (γ=.267, p<.05) significantly impacts nurse anesthetists’ perceptions of PM-DSS ease of use. Furthermore, both perceived ease of use (β=.436, p<.001, R2=.487) and perceived usefulness (β=.443, p<.001, R2=.646) significantly affected nurse anesthetists’ PM-DSS acceptance (R2=.640). Thus, the critical role of information quality in the development of clinical decision support system is demonstrated. Conclusions The findings of this study enable hospital managers to understand the important considerations for nurse anesthetists in accepting PM-DSS, particularly for the issues related to the improvement of information quality, perceived usefulness and perceived ease of use of the system. In addition, the results also provide useful suggestions for designers and implementers of PM-DSS in improving system development. PMID:23360305

A moving target—incorporating knowledge of the spatial ecology of fish into the assessment and management of freshwater fish populations

USGS Publications Warehouse

Cooke, Steven J.; Martins, Eduardo G; Struthers, Daniel P; Gutowsky, Lee F G; Powers, Michael H.; Doka, Susan E.; Dettmers, John M.; Crook, David A; Lucas, Martyn C.; Holbrook, Christopher; Krueger, Charles C.

2016-01-01

Freshwater fish move vertically and horizontally through the aquatic landscape for a variety of reasons, such as to find and exploit patchy resources or to locate essential habitats (e.g., for spawning). Inherent challenges exist with the assessment of fish populations because they are moving targets. We submit that quantifying and describing the spatial ecology of fish and their habitat is an important component of freshwater fishery assessment and management. With a growing number of tools available for studying the spatial ecology of fishes (e.g., telemetry, population genetics, hydroacoustics, otolith microchemistry, stable isotope analysis), new knowledge can now be generated and incorporated into biological assessment and fishery management. For example, knowing when, where, and how to deploy assessment gears is essential to inform, refine, or calibrate assessment protocols. Such information is also useful for quantifying or avoiding bycatch of imperiled species. Knowledge of habitat connectivity and usage can identify critically important migration corridors and habitats and can be used to improve our understanding of variables that influence spatial structuring of fish populations. Similarly, demographic processes are partly driven by the behavior of fish and mediated by environmental drivers. Information on these processes is critical to the development and application of realistic population dynamics models. Collectively, biological assessment, when informed by knowledge of spatial ecology, can provide managers with the ability to understand how and when fish and their habitats may be exposed to different threats. Naturally, this knowledge helps to better evaluate or develop strategies to protect the long-term viability of fishery production. Failure to understand the spatial ecology of fishes and to incorporate spatiotemporal data can bias population assessments and forecasts and potentially lead to ineffective or counterproductive management actions.

A moving target--incorporating knowledge of the spatial ecology of fish into the assessment and management of freshwater fish populations.

PubMed

Cooke, Steven J; Martins, Eduardo G; Struthers, Daniel P; Gutowsky, Lee F G; Power, Michael; Doka, Susan E; Dettmers, John M; Crook, David A; Lucas, Martyn C; Holbrook, Christopher M; Krueger, Charles C

2016-04-01

Freshwater fish move vertically and horizontally through the aquatic landscape for a variety of reasons, such as to find and exploit patchy resources or to locate essential habitats (e.g., for spawning). Inherent challenges exist with the assessment of fish populations because they are moving targets. We submit that quantifying and describing the spatial ecology of fish and their habitat is an important component of freshwater fishery assessment and management. With a growing number of tools available for studying the spatial ecology of fishes (e.g., telemetry, population genetics, hydroacoustics, otolith microchemistry, stable isotope analysis), new knowledge can now be generated and incorporated into biological assessment and fishery management. For example, knowing when, where, and how to deploy assessment gears is essential to inform, refine, or calibrate assessment protocols. Such information is also useful for quantifying or avoiding bycatch of imperiled species. Knowledge of habitat connectivity and usage can identify critically important migration corridors and habitats and can be used to improve our understanding of variables that influence spatial structuring of fish populations. Similarly, demographic processes are partly driven by the behavior of fish and mediated by environmental drivers. Information on these processes is critical to the development and application of realistic population dynamics models. Collectively, biological assessment, when informed by knowledge of spatial ecology, can provide managers with the ability to understand how and when fish and their habitats may be exposed to different threats. Naturally, this knowledge helps to better evaluate or develop strategies to protect the long-term viability of fishery production. Failure to understand the spatial ecology of fishes and to incorporate spatiotemporal data can bias population assessments and forecasts and potentially lead to ineffective or counterproductive management actions.

Lunar Resources Using Moderate Spectral Resolution Visible and Near-infrared Spectroscopy: Al/si and Soil Maturity

NASA Technical Reports Server (NTRS)

Fischer, Erich M.; Pieters, Carle M.; Head, James W.

1992-01-01

Modern visible and near-infrared detectors are critically important for the accurate identification and relative abundance measurement of lunar minerals; however, even a very small number of well-placed visible and near-infrared bandpass channels provide a significant amount of general information about crucial lunar resources. The Galileo Solid State Imaging system (SSI) multispectral data are an important example of this. Al/Si and soil maturity will be discussed as examples of significant general lunar resource information that can be gleaned from moderate spectral resolution visible and near-infrared data with relative ease. Because quantitative-albedo data are necessary for these kinds of analyses, data such as those obtained by Galileo SSI are critical. SSI obtained synoptic digital multispectral image data for both the nearside and farside of the Moon during the first Galileo Earth-Moon encounter in December 1990. The data consist of images through seven filters with bandpasses ranging from 0.40 microns in the ultraviolet to 0.99 microns in the near-infrared. Although these data are of moderate spectral resolution, they still provide information for the following lunar resources: (1) titanium content of mature mare soils based upon the 0.40/0.56-micron (UV/VIS) ratio; (2) mafic mineral abundance based upon the 0.76/0.99-micron ratio; and (3) the maturity or exposure age of the soils based upon the 0.56-0.76-micron continuum and the 0.76/0.99-micron ratio. Within constraints, these moderate spectral resolution visible and near-infrared reflectance data can also provide elemental information such as Al/Si for mature highland soils.

Identifying core competencies for public health epidemiologists.

PubMed

Bondy, Susan J; Johnson, Ian; Cole, Donald C; Bercovitz, Kim

2008-01-01

Public health authorities have prioritized the identification of competencies, yet little empirical data exist to support decisions on competency selection among particular disciplines. We sought perspectives on important competencies among epidemiologists familiar with or practicing in public health settings (local to national). Using a sequential, qualitative-quantitative mixed method design, we conducted key informant interviews with 12 public health practitioners familiar with front-line epidemiologists' practice, followed by a web-based survey of members of a provincial association of public health epidemiologists (90 respondents of 155 eligible) and a consensus workshop. Competency statements were drawn from existing core competency lists and those identified by key informants, and ranked by extent of agreement in importance for entry-level practitioners. Competencies in quantitative methods and analysis, critical appraisal of scientific evidence and knowledge transfer of scientific data to other members of the public health team were all regarded as very important for public health epidemiologists. Epidemiologist competencies focused on the provision, interpretation and 'translation' of evidence to inform decision-making by other public health professionals. Considerable tension existed around some potential competency items, particularly in the areas of more advanced database and data-analytic skills. Empirical data can inform discussions of discipline-specific competencies as one input to decisions about competencies appropriate for epidemiologists in the public health workforce.

A Unified Cropland Layer at 250-m for global agriculture monitoring

USGS Publications Warehouse

Waldner, François; Fritz, Steffen; Di Gregorio, Antonio; Plotnikov, Dmitry; Bartalev, Sergey; Kussul, Nataliia; Gong, Peng; Thenkabail, Prasad S.; Hazeu, Gerard; Klein, Igor; Löw, Fabian; Miettinen, Jukka; Dadhwal, Vinay Kumar; Lamarche, Céline; Bontemps, Sophie; Defourny, Pierre

2016-01-01

Accurate and timely information on the global cropland extent is critical for food security monitoring, water management and earth system modeling. Principally, it allows for analyzing satellite image time-series to assess the crop conditions and permits isolation of the agricultural component to focus on food security and impacts of various climatic scenarios. However, despite its critical importance, accurate information on the spatial extent, cropland mapping with remote sensing imagery remains a major challenge. Following an exhaustive identification and collection of existing land cover maps, a multi-criteria analysis was designed at the country level to evaluate the fitness of a cropland map with regards to four dimensions: its timeliness, its legend, its resolution adequacy and its confidence level. As a result, a Unified Cropland Layer that combines the fittest products into a 250 m global cropland map was assembled. With an evaluated accuracy ranging from 82% to 95%, the Unified Cropland Layer successfully improved the accuracy compared to single global products.

Exposomics research using suspect screening and non ...

EPA Pesticide Factsheets

High-resolution mass spectrometry (HRMS) is used for suspect screening (SSA) and non-targeted analysis (NTA) in an attempt to characterize xenobiotic chemicals in various samples broadly and efficiently. These important techniques aid characterization of the exposome, the totality of human exposures, and provide critical information on thousands of chemicals in commerce for which exposure data are lacking. The Environmental Protection Agency (EPA) SSA and NTA capabilities consist of analytical instrumentation [liquid chromatography (LC) with time of flight (TOF) and quadrupole-TOF (Q-TOF) HRMS], workflows (feature extraction, formula generation, structure prediction, spectral matching, chemical confirmation), and tools (databases; models for predicting retention time, functional use, media occurrence, and media concentration; and schemes for ranking features and chemicals). Suspect screening (SSA) and non-targeted analysis (NTA) are used to characterize xenobiotic chemicals in various samples and aid characterization of the exposome, the totality of human exposures, and provide critical information on thousands of chemicals in commerce for which exposure data are lacking.

Resistance of superhydrophobic and oleophobic surfaces to varied temperature applications on 316L SS

NASA Astrophysics Data System (ADS)

Shams, Hamza; Basit, Kanza; Saleem, Sajid; Siddiqui, Bilal A.

316L SS also called Marine Stainless Steel is an important material for structural and marine applications. When superhydrophobic and oleophobic coatings are applied on 316L SS it shows significant resistance to wear and corrosion. This paper aims to validate the coatings manufacturer's information on optimal temperature range and test the viability of coating against multiple oil based cleaning agents. 316L SS was coated with multiple superhydrophic and oleohobic coatings and observed under SEM for validity of adhesion and thickness and then scanned under FFM to validate the tribological information. The samples were then dipped into multiple cleaning agents maintained at the range of operating temperatures specified by the manufacturer. Coating was observed for deterioration over a fixed time intervals through SEM and FFM. A comparison was drawn to validate the most critical cleaning agent and the most critical temperature at which the coating fails to leave the base substrate exposed to the environment.

Considerations for a design and operations knowledge support system for Space Station Freedom

NASA Technical Reports Server (NTRS)

Erickson, Jon D.; Crouse, Kenneth H.; Wechsler, Donald B.; Flaherty, Douglas R.

1989-01-01

Engineering and operations of modern engineered systems depend critically upon detailed design and operations knowledge that is accurate and authoritative. A design and operations knowledge support system (DOKSS) is a modern computer-based information system providing knowledge about the creation, evolution, and growth of an engineered system. The purpose of a DOKSS is to provide convenient and effective access to this multifaceted information. The complexity of Space Station Freedom's (SSF's) systems, elements, interfaces, and organizations makes convenient access to design knowledge especially important, when compared to simpler systems. The life cycle length, being 30 or more years, adds a new dimension to space operations, maintenance, and evolution. Provided here is a review and discussion of design knowledge support systems to be delivered and operated as a critical part of the engineered system. A concept of a DOKSS for Space Station Freedom (SSF) is presented. This is followed by a detailed discussion of a DOKSS for the Lyndon B. Johnson Space Center and Work Package-2 portions of SSF.

Critical Essay: Building new management theories on sound data? The case of neuroscience

PubMed Central

Lindebaum, Dirk

2015-01-01

In this critical essay, I contend that accelerating demands for novel theories in management studies imply that new methodologies and data are sometimes accepted prematurely as supply of these novel theories. This point is illustrated with reference to how neuroscience can inform management research. I propose two demand forces that foster the increased focus on neuroscience in management studies, these being (i) the direction of public research funding, and (ii) publication bias as a boost for journal impact factor. Looking at the supply side, I note that (i) the statistical power of studies using functional magnetic resonance imaging (or fMRI, the ‘gold’ standard) is unacceptably low, (ii) the use of imprecise ‘motherhood’ statements, and (iii) the dismissal of ethical concerns in the formulation of management theories and practice informed by neuroscience. I then briefly outline the bad consequences of this for management theory and practice, emphasize why it is important to prevent these consequences, and offer some methodological suggestions for future research. PMID:27041766

An Enhanced Adaptive Management Approach for Remediation of Legacy Mercury in the South River

PubMed Central

Foran, Christy M.; Baker, Kelsie M.; Grosso, Nancy R.; Linkov, Igor

2015-01-01

Uncertainties about future conditions and the effects of chosen actions, as well as increasing resource scarcity, have been driving forces in the utilization of adaptive management strategies. However, many applications of adaptive management have been criticized for a number of shortcomings, including a limited ability to learn from actions and a lack of consideration of stakeholder objectives. To address these criticisms, we supplement existing adaptive management approaches with a decision-analytical approach that first informs the initial selection of management alternatives and then allows for periodic re-evaluation or phased implementation of management alternatives based on monitoring information and incorporation of stakeholder values. We describe the application of this enhanced adaptive management (EAM) framework to compare remedial alternatives for mercury in the South River, based on an understanding of the loading and behavior of mercury in the South River near Waynesboro, VA. The outcomes show that the ranking of remedial alternatives is influenced by uncertainty in the mercury loading model, by the relative importance placed on different criteria, and by cost estimates. The process itself demonstrates that a decision model can link project performance criteria, decision-maker preferences, environmental models, and short- and long-term monitoring information with management choices to help shape a remediation approach that provides useful information for adaptive, incremental implementation. PMID:25665032

Critical care nursing: Embedded complex systems.

PubMed

Trinier, Ruth; Liske, Lori; Nenadovic, Vera

2016-01-01

Variability in parameters such as heart rate, respiratory rate and blood pressure defines healthy physiology and the ability of the person to adequately respond to stressors. Critically ill patients have lost this variability and require highly specialized nursing care to support life and monitor changes in condition. The critical care environment is a dynamic system through which information flows. The critical care unit is typically designed as a tree structure with generally one attending physician and multiple nurses and allied health care professionals. Information flow through the system allows for identification of deteriorating patient status and timely interventionfor rescue from further deleterious effects. Nurses provide the majority of direct patient care in the critical care setting in 2:1, 1:1 or 1:2 nurse-to-patient ratios. The bedside nurse-critically ill patient relationship represents the primary, real-time feedback loop of information exchange, monitoring and treatment. Variables that enhance information flow through this loop and support timely nursing intervention can improve patient outcomes, while barriers can lead to errors and adverse events. Examining patient information flow in the critical care environment from a dynamic systems perspective provides insights into how nurses deliver effective patient care and prevent adverse events.

Prevention of nosocomial infections in critically ill patients with lactoferrin (PREVAIL study): study protocol for a randomized controlled trial.

PubMed

Muscedere, John; Maslove, David; Boyd, John Gordon; O'Callaghan, Nicole; Lamontagne, Francois; Reynolds, Steven; Albert, Martin; Hall, Rick; McGolrick, Danielle; Jiang, Xuran; Day, Andrew G

2016-09-29

Nosocomial infections remain an important source of morbidity, mortality, and increased health care costs in hospitalized patients. This is particularly problematic in intensive care units (ICUs) because of increased patient vulnerability due to the underlying severity of illness and increased susceptibility from utilization of invasive therapeutic and monitoring devices. Lactoferrin (LF) and the products of its breakdown have multiple biological effects, which make its utilization of interest for the prevention of nosocomial infections in the critically ill. This is a phase II randomized, multicenter, double-blinded trial to determine the effect of LF on antibiotic-free days in mechanically ventilated, critically ill, adult patients in the ICU. Eligible, consenting patients will be randomized to receive either LF or placebo. The treating clinician will remain blinded to allocation during the study; blinding will be maintained by using opaque syringes and containers. The primary outcome will be antibiotic-free days, defined as the number of days alive and free of antibiotics 28 days after randomization. Secondary outcomes will include: antibiotic utilization, adjudicated diagnosis of nosocomial infection (longer than 72 h of admission to ICU), hospital and ICU length of stay, change in organ function after randomization, hospital and 90-day mortality, incidence of tracheal colonization, changes in gastrointestinal permeability, and immune function. Outcomes to inform the conduct of a larger definitive trial will also be evaluated, including feasibility as determined by recruitment rates and protocol adherence. The results from this study are expected to provide insight into a potential novel therapeutic use for LF in critically ill adult patients. Further, analysis of study outcomes will inform a future, large-scale phase III randomized controlled trial powered on clinically important outcomes related to the use of LF. The trial was registered at www.ClinicalTrials.gov on 18 November 2013. NCT01996579 .

Patient outcomes after critical illness: a systematic review of qualitative studies following hospital discharge.

PubMed

Hashem, Mohamed D; Nallagangula, Aparna; Nalamalapu, Swaroopa; Nunna, Krishidhar; Nausran, Utkarsh; Robinson, Karen A; Dinglas, Victor D; Needham, Dale M; Eakin, Michelle N

2016-10-26

There is growing interest in patient outcomes following critical illness, with an increasing number and different types of studies conducted, and a need for synthesis of existing findings to help inform the field. For this purpose we conducted a systematic review of qualitative studies evaluating patient outcomes after hospital discharge for survivors of critical illness. We searched the PubMed, EMBASE, CINAHL, PsycINFO, and CENTRAL databases from inception to June 2015. Studies were eligible for inclusion if the study population was >50 % adults discharged from the ICU, with qualitative evaluation of patient outcomes. Studies were excluded if they focused on specific ICU patient populations or specialty ICUs. Citations were screened in duplicate, and two reviewers extracted data sequentially for each eligible article. Themes related to patient outcome domains were coded and categorized based on the main domains of the Patient Reported Outcomes Measurement Information System (PROMIS) framework. A total of 2735 citations were screened, and 22 full-text articles were eligible, with year of publication ranging from 1995 to 2015. All of the qualitative themes were extracted from eligible studies and then categorized using PROMIS descriptors: satisfaction with life (16 studies), including positive outlook, acceptance, gratitude, independence, boredom, loneliness, and wishing they had not lived; mental health (15 articles), including symptoms of post-traumatic stress disorder, anxiety, depression, and irritability/anger; physical health (14 articles), including mobility, activities of daily living, fatigue, appetite, sensory changes, muscle weakness, and sleep disturbances; social health (seven articles), including changes in friends/family relationships; and ability to participate in social roles and activities (six articles), including hobbies and disability. ICU survivors may experience positive emotions and life satisfaction; however, a wide range of mental, physical, social, and functional sequelae occur after hospital discharge. These findings are important for understanding patient-centered outcomes in critical care and providing focus for future interventional studies aimed at improving outcomes of importance to ICU survivors.

A Decade of Critical Information Literacy: A Review of the Literature

ERIC Educational Resources Information Center

Tewell, Eamon

2015-01-01

As information literacy continues in its centrality to many academic libraries' missions, a line of inquiry has developed in response to ACRL's charge to develop information literate citizens. The literature of critical information literacy questions widely held assumptions about information literacy and considers in what ways librarians may…

6 CFR 29.1 - Purpose and scope.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROTECTED CRITICAL INFRASTRUCTURE... receipt, care, and storage of Critical Infrastructure Information (CII) voluntarily submitted to the... herein as the Critical Infrastructure Information Act of 2002 (CII Act). Consistent with the statutory...

6 CFR 29.1 - Purpose and scope.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROTECTED CRITICAL INFRASTRUCTURE... receipt, care, and storage of Critical Infrastructure Information (CII) voluntarily submitted to the... herein as the Critical Infrastructure Information Act of 2002 (CII Act). Consistent with the statutory...

6 CFR 29.1 - Purpose and scope.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROTECTED CRITICAL INFRASTRUCTURE... receipt, care, and storage of Critical Infrastructure Information (CII) voluntarily submitted to the... herein as the Critical Infrastructure Information Act of 2002 (CII Act). Consistent with the statutory...