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Sample records for deliver improved models

  1. Innovative model of delivering quality improvement education for trainees--a pilot project.

    PubMed

    Ramar, Kannan; Hale, Curt W; Dankbar, Eugene C

    2015-01-01

    After incorporating quality improvement (QI) education as a required curriculum for our trainees in 2010, a need arose to readdress our didactic sessions as they were too long, difficult to schedule, and resulting in a drop in attendance. A 'flipped classroom' (FC) model to deliver QI education was touted to be an effective delivery method as it allows the trainees to view didactic materials on videos, on their own time, and uses the classroom to clarify concepts and employ learned tools on case-based scenarios including workshops. The Mayo Quality Academy prepared 29 videos that incorporated the previously delivered 17 weekly didactic sessions, for a total duration of 135 min. The half-day session clarified questions related to the videos, followed by case examples and a hands-on workshop on how to perform and utilize a few commonly used QI tools and methods. Seven trainees participated. There was a significant improvement in knowledge as measured by pre- and post-FC model test results [improvement by 40.34% (SD 16.34), p<0.001]. The survey results were overall positive about the FC model with all trainees strongly agreeing that we should continue with this model to deliver QI education. The pilot project of using the FC model to deliver QI education was successful in a small sample of trainees.

  2. Innovative model of delivering quality improvement education for trainees – a pilot project

    PubMed Central

    Ramar, Kannan; Hale, Curt W.; Dankbar, Eugene C.

    2015-01-01

    Background After incorporating quality improvement (QI) education as a required curriculum for our trainees in 2010, a need arose to readdress our didactic sessions as they were too long, difficult to schedule, and resulting in a drop in attendance. A ‘flipped classroom’ (FC) model to deliver QI education was touted to be an effective delivery method as it allows the trainees to view didactic materials on videos, on their own time, and uses the classroom to clarify concepts and employ learned tools on case-based scenarios including workshops. Methods The Mayo Quality Academy prepared 29 videos that incorporated the previously delivered 17 weekly didactic sessions, for a total duration of 135 min. The half-day session clarified questions related to the videos, followed by case examples and a hands-on workshop on how to perform and utilize a few commonly used QI tools and methods. Results Seven trainees participated. There was a significant improvement in knowledge as measured by pre- and post-FC model test results [improvement by 40.34% (SD 16.34), p<0.001]. The survey results were overall positive about the FC model with all trainees strongly agreeing that we should continue with this model to deliver QI education. Conclusions The pilot project of using the FC model to deliver QI education was successful in a small sample of trainees. PMID:26400052

  3. Vagus nerve stimulation delivered during motor rehabilitation improves recovery in a rat model of stroke.

    PubMed

    Khodaparast, Navid; Hays, Seth A; Sloan, Andrew M; Fayyaz, Tabbassum; Hulsey, Daniel R; Rennaker, Robert L; Kilgard, Michael P

    2014-09-01

    Neural plasticity is widely believed to support functional recovery following brain damage. Vagus nerve stimulation paired with different forelimb movements causes long-lasting map plasticity in rat primary motor cortex that is specific to the paired movement. We tested the hypothesis that repeatedly pairing vagus nerve stimulation with upper forelimb movements would improve recovery of motor function in a rat model of stroke. Rats were separated into 3 groups: vagus nerve stimulation during rehabilitation (rehab), vagus nerve stimulation after rehab, and rehab alone. Animals underwent 4 training stages: shaping (motor skill learning), prelesion training, postlesion training, and therapeutic training. Rats were given a unilateral ischemic lesion within motor cortex and implanted with a left vagus nerve cuff. Animals were allowed 1 week of recovery before postlesion baseline training. During the therapeutic training stage, rats received vagus nerve stimulation paired with each successful trial. All 17 trained rats demonstrated significant contralateral forelimb impairment when performing a bradykinesia assessment task. Forelimb function was recovered completely to prelesion levels when vagus nerve stimulation was delivered during rehab training. Alternatively, intensive rehab training alone (without stimulation) failed to restore function to prelesion levels. Delivering the same amount of stimulation after rehab training did not yield improvements compared with rehab alone. These results demonstrate that vagus nerve stimulation repeatedly paired with successful forelimb movements can improve recovery after motor cortex ischemia and may be a viable option for stroke rehabilitation.

  4. Metallofullerene-Nanoplatform-Delivered Interstitial Brachytherapy Improved Survival in a Murine Model of Glioblastoma Multiforme

    PubMed Central

    Wilson, John D.; Broaddus, William C.; Dorn, Harry C.; Fatouros, Panos P.; Chalfant, Charles E.; Shultz, Michael D.

    2012-01-01

    Fullerenes are used across scientific disciplines because of their diverse properties gained by altering encapsulated or surface bound components. In this study, the recently developed theranostic agent based on a radiolabeled functionalized metallofullerene (177Lu-DOTA-f-Gd3N@C80) was synthesized with high radiochemical yield and purity. The efficacy of this agent was demonstrated in two orthotopic xenograft brain tumor models of glioblastoma multiforme (GBM). A dose-dependent improvement in survival was also shown. The in vivo stability of the agent was verified through dual label measurements of biological elimination from the tumor. Overall, these results provide evidence that nanomaterial platforms can be used to deliver effective interstitial brachytherapy. PMID:22881865

  5. Brief Report: Remotely Delivered Video Modeling for Improving Oral Hygiene in Children with ASD: A Pilot Study

    ERIC Educational Resources Information Center

    Popple, Ben; Wall, Carla; Flink, Lilli; Powell, Kelly; Discepolo, Keri; Keck, Douglas; Mademtzi, Marilena; Volkmar, Fred; Shic, Frederick

    2016-01-01

    Children with autism have heightened risk of developing oral health problems. Interventions targeting at-home oral hygiene habits may be the most effective means of improving oral hygiene outcomes in this population. This randomized control trial examined the effectiveness of a 3-week video-modeling brushing intervention delivered to patients over…

  6. Brief Report: Remotely Delivered Video Modeling for Improving Oral Hygiene in Children with ASD: A Pilot Study

    ERIC Educational Resources Information Center

    Popple, Ben; Wall, Carla; Flink, Lilli; Powell, Kelly; Discepolo, Keri; Keck, Douglas; Mademtzi, Marilena; Volkmar, Fred; Shic, Frederick

    2016-01-01

    Children with autism have heightened risk of developing oral health problems. Interventions targeting at-home oral hygiene habits may be the most effective means of improving oral hygiene outcomes in this population. This randomized control trial examined the effectiveness of a 3-week video-modeling brushing intervention delivered to patients over…

  7. Brief Report: Remotely Delivered Video Modeling for Improving Oral Hygiene in Children with ASD: A Pilot Study.

    PubMed

    Popple, Ben; Wall, Carla; Flink, Lilli; Powell, Kelly; Discepolo, Keri; Keck, Douglas; Mademtzi, Marilena; Volkmar, Fred; Shic, Frederick

    2016-08-01

    Children with autism have heightened risk of developing oral health problems. Interventions targeting at-home oral hygiene habits may be the most effective means of improving oral hygiene outcomes in this population. This randomized control trial examined the effectiveness of a 3-week video-modeling brushing intervention delivered to patients over the internet. Eighteen children with autism were assigned to an Intervention or Control video condition. Links to videos were delivered via email twice daily. Blind clinical examiners provided plaque index ratings at baseline, midpoint, and endpoint. Results show oral hygiene improvements in both groups, with larger effect sizes in the Intervention condition. The findings provide preliminary support for the use of internet-based interventions to improve oral hygiene for children with autism.

  8. Delivering quality improvements in patient care: the application of the Leicester Model of interprofessional education.

    PubMed

    Lennox, A; Anderson, E S

    2012-01-01

    This paper places the importance of evidence-based models of interprofessional education (IPE) within the context of a changing National Health Service (NHS). The coalition government has placed integrated care at the heart of its vision for England's health system. Its principles are to put patients at the centre of the NHS, empower clinicians to lead commissioning and change the emphasis of measurement to quality clinical outcomes. As a result, NHS services are being increasingly tendered along evidence-based care pathways and commissioners are introducing payment by results tariffs, requiring providers to achieve quality outcomes as a requirement of full payment. We argue that in preparing the health and social care workforce for outcome-based practice, the development of technical skills should be complemented with skills for effective teamworking and collaborative practice. This paper shares the achievements of the Leicester Model of IPE which is underpinned by theoretical models of learning and implemented entirely in clinical practice; mixed research methods demonstrate that its learning potential is as relevant today as when it was first implemented in 1996. Our extensive research evidence demonstrates that students and healthcare professionals undertaking these programmes are enabled to perceive care pathways from service and providers perspectives; they gain valuable insights into how teams balance task- and patient-related issues, offer clarity about the team's effectiveness and gain new insights into collaborative opportunities to address patients' needs. We demonstrate that models such as ours offer evidence-based solutions which will support the achievement of quality outcomes for service providers, many of whom are reviewing their business plans to address the financial implications of payment by results. The current NHS reforms provide a hugely important lever in which IPE can come of age - in return we need to ensure that our NHS colleagues are

  9. Improvement of an In Vitro Model to Assess Delivered Dose and Particle Size for a Vibrating Mesh Nebulizer During Mechanical Ventilation.

    PubMed

    Kadrichu, Nani; Daniher, Derek

    2017-08-16

    In an in vitro model of mechanical ventilation with gravity-dependent filter position we observed artificially high delivered doses resulting from liquid droplet collection and precipitation of aerosolized drug. We sequentially modified the model to obtain accurate reproducible measurements of delivered dose and particle size at endotracheal tube exit. Stepwise changes in the model included (1) altering the endotracheal tube position to a gravity-independent position, (2) adding fluid traps, (3) humidifying air near the test lung, and (4) simplifying test lung and filters. Delivered dose of aerosolized vancomycin and losses in different compartments were assessed under low-flow and high-flow conditions, with or without circuit humidification. Droplet size distribution (DSD) of aerosolized Amikacin Inhalation Solution at endotracheal tube exit was measured by laser diffraction. Changing endotracheal tube position and adding traps allowed separation of liquid droplets and aerosolized drug, providing a delivered vancomycin dose of 35.1% (high flow). Active heated humidification of exhaled air significantly reduced delivered dose (21.0%) and dose variability. Simplification of the model to improve usability had no further effect on delivered dose, which was higher under low-flow than high-flow conditions, although there was no difference between humidified (high flow, 20.3%; low flow, 45.8%) and nonhumidified (high flow, 22.8%; low flow, 47.3%) conditions. With circuit humidification, drug loss decreased in endotracheal tube and nebulizer T-piece, whereas more drug was captured in traps. Lower inspiratory flow and humidity in the circuit were associated with higher Dv50 of aerosolized Amikacin Inhalation Solution at endotracheal tube exit. We successfully modified our in vitro model of mechanical ventilation to allow more accurate measurement of the delivered dose of aerosolized vancomycin and DSD profile of aerosolized Amikacin Inhalation Solution at the endotracheal

  10. Re-refinement from deposited X-ray data can deliver improved models for most PDB entries

    PubMed Central

    Joosten, Robbie P.; Womack, Thomas; Vriend, Gert; Bricogne, Gérard

    2009-01-01

    The deposition of X-ray data along with the customary structural models defining PDB entries makes it possible to apply large-scale re-refinement protocols to these entries, thus giving users the benefit of improvements in X-ray methods that have occurred since the structure was deposited. Auto­mated gradient refinement is an effective method to achieve this goal, but real-space intervention is most often required in order to adequately address problems detected by structure-validation software. In order to improve the existing protocol, automated re-refinement was combined with structure validation and difference-density peak analysis to produce a catalogue of problems in PDB entries that are amenable to automatic correction. It is shown that re-refinement can be effective in producing improvements, which are often associated with the systematic use of the TLS parameterization of B factors, even for relatively new and high-resolution PDB entries, while the accompanying manual or semi-manual map analysis and fitting steps show good prospects for eventual automation. It is proposed that the potential for simultaneous improvements in methods and in re-refinement results be further encouraged by broadening the scope of depositions to include refinement metadata and ultimately primary rather than reduced X-ray data. PMID:19171973

  11. BMP-2 delivered via sucrose acetate isobutyrate (SAIB) improves bone repair in a rat open fracture model.

    PubMed

    Cheng, Tegan L; Schindeler, Aaron; Little, David G

    2016-07-01

    Human bone morphogenetic proteins (BMPs) are an alternative to bone graft for the treatment of high-energy open fractures. The standard delivery system for BMP-2 is a porous collagen sponge, but we have previously found that the biocompatible, high viscosity carrier, Sucrose acetate isobutyrate (SAIB) is an effective and potentially less invasive alternative. The efficacy of SAIB as a BMP-2 delivery system was examined in an open fracture model featuring a femoral osteotomy with periosteal stripping in 9-week-old male Sprague Dawley rats. SAIB containing BMP-2 (SAIB/BMP-2) was delivered into the fracture site during surgery and an additional group was further co-treated with zoledronic acid and hydroxyapatite nanoparticles (SAIB/BMP-2/HA/ZA). These were compared to untreated fractures and SAIB carrier alone (negative controls), and BMP-2 loaded collagen sponge (positive control). The rate of radiographic union and the biomechanical properties of the healed fractures were compared after 6-week. Untreated and SAIB-treated fractures showed poor repair, with 53% and 64%, respectively, not bridged at 6 week. In contrast, collagen/BMP-2, SAIB/BMP-2, and SAIB/BMP-2/HA/ZA showed significantly increased union (100%, 100%, and 94%, respectively, p < 0.05). Four-point bend testing revealed that collagen/BMP-2 and SAIB/BMP-2/HA/ZA restored the strength of fractured femora to that of intact femora by 6 week, whereas untreated and SAIB remained less than intact controls by 60% and 67%, respectively (p < 0.05). Overall, the SAIB/BMP-2/HA/ZA formulation was comparable to BMP-2 infused collagen sponge in terms of promoting open fractures repair, but with the additional potential for less invasive delivery. © 2015 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 34:1168-1176, 2016. © 2015 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

  12. Delivering Improved Nutrition: Dairy Ingredients in Food Aid Products.

    PubMed

    Schlossman, Nina

    2016-03-01

    The United States has a long history of food assistance for humanitarian need. The Food for Peace Act of 1954 established the United States' permanent food assistance program which has fed over 3 billion people in 150 countries worldwide through thousands of partner organizations. In 60 years, the program has evolved and will continue to do so. Recently, the program has gone from a focus on quantity of food shipped to quality food assistance from improved products, programs, and processes to effectively meet the needs of different vulnerable groups. The current debate focuses on the appropriateness of using fortified blended foods to prevent and treat malnutrition during the first 1000 days of life. Dairy ingredients have been at the center of this debate; they were included initially in fortified blended, removed in the 1980s, and now reincorporated into fortified therapeutic and supplemental foods. Improved quality food baskets and effective nutrition programming to prevent and treat malnutrition were developed through multisectoral collaboration between government and nongovernment organizations. The US Agency for International Development has focused on improving nutrition through development programs often tied to health, education, and agriculture. The years since 2008 have been a particularly intense period for improvement. The Food Aid Quality Review was established to update current food aid programming products, program implementation, cost-effectiveness, and interagency processes. Trials are underway to harmonize the areas of multisectoral nutrition programming and gather more evidence on the effects of dairy ingredients in food aid products. © The Author(s) 2016.

  13. A service model for delivering care closer to home.

    PubMed

    Dodd, Joanna; Taylor, Charlotte Elizabeth; Bunyan, Paul; White, Philippa Mary; Thomas, Siân Myra; Upton, Dominic

    2011-04-01

    Upton Surgery (Worcestershire) has developed a flexible and responsive service model that facilitates multi-agency support for adult patients with complex care needs experiencing an acute health crisis. The purpose of this service is to provide appropriate interventions that avoid unnecessary hospital admissions or, alternatively, provide support to facilitate early discharge from secondary care. Key aspects of this service are the collaborative and proactive identification of patients at risk, rapid creation and deployment of a reactive multi-agency team and follow-up of patients with an appropriate long-term care plan. A small team of dedicated staff (the Complex Care Team) are pivotal to coordinating and delivering this service. Key skills are sophisticated leadership and project management skills, and these have been used sensitively to challenge some traditional roles and boundaries in the interests of providing effective, holistic care for the patient.This is a practical example of early implementation of the principles underlying the Department of Health's (DH) recent Best Practice Guidance, 'Delivering Care Closer to Home' (DH, July 2008) and may provide useful learning points for other general practice surgeries considering implementing similar models. This integrated case management approach has had enthusiastic endorsement from patients and carers. In addition to the enhanced quality of care and experience for the patient, this approach has delivered value for money. Secondary care costs have been reduced by preventing admissions and also by reducing excess bed-days. The savings achieved have justified the ongoing commitment to the service and the staff employed in the Complex Care Team. The success of this service model has been endorsed recently by the 'Customer Care' award by 'Management in Practice'. The Surgery was also awarded the 'Practice of the Year' award for this and a number of other customer-focussed projects.

  14. Extracorporeal adsorption therapy: A Method to improve targeted radiation delivered by radiometal-labeled monoclonal antibodies.

    SciTech Connect

    Nemecek, Eneida R.; Green, Damian J.; Fisher, Darrell R.; Pagal, John M.; Lin, Yukang; Gopal, A. K.; Durack, Lawrence D.; Rajendran, Joseph G.; Wilbur, D. S.; Nilsson, Rune; Sandberg, Bengt; Press, Oliver W.

    2008-04-01

    Many investigators have demonstrated the ability to treat hematologic malignancies with radiolabeled monoclonal antibodies targeting hematopoietic antigens such as anti-CD20 and anti-CD45. [1-5] Although the remission rates achieved with radioimmunotherapy (RIT) are relatively high, many patients subsequently relapse presumably due to suboptimal delivery of enough radiation to eradicate the malignancy. The dose-response of leukemia and lymphoma to radiation has been proven. Substantial amounts of radiation can be delivered by RIT if followed by hematopoietic cell transplantation to rescue the bone marrow from myeloablation.[ref] However, the maximum dose of RIT that can be used is still limited by toxicity to normal tissues affected by nonspecific delivery of radiation. Efforts to improve RIT focus on improving the therapeutic ratios of radiation in target versus non-target tissues by removing the fraction of radioisotope that fails to bind to target tissues and circulates freely in the bloodstream perfusing non-target tissues. Our group and others have explored several alternatives for removal of unbound circulating antibody. [refs] One such method, extracorporeal adsorption therapy (ECAT) consists of removing unbound antibody by a method similar to plasmapheresis after critical circulation time and distribution of antibody into target tissues have been achieved. Preclinical studies of ECAT in murine xenograft models demonstrated significant improvement in therapeutic ratios of radioactivity. Chen and colleagues demonstrated that a 2-hour ECAT procedure could remove 40 to 70% of the radioactivity from liver, lung and spleen. [ref] Although isotope concentration in the tumor was initially unaffected, a 50% decrease was noted approximately 36 hours after the procedure. This approach was also evaluated in a limited phase I pilot study of patients with refractory B-cell lymphoma. [ref] After radiographic confirmation of tumor localization of a test dose of anti-CD20

  15. Improvements in recall and food choices using a graphical method to deliver information of select nutrients.

    PubMed

    Pratt, Nathan S; Ellison, Brenna D; Benjamin, Aaron S; Nakamura, Manabu T

    2016-01-01

    Consumers have difficulty using nutrition information. We hypothesized that graphically delivering information of select nutrients relative to a target would allow individuals to process information in time-constrained settings more effectively than numerical information. Objectives of the study were to determine the efficacy of the graphical method in (1) improving memory of nutrient information and (2) improving consumer purchasing behavior in a restaurant. Values of fiber and protein per calorie were 2-dimensionally plotted alongside a target box. First, a randomized cued recall experiment was conducted (n=63). Recall accuracy of nutrition information improved by up to 43% when shown graphically instead of numerically. Second, the impact of graphical nutrition signposting on diner choices was tested in a cafeteria. Saturated fat and sodium information was also presented using color coding. Nutrient content of meals (n=362) was compared between 3 signposting phases: graphical, nutrition facts panels (NFP), or no nutrition label. Graphical signposting improved nutrient content of purchases in the intended direction, whereas NFP had no effect compared with the baseline. Calories ordered from total meals, entrées, and sides were significantly less during graphical signposting than no-label and NFP periods. For total meal and entrées, protein per calorie purchased was significantly higher and saturated fat significantly lower during graphical signposting than the other phases. Graphical signposting remained a predictor of calories and protein per calorie purchased in regression modeling. These findings demonstrate that graphically presenting nutrition information makes that information more available for decision making and influences behavior change in a realistic setting. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Government & Private Enterprise--A Model Partnership Delivering Outstanding Schools

    ERIC Educational Resources Information Center

    Ross, Mick

    2011-01-01

    In the Australian state of Victoria, the State Government is responsible for delivering a public education system for the compulsory school years. It uses the Department of Education and Early Childhood Development (DEECD) as its agency to develop its educational curriculum, engage with local communities, develop and maintain a portfolio of…

  17. Hydrogel dual delivered celecoxib and anti-PD-1 synergistically improve antitumor immunity.

    PubMed

    Li, Yongkui; Fang, Min; Zhang, Jian; Wang, Jian; Song, Yu; Shi, Jie; Li, Wei; Wu, Gang; Ren, Jinghua; Wang, Zheng; Zou, Weiping; Wang, Lin

    2016-02-01

    Two major challenges facing cancer immunotherapy are the relatively low therapeutic efficacy and the potential side effects. New drug delivery system and efficient drug combination are required to overcome these challenges. We utilize an alginate hydrogel system to locally deliver 2 FDA-approved drugs, celecoxib and programmed death 1 (PD-1) monoclonal antibody (mAb), to treat tumor-bearing mice. In two cancer models, B16-F10 melanoma and 4T1 metastatic breast cancer, the alginate hydrogel delivery system significantly improves the antitumor activities of celecoxib (CXB), PD-1 mAb, or both combined. These effects are associated with the sustained high concentrations of the drugs in peripheral circulation and within tumor regions. Strikingly, the simultaneous dual local delivery of celecoxib and PD-1 from this hydrogel system synergistically enhanced the presence of CD4(+)inteferon (IFN)-γ(+) and CD8(+)IFN-γ(+) T cells within the tumor as well as in the immune system. These effects are accompanied with reduced CD4(+)FoxP3(+) regulatory T cells (Tregs) and myeloid derived suppressor cells (MDSCs) in the tumor, reflecting a weakened immuosuppressive response. Furthermore, this combinatorial therapy increases the expression of two anti-angiogenic chemokines C-X-C motif ligand (CXCL) 9 and CXCL10, and suppresses the intratumoral production of interleukin (IL)-1, IL-6, and cycloxygenase-2 (COX2), suggesting a dampened pro-tumor angiogenic and inflammatory microenvironment. This alginate-hydrogel-mediated, combinatorial therapy of celecoxib and PD-1 mAb provides a potential valuable regimen for treating human cancer.

  18. Cost effectiveness of a computer-delivered intervention to improve HIV medication adherence

    PubMed Central

    2013-01-01

    Background High levels of adherence to medications for HIV infection are essential for optimal clinical outcomes and to reduce viral transmission, but many patients do not achieve required levels. Clinician-delivered interventions can improve patients’ adherence, but usually require substantial effort by trained individuals and may not be widely available. Computer-delivered interventions can address this problem by reducing required staff time for delivery and by making the interventions widely available via the Internet. We previously developed a computer-delivered intervention designed to improve patients’ level of health literacy as a strategy to improve their HIV medication adherence. The intervention was shown to increase patients’ adherence, but it was not clear that the benefits resulting from the increase in adherence could justify the costs of developing and deploying the intervention. The purpose of this study was to evaluate the relation of development and deployment costs to the effectiveness of the intervention. Methods Costs of intervention development were drawn from accounting reports for the grant under which its development was supported, adjusted for costs primarily resulting from the project’s research purpose. Effectiveness of the intervention was drawn from results of the parent study. The relation of the intervention’s effects to changes in health status, expressed as utilities, was also evaluated in order to assess the net cost of the intervention in terms of quality adjusted life years (QALYs). Sensitivity analyses evaluated ranges of possible intervention effectiveness and durations of its effects, and costs were evaluated over several deployment scenarios. Results The intervention’s cost effectiveness depends largely on the number of persons using it and the duration of its effectiveness. Even with modest effects for a small number of patients the intervention was associated with net cost savings in some scenarios and for

  19. A focused telephonic nursing intervention delivers improved adherence to A1c testing.

    PubMed

    Orr, Patty M; McGinnis, Matthew A; Hudson, Laurel R; Coberley, Sadie S; Crawford, Albert; Clarke, Janice L; Goldfarb, Neil I

    2006-10-01

    Compliance with hemoglobin A1c (A1c) testing is suboptimal despite the clear national recommendations and guidelines established for care of patients with diabetes. Recent studies have demonstrated a relationship between participation in a diabetes disease management (DM) program and improved adherence to A1c testing. A focused intervention study was initiated to investigate the ability of a DM program to drive improvement in A1c testing. A cohort of 36,327 members experienced a statistically significant increase (29%) in A1c testing while participating in the 6-month focused intervention. This finding demonstrated that a focused DM intervention is able to deliver improvement in a clinical process metric critical for managing patients with diabetes, thereby reducing their risk of disease exacerbation.

  20. Delivering interventions to reduce the global burden of stillbirths: improving service supply and community demand

    PubMed Central

    Bhutta, Zulfiqar A; Darmstadt, Gary L; Haws, Rachel A; Yakoob, Mohammad Yawar; Lawn, Joy E

    2009-01-01

    Background Although a number of antenatal and intrapartum interventions have shown some evidence of impact on stillbirth incidence, much confusion surrounds ideal strategies for delivering these interventions within health systems, particularly in low-/middle-income countries where 98% of the world's stillbirths occur. Improving the uptake of quality antenatal and intrapartum care is critical for evidence-based interventions to generate an impact at the population level. This concluding paper of a series of papers reviewing the evidence for stillbirth interventions examines the evidence for community and health systems approaches to improve uptake and quality of antenatal and intrapartum care, and synthesises programme and policy recommendations for how best to deliver evidence-based interventions at community and facility levels, across the continuum of care, to reduce stillbirths. Methods We systematically searched PubMed and the Cochrane Library for abstracts pertaining to community-based and health-systems strategies to increase uptake and quality of antenatal and intrapartum care services. We also sought abstracts which reported impact on stillbirths or perinatal mortality. Searches used multiple combinations of broad and specific search terms and prioritised rigorous randomised controlled trials and meta-analyses where available. Wherever eligible randomised controlled trials were identified after a Cochrane review had been published, we conducted new meta-analyses based on the original Cochrane criteria. Results In low-resource settings, cost, distance and the time needed to access care are major barriers for effective uptake of antenatal and particularly intrapartum services. A number of innovative strategies to surmount cost, distance, and time barriers to accessing care were identified and evaluated; of these, community financial incentives, loan/insurance schemes, and maternity waiting homes seem promising, but few studies have reported or evaluated the

  1. Innovative Extension Models and Smallholders: How ICT platforms can Deliver Timely Information to Farmers in India.

    NASA Astrophysics Data System (ADS)

    Nagothu, U. S.

    2016-12-01

    Agricultural extension services, among others, contribute to improving rural livelihoods and enhancing economic development. Knowledge development and transfer from the cognitive science point of view, is about, how farmers use and apply their experiential knowledge as well as acquired new knowledge to solve new problems. This depends on the models adopted, the way knowledge is generated and delivered. New extension models based on ICT platforms and smart phones are promising. Results from a 5-year project (www.climaadapt.org) in India shows that farmer led-on farm validations of technologies and knowledge exchange through ICT based platforms outperformed state operated linear extension programs. Innovation here depends on the connectivity, net-working between stakeholders that are involved in generating, transferring and using the knowledge. Key words: Smallholders, Knowledge, Extension, Innovation, India

  2. Models for Delivering School-Based Dental Care.

    ERIC Educational Resources Information Center

    Albert, David A.; McManus, Joseph M.; Mitchell, Dennis A.

    2005-01-01

    School-based health centers (SBHCs) often are located in high-need schools and communities. Dental service is frequently an addition to existing comprehensive services, functioning in a variety of models, configurations, and locations. SBHCs are indicated when parents have limited financial resources or inadequate health insurance, limiting…

  3. Models for Delivering School-Based Dental Care.

    ERIC Educational Resources Information Center

    Albert, David A.; McManus, Joseph M.; Mitchell, Dennis A.

    2005-01-01

    School-based health centers (SBHCs) often are located in high-need schools and communities. Dental service is frequently an addition to existing comprehensive services, functioning in a variety of models, configurations, and locations. SBHCs are indicated when parents have limited financial resources or inadequate health insurance, limiting…

  4. Defibrillation delivered during the upstroke phase of manual chest compression improves shock success.

    PubMed

    Li, Yongqin; Wang, Hao; Cho, Jun Hwi; Quan, Weilun; Freeman, Gary; Bisera, Joe; Weil, Max Harry; Tang, Wanchun

    2010-03-01

    The current standard of manual chest compression during cardiopulmonary resuscitation requires pauses for rhythm analysis and shock delivery. However, interruptions of chest compression greatly decrease the likelihood of successful defibrillations, and significantly better outcomes are reported if this interruption is avoided. We therefore undertook a prospective randomized controlled animal study in an electrically induced ventricular fibrillation pig model to assess the effects of timing of defibrillation on the manual chest compression cycle on the defibrillation threshold. Prospective, randomized, controlled animal study. University-affiliated research laboratory. Yorkshire-X domestic pigs (Sus scrofa). In eight domestic male pigs weighing between 24 and 31 kg, ventricular fibrillation was electrically induced and untreated for 10 secs. Manual chest compression was then performed and continued for 25 secs with the protection of an isolation blanket. The depth and frequency of chest compressions were guided by a cardiopulmonary resuscitation prompter. Animals were randomized to receive a biphasic electrical shock in five different compression phases with a predetermined energy setting. A control phase was chosen at a constant 2 secs after discontinued chest compression. A grouped up-down defibrillation threshold testing protocol was used to compare the success rate at different coupling phases. After a recovery interval of 4 mins, the sequence was repeated for a total of 60 test shocks for each animal. No difference in coronary perfusion pressure before delivering of the shock was observed among the six study phases. The defibrillation success rate, however, was significantly higher when shocks were delivered in the upstroke phase of manual chest compression. Defibrillation efficacy is maximal when electrical shock is delivered during the upstroke phase of manual chest compression.

  5. The Usability of Diabetes MAP: A Web-delivered Intervention for Improving Medication Adherence

    PubMed Central

    Nelson, Lyndsay A; Bethune, Magaela C; Lagotte, Andrea E

    2016-01-01

    Background Web-delivered interventions are a feasible approach to health promotion. However, if a website is poorly designed, difficult to navigate, and has technical bugs, it will not be used as intended. Usability testing prior to evaluating a website’s benefits can identify barriers to user engagement and maximize future use. Objective We developed a Web-delivered intervention called Diabetes Medication Adherence Promotion (Diabetes MAP) and used a mixed-methods approach to test its usability prior to evaluating its efficacy on medication adherence and glycemic control in a randomized controlled trial. Methods We recruited English-speaking adults with type 2 diabetes mellitus (T2DM) from an academic medical center who were prescribed diabetes medications. A trained research assistant administered a baseline survey, collected medical record information, and instructed participants on how to access Diabetes MAP. Participants were asked to use the site independently for 2 weeks and to provide survey and/or focus group feedback on their experience. We analyzed survey data descriptively and qualitative data thematically to identify participants’ favorable and unfavorable experiences, characterize usability concerns, and solicit recommendations for improving Diabetes MAP. Results Enrolled participants (N=32) were an average of 51.7 ± 11.8 years old, 66% (21/32) female, 60% (19/32) non-Hispanic White, 88% (28/32) had more than 12 years of education, half had household incomes over $50,000, and 78% (25/32) were privately insured. Average duration of diagnosed diabetes was 7.8 ± 6.3 years, average A1c was 7.4 ± 2.0, and 38% (12/32) were prescribed insulin. Of enrolled participants, 91% (29/32) provided survey and/or focus group feedback about Diabetes MAP. On the survey, participants agreed website information was clear and easy to understand, but in focus groups they reported navigational challenges and difficulty overcoming user errors (eg, entering data in an

  6. Feasibility of motivational interviewing delivered by a glaucoma educator to improve medication adherence

    PubMed Central

    Cook, Paul F; Bremer, Robert W; Ayala, AJ; Kahook, Malik Y

    2010-01-01

    Introduction Adherence to glaucoma treatment is poor, potentially reducing therapeutic effects. A glaucoma educator was trained to use motivational interviewing (MI), a patient-centered counseling style, to improve adherence. This study was designed to evaluate whether MI was feasible in a busy ophthalmology practice. Methods Feasibility was assessed using five criteria from the National Institutes of Health Behavior Change consortium: fidelity of intervention components to MI theory; success of the training process; delivery of MI-consistent interventions by the glaucoma educator; patient receipt of the intervention based on enrollment, attrition, and satisfaction; and patient enactment of changes in motivation and adherence over the course of the intervention. Results A treatment manual was designed by a multidisciplinary team with expertise in health psychology, public health, and ophthalmology. The glaucoma educator received 6 hours of training including role-play exercises, self-study, and individual supervision. His MI-related knowledge and skills increased following training, and he delivered exclusively MI-consistent interventions in 66% of patient encounters. 86% (12/14) of eligible patients agreed to be randomized into glaucoma educator support or a control condition. All 8 patients assigned to the glaucoma educator completed at least 2 of 6 planned contacts, and 50% (4/8) completed all 6 contacts. Patients assigned to the glaucoma educator improved over time in both motivation and adherence. Conclusion The introduction of a glaucoma educator was feasible in a busy ophthalmology practice. Patients improved their adherence while participating in the glaucoma educator program, although this study was not designed to show a causal effect. The use of a glaucoma educator to improve glaucoma patients’ medication adherence may be feasible at other ophthalmology clinics, and can be implemented with a standardized training approach. Pilot data show the

  7. Postoperative 125I brachytherapy delivered by digital model obturators for recurrent or locally advanced maxillary cancers.

    PubMed

    Huang, Ming-wei; Zhang, Jian-guo; Tong, Dai; Zhang, Jie; Zheng, Lei; Zhang, Yi; Yu, Guang-yan

    2012-11-01

    We aimed to evaluate the feasibility and effectiveness of postoperative (125) I brachytherapy delivered by use of digital model obturators for recurrent or locally advanced maxillary cancers. Retrospective study. From 2006 to 2008, 12 patients (seven females; median age, 65 years; range, 22-86 years) with recurrent or locally advanced maxillary cancers showing positive margins after surgery underwent (125) I brachytherapy by use of digital model obturators and interstitial implants. The radioactivity was 18.5 to 33.3 MBq per seed, and the prescription dose was 80 to 160 Gy. Functional outcome of patients was evaluated by the Performance Status Scale (PSS) for head and neck cancer before and after brachytherapy. The (125) I seeds and dosages were well distributed in the radiation fields, and all patients had higher PSS scores after than before treatment with obturators. During a median follow-up of 53 months (range, 28-62 months), local control at 3 and 5 years was 83.3% and 66.7%, respectively, with a mean local control time of 53.5 ± 3.79 months. Overall survival at 3 and 5 years was 91.7% and 71.4%, respectively, with a mean survival time of 56.6 ± 2.99 months. Two patients died due to local recurrence, and one patient died due to lung metastasis. No patient had severe complications during follow-up. (125) I brachytherapy delivered by digital model obturator is effective in treating maxillary cancers with positive margins after maxillectomy for advanced or recurrent cancer. The method may improve the quality of life of patients with maxillary defects. Laryngoscope, 2012. Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.

  8. A Shoe Insole Delivering Subsensory Vibratory Noise Improves Balance and Gait in Healthy Elderly People

    PubMed Central

    Lipsitz, Lewis; Lough, Matthew; Niemi, James; Travison, Thomas; Howlett, Harold; Manor, Brad

    2014-01-01

    Objective The objective of this study was to test whether subsensory vibratory noise applied to the sole of the foot using a novel piezo-electric vibratory insole, can significantly improve sensation, enhance balance, and reduce gait variability in elderly people. We also aimed to determine the optimal level of vibratory noise, and whether the therapeutic effect would endure and the user’s sensory threshold would remain constant during the course of a day. Design A randomized single-blind crossover study of three subsensory noise stimulation levels on 3 separate days. Setting Balance and gait laboratory Participants 12 healthy community-dwelling elderly volunteers aged 65 – 90 years who could feel the maximum insole vibration. Intervention A urethane foam insole with the piezo-electric actuators delivering subsensory vibratory noise stimulation to the soles of the feet. Main Outcome Measures Balance, gait, and timed up-and-go tests. Results The vibratory insoles significantly improved performance on the timed up-and-go test, reduced the area of postural sway, and reduced the temporal variability of walking at both 70% and 85% of the sensory threshold and throughout the course of a day. Vibratory sensation thresholds remained relatively stable within and across study days. Conclusions This study provides proof of concept that the application of the principle of stochastic resonance to the foot sole sensory system using a new low voltage piezoelectric technology can improve measures of balance and gait that are associated with falls. Effective vibratory noise amplitudes range from 70% to 85% of the sensory thresholds and can be set once daily. PMID:25450133

  9. A shoe insole delivering subsensory vibratory noise improves balance and gait in healthy elderly people.

    PubMed

    Lipsitz, Lewis A; Lough, Matthew; Niemi, James; Travison, Thomas; Howlett, Harold; Manor, Brad

    2015-03-01

    To test whether subsensory vibratory noise applied to the sole of the foot using a novel piezoelectric vibratory insole can significantly improve sensation, enhance balance, and reduce gait variability in elderly people, as well as to determine the optimal level of vibratory noise and whether the therapeutic effect would endure and the user's sensory threshold would remain constant during the course of a day. A randomized, single-blind, crossover study of 3 subsensory noise stimulation levels on 3 days. Balance and gait laboratory. Healthy community-dwelling elderly volunteers (N=12; age, 65-90y) who could feel the maximum insole vibration. A urethane foam insole with the piezoelectric actuators delivering subsensory vibratory noise stimulation to the soles of the feet. Balance, gait, and timed Up and Go (TUG) test. The vibratory insoles significantly improved performance on the TUG test, reduced the area of postural sway, and reduced the temporal variability of walking at both 70% and 85% of the sensory threshold and during the course of a day. Vibratory sensation thresholds remained relatively stable within and across study days. This study provides proof of concept that the application of the principle of stochastic resonance to the foot sole sensory system using a new low-voltage piezoelectric technology can improve measures of balance and gait that are associated with falls. Effective vibratory noise amplitudes range from 70% to 85% of the sensory threshold and can be set once daily. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  10. Improved malignant melanoma prognosis at a consultant-delivered multidisciplinary pigmented lesion clinic in Cork.

    PubMed

    Field, S; Deady, S; Fitzgibbon, J; Murphy, M; Comber, H

    2010-02-01

    Early detection and excision is the only effective treatment for malignant melanoma. To assess the effect of a consultant-delivered, rapid-access pigmented lesion clinic (PLC) established at the South Infirmary-Victoria University Hospital (SIVUH), we analyzed melanoma tumour-stage prior to (1998-2002) and after (2003-2007) the advent of the PLC. Patients attending SIVUH had a greater proportion of early-stage tumours (65.3%) compared to the rest of Cork (51.2%), County Cork as a whole (56.7%) and all of Ireland (57.4%). The proportion of SIVUH males with early-stage tumours was statistically significantly higher than the rest of County Cork (chi2 = 11.23, P < 0.05). The proportion of patients > 50y with early-stage tumours was also statistically significantly higher than the rest of County Cork (chi2 = 18.88, P < 0.05), the whole of County Cork (chi2 = 7.84, P < 0.05) and all of Ireland (chi2 = 9.67, P < 0.05). We believe that the early detection and improved prognosis of Cork melanoma patients is at least partly due to the PLC.

  11. Improved low-cost, MR-compatible olfactometer to deliver tobacco smoke odor.

    PubMed

    Lowen, Steven B; Farmer, Stacey L; Lukas, Scott E

    2017-02-01

    We describe a low-cost, MRI-compatible olfactometer that delivers fresh cigarette smoke odor, a challenging odorant to present, as well as other odorants. This new olfactometer retains all of the advantages of an earlier design that was capable of only delivering volatile odors (Lowen & Lukas, Behavior Research Methods, 38, 307-313, 2006). The new system incorporates a novel switching mechanism that allows it to deliver fresh smoke generated from a burning cigarette during a stimulus presentation paradigm that might be employed in a cue-reactivity experiment. An evaluation study established that the olfactometer reliably delivered smoke to the participants and that tobacco smoke was discriminated from other odorants; there were no adverse reactions to the device.

  12. The Alpha Stem Cell Clinic: A Model for Evaluating and Delivering Stem Cell-Based Therapies

    PubMed Central

    DeWitt, Natalie D.; Feigal, Ellen G.

    2012-01-01

    Summary Cellular therapies require the careful preparation, expansion, characterization, and delivery of cells in a clinical environment. There are major challenges associated with the delivery of cell therapies and high costs that will limit the companies available to fully evaluate their merit in clinical trials, and will handicap their application at the present financial environment. Cells will be manufactured in good manufacturing practice or near-equivalent facilities with prerequisite safety practices in place, and cell delivery systems will be specialized and require well-trained medical and nursing staff, technicians or nurses trained to handle cells once delivered, patient counselors, as well as statisticians and database managers who will oversee the monitoring of patients in relatively long-term follow-up studies. The model proposed for Alpha Stem Cell Clinics will initially use the capacities and infrastructure that exist in the most advanced tertiary medical clinics for delivery of established bone marrow stem cell therapies. As the research evolves, they will incorporate improved procedures and cell preparations. This model enables commercialization of medical devices, reagents, and other products required for cell therapies. A carefully constructed cell therapy clinical infrastructure with the requisite scientific, technical, and medical expertise and operational efficiencies will have the capabilities to address three fundamental and critical functions: 1) fostering clinical trials; 2) evaluating and establishing safe and effective therapies, and 3) developing and maintaining the delivery of therapies approved by the Food and Drug Administration, or other regulatory agencies. PMID:23197634

  13. Improved Speech Following Parent-Delivered Qigong Massage in Young Children with Down Syndrome: A Pilot Randomised Controlled Trial

    ERIC Educational Resources Information Center

    Silva, Louisa M. T.; Schalock, Mark; Williams, Mary

    2013-01-01

    Qigong massage is an eastern form of massage that can be delivered by western parents to their children with appropriate training and support. It has been shown to improve developmental measures in young children with autism when given daily for five months. A recent trial evaluating its effect on motor development in young children with Down…

  14. Improved Speech Following Parent-Delivered Qigong Massage in Young Children with Down Syndrome: A Pilot Randomised Controlled Trial

    ERIC Educational Resources Information Center

    Silva, Louisa M. T.; Schalock, Mark; Williams, Mary

    2013-01-01

    Qigong massage is an eastern form of massage that can be delivered by western parents to their children with appropriate training and support. It has been shown to improve developmental measures in young children with autism when given daily for five months. A recent trial evaluating its effect on motor development in young children with Down…

  15. Brief Report: Predictors of Outcomes in the Early Start Denver Model Delivered in a Group Setting

    ERIC Educational Resources Information Center

    Vivanti, Giacomo; Dissanayake, Cheryl; Zierhut, Cynthia; Rogers, Sally J.

    2013-01-01

    There is a paucity of studies that have looked at factors associated with responsiveness to interventions in preschoolers with autism spectrum disorder (ASD). We investigated learning profiles associated with response to the Early Start Denver Model delivered in a group setting. Our preliminary results from 21 preschool children with an ASD aged…

  16. Alternative Models to Deliver Developmental Math: Issues of Use and Student Access

    ERIC Educational Resources Information Center

    Kosiewicz, Holly; Ngo, Federick; Fong, Kristen

    2016-01-01

    Objective: Changing how community colleges deliver developmental education has become a key policy lever to increase student achievement. Alternative development education models reduce the amount of time a student spends in remediation, provide students with supplemental instruction and support, and contextualize content to align with student…

  17. Alternative Models to Deliver Developmental Math: Issues of Use and Student Access

    ERIC Educational Resources Information Center

    Kosiewicz, Holly; Ngo, Federick; Fong, Kristen

    2016-01-01

    Objective: Changing how community colleges deliver developmental education has become a key policy lever to increase student achievement. Alternative development education models reduce the amount of time a student spends in remediation, provide students with supplemental instruction and support, and contextualize content to align with student…

  18. A Model To Address Design Constraints of Training Delivered via Satellite. Study Number Eight.

    ERIC Educational Resources Information Center

    Montler, Joseph; Geroy, Gary D.

    This document: summarizes how some companies are addressing the design constraints involved in using satellite technology to deliver training, presents a model aimed at examining cost effectiveness of the satellite option, and includes a guide to designing instructional materials for delivery by satellite. A survey of 39 organizations, 12…

  19. A Model To Address Design Constraints of Training Delivered via Satellite. Study Number Eight.

    ERIC Educational Resources Information Center

    Montler, Joseph; Geroy, Gary D.

    This document: summarizes how some companies are addressing the design constraints involved in using satellite technology to deliver training, presents a model aimed at examining cost effectiveness of the satellite option, and includes a guide to designing instructional materials for delivery by satellite. A survey of 39 organizations, 12…

  20. Does Participation in Home-Delivered Meals Programs Improve Outcomes for Older Adults? Results of a Systematic Review.

    PubMed

    Campbell, Anthony D; Godfryd, Alice; Buys, David R; Locher, Julie L

    2015-01-01

    Participation in home-delivered meals programs may contribute to the health and independence of older adults living in the community, especially those who are food insecure or those who are making transitions from acute, subacute, and chronic care settings to the home. The purpose of this study was to conduct a comprehensive and systematic review of all studies related to home-delivered meals in order to shed light on the state of the science. A complete review of articles appearing in PubMed using the keyword "Meal" was conducted; and titles, abstracts, and full-texts were screened for relevance. Included in this review are 80 articles. Most studies are descriptive and do not report on outcomes. Frequently reported outcomes included nutritional status based on self-reported dietary intake. Additionally, most studies included in this review are cross-sectional, have a small sample size, and/or are limited to a particular setting or participant population. More rigorous research is needed to (1) gain insight into why so few eligible older adults access home-delivered meals programs, (2) support expansion of home-delivered meals to all eligible older adults, (3) better identify what home-delivered meals models alone and in combination with other services works best and for whom, and (4) better target home-delivered meals programs where and when resources are scarce.

  1. Does Participation in Home-delivered Meals Programs Improve Outcomes for Older Adults?: Results of a Systematic Review

    PubMed Central

    Campbell, Anthony D.; Godfryd, Alice; Buys, David R.; Locher, Julie L.

    2015-01-01

    Participation in home-delivered meals programs may contribute to the health and independence of older adults living in the community, especially those who are food insecure or those who are making transitions from acute, subacute, and chronic care settings to the home. The purpose of this study was to conduct a comprehensive and systematic review of ALL studies related to home-delivered meals in order to shed light on the state of the science. A complete review of articles appearing in PubMed using the Keyword “Meal” was conducted; and titles, abstracts, and full-texts were screened for relevance. Included in this review are 80 articles. Most studies are descriptive and do not report on outcomes. Frequently reported outcomes included nutritional status based upon self-reported dietary intake. Additionally, most studies included in this review are cross-sectional, have a small sample size, and/or are limited to a particular setting or participant population. More rigorous research is needed to: 1) gain insight into why so few eligible older adults access home-delivered meals programs, 2) support expansion of home-delivered meals to all eligible older adults, 3) better identify what home-delivered meals models alone and in combination with other services works best and for whom, and 4) better target home-delivered meals programs where and when resources are scarce. PMID:26106985

  2. Qualitative Assessment of Adolescents Views about Improving Exposure to Internet-Delivered Interventions

    ERIC Educational Resources Information Center

    Crutzen, Rik; de Nooijer, Jascha; Brouwer, Wendy; Oenema, Anke; Brug, Johannes; de Vries, Nanne K.

    2008-01-01

    Purpose: The purpose of this paper is to gain first insight into factors which might be associated with exposure to internet-delivered interventions. Design/methodology/approach: Semi-structured focus group interviews were conducted with five groups of Dutch adolescents (n = 54), aged 12-17 years. Several aspects of exposure: a first visit;…

  3. Qualitative Assessment of Adolescents Views about Improving Exposure to Internet-Delivered Interventions

    ERIC Educational Resources Information Center

    Crutzen, Rik; de Nooijer, Jascha; Brouwer, Wendy; Oenema, Anke; Brug, Johannes; de Vries, Nanne K.

    2008-01-01

    Purpose: The purpose of this paper is to gain first insight into factors which might be associated with exposure to internet-delivered interventions. Design/methodology/approach: Semi-structured focus group interviews were conducted with five groups of Dutch adolescents (n = 54), aged 12-17 years. Several aspects of exposure: a first visit;…

  4. Virally delivered Channelrhodopsin-2 Safely and Effectively Restores Visual Function in Multiple Mouse Models of Blindness

    PubMed Central

    Doroudchi, M Mehdi; Greenberg, Kenneth P; Liu, Jianwen; Silka, Kimberly A; Boyden, Edward S; Lockridge, Jennifer A; Arman, A Cyrus; Janani, Ramesh; Boye, Shannon E; Boye, Sanford L; Gordon, Gabriel M; Matteo, Benjamin C; Sampath, Alapakkam P; Hauswirth, William W; Horsager, Alan

    2011-01-01

    Previous work established retinal expression of channelrhodopsin-2 (ChR2), an algal cation channel gated by light, restored physiological and behavioral visual responses in otherwise blind rd1 mice. However, a viable ChR2-based human therapy must meet several key criteria: (i) ChR2 expression must be targeted, robust, and long-term, (ii) ChR2 must provide long-term and continuous therapeutic efficacy, and (iii) both viral vector delivery and ChR2 expression must be safe. Here, we demonstrate the development of a clinically relevant therapy for late stage retinal degeneration using ChR2. We achieved specific and stable expression of ChR2 in ON bipolar cells using a recombinant adeno-associated viral vector (rAAV) packaged in a tyrosine-mutated capsid. Targeted expression led to ChR2-driven electrophysiological ON responses in postsynaptic retinal ganglion cells and significant improvement in visually guided behavior for multiple models of blindness up to 10 months postinjection. Light levels to elicit visually guided behavioral responses were within the physiological range of cone photoreceptors. Finally, chronic ChR2 expression was nontoxic, with transgene biodistribution limited to the eye. No measurable immune or inflammatory response was observed following intraocular vector administration. Together, these data indicate that virally delivered ChR2 can provide a viable and efficacious clinical therapy for photoreceptor disease-related blindness. PMID:21505421

  5. Virally delivered channelrhodopsin-2 safely and effectively restores visual function in multiple mouse models of blindness.

    PubMed

    Doroudchi, M Mehdi; Greenberg, Kenneth P; Liu, Jianwen; Silka, Kimberly A; Boyden, Edward S; Lockridge, Jennifer A; Arman, A Cyrus; Janani, Ramesh; Boye, Shannon E; Boye, Sanford L; Gordon, Gabriel M; Matteo, Benjamin C; Sampath, Alapakkam P; Hauswirth, William W; Horsager, Alan

    2011-07-01

    Previous work established retinal expression of channelrhodopsin-2 (ChR2), an algal cation channel gated by light, restored physiological and behavioral visual responses in otherwise blind rd1 mice. However, a viable ChR2-based human therapy must meet several key criteria: (i) ChR2 expression must be targeted, robust, and long-term, (ii) ChR2 must provide long-term and continuous therapeutic efficacy, and (iii) both viral vector delivery and ChR2 expression must be safe. Here, we demonstrate the development of a clinically relevant therapy for late stage retinal degeneration using ChR2. We achieved specific and stable expression of ChR2 in ON bipolar cells using a recombinant adeno-associated viral vector (rAAV) packaged in a tyrosine-mutated capsid. Targeted expression led to ChR2-driven electrophysiological ON responses in postsynaptic retinal ganglion cells and significant improvement in visually guided behavior for multiple models of blindness up to 10 months postinjection. Light levels to elicit visually guided behavioral responses were within the physiological range of cone photoreceptors. Finally, chronic ChR2 expression was nontoxic, with transgene biodistribution limited to the eye. No measurable immune or inflammatory response was observed following intraocular vector administration. Together, these data indicate that virally delivered ChR2 can provide a viable and efficacious clinical therapy for photoreceptor disease-related blindness.

  6. Nanoparticle-based cancer treatment: can delivered dose and biological dose be reliably modeled and quantified?

    NASA Astrophysics Data System (ADS)

    Hoopes, P. Jack; Petryk, Alicia A.; Giustini, Andrew J.; Stigliano, Robert V.; D'Angelo, Robert N.; Tate, Jennifer A.; Cassim, Shiraz M.; Foreman, Allan; Bischof, John C.; Pearce, John A.; Ryan, Thomas

    2011-03-01

    Essential developments in the reliable and effective use of heat in medicine include: 1) the ability to model energy deposition and the resulting thermal distribution and tissue damage (Arrhenius models) over time in 3D, 2) the development of non-invasive thermometry and imaging for tissue damage monitoring, and 3) the development of clinically relevant algorithms for accurate prediction of the biological effect resulting from a delivered thermal dose in mammalian cells, tissues, and organs. The accuracy and usefulness of this information varies with the type of thermal treatment, sensitivity and accuracy of tissue assessment, and volume, shape, and heterogeneity of the tumor target and normal tissue. That said, without the development of an algorithm that has allowed the comparison and prediction of the effects of hyperthermia in a wide variety of tumor and normal tissues and settings (cumulative equivalent minutes/ CEM), hyperthermia would never have achieved clinical relevance. A new hyperthermia technology, magnetic nanoparticle-based hyperthermia (mNPH), has distinct advantages over the previous techniques: the ability to target the heat to individual cancer cells (with a nontoxic nanoparticle), and to excite the nanoparticles noninvasively with a noninjurious magnetic field, thus sparing associated normal cells and greatly improving the therapeutic ratio. As such, this modality has great potential as a primary and adjuvant cancer therapy. Although the targeted and safe nature of the noninvasive external activation (hysteretic heating) are a tremendous asset, the large number of therapy based variables and the lack of an accurate and useful method for predicting, assessing and quantifying mNP dose and treatment effect is a major obstacle to moving the technology into routine clinical practice. Among other parameters, mNPH will require the accurate determination of specific nanoparticle heating capability, the total nanoparticle content and biodistribution in

  7. Delivering safety

    SciTech Connect

    Baldwin, N.D.; Spooner, K.G.; Walkden, P.

    2007-07-01

    In the United Kingdom there have been significant recent changes to the management of civil nuclear liabilities. With the formation in April 2005 of the Nuclear Decommissioning Authority (NDA), ownership of the civil nuclear licensed sites in the UK, including the Magnox Reactor Stations, passed to this new organisation. The NDAs mission is to seek acceleration of the nuclear clean up programme and deliver increased value for money and, consequently, are driving their contractors to seek more innovative ways of performing work. British Nuclear Group manages the UK Magnox stations under contract to the NDA. This paper summarises the approach being taken within its Reactor Sites business to work with suppliers to enhance working arrangements at sites, improve the delivery of decommissioning programmes and deliver improvements in safety and environmental performance. The UK Magnox stations are 1. generation gas-graphite reactors, constructed in the 1950's and 1960's. Two stations are currently still operating, three are shut-down undergoing defueling and the other five are being decommissioned. Despite the distractions of industry restructuring, an uncompromising policy of demanding improved performance in conjunction with improved safety and environmental standards has been adopted. Over the past 5 years, this policy has resulted in step-changes in performance at Reactor Sites, with increased electrical output and accelerated defueling and decommissioning. The improvements in performance have been mirrored by improvements in safety (DACR of 0 at 5 sites); environmental standards (reductions in energy and water consumption, increased waste recycling) and the overall health of the workforce (20% reduction in sickness absence). These achievements have, in turn, been recognised by external bodies, resulting in several awards, including: the world's first ISRS and IERS level 10 awards (Sizewell, 2006), the NUMEX plant maintenance award (Bradwell, 2006), numerous Ro

  8. Automated Student Model Improvement

    ERIC Educational Resources Information Center

    Koedinger, Kenneth R.; McLaughlin, Elizabeth A.; Stamper, John C.

    2012-01-01

    Student modeling plays a critical role in developing and improving instruction and instructional technologies. We present a technique for automated improvement of student models that leverages the DataShop repository, crowd sourcing, and a version of the Learning Factors Analysis algorithm. We demonstrate this method on eleven educational…

  9. A simplified technique for delivering total body irradiation (TBI) with improved dose homogeneity

    SciTech Connect

    Yao Rui; Bernard, Damian; Turian, Julius; Abrams, Ross A.; Sensakovic, William; Fung, Henry C.; Chu, James C. H.

    2012-04-15

    Purpose: Total body irradiation (TBI) with megavoltage photon beams has been accepted as an important component of management for a number of hematologic malignancies, generally as part of bone marrow conditioning regimens. The purpose of this paper is to present and discuss the authors' TBI technique, which both simplifies the treatment process and improves the treatment quality. Methods: An AP/PA TBI treatment technique to produce uniform dose distributions using sequential collimator reductions during each fraction was implemented, and a sample calculation worksheet is presented. Using this methodology, the dosimetric characteristics of both 6 and 18 MV photon beams, including lung dose under cerrobend blocks was investigated. A method of estimating midplane lung doses based on measured entrance and exit doses was proposed, and the estimated results were compared with measurements. Results: Whole body midplane dose uniformity of {+-}10% was achieved with no more than two collimator-based beam modulations. The proposed model predicted midplane lung doses 5% to 10% higher than the measured doses for 6 and 18 MV beams. The estimated total midplane doses were within {+-}5% of the prescribed midplane dose on average except for the lungs where the doses were 6% to 10% lower than the prescribed dose on average. Conclusions: The proposed TBI technique can achieve dose uniformity within {+-}10%. This technique is easy to implement and does not require complicated dosimetry and/or compensators.

  10. A maturity model to deliver a national shared medications system, options, practice, and pitfalls.

    PubMed

    Bainbridge, Michael; Pearce, Christopher; Taggart, Richard

    2013-01-01

    In July 2012 Australia launched the Personally Controlled electronic Health Record (PCEHR). This structured record allows health related information to be shared between providers as well as between providers and consumers. The next big challenge in delivering value for consumers is to use the medicines information distributed throughout the record in a way that allows better medications management at all levels. This poster points to the design and usability challenges being dealt with in that process during a national roll out and proposes a maturity model to accelerate the delivery of shared medication records. It is suggested that this model will have relevance in other jurisdictions.

  11. The break-even point: when medical advances are less important than improving the fidelity with which they are delivered.

    PubMed

    Woolf, Steven H; Johnson, Robert E

    2005-01-01

    Society invests billions of dollars in the development of new drugs and technologies but comparatively little in the fidelity of health care, that is, improving systems to ensure the delivery of care to all patients in need. Using mathematical arguments and a nomogram, we demonstrate that technological advances must yield dramatic, often unrealistic increases in efficacy to do more good than could be accomplished by improving fidelity. In 2 examples (the development of anti-platelet agents and statins), we show that enhanced efficacy failed to achieve the health gains that would have occurred by delivering older agents to all eligible patients. Society's huge investment in technological innovations that only modestly improve efficacy, by consuming resources needed for improved delivery of care, may cost more lives than it saves. The misalignment of priorities is driven partly by the commercial interests of industry and by the public's appetite for technological breakthroughs, but health outcomes ultimately suffer. Health, economic, and moral arguments make the case for spending less on technological advances and more on improving systems for delivering care.

  12. Patient-Centered Integrated Motor Imagery Delivered in the Home With Telerehabilitation to Improve Walking After Stroke

    PubMed Central

    Maidan, Inbal; Dickstein, Ruth

    2012-01-01

    Background and Purpose This case report describes the clinical reasoning process used to examine a person after stroke and intervene with a novel integrated motor imagery treatment designed for the rehabilitation of walking and delivered in the home through telerehabilitation. The integrated motor imagery treatment consisted of patient-centered goal setting and physical practice combined with motor and motivational imagery. Case Description The patient was a 38-year-old woman who had had a diffuse left subarachnoid hemorrhagic stroke 10 years earlier. She lived independently in an assisted living complex and carried a straight cane during long walks or in unfamiliar environments. Examination revealed a slow gait speed, reduced walking endurance, and decreased balance confidence. Although she was in the chronic phase, patient-centered integrated motor imagery was predicted to improve her community mobility. Treatment sessions of 45 to 60 minutes were held 3 times per week for 4 weeks. The practiced tasks included transitioning from sitting to standing, obstacle clearance, and navigation in interior and exterior environments; these tasks were first executed and then imagined at ratios of 1:5. Task execution allowed the creation of a scene based on movement observation. Imagery scenarios were customized to address the patient's goals and observed movement problems. Motivational elements of arousal, problem solving, and reward were embedded in the imagery scenarios. Half of the sessions were provided on site, and the remaining sessions were delivered remotely. Seven sessions were delivered by the clinician in the home, and 5 sessions were delivered using telerehabilitation. Outcomes Improvements in motor imagery ability, gait parameters, and balance were observed after training. Most gains were retained at the 3-month follow-up. Compared with on-site delivery, the telerehabilitation sessions resulted in less therapist travel time and cost, as well as shorter therapy

  13. The Leicester Model of Interprofessional education: developing, delivering and learning from student voices for 10 years.

    PubMed

    Anderson, Elizabeth S; Lennox, Angela

    2009-11-01

    There are few sustained interprofessional learning opportunities in practice which engage the whole cohort of health and social care students across a region, the Leicester Model of Interprofessional Education is such an example. Since 1995 the Leicester Model has evolved to enable health and social care students to learn about the complexities of delivering multi-agency care in a range of health and social care settings. The learning environment is situated at the front line of service delivery. The education model takes students through a cycle of learning and applies a problem-solving, experiential learning approach which promotes deep learning. Follow-up data indicates that deep learning is achieved. This paper describes the original setting and presents the evaluation outcomes of the Leicester Model's "Health in the Community" course, which is delivered in city-centre communities, where inequalities in health are greatest. It traces a ten-year trajectory of interprofessional student group evaluations which helped shape this learning experience. Year-on-year positive student outcomes indicate the potential of the model to motivate and prepare future professionals for team working. Its sustainability has been achieved through ensuring the integration of education research in the development process, engagement of practitioners who value the student contributions to team working, placing patients central to the learning experience and establishing working partnerships between Higher Education Institutions, local health and social care organizations and the voluntary sector.

  14. Enhancing service delivering, improving quality of life, preserving independence through assistive technology.

    PubMed

    Annicchiarico, Roberta

    2012-01-01

    In nowadays aging society, many people require assistance for activity of daily living. In most cases technologies have the potential to improve the quality of life for the older and disabled. We show how the use of a robotic platform with some embedded intelligence, the i-Walker, can help to improve the performance of the post-stroke individuals' rehabilitation.

  15. Delivered growth factor therapy to improve healing after rotator cuff repair

    PubMed Central

    Cheung, Emilie V; Silverio, Luz; Yao, Jeffrey

    2010-01-01

    Background Degenerative rotator cuff tears are a significant cause of shoulder pain in the aging population. Rotator cuff repair surgery may be more successful when growth factors are delivered to the repair site. This study was designed to determine the cellular processes involved in normal bone-to-tendon healing and the current approaches used for biologic augmentation of rotator cuff repair. Methods This review focuses on animal studies of rotator cuff repair and early human trials. Results Regular bone-to-tendon healing forms a fibrous junction between tendon and bone that is markedly different from the original bone-to-tendon junction. Tendon augmentation with cellular components serves as scaffolding for endogenous fibroblastic cells and a possible source of growth factors and fibroblastic cells. Extracellular matrices provide a scaffold for incoming fibroblastic cells. However, research in extracellular matrices is not conclusive due to intermanufacturer variation and the lack of human subject research. Growth factors and platelet-rich plasma are established in other fields of research and show promise, but have not yet been rigorously tested in rotator cuff repair augmentation. Conclusions Rotator cuff repair can benefit from biologic augmentation. However, research in this field is still young and has not yet demonstrated that the benefits in healing rates are significant enough to merit regular clinical use. Randomized controlled trials will elucidate the use of biologic augmentation in rotator cuff repairs. PMID:24198519

  16. Using mental imagery to deliver self-regulation techniques to improve sleep behaviors.

    PubMed

    Loft, Marisa H; Cameron, Linda D

    2013-12-01

    Poor sleep habits and insufficient sleep represent significant workplace health issues. Applying self-regulation theory, we conducted a randomized, controlled trial testing the efficacy of mental imagery techniques promoting arousal reduction and implementation intentions to improve sleep behavior. We randomly assigned 104 business employees to four imagery-based interventions: arousal reduction, implementation intentions, combined arousal reduction and implementation intentions, or control imagery. Participants practiced their techniques daily for 21 days. They completed online measures of sleep quality, behaviors, and self-efficacy at baseline and Day 21; and daily measures of sleep behaviors. Participants using implementation intention imagery exhibited greater improvements in self-efficacy, sleep behaviors, sleep quality, and time to sleep relative to participants using arousal reduction and control imagery. Implementation intention imagery can improve sleep behavior for daytime employees. Use of arousal reduction imagery was unsupported. Self-regulation imagery techniques show promise for improving sleep behaviors.

  17. The Teacher Improvement Model.

    ERIC Educational Resources Information Center

    Pokalo, Mariann

    The Teacher Improvement Model was begun as an Organizational Development Project using the parallel systems approach in a school for emotionally disturbed junior high school students. Teachers volunteered for committee work and requested observations and evaluations in an effort to define and establish a discipline model best suited to them. Such…

  18. Improved Screened Hydrogenic Model

    SciTech Connect

    Nishikawa, T.

    1996-05-01

    Screened Hydrogenic Model is widely used for energy level calculation in hydrodynamic code of inertial confinement fusion because Screened Hydrogenic Model is simple algebraic calculation. More{close_quote}s Screened Hydrogenic Model and his screening constants are usually used to calculate opacity and equation of state. By the use of his model, energy level can be consistently calculated with ion{close_quote}s total energy. But his model take into account the principal quantum number dependence only and cannot reproduce hydrogenic energy levels. As the precise experiment about opacity measurement is performed, it becomes clear that his model is not enough to use for opacity calculation. In this paper, his model is improved in the framework of Screened Hydrogenic Model. The improved model can reproduce the hydrogenic energy levels and include azimuthal quantum number dependence and the effect from another quantum state (a kind of inner quantum number). Screening constants are fitted by spectroscopic data and sophisticate calculations. By the use of improved model, energy levels are calculated more accurately for low-{ital z} ions. {copyright} {ital 1996 American Institute of Physics.}

  19. Teaching dental students how to deliver bad news: S-P-I-K-E-S model.

    PubMed

    Curtin, Sharon; McConnell, Mary

    2012-03-01

    Delivering bad news has traditionally been associated with life-threatening illness, the imminence of death, or communicating about the death of a loved one to a family member. The delivery of bad news in dentistry is rarely about life-threatening circumstances. However, the impact of the bad news such as the loss of an anterior tooth can be devastating for the patient. This article outlines the S-P-I-K-E-S protocol and discusses the teaching aims and methodology in applying the model in an undergraduate dental program in Ireland.

  20. Brief report: Predictors of outcomes in the Early Start Denver Model delivered in a group setting.

    PubMed

    Vivanti, Giacomo; Dissanayake, Cheryl; Zierhut, Cynthia; Rogers, Sally J

    2013-07-01

    There is a paucity of studies that have looked at factors associated with responsiveness to interventions in preschoolers with autism spectrum disorder (ASD). We investigated learning profiles associated with response to the early start Denver model delivered in a group setting. Our preliminary results from 21 preschool children with an ASD aged 2- to 5-years suggest that the children with more advanced skills in functional use of objects, goal understanding and imitation made the best developmental gains after 1 year of treatment. Cognitive abilities, social attention, intensity of the treatment and chronological age were not associated with treatment gains.

  1. A Peer-Delivered Educational Intervention to Improve Nursing Student Cyberprofessionalism.

    PubMed

    Marnocha, Suzanne; Marnocha, Mark; Cleveland, Rebecca; Lambie, Christina; Limberg, Cassandra Y; Wnuk, Jacqueline

    2017-03-01

    Previous research documents online unprofessionalism among nursing students. The current study assessed the effects of a peer-facilitated social media education session on changes in attitudes and knowledge among recently admitted prelicensure nursing students. Uncertain or incorrect attitudes and knowledge showed significant improvements after the session. Such interventions may enhance cyberprofessionalism in future student cohorts and warrant further exploration.

  2. Living Longer Living Stronger™: a community-delivered strength training program improving function and quality of life.

    PubMed

    Vrantsidis, Freda; Hill, Keith; Haralambous, Betty; Renehan, Emma; Ledgerwood, Kay; Pinikahana, Jaya; Harper, Stephanie; Penberthy, Mitsuko

    2014-03-01

    This study investigated changes in function and quality of life for older adults participating in Living Longer Living Stronger™, a community-delivered strength training program for people aged over 50. Assessments were conducted at baseline, 4 and 8 months using measures of function, balance, mobility, strength, mental health and quality of life. Thirty-five participants (mean age 66 years, 69% female) completed 4 months of the program; 24 completed 8 months. Using repeated-measures anova, significant improvements were found at 4 and 8 months for step test, gait stride length, 6-minute walk test, timed sit to stand, physical performance test and reported health transition (SF-36). At 4 months (n = 35), vitality (SF-36), quality of life and left shoulder abductor strength significantly improved; at 8 months (n = 24), role physical and mental health (SF-36) and gait velocity significantly improved. The program appears to be an effective community-delivered strength training program. © 2013 Council on the Ageing Victoria. Australasian Journal on Ageing © 2013 ACOTA.

  3. 3D delivered dose assessment using a 4DCT-based motion model

    PubMed Central

    Cai, Weixing; Hurwitz, Martina H.; Williams, Christopher L.; Dhou, Salam; Berbeco, Ross I.; Seco, Joao; Mishra, Pankaj; Lewis, John H.

    2015-01-01

    Purpose: The purpose of this work is to develop a clinically feasible method of calculating actual delivered dose distributions for patients who have significant respiratory motion during the course of stereotactic body radiation therapy (SBRT). Methods: A novel approach was proposed to calculate the actual delivered dose distribution for SBRT lung treatment. This approach can be specified in three steps. (1) At the treatment planning stage, a patient-specific motion model is created from planning 4DCT data. This model assumes that the displacement vector field (DVF) of any respiratory motion deformation can be described as a linear combination of some basis DVFs. (2) During the treatment procedure, 2D time-varying projection images (either kV or MV projections) are acquired, from which time-varying “fluoroscopic” 3D images of the patient are reconstructed using the motion model. The DVF of each timepoint in the time-varying reconstruction is an optimized linear combination of basis DVFs such that the 2D projection of the 3D volume at this timepoint matches the projection image. (3) 3D dose distribution is computed for each timepoint in the set of 3D reconstructed fluoroscopic images, from which the total effective 3D delivered dose is calculated by accumulating deformed dose distributions. This approach was first validated using two modified digital extended cardio-torso (XCAT) phantoms with lung tumors and different respiratory motions. The estimated doses were compared to the dose that would be calculated for routine 4DCT-based planning and to the actual delivered dose that was calculated using “ground truth” XCAT phantoms at all timepoints. The approach was also tested using one set of patient data, which demonstrated the application of our method in a clinical scenario. Results: For the first XCAT phantom that has a mostly regular breathing pattern, the errors in 95% volume dose (D95) are 0.11% and 0.83%, respectively for 3D fluoroscopic images

  4. 3D delivered dose assessment using a 4DCT-based motion model

    SciTech Connect

    Cai, Weixing; Hurwitz, Martina H.; Williams, Christopher L.; Dhou, Salam; Berbeco, Ross I.; Mishra, Pankaj E-mail: jhlewis@lroc.harvard.edu; Lewis, John H. E-mail: jhlewis@lroc.harvard.edu; Seco, Joao

    2015-06-15

    Purpose: The purpose of this work is to develop a clinically feasible method of calculating actual delivered dose distributions for patients who have significant respiratory motion during the course of stereotactic body radiation therapy (SBRT). Methods: A novel approach was proposed to calculate the actual delivered dose distribution for SBRT lung treatment. This approach can be specified in three steps. (1) At the treatment planning stage, a patient-specific motion model is created from planning 4DCT data. This model assumes that the displacement vector field (DVF) of any respiratory motion deformation can be described as a linear combination of some basis DVFs. (2) During the treatment procedure, 2D time-varying projection images (either kV or MV projections) are acquired, from which time-varying “fluoroscopic” 3D images of the patient are reconstructed using the motion model. The DVF of each timepoint in the time-varying reconstruction is an optimized linear combination of basis DVFs such that the 2D projection of the 3D volume at this timepoint matches the projection image. (3) 3D dose distribution is computed for each timepoint in the set of 3D reconstructed fluoroscopic images, from which the total effective 3D delivered dose is calculated by accumulating deformed dose distributions. This approach was first validated using two modified digital extended cardio-torso (XCAT) phantoms with lung tumors and different respiratory motions. The estimated doses were compared to the dose that would be calculated for routine 4DCT-based planning and to the actual delivered dose that was calculated using “ground truth” XCAT phantoms at all timepoints. The approach was also tested using one set of patient data, which demonstrated the application of our method in a clinical scenario. Results: For the first XCAT phantom that has a mostly regular breathing pattern, the errors in 95% volume dose (D95) are 0.11% and 0.83%, respectively for 3D fluoroscopic images

  5. Platelet-delivered ADAMTS13 inhibits arterial thrombosis and prevents thrombotic thrombocytopenic purpura in murine models.

    PubMed

    Pickens, Brandy; Mao, Yingying; Li, Dengju; Siegel, Don L; Poncz, Mortimer; Cines, Douglas B; Zheng, X Long

    2015-05-21

    ADAMTS13 metalloprotease cleaves von Willebrand factor (VWF), thereby inhibiting platelet aggregation and arterial thrombosis. An inability to cleave ultralarge VWF resulting from hereditary or acquired deficiency of plasma ADAMTS13 activity leads to a potentially fatal syndrome, thrombotic thrombocytopenic purpura (TTP). Plasma exchange is the most effective initial therapy for TTP to date. Here, we report characterization of transgenic mice expressing recombinant human ADAMTS13 (rADAMTS13) in platelets and its efficacy in inhibiting arterial thrombosis and preventing hereditary and acquired antibody-mediated TTP in murine models. Western blotting and fluorescent resonance energy transfer assay detect full-length rADAMTS13 protein and its proteolytic activity, respectively, in transgenic (Adamts13(-/-)Plt(A13)), but not in wild-type and Adamts13(-/-), platelets. The expressed rADAMTS13 is released on stimulation with thrombin and collagen, but less with 2MesADP. Platelet-delivered rADAMTS13 is able to inhibit arterial thrombosis after vascular injury and prevent the onset and progression of Shigatoxin-2 or recombinant murine VWF-induced TTP syndrome in mice despite a lack of plasma ADAMTS13 activity resulting from the ADAMTS13 gene deletion or the antibody-mediated inhibition of plasma ADAMTS13 activity. These findings provide a proof of concept that platelet-delivered ADAMTS13 may be explored as a novel treatment of arterial thrombotic disorders, including hereditary and acquired TTP, in the presence of anti-ADAMTS13 autoantibodies.

  6. Early diagnosis and Early Start Denver Model intervention in autism spectrum disorders delivered in an Italian Public Health System service.

    PubMed

    Devescovi, Raffaella; Monasta, Lorenzo; Mancini, Alice; Bin, Maura; Vellante, Valerio; Carrozzi, Marco; Colombi, Costanza

    2016-01-01

    Early diagnosis combined with an early intervention program, such as the Early Start Denver Model (ESDM), can positively influence the early natural history of autism spectrum disorders. This study evaluated the effectiveness of an early ESDM-inspired intervention, in a small group of toddlers, delivered at low intensity by the Italian Public Health System. Twenty-one toddlers at risk for autism spectrum disorders, aged 20-36 months, received 3 hours/wk of one-to-one ESDM-inspired intervention by trained therapists, combined with parents' and teachers' active engagement in ecological implementation of treatment. The mean duration of treatment was 15 months. Cognitive and communication skills, as well as severity of autism symptoms, were assessed by using standardized measures at pre-intervention (Time 0 [T0]; mean age =27 months) and post-intervention (Time 1 [T1]; mean age =42 months). Children made statistically significant improvements in the language and cognitive domains, as demonstrated by a series of nonparametric Wilcoxon tests for paired data. Regarding severity of autism symptoms, younger age at diagnosis was positively associated with greater improvement at post-assessment. Our results are consistent with the literature that underlines the importance of early diagnosis and early intervention, since prompt diagnosis can reduce the severity of autism symptoms and improve cognitive and language skills in younger children. Particularly in toddlers, it seems that an intervention model based on the ESDM principles, involving the active engagement of parents and nursery school teachers, may be effective even when the individual treatment is delivered at low intensity. Furthermore, our study supports the adaptation and the positive impact of the ESDM entirely sustained by the Italian Public Health System.

  7. Strategies to improve clinical outcomes in peritoneal dialysis patients: delivered dose and membrane transport.

    PubMed

    Churchill, D N

    1998-12-01

    For patients with end-stage renal disease treated with peritoneal dialysis, prospective cohort studies using multivariate statistical analysis have shown an association between greater urea clearance and a decreased relative risk for death. The recommended weekly Kt/V for urea is 2.0, with the corresponding creatinine clearance (CrCl) of 60 L/1.73 m2. This is considered adequate dialysis but fails to define optimum urea and CrCl targets. The assumption that renal and peritoneal clearances are equivalent has been challenged by circumstantial data and is probably untenable. The relative importance of these clearances requires definition. The suggestion that CrCl is a more important indicator of adequacy of dialysis is confounded by association with renal, rather than peritoneal, clearance and perhaps by the early referral and initiation of dialysis. Recent reports have shown an association between increased peritoneal membrane transport and an increased relative risk for technique failure and/or death. Patients with higher peritoneal transport should have greater clearance of urea and creatinine and better clinical outcomes. Possible explanations for this apparent contradiction include the adverse effects of increased glucose absorption, malnutrition, and fluid overload, the latter caused by decreased ultrafiltration. Available data suggest an important role for the failure of ultrafiltration among patients treated with continuous ambulatory peritoneal dialysis (CAPD). Strategies to improve the clearance of urea and creatinine include the preservation of residual renal function and increased peritoneal clearance. Loss of residual renal function may be delayed by the avoidance of nephrotoxic drugs and angiographic dye. Peritoneal clearance can be enhanced by a combination of increased volume and frequency of peritoneal dialysis cycles. Ultrafiltration failure, but not protein loss, can be addressed with shorter cycles with nocturnal peritoneal dialysis. Development of

  8. Oral vaccination with inhibin DNA delivered using attenuated Salmonella choleraesuis for improving reproductive traits in mice.

    PubMed

    Han, Li; Zhen, Yan-Hong; Liang, Ai-Xin; Zhang, Jian; Riaz, Hasan; Xiong, Jia-Jun; Guo, Ai-Zhen; Yang, Li-Guo

    2014-09-01

    The objective of this study was to examine the efficacy and safety of a novel inhibin vaccine containing inhibin α (1-32) fragments in mice. A recombinant plasmid pVAX-asd-IS was constructed by inserting recombinant inhibin α (1-32) and the hepatitis B surface antigen S into the plasmid in which the asd gene, rather than the kanamycin gene, was a selection marker. Ninety Kuming mice were divided into six groups consisting of 15 mice each. First group was (C1) injected with 200 µl of PBS, second (C2) received 1 × 10(10) CFU of crp(-) /asd(-) C500/pVAX-asd and served as vector control, third did not receive any treatment (C3), while fourth, fifth, and sixth group received 1 × 10(10) , 1 × 10(9) , 1 × 10(8) CFU of the recombinant inhibin vaccine crp(-) /asd(-) C500/pVAX-asd-IS (group T1, T2, T3), respectively. Western blotting demonstrated that recombinant expressed inhibin protein possessed immune function and that this plasmid could replicate for up to 40 generations stably. Vaccination with this strain at a dose of 1 × 10(10) CFU/200 µl per mouse induced high anti-inhibin antibody levels, significantly increased large-follicle production in T1 group (p < 0.05) and average litter size (p > 0.05) compared with control groups. Integration studies showed no evidence of inhibin fusion gene integrated into mice's genome 2-month after immunization. These results suggest that the vaccine described in the present study may provide a safe method to improve reproductive traits in animals. A trend towards increased litter size and significant increase in large follicle population depict that this vaccine may have direct application in large animal industry. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  9. Can a self-management programme delivered by a community pharmacist improve asthma control? A randomised trial.

    PubMed

    Barbanel, D; Eldridge, S; Griffiths, C

    2003-10-01

    No randomised studies have addressed whether self-management for asthma can be successfully delivered by community pharmacists. Most randomised trials of asthma self-management have recruited participants from secondary care; there is uncertainty regarding its effectiveness in primary care. A randomised controlled study was undertaken to determine whether a community pharmacist could improve asthma control using self-management advice for individuals recruited during attendance at a community pharmacy. Twenty four adults attending a community pharmacy in Tower Hamlets, east London for routine asthma medication were randomised into two groups: the intervention group received self-management advice from the pharmacist with weekly telephone follow up for 3 months and the control group received no input from the pharmacist. Participants self-completed the North of England asthma symptom scale at baseline and 3 months later. The groups were well matched at baseline for demographic characteristics and mean (SD) symptom scores (26.3 (4.8) and 27.8 (3.7) in the intervention and control groups, respectively). Symptom scores improved in the intervention group and marginally worsened in the control group to 20.3 (4.2) and 28.1 (3.5), respectively (p<0.001; difference adjusted for baseline scores=7.0 (95% CI 4.4 to 9.5). A self-management programme delivered by a community pharmacist can improve asthma control in individuals recruited at a community pharmacy. Further studies should attempt to confirm these findings using larger samples and a wider range of outcome measures.

  10. Improved immunogenicity of individual influenza vaccine components delivered with a novel dissolving microneedle patch stable at room temperature

    PubMed Central

    Vassilieva, Elena V.; Kalluri, Haripriya; McAllister, Devin; Taherbhai, Misha T.; Esser, E. Stein; Pewin, Winston P.; Pulit-Penaloza, Joanna A.; Prausnitz, Mark R.; Compans, Richard W.; Skountzou, Ioanna

    2015-01-01

    Prevention of seasonal influenza epidemics and pandemics relies on widespread vaccination coverage to induce protective immunity. In addition to a good antigenic match with the circulating viruses, the effectiveness of individual strains represented in the trivalent vaccines depends on their immunogenicity. In this study we evaluated the immunogenicity of H1N1, H3N2 and B seasonal influenza virus vaccine strains delivered individually with a novel dissolving microneedle patch and the stability of this formulation during storage at 25°C. Our data demonstrate that all strains retained their antigenic activity after incorporation in the dissolving patches as measured by SRID assay and immune responses to vaccination in BALB/c mice. After a single immunization all three antigens delivered with microneedle patches induced superior neutralizing antibody titers compared to intramuscular immunization. Cutaneous antigen delivery was especially beneficial for the less immunogenic B strain. Mice immunized with dissolving microneedle patches encapsulating influenza A/Brisbane/59/07 (H1N1) vaccine were fully protected against lethal challenge by homologous mouse-adapted influenza virus. All vaccine components retained activity during storage at room temperature for at least three months as measured in vitro by SRID assay and in vivo by mouse immunization studies. Our data demonstrate that dissolving microneedle patches are a promising advance for influenza cutaneous vaccination due to improved immune responses using less immunogenic influenza antigens and enhanced stability. PMID:25895053

  11. Improved immunogenicity of individual influenza vaccine components delivered with a novel dissolving microneedle patch stable at room temperature.

    PubMed

    Vassilieva, Elena V; Kalluri, Haripriya; McAllister, Devin; Taherbhai, Misha T; Esser, E Stein; Pewin, Winston P; Pulit-Penaloza, Joanna A; Prausnitz, Mark R; Compans, Richard W; Skountzou, Ioanna

    2015-08-01

    Prevention of seasonal influenza epidemics and pandemics relies on widespread vaccination coverage to induce protective immunity. In addition to a good antigenic match with the circulating viruses, the effectiveness of individual strains represented in the trivalent vaccines depends on their immunogenicity. In this study, we evaluated the immunogenicity of H1N1, H3N2, and B seasonal influenza virus vaccine strains delivered individually with a novel dissolving microneedle patch and the stability of this formulation during storage at 25 °C. Our data demonstrate that all strains retained their antigenic activity after incorporation in the dissolving patches as measured by single radial diffusion (SRID) assay and immune responses to vaccination in BALB/c mice. After a single immunization, all three antigens delivered with microneedle patches induced superior neutralizing antibody titers compared to intramuscular immunization. Cutaneous antigen delivery was especially beneficial for the less immunogenic B strain. Mice immunized with dissolving microneedle patches encapsulating influenza A/Brisbane/59/07 (H1N1) vaccine were fully protected against lethal challenge by homologous mouse-adapted influenza virus. All vaccine components retained activity during storage at room temperature for at least 3 months as measured in vitro by SRID assay and in vivo by mouse immunization studies. Our data demonstrate that dissolving microneedle patches are a promising advance for influenza cutaneous vaccination due to improved immune responses using less immunogenic influenza antigens and enhanced stability.

  12. Model-Based Improvement

    DTIC Science & Technology

    2006-10-01

    2006 4. TITLE AND SUBTITLE Model-Based Improvement 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT...NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES) Carnegie Mellon University ,Software Engineering...Institute (SEI),Pittsburgh,PA,15213 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME( S ) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S

  13. Models and Simulations as a Service: Exploring the Use of Galaxy for Delivering Computational Models

    PubMed Central

    Walker, Mark A.; Madduri, Ravi; Rodriguez, Alex; Greenstein, Joseph L.; Winslow, Raimond L.

    2016-01-01

    We describe the ways in which Galaxy, a web-based reproducible research platform, can be used for web-based sharing of complex computational models. Galaxy allows users to seamlessly customize and run simulations on cloud computing resources, a concept we refer to as Models and Simulations as a Service (MaSS). To illustrate this application of Galaxy, we have developed a tool suite for simulating a high spatial-resolution model of the cardiac Ca2+ spark that requires supercomputing resources for execution. We also present tools for simulating models encoded in the SBML and CellML model description languages, thus demonstrating how Galaxy’s reproducible research features can be leveraged by existing technologies. Finally, we demonstrate how the Galaxy workflow editor can be used to compose integrative models from constituent submodules. This work represents an important novel approach, to our knowledge, to making computational simulations more accessible to the broader scientific community. PMID:26958881

  14. A Sustainable Model For Delivering High-Quality, Efficient Cataract Surgery In Southern India.

    PubMed

    Le, Hong-Gam; Ehrlich, Joshua R; Venkatesh, Rengaraj; Srinivasan, Aravind; Kolli, Ajay; Haripriya, Aravind; Ravindran, R D; Thulasiraj, R D; Robin, Alan L; Hutton, David W; Stein, Joshua D

    2016-10-01

    Cataracts are a leading cause of reversible blindness in India, where millions of people can be effectively treated for this condition with surgery. The Aravind Eye Care System in southern India developed an efficient system for delivering high-quality and low-cost cataract surgery. We provide a detailed accounting of costs of cataract surgery at the system and a cost-utility analysis. Total costs per operation were US$120, or $195 per quality-adjusted life-year gained. Using these data and population-based estimates of cataract prevalence, we calculate that eliminating cataract-related blindness and low vision in India would cost $2.6 billion and would yield a net societal benefit of $13.5 billion. Factors contributing to the highly cost-effective care at the Aravind Eye Care System include the domestic manufacturing of supplies, the use of a specialized workforce and standardized protocols, and the presence of few regulatory hurdles. Lessons learned from the system can help improve the delivery of cataract surgery and other ambulatory care surgeries in India and abroad.

  15. Cost & efficiency evaluation of a publicly financed & publicly delivered referral transport service model in three districts of Haryana State, India

    PubMed Central

    Prinja, Shankar; Manchanda, Neha; Aggarwal, Arun Kumar; Kaur, Manmeet; Jeet, Gursimer; Kumar, Rajesh

    2013-01-01

    Background & objectives: Various models of referral transport services have been introduced in different States in India with an aim to reduce maternal and infant mortality. Most of the research on referral transport has focussed on coverage, quality and timeliness of the service with not much information on cost and efficiency. This study was undertaken to analyze the cost of a publicly financed and managed referral transport service model in three districts of Haryana State, and to assess its cost and technical efficiency. Methods: Data on all resources spent for delivering referral transport service, during 2010, were collected from three districts of Haryana State. Costs incurred at State level were apportioned using appropriate methods. Data Envelopment Analysis (DEA) technique was used to assess the technical efficiency of ambulances. To estimate the efficient scale of operation for ambulance service, the average cost was regressed on kilometres travelled for each ambulance station using a quadratic regression equation. Results: The cost of referral transport per year varied from ₹5.2 million in Narnaul to ₹9.8 million in Ambala. Salaries (36-50%) constituted the major cost. Referral transport was found to be operating at an average efficiency level of 76.8 per cent. Operating an ambulance with a patient load of 137 per month was found to reduce unit costs from an average ₹ 15.5 per km to ₹ 9.57 per km. Interpretation & conclusions: Our results showed that the publicly delivered referral transport services in Haryana were operating at an efficient level. Increasing the demand for referral transport services among the target population represents an opportunity for further improving the efficiency of the underutilized ambulances. PMID:24521648

  16. Improving uptake and engagement with child body image interventions delivered to mothers: Understanding mother and daughter preferences for intervention content.

    PubMed

    Garbett, Kirsty M; Diedrichs, Phillippa C

    2016-12-01

    Mothers are a key influence on adolescent girls' body image. This study aimed to improve understanding of mothers' and daughters' preferences for content in body image interventions designed to assist mothers to promote positive body image among their daughters. British mother-daughter dyads (N=190) viewed descriptions of five evidence-based influences on body image (family, friends, and relationships; appearance-based teasing; media and celebrities; appearance conversations; body acceptance and care). Mothers and daughters each selected the two most important influences to learn about in these interventions. Overall, both mothers and daughters most frequently opted for family, friends, and relationships and body acceptance and care, whereas media and celebrities was their least preferred topic. While the overall sample of mothers and daughters agreed on preferences, Fisher's exact tests showed that within-dyad agreement was low. Recommendations for improving parent and child engagement with, and effectiveness of, child body image interventions delivered to parents are discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Traditional Chinese acupuncture was not superior to sham acupuncture for knee osteoarthritis but delivering treatment with high expectations of improvement was superior to delivering treatment with neutral expectations.

    PubMed

    Grotle, Margreth

    2011-01-01

    What are the comparative effects of Traditional Chinese Acupuncture (TCA) and sham acupuncture for patients with knee osteoarthritis (OA) when controlling for the effect of the acupuncturists' communication styles. A nested 2-stage randomised clinical trial, where patients were randomised to 1 of 3 style groups, waiting list, high expectations, or neutral expectations, and nested within style, TCA, or sham acupuncture. A hospital general internal medicine department in Texas, USA. Men and women over 49 years with knee OA according to the American College of Rheumatology criteria. Additional inclusion criteria were pain in the knee in the preceding 2 weeks, > 3/10 on a visual analogue scale, no prior treatment with acupuncture, stable treatment with nonsteroidal anti-inflammatory drugs, analgesics, or glucosamine. Exclusion criterion was intraarticular injections in the knee in the previous 2 months. Randomisation of 560 participants allocated 238 to the high expectations group, 242 to the neutral expectations group, and 80 to the waiting list group. Six acupuncturists licensed in traditional Chinese medicine carried out the intervention. For the communication style intervention, providers conveyed high expectations of improvement, by using positive utterances such as 'I think this will work for you', while neutral expectations were conveyed with uncertainty utterances such as 'It may or may not work for you'. For the acupuncture intervention the procedure and specific points were standardised by a panel consisting of the acupuncturists in each of the 2 arms: TCA points on the basis of clinical practice, and sham points outside the relevant meridians. The primary outcomes were Joint-Specific Multidimensional Assessment of Pain (J-MAP), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale, and Satisfaction with Knee Procedure (SKIP) measured at 4 weeks, 6 weeks (end of treatment), and 3 months. 527 (94%) participants completed the

  18. Improvements in dose accuracy delivered with static-MLC IMRT on an integrated linear accelerator control system

    SciTech Connect

    Li Ji; Wiersma, Rodney D.; Stepaniak, Christopher J.; Farrey, Karl J.; Al-Hallaq, Hania A.

    2012-05-15

    Trilogy and the TrueBeam up to 10 MU/segment, at all dose rates greater than 100 MU/min. The linear trend of decreasing dose accuracy as a function of increasing dose rate on the Trilogy is no longer apparent on TrueBeam, even for dose rates as high as 2400 MU/min. Dose inaccuracy averaged over all ten segments in each beam delivery sequence was larger for Trilogy than TrueBeam, with the largest discrepancy (0.2% vs 3%) occurring for 1 MU/segment beams at both 300 and 600 MU/min. Conclusions: Earlier generations of Varian LINACs exhibited large dose variations for small MU segments in SMLC-IMRT delivery. Our results confirmed these findings. The dose delivery accuracy for SMLC-IMRT is significantly improved on TrueBeam compared to Trilogy for every combination of low MU/segment (1-10) and high dose rate (200-600 MU/min), in part due to the faster sampling rate (100 vs 20 Hz) and enhanced electronic integration of the MLC controller with the LINAC. SMLC-IMRT can be implemented on TrueBeam with higher dose accuracy per beam ({+-}0.2% vs {+-}3%) than previous generations of Varian C-series LINACs for 1 MU/segment delivered at 600 MU/min).

  19. D Recording for 2d Delivering - the Employment of 3d Models for Studies and Analyses -

    NASA Astrophysics Data System (ADS)

    Rizzi, A.; Baratti, G.; Jiménez, B.; Girardi, S.; Remondino, F.

    2011-09-01

    In the last years, thanks to the advances of surveying sensors and techniques, many heritage sites could be accurately replicated in digital form with very detailed and impressive results. The actual limits are mainly related to hardware capabilities, computation time and low performance of personal computer. Often, the produced models are not visible on a normal computer and the only solution to easily visualized them is offline using rendered videos. This kind of 3D representations is useful for digital conservation, divulgation purposes or virtual tourism where people can visit places otherwise closed for preservation or security reasons. But many more potentialities and possible applications are available using a 3D model. The problem is the ability to handle 3D data as without adequate knowledge this information is reduced to standard 2D data. This article presents some surveying and 3D modeling experiences within the APSAT project ("Ambiente e Paesaggi dei Siti d'Altura Trentini", i.e. Environment and Landscapes of Upland Sites in Trentino). APSAT is a multidisciplinary project funded by the Autonomous Province of Trento (Italy) with the aim documenting, surveying, studying, analysing and preserving mountainous and hill-top heritage sites located in the region. The project focuses on theoretical, methodological and technological aspects of the archaeological investigation of mountain landscape, considered as the product of sequences of settlements, parcelling-outs, communication networks, resources, and symbolic places. The mountain environment preserves better than others the traces of hunting and gathering, breeding, agricultural, metallurgical, symbolic activities characterised by different lengths and environmental impacts, from Prehistory to the Modern Period. Therefore the correct surveying and documentation of this heritage sites and material is very important. Within the project, the 3DOM unit of FBK is delivering all the surveying and 3D material to

  20. A mouse model of hereditary hemorrhagic telangiectasia generated by transmammary-delivered immunoblocking of BMP9 and BMP10

    PubMed Central

    Ruiz, Santiago; Zhao, Haitian; Chandakkar, Pallavi; Chatterjee, Prodyot K.; Papoin, Julien; Blanc, Lionel; Metz, Christine N.; Campagne, Fabien; Marambaud, Philippe

    2016-01-01

    Hereditary hemorrhagic telangiectasia (HHT) is a potentially life-threatening genetic vascular disorder caused by loss-of-function mutations in the genes encoding activin receptor-like kinase 1 (ALK1), endoglin, Smad4, and bone morphogenetic protein 9 (BMP9). Injections of mouse neonates with BMP9/10 blocking antibodies lead to HHT-like vascular defects in the postnatal retinal angiogenesis model. Mothers and their newborns share the same immunity through the transfer of maternal antibodies during lactation. Here, we investigated whether the transmammary delivery route could improve the ease and consistency of administering anti-BMP9/10 antibodies in the postnatal retinal angiogenesis model. We found that anti-BMP9/10 antibodies, when intraperitoneally injected into lactating dams, are efficiently transferred into the blood circulation of lactationally-exposed neonatal pups. Strikingly, pups receiving anti-BMP9/10 antibodies via lactation displayed consistent and robust vascular pathology in the retina, which included hypervascularization and defects in arteriovenous specification, as well as the presence of multiple and massive arteriovenous malformations. Furthermore, RNA-Seq analyses of neonatal retinas identified an increase in the key pro-angiogenic factor, angiopoietin-2, as the most significant change in gene expression triggered by the transmammary delivery of anti-BMP9/10 antibodies. Transmammary-delivered BMP9/10 immunoblocking in the mouse neonatal retina is therefore a practical, noninvasive, reliable, and robust model of HHT vascular pathology. PMID:27874028

  1. Interdisciplinary collaboration: the slogan that must be achieved for models of delivering critical care to be successful.

    PubMed

    Irwin, Richard S; Flaherty, Helen M; French, Cynthia T; Cody, Shawn; Chandler, M Willis; Connolly, Ann; Lilly, Craig M

    2012-12-01

    There is wide acceptance of the concept that interdisciplinary collaboration is an essential building block for successful health-care teams. This belief is grounded in our understanding of how teams function to address complex care needs that change with acute illness or injury. This general agreement has been validated in studies that have reported favorable outcomes associated with successfully implementing interdisciplinary models of health-care delivery in non-critical care settings. The very short time frames over which the care needs of critically ill or injured adults change and the team approach taken by nearly all ICUs strongly suggest that interdisciplinary collaboration is also beneficial in this setting. In this commentary, we define interdisciplinary collaboration and share the story of how we successfully redesigned and transformed our system-wide, interdisciplinary collaborative model for delivering critical care in order to share the lessons we learned as the process evolved with those who are about to embark on a similar challenge. We anticipate that those health-care systems that successfully implement interdisciplinary collaboration will be ahead of the curve in providing high-quality care at as low a cost as possible. Such institutions will also potentially be better positioned for improving teaching and providing a better foundation for critical care research in their institutions.

  2. UCVM: Open Source Software for Understanding and Delivering 3D Velocity Models

    NASA Astrophysics Data System (ADS)

    Gill, D.; Small, P.; Maechling, P. J.; Jordan, T. H.; Shaw, J. H.; Plesch, A.; Chen, P.; Lee, E. J.; Taborda, R.; Olsen, K. B.; Callaghan, S.

    2014-12-01

    Physics-based ground motion simulations can calculate the propagation of earthquake waves through 3D velocity models of the Earth. The Southern California Earthquake Center (SCEC) has developed the Unified Community Velocity Model (UCVM) framework to help researchers build structured or unstructured velocity meshes from 3D velocity models for use in wave propagation simulations. The UCVM software framework makes it easy to extract P and S wave propagation speeds and other material properties from 3D velocity models by providing a common interface through which researchers can query earth models for a given location and depth. Currently, the platform supports multiple California models, including SCEC CVM-S4 and CVM-H 11.9.1, and has been designed to support models from any region on earth. UCVM is currently being use to generate velocity meshes for many SCEC wave propagation codes, including AWP-ODC-SGT and Hercules. In this presentation, we describe improvements to the UCVM software. The current version, UCVM 14.3.0, released in March of 2014, supports the newest Southern California velocity model, CVM-S4.26, which was derived from 26 full-3D tomographic iterations using CVM-S4 as the starting model (Lee et al., this meeting), and the Broadband 1D velocity model used in the CyberShake 14.2 study. We have ported UCVM to multiple Linux distributions and OS X. Also included in this release is the ability to add small-scale stochastic heterogeneities to extract Cartesian meshes for use in high-frequency ground motion simulations. This tool was built using the C language open-source FFT library, FFTW. The stochastic parameters (Hurst exponent, correlation length, and the horizontal/vertical aspect ratio) can be customized by the user. UCVM v14.3.0 also provides visualization scripts for constructing cross-sections, horizontal slices, basin depths, and Vs30 maps. The interface allows researchers to visually review velocity models . Also, UCVM v14.3.0 can extract

  3. A failing medical educational model: a self-assessment by physicians at all levels of training of ability and comfort to deliver bad news.

    PubMed

    Orgel, Etan; McCarter, Robert; Jacobs, Shana

    2010-06-01

    Patient surveys consistently show physician communication remains less than ideal. While previous studies have demonstrated a lack of trainee confidence in delivering bad news, our study explores communication skills at all levels of practice and highlights potential barriers to improvement. Pediatric residents, fellows, and attendings involved in direct patient care at a major academic center participated in a voluntary questionnaire, consisting of self-assessed scales of comfort level, knowledge level, amount of training, and attitudes towards communication education. We also elicited barriers to learning and teaching as well as significant experiences. Eligible responses (n = 253) were evenly divided between trainees and faculty. Almost half of attendings and two thirds of fellows did not feel sufficiently knowledgeable to deliver bad news. Many attendings felt disproportionately more comfortable than they felt knowledgeable. All trainees felt insufficiently knowledgeable for independent practice of this skill. Educational barriers centered on time constraints, a deemphasis, a lack of positive modeling, and minimal awareness of existing resources. Poor experiences revolved around inappropriate language and settings as well as insufficient empathy or preparedness. Positive anecdotes highlighted the importance of education and the impact of role models. Independent of level of training, this study reveals a lack of self-assessed preparedness from many responsible for delivering bad news to patients and families. A significant barrier to improvement is the disproportionate level of self-assessed comfort versus knowledge level. Educational models should include both didactics to learn the skills and practice-based learning to refine the techniques.

  4. Effects of Mother-Delivered Social Stories and Video Modeling in Teaching Social Skills to Children with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Acar, Cimen; Tekin-Iftar, Elif; Yikmis, Ahmet

    2017-01-01

    An adapted alternating treatments design was used to compare mother-developed and delivered social stories and video modeling in teaching social skills to children with autism spectrum disorder (ASD). Mothers' opinions about the social validity of the study were also examined. Three mother-child dyads participated in the study. Results showed that…

  5. Using Video Modeling Delivered through iPods to Teach Vocational Tasks to Young Adults with Autism Spectrum Disorders (ASD)

    ERIC Educational Resources Information Center

    Kellems, Ryan O.

    2010-01-01

    The purpose of this study was to evaluate the effectiveness of using video modeling delivered through a Portable media player (video iPod) as a means of teaching three job-related tasks to four young adults with autism spectrum disorders (ASD) in a community-based employment setting. The videos used in the study were enhanced by adding written…

  6. Effects of Mother-Delivered Social Stories and Video Modeling in Teaching Social Skills to Children with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Acar, Cimen; Tekin-Iftar, Elif; Yikmis, Ahmet

    2017-01-01

    An adapted alternating treatments design was used to compare mother-developed and delivered social stories and video modeling in teaching social skills to children with autism spectrum disorder (ASD). Mothers' opinions about the social validity of the study were also examined. Three mother-child dyads participated in the study. Results showed that…

  7. Improvement of in vivo expression of genes delivered by self-amplifying RNA using Vaccinia Virus immune evasion proteins.

    PubMed

    Beissert, Tim; Koste, Lars; Perkovic, Mario; Walzer, Kerstin C; Erbar, Stephanie; Selmi, Abderaouf; Diken, Mustafa; Kreiter, Sebastian; Türeci, Özlem; Sahin, Ugur

    2017-09-06

    Among nucleic acid based delivery platforms, self-amplifying RNA (saRNA) vectors are of increasing interest for applications such as transient expression of recombinant proteins and vaccination. saRNA is safe and, due to its capability to amplify intracellularly high protein levels, can by produced from even minute amounts of transfected templates. It is an obstacle to full exploitation of this platform, though, that saRNA induces a strong innate host immune response. In transfected cells pattern recognition receptors sense double-stranded RNA intermediates and via activation of protein kinase R (PKR) and interferon signaling initiate host defense measures including a translational shut-down. To reduce pattern recognition receptor stimulation and unleash suppressed saRNA translation we co-delivered the non-replicating mRNA encoding Vaccinia Virus immune evasion proteins E3, K3 and B18. Here we show that E3 is far superior to K3 or B18 as a highly potent blocker of PKR activation and of IFNβ upregulation. B18, in contrast, is superior in controlling OAS1, a key IFN-inducible gene involved in viral RNA degradation. By combining all three vaccinia proteins, we achieved significant suppression of PKR and IFN pathway activation in vitro and enhanced expression of saRNA-encoded genes of interest both in vitro and in vivo. This approach promises to overcome key hurdles of saRNA gene delivery. Its application may improve the bioavailability of the encoded protein, reduce the effective dose and correspondingly the cost of goods of manufacture in the various fields where saRNA utilization is envisioned.

  8. Health improvement for men and hard-to-engage-men delivered in English Premier League football clubs.

    PubMed

    Pringle, Andy; Zwolinsky, Stephen; McKenna, James; Robertson, Steven; Daly-Smith, Andy; White, Alan

    2014-06-01

    Unhealthy behaviours represent modifiable causes of non-communicable disease. In men, concern focuses on those (i) demonstrating the poorest health, exacerbated by a lack of awareness of the risks that their lifestyles pose and (ii) who neither consult their doctor nor use health services. Classed as 'hard-to-engage', distinctive strategies are needed to reach these men. Impact and process evaluations assessed the effect of a programme of men's health-delivered in/by English Premier League football clubs. Men attended match-day events and/or weekly classes involving physical activity and health education. Validated self-report measures for demographics and lifestyle behaviours were completed pre- and post-intervention. Intention-to-treat analysis was performed on pre-versus-post-intervention differences in lifestyle profiles, whereas interviews (n = 57) provided men's accounts of programme experience. Participants were predominantly white British (70.4%/n = 2669), 18-44 (80.2%/n = 3032) and employed (60.7%/n = 1907). One-third (n = 860) 'never' visited their doctor. Over 85% (n = 1428) presented with combinations of lifestyle risk factors. Intention-to-treat analysis showed improvements (P < 0.001) in lifestyle profiles. Interviews confirmed recruitment of men who were hard-to-engage and unhealthy. Men were attracted through football and/or the clubs, whereas specific design factors impacted on participation. Limitations include use of self-reports, narrow demographics, small effect sizes, lack of follow-up and the absence of non-completers in interviews.

  9. Recontextualizing and Delivering the Biomedical Model as a Physical Education Curriculum

    ERIC Educational Resources Information Center

    Johns, David P.

    2005-01-01

    This paper examines the problem of delivering a body of knowledge based on biomedical research as a school physical education discourse. The paper attempts to deconstruct the ideology of healthism upon which the discourse is based in order to show how ascetic practices in school physical education are promoted as a way of combating the hedonistic…

  10. Improved analytic nutation model

    NASA Technical Reports Server (NTRS)

    Yoder, C. F.; Ivins, E. R.

    1988-01-01

    Models describing the earth's nutations are discussed. It is found that the simple model of Sasao et al., (1981) differs from Wahr's (1981) theory term by term by less than 0.3 marcsec if a modern earth structure model is used to evaluate the nutation structure constants. In addition, the effect of oceans is estimated.

  11. Evidence supporting a promotora-delivered entertainment education intervention for improving mothers' dietary intake: the Entre Familia: Reflejos de Salud Study.

    PubMed

    Ayala, Guadalupe X; Ibarra, Leticia; Horton, Lucy; Arredondo, Elva M; Slymen, Donald J; Engelberg, Moshe; Rock, Cheryl L; Hernandez, Erika; Parada, Humberto; Elder, John P

    2015-01-01

    Entertainment education and the promotora model are 2 evidence-based health communication strategies. This study examined their combined effect on promoting healthy eating among mothers in a family-based intervention. Participants were 361 Mexican-origin families living in Imperial County, California, who were randomly assigned to an intervention or delayed treatment condition. The intervention involved promotoras (community health workers) who delivered 11 home visits and 4 telephone calls. Home visits included a 12-minute episode of a 9-part situation comedy depicting a family struggling with making healthy eating choices; an accompanying family workbook was reviewed to build skills and left with the family. Baseline and immediate postintervention data were collected from the mothers, including the primary outcome of daily servings of fruits and vegetables. Other dietary and psychosocial factors related to healthy eating were examined. At postintervention, mothers in the intervention reported increases in daily vegetable servings (p ≤ .05); however, no changes were observed in fruit consumption. Improvements were observed in behavioral strategies to increase fiber (p ≤ .001) and to decrease fat intake (p ≤ .001), unhealthy eating behaviors (p ≤ .001), and individual (p ≤ .05) and family-related (p ≤ .01) perceived barriers to healthy eating. Entertainment education and promotoras engaged families and improved mothers' diets. Further research should examine the dose needed for greater changes.

  12. Delivering a sustainable trauma management training programme tailored for low-resource settings in East, Central and Southern African countries using a cascading course model.

    PubMed

    Peter, N A; Pandit, H; Le, G; Nduhiu, M; Moro, E; Lavy, C

    2016-05-01

    Injuries cause five million deaths and 279 Disability Adjusted Life Years (DALYS) each year worldwide. The COSECSA Oxford Orthopaedic Link (COOL) is a multi-country partnership programme that has delivered training in trauma management to nine sub-Saharan countries across a wide-cadre of health-workers using a model of "primary" courses delivered by UK instructors, followed by "cascading" courses led by local faculty. This study examines the impact on knowledge and clinical confidence among health-workers, and compares the performance of "cascading" and "primary" courses delivered in low-resource settings. Data was collated from 1030 candidates (119 Clinical Officers, 540 Doctors, 260 Nurses and 111 Medical Students) trained over 28 courses (9 "primary" and 19 "cascading" courses) in nine sub-Saharan countries between 2012 and 2013. Knowledge and clinical confidence of candidates were assessed using pre- and post-course MCQs and confidence matrix rating of clinical scenarios. Changes were measured in relation to co-variants of gender, job roles and primary versus cascading courses. Multivariate regression modelling and cost analysis was performed to examine the impact of primary versus cascading courses on candidates' performance. There was a significant improvement in knowledge (58% to 77%, p<0.05) and clinical confidence (68% to 90%, p<0.05) post-course. "Non-doctors" demonstrated a greater improvement in knowledge (22%) and confidence (24%) following the course (p<0.05). The degree of improvement of MCQ scores differed significantly, with the cascading courses (21%) outperforming primary courses (15%) (p<0.002). This is further supported by multivariate regression modelling where cascading courses are a strong predictor for improvement in MCQ scores (Coef=4.83, p<0.05). Trauma management training of health-workers plays a pivotal role in tackling the ever-growing trauma burden in Africa. Our study suggests cascading PTC courses may be an effective model in

  13. Pharmacokinetics of a Multipurpose Pod-Intravaginal Ring Simultaneously Delivering Five Drugs in an Ovine Model

    PubMed Central

    Moss, John A.; Malone, Amanda M.; Smith, Thomas J.; Kennedy, Sean; Nguyen, Cali; Vincent, Kathleen L.; Motamedi, Massoud

    2013-01-01

    Multipurpose technologies that simultaneously protect from sexually transmitted infections and unintended pregnancy are urgently needed. Pod-intravaginal rings (IVRs) formulated with the antiretroviral agents (ARVs) tenofovir, nevirapine, and saquinavir and the contraceptives etonogestrel and estradiol were evaluated in sheep. Steady-state concentrations were maintained for 28 days with controlled, sustained delivery. This proof-of-principle study demonstrates that pod IVRs can deliver three ARVs from different mechanistic classes and a progestin-estrogen combination over the wide range needed for putative preventative efficacy. PMID:23752507

  14. Improved cosmological model

    NASA Astrophysics Data System (ADS)

    Tsamis, N. C.; Woodard, R. P.

    2016-08-01

    We study a class of nonlocal, action-based, and purely gravitational models. These models seek to describe a cosmology in which inflation is driven by a large, bare cosmological constant that is screened by the self-gravitation between the soft gravitons that inflation rips from the vacuum. Inflation ends with the Universe poised on the verge of gravitational collapse, in an oscillating phase of expansion and contraction that should lead to rapid reheating when matter is included. After the attainment of a hot, dense Universe the nonlocal screening terms become constant as the Universe evolves through a conventional phase of radiation domination. The onset of matter domination triggers a much smaller antiscreening effect that could explain the current phase of acceleration.

  15. Conjugation of Palmitic Acid Improves Potency and Longevity of siRNA Delivered via Endosomolytic Polymer Nanoparticles

    PubMed Central

    Sarett, Samantha M.; Kilchrist, Kameron V.; Miteva, Martina; Duvall, Craig L.

    2015-01-01

    Clinical translation of siRNA therapeutics has been limited by the inability to effectively overcome the rigorous delivery barriers associated with intracellular-acting biologics. Here, in order to address both potency and longevity of siRNA gene silencing, pH-responsive micellar nanoparticle (NP) carriers loaded with siRNA conjugated to palmitic acid (siRNA-PA) were investigated as a combined approach to improve siRNA endosomal escape and stability. Conjugation to hydrophobic PA improved NP loading efficiency relative to unmodified siRNA, enabling complete packaging of siRNA-PA at a lower polymer:siRNA ratio. PA conjugation also increased intracellular uptake of the nucleic acid cargo by 35-fold and produced a 3.1-fold increase in intracellular half-life. The higher uptake and improved retention of siRNA-PA NPs correlated to a 2- and 11-fold decrease in gene silencing IC50 in comparison to siRNA NPs in fibroblasts and mesenchymal stem cells, respectively, for both the model gene luciferase and the therapeutically relevant gene PHD2. PA conjugation also significantly increased longevity of silencing activity following a single treatment, as observed in fibroblasts. Thus, conjugation of PA to siRNA paired with endosomolytic NPs is a promising approach to enhance the functional efficacy of siRNA in tissue regenerative and other applications. PMID:25641816

  16. Anticoagulation, Delivered Dose and Outcomes in CRRT: the Program to Improve Care in Acute Renal Disease (PICARD)

    PubMed Central

    Granado, Rolando Claure-Del; Macedo, Etienne; Soroko, Sharon; Kim, YeonWon; Chertow, Glenn M.; Himmelfarb, Jonathan; Ikizler, T. Alp; Paganini, Emil P.; Mehta, Ravindra L.

    2014-01-01

    Background Delivered dialysis dose by CRRT depends on circuit efficacy, which is influenced in part by the anticoagulation strategy. We evaluated the association of anticoagulation strategy used on solute clearance efficacy, circuit longevity, bleeding complications, and mortality. Methods We analyzed data from 1740 sessions 24 hours in length among 244 critically-ill patients, with at least 48 hours on CRRT. Regional citrate, heparin or saline flushes was variably used to prevent or attenuate filter clotting. We calculated delivered dose using the standardized Kt/Vurea. We monitored filter efficacy by calculating FUN/BUN ratios. Results Filter longevity was significantly higher with citrate (median 48, IQR 20.3–75.0 hours) than with heparin (5.9, IQR 8.5–27.0 hours) or no anticoagulation (17.5, IQR 9.5–32 hours, p<0.0001). Delivered dose was highest in treatments where citrate was employed. Bleeding complications were similar across the three groups (p=0.25). Compared to no anticoagulation, odds of death was higher with the heparin use (OR 1.82, 95% CI 1.02–3.32; p=0.033) but not with citrate (OR 1.02 95% CI 0.54–1.96; p = 0.53). Conclusions Relative to heparin or no anticoagulation, the use of regional citrate for anticoagulation in CRRT was associated with significantly prolonged filter life and increased filter efficacy with respect to delivered dialysis dose. Rates of bleeding complications, transfusions, and mortality were similar across the three groups. While these and other data suggest that citrate anticoagulation may offer superior technical performance than heparin or no anticoagulation, adequately powered clinical trials comparing alternative anticoagulation strategies should be performed to evaluate overall safety and efficacy. PMID:24620987

  17. Locally delivered antioxidant gel as an adjunct to nonsurgical therapy improves measures of oxidative stress and periodontal disease

    PubMed Central

    Srinivas, Gorremuchu; Reddy, Aileni Amarender; Reddy, Bavigadda Harish; Reddy, Chakravarthy; Nagarajan, Sripriya; Naveen, Anumala

    2013-01-01

    Purpose The present study has two aims; firstly, it attempts to verify the presence of oxidative stress by estimating the reactive oxygen species (ROS) levels in periodontal pockets ≥5 mm as compared to controls. The second aim is to evaluate the effect of lycopene as a locally delivered antioxidant gel on periodontal health and on the gingival crevicular fluid (GCF) levels of 8-hydroxydeoxyguanosine (8-OHdG), a marker of oxidative injury. Methods Thirty-one subjects participated in this study. In the pretreatment phase, the ROS levels in pockets ≥5 mm were measured by flow cytometry. Three sites in each subject were randomly assigned into each of the following experimental groups: sham group, only scaling and root planing (SRP) was done; placebo group, local delivery of placebo gel after SRP; and lycopene group, local delivery of lycopene gel after SRP. Clinical parameters included recording site-specific measures of GCF 8-OHdG, plaque, gingivitis, probing depth, and clinical attachment level. Results The gel, when delivered to the sites with oxidative stress, was effective in increasing clinical attachment and in reducing gingival inflammation, probing depth, and 8-OHdG levels as compared to the placebo and sham sites. Conclusions From this trial conducted over a period of 6 months, it was found that locally delivered lycopene seems to be effective in reducing the measures of oxidative stress and periodontal disease. PMID:23837126

  18. AAV delivered artificial microRNA extends survival and delays paralysis in an Amyotrophic Lateral Sclerosis mouse model

    PubMed Central

    Stoica, Lorelei; Todeasa, Sophia H.; Cabrera, Gabriela Toro; Salameh, Johnny S.; ElMallah, Mai K.; Mueller, Christian; Brown, Robert H.; Miguel, Sena-Esteves

    2017-01-01

    Objectives Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by loss of motor neurons, resulting in progressive muscle weakness, paralysis and death within five years of diagnosis. About 10% of cases are inherited, of which 20% are due to mutations in the superoxide dismutase 1 (SOD1) gene. Riluzole, the only FDA approved ALS drug, prolongs survival by only a few months. Experiments in transgenic ALS mouse models have shown decreasing levels of mutant SOD1 protein as a potential therapeutic approach. We sought to develop an efficient AAV mediated RNAi gene therapy for ALS. Methods A single stranded AAV9 vector encoding an artificial microRNA against human SOD1 was injected into the cerebral lateral ventricles of neonatal SOD1G93A mice and impact on disease progression and survival assessed. Results This therapy extended median survival by 50% and delayed hindlimb paralysis, with animals remaining ambulatory until the humane endpoint, which was due to rapid body weight loss. AAV9-treated SOD1G93A mice showed reduction of mutant human SOD1 mRNA levels in upper and lower motor neurons and significant improvements in multiple parameters including the numbers of spinal motor neurons, diameter of ventral root axons, and extent of neuroinflammation in the SOD1G93A spinal cord. Mice also showed previously unexplored changes in pulmonary function, with AAV9-treated SOD1G93A mice displaying a phenotype reminiscent of patient pathophysiology. Interpretation These studies clearly demonstrate that an AAV9-delivered SOD1-specific artificial microRNA is an effective and translatable therapeutic approach for ALS. PMID:26891182

  19. Operator models for delivering municipal solid waste management services in developing countries. Part A: The evidence base.

    PubMed

    Wilson, David C; Kanjogera, Jennifer Bangirana; Soós, Reka; Briciu, Cosmin; Smith, Stephen R; Whiteman, Andrew D; Spies, Sandra; Oelz, Barbara

    2017-08-01

    This article presents the evidence base for 'operator models' - that is, how to deliver a sustainable service through the interaction of the 'client', 'revenue collector' and 'operator' functions - for municipal solid waste management in emerging and developing countries. The companion article addresses a selection of locally appropriate operator models. The evidence shows that no 'standard' operator model is effective in all developing countries and circumstances. Each city uses a mix of different operator models; 134 cases showed on average 2.5 models per city, each applying to different elements of municipal solid waste management - that is, street sweeping, primary collection, secondary collection, transfer, recycling, resource recovery and disposal or a combination. Operator models were analysed in detail for 28 case studies; the article summarises evidence across all elements and in more detail for waste collection. Operators fall into three main groups: The public sector, formal private sector, and micro-service providers including micro-, community-based and informal enterprises. Micro-service providers emerge as a common group; they are effective in expanding primary collection service coverage into poor- or peri-urban neighbourhoods and in delivering recycling. Both public and private sector operators can deliver effective services in the appropriate situation; what matters more is a strong client organisation responsible for municipal solid waste management within the municipality, with stable political and financial backing and capacity to manage service delivery. Revenue collection is also integral to operator models: Generally the municipality pays the operator from direct charges and/or indirect taxes, rather than the operator collecting fees directly from the service user.

  20. UNESCO's G-WADI Program - Developing and Delivering Tools for Improved Water Management in Semi-arid and Arid Lands

    NASA Astrophysics Data System (ADS)

    Woodard, G. C.; Imam, B.; Sorooshian, S.

    2007-12-01

    UNESCO's Water and Development Information for Arid Lands - A Global Network (G-WADI) aims to strengthen the capacity to manage the water resources of arid and semi-arid areas around the globe through a network of international and regional cooperation. Six centers, including SAHRA headquartered at the University of Arizona and CHRS at UC-Irvine, are cooperating to improve water resource management by sharing knowledge and tools. Specific objectives include: improved understanding of the special characteristics of hydrological systems and water management needs in arid areas, through shared data and experiences; capacity building of individuals and institutions; raising awareness of advanced technologies for data provision, data assimilation, and system analysis; and promoting integrated basin management and the use of appropriate decision support tools. SAHRA coordinates G-WADI's information dissemination via G-WADI's web site and publications. Web-based resources include Global Water News Watch and the subscription service, Water News Tracker, plus access to remotely sensed precipitation data from HyDIS. Information on use of isotopes and chemical tracers is also featured. Materials and outcomes from various workshops and short courses on modeling, water harvesting, and impacts of climate change also are provided. While the intent is to benefit water resource managers in semi- arid and arid developing countries, the collaboration among international water centers, and perspectives and traditional knowledge gained from users, has benefitted U.S. researchers in many ways.

  1. A dual PI3K/mTOR inhibitor, PI-103, cooperates with stem cell-delivered TRAIL in experimental glioma models.

    PubMed

    Bagci-Onder, Tugba; Wakimoto, Hiroaki; Anderegg, Maarten; Cameron, Cody; Shah, Khalid

    2011-01-01

    The resistance of glioma cells to a number of antitumor agents and the highly invasive nature of glioma cells that escape the primary tumor mass are key impediments to the eradication of tumors in glioma patients. In this study, we evaluated the therapeutic efficacy of a novel PI3-kinase/mTOR inhibitor, PI-103, in established glioma lines and primary CD133(+) glioma-initiating cells and explored the potential of combining PI-103 with stem cell-delivered secretable tumor necrosis factor apoptosis-inducing ligand (S-TRAIL) both in vitro and in orthotopic mouse models of gliomas. We show that PI-103 inhibits proliferation and invasion, causes G(0)-G(1) arrest in cell cycle, and results in significant attenuation of orthotopic tumor growth in vivo. Establishing cocultures of neural stem cells (NSC) and glioma cells, we show that PI-103 augments the response of glioma cells to stem cell-delivered S-TRAIL. Using bimodal optical imaging, we show that when different regimens of systemic PI-103 delivery are combined with NSC-derived S-TRAIL, a significant reduction in tumor volumes is observed compared with PI-103 treatment alone. To our knowledge, this is the first study that reveals the antitumor effect of PI-103 in intracranial gliomas. Our findings offer a preclinical rationale for application of mechanism-based systemically delivered antiproliferative agents and novel stem cell-based proapoptotic therapies to improve treatment of malignant gliomas.

  2. Prematurely Delivered Rats Show Improved Motor Coordination During Sensory-evoked Motor Responses Compared to Age-matched Controls

    PubMed Central

    Roberto, Megan E.; Brumley, Michele R.

    2014-01-01

    The amount of postnatal experience for perinatal rats was manipulated by delivering pups one day early (postconception day 21; PC21) by cesarean delivery and comparing their motor behavior to age-matched controls on PC22 (the typical day of birth). On PC22, pups were tested on multiple measures of motor coordination: leg extension response (LER), facial wiping, contact righting, and fore- and hindlimb stepping. The LER and facial wiping provided measures of synchronous hind- and forelimb coordination, respectively, and were sensory-evoked. Contact righting also was sensory-evoked and provided a measure of axial coordination. Stepping provided a measure of alternated forelimb and hindlimb coordination and was induced with the serotonin receptor agonist quipazine. Pups that were delivered prematurely and spent an additional day in the postnatal environment showed more bilateral limb coordination during expression of the LER and facial wiping, as well as a more mature righting strategy, compared to controls. These findings suggest that experience around the time of birth shapes motor coordination and the expression of species-typical behavior in the developing rat. PMID:24680729

  3. Feasibility of a clearing house for improved cooperation between telemedicine networks delivering humanitarian services: acceptability to network coordinators

    PubMed Central

    Wootton, Richard; Bonnardot, Laurent; Geissbuhler, Antoine; Jethwani, Kamal; Kovarik, Carrie; McGoey, Suzanne; Person, Donald A.; Vladzymyrskyy, Anton; Zolfo, Maria

    2012-01-01

    Background Telemedicine networks, which deliver humanitarian services, sometimes need to share expertise to find particular experts in other networks. It has been suggested that a mechanism for sharing expertise between networks (a ‘clearing house’) might be useful. Objective To propose a mechanism for implementing the clearing house concept for sharing expertise, and to confirm its feasibility in terms of acceptability to the relevant networks. Design We conducted a needs analysis among eight telemedicine networks delivering humanitarian services. A small proportion of consultations (5–10%) suggested that networks may experience difficulties in finding the right specialists from within their own resources. With the assistance of key stakeholders, many of whom were network coordinators, various methods of implementing a clearing house were considered. One simple solution is to establish a central database holding information about consultants who have agreed to provide help to other networks; this database could be made available to network coordinators who need a specialist when none was available in their own network. Results The proposed solution was examined in a desktop simulation exercise, which confirmed its feasibility and probable value. Conclusion This analysis informs full-scale implementation of a clearing house, and an associated examination of its costs and benefits. PMID:23058274

  4. Feasibility of a clearing house for improved cooperation between telemedicine networks delivering humanitarian services: acceptability to network coordinators.

    PubMed

    Wootton, Richard; Bonnardot, Laurent; Geissbuhler, Antoine; Jethwani, Kamal; Kovarik, Carrie; McGoey, Suzanne; Person, Donald A; Vladzymyrskyy, Anton; Zolfo, Maria

    2012-10-09

    Telemedicine networks, which deliver humanitarian services, sometimes need to share expertise to find particular experts in other networks. It has been suggested that a mechanism for sharing expertise between networks (a 'clearing house') might be useful. To propose a mechanism for implementing the clearing house concept for sharing expertise, and to confirm its feasibility in terms of acceptability to the relevant networks. We conducted a needs analysis among eight telemedicine networks delivering humanitarian services. A small proportion of consultations (5-10%) suggested that networks may experience difficulties in finding the right specialists from within their own resources. With the assistance of key stakeholders, many of whom were network coordinators, various methods of implementing a clearing house were considered. One simple solution is to establish a central database holding information about consultants who have agreed to provide help to other networks; this database could be made available to network coordinators who need a specialist when none was available in their own network. The proposed solution was examined in a desktop simulation exercise, which confirmed its feasibility and probable value. This analysis informs full-scale implementation of a clearing house, and an associated examination of its costs and benefits.

  5. Prematurely delivered rats show improved motor coordination during sensory-evoked motor responses compared to age-matched controls.

    PubMed

    Roberto, Megan E; Brumley, Michele R

    2014-05-10

    The amount of postnatal experience for perinatal rats was manipulated by delivering pups one day early (postconception day 21; PC21) by cesarean delivery and comparing their motor behavior to age-matched controls on PC22 (the typical day of birth). On PC22, pups were tested on multiple measures of motor coordination: leg extension response (LER), facial wiping, contact righting, and fore- and hindlimb stepping. The LER and facial wiping provided measures of synchronous hind- and forelimb coordination, respectively, and were sensory-evoked. Contact righting also was sensory-evoked and provided a measure of axial coordination. Stepping provided a measure of alternated forelimb and hindlimb coordination and was induced with the serotonin receptor agonist quipazine. Pups that were delivered prematurely and spent an additional day in the postnatal environment showed more bilateral limb coordination during expression of the LER and facial wiping, as well as a more mature righting strategy, compared to controls. These findings suggest that experience around the time of birth shapes motor coordination and the expression of species-typical behavior in the developing rat.

  6. Feasibility of a clearing house for improved cooperation between telemedicine networks delivering humanitarian services: acceptability to network coordinators.

    PubMed

    Wootton, Richard; Bonnardot, Laurent; Geissbuhler, Antoine; Jethwani, Kamal; Kovarik, Carrie; McGoey, Suzanne; A Person, Donald; Vladzymyrskyy, Anton; Zolfo, Maria

    2012-01-01

    Telemedicine networks, which deliver humanitarian services, sometimes need to share expertise to find particular experts in other networks. It has been suggested that a mechanism for sharing expertise between networks (a 'clearing house') might be useful. To propose a mechanism for implementing the clearing house concept for sharing expertise, and to confirm its feasibility in terms of acceptability to the relevant networks. We conducted a needs analysis among eight telemedicine networks delivering humanitarian services. A small proportion of consultations (5-10%) suggested that networks may experience difficulties in finding the right specialists from within their own resources. With the assistance of key stakeholders, many of whom were network coordinators, various methods of implementing a clearing house were considered. One simple solution is to establish a central database holding information about consultants who have agreed to provide help to other networks; this database could be made available to network coordinators who need a specialist when none was available in their own network. The proposed solution was examined in a desktop simulation exercise, which confirmed its feasibility and probable value. This analysis informs full-scale implementation of a clearing house, and an associated examination of its costs and benefits.

  7. Improving Access to Mental Health Care by Delivering Psychotherapeutic Care in the Workplace: A Cross-Sectional Exploratory Trial

    PubMed Central

    Kilian, Reinhold; Rottler, Edit; Mayer, Dorothea; Hölzer, Michael; Rieger, Monika A.; Gündel, Harald

    2017-01-01

    Objective Common mental disorders like mood and anxiety disorders and somatoform disorders have high costs, yet under-treatment is still frequent. Many people with common mental disorders are employed, so the workplace is potentially a suitable context in which to provide early treatment. Our study investigates whether a change of setting (workplace versus standard care) improves access to treatment for common mental disorders. Methods Conditional latent profile analysis was applied to identify user profiles for work ability (WAI), clinical symptoms like depression (patient health questionnaire depression, PHQ-9), health-related quality of life (QoL, SF-12), and work-related stress (Maslach Burnout Inventory, irritation scale). Patients were recruited consecutively, via psychotherapeutic consultation in the workplace (n = 174) or psychotherapeutic consultation in outpatient care (n = 193). Results We identified four user profiles in our model: ‘severe’ (n = 99), ‘moderate I—low QoL’ (n = 88), ‘moderate II—low work ability’ (n = 83), and ‘at risk’ (n = 97). The ‘at risk’ profile encompassed individuals with reduced work ability (36.0, 34.73 to 37.37), only mild clinical symptoms (PHQ-9 5.7, 4.92 to 6.53), no signs of work-related stress and good quality of life. A higher proportion of the ‘at risk’ group than of the ‘severe’ group sought help via the psychotherapeutic consultation in the workplace (OR 0.287, P < 0.01); this effect remained after controlling for gender. Conclusions Offering secondary mental health care in the workplace is feasible and accepted by users. Offering treatment in the workplace as an alternative to standard outpatient settings is a viable strategy for improving access to treatment for common mental disorders. PMID:28056101

  8. Improving Access to Mental Health Care by Delivering Psychotherapeutic Care in the Workplace: A Cross-Sectional Exploratory Trial.

    PubMed

    Rothermund, Eva; Kilian, Reinhold; Rottler, Edit; Mayer, Dorothea; Hölzer, Michael; Rieger, Monika A; Gündel, Harald

    2017-01-01

    Common mental disorders like mood and anxiety disorders and somatoform disorders have high costs, yet under-treatment is still frequent. Many people with common mental disorders are employed, so the workplace is potentially a suitable context in which to provide early treatment. Our study investigates whether a change of setting (workplace versus standard care) improves access to treatment for common mental disorders. Conditional latent profile analysis was applied to identify user profiles for work ability (WAI), clinical symptoms like depression (patient health questionnaire depression, PHQ-9), health-related quality of life (QoL, SF-12), and work-related stress (Maslach Burnout Inventory, irritation scale). Patients were recruited consecutively, via psychotherapeutic consultation in the workplace (n = 174) or psychotherapeutic consultation in outpatient care (n = 193). We identified four user profiles in our model: 'severe' (n = 99), 'moderate I-low QoL' (n = 88), 'moderate II-low work ability' (n = 83), and 'at risk' (n = 97). The 'at risk' profile encompassed individuals with reduced work ability (36.0, 34.73 to 37.37), only mild clinical symptoms (PHQ-9 5.7, 4.92 to 6.53), no signs of work-related stress and good quality of life. A higher proportion of the 'at risk' group than of the 'severe' group sought help via the psychotherapeutic consultation in the workplace (OR 0.287, P < 0.01); this effect remained after controlling for gender. Offering secondary mental health care in the workplace is feasible and accepted by users. Offering treatment in the workplace as an alternative to standard outpatient settings is a viable strategy for improving access to treatment for common mental disorders.

  9. Motivational support provided via email improves the effectiveness of internet-delivered self-help treatment for insomnia: a randomized trial.

    PubMed

    Lancee, Jaap; van den Bout, Jan; Sorbi, Marjolijn J; van Straten, Annemieke

    2013-12-01

    Internet-delivered treatment is effective for insomnia, but little is known about the beneficial effects of support. The aim of the current study was to investigate the additional effects of low-intensity support to an internet-delivered treatment for insomnia. Two hundred and sixty-two participants were randomized to an internet-delivered intervention for insomnia with (n = 129) or without support (n = 133). All participants received an internet-delivered cognitive behavioral treatment for insomnia. In addition, the participants in the support condition received weekly emails. Assessments were at baseline, post-treatment, and 6-month follow-up. Both groups effectively ameliorated insomnia complaints. Adding support led to significantly higher effects on most sleep measures (d = 0.3-0.5; p < 0.05), self-reported insomnia severity (d = 0.4; p < 0.001), anxiety, and depressive symptoms (d = 0.4; p < 0.01). At the 6-month follow-up, these effects remained significant for sleep efficiency, sleep onset latency, insomnia symptoms, and depressive symptoms (d = 0.3-0.5; p < 0.05). Providing support significantly enhances the benefits of internet-delivered treatment for insomnia on several variables. It appears that motivational feedback increases the effect of the intervention and encourages more participants to complete the intervention, which in turn improves its effectiveness.

  10. From the Tightrope: Designing, Developing, and Delivering an Alternative Teacher Education Model

    ERIC Educational Resources Information Center

    Yancey, Patty

    2006-01-01

    In the fall of 2003 a number of factors came together to create a fertile environment for developing an alternative, pre-service teacher education model. The overarching goal of the model is to diversify a rural university's credential program(s) by developing and offering alternative paths toward teacher certification within the constraints of a…

  11. Distance Career Counseling: A Technology-Assisted Model for Delivering Career Counseling Services.

    ERIC Educational Resources Information Center

    Djadali, Yas; Malone, James F.

    The purpose of the present article is to demonstrate the need for distance career counseling services, and to present an evolving counseling model that combines the best practices of face-to-face career counseling with technology. The article begins by tracing the historical development of distance career counseling models, and then illustrates…

  12. Adenovirally delivered enzyme prodrug therapy with herpes simplex virus-thymidine kinase in composite tissue free flaps shows therapeutic efficacy in rat models of glioma

    PubMed Central

    2016-01-01

    Structured Abstract Introduction Free flap gene therapy exploits a novel therapeutic window when viral vectors can be delivered to the flap ex vivo. We investigated the therapeutic potential of the thymidine kinase (TK)/ganciclovir pro-drug system in treating residual disease when delivered into a free flap by intra-arterial injection of an adenoviral vector (Ad.TK). Methods We demonstrated direct in vitro efficacy of the Ad.TK/ganciclovir system by treating a panel of malignant cell lines with Ad.TK/ganciclovir to show significant cell kill proportional to the multiplicity of infection (MOI) of Ad.TK. Indirect (bystander) cytotoxicity was demonstrated by transferring conditioned medium from Ad.TK-infected malignant, or non-malignant, producer cells to uninfected tumour cells. We investigated the effect of Ad.TK/ganciclovir therapy in vivo, using models of microscopic (MiRD) and macroscopic (MaRD) residual disease in a rodent superficial inferior epigastric artery flap model. Results We observed retardation of tumour volume growth in both MiRD and MaRD models (p<0.05) and improvements in animal survival (MiRD median survival: MOI10 = 28 days, MOI 50 = 25 days, control = 18.5 days, p=0.0004; MaRD median survival: MOI 50 = 30 days, control = 18 days, p=0.0005). Gene expression studies demonstrated that viral genomic material was found predominantly in flap tissues but declined over time. Conclusion In summary, we describe the utility of virally-delivered enzyme/pro-drug therapy (VDEPT), using a free flap as a vehicle for delivery. We discuss the merits and limitations of this approach and the unique role of therapeutic free flaps in the reconstructive armamentarium. PMID:25626794

  13. The feasibility of an e-mail-delivered intervention to improve nutrition and physical activity behaviors in African American college students.

    PubMed

    Mackey, Eleanor; Schweitzer, Amy; Hurtado, Maria Eugenia; Hathway, Joanne; DiPietro, Loretta; Lei, Kai Y; Klein, Catherine J

    2015-01-01

    To evaluate the feasibility and acceptability of an e-mail-delivered program to promote nutrition and physical activity in African American college students. Forty-seven students (76% female, aged 18-20 years). Students participated in a 24-week randomized controlled trial, receiving either general health information or the intervention focused on diet and physical activity. At baseline, 80.9% and 76.0% of participants reported interest in improving diet and physical activity, respectively. Participants evidenced poor nutrition behaviors and 46% were overweight or obese. At 24 weeks, most participants (70% control, 84% intervention) were "somewhat" or "very" satisfied with the program. The program was feasible to administrate, with the exception of measurement of physical activity using accelerometers. An innovative e-mail-delivered program promoting positive health behaviors appears to be feasible and acceptable in African American college students. Further research is needed to evaluate program efficacy in this population, including prevention of excess weight gain.

  14. Improving Employee Well-Being and Effectiveness: Systematic Review and Meta-Analysis of Web-Based Psychological Interventions Delivered in the Workplace.

    PubMed

    Carolan, Stephany; Harris, Peter R; Cavanagh, Kate

    2017-07-26

    Stress, depression, and anxiety among working populations can result in reduced work performance and increased absenteeism. Although there is evidence that these common mental health problems are preventable and treatable in the workplace, uptake of psychological treatments among the working population is low. One way to address this may be the delivery of occupational digital mental health interventions. While there is convincing evidence for delivering digital psychological interventions within a health and community context, there is no systematic review or meta-analysis of these interventions in an occupational setting. The aim of this study was to identify the effectiveness of occupational digital mental health interventions in enhancing employee psychological well-being and increasing work effectiveness and to identify intervention features associated with the highest rates of engagement and adherence. A systematic review of the literature was conducted using Cochrane guidelines. Papers published from January 2000 to May 2016 were searched in the PsychINFO, MEDLINE, PubMed, Science Direct, and the Cochrane databases, as well as the databases of the researchers and relevant websites. Unpublished data was sought using the Conference Proceedings Citation Index and the Clinical Trials and International Standard Randomized Controlled Trial Number (ISRCTN) research registers. A meta-analysis was conducted by applying a random-effects model to assess the pooled effect size for psychological well-being and the work effectiveness outcomes. A positive deviance approach was used to identify those intervention features associated with the highest rates of engagement and adherence. In total, 21 randomized controlled trials (RCTs) met the search criteria. Occupational digital mental health interventions had a statistically significant effect post intervention on both psychological well-being (g=0.37, 95% CI 0.23-0.50) and work effectiveness (g=0.25, 95% CI 0

  15. Improving Employee Well-Being and Effectiveness: Systematic Review and Meta-Analysis of Web-Based Psychological Interventions Delivered in the Workplace

    PubMed Central

    Harris, Peter R; Cavanagh, Kate

    2017-01-01

    Background Stress, depression, and anxiety among working populations can result in reduced work performance and increased absenteeism. Although there is evidence that these common mental health problems are preventable and treatable in the workplace, uptake of psychological treatments among the working population is low. One way to address this may be the delivery of occupational digital mental health interventions. While there is convincing evidence for delivering digital psychological interventions within a health and community context, there is no systematic review or meta-analysis of these interventions in an occupational setting. Objective The aim of this study was to identify the effectiveness of occupational digital mental health interventions in enhancing employee psychological well-being and increasing work effectiveness and to identify intervention features associated with the highest rates of engagement and adherence. Methods A systematic review of the literature was conducted using Cochrane guidelines. Papers published from January 2000 to May 2016 were searched in the PsychINFO, MEDLINE, PubMed, Science Direct, and the Cochrane databases, as well as the databases of the researchers and relevant websites. Unpublished data was sought using the Conference Proceedings Citation Index and the Clinical Trials and International Standard Randomized Controlled Trial Number (ISRCTN) research registers. A meta-analysis was conducted by applying a random-effects model to assess the pooled effect size for psychological well-being and the work effectiveness outcomes. A positive deviance approach was used to identify those intervention features associated with the highest rates of engagement and adherence. Results In total, 21 randomized controlled trials (RCTs) met the search criteria. Occupational digital mental health interventions had a statistically significant effect post intervention on both psychological well-being (g=0.37, 95% CI 0.23-0.50) and work

  16. Improved AWG Fourier optics model.

    PubMed

    Molina-Fernández, I; Wangüemert-Pérez, J

    2004-10-04

    In this paper we present an improved Fourier Optics model to calculate the transmission characteristics between any arbitrary pair of input/output ports (IOPs) of an Arrayed Waveguide Grating (AWG). In this model the input and output sections of the AWG are modeled using the same approximations, thus removing some reciprocity-related inconsistencies present in previously existing models. The expressions which summarize the model are compact and easily interpretable. Simple quasi-analytical expressions are also derived under the Gaussian approximation of the mode field profiles.

  17. Cell-delivered magnetic nanoparticles caused hyperthermia-mediated increased survival in a murine pancreatic cancer model

    PubMed Central

    Basel, Matthew T; Balivada, Sivasai; Wang, Hongwang; Shrestha, Tej B; Seo, Gwi Moon; Pyle, Marla; Abayaweera, Gayani; Dani, Raj; Koper, Olga B; Tamura, Masaaki; Chikan, Viktor; Bossmann, Stefan H; Troyer, Deryl L

    2012-01-01

    Using magnetic nanoparticles to absorb alternating magnetic field energy as a method of generating localized hyperthermia has been shown to be a potential cancer treatment. This report demonstrates a system that uses tumor homing cells to actively carry iron/iron oxide nanoparticles into tumor tissue for alternating magnetic field treatment. Paramagnetic iron/ iron oxide nanoparticles were synthesized and loaded into RAW264.7 cells (mouse monocyte/ macrophage-like cells), which have been shown to be tumor homing cells. A murine model of disseminated peritoneal pancreatic cancer was then generated by intraperitoneal injection of Pan02 cells. After tumor development, monocyte/macrophage-like cells loaded with iron/ iron oxide nanoparticles were injected intraperitoneally and allowed to migrate into the tumor. Three days after injection, mice were exposed to an alternating magnetic field for 20 minutes to cause the cell-delivered nanoparticles to generate heat. This treatment regimen was repeated three times. A survival study demonstrated that this system can significantly increase survival in a murine pancreatic cancer model, with an average post-tumor insertion life expectancy increase of 31%. This system has the potential to become a useful method for specifically and actively delivering nanoparticles for local hyperthermia treatment of cancer. PMID:22287840

  18. Cell-delivered magnetic nanoparticles caused hyperthermia-mediated increased survival in a murine pancreatic cancer model.

    PubMed

    Basel, Matthew T; Balivada, Sivasai; Wang, Hongwang; Shrestha, Tej B; Seo, Gwi Moon; Pyle, Marla; Abayaweera, Gayani; Dani, Raj; Koper, Olga B; Tamura, Masaaki; Chikan, Viktor; Bossmann, Stefan H; Troyer, Deryl L

    2012-01-01

    Using magnetic nanoparticles to absorb alternating magnetic field energy as a method of generating localized hyperthermia has been shown to be a potential cancer treatment. This report demonstrates a system that uses tumor homing cells to actively carry iron/iron oxide nanoparticles into tumor tissue for alternating magnetic field treatment. Paramagnetic iron/ iron oxide nanoparticles were synthesized and loaded into RAW264.7 cells (mouse monocyte/ macrophage-like cells), which have been shown to be tumor homing cells. A murine model of disseminated peritoneal pancreatic cancer was then generated by intraperitoneal injection of Pan02 cells. After tumor development, monocyte/macrophage-like cells loaded with iron/ iron oxide nanoparticles were injected intraperitoneally and allowed to migrate into the tumor. Three days after injection, mice were exposed to an alternating magnetic field for 20 minutes to cause the cell-delivered nanoparticles to generate heat. This treatment regimen was repeated three times. A survival study demonstrated that this system can significantly increase survival in a murine pancreatic cancer model, with an average post-tumor insertion life expectancy increase of 31%. This system has the potential to become a useful method for specifically and actively delivering nanoparticles for local hyperthermia treatment of cancer.

  19. Modeling pollen tube growth: feeling the pressure to deliver testifiable predictions.

    PubMed

    Kroeger, Jens; Geitmann, Anja

    2011-11-01

    The frequency and amplitude of oscillatory pollen tube growth can be altered by changing the osmotic value of the surrounding medium. This has motivated the proposition that the periodic change in growth velocity is caused by changes in turgor pressure. Using mathematical modeling we recently demonstrated that the oscillatory pollen tube growth does not require turgor to change but that this behavior can be explained with a mechanism that relies on changes in the mechanical properties of the cell wall which in turn are caused by temporal variations in the secretion of cell wall precursors. The model also explains why turgor and growth rate are correlated for oscillatory growth with long growth cycles while they seem uncorrelated for oscillatory growth with short growth cycles. The predictions made by the model are testifiable by experimental data and therefore represent an important step towards understanding the dynamics of the growth behavior in walled cells.

  20. The Psychology of Delivering a Psychological Service: Self-Organised Learning as a Model for Consultation

    ERIC Educational Resources Information Center

    Clarke, Steve; Jenner, Simon

    2006-01-01

    The article describes how one Educational Psychology Service in the UK developed a service delivery based on self-organised learning (SOL). This model is linked to the paradigms and discourses within which educational psychology and special educational needs work. The work described here is dedicated to the memory of Brian Roberts, academic, close…

  1. Have Cognitive Diagnostic Models Delivered Their Goods? Some Substantial and Methodological Concerns

    ERIC Educational Resources Information Center

    Wilhelm, Oliver; Robitzsch, Alexander

    2009-01-01

    The paper by Rupp and Templin (2008) is an excellent work on the characteristics and features of cognitive diagnostic models (CDM). In this article, the authors comment on some substantial and methodological aspects of this focus paper. They organize their comments by going through issues associated with the terms "cognitive,"…

  2. The Psychology of Delivering a Psychological Service: Self-Organised Learning as a Model for Consultation

    ERIC Educational Resources Information Center

    Clarke, Steve; Jenner, Simon

    2006-01-01

    The article describes how one Educational Psychology Service in the UK developed a service delivery based on self-organised learning (SOL). This model is linked to the paradigms and discourses within which educational psychology and special educational needs work. The work described here is dedicated to the memory of Brian Roberts, academic, close…

  3. Pharmacokinetics and preliminary safety study of pod-intravaginal rings delivering antiretroviral combinations for HIV prophylaxis in a macaque model.

    PubMed

    Moss, John A; Srinivasan, Priya; Smith, Thomas J; Butkyavichene, Irina; Lopez, Gilbert; Brooks, Amanda A; Martin, Amy; Dinh, Chuong T; Smith, James M; Baum, Marc M

    2014-09-01

    Preexposure prophylaxis using oral regimens involving the HIV nucleoside reverse transcriptase inhibitors tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC) demonstrated efficacy in three clinical trials. Adherence was determined to be a key parameter for success. Incorporation of the TDF-FTC combination into intravaginal rings (IVRs) for sustained mucosal delivery could increase product adherence and efficacy compared with those of oral and vaginal gel formulations. A novel pod-IVR technology capable of delivering multiple drugs is described; this constitutes the first report of an IVR delivering TDF and FTC, as well as a triple-combination IVR delivering TDF, FTC, and the entry inhibitor maraviroc (MVC). The pharmacokinetics and preliminary local safety of the two combination pod-IVRs were evaluated in the pig-tailed macaque model. The devices exhibited sustained release at controlled rates over the 28-day study period. Median steady-state drug levels in vaginal tissues in the TDF-FTC group were 30 μg g(-1) (tenofovir [TFV], in vivo hydrolysis product of TDF) and 500 μg g(-1) (FTC) and in the TDF-FTC-MVC group were 10 μg g(-1) (TFV), 150 μg g(-1) (FTC), and 20 μg g(-1) (MVC). No adverse events were observed, and there were no toxicological findings. Mild-to-moderate increases in inflammatory infiltrates were observed in the vaginal tissues of some animals in both the presence and the absence of the IVRs. The IVRs did not disturb the vaginal microbiota, and levels of proinflammatory cytokines remained stable throughout the study. Pod-IVR candidates based on the TDF-FTC combination have potential for the prevention of vaginal HIV acquisition and merit clinical investigation.

  4. Pharmacokinetics and Preliminary Safety Study of Pod-Intravaginal Rings Delivering Antiretroviral Combinations for HIV Prophylaxis in a Macaque Model

    PubMed Central

    Moss, John A.; Srinivasan, Priya; Smith, Thomas J.; Butkyavichene, Irina; Lopez, Gilbert; Brooks, Amanda A.; Martin, Amy; Dinh, Chuong T.; Smith, James M.

    2014-01-01

    Preexposure prophylaxis using oral regimens involving the HIV nucleoside reverse transcriptase inhibitors tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC) demonstrated efficacy in three clinical trials. Adherence was determined to be a key parameter for success. Incorporation of the TDF-FTC combination into intravaginal rings (IVRs) for sustained mucosal delivery could increase product adherence and efficacy compared with those of oral and vaginal gel formulations. A novel pod-IVR technology capable of delivering multiple drugs is described; this constitutes the first report of an IVR delivering TDF and FTC, as well as a triple-combination IVR delivering TDF, FTC, and the entry inhibitor maraviroc (MVC). The pharmacokinetics and preliminary local safety of the two combination pod-IVRs were evaluated in the pig-tailed macaque model. The devices exhibited sustained release at controlled rates over the 28-day study period. Median steady-state drug levels in vaginal tissues in the TDF-FTC group were 30 μg g−1 (tenofovir [TFV], in vivo hydrolysis product of TDF) and 500 μg g−1 (FTC) and in the TDF-FTC-MVC group were 10 μg g−1 (TFV), 150 μg g−1 (FTC), and 20 μg g−1 (MVC). No adverse events were observed, and there were no toxicological findings. Mild-to-moderate increases in inflammatory infiltrates were observed in the vaginal tissues of some animals in both the presence and the absence of the IVRs. The IVRs did not disturb the vaginal microbiota, and levels of proinflammatory cytokines remained stable throughout the study. Pod-IVR candidates based on the TDF-FTC combination have potential for the prevention of vaginal HIV acquisition and merit clinical investigation. PMID:24936594

  5. Efficacy of orally delivered cochleates containing amphotericin B in a murine model of aspergillosis.

    PubMed

    Delmas, G; Park, S; Chen, Z W; Tan, F; Kashiwazaki, R; Zarif, L; Perlin, D S

    2002-08-01

    Cochleates containing amphotericin B (CAMB) were administered orally at doses ranging from 0 to 40 mg/kg of body weight/day for 14 days in a murine model of systemic aspergillosis. The administration of oral doses of CAMB (20 and 40 mg/kg/day) resulted in a survival rate of 70% and a reduction in colony counts of more than 2 logs in lungs, livers, and kidneys. Orally administered CAMB shows promise for the treatment of aspergillosis.

  6. Efficacy of Orally Delivered Cochleates Containing Amphotericin B in a Murine Model of Aspergillosis

    PubMed Central

    Delmas, G.; Park, S.; Chen, Z. W.; Tan, F.; Kashiwazaki, R.; Zarif, L.; Perlin, D. S.

    2002-01-01

    Cochleates containing amphotericin B (CAMB) were administered orally at doses ranging from 0 to 40 mg/kg of body weight/day for 14 days in a murine model of systemic aspergillosis. The administration of oral doses of CAMB (20 and 40 mg/kg/day) resulted in a survival rate of 70% and a reduction in colony counts of more than 2 logs in lungs, livers, and kidneys. Orally administered CAMB shows promise for the treatment of aspergillosis. PMID:12121962

  7. Minimally Disruptive Medicine: A Pragmatically Comprehensive Model for Delivering Care to Patients with Multiple Chronic Conditions

    PubMed Central

    Leppin, Aaron L.; Montori, Victor M.; Gionfriddo, Michael R.

    2015-01-01

    An increasing proportion of healthcare resources in the United States are directed toward an expanding group of complex and multimorbid patients. Federal stakeholders have called for new models of care to meet the needs of these patients. Minimally Disruptive Medicine (MDM) is a theory-based, patient-centered, and context-sensitive approach to care that focuses on achieving patient goals for life and health while imposing the smallest possible treatment burden on patients’ lives. The MDM Care Model is designed to be pragmatically comprehensive, meaning that it aims to address any and all factors that impact the implementation and effectiveness of care for patients with multiple chronic conditions. It comprises core activities that map to an underlying and testable theoretical framework. This encourages refinement and future study. Here, we present the conceptual rationale for and a practical approach to minimally disruptive care for patients with multiple chronic conditions. We introduce some of the specific tools and strategies that can be used to identify the right care for these patients and to put it into practice. PMID:27417747

  8. Minimally Disruptive Medicine: A Pragmatically Comprehensive Model for Delivering Care to Patients with Multiple Chronic Conditions.

    PubMed

    Leppin, Aaron L; Montori, Victor M; Gionfriddo, Michael R

    2015-01-29

    An increasing proportion of healthcare resources in the United States are directed toward an expanding group of complex and multimorbid patients. Federal stakeholders have called for new models of care to meet the needs of these patients. Minimally Disruptive Medicine (MDM) is a theory-based, patient-centered, and context-sensitive approach to care that focuses on achieving patient goals for life and health while imposing the smallest possible treatment burden on patients' lives. The MDM Care Model is designed to be pragmatically comprehensive, meaning that it aims to address any and all factors that impact the implementation and effectiveness of care for patients with multiple chronic conditions. It comprises core activities that map to an underlying and testable theoretical framework. This encourages refinement and future study. Here, we present the conceptual rationale for and a practical approach to minimally disruptive care for patients with multiple chronic conditions. We introduce some of the specific tools and strategies that can be used to identify the right care for these patients and to put it into practice.

  9. Internet-Delivered Self-management Support for Improving Coronary Heart Disease and Self-management-Related Outcomes: A Systematic Review.

    PubMed

    Palacios, Jorge; Lee, Geraldine A; Duaso, Maria; Clifton, Abigail; Norman, Ian J; Richards, Derek; Barley, Elizabeth Alexandra

    Coronary heart disease (CHD) is associated with significant morbidity and mortality, including mental health comorbidity, which is associated with poor outcomes. Self-management is key, but there is limited access to self-management support. Internet-delivered interventions may increase access. The aim of this study was to conduct a systematic review to (1) determine the effectiveness of Internet-delivered CHD self-management support for improving CHD, mood, and self-management related outcomes and (2) identify and describe essential components for effectiveness. Randomized controlled trials that met prespecified eligibility criteria were identified using a systematic search of 3 healthcare databases (Medline, PsychINFO, and Embase). Seven trials, which included 1321 CHD patients, were eligible for inclusion. There was considerable heterogeneity between studies in terms of the intervention content, outcomes measured, and study quality. All 7 of the studies reported significant positive between-group effects, in particular for lifestyle-related outcomes. Personalization of interventions and provision of support to promote engagement may be associated with improved outcomes, although more data are required to confirm this. The theoretical basis of interventions was poorly developed though evidence-based behavior change interventions were used. More well-designed randomized controlled trials are needed. These should also explore how interventions work and how to improve participant retention and satisfaction and examine the role of personalization and support within interventions.

  10. The impact of consultant delivered service in emergency medicine: the Wrexham Model.

    PubMed

    Sen, Aruni; Hill, David; Menon, Dilip; Rae, Fiona; Hughes, Hywel; Roop, Robin

    2012-05-01

    Consultant based delivery of emergency service is perceived to add value. This study aims to demonstrate the impact of such a service model based on consultant working in a UK emergency department. This retrospective study was based on the emergency department of a district general hospital. Activity data was analysed for 2009. Workload and admission rates were compared between consultants, middle grade doctors and senior house officers (SHOs). Admission rates were compared against two similar departments. Data from night shifts allowed consultant activity to be contrasted with middle grades and SHOs. Time spent in the department, admission rates, patients who left without treatment, discharged outright and clinic returns were used for comparison. Consultants often saw more patients than SHOs or middle grade doctors. This was on top of their traditional duties of senior opinion. On comparison of activity at night shifts, they admitted fewer (25.2% vs 30.3%, p=0.026), had fewer leaving without treatment (1.6% vs 5.1%, p<0.001), discharged more outright (59.8% vs 47.5%, p<0.001), referred fewer to clinic (5.7% vs 6.6%, p=0.49) and had a faster turnaround time (p<0.001: Priority 2, 3 and 4) for every triage category. Some of the comparisons were clinically but not statistically significant. A consultant based service delivery offers many advantages. These cannot be matched by either junior or middle grades. This would be in addition to the consultants' supervisory role. Consultant expansion is urgently required to achieve this sustainably. A further study evaluating the cost benefits of this service model is now underway.

  11. Modeling of Dose Distribution for a Proton Beam Delivering System with the use of the Multi-Particle Transport Code 'Fluka'

    SciTech Connect

    Mumot, Marta; Agapov, Alexey

    2007-11-26

    We have developed a new delivering system for hadron therapy which uses a multileaf collimator and a range shifter. We simulate our delivering beam system with the multi-particle transport code 'Fluka'. From these simulations we obtained information about the dose distributions, about stars generated in the delivering system elements and also information about the neutron flux. All the informations obtained were analyzed from the point of view of radiation protection, homogeneity of beam delivery to patient body, and also in order to improve some modifiers used.

  12. Implementation of a Quality Improvement Process Aimed to Deliver Higher-Value Physical Therapy for Patients With Low Back Pain: Case Report.

    PubMed

    Karlen, Emily; McCathie, Becky

    2015-12-01

    The current state of health care demands higher-value care. Due to many barriers, clinicians routinely do not implement evidence-based care even though it is known to improve quality and reduce cost of care. The purpose of this case report is to describe a theory-based, multitactic implementation of a quality improvement process aimed to deliver higher-value physical therapy for patients with low back pain. Patients were treated from January 2010 through December 2014 in 1 of 32 outpatient physical therapy clinics within an academic health care system. Data were examined from 47,755 patients (mean age=50.3 years) entering outpatient physical therapy for management of nonspecific low back pain, with or without radicular pain. Development and implementation tactics were constructed from adult learning and change management theory to enhance adherence to best practice care among 130 physical therapists. A quality improvement team implemented 4 tactics: establish care delivery expectations, facilitate peer-led clinical and operational teams, foster a learning environment focused on meeting a population's needs, and continuously collect and analyze outcomes data. Physical therapy utilization and change in functional disability were measured to assess relative cost and quality of care. Secondarily, charge data assessed change in physical therapists' application of evidence-based care. Implementation of a quality improvement process was measured by year-over-year improved clinical outcomes, decreased utilization, and increased adherence to evidence-based physical therapy, which was associated with higher-value care. When adult learning and change management theory are combined in quality improvement efforts, common barriers to implementing evidence-based care can be overcome, creating an environment supportive of delivering higher-value physical therapy for patients with low back pain. © 2015 American Physical Therapy Association.

  13. Therapeutic efficacy of intranasally delivered mesenchymal stem cells in a rat model of Parkinson disease.

    PubMed

    Danielyan, Lusine; Schäfer, Richard; von Ameln-Mayerhofer, Andreas; Bernhard, Felix; Verleysdonk, Stephan; Buadze, Marine; Lourhmati, Ali; Klopfer, Tim; Schaumann, Felix; Schmid, Barbara; Koehle, Christoph; Proksch, Barbara; Weissert, Robert; Reichardt, Holger M; van den Brandt, Jens; Buniatian, Gayane H; Schwab, Matthias; Gleiter, Christoph H; Frey, William H

    2011-02-01

    Safe and effective cell delivery remains one of the main challenges in cell-based therapy of neurodegenerative disorders. Graft survival, sufficient enrichment of therapeutic cells in the brain, and avoidance of their distribution throughout the peripheral organs are greatly influenced by the method of delivery. Here we demonstrate for the first time noninvasive intranasal (IN) delivery of mesenchymal stem cells (MSCs) to the brains of unilaterally 6-hydroxydopamine (6-OHDA)-lesioned rats. IN application (INA) of MSCs resulted in the appearance of cells in the olfactory bulb, cortex, hippocampus, striatum, cerebellum, brainstem, and spinal cord. Out of 1 × 10⁶ MSCs applied intranasally, 24% survived for at least 4.5 months in the brains of 6-OHDA rats as assessed by quantification of enhanced green fluorescent protein (EGFP) DNA. Quantification of proliferating cell nuclear antigen-positive EGFP-MSCs showed that 3% of applied MSCs were proliferative 4.5 months after application. INA of MSCs increased the tyrosine hydroxylase level in the lesioned ipsilateral striatum and substantia nigra, and completely eliminated the 6-OHDA-induced increase in terminal deoxynucleotidyl transferase (TdT)-mediated 2'-deoxyuridine, 5'-triphosphate (dUTP)-biotin nick end labeling (TUNEL) staining of these areas. INA of EGFP-labeled MSCs prevented any decrease in the dopamine level in the lesioned hemisphere, whereas the lesioned side of the control animals revealed significantly lower levels of dopamine 4.5 months after 6-OHDA treatment. Behavioral analyses revealed significant and substantial improvement of motor function of the Parkinsonian forepaw to up to 68% of the normal value 40-110 days after INA of 1 × 10⁶ cells. MSC-INA decreased the concentrations of inflammatory cytokines-interleukin-1β (IL-1β), IL-2, -6, -12, tumor necrosis factor (TNF), interferon-γ (IFN-γ, and granulocyte-macrophage colony-stimulating factor (GM-CSF)-in the lesioned side to their

  14. A successful experimental model for intimal hyperplasia prevention using a resveratrol-delivering balloon.

    PubMed

    Tolva, Valerio; Mazzola, Silvia; Zerbi, Pietro; Casana, Renato; Albertini, Mariangela; Calvillo, Laura; Selmin, Francesca; Cilurzo, Francesco

    2016-03-01

    Restenosis due to intimal hyperplasia is a major clinical problem that compromises the success of angioplasty and endovascular surgery. Resveratrol (RSV) has demonstrated a beneficial effect on restenosis from angioplasty. Unfortunately, the physicochemical characteristics of RSV reduce the practicality of its immediate clinical application. This work proposes an experimental model aiming to setup an intravessel, elutable, RSV-containing compound. A 140 μg/mL RSV sterile injectable solution with a suitable viscosity for intravascular administration by drug-delivery catheter (RSV-c) was prepared. This solution was locally administered in the common iliac artery of adult male New Zealand White rabbits using a dedicated device (Genie; Acrostak, Geneva, Switzerland) after the induction of intimal hyperplasia by traumatic angioplasty. The RSV concentrations in the wall artery were determined, and the thickness of the harvested iliac arteries was measured over a 1-month period. The Genie catheter was applied in rabbit vessels, and the local delivery resulted in an effective reduction in restenosis after plain angioplasty. Notably, RSV-c forced into the artery wall by balloon expansion might accumulate in the interstitial areas or within cells, avoiding the washout of solutions. Magnification micrographs showed intimal proliferation was significantly inhibited when RSV-c was applied. Moreover, no adverse events were documented in in vitro or in vivo studies. RSV can be advantageously administered in the arterial walls by a drug-delivery catheter to reduce the risk of restenosis. Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

  15. Scotblood 2015: Improving and delivering blood products, novel cellular therapies, and celebrating patients and donor engagement within transfusion services.

    PubMed

    Colligan, David; McGowan, Neil; Seghatchian, Jerard

    2016-08-01

    Blood Transfusion Services are striving to continually improve the efficacy and quality of their blood products whilst also simultaneously diversifying into novel cellular products. For this to be successful the relationships between the various arms of the organisation must be strong and interlinked. As new technologies impact on the products that blood transfusion services supply it should be noted that the interaction between the service and its donor base is also affected by advancing technologies. Social media has fundamentally altered the way in which the public can access information and news, as such blood services must engage and interact appropriately with these new forms of media. As a reflection of these challenges the Scotblood 2015 programme was focussed on service and product improvement, donor engagement and people centred transfusion. This commentary comprises summaries of the presentations, based in part on the abstracts provided by the speakers. Copyright © 2016. Published by Elsevier Ltd.

  16. Counseling interventions delivered in women with breast cancer to improve health-related quality of life: a systematic review.

    PubMed

    D'Egidio, V; Sestili, C; Mancino, M; Sciarra, I; Cocchiara, R; Backhaus, I; Mannocci, A; De Luca, Alessandro; Frusone, Federico; Monti, Massimo; La Torre, G

    2017-06-16

    Higher survival rates for breast cancer patients have led to concerns in dealing with short- and long-term side effects. The most common complications are impairment of shoulder functions, pain, lymphedema, and dysesthesia of the injured arm; psychological consequences concern: emotional distress, anxiety, and depression, thereby, deeply impacting/affecting daily living activity, and health-related quality of life. To perform a systematic review for assessing the efficacy or effectiveness of interventions aiming at improving health-related quality of life, return to daily activity, and correct lifestyles among breast cancer patients. A literature search was conducted in December 2016 using the databases PubMed and Scopus. Search terms included: (counseling) AND (breast cancer) AND (quality of life). Articles on counseling interventions to improve quality of life, physical and psychological outcomes were included. Thirty-five articles met the inclusion criteria. The interventions were grouped in five main areas: concerning lifestyle counseling interventions, related to combined interventions (physical activity and nutritional counseling), physical therapy, peer counseling, multidisciplinary approach, included psychological, psycho-educational interventions, and cognitive-behavior therapy (CBT). Exercise counseling as well as physical therapy are effective to improve shoulder mobility, healing wounds, and limb strength. Psychological therapies such as psychoeducation and CBT may help to realize a social and psychological rehabilitation. A multidisciplinary approach can help in sustaining and restoring impaired physical, psychosocial, and occupational outcomes of breast cancer patients.

  17. The impact of a quality-improvement package on reproductive health services delivered by private providers in Uganda.

    PubMed

    Agha, Sohail

    2010-09-01

    This study assesses the effectiveness of a quality-improvement (QI) package designed to enable small-scale commercial reproductive health (RH) service providers to improve the services they offer. The study was conducted among midwives who are members of the Uganda Private Midwives Association. A pretest-post-test quasi-experimental panel study design was used wherein midwife clinics were allocated to two experimental groups and one control group. Baseline and follow-up measurements of structural and process attributes of quality were taken at the clinics by means of a facility inventory, interviews with midwives, and observations of client-provider interactions. Nearly 70 percent of the midwives who were trained to use the package reported that it was easy to use. Among clinics in which midwives received training in the use of the self-assessment tool and in developing action plans, structural and process attributes of quality improved only among those clinics in which the midwives' supervisors received training in finding solutions to the problems identified through self-assessments. The QI package may be implemented with small-scale private providers of RH services who are part of a professional association, network, or franchise that supervises their performance.

  18. Benefits of structured and free monoacylglycerols to deliver eicosapentaenoic (EPA) in a model of lipid malabsorption.

    PubMed

    Cruz-Hernandez, Cristina; Thakkar, Sagar K; Moulin, Julie; Oliveira, Manuel; Masserey-Elmelegy, Isabelle; Dionisi, Fabiola; Destaillats, Frédéric

    2012-11-21

    In the present study, we used a preclinical model of induced lipolytic enzyme insufficiency, and hypothesized that the use of monoacylglycerols (MAG) will enhance their bioavailability and delivery to the tissues. Experimental diets containing 20% lipids were fed to rats for 21 days with or without Orlistat. The control diet of fish oil (FO), a source of EPA and DHA, was tested against: structured (A) vanillin acetal of sn-2 MAG (Vanil + O) and (B) diacetyl derivative of sn-2 MAG (Acetyl + O) and (C) free MAG (MAG + O). FA profiles with an emphasis on EPA and DHA levels were determined in plasma, red blood cells (RBC), liver, spleen, brain and retina. We observed significant reduction of lipid absorption when rats co-consumed Orlistat. As expected, the FO groups with and without Orlistat showed the biggest difference. The Vanil + O, Acetyl + O and MAG + O groups, demonstrated higher levels of EPA (5.5 ± 1.9, 4.6 ± 1.6 and 5.6 ± 0.6, respectively) in RBC compared with FO + O diets (3.3 ± 0.2, 2.6 ± 0.2). Levels of EPA incorporation, in plasma, were similar to those obtained for RBC, and similar trends were observed for the collected tissues and even with DHA levels. These observations with two MAG derivatives providing the fatty acid esterified in the sn-2 position, show that these molecules are efficient vehicles of EPA in malabsorption conditions which is in line with our hypothesis. Free MAG, characterized as having exclusively sn-1(3) isomers of EPA, demonstrated better absorption efficiencies and accretion to tissues when compared to structured MAG. The study demonstrated that structured and free MAG can be used efficiently as an enteral vehicle to supply bioactive fatty acids such as EPA and DHA in lipid malabsorption where diminished lipolytic activity is the underlying cause.

  19. Computer-delivered and web-based interventions to improve depression, anxiety, and psychological well-being of university students: a systematic review and meta-analysis.

    PubMed

    Davies, E Bethan; Morriss, Richard; Glazebrook, Cris

    2014-05-16

    Depression and anxiety are common mental health difficulties experienced by university students and can impair academic and social functioning. Students are limited in seeking help from professionals. As university students are highly connected to digital technologies, Web-based and computer-delivered interventions could be used to improve students' mental health. The effectiveness of these intervention types requires investigation to identify whether these are viable prevention strategies for university students. The intent of the study was to systematically review and analyze trials of Web-based and computer-delivered interventions to improve depression, anxiety, psychological distress, and stress in university students. Several databases were searched using keywords relating to higher education students, mental health, and eHealth interventions. The eligibility criteria for studies included in the review were: (1) the study aimed to improve symptoms relating to depression, anxiety, psychological distress, and stress, (2) the study involved computer-delivered or Web-based interventions accessed via computer, laptop, or tablet, (3) the study was a randomized controlled trial, and (4) the study was trialed on higher education students. Trials were reviewed and outcome data analyzed through random effects meta-analyses for each outcome and each type of trial arm comparison. Cochrane Collaboration risk of bias tool was used to assess study quality. A total of 17 trials were identified, in which seven were the same three interventions on separate samples; 14 reported sufficient information for meta-analysis. The majority (n=13) were website-delivered and nine interventions were based on cognitive behavioral therapy (CBT). A total of 1795 participants were randomized and 1480 analyzed. Risk of bias was considered moderate, as many publications did not sufficiently report their methods and seven explicitly conducted completers' analyses. In comparison to the inactive

  20. Computer-Delivered and Web-Based Interventions to Improve Depression, Anxiety, and Psychological Well-Being of University Students: A Systematic Review and Meta-Analysis

    PubMed Central

    Morriss, Richard; Glazebrook, Cris

    2014-01-01

    Background Depression and anxiety are common mental health difficulties experienced by university students and can impair academic and social functioning. Students are limited in seeking help from professionals. As university students are highly connected to digital technologies, Web-based and computer-delivered interventions could be used to improve students’ mental health. The effectiveness of these intervention types requires investigation to identify whether these are viable prevention strategies for university students. Objective The intent of the study was to systematically review and analyze trials of Web-based and computer-delivered interventions to improve depression, anxiety, psychological distress, and stress in university students. Methods Several databases were searched using keywords relating to higher education students, mental health, and eHealth interventions. The eligibility criteria for studies included in the review were: (1) the study aimed to improve symptoms relating to depression, anxiety, psychological distress, and stress, (2) the study involved computer-delivered or Web-based interventions accessed via computer, laptop, or tablet, (3) the study was a randomized controlled trial, and (4) the study was trialed on higher education students. Trials were reviewed and outcome data analyzed through random effects meta-analyses for each outcome and each type of trial arm comparison. Cochrane Collaboration risk of bias tool was used to assess study quality. Results A total of 17 trials were identified, in which seven were the same three interventions on separate samples; 14 reported sufficient information for meta-analysis. The majority (n=13) were website-delivered and nine interventions were based on cognitive behavioral therapy (CBT). A total of 1795 participants were randomized and 1480 analyzed. Risk of bias was considered moderate, as many publications did not sufficiently report their methods and seven explicitly conducted completers

  1. In Vivo MR Imaging of Intraarterially Delivered Magnetically Labeled Mesenchymal Stem Cells in a Canine Stroke Model

    PubMed Central

    Zu, Qing-quan; Xu, Xiao-quan; Yu, Jing; Wang, Jian-wei; Zhang, Yu; Shi, Hai-bin

    2013-01-01

    Background This study aimed to evaluate the feasibility of intraarterial (IA) delivery and in vivo MR imaging of superparamagnetic iron oxide (SPIO)-labeled mesenchymal stem cells (MSCs) in a canine stroke model. Methodology MSCs harvested from beagles’ bone marrow were labeled with home-synthesized SPIO. Adult beagle dogs (n = 12) were subjected to left proximal middle cerebral artery (MCA) occlusion by autologous thrombus, followed by two-hour left internal carotid artery (ICA) occlusion with 5 French vertebral catheter. One week later, dogs were classified as three groups before transplantation: group A: complete MCA recanalization, group B: incomplete MCA recanalization, group C: no MCA recanalization. 3×106 labeled-MSCs were delivered through left ICA. Series in vivo MRI images were obtained before cell grafting, one and 24 hours after transplantation and weekly thereafter until four weeks. MRI findings were compared with histological studies at the time point of 24 hours and four weeks. Principal Findings Home-synthesized SPIO was useful to label MSCs without cell viability compromise. MSCs scattered widely in the left cerebral hemisphere in group A, while fewer grafted cells were observed in group B and no cell was detected in group C at one hour after transplantation. A larger infarction on the day of cell transplantation was associated with more grafted cells in the brain. Grafted MSCs could be tracked effectively by MRI within four weeks and were found in peri-infarction area by Prussian blue staining. Conclusion It is feasible of IA MSCs transplantation in a canine stroke model. Both the ipsilateral MCA condition and infarction volume before transplantation may affect the amount of grafted cells in target brain. In vivo MR imaging is useful for tracking IA delivered MSCs after SPIO labeling. PMID:23408953

  2. Can clinical governance deliver quality improvement in Australian general practice and primary care? A systematic review of the evidence.

    PubMed

    Phillips, Christine B; Pearce, Christopher M; Hall, Sally; Travaglia, Joanne; de Lusignan, Simon; Love, Tom; Kljakovic, Marjan

    2010-11-15

    To review the literature on different models of clinical governance and to explore their relevance to Australian primary health care, and their potential contributions on quality and safety. 25 electronic databases, scanning reference lists of articles and consultation with experts in the field. We searched publications in English after 1999, but a search of the German language literature for a specific model type was also undertaken. The grey literature was explored through a hand search of the medical trade press and websites of relevant national and international clearing houses and professional or industry bodies. 11 software packages commonly used in Australian general practice were reviewed for any potential contribution to clinical governance. 19 high-quality studies that assessed outcomes were included. All abstracts were screened by one researcher, and 10% were screened by a second researcher to crosscheck screening quality. Studies were reviewed and coded by four reviewers, with all studies being rated using standard critical appraisal tools such as the Strengthening the Reporting of Observational Studies in Epidemiology checklist. Two researchers reviewed the Australian general practice software. Interviews were conducted with 16 informants representing service, regional primary health care, national and international perspectives. Most evidence supports governance models which use targeted, peer-led feedback on the clinician's own practice. Strategies most used in clinical governance models were audit, performance against indicators, and peer-led reflection on evidence or performance. The evidence base for clinical governance is fragmented, and focuses mainly on process rather than outcomes. Few publications address models that enhance safety, efficiency, sustainability and the economics of primary health care. Locally relevant clinical indicators, the use of computerised medical record systems, regional primary health care organisations that have the

  3. Can general practitioner commissioning deliver equity and excellence? Evidence from two studies of service improvement in the English NHS.

    PubMed

    Gridley, Kate; Spiers, Gemma; Aspinal, Fiona; Bernard, Sylvia; Atkin, Karl; Parker, Gillian

    2012-04-01

    To explore some of the key assumptions underpinning the continued development of general practitioner-led commissioning in health services. Qualitative data from two studies of service improvement in the English NHS were considered against England's plans for GP-led commissioning. These data were collected through in-depth interviews with a total of 187 professionals and 99 people affected by services in 10 different primary care trust areas across England between 2008 and 2009. Internationally, GPs are seen to have a central position in health systems. In keeping with this, the English policy places emphasis on the 'pivotal role' of general practitioners, considered to be ideally placed to commission in the best interests of their patients. However, our evidence suggests that general practitioners do not always have a pivotal role for all patients. Moreover, it is planned that the new commissioning groups in England will not be subject to top-down performance management and this raises the question of how agreed quality standards will be met under the proposed new system. This paper questions the assumption that GPs are best placed to commission health services in a way that meets quality standards and leads to equitable outcomes. There is little evidence to suggest that GPs will succeed where others have failed and a risk that, without top-down performance management, service improvement will be patchy, leading to greater, not reduced, inequity.

  4. In vitro and in vivo evaluation of a shape memory polymer foam-over-wire embolization device delivered in saccular aneurysm models.

    PubMed

    Boyle, Anthony J; Landsman, Todd L; Wierzbicki, Mark A; Nash, Landon D; Hwang, Wonjun; Miller, Matthew W; Tuzun, Egemen; Hasan, Sayyeda M; Maitland, Duncan J

    2016-10-01

    Current endovascular therapies for intracranial saccular aneurysms result in high recurrence rates due to poor tissue healing, coil compaction, and aneurysm growth. We propose treatment of saccular aneurysms using shape memory polymer (SMP) foam to improve clinical outcomes. SMP foam-over-wire (FOW) embolization devices were delivered to in vitro and in vivo porcine saccular aneurysm models to evaluate device efficacy, aneurysm occlusion, and acute clotting. FOW devices demonstrated effective delivery and stable implantation in vitro. In vivo porcine aneurysms were successfully occluded using FOW devices with theoretical volume occlusion values greater than 72% and rapid, stable thrombus formation. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 104B: 1407-1415, 2016. © 2015 Wiley Periodicals, Inc.

  5. Sore throat: effective communication delivers improved diagnosis, enhanced self-care and more rational use of antibiotics.

    PubMed

    van der Velden, A W; Bell, J; Sessa, A; Duerden, M; Altiner, A

    2013-11-01

    The majority of throat infections are of viral origin and resolve without antibiotic treatment. Despite this, antibiotic use for sore throat infections remains high, partly because it is difficult to determine when antibiotics may be useful, on the basis of physical findings alone. Antibiotics may be beneficial in bacterial throat infections under certain clinical and epidemiological circumstances; however, even many of those infections in which bacteria play a role do resolve just as quickly without antibiotics. Furthermore, non-medical factors such as patient expectations and patient pressure are also important drivers of antibiotic use. To address these issues, a behavioural change is required that can be facilitated by improved communication between primary healthcare providers and patients. In this article, we provide doctors, nurses and pharmacy staff, working in primary care or in the community, with a structured approach to sore throat management, with the aim of educating and empowering patients to self-manage their condition. The first component of this approach involves identifying and addressing patients' expectations and concerns with regard to their sore throat and eliciting their opinion on antibiotics. The second part is dedicated to a pragmatic assessment of the severity of the condition, with attention to red-flag symptoms and risk factors for serious complications. Rather than just focusing on the cause (bacterial or viral) of the upper respiratory tract infections as a rationale for antibiotic use, healthcare providers should instead consider the severity of the patient's condition and whether they are at high risk of complications. The third part involves counselling patients on effective self-management options and providing information on the expected clinical course. Such a structured approach to sore throat management, using empathetic, non-paternalistic language, combined with written patient information, will help to drive patient

  6. Automated dynamic analytical model improvement

    NASA Technical Reports Server (NTRS)

    Berman, A.

    1981-01-01

    A method is developed and illustrated which finds minimum changes in analytical mass and stiffness matrices to make them consistent with a set of measured normal modes and natural frequencies. The corrected model is an improved base for studies of physical changes, changes in boundary conditions, and for prediction of forced responses. Features of the method are: efficient procedures not requiring solutions of the eigenproblem; the model may have more degrees of freedom than the test data; modal displacements at all the analytical degrees of freedom are obtained; the frequency dependence of the coordinate transformations are properly treated.

  7. A Preliminary Investigation of a Specialized Music Therapy Model for Children with Disabilities Delivered in a Classroom Setting

    PubMed Central

    White, Yasmine; Hans, Laura; Adebari, Richard; Goldsmith, Ali; Ozler, Burcu; Buehne, Kristen; Jones, Sarah; Shapleton, Jennifer

    2016-01-01

    Music therapy is gaining popularity as an intervention strategy for children with developmental disabilities, including autism spectrum disorder (ASD). This study was a pilot investigation of a classroom-based music-based intervention, Voices Together®, for improving communication skills in children with ASD and children with intellectual disabilities. Four local public elementary school special education classrooms, serving 5 children with a classification of autistic disorder and 32 children with intellectual disability without autism, were randomly selected to receive one of two levels of exposure to Voices Together music therapy: “long-term” (15 weeks beginning in January 2015 (Time 1), n = 14) or “short-term” (7 weeks beginning 7 weeks later in February (Time 2), n = 17). Using observational ratings, investigators reliably scored participants live in terms of their level of verbal responsiveness to prompts during three songs featured each week of the program. Both groups demonstrated increases in verbal responses over time; however, only the long-term group demonstrated significant within-group increases. Preliminary findings suggest that music therapy delivered in a classroom in 45-minute weekly sessions for 15 weeks can promote improvements in verbal responsiveness among individuals with autism and other developmental disabilities. Findings warrant further investigation into the efficacy of classroom-based music therapy programs. PMID:27999683

  8. A Preliminary Investigation of a Specialized Music Therapy Model for Children with Disabilities Delivered in a Classroom Setting.

    PubMed

    Mendelson, Jenna; White, Yasmine; Hans, Laura; Adebari, Richard; Schmid, Lorrie; Riggsbee, Jan; Goldsmith, Ali; Ozler, Burcu; Buehne, Kristen; Jones, Sarah; Shapleton, Jennifer; Dawson, Geraldine

    2016-01-01

    Music therapy is gaining popularity as an intervention strategy for children with developmental disabilities, including autism spectrum disorder (ASD). This study was a pilot investigation of a classroom-based music-based intervention, Voices Together®, for improving communication skills in children with ASD and children with intellectual disabilities. Four local public elementary school special education classrooms, serving 5 children with a classification of autistic disorder and 32 children with intellectual disability without autism, were randomly selected to receive one of two levels of exposure to Voices Together music therapy: "long-term" (15 weeks beginning in January 2015 (Time 1), n = 14) or "short-term" (7 weeks beginning 7 weeks later in February (Time 2), n = 17). Using observational ratings, investigators reliably scored participants live in terms of their level of verbal responsiveness to prompts during three songs featured each week of the program. Both groups demonstrated increases in verbal responses over time; however, only the long-term group demonstrated significant within-group increases. Preliminary findings suggest that music therapy delivered in a classroom in 45-minute weekly sessions for 15 weeks can promote improvements in verbal responsiveness among individuals with autism and other developmental disabilities. Findings warrant further investigation into the efficacy of classroom-based music therapy programs.

  9. Injectable shear-thinning hydrogels to deliver endothelial progenitor cells, enhance cell engraftment, and improve ischemic myocardium

    PubMed Central

    Gaffey, Ann C.; Chen, Minna H.; Venkataraman, Chantel M.; Trubelja, Alen; Rodell, Christopher B.; Dinh, Patrick V.; Hung, George; MacArthur, John W.; Soopan, Renganaden V.; Burdick, Jason A.; Atluri, Pavan

    2015-01-01

    OBJECTIVES The clinical translation of cell based therapies for ischemic heart disease has been limited due to low cell retention (<1%) within and poor targeting to ischemic myocardium. To address these issues, we developed an injectable shear-thinning hyaluronic acid hydrogel (STG) and endothelial progenitor cell construct (STG-EPC). The STG assembles due to interactions of adamantine and β-cyclodextrin modified hyaluronic acid. It is shear-thinning to permit delivery via a syringe, and self-heals upon injection within the ischemic myocardium. This directed therapy to the ischemic myocardial borderzone enables direct cell delivery to address adverse remodeling after myocardial infarction. We hypothesize that this system will enhance vasculogenesis to improve myocardial stabilization in the context of a clinically translatable therapy. METHODS EPCs (DiLDL+ VEGFR2+ CD34+) were harvested from adult male Wistar Rats, cultured, and then suspended in the STG. In vitro viability was quantified using a live-dead stain of EPCs. STG-EPC constructs were injected at the borderzone of ischemic rat myocardium after acute myocardial infarction (left anterior descending coronary artery ligation). The migration of the eGFP+ EPCs from the construct to ischemic myocardium was analyzed using fluorescent microscopy. Vasculogenesis, myocardial remodeling, and hemodynamic function were analyzed in 4 groups: control (PBS injection), intramyocardial injection of EPCs alone (EPC), injection of the STG alone (STG), and treatment with the gel-EPC construct (STG-EPC). Hemodynamics and ventricular geometry were quantified using echocardiography and Doppler flow analysis. RESULTS EPCs demonstrated viability within the STG. A marked increase in EPC engraftment was observed one-week post-injection within the treated myocardium with gel delivery when compared to EPC injection alone (17.2 ± 0.8 cells/HPF vs. 3.5 cells ± 1.3 cells/HPF, p = 0.0002). A statistically significant increase in

  10. Combination Pod-Intravaginal Ring Delivers Antiretroviral Agents for HIV Prophylaxis: Pharmacokinetic Evaluation in an Ovine Model

    PubMed Central

    Moss, John A.; Butkyavichene, Irina; Churchman, Scott A.; Gunawardana, Manjula; Fanter, Rob; Miller, Christine S.; Yang, Flora; Easley, Jeremiah T.; Marzinke, Mark A.; Hendrix, Craig W.; Smith, Thomas J.

    2016-01-01

    Preexposure prophylaxis (PrEP) against HIV using oral regimens based on the nucleoside reverse transcriptase inhibitor tenofovir disoproxil fumarate (TDF) has been effective to various degrees in multiple clinical trials, and the CCR5 receptor antagonist maraviroc (MVC) holds potential for complementary efficacy. The effectiveness of HIV PrEP is highly dependent on adherence. Incorporation of the TDF-MVC combination into intravaginal rings (IVRs) for sustained mucosal delivery could increase product adherence and efficacy compared with oral and vaginal gel formulations. A novel pod-IVR technology capable of delivering multiple drugs is described. The pharmacokinetics and preliminary local safety characteristics of a novel pod-IVR delivering a combination of TDF and MVC were evaluated in the ovine model. The device exhibited sustained release at controlled rates over the 28-day study and maintained steady-state drug levels in cervicovaginal fluids (CVFs). Dilution of CVFs during lavage sample collection was measured by ion chromatography using an inert tracer, allowing corrected drug concentrations to be measured for the first time. Median, steady-state drug levels in vaginal tissue homogenate were as follows: for tenofovir (TFV; in vivo hydrolysis product of TDF), 7.3 × 102 ng g−1 (interquartile range [IQR], 3.0 × 102, 4.0 × 103); for TFV diphosphate (TFV-DP; active metabolite of TFV), 1.8 × 104 fmol g−1 (IQR, 1.5 × 104, 4.8 × 104); and for MVC, 8.2 × 102 ng g−1 (IQR, 4.7 × 102, 2.0 × 103). No adverse events were observed. These findings, together with previous pod-IVR studies, have allowed several lead candidates to advance into clinical evaluation. PMID:27067321

  11. Delivering the evidence to improve the health of women and newborns: State of the World's Midwifery, report 2014.

    PubMed

    Day-Stirk, Frances; McConville, Frances; Campbell, James; Laski, Laura; Guerra-Arias, Maria; Hoope-Bender, Petra Ten; Michel-Schuldt, Michaela; de Bernis, Luc

    2014-12-17

    The State of the World's Midwifery Report 2014: A universal pathway, a women's right to health (SoWMy2014) was published in June 2014 and joins the ranks of a number of publications which contribute to the growing body of evidence about a global midwifery workforce that can improve maternal and child health.This editorial provides an overview of these publications that have been supported by global movements in the area of sexual, reproductive, maternal, and newborn and child health over the last four years. Background information is given on the methodology and data collection of SoWMy2014, the main findings cover the area of the availability, accessibility, acceptability and quality of midwifery services and a 2 page country brief shows the SRMNH data and workforce projections for each of the 73 "Countdown countries" that participated.SoWMy 2014 report shows that midwives can provide 87% of the needed essential care for women and newborns, when educated and trained to international standards. Midwives however, are most effective when they work within a functional health system and enabling environment.Also, a supportive team of auxiliaries, physicians and specialists is essential in order to ensure coverage of SRMNH services to women and newborns across the whole continuum of care, from pre-pregnancy through to pregnancy, childbirth and the post-natal period and from household to hospital.Based on these findings, the report puts forward a vision of Midwifery2030, a pathway for women's health and for midwifery policy and planning through the end of 2030. It promotes women-centered and midwife-led care to achieve the goal of universal health coverage for all women.

  12. Child outcomes of a pilot parent-delivered intervention for improving the social play skills of children with ADHD and their playmates.

    PubMed

    Wilkes-Gillan, Sarah; Bundy, Anita; Cordier, Reinie; Lincoln, Michelle

    2016-08-01

    This pilot study examined the effectiveness of a parent-delivered intervention for improving: the social play skills of children with attention deficit hyperactivity disorder (ADHD) and their typically developing playmates and the empathy of children with ADHD. Participants were children with ADHD and their typically developing playmates (n = 9/group). The intervention was primarily parent-implemented and involved: parent-training, weekly home-modules, three clinic play-sessions, therapist-parent phone consultations and a one-month follow-up. The Test of Playfulness (ToP) was the primary outcome measure. Cohen's-d and paired sample t-test calculations were used to measure effect. Social play outcomes of children with ADHD improved significantly from: pre- to post-test (t = 3.2; p = 0.02; d = 1.0) and post-test to follow-up intervention (t = 2.7; p = 0.02; d = 1.1). Playmate's improved significantly from pre- to post-intervention (t = 3.9; p = 0.03; d = 1.2). Children with ADHD improved significantly on 4/7 ToP empathy items (t = 2.31-3.16; p = 0.02). The intervention successfully improved the social play skills of children with ADHD and their playmates.

  13. Improving physical functional and quality of life in older adults with multiple sclerosis via a DVD-delivered exercise intervention: a study protocol

    PubMed Central

    Wójcicki, Thomas R; Roberts, Sarah A; Learmonth, Yvonne C; Hubbard, Elizabeth A; Kinnett-Hopkins, Dominque; Motl, Robert W; McAuley, Edward

    2014-01-01

    Introduction There is a need to identify innovative, low-cost and broad-reaching strategies for promoting exercise and improving physical function in older adults with multiple sclerosis (MS). Methods and analysis This randomised controlled pilot trial will test the efficacy of a 6-month, DVD-delivered exercise intervention to improve functional performance and quality of life in older adults with MS. Participants will be randomised either into a DVD-delivered exercise condition or an attentional control condition. This novel approach to programme delivery provides participants with detailed exercise instructions which are presented in a progressive manner and includes a variety of modifications to better meet varying levels of physical abilities. The targeted exercises focus on three critical elements of functional fitness: flexibility, strength and balance. It is hypothesised that participants who are randomised to the exercise DVD condition will demonstrate improvements in physical function compared with participants assigned to the attentional control condition. Data analysis will include a 2 (condition)×2 (time) mixed factor analysis of variance (ANOVA) that follows intent-to-treat principles, as well as an examination of effect sizes. Participants will take part in qualitative interviews about perspectives on physical activity and programme participation. Ethics and dissemination The study protocol was approved by a university institutional review board and registered with a federal database. Participants will be asked to read and sign a detailed informed consent document and will be required to provide a physician's approval to participate in the study. The exercise DVDs include an overview of safety-related concerns and recommendations relative to exercise participation, as well as detailed instructions highlighting the proper execution of each exercise presented on screen. Following completion of this trial, data will be immediately analysed and results

  14. Economic evaluation of interventions delivered by primary care providers to improve neurodevelopment in children aged under 5 years: protocol for a scoping review.

    PubMed

    Edmond, Karen M; Strobel, Natalie A; McAuley, Kimberley; Geelhoed, Elizabeth; Hurt, Lisa

    2017-03-21

    Frequently cited benefit-cost ratios suggest that interventions to improve neurodevelopment have high economic returns when implemented during pregnancy and early childhood. However, there are many challenges when primary care providers implement these interventions at scale, and it is unclear how many research studies or programmes have examined cost-effectiveness and which methods were used. There are no current scoping or systematic reviews which have assessed economic evaluations of interventions delivered by primary care providers to improve child neurodevelopment. The aim of this review is to describe the economic evaluations of interventions delivered by primary care providers to improve neurodevelopment in children aged 0-4 years. Specific subgroup analyses will include income level of country (high, middle and low); population type (universal vs targeted); time period when intervention was implemented (antenatal vs infancy [0-11 months] vs early childhood [12-59 months]); and setting (research study vs programmes evaluation at scale). All study designs will be included. The primary outcomes of interest are cost per neurodevelopmental or cognitive health gain in children aged 0-4 years. All measures of cost, neurodevelopment or cognitive function that have been previously validated as an appropriate test in this domain will be included. Databases such as MEDLINE (OVID), PsycINFO (OVID), EMBASE (OVID), CINAHL, Cochrane Library (including CENTRAL, DARE, HTA and NHS EED), Paediatric Economic Database Evaluation (PEDE) and WHO databases and reference lists of papers will be searched for relevant articles. Five phases will be followed: identifying the research question, identifying relevant studies, study selection, charting data and collating, summarising and reporting results. We will present cost and effectiveness data descriptively. This review appears to be the first to be conducted in this area. The findings will be an important resource for future

  15. The Feasibility of an E-mail–Delivered Intervention to Improve Nutrition and Physical Activity Behaviors in African-American College Students

    PubMed Central

    Mackey, Eleanor; Schweitzer, Amy; Hurtado, Maria Eugenia; Hathway, Joanne; DiPietro, Loretta; Lei, Kai Y.; Klein, Catherine J.

    2014-01-01

    Objectives To evaluate the feasibility and acceptability of an e-mail-delivered program to promote nutrition and physical activity in African-American college students. Participants 47 students (76% female, ages 18-20 y). Methods Students participated in a 24-week randomized controlled trial, receiving either general health information or the intervention focused on diet and physical activity. Results At baseline, 80.9% and 76.0% of participants reported interest in improving diet and physical activity, respectively. Participants evidenced poor nutrition behaviors and 46% were overweight or obese. At 24 weeks, most participants (70% control, 84% intervention) were “somewhat” or “very” satisfied with the program. The program was feasible to administrate, with the exception of measurement of physical activity using accelerometers. Conclusions An innovative e-mail-delivered program promoting positive health behaviors appears to be feasible and acceptable in African-American college students. Further research is needed to evaluate program efficacy in this population, including prevention of excess weight gain. PMID:25611932

  16. Partnership working between the Fire Service and NHS: delivering a cost-saving service to improve the safety of high-risk people.

    PubMed

    Craig, Joyce A; Creegan, Shelagh; Tait, Martin; Dolan, Donna

    2015-04-14

    The Scottish Fire and Rescue Service and NHS Tayside piloted partnership working. A Community Fire Safety Link Worker provided Risk Assessments to adults, identified by community health teams, at high risk of fires, with the aim of reducing fires. An existing evaluation shows the Service developed a culture of 'high trust' between partners and had high client satisfaction. This paper reports on an economic evaluation of the costs and benefits of the Link Worker role. An economic evaluation of the costs and benefits of the Link Worker role was undertaken. Changes in the Risk Assessment score following delivery of the Service were used to estimate the potential fires avoided. These were valued using a national cost of a fire. The estimated cost of delivering the Service was deducted from these savings. The pilot was estimated to save 4.4 fires, equivalent to £286 per client. The estimated cost of delivering the Service was £55 per client, giving net savings of £231 per client. The pilot was cost-saving under all scenarios, with results sensitive to the probability of a fire. We believe this is the first evaluation of Fire Safety Risk Assessments. Partnership working, delivering joint Risk Assessments in the homes of people at high risk of fire, is modelled to be cost saving. Uncertainties in data and small sample are key limitations. Further research is required into the ex ante risk of fire by risk category. Despite these limitations, potential savings identified in this study supports greater adoption of this partnership initiative.

  17. The brain disease model of addiction: is it supported by the evidence and has it delivered on its promises?

    PubMed

    Hall, Wayne; Carter, Adrian; Forlini, Cynthia

    2015-01-01

    Since 1997 the US National Institute on Drug Abuse has advocated a brain disease model of addiction (BDMA). We assess the strength of evidence for the BDMA in animals, neuroimaging studies of people with addiction, and current research on the role of genetics in addiction. We critically assess claims about the medical and social benefits of use of the BDMA because the social implications are often implied as a reason to accept this model. Furthermore, we argue that the BDMA is not supported by animal and neuroimaging evidence to the extent its advocates suggest; it has not helped to deliver more effective treatments for addiction; and its effect on public policies toward drugs and people with addiction has been modest. The focus of the BDMA is on disordered neurobiology in a minority of severely addicted individuals, which undermines the implementation of effective and cost-effective policies at the population level to discourage people from smoking tobacco and drinking heavily. The pursuit of high technology direct brain interventions to cure addiction when most individuals with addiction do not have access to effective psychosocial and drug treatments is questionable. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Evaluating the Effect of Flow and Interface Type on Pressures Delivered With Bubble CPAP in a Simulated Model.

    PubMed

    Bailes, Stephanie A; Firestone, Kimberly S; Dunn, Diane K; McNinch, Neil L; Brown, Miraides F; Volsko, Teresa A

    2016-03-01

    Bubble CPAP, used for spontaneously breathing infants to avoid intubation or postextubation support, can be delivered with different interface types. This study compared the effect that interfaces had on CPAP delivery. We hypothesized that there would be no difference between set and measured levels between interface types. A validated preterm infant nasal airway model was attached to the ASL 5000 breathing simulator. The simulator was programmed to deliver active breathing of a surfactant-deficient premature infant with breathing frequency at 70 breaths/min inspiratory time of 0.30 s, resistance of 150 cm H2O/L/s, compliance of 0.5 mL/cm H2O, tidal volume of 5 mL, and esophageal pressure of -10 cm H2O. Nasal CPAP prongs, size 4030, newborn and infant RAM cannulas were connected to a nasal airway model and a bubble CPAP system. CPAP levels were set at 4, 5, 6, 7, 8, and 9 cm H2O with flows of 6, 8, and 10 L/min each. Measurements were recorded after 1 min of stabilization. The analysis was performed using SAS 9.4. The Kolmogorov-Smirnov test assessed normality of the data. The Friedman test was used to compare non-normally distributed repeated measures. The Wilcoxon signed-rank test was used to conduct post hoc analysis. All tests were 2-sided, and P values of <.05 were considered as indicating significant differences unless otherwise indicated. At lower set CPAP levels, 4-6 cm H2O, measured CPAP dropped precipitously with the nasal prongs with the highest flow setting. At higher CPAP levels, 7-9 cm H2O measured CPAP concomitantly increased as the flow setting increased. Statistically significant differences in set and measured CPAP occurred for all devices across all CPAP levels, with the measured CPAP less than set for all conditions, P < .001. Set flow had a profound effect on measured CPAP. The concomitant drop in measured pressure with high and low flows could be attributed to increased resistance to spontaneous breathing or insufficient flow to meet

  19. Brain-derived neurotrophic factor delivered to the brain using poly (lactide-co-glycolide) nanoparticles improves neurological and cognitive outcome in mice with traumatic brain injury.

    PubMed

    Khalin, Igor; Alyautdin, Renad; Wong, Tin Wui; Gnanou, Justin; Kocherga, Ganna; Kreuter, Jörg

    2016-11-01

    Currently, traumatic brain injury (TBI) is the leading cause of death or disabilities in young individuals worldwide. The multi-complexity of its pathogenesis as well as impermeability of the blood-brain barrier (BBB) makes the drug choice and delivery very challenging. The brain-derived neurotrophic factor (BDNF) regulates neuronal plasticity, neuronal cell growth, proliferation, cell survival and long-term memory. However, its short half-life and low BBB permeability are the main hurdles to be an effective therapeutic for TBI. Poly (lactic-co-glycolic acid) (PLGA) nanoparticles coated by surfactant can enable the delivery of a variety of molecules across the BBB by receptor-mediated transcytosis. This study examines the ability of PLGA nanoparticles coated with poloxamer 188 (PX) to deliver BDNF into the brain and neuroprotective effects of BNDF in mice with TBI. C57bl/6 mice were subjected to weight-drop closed head injuries under anesthesia. Using enzyme-linked immunosorbent assay, we demonstrated that the intravenous (IV) injection of nanoparticle-bound BDNF coated by PX (NP-BDNF-PX) significantly increased BDNF levels in the brain of sham-operated mice (p < 0.001) and in both ipsi- (p < 0.001) and contralateral (p < 0.001) parts of brain in TBI mice compared to controls. This study also showed using the passive avoidance (PA) test, that IV injection of NP-BDNF-PX 3 h post-injury prolonged the latent time in mice with TBI thereby reversing cognitive deficits caused by brain trauma. Finally, neurological severity score test demonstrated that our compound efficiently reduced the scores at day 7 after the injury indicating the improvement of neurological deficit in animals with TBI. This study shows that PLGA nanoparticles coated with PX effectively delivered BDNF into the brain, and improved neurological and cognitive deficits in TBI mice, thereby providing a neuroprotective effect.

  20. The integrated clerkship: an innovative model for delivering clinical education at the Zhejiang University School of Medicine.

    PubMed

    Yu, Fang; Xu, Lingxiao; Lu, Ding; Luo, Wei; Wang, Qingqing

    2009-07-01

    The traditional curriculum of clinical science at the Zhejiang University School of Medicine (ZUSM) was dominated by lectures, and many critical factors in producing competent physicians (such as the development of skills and active learning) were largely neglected. During a four-year period ending in 2007, ZUSM developed and implemented a new model for delivering clinical science education-the integrated clerkship. The principal features of the model are the greater amount of time that students are exposed to and are working in the clinical environment as clerks and the great reduction in lecture hours. Unlike the U.S. model of clerkship, the integrated clerkship at ZUSM is characterized by a progressive process, with intensive preparatory lectures before the clerkship, which is divided into two levels, junior and senior. The junior clerkship is equally divided into didactic activities and clinical practice; the senior clerkship requires students to become an essential part of the work taking place on the wards. A preliminary program evaluation showed that the fundamental goals of the integrated clerkship had been largely attained, especially the mastery of basic clinical skills and retention of medical knowledge. Surveys showed that most of the integrated clerkship students and faculty members were satisfied with the new curriculum; the students felt better prepared to cope with the professional challenges of patient care, and they began to understand how social context affects their patients. As the pilot program in China, the integrated clerkship at ZUSM may serve as a template for medical schools at a similar level, in China and elsewhere.

  1. Evaluation of orally delivered ST-246 as postexposure prophylactic and antiviral therapeutic in an aerosolized rabbitpox rabbit model.

    PubMed

    Nalca, Aysegul; Hatkin, Josh M; Garza, Nicole L; Nichols, Donald K; Norris, Sarah W; Hruby, Dennis E; Jordan, Robert

    2008-08-01

    Orthopoxviruses, such as variola and monkeypox viruses, can cause severe disease in humans when delivered by the aerosol route, and thus represent significant threats to both military and civilian populations. Currently, there are no antiviral therapies approved by the U.S. Food and Drug Administration (FDA) to treat smallpox or monkeypox infection. In this study, we showed that administration of the antiviral compound ST-246 to rabbits by oral gavage, once daily for 14 days beginning 1h postexposure (p.e.), resulted in 100% survival in a lethal aerosolized rabbitpox model used as a surrogate for smallpox. Furthermore, efficacy of delayed treatment with ST-246 was evaluated by beginning treatment on days 1, 2, 3, and 4 p.e. Although a limited number of rabbits showed less severe signs of the rabbitpox disease from the day 1 and day 2 p.e. treatment groups, their illness resolved very quickly, and the survival rates for these group of rabbits were 88% and 100%, respectively. But when the treatment was started on days 3 or 4 p.e., survival was 67% and 33%, respectively. This work suggests that ST-246 is a very potent antiviral compound against aerosolized rabbitpox in rabbits and should be investigated for further development for all orthopoxvirus diseases.

  2. Intra-Arterially Delivered Mesenchymal Stem Cells Are Not Detected in the Brain Parenchyma in an Alzheimer's Disease Mouse Model.

    PubMed

    Lee, Na Kyung; Yang, Jehoon; Chang, Eun Hyuk; Park, Sang Eon; Lee, Jeongmin; Choi, Soo Jin; Oh, Wonil; Chang, Jong Wook; Na, Duk L

    2016-01-01

    Mesenchymal stem cells (MSCs) have a promising role as a therapeutic agent for neurodegenerative diseases such as Alzheimer's disease (AD). Prior studies suggested that intra-arterially administered MSCs are engrafted into the brain in stroke or traumatic brain injury (TBI) animal models. However, a controversial standpoint exists in terms of the integrity of the blood brain barrier (BBB) in transgenic AD mice. The primary goal of this study was to explore the feasibility of delivering human umbilical cord-blood derived mesenchymal stem cells (hUCB-MSCs) into the brains of non-transgenic WT (C3H/C57) and transgenic AD (APP/PS1) mice through the intra-arterial (IA) route. Through two experiments, mice were infused with hUCB-MSCs via the right internal carotid artery and were sacrificed at two different time points: 6 hours (experiment 1) or 5 minutes (experiment 2) after infusion. In both experiments, no cells were detected in the brain parenchyma while MSCs were detected in the cerebrovasculature in experiment 2. The results from this study highlight that intra-arterial delivery of MSCs is not the most favorable route to be implemented as a potential therapeutic approach for AD.

  3. Using local clinical educators and shared resources to deliver simulation training activities across rural and remote South Australia and south-west Victoria: A distributed collaborative model.

    PubMed

    Masters, Stacey C; Elliott, Sandi; Boyd, Sarah; Dunbar, James A

    2017-08-11

    There is a lack of access to simulation-based education (SBE) for professional entry students (PES) and health professionals at rural and remote locations. A descriptive study. Health and education facilities in regional South Australia and south-west Victoria. Number of training recipients who participated in SBE; geographical distribution and locations where SBE was delivered; number of rural clinical educators providing SBE. A distributed model to deliver SBE in rural and remote locations in collaboration with local health and community services, education providers and the general public. Face-to-face meetings with health services and education providers identified gaps in locally delivered clinical skills training and availability of simulation resources. Clinical leadership, professional development and community of practice strategies were implemented to enhance capacity of rural clinical educators to deliver SBE. The number of SBE participants and training hours delivered exceeded targets. The distributed model enabled access to regular, localised training for PES and health professionals, minimising travel and staff backfill costs incurred when attending regional centres. The skills acquired by local educators remain in rural areas to support future training. The distributed collaborative model substantially increased access to clinical skills training for PES and health professionals in rural and remote locations. Developing the teaching skills of rural clinicians optimised the use of simulation resources. Consequently, health services were able to provide students with flexible and realistic learning opportunities in clinical procedures, communication techniques and teamwork skills. © 2017 National Rural Health Alliance Inc.

  4. Data Aggregation, Curation and Modeling Approaches to Deliver Prediction Models to Support Computational Toxicology at the EPA (ACS Fall meeting)

    EPA Science Inventory

    The U.S. Environmental Protection Agency (EPA) Computational Toxicology Program develops and utilizes QSAR modeling approaches across a broad range of applications. In terms of physical chemistry we have a particular interest in the prediction of basic physicochemical parameters ...

  5. Data Aggregation, Curation and Modeling Approaches to Deliver Prediction Models to Support Computational Toxicology at the EPA (ACS Fall meeting)

    EPA Science Inventory

    The U.S. Environmental Protection Agency (EPA) Computational Toxicology Program develops and utilizes QSAR modeling approaches across a broad range of applications. In terms of physical chemistry we have a particular interest in the prediction of basic physicochemical parameters ...

  6. Chronic care model strategies in the United States and Germany deliver patient-centered, high-quality diabetes care.

    PubMed

    Stock, Stephanie; Pitcavage, James M; Simic, Dusan; Altin, Sibel; Graf, Christian; Feng, Wen; Graf, Thomas R

    2014-09-01

    Improving the quality of care for chronic diseases is an important issue for most health care systems in industrialized nations. One widely adopted approach is the Chronic Care Model (CCM), which was first developed in the late 1990s. In this article we present the results from two large surveys in the United States and Germany that report patients' experiences in different models of patient-centered diabetes care, compared to the experiences of patients who received routine diabetes care in the same systems. The study populations were enrolled in either Geisinger Health System in Pennsylvania or Barmer, a German sickness fund that provides medical insurance nationwide. Our findings suggest that patients with type 2 diabetes who were enrolled in the care models that exhibited key features of the CCM were more likely to receive care that was patient-centered, high quality, and collaborative, compared to patients who received routine care. This study demonstrates that quality improvement can be realized through the application of the Chronic Care Model, regardless of the setting or distinct characteristics of the program. Project HOPE—The People-to-People Health Foundation, Inc.

  7. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part II: The referring clinician and patient perspective

    PubMed Central

    2010-01-01

    Background Feedback from service users will provide insight into opportunities for improvement so that performance can be optimised. In the context of a formative evaluation referring clinician and patient satisfaction with a teleneurophysiology service was examined during a 20 week pilot period. Methods Questionnaire surveys of referring clinicians and patients were conducted. Results Fifteen (58%) clinicians responded to the first part of a postal survey which examined their satisfaction with traditional clinical neurophysiology services. Nine (35%) responded to a second part which assessed their experience with the teleneurophysiology service. Teleneurophysiology improved satisfaction with waiting times, availability of results and impact on patient management. There was unanimous support from the clinicians for the permanent development of a teleneurophysiology service, although 2 cautioned this could delay establishing a neurology service in their region. Eighty-two percent (116/142) of patients responded to a survey of their satisfaction with teleneurophysiology. This was compared to a previous report of 322 patients' experience with traditional CN services in Ireland. Waiting times for appointment were shorter for the former group who supported the telemedicine model recognising that it reduced the travel burden and need for overnight journeys. The two groups were equally anxious about the investigation although the teleneurophysiology patients received more prior information. Conclusion This study illustrates that teleneurophysiology is an acceptable model of service delivery for its primary customers. Their feedback is important in informing appropriate design and governance of such innovative models of health service provision. PMID:20843310

  8. Helical Tomotherapy of the breast: can thermoplastic immobilization improve the reproducibility of the treatment setup and the accuracy of the delivered dose?

    PubMed

    Agostinelli, S; Garelli, S; Bellini, A; Pupillo, F; Guenzi, M; Bosetti, D; Blandino, G; Taccini, G

    2015-02-01

    To evaluate the impact of thermoplastic mask immobilization in the setup reproducibility and delivered dose for Helical Tomotherapy (HT) of the breast/chest wall. 16 patients treated with Accuray Hi-Art HT for breast-cancer were considered. Patients were positioned supine with arms extended above the head using Civco Wing Board (WB) system. In 50% of patients an Orfit thermoplastic mask was added in order to improve immobilization. Before each treatment fraction a megavoltage CT (MVCT) scan was taken and registered to the planning CT by experienced medical staff. The impact of thermoplastic mask was investigated analysing MVCT shift-roll data and MVCT dose distribution using Planned Adaptive software. In the analysed cases, the addition of thermoplastic mask had minor impact on the lateral, longitudinal and roll data distribution. Variance of vertical shifts was significantly reduced in the WB + Orfit group. Van Herk's margins were not affected by addition of thermoplastic immobilization. In both groups, target coverage (V95) and maximum dose (D1) were almost identical to planned values. D1 of organs at risk were not significantly different in the two groups. Analysis of shift-roll data shows no improvement in the group of patients immobilized with the addition of thermoplastic mask. Van Herk's margin is quite large (7-10 mm) in both groups evidencing the need to perform daily setup correction. The adapted dose distribution complies well with the planned one, showing that if MVCT is used before each treatment fraction, a 3 mm margin (setup component) for CTVs expansion could be adequate. Copyright © 2014 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  9. Dosimetric Improvements in Balloon Based Brachytherapy Using the Contura® Multi-Lumen Balloon (MLB) Catheter to Deliver Accelerated Partial Breast Irradiation

    PubMed Central

    Douglas, Arthur; Todor, Dorin; Julian, Thomas; Lyden, Maureen

    2010-01-01

    Purpose Preliminary dosimetric findings in patients managed with the Contura® Multi-Lumen Balloon (MLB) breast brachytherapy catheter to deliver accelerated partial breast irradiation (APBI) on a multi-institutional phase IV registry trial were reviewed. Material and methods CT-based 3D planning with dose optimization was performed for all patients. For the study, new ideal dosimetric goals were developed: 1) ≥ 95% of the prescribed dose (PD) covering ≥ 90% of the target volume (TV), 2) a maximum skin dose ≤ 125% of the PD, 3) maximum rib dose ≤ 145% of the PD, and 4) the V150 ≤ 50 cc and V200 ≤ 10 cc. The frequency of concurrently achieving these dosimetric goals using the Contura® MLB was investigated. Results 194 cases were evaluable. Employing the MLB, all ideal dosimetric criteria were achieved in 76% of cases. Evaluating dosimetric criteria separately, 90% and 89% of cases met the new ideal skin and rib dose criteria, respectively. In 96%, ideal TV coverage goals were achieved and in 96%, dose homogeneity criteria (V150 and V200) were met. For skin spacing ≥ 5-7 mm, the median skin dose was 121% of the PD and when < 5 mm, the median skin dose was 124.4%. For rib distancees < 5 mm, the median rib dose was reduced to 136.4% of the PD. For skin spacing < 7 mm and distance to rib < 5 mm, the median skin and rib doses were concurrently limited to 121% and 142.8% of the PD, respectively. Conclusions The Contura® MLB catheter provides potential improvements in dosimetric capabilities (i.e., reduced skin and rib doses and improved TV coverage) in many clinical scenarios. PMID:28031736

  10. Assessment of the Quality of Delivered Care for Iranian patients with Rheumatoid Arthritis by Using Comprehensive Quality Measurement Model in Health Care (CQMH)

    PubMed Central

    Karimi, Saeed; Safiri, Saeid; Bayat, Mahboubeh; Mottaghi, Payman; Shokri, Azad; Moosazadeh, Mahmood; Fattahi, Hamed

    2015-01-01

    Introduction: Quality of care has become increasingly critical in the evaluation of healthcare and healthcare services. The aim of this study was to assess quality of delivered care among patients with rheumatoid arthritis using a model of Comprehensive Quality Measurement in Health Care (CQMH). Methods: This cross-sectional study was conducted on 172 patients with rheumatoid arthritis (RA) who were received care from private clinics of Isfahan University of medical sciences in 2013. CQMH questionnaires were used for assessing the quality of care. Data were analyzed using SPSS for Windows. Results: The mean scores of Quality Index, Service Quality (SQ), Technical Quality (TQ), and Costumer Quality (CQ) were 72.70, 79.09, 68.54 and 70.25 out of 100, respectively. For CQ only 19.8% of participations staying the course of action even under stress and financial constraints, there is a significant gap between what RA care they received with what was recommended in the guideline for TQ. Scores of service quality was low in majority of aspects especially in "availability of support group" section. Conclusion: Study shows paradoxical findings and expresses that quality scores of service delivery for patients with arthritis rheumatoid from patient's perspective is relatively low. Therefore, for fixing this paradoxical problem, improving the participation of patients and their family and empowering them for self-management and decision should be regarded by health systems. PMID:26744728

  11. Delivering Prolonged Intensive Care to a Non-human Primate: A High Fidelity Animal Model of Critical Illness.

    PubMed

    Poliquin, P Guillaume; Biondi, Mia; Ranadheera, Charlene; Hagan, Mable; Bello, Alexander; Racine, Trina; Allan, Mark; Funk, Duane; Hansen, Gregory; Hancock, B J; Kesselman, Murray; Mortimer, Todd; Kumar, Anand; Jones, Shane; Leung, Anders; Grolla, Allen; Tran, Kaylie N; Tierney, Kevin; Qiu, Xiangguo; Kobasa, Darwyn; Strong, James E

    2017-04-26

    Critical care needs have been rising in recent decades as populations age and comorbidities increase. Sepsis-related admissions to critical care contribute up to 50% of volume and septic shock carries a 35-54% fatality rate. Improvements in sepsis-related care and mortality would have a significant impact of a resource-intensive area of health care delivery. Unfortunately, research has been hampered by the lack of an animal model that replicates the complex care provided to humans in an intensive care unit (ICU). We developed a protocol to provide full ICU type supportive care to Rhesus macaques. This included mechanical ventilation, continuous sedation, fluid and electrolyte management and vasopressor support in response to Ebolavirus-induced septic shock. The animals accurately recapitulated human responses to a full range of ICU interventions (e.g. fluid resuscitation). This model can overcome current animal model limitations by accurately emulating the complexity of ICU care and thereby provide a platform for testing new interventions in critical care and sepsis without placing patients at risk.

  12. A motivational interview intervention delivered at home to improve the oral health literacy and reduce the morbidity of Chilean disadvantaged families: a study protocol for a community trial

    PubMed Central

    Araya, Carlos; Flores, Raúl; Luengo, Luis; Castillo, Francisca; Bustos, Alex

    2017-01-01

    Introduction Oral health education/promotion interventions have been identified as cost-efficient tools to improve the oral health of the population. These interventions are regularly made in contexts where the target population is captive, for example, in health centres. In Chile, there are no oral health interventions delivered at home. Methods and analysis This community trial covers two disadvantaged urban areas in the province of Concepción. Both sectors have public preschool education coverage with a traditional programme (TP) to promote oral health. The intervention will comprise four to six visits by dental hygienists trained in the delivery of a standardised oral health promotion programme using motivational interviewing (MI) at home. The experimental group will receive TP and MI, while the control group will receive only TP. If a positive and significant effect of MI is found, this will be administered to the control group. For a 50% reduction in the incidence of caries, a sample size of 120 preschoolers per group is estimated. Data will be gathered on demographic and socioeconomic variables; oral health outcomes using WHO oral health indicators (the prevalence and severity of caries, periodontal disease, dentofacial anomalies and oral hygiene); the oral health literacy of caregivers, measured by the Rapid Estimation of Adult Literacy in Dentistry and the Oral Health Literacy Instrument, both validated for the Chilean population. Assessments will take place at baseline and at 12-month follow-up. Ethics and dissemination The university bioethics committee approved this study (EI/21/2014). We will submit the trial’s results for presentation at international scientific meetings and to peer-reviewed journals. Trial registration number ACTRN12615000450516. PMID:28710202

  13. Implementing IWRM: Delivering data and models with interactive dashboards and cyberinfrastructure to facilitate natural resource conflict resolution and valuation

    NASA Astrophysics Data System (ADS)

    Pierce, S. A.; Figueroa B, E.

    2016-12-01

    Sound science and adequate models of systems are necessary for environmental decisions, yet frequently it is insufficient. This study documents the outcome of a co-design effort that was convened initially to explore the potential role that technology may have in supporting multi-stakeholder deliberation about sustainability transitions for a region. The project aims to create science-based deliberation among diverse stakeholders about water-energy-mineral use and choices in the Atacama Desert region of Chile. An interactive dashboard that pairs stakeholder preferences, concept maps with natural resource valuation models seeks to visualize useful information. The ultimate goal is to improve levels of understanding and open possibilities for collaborative problem solving by engaging industry, academics, and indigenous communities in a long- term participatory modeling process. Collaborative discussions build technical knowledge and bridge across sectors that are often at odds over management of earth resources. The project began in the shadow of marked conflict and tensions among participants. Methodologically, tensions have been reduced by combining social process with information delivery that leverages interactive touch screen applications. Models and information act as boundary objects among participants and the tenets of a conflict resolution process called sustained dialogue provide guidance for facilitating the group sessions. Early results indicate that the gesture-enabled touch screens are useful for establishing an accessible environment for deliberation because subject matter experts and laypeople can interact with information with equal ease. Social process has been critical for bridging scales, managing group expectations and relationships, and addressing differences in epistemological and cultural perspectives. Recent incorporation of economic and resource valuation highlights new aspects and alternative views of tradeoffs and potential impacts.

  14. Improved model for statistical alignment

    SciTech Connect

    Miklos, I.; Toroczkai, Z.

    2001-01-01

    The statistical approach to molecular sequence evolution involves the stochastic modeling of the substitution, insertion and deletion processes. Substitution has been modeled in a reliable way for more than three decades by using finite Markov-processes. Insertion and deletion, however, seem to be more difficult to model, and thc recent approaches cannot acceptably deal with multiple insertions and deletions. A new method based on a generating function approach is introduced to describe the multiple insertion process. The presented algorithm computes the approximate joint probability of two sequences in 0(13) running time where 1 is the geometric mean of the sequence lengths.

  15. Model-based software process improvement

    NASA Technical Reports Server (NTRS)

    Zettervall, Brenda T.

    1994-01-01

    The activities of a field test site for the Software Engineering Institute's software process definition project are discussed. Products tested included the improvement model itself, descriptive modeling techniques, the CMM level 2 framework document, and the use of process definition guidelines and templates. The software process improvement model represents a five stage cyclic approach for organizational process improvement. The cycles consist of the initiating, diagnosing, establishing, acting, and leveraging phases.

  16. Does a brief, behavioural intervention, delivered by paediatricians or psychologists improve sleep problems for children with ADHD? Protocol for a cluster-randomised, translational trial

    PubMed Central

    Sciberras, E; Mulraney, M; Heussler, H; Rinehart, N; Schuster, T; Gold, L; Hayes, N; Hiscock, H

    2017-01-01

    Introduction Up to 70% of children with attention-deficit/hyperactivity disorder (ADHD) experience sleep problems. We have demonstrated the efficacy of a brief behavioural intervention for children with ADHD in a large randomised controlled trial (RCT) and now aim to examine whether this intervention is effective in real-life clinical settings when delivered by paediatricians or psychologists. We will also assess the cost-effectiveness of the intervention. Methods and analysis Children aged 5–12 years with ADHD (n=320) are being recruited for this translational cluster RCT through paediatrician practices in Victoria and Queensland, Australia. Children are eligible if they meet criteria for ADHD, have a moderate/severe sleep problem and meet American Academy of Sleep Medicine criteria for either chronic insomnia disorder or delayed sleep–wake phase disorder; or are experiencing sleep-related anxiety. Clinicians are randomly allocated at the level of the paediatrician to either receive the sleep training or not. The behavioural intervention comprises 2 consultations covering sleep hygiene and standardised behavioural strategies. The primary outcome is change in the proportion of children with moderate/severe sleep problems from moderate/severe to no/mild by parent report at 3 months postintervention. Secondary outcomes include a range of child (eg, sleep severity, ADHD symptoms, quality of life, behaviour, working memory, executive functioning, learning, academic achievement) and primary caregiver (mental health, parenting, work attendance) measures. Analyses will address clustering at the level of the paediatrician using linear mixed effect models adjusting for potential a priori confounding variables. Ethics and dissemination Ethics approval has been granted. Findings will determine whether the benefits of an efficacy trial can be realised more broadly at the population level and will inform the development of clinical guidelines for managing sleep problems

  17. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: Utility, technical performance and service provider perspective

    PubMed Central

    2010-01-01

    Background Formative evaluation is conducted in the early stages of system implementation to assess how it works in practice and to identify opportunities for improving technical and process performance. A formative evaluation of a teleneurophysiology service was conducted to examine its technical and sociological dimensions. Methods A teleneurophysiology service providing routine EEG investigation was established. Service use, technical performance and satisfaction of clinical neurophysiology personnel were assessed qualitatively and quantitatively. These were contrasted with a previously reported analysis of the need for teleneurophysiology, and examination of expectation and satisfaction with clinical neurophysiology services in Ireland. A preliminary cost-benefit analysis was also conducted. Results Over the course of 40 clinical sessions during 20 weeks, 142 EEG investigations were recorded and stored on a file server at a satellite centre which was 130 miles away from the host clinical neurophysiology department. Using a virtual private network, the EEGs were accessed by a consultant neurophysiologist at the host centre for interpretation. The model resulted in a 5-fold increase in access to EEG services as well as reducing average waiting times for investigation by a half. Technically the model worked well, although a temporary loss of virtual private network connectivity highlighted the need for clarity in terms of responsibility for troubleshooting and repair of equipment problems. Referral quality, communication between host and satellite centres, quality of EEG recordings, and ease of EEG review and reporting indicated that appropriate organisational processes were adopted by the service. Compared to traditional CN service delivery, the teleneurophysiology model resulted in a comparable unit cost per EEG. Conclusion Observations suggest that when traditional organisational boundaries are crossed challenges associated with the social dimension of service

  18. Translation of associative learning models into extinction reminders delivered via mobile phones during cue exposure interventions for substance use.

    PubMed

    Rosenthal, M Zachary; Kutlu, Munir G

    2014-09-01

    Despite experimental findings and some treatment research supporting the use of cues as a means to induce and extinguish cravings, interventions using cue exposure have not been well integrated into contemporary substance abuse treatments. A primary problem with exposure-based interventions for addiction is that after learning not to use substances in the presence of addiction cues inside the clinic (i.e., extinction), stimuli in the naturalistic setting outside the clinic may continue to elicit craving, drug use, or other maladaptive conditioned responses. For exposure-based substance use interventions to be efficacious, new approaches are needed that can prevent relapse by directly generalizing learning from the therapeutic setting into naturalistic settings associated with a high risk for relapse. Basic research suggests that extinction reminders (ERs) can be paired with the context of learning new and more adaptive conditioned responses to substance abuse cues in exposure therapies for addiction. Using mobile phones and automated dialing and data collection software, ERs can be delivered in everyday high-risk settings to inhibit conditioned responses to substance-use-related stimuli. In this review, we describe how associative learning mechanisms (e.g., conditioned inhibition) can inform how ERs are conceptualized, learned, and implemented to prevent substance use when delivered via mobile phones. This approach, exposure with portable reminders of extinction, is introduced as an adjunctive intervention that uses brief automated ERs between clinic visits when individuals are in high-risk settings for drug use.

  19. Translation of Associative Learning Models into Extinction Reminders Delivered via Mobile Phones During Cue Exposure Interventions for Substance Use

    PubMed Central

    Rosenthal, M. Zachary; Kutlu, Munir G.

    2014-01-01

    Despite experimental findings and some treatment research supporting the use of cues as a means to induce and extinguish cravings, interventions using cue exposure have not been well integrated into contemporary substance abuse treatments. A primary problem with exposure-based interventions for addiction is that after learning not to use substances in the presence of addiction cues inside the clinic (i.e., extinction), stimuli in the naturalistic setting outside the clinic may continue to elicit craving, drug use, or other maladaptive conditioned responses. For exposure-based substance use interventions to be efficacious, new approaches are needed that can prevent relapse by directly generalizing learning from the therapeutic setting into naturalistic settings associated with a high-risk for relapse. Basic research suggests that extinction reminders (ERs) can be paired with the context of learning new and more adaptive conditioned responses to substance abuse cues in exposure therapies for addiction. Using mobile phones and automated dialing and data collection software, ERs can be delivered in everyday high-risk settings to inhibit conditioned responses to substance use-related stimuli. In this review, we describe how associative learning mechanisms (e.g., conditioned inhibition) can inform how ERs are conceptualized, learned, and implemented to prevent substance use when delivered via mobile phones. This approach, exposure with portable reminders of extinction, is introduced as an adjunctive intervention that uses brief automated ERs between clinic visits when individuals are in high-risk settings for drug use. PMID:25134055

  20. Nasal immunization with inhibin DNA vaccine delivered by attenuated Salmonella choleraesuis for improving ovarian responses and fertility in cross-bred buffaloes.

    PubMed

    Liu, Q; Rehman, Z U; Liu, J J; Han, L; Liu, X R; Yang, L G

    2017-04-01

    This study was conducted to determine the effect of immunization with inhibin DNA vaccine delivered by attenuated Salmonella choleraesuis on ovarian responses and fertility in cross-bred buffaloes. A total of 134 cross-bred buffaloes were divided into four groups: groups T1 (n = 34), T2 (n = 35) and T3 (n = 31) were nasal immunized twice a day with 10 ml of 1 × 10(10)  CFU/ml of the C501 (pVAX-asd-IS) vaccine for 5, 3 and 1 day, respectively. Group C (n = 34) was nasal immunized with 10 ml PBS for 5 days. All animals were immunized twice with an interval of 14 days and administered with 200 μg of a GnRH analogue on day 28, 0.5 mg PGF2α on day 35 and 200 μg of the same GnRH analogue on day 37. TAI was performed at 18 and 24 hr after the second GnRH treatment. Fourteen days after primary immunization, C501 (pVAX-asd-IS) elicited significant immune responses, and anti-inhibin IgG antibody titres in group T1 were significantly higher (p < .01) than groups T3 and C. After the second GnRH treatment, the growth speed of the dominant follicles in group T1 was significantly faster (p < .05) than groups T3 and C. The number and diameter of large follicles (≥10 mm) as well as ovulatory follicles in group T1 were the greatest in all groups, resulting in a greater conception rate in buffaloes with positive anti-inhibin antibodies. These results demonstrate that immunization with the C501 (pVAX-asd-IS) vaccine, coupled with the Ovsynch protocol, could be used as an alternative approach to improve reproductive performance in cross-bred buffaloes.

  1. Improve SSME power balance model

    NASA Technical Reports Server (NTRS)

    Karr, Gerald R.

    1992-01-01

    Effort was dedicated to development and testing of a formal strategy for reconciling uncertain test data with physically limited computational prediction. Specific weaknesses in the logical structure of the current Power Balance Model (PBM) version are described with emphasis given to the main routing subroutines BAL and DATRED. Selected results from a variational analysis of PBM predictions are compared to Technology Test Bed (TTB) variational study results to assess PBM predictive capability. The motivation for systematic integration of uncertain test data with computational predictions based on limited physical models is provided. The theoretical foundation for the reconciliation strategy developed in this effort is presented, and results of a reconciliation analysis of the Space Shuttle Main Engine (SSME) high pressure fuel side turbopump subsystem are examined.

  2. Implementing a K-12 Train the Trainer Professional Development Model through the School Improvement Grant

    ERIC Educational Resources Information Center

    Pollnow, Michele

    2012-01-01

    Effective professional development has been shown to improve instruction and increase student academic achievement. The Train the Trainer professional development model is often chosen by the state Department of Education for its efficiency and cost effectiveness of delivering training to schools and districts widely distributed throughout the…

  3. Implementing a K-12 Train the Trainer Professional Development Model through the School Improvement Grant

    ERIC Educational Resources Information Center

    Pollnow, Michele

    2012-01-01

    Effective professional development has been shown to improve instruction and increase student academic achievement. The Train the Trainer professional development model is often chosen by the state Department of Education for its efficiency and cost effectiveness of delivering training to schools and districts widely distributed throughout the…

  4. The Feasibility of an E-Mail-Delivered Intervention to Improve Nutrition and Physical Activity Behaviors in African American College Students

    ERIC Educational Resources Information Center

    Mackey, Eleanor; Schweitzer, Amy; Hurtado, Maria Eugenia; Hathway, Joanne; DiPietro, Loretta; Lei, Kai Y.; Klein, Catherine J.

    2015-01-01

    Objectives: To evaluate the feasibility and acceptability of an e-mail-delivered program to promote nutrition and physical activity in African American college students. Participants: Forty-seven students (76% female, aged 18-20 years). Methods: Students participated in a 24-week randomized controlled trial, receiving either general health…

  5. The Feasibility of an E-Mail-Delivered Intervention to Improve Nutrition and Physical Activity Behaviors in African American College Students

    ERIC Educational Resources Information Center

    Mackey, Eleanor; Schweitzer, Amy; Hurtado, Maria Eugenia; Hathway, Joanne; DiPietro, Loretta; Lei, Kai Y.; Klein, Catherine J.

    2015-01-01

    Objectives: To evaluate the feasibility and acceptability of an e-mail-delivered program to promote nutrition and physical activity in African American college students. Participants: Forty-seven students (76% female, aged 18-20 years). Methods: Students participated in a 24-week randomized controlled trial, receiving either general health…

  6. NEW DIRECTIONS IN SCHOOL-COMMUNITY RELATIONS. AN ADDRESS DELIVERED TO THE GREAT CITIES SCHOOL IMPROVEMENT WORKSHOP, AUGUST 29, 1960, DETROIT, MICHIGAN.

    ERIC Educational Resources Information Center

    MCCLUSKY, HOWARD

    IN AN ADDRESS DELIVERED TO A WORKSHOP IN THE GREAT CITIES PROJECT, IT WAS NOTED THAT SCHOOL PERSONNEL SHOULD DO EVERYTHING POSSIBLE TO RESEARCH THE PROBLEM OF IN-MIGRATION. IT IS RECOMMENDED THAT, AS A KEY TO MIGRATION AND CHANGING NEIGHBORHOODS, A CUMULATIVE RECORD FOR THE NEIGHBORHOOD AND SCHOOL DISTRICT BE KEPT. THERE IS A NEED FOR TEACHERS TO…

  7. Evaluation and management of the impact of land use change on the nitrogen and phosphorus load delivered to surface waters: the export coefficient modelling approach

    NASA Astrophysics Data System (ADS)

    Johnes, P. J.

    1996-09-01

    A manageable, relatively inexpensive model was constructed to predict the loss of nitrogen and phosphorus from a complex catchment to its drainage system. The model used an export coefficient approach, calculating the total nitrogen (N) and total phosphorus (P) load delivered annually to a water body as the sum of the individual loads exported from each nutrient source in its catchment. The export coefficient modelling approach permits scaling up from plot-scale experiments to the catchment scale, allowing application of findings from field experimental studies at a suitable scale for catchment management. The catchment of the River Windrush, a tributary of the River Thames, UK, was selected as the initial study site. The Windrush model predicted nitrogen and phosphorus loading within 2% of observed total nitrogen load and 0.5% of observed total phosphorus load in 1989. The export coefficient modelling approach was then validated by application in a second research basin, the catchment of Slapton Ley, south Devon, which has markedly different catchment hydrology and land use. The Slapton model was calibrated within 2% of observed total nitrogen load and 2.5% of observed total phosphorus load in 1986. Both models proved sensitive to the impact of temporal changes in land use and management on water quality in both catchments, and were therefore used to evaluate the potential impact of proposed pollution control strategies on the nutrient loading delivered to the River Windrush and Slapton Ley.

  8. Spleen-specific suppression of TNF-alpha by cationic hydrogel-delivered antisense nucleotides for the prevention of arthritis in animal models.

    PubMed

    Dong, Lei; Xia, Suhua; Chen, Huan; Chen, Jiangning; Zhang, Junfeng

    2009-09-01

    This study developed a transplantable platform based on cationic hydrogels to deliver antisense oligodeoxynucleotides (ASOs) targeting the mRNA of TNF-alpha. Cationic agarose (c-agarose) was obtained by conjugating ethylenediamine to agarose via an N,N'-carbonyldiimidazole (CDI)-activation method. ASO-c-agarose system was constructed by mixing ASO in cationic agarose gel of proper concentration and gelation temperature. In vivo assessment of ASO distribution suggested that the system specifically target to spleen, wherein the c-agarose-delivered ASO had a concentration remarkably 50-fold higher than that of the naked ASO. The distribution of c-agarose-delivered ASO was scarcely detectable in liver and kidney. Next, three types of animal models were setup to evaluate the therapeutic efficacies of ASO-Gel, including the adjuvant-induced arthritis (AA), carrageen/lipopolysaccharide (LPS)-induced arthritis (CLA) and collagen-induced arthritis (CIA) models. The effects of ASO-c-agarose in alleviating inflammation and tissue destruction were evidenced in more than 90% of the testing animals, with decrease of main inflammatory cytokines, lightening of joint swelling and tissue damage, as well as increase in their body weights. All these findings suggest that this highly operable devise for the conveyance of antisense nucleotides together with its spleen-targeting property, could become a useful means of antisense-based therapeutics against rheumatoid arthritis and other diseases.

  9. Improvements in the Space Weather Modeling Framework

    NASA Astrophysics Data System (ADS)

    Ridley, A. J.; Liemohn, M.; Dezeeuw, D.; Ilie, R.; Sokolov, I.; Toth, G.; Yu, Y.

    2008-12-01

    The magnetosphere within the Space Weather Modeling Framework (SWMF) has been represented by a global magnetosphere model (BATSRUS), an inner magnetosphere model (the Rice Convection Model) and a model of the ionospheric electrodynamics. We present significant improvements in the SWMF: (1) We have implemented a spherical grid within BATSRUS and have utilized this for modeling the magnetosphere; (2) We have significantly improved the physics of the auroral oval within the ionospheric electrodynamics code, modeling a self-consistent diffuse and discrete auroral oval; (3) We utilize the multifluid MHD code within BATSRUS to allow for more accurate specification and differentiation of the density within the magnetosphere; and (4) we have incorporated the Hot Electron and Ion Drift Integrator (HEIDI) ring current code within the SWMF. We will present these improvements and show the quantitative differences within the model results when comparing to a suite of measurements for a number of different intervals.

  10. Solid lipid nanoparticles delivering anti-inflammatory drugs to treat inflammatory bowel disease: Effects in an in vivo model

    PubMed Central

    Dianzani, Chiara; Foglietta, Federica; Ferrara, Benedetta; Rosa, Arianna Carolina; Muntoni, Elisabetta; Gasco, Paolo; Della Pepa, Carlo; Canaparo, Roberto; Serpe, Loredana

    2017-01-01

    AIM To improve anti-inflammatory activity while reducing drug doses, we developed a nanoformulation carrying dexamethasone and butyrate. METHODS Dexamethasone cholesteryl butyrate-solid lipid nanoparticles (DxCb-SLN) were obtained with the warm microemulsion method. The anti-inflammatory activity of this novel nanoformulation has been investigated in vitro (cell adhesion to human vascular endothelial cells and pro-inflammatory cytokine release by lipopolysaccharide-induced polymorphonuclear cells) and in vivo (disease activity index and cytokine plasma concentrations in a dextran sulfate sodium-induced mouse colitis) models. Each drug was also administered separately to compare its effects with those induced by their co-administration in SLN at the same concentrations. RESULTS DxCb-SLN at the lowest concentration tested (Dx 2.5 nmol/L and Cb 0.1 μmol/L) were able to exert a more than additive effect compared to the sum of the individual effects of each drug, inducing a significant in vitro inhibition of cell adhesion and a significant decrease of pro-inflammatory cytokine (IL-1β and TNF-α) in both in vitro and in vivo models. Notably, only the DxCb nanoformulation administration was able to achieve a significant cytokine decrease compared to the cytokine plasma concentration of the untreated mice with dextran sulfate sodium-induced colitis. Specifically, DxCb-SLN induced a IL-1β plasma concentration of 61.77% ± 3.19%, whereas Dx or Cb used separately induced a concentration of 90.0% ± 2.8% and 91.40% ± 7.5%, respectively; DxCb-SLN induced a TNF-α plasma concentration of 30.8% ± 8.9%, whereas Dx or Cb used separately induced ones of 99.5% ± 4.9% and 71.1% ± 10.9%, respectively. CONCLUSION Our results indicate that the co-administration of dexamethasone and butyrate by nanoparticles may be beneficial for inflammatory bowel disease treatment. PMID:28694660

  11. Vermont's Community-Oriented All-Payer Medical Home Model Reduces Expenditures and Utilization While Delivering High-Quality Care.

    PubMed

    Jones, Craig; Finison, Karl; McGraves-Lloyd, Katharine; Tremblay, Timothy; Mohlman, Mary Kate; Tanzman, Beth; Hazard, Miki; Maier, Steven; Samuelson, Jenney

    2016-06-01

    Patient-centered medical home programs using different design and implementation strategies are being tested across the United States, and the impact of these programs on outcomes for a general population remains unclear. Vermont has pursued a statewide all-payer program wherein medical home practices are supported with additional staffing from a locally organized shared resource, the community health team. Using a 6-year, sequential, cross-sectional methodology, this study reviewed annual cost, utilization, and quality outcomes for patients attributed to 123 practices participating in the program as of December 2013 versus a comparison population from each year attributed to nonparticipating practices. Populations are grouped based on their practices' stage of participation in a calendar year (Pre-Year, Implementation Year, Scoring Year, Post-Year 1, Post-Year 2). Annual risk-adjusted total expenditures per capita at Pre-Year for the participant group and comparison group were not significantly different. The difference-in-differences change from Pre-Year to Post-Year 2 indicated that the participant group's expenditures were reduced by -$482 relative to the comparison (95% CI, -$573 to -$391; P < .001). The lower costs were driven primarily by inpatient (-$218; P < .001) and outpatient hospital expenditures (-$154; P < .001), with associated changes in inpatient and outpatient hospital utilization. Medicaid participants also had a relative increase in expenditures for dental, social, and community-based support services ($57; P < .001). Participants maintained higher rates on 9 of 11 effective and preventive care measures. These results suggest that Vermont's community-oriented medical home model is associated with improved outcomes for a general population at lower expenditures and utilization. (Population Health Management 2016;19:196-205).

  12. Vermont's Community-Oriented All-Payer Medical Home Model Reduces Expenditures and Utilization While Delivering High-Quality Care

    PubMed Central

    Jones, Craig; Finison, Karl; McGraves-Lloyd, Katharine; Tremblay, Timothy; Tanzman, Beth; Hazard, Miki; Maier, Steven; Samuelson, Jenney

    2016-01-01

    Abstract Patient-centered medical home programs using different design and implementation strategies are being tested across the United States, and the impact of these programs on outcomes for a general population remains unclear. Vermont has pursued a statewide all-payer program wherein medical home practices are supported with additional staffing from a locally organized shared resource, the community health team. Using a 6-year, sequential, cross-sectional methodology, this study reviewed annual cost, utilization, and quality outcomes for patients attributed to 123 practices participating in the program as of December 2013 versus a comparison population from each year attributed to nonparticipating practices. Populations are grouped based on their practices' stage of participation in a calendar year (Pre-Year, Implementation Year, Scoring Year, Post-Year 1, Post-Year 2). Annual risk-adjusted total expenditures per capita at Pre-Year for the participant group and comparison group were not significantly different. The difference-in-differences change from Pre-Year to Post-Year 2 indicated that the participant group's expenditures were reduced by −$482 relative to the comparison (95% CI, −$573 to −$391; P < .001). The lower costs were driven primarily by inpatient (−$218; P < .001) and outpatient hospital expenditures (−$154; P < .001), with associated changes in inpatient and outpatient hospital utilization. Medicaid participants also had a relative increase in expenditures for dental, social, and community-based support services ($57; P < .001). Participants maintained higher rates on 9 of 11 effective and preventive care measures. These results suggest that Vermont's community-oriented medical home model is associated with improved outcomes for a general population at lower expenditures and utilization. (Population Health Management 2016;19:196–205) PMID:26348492

  13. The structural HCV genes delivered by MPG cell penetrating peptide are directed to enhance immune responses in mice model.

    PubMed

    Mehrlatifan, Saloume; Mirnurollahi, Seyyedeh Masumeh; Motevalli, Fatemeh; Rahimi, Pooneh; Soleymani, Sepehr; Bolhassani, Azam

    2016-10-01

    One of the significant problems in vaccination projects is the lack of an effective vaccine against hepatitis C virus (HCV). The goal of the current study is to evaluate and compare two DNA constructs encoding HCV core and coreE1E2 genes alone or complexed with MPG peptide as a delivery system for stimulation of antibody responses and IFN-γ secretion in Balb/c mice model. Indeed, MPG cell penetrating peptide was used to improve DNA immunization in mice. Our results demonstrated that MPG forms stable non-covalent nanoparticles with pcDNA-core and pcDNA-coreE1E2 at an N/P ratio of 10:1. The in vitro transfection efficiency of core or coreE1E2 DNA using MPG and TurboFect delivery systems was confirmed by western blot analysis. The results indicated the expression of the full-length core (∼21 kDa), and coreE1E2 (∼83 kDa) proteins using an anti-His monoclonal antibody. In addition, the expression of HCV core and coreE1E2 proteins was performed in bacteria and the purified recombinant proteins were injected to mice with Montanide 720 adjuvant. Our data showed that the immunized mice with HCV core and coreE1E2 proteins generated the mixture of sera IgG1 and IgG2a isotypes considerably higher than other groups. Furthermore, DNA constructs encoding core and coreE1E2 complexed with MPG could significantly induce IFN-γ secretion in lower concentrations than the naked core and coreE1E2 DNAs. Taken together, the DNA formulations as well as protein regimens used in this study triggered high-level IFN-γ production in mice, an important feature for the development of Th1 immune responses.

  14. Data assimilation with improved prior models

    NASA Astrophysics Data System (ADS)

    Lu, F.; Tu, X.; Chorin, A. J.

    2016-12-01

    Due to computationally expensive forward models, ensemble filters often either use the full model with a small ensemble, or use a reduced model with a large ensemble. In either case, the sampling error or the model error poses a challenge to ensemble filter performance. Covariance localization and inflation techniques have been developed to ameliorate the errors. However, tuning localization and inflation is expensive, and they introduce further filter errors. We investigate an alternative approach of using improved reduced prior models. The improved reduced model is a non-Markovian model obtained by quantifying the model error using a discrete-time stochastic parametrization, so that it captures the statistical and dynamical features of the full model. The improved reduced model achieves good filter performance using a reasonable size of ensemble without any localization or inflation. Tests on the two-layer Lorenz 96 model show that an improved reduced model has better filter performance than the original reduced system with tuned localization and inflation, and it has comparable performance to the full system with a small ensemble and tuned localization and inflation.

  15. Agricultural model intercomparison and improvement project: Overview of model intercomparisons

    USDA-ARS?s Scientific Manuscript database

    Improvement of crop simulation models to better estimate growth and yield is one of the objectives of the Agricultural Model Intercomparison and Improvement Project (AgMIP). The overall goal of AgMIP is to provide an assessment of crop model through rigorous intercomparisons and evaluate future clim...

  16. Early Intervention with a Parent-Delivered Massage Protocol Directed at Tactile Abnormalities Decreases Severity of Autism and Improves Child-to-Parent Interactions: A Replication Study

    PubMed Central

    Silva, Louisa M. T.; Gabrielsen, Kristen R.; Budden, Sarojini S.; Buenrostro, Martha; Horton, Gretchen

    2015-01-01

    Tactile abnormalities are severe and universal in preschool children with autism. They respond well to treatment with a daily massage protocol directed at tactile abnormalities (QST massage for autism). Treatment is based on a model for autism proposing that tactile impairment poses a barrier to development. Two previous randomized controlled trials evaluating five months of massage treatment reported improvement of behavior, social/communication skills, and tactile and other sensory symptoms. This is the first report from a two-year replication study evaluating the protocol in 103 preschool children with autism. Parents gave daily treatment; trained staff gave weekly treatment and parent support. Five-month outcomes replicated earlier studies and showed normalization of receptive language (18%, P = .03), autistic behavior (32%, P = .006), total sensory abnormalities (38%, P = .0000005), tactile abnormalities (49%, P = .0002), and decreased autism severity (medium to large effect size, P = .008). In addition, parents reported improved child-to-parent interactions, bonding, and decreased parenting stress (44%, P = .00008). Early childhood special education programs are tasked with addressing sensory abnormalities and engaging parents in effective home programs. Until now, they have lacked research-based methods to do so. This program fulfills the need. It is recommended to parents and ECSE programs (ages 3–5) at autism diagnosis. PMID:25878901

  17. Metallochaperones: bind and deliver

    SciTech Connect

    Rosenzweig, A.C.

    2010-03-08

    Metallochaperones deliver metal ions directly to target proteins via specific protein-protein interactions. Recent research has led to a molecular picture of how some metallochaperones bind metal ions, recognize their partner proteins, and accomplish metal ion transfer.

  18. A Comparison of Speech Sound Intervention Delivered by Telepractice and Side-by-Side Service Delivery Models

    ERIC Educational Resources Information Center

    Grogan-Johnson, Sue; Schmidt, Anna Marie; Schenker, Jason; Alvares, Robin; Rowan, Lynne E.; Taylor, Jacquelyn

    2013-01-01

    Telepractice has the potential to provide greater access to speech-language intervention services for children with communication impairments. Substantiation of this delivery model is necessary for telepractice to become an accepted alternative delivery model. This study investigated the progress made by school-age children with speech sound…

  19. A Comparison of Speech Sound Intervention Delivered by Telepractice and Side-by-Side Service Delivery Models

    ERIC Educational Resources Information Center

    Grogan-Johnson, Sue; Schmidt, Anna Marie; Schenker, Jason; Alvares, Robin; Rowan, Lynne E.; Taylor, Jacquelyn

    2013-01-01

    Telepractice has the potential to provide greater access to speech-language intervention services for children with communication impairments. Substantiation of this delivery model is necessary for telepractice to become an accepted alternative delivery model. This study investigated the progress made by school-age children with speech sound…

  20. Impact of Different Types of Knowledge on Two Preservice Teachers' Ability to Learn and Deliver the Sport Education Model

    ERIC Educational Resources Information Center

    Stran, Margaret; Curtner-Smith, Matthew

    2010-01-01

    Background: Teachers' and pupils' responses to the Sport Education (SE) model have been very positive. Pupils clearly enjoy SE and the model created lasting changes in teachers' beliefs and perspectives on teaching. While much research has been done on the impact of SE on teachers and students, there has been relatively little research on how both…

  1. Delivering Integrated Services. Models for Facilitating Change in Small and Mid-Sized Firms. Business Assistance Tools.

    ERIC Educational Resources Information Center

    Mitchell, Stephen M.

    This guide draws on case studies to identify lessons for small and midsized firms who wish to improve the quality of their services and facilitate change. Following an introduction, section 2 describes the context in which the research was undertaken after a needs analysis was conducted of small and midsized businesses and service providers, and…

  2. An information model for automated assessment of concordance between advance care preferences and care delivered near the end of life

    PubMed Central

    Wang, Susan; Meng, Di; Kanter, Michael H; Garrido, Terhilda

    2016-01-01

    Objective To develop an information model for automating evaluation of concordance between patient preferences and end-of-life care. Methods We modeled and validated 15 end-of-life care preference option domains, to which we mapped preferences recorded in standardized advance care planning documents and 232 end-of-life care events defined by procedure and medication codes. Patient preferences and end-of-life care events were available in electronic health records. Data from Kaiser Permanente Southern California modeling and testing populations were evaluated for concordance between patients’ preferences and the end-of-life care events they experienced. Results The information model successfully assessed concordance between patient preferences and end-of-life care events. Among 388 expired patients in the modeling population, 4164 care events occurred, 4100 (98%) of which were preference-concordant, and 64 (2%) of which were preference-discordant. Including end-of-life care events that did not occur increased the number of observations to 6029; 99% were preference-concordant. At the level of individuals, 72% (278) of patients experienced only preference-concordant care events, 13% (50) experienced at least one preference-discordant care event, and 15% (60) experienced no preference-related care events. Discussion Model limitations pertain to assumptions that are required to match advance care planning documents with patient preference options and exclusion of preferred care that did not occur. Further research is required to apply the model to larger populations and to investigate the need for additional preference options. Conclusion An information model for automating the assessment of the concordance between patients’ advance care planning preferences and the end-of-life care they received was effective in a small population and has the potential to assess population-level preference-concordance on an ongoing basis. PMID:26567328

  3. Improvements to constitutive material model for fabrics

    NASA Astrophysics Data System (ADS)

    Morea, Mihai I.

    2011-12-01

    The high strength to weight ratio of woven fabric offers a cost effective solution to be used in a containment system for aircraft propulsion engines. Currently, Kevlar is the only Federal Aviation Administration (FAA) approved fabric for usage in systems intended to mitigate fan blade-out events. This research builds on an earlier constitutive model of Kevlar 49 fabric developed at Arizona State University (ASU) with the addition of new and improved modeling details. Latest stress strain experiments provided new and valuable data used to modify the material model post peak behavior. These changes reveal an overall improvement of the Finite Element (FE) model's ability to predict experimental results. First, the steel projectile is modeled using Johnson-Cook material model and provides a more realistic behavior in the FE ballistic models. This is particularly noticeable when comparing FE models with laboratory tests where large deformations in projectiles are observed. Second, follow-up analysis of the results obtained through the new picture frame tests conducted at ASU provides new values for the shear moduli and corresponding strains. The new approach for analysis of data from picture frame tests combines digital image analysis and a two-level factorial optimization formulation. Finally, an additional improvement in the material model for Kevlar involves checking the convergence at variation of mesh density of fabrics. The study performed and described herein shows the converging trend, therefore validating the FE model.

  4. Improved Slip Casting Of Ceramic Models

    NASA Technical Reports Server (NTRS)

    Buck, Gregory M.; Vasquez, Peter; Hicks, Lana P.

    1994-01-01

    Improved technique of investment slip casting developed for making precise ceramic wind-tunnel models. Needed in wind-tunnel experiments to verify predictions of aerothermodynamical computer codes. Ceramic materials used because of their low heat conductivities and ability to survive high temperatures. Present improved slip-casting technique enables casting of highly detailed models from aqueous or nonaqueous solutions. Wet shell molds peeled off models to ensure precise and undamaged details. Used at NASA Langley Research Center to form superconducting ceramic components from nonaqueous slip solutions. Technique has many more applications when ceramic materials developed further for such high-strength/ temperature components as engine parts.

  5. Using Ecosystem Experiments to Improve Vegetation Models

    SciTech Connect

    Medlyn, Belinda; Zaehle, S; DeKauwe, Martin G.; Walker, Anthony P.; Dietze, Michael; Hanson, Paul J.; Hickler, Thomas; Jain, Atul; Luo, Yiqi; Parton, William; Prentice, I. Collin; Thornton, Peter E.; Wang, Shusen; Wang, Yingping; Weng, Ensheng; Iversen, Colleen M.; McCarthy, Heather R.; Warren, Jeffrey; Oren, Ram; Norby, Richard J

    2015-05-21

    Ecosystem responses to rising CO2 concentrations are a major source of uncertainty in climate change projections. Data from ecosystem-scale Free-Air CO2 Enrichment (FACE) experiments provide a unique opportunity to reduce this uncertainty. The recent FACE Model–Data Synthesis project aimed to use the information gathered in two forest FACE experiments to assess and improve land ecosystem models. A new 'assumption-centred' model intercomparison approach was used, in which participating models were evaluated against experimental data based on the ways in which they represent key ecological processes. Identifying and evaluating the main assumptions caused differences among models, and the assumption-centered approach produced a clear roadmap for reducing model uncertainty. We explain this approach and summarize the resulting research agenda. We encourage the application of this approach in other model intercomparison projects to fundamentally improve predictive understanding of the Earth system.

  6. Improving Hydrology in Land Ice Models

    NASA Astrophysics Data System (ADS)

    Price, Stephen; Flowers, Gwenn; Schoof, Christian

    2011-05-01

    Community Earth System Model Land Ice Working Group Meeting; Boulder, Colorado, 13 January 2011 ; Recent observations indicate that mass loss from glaciers and ice sheets (“land ice”) is increasing. The drivers of these changes are not well understood, and modeling the land ice response to them remains challenging. As a result, the Intergovernmental Panel on Climate Change explicitly avoided speculating on 21st-century sea level rise from ice dynamical processes in its fourth assessment report. The mismatch between observations of land ice change and model skill at mimicking those changes is behind recent efforts to develop next-generation land ice models. Necessary improvements to existing models include improved dynamics, coupling to climate models, and better representations of important boundary conditions and physical processes. Basal sliding, the primary control on the rate of land ice delivery to the oceans, is one such boundary condition that is largely controlled by land ice hydrology.

  7. Using Ecosystem Experiments to Improve Vegetation Models

    DOE PAGES

    Medlyn, Belinda; Zaehle, S; DeKauwe, Martin G.; ...

    2015-05-21

    Ecosystem responses to rising CO2 concentrations are a major source of uncertainty in climate change projections. Data from ecosystem-scale Free-Air CO2 Enrichment (FACE) experiments provide a unique opportunity to reduce this uncertainty. The recent FACE Model–Data Synthesis project aimed to use the information gathered in two forest FACE experiments to assess and improve land ecosystem models. A new 'assumption-centred' model intercomparison approach was used, in which participating models were evaluated against experimental data based on the ways in which they represent key ecological processes. Identifying and evaluating the main assumptions caused differences among models, and the assumption-centered approach produced amore » clear roadmap for reducing model uncertainty. We explain this approach and summarize the resulting research agenda. We encourage the application of this approach in other model intercomparison projects to fundamentally improve predictive understanding of the Earth system.« less

  8. Human mesenchymal stromal cells could deliver erythropoietin and migrate to the basal layer of hair shaft when subcutaneously implanted in a murine model.

    PubMed

    Mok, P L; Cheong, S K; Leong, C F; Chua, K H; Ainoon, O

    2012-08-01

    Mesenchymal stromal cells (MSC) are an attractive cell-targeting vehicle for gene delivery. MIDGE (an acronym for Minimalistic, Immunologically Defined Gene Expression) construct is relatively safer than the viral or plasmid expression system as the detrimental eukaryotic and prokaryotic gene and sequences have been eliminated. The objective of this study was to test the ability of the human MSC (hMSC) to deliver the erythropoietin (EPO) gene in a nude mice model following nucleofection using a MIDGE construct. hMSC nucleofected with MIDGE encoding the EPO gene was injected subcutaneously in Matrigel at the dorsal flank of nude mice. Subcutaneous implantation of nucleofected hMSC resulted in increased hemoglobin level with presence of human EPO in the peripheral blood of the injected nude mice in the first two weeks post-implantation compared with the control groups. The basal layer of the hair shaft in the dermal layer was found to be significantly positive for immunohistochemical staining of a human EPO antibody. However, only a few basal layers of the hair shaft were found to be positively stained for CD105. In conclusion, hMSC harboring MIDGE-EPO could deliver and transiently express the EPO gene in the nude mice model. These cells could be localized to the hair follicle and secreted EPO protein might have possible role in hair regeneration.

  9. Primary percutaneous coronary intervention for patients presenting with ST-elevation myocardial infarction: process improvements in rural prehospital care delivered by emergency medical services.

    PubMed

    Rezaee, Michael E; Conley, Sheila M; Anderson, Tamara A; Brown, Jeremiah R; Yanofsky, Norman N; Niles, Nathaniel W

    2010-01-01

    Safe and effective patient care for ST-elevation myocardial infarction (STEMI) relies on prompt emergency medical service (EMS) and established care coordination with receiving hospitals to conduct primary percutaneous coronary intervention (PCI). Likewise, a new emphasis has been placed on first medical contact-to-balloon (E2B) times as opposed to door-to-balloon times, identifying prehospital care as an important contributing factor for high-quality STEMI care. Therefore, we evaluated EMS processes of care before and after a period of continuous quality improvement to improve E2B times in our rural tertiary care medical center. A retrospective, consecutive cohort study was conducted on 177 patients who received primary PCI at Dartmouth-Hitchcock Medical Center, a rural hospital, from January 1, 2006 to October 31, 2009. This cohort was stratified from January 1, 2008 to May 1, 2008 (n = 88) and May 1, 2008 to October 31, 2009 (n = 89), to acknowledge periods of no improvement (pre) and continuous quality improvement (post) in STEMI care. Primary outcome measures included frequency of non-PCI-capable hospital bypass, E2B, and frequency of prehospital electrocardiogram (ECG) and cardiac catheterization laboratory (CCL) activation. Descriptive statistics and log-rank tests were used to determine whether measures differed significantly by time period. A time-to-event analysis was conducted using a Cox proportional hazards model to assess the impact of outcomes measures on E2B pre/post-May 1, 2008. Patients who presented before May 1, 2008 had longer E2B times compared with patients in the post-May 1, 2008 cohort (145.1 minutes vs 115.2 minutes, t test P = .01). A log-rank test confirmed this (pre: 130 minutes vs post: 106 minutes, χ(2) = 5.3, log-rank P = .02). Similarly, patients who presented before May 1, 2008 had lower percentages of prehospital ECGs (49% vs 80%, P = .001) and CCL activations (4% vs 32%, P < .001). When prehospital ECGs (140 minutes vs 106

  10. A comparison of NEWS and SPARROW models to understand sources of nitrogen delivered to US coastal areas

    EPA Science Inventory

    The relative contributions of different anthropogenic and natural sources of in-stream nitrogen (N) cannot be directly measured at whole-watershed scales. Hence, source attribution estimates beyond the scale of small catchments must rely on models. Although such estimates have be...

  11. Transforming How Courses Are Delivered: A Model For Teaching Faculty How to Design Effective Distance Education Courses Using Constructivist Theory

    ERIC Educational Resources Information Center

    Lockhart, Marilyn; Goodwin, Ian

    2007-01-01

    This article presents an overview and results of a semester long course intended to teach current and aspiring faculty how to teach effective learner-centered web-based courses using a constructivist approach. A model to teach these individuals was developed and it recommends a hybrid format, individual assistance, use of online tools, real life…

  12. A comparison of NEWS and SPARROW models to understand sources of nitrogen delivered to US coastal areas

    EPA Science Inventory

    The relative contributions of different anthropogenic and natural sources of in-stream nitrogen (N) cannot be directly measured at whole-watershed scales. Hence, source attribution estimates beyond the scale of small catchments must rely on models. Although such estimates have be...

  13. Parent-delivered compensatory education for children at risk of educational failure: Improving the academic and self-regulatory skills of a Sure Start preschool sample.

    PubMed

    Ford, Ruth M; McDougall, Sine J P; Evans, Daphne

    2009-11-01

    Thirty preschoolers from low-income families participated in a 12-month intervention programme, funded by Sure Start, which engaged them in scaffolded educational activities delivered at home by their mothers. Immediately following the programme, the intervention group outperformed matched controls in tests of academic knowledge, receptive vocabulary, and inhibitory control, but not short-term memory or theory of mind. Teachers' ratings of children's capabilities upon school entry favoured the intervention group, especially in terms of listening, responding, writing, mathematics, and personal/social skills. Superior inhibitory control, short-term memory, and numerical skills were associated with higher ratings whereas theory of mind made a unique, negative contribution to responding. We discuss the implications of these findings for efforts to nurture the development of cognitive self-regulation and school readiness during early childhood.

  14. SU-E-T-205: Improving Quality Assurance of HDR Brachytherapy: Verifying Agreement Between Planned and Delivered Dose Distributions Using DICOM RTDose and Advanced Film Dosimetry

    SciTech Connect

    Palmer, A L; Bradley, D A; Nisbet, A

    2014-06-01

    Purpose: HDR brachytherapy is undergoing significant development, and quality assurance (QA) checks must keep pace. Current recommendations do not adequately verify delivered against planned dose distributions: This is particularly relevant for new treatment planning system (TPS) calculation algorithms (non TG-43 based), and an era of significant patient-specific plan optimisation. Full system checks are desirable in modern QA recommendations, complementary to device-centric individual tests. We present a QA system incorporating TPS calculation, dose distribution export, HDR unit performance, and dose distribution measurement. Such an approach, more common in external beam radiotherapy, has not previously been reported in the literature for brachytherapy. Methods: Our QA method was tested at 24 UK brachytherapy centres. As a novel approach, we used the TPS DICOM RTDose file export to compare planned dose distribution with that measured using Gafchromic EBT3 films placed around clinical brachytherapy treatment applicators. Gamma analysis was used to compare the dose distributions. Dose difference and distance to agreement were determined at prescription Point A. Accurate film dosimetry was achieved using a glass compression plate at scanning to ensure physically-flat films, simultaneous scanning of known dose films with measurement films, and triple-channel dosimetric analysis. Results: The mean gamma pass rate of RTDose compared to film-measured dose distributions was 98.1% at 3%(local), 2 mm criteria. The mean dose difference, measured to planned, at Point A was -0.5% for plastic treatment applicators and -2.4% for metal applicators, due to shielding not accounted for in TPS. The mean distance to agreement was 0.6 mm. Conclusion: It is recommended to develop brachytherapy QA to include full-system verification of agreement between planned and delivered dose distributions. This is a novel approach for HDR brachytherapy QA. A methodology using advanced film

  15. Improving the physiological realism of experimental models.

    PubMed

    Vinnakota, Kalyan C; Cha, Chae Y; Rorsman, Patrik; Balaban, Robert S; La Gerche, Andre; Wade-Martins, Richard; Beard, Daniel A; Jeneson, Jeroen A L

    2016-04-06

    The Virtual Physiological Human (VPH) project aims to develop integrative, explanatory and predictive computational models (C-Models) as numerical investigational tools to study disease, identify and design effective therapies and provide an in silico platform for drug screening. Ultimately, these models rely on the analysis and integration of experimental data. As such, the success of VPH depends on the availability of physiologically realistic experimental models (E-Models) of human organ function that can be parametrized to test the numerical models. Here, the current state of suitable E-models, ranging from in vitro non-human cell organelles to in vivo human organ systems, is discussed. Specifically, challenges and recent progress in improving the physiological realism of E-models that may benefit the VPH project are highlighted and discussed using examples from the field of research on cardiovascular disease, musculoskeletal disorders, diabetes and Parkinson's disease.

  16. Improving the physiological realism of experimental models

    PubMed Central

    Vinnakota, Kalyan C.; Cha, Chae Y.; Rorsman, Patrik; Balaban, Robert S.; La Gerche, Andre; Wade-Martins, Richard; Beard, Daniel A.

    2016-01-01

    The Virtual Physiological Human (VPH) project aims to develop integrative, explanatory and predictive computational models (C-Models) as numerical investigational tools to study disease, identify and design effective therapies and provide an in silico platform for drug screening. Ultimately, these models rely on the analysis and integration of experimental data. As such, the success of VPH depends on the availability of physiologically realistic experimental models (E-Models) of human organ function that can be parametrized to test the numerical models. Here, the current state of suitable E-models, ranging from in vitro non-human cell organelles to in vivo human organ systems, is discussed. Specifically, challenges and recent progress in improving the physiological realism of E-models that may benefit the VPH project are highlighted and discussed using examples from the field of research on cardiovascular disease, musculoskeletal disorders, diabetes and Parkinson's disease. PMID:27051507

  17. Improved models of dense anharmonic lattices

    NASA Astrophysics Data System (ADS)

    Rosenau, P.; Zilburg, A.

    2017-01-01

    We present two improved quasi-continuous models of dense, strictly anharmonic chains. The direct expansion which includes the leading effect due to lattice dispersion, results in a Boussinesq-type PDE with a compacton as its basic solitary mode. Without increasing its complexity we improve the model by including additional terms in the expanded interparticle potential with the resulting compacton having a milder singularity at its edges. A particular care is applied to the Hertz potential due to its non-analyticity. Since, however, the PDEs of both the basic and the improved model are ill posed, they are unsuitable for a study of chains dynamics. Using the bond length as a state variable we manipulate its dispersion and derive a well posed fourth order PDE.

  18. Intravenously Delivered Mesenchymal Stem Cells: Systemic Anti-Inflammatory Effects Improve Left Ventricular Dysfunction in Acute Myocardial Infarction and Ischemic Cardiomyopathy.

    PubMed

    Luger, Dror; Lipinski, Michael J; Westman, Peter C; Glover, David K; Dimastromatteo, Julien; Frias, Juan C; Albelda, M Teresa; Sikora, Sergey; Kharazi, Alex; Vertelov, Grigory; Waksman, Ron; Epstein, Stephen E

    2017-05-12

    Virtually all mesenchymal stem cell (MSC) studies assume that therapeutic effects accrue from local myocardial effects of engrafted MSCs. Because few intravenously administered MSCs engraft in the myocardium, studies have mainly utilized direct myocardial delivery. We adopted a different paradigm. To test whether intravenously administered MSCs reduce left ventricular (LV) dysfunction both post-acute myocardial infarction and in ischemic cardiomyopathy and that these effects are caused, at least partly, by systemic anti-inflammatory activities. Mice underwent 45 minutes of left anterior descending artery occlusion. Human MSCs, grown chronically at 5% O2, were administered intravenously. LV function was assessed by serial echocardiography, 2,3,5-triphenyltetrazolium chloride staining determined infarct size, and fluorescence-activated cell sorting assessed cell composition. Fluorescent and radiolabeled MSCs (1×10(6)) were injected 24 hours post-myocardial infarction and homed to regions of myocardial injury; however, the myocardium contained only a small proportion of total MSCs. Mice received 2×10(6) MSCs or saline intravenously 24 hours post-myocardial infarction (n=16 per group). At day 21, we harvested blood and spleens for fluorescence-activated cell sorting and hearts for 2,3,5-triphenyltetrazolium chloride staining. Adverse LV remodeling and deteriorating LV ejection fraction occurred in control mice with large infarcts (≥25% LV). Intravenous MSCs eliminated the progressive deterioration in LV end-diastolic volume and LV end-systolic volume. MSCs significantly decreased natural killer cells in the heart and spleen and neutrophils in the heart. Specific natural killer cell depletion 24 hours pre-acute myocardial infarction significantly improved infarct size, LV ejection fraction, and adverse LV remodeling, changes associated with decreased neutrophils in the heart. In an ischemic cardiomyopathy model, mice 4 weeks post-myocardial infarction were

  19. Can solar power deliver?

    PubMed

    Nelson, Jenny; Emmott, Christopher J M

    2013-08-13

    Solar power represents a vast resource which could, in principle, meet the world's needs for clean power generation. Recent growth in the use of photovoltaic (PV) technology has demonstrated the potential of solar power to deliver on a large scale. Whilst the dominant PV technology is based on crystalline silicon, a wide variety of alternative PV materials and device concepts have been explored in an attempt to decrease the cost of the photovoltaic electricity. This article explores the potential for such emerging technologies to deliver cost reductions, scalability of manufacture, rapid carbon mitigation and new science in order to accelerate the uptake of solar power technologies.

  20. Improving information assimilation by modeling warfighter context

    NASA Astrophysics Data System (ADS)

    Zaientz, Jack D.; Wood, Scott D.; Hawkins, Robert L.

    2005-05-01

    In order to wage successful campaigns, the next generation of intelligence analysts and battle commanders will need to assimilate an enormous amount of information that will come from a wide range of heterogeneous data sources. Complicating this problem further is the fact that warfighters need to be able to manage information in an environment of rapidly changing events and priorities. The consequence of not addressing this problem, or not addressing it as effectively as hostile forces do, is a potential loss of assets, personnel, or tactical advantage. To design effective information displays there needs to be an extensible framework that models the warfighters context including characteristics of the information sources being displayed, the current Intelligence Surveillance Reconnaissance (ISR) picture or Common Operating Picture (COP), the warfighters current state and task, and the state of the information display. BINAH (Battlespace Information and Notification through Adaptive Heuristics) uses an agent-based modeling approach coupled with research into temporal and spatial reasoning, novel display management techniques, and development of a formal high-level language for describing model-based information configuration. The result is an information configuration pipeline designed to provide perceptual and cognitive analysis support to Air Force analysts engaged in Time-Critical Targeting target nomination. It has been integrated with the Air Force Research Laboratory's (AFRL) XML-based Joint Battlespace Infosphere (JBI) combat information management system and combines JBI delivered sensor data with a local user model and display strategies to configure a geospatial information display. The BINAH framework will provide a firm grounding for developing new C4ISR displays that maximize the ability of warfighters to assimilate the information presented.

  1. Application of a model for delivering occupational safety and health to smaller businesses: Case studies from the US

    PubMed Central

    Cunningham, Thomas R.; Sinclair, Raymond

    2015-01-01

    Smaller firms are the majority in every industry in the US, and they endure a greater burden of occupational injuries, illnesses, and fatalities than larger firms. Smaller firms often lack the necessary resources for effective occupational safety and health activities, and many require external assistance with safety and health programming. Based on previous work by researchers in Europe and New Zealand, NIOSH researchers developed for occupational safety and health intervention in small businesses. This model was evaluated with several intermediary organizations. Four case studies which describe efforts to reach small businesses with occupational safety and health assistance include the following: trenching safety training for construction, basic compliance and hazard recognition for general industry, expanded safety and health training for restaurants, and fall prevention and respirator training for boat repair contractors. Successful efforts included participation by the initiator among the intermediaries’ planning activities, alignment of small business needs with intermediary offerings, continued monitoring of intermediary activities by the initiator, and strong leadership for occupational safety and health among intermediaries. Common challenges were a lack of resources among intermediaries, lack of opportunities for in-person meetings between intermediaries and the initiator, and balancing the exchanges in the initiator–intermediary–small business relationships. The model offers some encouragement that initiator organizations can contribute to sustainable OSH assistance for small firms, but they must depend on intermediaries who have compatible interests in smaller businesses and they must work to understand the small business social system. PMID:26300585

  2. Application of a model for delivering occupational safety and health to smaller businesses: Case studies from the US.

    PubMed

    Cunningham, Thomas R; Sinclair, Raymond

    2015-01-01

    Smaller firms are the majority in every industry in the US, and they endure a greater burden of occupational injuries, illnesses, and fatalities than larger firms. Smaller firms often lack the necessary resources for effective occupational safety and health activities, and many require external assistance with safety and health programming. Based on previous work by researchers in Europe and New Zealand, NIOSH researchers developed for occupational safety and health intervention in small businesses. This model was evaluated with several intermediary organizations. Four case studies which describe efforts to reach small businesses with occupational safety and health assistance include the following: trenching safety training for construction, basic compliance and hazard recognition for general industry, expanded safety and health training for restaurants, and fall prevention and respirator training for boat repair contractors. Successful efforts included participation by the initiator among the intermediaries' planning activities, alignment of small business needs with intermediary offerings, continued monitoring of intermediary activities by the initiator, and strong leadership for occupational safety and health among intermediaries. Common challenges were a lack of resources among intermediaries, lack of opportunities for in-person meetings between intermediaries and the initiator, and balancing the exchanges in the initiator-intermediary-small business relationships. The model offers some encouragement that initiator organizations can contribute to sustainable OSH assistance for small firms, but they must depend on intermediaries who have compatible interests in smaller businesses and they must work to understand the small business social system.

  3. A rat model of human immunodeficiency virus 1 encephalopathy using envelope glycoprotein gp120 expression delivered by SV40 vectors.

    PubMed

    Louboutin, Jean-Pierre; Agrawal, Lokesh; Reyes, Beverly A S; Van Bockstaele, Elisabeth J; Strayer, David S

    2009-05-01

    Human immunodeficiency virus 1 (HIV-1) encephalopathy is thought to result in part from the toxicity of HIV-1 envelope glycoprotein gp120 for neurons. Experimental systems for studying the effects of gp120 and other HIV proteins on the brain have been limited to the acute effects of recombinant proteins in vitro or in vivo in simian immunodeficiency virus-infected monkeys. We describe an experimental rodent model of ongoing gp120-induced neurotoxicity in which HIV-1 envelope is expressed in the brain using an SV40-derived gene delivery vector, SV(gp120). When it is inoculated stereotaxically into the rat caudate putamen, SV(gp120) caused a partly hemorrhagic lesion in which neuron and other cell apoptosis continues for at least 12 weeks. Human immunodeficiency virus gp120 is expressed throughout this time, and some apoptotic cells are gp120 positive. Malondialdehyde and 4-hydroxynonenal assays indicated that there was lipid peroxidation in these lesions. Prior administration of recombinant SV40 vectors carrying antioxidant enzymes, copper/ zinc superoxide dismutase or glutathione peroxidase, was protective against SV(gp120)-induced oxidative injury and apoptosis. Thus, in vivo inoculation of SV(gp120) into the rat caudate putamen causes ongoing oxidative stress and apoptosis in neurons and may therefore represent a useful animal model for studying the pathogenesis and treatment of HIV-1 envelope-related brain damage.

  4. An improved theoretical model of acoustic agglomeration

    SciTech Connect

    Song, L. ); Koopmann, G.H. . Center for Acoustics and Vibration); Hoffmann, T.L. )

    1994-04-01

    An improved theoretical model is developed to describe the acoustic agglomeration of particles entrained in a gas medium. The improvements to the present theories are twofold: first, wave scattering is included in the orthokinetic interaction of particles and second, hydrodynamic interaction, shown to be an important agglomeration mechanism for certain operation conditions, is incorporated into the model. The influence of orthokinetic and hydrodynamic interactions introduce associated convergent velocities that cause particles to approach each other and collide. The convergent velocities are related with an acoustic agglomeration frequency function (AAFF) through a semi-statistical method. This function is the key parameter for the theoretical simulation of acoustic agglomeration.

  5. An improved computational constitutive model for glass

    NASA Astrophysics Data System (ADS)

    Holmquist, Timothy J.; Johnson, Gordon R.; Gerlach, Charles A.

    2017-01-01

    In 2011, Holmquist and Johnson presented a model for glass subjected to large strains, high strain rates and high pressures. It was later shown that this model produced solutions that were severely mesh dependent, converging to a solution that was much too strong. This article presents an improved model for glass that uses a new approach to represent the interior and surface strength that is significantly less mesh dependent. This new formulation allows for the laboratory data to be accurately represented (including the high tensile strength observed in plate-impact spall experiments) and produces converged solutions that are in good agreement with ballistic data. The model also includes two new features: one that decouples the damage model from the strength model, providing more flexibility in defining the onset of permanent deformation; the other provides for a variable shear modulus that is dependent on the pressure. This article presents a review of the original model, a description of the improved model and a comparison of computed and experimental results for several sets of ballistic data. Of special interest are computed and experimental results for two impacts onto a single target, and the ability to compute the damage velocity in agreement with experiment data. This article is part of the themed issue 'Experimental testing and modelling of brittle materials at high strain rates'.

  6. Improved reference models for middle atmosphere ozone

    NASA Astrophysics Data System (ADS)

    Keating, G. M.; Pitts, M. C.; Chen, C.

    This paper describes the improvements introduced into the original version of ozone reference model of Keating and Young (1985, 1987) which is to be incorporated in the next COSPAR International Reference Atmosphere (CIRA). The ozone reference model will provide information on the global ozone distribution (including the ozone vertical structure as a function of month and latitude from 25 to 90 km) combining data from five recent satellite experiments: the Nimbus 7 LIMS, Nimbus 7 SBUV, AE-2 Stratospheric Aerosol Gas Experiment (SAGE), Solar Mesosphere Explorer (SME) UV Spectrometer, and SME 1.27 Micron Airglow. The improved version of the reference model uses reprocessed AE-2 SAGE data (sunset) and extends the use of SAGE data from 1981 to the 1981-1983 time period. Comparisons are presented between the results of this ozone model and various nonsatellite measurements at different levels in the middle atmosphere.

  7. Improved reference models for middle atmosphere ozone

    NASA Technical Reports Server (NTRS)

    Keating, G. M.; Pitts, M. C.; Chen, C.

    1990-01-01

    This paper describes the improvements introduced into the original version of ozone reference model of Keating and Young (1985, 1987) which is to be incorporated in the next COSPAR International Reference Atmosphere (CIRA). The ozone reference model will provide information on the global ozone distribution (including the ozone vertical structure as a function of month and latitude from 25 to 90 km) combining data from five recent satellite experiments: the Nimbus 7 LIMS, Nimbus 7 SBUV, AE-2 Stratospheric Aerosol Gas Experiment (SAGE), Solar Mesosphere Explorer (SME) UV Spectrometer, and SME 1.27 Micron Airglow. The improved version of the reference model uses reprocessed AE-2 SAGE data (sunset) and extends the use of SAGE data from 1981 to the 1981-1983 time period. Comparisons are presented between the results of this ozone model and various nonsatellite measurements at different levels in the middle atmosphere.

  8. Dendritic Immunotherapy Improvement for an Optimal Control Murine Model

    PubMed Central

    Chimal-Eguía, J. C.; Castillo-Montiel, E.

    2017-01-01

    Therapeutic protocols in immunotherapy are usually proposed following the intuition and experience of the therapist. In order to deduce such protocols mathematical modeling, optimal control and simulations are used instead of the therapist's experience. Clinical efficacy of dendritic cell (DC) vaccines to cancer treatment is still unclear, since dendritic cells face several obstacles in the host environment, such as immunosuppression and poor transference to the lymph nodes reducing the vaccine effect. In view of that, we have created a mathematical murine model to measure the effects of dendritic cell injections admitting such obstacles. In addition, the model considers a therapy given by bolus injections of small duration as opposed to a continual dose. Doses timing defines the therapeutic protocols, which in turn are improved to minimize the tumor mass by an optimal control algorithm. We intend to supplement therapist's experience and intuition in the protocol's implementation. Experimental results made on mice infected with melanoma with and without therapy agree with the model. It is shown that the dendritic cells' percentage that manages to reach the lymph nodes has a crucial impact on the therapy outcome. This suggests that efforts in finding better methods to deliver DC vaccines should be pursued. PMID:28912828

  9. Dendritic Immunotherapy Improvement for an Optimal Control Murine Model.

    PubMed

    Rangel-Reyes, J C; Chimal-Eguía, J C; Castillo-Montiel, E

    2017-01-01

    Therapeutic protocols in immunotherapy are usually proposed following the intuition and experience of the therapist. In order to deduce such protocols mathematical modeling, optimal control and simulations are used instead of the therapist's experience. Clinical efficacy of dendritic cell (DC) vaccines to cancer treatment is still unclear, since dendritic cells face several obstacles in the host environment, such as immunosuppression and poor transference to the lymph nodes reducing the vaccine effect. In view of that, we have created a mathematical murine model to measure the effects of dendritic cell injections admitting such obstacles. In addition, the model considers a therapy given by bolus injections of small duration as opposed to a continual dose. Doses timing defines the therapeutic protocols, which in turn are improved to minimize the tumor mass by an optimal control algorithm. We intend to supplement therapist's experience and intuition in the protocol's implementation. Experimental results made on mice infected with melanoma with and without therapy agree with the model. It is shown that the dendritic cells' percentage that manages to reach the lymph nodes has a crucial impact on the therapy outcome. This suggests that efforts in finding better methods to deliver DC vaccines should be pursued.

  10. Spray combustion model improvement study, 1

    NASA Technical Reports Server (NTRS)

    Chen, C. P.; Kim, Y. M.; Shang, H. M.

    1993-01-01

    This study involves the development of numerical and physical modeling in spray combustion. These modeling efforts are mainly motivated to improve the physical submodels of turbulence, combustion, atomization, dense spray effects, and group vaporization. The present mathematical formulation can be easily implemented in any time-marching multiple pressure correction methodologies such as MAST code. A sequence of validation cases includes the nonevaporating, evaporating and_burnin dense_sprays.

  11. Time Outdoors May Deliver Better Sleep

    MedlinePlus

    ... fullstory_163389.html Time Outdoors May Deliver Better Sleep Camping and exposure to natural light helps prime ... Spending time in the outdoors may improve your sleep, a small study suggests. Researchers found that a ...

  12. Improving subsurface hydrology in Earth System Models

    NASA Astrophysics Data System (ADS)

    Volk, J. M.; Clark, M. P.; Swenson, S. C.; Lawrence, D. M.; Tyler, S. W.

    2015-12-01

    Hydrologic processes that govern storage and transport of soil water and groundwater can have strong dynamic relationships with biogeochemical and atmospheric processes. This understanding has lead to a push to improve subsurface hydrologic parametrization in Earth System Models. Here we present results related to improving the implementation of soil moisture distribution, groundwater recharge/discharge, and subsurface drainage in the Community Land Model (CLM) which is the land surface model in the Community Earth System Model. First we identified geo-climatically different locations around the world to develop test cases. For each case we compare the vertical soil moisture distribution from the different implementations of 1D Richards equation, considering the boundary conditions, the treatment of the groundwater sink term, the vertical discretization, and the time stepping schemes. Generally, large errors in the hydrologic mass balance within the soil column occur when there is a large vertical gradient in soil moisture or when there is a shallow water table within a soil column. We then test the sensitivity of the algorithmic parameters that control temporal discretization and error tolerance of the adaptive time-stepping scheme to help optimize its computational efficiency. In addition, we vary the spatial discretization of soil layers (i.e. quantity of layers and their thicknesses) to better understand the sensitivity of vertical discretization of soil columns on soil moisture variability in ESMs. We present multivariate and multi-scale evaluation for the different model options and suggest ways to move forward with future model improvements.

  13. Improved survival in rats with glioma using MRI-guided focused ultrasound and microbubbles to disrupt the blood-brain barrier and deliver Doxil

    NASA Astrophysics Data System (ADS)

    Aryal, Muna; Zhi Zhang, Yong; Vykhodtseva, Natalia; Park, Juyoung; Power, Chanikarn; McDannold, Nathan

    2012-02-01

    Blood-brain-barrier (BBB) limits the transportation of most neuropeptides, proteins (enzymes, antibodies), chemotherapeutic agents, and genes that have therapeutic potential for the treatment of brain diseases. Different methods have been used to overcome this limitation, but they are invasive, non-targeted, or require the development of new drugs. We have developed a method that uses MRI-guided focused ultrasound (FUS) combined with circulating microbubbles to temporarily open BBB in and around brain tumors to deliver chemotherapy agents. Here, we tested whether this noninvasive technique could enhance the effectiveness of a chemotherapy agent (Doxil). Using 690 kHz FUS transducer and microbubble (Definity), we induced BBB disruption in intracranially-implanted 9L glioma tumors in rat's brain in three weekly sessions. Animals who received BBB disruption and Doxil had a median survival time of 34.5 days, which was significantly longer than that found in control animals which is 16, 18.5, 21 days who received no treatment, BBB disruption only and Doxil only respectively This work demonstrates that FUS technique has promise in overcoming barriers to drug delivery, which are particularly stark in the brain due to the BBB.

  14. Improved hepatic transduction, reduced systemic vector dissemination, and long-term transgene expression by delivering helper-dependent adenoviral vectors into the surgically isolated liver of nonhuman primates.

    PubMed

    Brunetti-Pierri, Nicola; Ng, Thomas; Iannitti, David A; Palmer, Donna J; Beaudet, Arthur L; Finegold, Milton J; Carey, K Dee; Cioffi, William G; Ng, Philip

    2006-04-01

    Helper-dependent adenoviral vectors (HDAds) are attractive vectors for liver-directed gene therapy because they can mediate sustained, high-level transgene expression without chronic toxicity. However, high vector doses are required to achieve efficient hepatic transduction by systemic delivery because of a nonlinear dose response. Unfortunately, such high doses result in systemic vector dissemination and dose-dependent acute toxicity with potentially severe and lethal consequences. We hypothesize that the threshold to efficient hepatic transduction may be circumvented by delivering the vector into the surgically isolated liver via the portal vein. Total hepatic isolation was achieved by occluding hepatic inflow from the portal vein and hepatic artery and by occluding hepatic venous outflow at the inferior vena cava. We demonstrate in nonhuman primates that this approach resulted in significantly higher efficiency hepatic transduction with reduced systemic vector dissemination compared with systemic intravascular delivery. This method of delivery was associated with transient acute toxicity, the severity of which was variable. Importantly, stable, high levels of transgene expression were obtained for at least 665 days for one baboon and for at least 560 days for two baboons with no evidence of long-term toxicity.

  15. Do weight management interventions delivered by online social networks effectively improve body weight, body composition, and chronic disease risk factors? A systematic review.

    PubMed

    Willis, Erik A; Szabo-Reed, Amanda N; Ptomey, Lauren T; Steger, Felicia L; Honas, Jeffery J; Washburn, Richard A; Donnelly, Joseph E

    2017-02-01

    Introduction Currently, no systematic review/meta-analysis has examined studies that used online social networks (OSN) as a primary intervention platform. Therefore, the purpose of this review was to evaluate the effectiveness of weight management interventions delivered through OSN. Methods PubMed, EMBASE, PsycINFO, Web of Science, and Scopus were searched (January 1990-November 2015) for studies with data on the effect of OSNs on weight loss. Only primary source articles that utilized OSN as the main platform for delivery of weight management/healthy lifestyle interventions, were published in English language peer-reviewed journals, and reported outcome data on weight were eligible for inclusion in this systematic review. Five articles were included in this review. Results One-hundred percent of the studies ( n = 5) reported a reduction in baseline weight. Three of the five studies (60%) reported significant decreases in body weight when OSN was paired with health educator support. Only one study reported a clinical significant weight loss of ≥5%. Conclusion Using OSN for weight management is in its early stages of development and, while these few studies show promise, more research is needed to acquire information about optimizing these interventions to increase their efficacy.

  16. Modelers and policymakers : improving the relationships.

    SciTech Connect

    Karas, Thomas H.

    2004-06-01

    On April 22 and 23, 2004, a diverse group of 14 policymakers, modelers, analysts, and scholars met with some 22 members of the Sandia National Laboratories staff to explores ways in which the relationships between modelers and policymakers in the energy and environment fields (with an emphasis on energy) could be made more productive for both. This report is not a transcription of that workshop, but draws very heavily on its proceedings. It first describes the concept of modeling, the varying ways in which models are used to support policymaking, and the institutional context for those uses. It then proposes that the goal of modelers and policymakers should be a relationship of mutual trust, built on a foundation of communication, supported by the twin pillars of policy relevance and technical credibility. The report suggests 20 guidelines to help modelers improve the relationship, followed by 10 guidelines to help policymakers toward the same goal.

  17. Lightweighting Automotive Materials for Increased Fuel Efficiency and Delivering Advanced Modeling and Simulation Capabilities to U.S. Manufacturers

    SciTech Connect

    Hale, Steve

    2013-09-11

    Abstract The National Center for Manufacturing Sciences (NCMS) worked with the U.S. Department of Energy (DOE), National Energy Technology Laboratory (NETL), to bring together research and development (R&D) collaborations to develop and accelerate the knowledgebase and infrastructure for lightweighting materials and manufacturing processes for their use in structural and applications in the automotive sector. The purpose/importance of this DOE program: • 2016 CAFÉ standards. • Automotive industry technology that shall adopt the insertion of lightweighting material concepts towards manufacturing of production vehicles. • Development and manufacture of advanced research tools for modeling and simulation (M&S) applications to reduce manufacturing and material costs. • U.S. competitiveness that will help drive the development and manufacture of the next generation of materials. NCMS established a focused portfolio of applied R&D projects utilizing lightweighting materials for manufacture into automotive structures and components. Areas that were targeted in this program: • Functionality of new lightweighting materials to meet present safety requirements. • Manufacturability using new lightweighting materials. • Cost reduction for the development and use of new lightweighting materials. The automotive industry’s future continuously evolves through innovation, and lightweight materials are key in achieving a new era of lighter, more efficient vehicles. Lightweight materials are among the technical advances needed to achieve fuel/energy efficiency and reduce carbon dioxide (CO2) emissions: • Establish design criteria methodology to identify the best materials for lightweighting. • Employ state-of-the-art design tools for optimum material development for their specific applications. • Match new manufacturing technology to production volume. • Address new process variability with new production-ready processes.

  18. School Improvement Model to Foster Student Learning

    ERIC Educational Resources Information Center

    Rulloda, Rudolfo Barcena

    2011-01-01

    Many classroom teachers are still using the traditional teaching methods. The traditional teaching methods are one-way learning process, where teachers would introduce subject contents such as language arts, English, mathematics, science, and reading separately. However, the school improvement model takes into account that all students have…

  19. Improving Representational Competence with Concrete Models

    ERIC Educational Resources Information Center

    Stieff, Mike; Scopelitis, Stephanie; Lira, Matthew E.; DeSutter, Dane

    2016-01-01

    Representational competence is a primary contributor to student learning in science, technology, engineering, and math (STEM) disciplines and an optimal target for instruction at all educational levels. We describe the design and implementation of a learning activity that uses concrete models to improve students' representational competence and…

  20. INHALATION EXPOSURE AND INTAKE DOSE MODEL IMPROVEMENTS

    EPA Science Inventory

    This presentation highlights recent human exposure model improvements and products developed by the EMRB in coordination with scientists in the OAQPS and provides insight into how these products are used by the OAQPS in its regulatory process. Besides providing a status report of...

  1. Improving Representational Competence with Concrete Models

    ERIC Educational Resources Information Center

    Stieff, Mike; Scopelitis, Stephanie; Lira, Matthew E.; DeSutter, Dane

    2016-01-01

    Representational competence is a primary contributor to student learning in science, technology, engineering, and math (STEM) disciplines and an optimal target for instruction at all educational levels. We describe the design and implementation of a learning activity that uses concrete models to improve students' representational competence and…

  2. INHALATION EXPOSURE AND INTAKE DOSE MODEL IMPROVEMENTS

    EPA Science Inventory

    This presentation highlights recent human exposure model improvements and products developed by the EMRB in coordination with scientists in the OAQPS and provides insight into how these products are used by the OAQPS in its regulatory process. Besides providing a status report of...

  3. Models To Improve Service Delivery. Chapter 8.

    ERIC Educational Resources Information Center

    1996

    This collection of papers presented at a 1996 conference on children's mental health focuses on models to improve service delivery. Papers have the following titles and authors: (1) "Empirical Evaluation of an Alternative to Hospitalization for Youth Presenting Psychiatric Emergencies" (Scott W. Henggeler); (2) "An Experimental Study of the…

  4. Improvements in accuracy of dense OPC models

    NASA Astrophysics Data System (ADS)

    Kallingal, Chidam; Oberschmidt, James; Viswanathan, Ramya; Abdo, Amr; Park, OSeo

    2008-10-01

    Performing model-based optical proximity correction (MBOPC) on layouts has become an integral part of patterning advanced integrated circuits. Earlier technologies used sparse OPC, the run times of which explode when the density of layouts increases. With the move to 45 nm technology node, this increase in run time has resulted in a shift to dense simulation OPC, which is pixel-based. The dense approach becomes more efficient at 45nm technology node and beyond. New OPC model forms can be used with the dense simulation OPC engine, providing the greater accuracy required by smaller technology nodes. Parameters in the optical model have to be optimized to achieve the required accuracy. Dense OPC uses a resist model with a different set of parameters than sparse OPC. The default search ranges used in the optimization of these resist parameters do not always result in the best accuracy. However, it is possible to improve the accuracy of the resist models by understanding the restrictions placed on the search ranges of the physical parameters during optimization. This paper will present results showing the correlation between accuracy of the models and some of these optical and resist parameters. The results will show that better optimization can improve the model fitness of features in both the calibration and verification set.

  5. HEMETβ: improvement of hepatocyte metabolism mathematical model.

    PubMed

    Orsi, G; De Maria, C; Guzzardi, M; Vozzi, F; Vozzi, G

    2011-10-01

    This article describes hepatocyte metabolism mathematical model (HEMETβ), which is an improved version of HEMET, an effective and versatile virtual cell model based on hepatic cell metabolism. HEMET is based on a set of non-linear differential equations, implemented in Simulink®, which describes the biochemical reactions and energetic cell state, and completely mimics the principal metabolic pathways in hepatic cells. The cell energy function and modular structure are the core of this model. HEMETβ as HEMET model describes hepatic cellular metabolism in standard conditions (cell culture in a plastic multi-well placed in an incubator at 37° C with 5% of CO2) and with excess substrates concentration. The main improvements in HEMETβ are the introductions of Michaelis-Menten models for reversible reactions and enzymatic inhibition. In addition, we eliminated hard non-linearities and modelled cell proliferation and every single aminoacid degradation pathway. All these innovations, combined with a user-friendly aspect, allow researchers to create new cell types and validate new experimental protocols just varying 'peripheral' pathways or model inputs.

  6. Nanoconjugation of PSMA-targeting ligands enhances perinuclear localization and improves efficacy of delivered alpha-particle emitters against tumor endothelial analogues

    PubMed Central

    Sempkowski, Michelle; Banerjee, Sangeeta Ray; Pomper, Martin G.; Bruchertseifer, Frank; Morgenstern, Alfred; Sofou, Stavroula

    2015-01-01

    This study aims to evaluate the effect on killing efficacy of the intracellular trafficking patterns of alpha-particle emitters by using different radionuclide carriers in the setting of targeted antivascular alpha-radiotherapy. Nanocarriers (lipid vesicles) targeted to the prostate-specific-membrane-antigen (PSMA), which is unique to human neovasculature for a variety of solid tumors, were loaded with the alpha-particle generator actinium-225 and were compared to a PSMA-targeted radiolabeled antibody. Actinium-225 emits a total of four alpha-particles per decay, providing highly lethal and localized irradiation of targeted cells with minimal exposure to surrounding healthy tissues. Lipid vesicles were derivatized with two types of PSMA-targeting ligands: a fully human PSMA antibody (mAb), and a urea-based, low-molecular-weight agent. Target selectivity and extent of internalization were evaluated on monolayers of human endothelial cells (HUVEC) induced to express PSMA in static incubation conditions and in a flow field. Both types of radiolabeled PSMA-targeted vesicles exhibit similar killing efficacy, which is greater than the efficacy of the radiolabeled control mAb when compared on the basis of delivered radioactivity per cell. Fluorescence confocal microscopy demonstrates that targeted vesicles localize closer to the nucleus, unlike antibodies which localize near the plasma membrane. In addition, targeted vesicles cause larger numbers of DNA double strand breaks per nucleus of treated cells compared to the radiolabeled mAb. These findings demonstrate that radionuclide carriers, such as PSMA-targeted lipid-nanocarriers, which localize close to the nucleus increase the probability of alpha-particle trajectories crossing the nuclei, and, therefore, enhance the killing efficacy of alpha-particle emitters. PMID:26586724

  7. Nanoconjugation of PSMA-Targeting Ligands Enhances Perinuclear Localization and Improves Efficacy of Delivered Alpha-Particle Emitters against Tumor Endothelial Analogues.

    PubMed

    Zhu, Charles; Bandekar, Amey; Sempkowski, Michelle; Banerjee, Sangeeta Ray; Pomper, Martin G; Bruchertseifer, Frank; Morgenstern, Alfred; Sofou, Stavroula

    2016-01-01

    This study aims to evaluate the effect on killing efficacy of the intracellular trafficking patterns of α-particle emitters by using different radionuclide carriers in the setting of targeted antivascular α-radiotherapy. Nanocarriers (lipid vesicles) targeted to the prostate-specific membrane antigen (PSMA), which is unique to human neovasculature for a variety of solid tumors, were loaded with the α-particle generator actinium-225 and were compared with a PSMA-targeted radiolabeled antibody. Actinium-225 emits a total of four α-particles per decay, providing highly lethal and localized irradiation of targeted cells with minimal exposure to surrounding healthy tissues. Lipid vesicles were derivatized with two types of PSMA-targeting ligands: a fully human PSMA antibody (mAb) and a urea-based, low-molecular-weight agent. Target selectivity and extent of internalization were evaluated on monolayers of human endothelial cells (HUVEC) induced to express PSMA in static incubation conditions and in a flow field. Both types of radiolabeled PSMA-targeted vesicles exhibit similar killing efficacy, which is greater than the efficacy of the radiolabeled control mAb when compared on the basis of delivered radioactivity per cell. Fluorescence confocal microscopy demonstrates that targeted vesicles localize closer to the nucleus, unlike antibodies which localize near the plasma membrane. In addition, targeted vesicles cause larger numbers of dsDNAs per nucleus of treated cells compared with the radiolabeled mAb. These findings demonstrate that radionuclide carriers, such as PSMA-targeted lipid-nanocarriers, which localize close to the nucleus, increase the probability of α-particle trajectories crossing the nuclei, and, therefore, enhance the killing efficacy of α-particle emitters. ©2015 American Association for Cancer Research.

  8. Improvements in Critical Dosimetric Endpoints Using the Contura Multilumen Balloon Breast Brachytherapy Catheter to Deliver Accelerated Partial Breast Irradiation: Preliminary Dosimetric Findings of a Phase IV Trial

    SciTech Connect

    Arthur, Douglas W.; Vicini, Frank A.; Todor, Dorin A.; Julian, Thomas B.; Lyden, Maureen R.

    2011-01-01

    Purpose: Dosimetric findings in patients treated with the Contura multilumen balloon (MLB) breast brachytherapy catheter to deliver accelerated partial breast irradiation (APBI) on a multi-institutional Phase IV registry trial are presented. Methods and Materials: Computed tomography-based three-dimensional planning with dose optimization was performed. For the trial, new ideal dosimetric goals included (1) {>=}95% of the prescribed dose (PD) covering {>=}90% of the target volume, (2) a maximum skin dose {<=}125% of the PD, (3) maximum rib dose {<=}145% of the PD, and (4) the V150 {<=}50 cc and V200 {<=}10 cc. The ability to concurrently achieve these dosimetric goals using the Contura MLB was analyzed. Results: 144 cases were available for review. Using the MLB, all dosimetric criteria were met in 76% of cases. Evaluating dosimetric criteria individually, 92% and 89% of cases met skin and rib dose criteria, respectively. In 93% of cases, ideal target volume coverage goals were met, and in 99%, dose homogeneity criteria (V150 and V200) were satisfied. When skin thickness was {>=}5 mm to <7 mm, the median skin dose was limited to 120.1% of the PD, and when skin thickness was <5 mm, the median skin dose was 124.2%. When rib distance was <5 mm, median rib dose was reduced to 136.5% of the PD. When skin thickness was <7 mm and distance to rib was <5 mm, median skin and rib doses were jointly limited to 120.6% and 142.1% of the PD, respectively. Conclusion: The Contura MLB catheter provided the means of achieving the imposed higher standard of dosimetric goals in the majority of clinical scenarios encountered.

  9. An improved model of equatorial scintillation

    NASA Astrophysics Data System (ADS)

    Secan, J. A.; Bussey, R. M.; Fremouw, E. J.; Basu, Sa.

    1995-05-01

    One of the main limitations of the modeling work that went into the equatorial section of the Wideband ionospheric scintillation model (WBMOD) was that the data set used in the modeling was limited to two stations near the dip equator (Ancon, Peru, and Kwajalein Island, in the North Pacific Ocean) at two fixed local times (nominally 1000 and 2200). Over the past year this section of the WBMOD model has been replaced by a model developed using data from three additional stations (Ascension Island, in the South Atlantic Ocean, Huancayo, Peru, and Manila, Phillipines; data collected under the auspices of the USAF Phillips Laboratory Geophysics Directorate) which provide a greater diversity in both latitude and longitude, as well as cover the entire day. The new model includes variations with latitude, local time, longitude, season, solar epoch, and geomagnetic activity levels. The way in which the irregularity strength parameter CkL is modeled has also been changed. The new model provides the variation of the full probability distribution function (PDF) of log (CkL) rather than simply the average of log (CkL). This permits the user to specify a threshold on scintillation level, and the model will calculate the percent of the time that scintillation will exceed that level in the user-specified scenario. It will also permit calculation of scintillation levels at a user-specified percentile. A final improvement to the WBMOD model is the implementation of a new theory for calculating S4 on a two-way channel.

  10. Double multiple streamtube model with recent improvements

    SciTech Connect

    Paraschivoiu, I.; Delclaux, F.

    1983-05-01

    The objective of the present paper is to show the new capabilities of the double multiple streamtube (DMS) model for predicting the aerodynamic loads and performance of the Darrieus vertical-axis turbine. The original DMS model has been improved (DMSV model) by considering the variation in the upwind and downwind induced velocities as a function of the azimuthal angle for each streamtube. A comparison is made of the rotor performance for several blade geometries (parabola, catenary, troposkien, and Sandia shape). A new formulation is given for an approximate troposkien shape by considering the effect of the gravitational field. The effects of three NACA symmetrical profiles, 0012, 0015 and 0018, on the aerodynamic performance of the turbine are shown. Finally, a semiempirical dynamic-stall model has been incorporated and a better approximation obtained for modeling the local aerodynamic forces and performance for a Darrieus rotor.

  11. Double multiple streamtube model with recent improvements

    SciTech Connect

    Paraschivoiu, I.; Delclaux, F.

    1983-05-01

    The objective is to show the new capabilities of the double multiple streamtube (DMS) model for predicting the aerodynamic loads and performance of the Darrieus vertical-axis turbine. The original DMS model has been improved (DMSV model) by considering the variation in the upwind and downwind induced velocities as a function of the azimuthal angle for each streamtube. A comparison is made of the rotor performance for several blade geometries (parabola, catenary, troposkien, and Sandia shape). A new formulation is given for an approximate troposkien shape by considering the effect of the gravitational field. The effects of three NACA symmetrical profiles, 0012, 0015 and 0018, on the aerodynamic performance of the turbine are shown. Finally, a semiempirical dynamic-stall model has been incorporated and a better approximation obtained for modeling the local aerodynamic forces and performance for a Darrieus rotor.

  12. Resist development modeling for OPC accuracy improvement

    NASA Astrophysics Data System (ADS)

    Fan, Yongfa; Zavyalova, Lena; Zhang, Yunqiang; Zhang, Charlie; Lucas, Kevin; Falch, Brad; Croffie, Ebo; Li, Jianliang; Melvin, Lawrence; Ward, Brian

    2009-03-01

    in the same way that current model calibration is done. The method is validated with a rigorous lithography process simulation tool which is based on physical models to simulate and predict effects during the resist PEB and development process. Furthermore, an experimental lithographic process was modeled using this new methodology, showing significant improvement in modeling accuracy in compassion to a traditional model. Layout correction test has shown that the new model form is equivalent to traditional model forms in terms of correction convergence and speed.

  13. Improvements in continuum modeling for biomolecular systems

    NASA Astrophysics Data System (ADS)

    Yu, Qiao; Ben-Zhuo, Lu

    2016-01-01

    Modeling of biomolecular systems plays an essential role in understanding biological processes, such as ionic flow across channels, protein modification or interaction, and cell signaling. The continuum model described by the Poisson- Boltzmann (PB)/Poisson-Nernst-Planck (PNP) equations has made great contributions towards simulation of these processes. However, the model has shortcomings in its commonly used form and cannot capture (or cannot accurately capture) some important physical properties of the biological systems. Considerable efforts have been made to improve the continuum model to account for discrete particle interactions and to make progress in numerical methods to provide accurate and efficient simulations. This review will summarize recent main improvements in continuum modeling for biomolecular systems, with focus on the size-modified models, the coupling of the classical density functional theory and the PNP equations, the coupling of polar and nonpolar interactions, and numerical progress. Project supported by the National Natural Science Foundation of China (Grant No. 91230106) and the Chinese Academy of Sciences Program for Cross & Cooperative Team of the Science & Technology Innovation.

  14. Improved national modelling by short-term measurement campaigns

    NASA Astrophysics Data System (ADS)

    Arheimer, Berit; Lindström, Göran; Strömqvist, Johan; Spângmyr, Henrik

    2010-05-01

    The Swedish Meteorological and Hydrological Institute (SMHI) produces hydrological predictions in Sweden both within the national early warning services and to the waterpower industry. SMHI is also responsible for delivering high-resolution data to water authorities. Most of the waterbodies of interest to the European Water Framework Directive (WFD) in Sweden do not have monitoring programmes. Thus, modelled data has to be used for expert judgments. Recently, SMHI got a new request from the government to support water authorities with relevant data to fulfill the reporting and assist implementation of environmental goals within the WFD. SMHI then started the internal "Water management programme" in cooperation with water authorities, to better harmonise and develop SMHI databases, monitoring, model systems and internet services for efficient data delivery free of charge. Since the early 70's operational flood forecasts in Sweden has been based on the HBV model, but the environmental sector has other needs which has promoted a new model concept, called HYPE. The model is applied according to the Swedish water authorities classification of waterbodies (at present 17 313 limnic systems), and will be up-dated annually following water authorities requests. The model system delivers a large amount of hydrological, chemical, and physico-chemical variables. However, national monitoring programmes for calibration and validation is only available for 300 discharge stations and 900 grab sampling sites for nutrient concentrations. The HYPE model is a semi-distributed processed-based hydrological model for small-scale and large-scale assessments of water resources and water quality. In the model, the landscape is divided into classes according to soil type, land-use and altitude. In agricultural lands, the soil is divided into three layers, each with individual computations of soil wetness and nutrient processes. The model simulates water flows, and flow and turnover of

  15. Improving residential miscellaneous electrical load modeling

    NASA Astrophysics Data System (ADS)

    Burgett, Joseph M.

    Over the past 30 years, the intensity of all major energy use categories has decreased in the residential market with the exception of miscellaneous electrical loads (MELs). MELs include primarily 120V plug-loads and some hard wired loads. MELs stand alone as the only category in which energy intensity has steadily increased over time. While MELs constitute approximately 15% - 25% of a typical home's total energy use, it is projected to increase to 36% by 2020. Despite the significant percentage of the home's total load, MELs are the least researched energy end use category and most poorly modeled. The Home Energy Rating System (HERS) index is the most widely used residential energy rating system and uses a simple square foot multiplier to model MELs. This study improves upon the HERS model by including occupant characteristics as part of the MEL model. This "new model" was created by regressing and explanatory equation from the Energy Information Agency's Residential Energy Consumption Survey (RECS). The RECS has a very large sample size of 12,083 respondents who answered over 90 pages of questions related to home structure, appliances they own and demographical information. The information provided by the respondents was used to calculate a MEL for all the RECS households. A stepwise regression process was used to create a model that included size of the home, household income, number of household members and presence of a home business to predict the MEL. The new model was then tested on 24 actual homes to compare its predictive power with the HERS model. The new model more closely predicted the actual MEL for 17 of the 24 test houses (71%). Additionally, the standard deviation or the "tightness of fit" of the new model was less than half of the HERS model when used on the RECS respondents. What this study found was that using occupant characteristics to supplement a square foot multiplier significantly increased the precision of MEL modeling.

  16. Improving Localization Accuracy: Successive Measurements Error Modeling

    PubMed Central

    Abu Ali, Najah; Abu-Elkheir, Mervat

    2015-01-01

    Vehicle self-localization is an essential requirement for many of the safety applications envisioned for vehicular networks. The mathematical models used in current vehicular localization schemes focus on modeling the localization error itself, and overlook the potential correlation between successive localization measurement errors. In this paper, we first investigate the existence of correlation between successive positioning measurements, and then incorporate this correlation into the modeling positioning error. We use the Yule Walker equations to determine the degree of correlation between a vehicle’s future position and its past positions, and then propose a p-order Gauss–Markov model to predict the future position of a vehicle from its past p positions. We investigate the existence of correlation for two datasets representing the mobility traces of two vehicles over a period of time. We prove the existence of correlation between successive measurements in the two datasets, and show that the time correlation between measurements can have a value up to four minutes. Through simulations, we validate the robustness of our model and show that it is possible to use the first-order Gauss–Markov model, which has the least complexity, and still maintain an accurate estimation of a vehicle’s future location over time using only its current position. Our model can assist in providing better modeling of positioning errors and can be used as a prediction tool to improve the performance of classical localization algorithms such as the Kalman filter. PMID:26140345

  17. A General Model for Measurement Improvement

    NASA Astrophysics Data System (ADS)

    Dumke, Reiner; Yazbek, Hashem; Asfoura, Evan; Georgieva, Konstantina

    The following paper describes our approach for characterizing software measurement in a holistic manner. Therefore software measurement was defined as a system including all aspects of software measurement, evaluation, estimation and exploration. First of all, we define these components of software measurement considering the different levels of each component in order to classify the different levels of the software measurement itself. First examples have shown the appropriateness of this approach for paradigm related measurement comparisons and improvements. In this paper, we extend our modelling approach and demonstrate the meaningfulness of comparing software measurement practices for different standards and process improvement approaches. These examples help for identifying essential key areas for measurement improvement as basics of quality assurance.

  18. An Improved Analytic Model for Microdosimeter Response

    NASA Technical Reports Server (NTRS)

    Shinn, Judy L.; Wilson, John W.; Xapsos, Michael A.

    2001-01-01

    An analytic model used to predict energy deposition fluctuations in a microvolume by ions through direct events is improved to include indirect delta ray events. The new model can now account for the increase in flux at low lineal energy when the ions are of very high energy. Good agreement is obtained between the calculated results and available data for laboratory ion beams. Comparison of GCR (galactic cosmic ray) flux between Shuttle TEPC (tissue equivalent proportional counter) flight data and current calculations draws a different assessment of developmental work required for the GCR transport code (HZETRN) than previously concluded.

  19. Improving data transfer for model coupling

    NASA Astrophysics Data System (ADS)

    Zhang, C.; Liu, L.; Yang, G.; Li, R.; Wang, B.

    2015-10-01

    Data transfer, which means transferring data fields between two component models or rearranging data fields among processes of the same component model, is a fundamental operation of a coupler. Most of state-of-the-art coupler versions currently use an implementation based on the point-to-point (P2P) communication of the Message Passing Interface (MPI) (call such an implementation "P2P implementation" for short). In this paper, we reveal the drawbacks of the P2P implementation, including low communication bandwidth due to small message size, variable and big number of MPI messages, and jams during communication. To overcome these drawbacks, we propose a butterfly implementation for data transfer. Although the butterfly implementation can outperform the P2P implementation in many cases, it degrades the performance in some cases because the total message size transferred by the butterfly implementation is larger than that by the P2P implementation. To make the data transfer completely improved, we design and implement an adaptive data transfer library that combines the advantages of both butterfly implementation and P2P implementation. Performance evaluation shows that the adaptive data transfer library significantly improves the performance of data transfer in most cases and does not decrease the performance in any cases. Now the adaptive data transfer library is open to the public and has been imported into a coupler version C-Coupler1 for performance improvement of data transfer. We believe that it can also improve other coupler versions.

  20. Thermal Modeling Method Improvements for SAGE III on ISS

    NASA Technical Reports Server (NTRS)

    Liles, Kaitlin; Amundsen, Ruth; Davis, Warren; McLeod, Shawn

    2015-01-01

    The Stratospheric Aerosol and Gas Experiment III (SAGE III) instrument is the fifth in a series of instruments developed for monitoring aerosols and gaseous constituents in the stratosphere and troposphere. SAGE III will be delivered to the International Space Station (ISS) via the SpaceX Dragon vehicle. A detailed thermal model of the SAGE III payload, which consists of multiple subsystems, has been developed in Thermal Desktop (TD). Many innovative analysis methods have been used in developing this model; these will be described in the paper. This paper builds on a paper presented at TFAWS 2013, which described some of the initial developments of efficient methods for SAGE III. The current paper describes additional improvements that have been made since that time. To expedite the correlation of the model to thermal vacuum (TVAC) testing, the chambers and GSE for both TVAC chambers at Langley used to test the payload were incorporated within the thermal model. This allowed the runs of TVAC predictions and correlations to be run within the flight model, thus eliminating the need for separate models for TVAC. In one TVAC test, radiant lamps were used which necessitated shooting rays from the lamps, and running in both solar and IR wavebands. A new Dragon model was incorporated which entailed a change in orientation; that change was made using an assembly, so that any potential additional new Dragon orbits could be added in the future without modification of the model. The Earth orbit parameters such as albedo and Earth infrared flux were incorporated as time-varying values that change over the course of the orbit; despite being required in one of the ISS documents, this had not been done before by any previous payload. All parameters such as initial temperature, heater voltage, and location of the payload are defined based on the case definition. For one component, testing was performed in both air and vacuum; incorporating the air convection in a submodel that was

  1. The Application of Virtual Intensive Care Unit Principles in the Aeromedical Evacuation Environment Can Improve Patient Safety, Lead to Better Patient Outcomes and Deliver Integrated Medical Care

    DTIC Science & Technology

    2016-02-01

    AIR WAR COLLEGE AIR UNIVERSITY THE APPLICATION OF VIRTUAL INTENSIVE CARE UNIT PRINCIPLES IN THE AEROMEDICAL EVACUATION ENVIRONMENT CAN...Management of casualties takes place through the joint en route casualty care system (ERCCS). The aeromedical evacuation (AE) platform is a primary source...The application of virtual intensive care unit (vICU) principles in AE settings can improve patient safety, lead to better patient outcomes and

  2. Improving land surface models with FLUXNET data

    NASA Astrophysics Data System (ADS)

    Williams, M.; Richardson, A. D.; Reichstein, M.; Stoy, P. C.; Peylin, P.; Verbeeck, H.; Carvalhais, N.; Jung, M.; Hollinger, D. Y.; Kattge, J.; Leuning, R.; Luo, Y.; Tomelleri, E.; Trudinger, C. M.; Wang, Y.-P.

    2009-07-01

    There is a growing consensus that land surface models (LSMs) that simulate terrestrial biosphere exchanges of matter and energy must be better constrained with data to quantify and address their uncertainties. FLUXNET, an international network of sites that measure the land surface exchanges of carbon, water and energy using the eddy covariance technique, is a prime source of data for model improvement. Here we outline a multi-stage process for "fusing" (i.e. linking) LSMs with FLUXNET data to generate better models with quantifiable uncertainty. First, we describe FLUXNET data availability, and its random and systematic biases. We then introduce methods for assessing LSM model runs against FLUXNET observations in temporal and spatial domains. These assessments are a prelude to more formal model-data fusion (MDF). MDF links model to data, based on error weightings. In theory, MDF produces optimal analyses of the modelled system, but there are practical problems. We first discuss how to set model errors and initial conditions. In both cases incorrect assumptions will affect the outcome of the MDF. We then review the problem of equifinality, whereby multiple combinations of parameters can produce similar model output. Fusing multiple independent and orthogonal data provides a means to limit equifinality. We then show how parameter probability density functions (PDFs) from MDF can be used to interpret model validity, and to propagate errors into model outputs. Posterior parameter distributions are a useful way to assess the success of MDF, combined with a determination of whether model residuals are Gaussian. If the MDF scheme provides evidence for temporal variation in parameters, then that is indicative of a critical missing dynamic process. A comparison of parameter PDFs generated with the same model from multiple FLUXNET sites can provide insights into the concept and validity of plant functional types (PFT) - we would expect similar parameter estimates among

  3. Improving land surface models with FLUXNET data

    NASA Astrophysics Data System (ADS)

    Williams, M.; Richardson, A. D.; Reichstein, M.; Stoy, P. C.; Peylin, P.; Verbeeck, H.; Carvalhais, N.; Jung, M.; Hollinger, D. Y.; Kattge, J.; Leuning, R.; Luo, Y.; Tomelleri, E.; Trudinger, C.; Wang, Y.-P.

    2009-03-01

    There is a growing consensus that land surface models (LSMs) that simulate terrestrial biosphere exchanges of matter and energy must be better constrained with data to quantify and address their uncertainties. FLUXNET, an international network of sites that measure the land surface exchanges of carbon, water and energy using the eddy covariance technique, is a prime source of data for model improvement. Here we outline a multi-stage process for fusing LSMs with FLUXNET data to generate better models with quantifiable uncertainty. First, we describe FLUXNET data availability, and its random and systematic biases. We then introduce methods for assessing LSM model runs against FLUXNET observations in temporal and spatial domains. These assessments are a prelude to more formal model-data fusion (MDF). MDF links model to data, based on error weightings. In theory, MDF produces optimal analyses of the modelled system, but there are practical problems. We first discuss how to set model errors and initial conditions. In both cases incorrect assumptions will affect the outcome of the MDF. We then review the problem of equifinality, whereby multiple combinations of parameters can produce similar model output. Fusing multiple independent data provides a means to limit equifinality. We then show how parameter probability density functions (PDFs) from MDF can be used to interpret model process validity, and to propagate errors into model outputs. Posterior parameter distributions are a useful way to assess the success of MDF, combined with a determination of whether model residuals are Gaussian. If the MDF scheme provides evidence for temporal variation in parameters, then that is indicative of a critical missing dynamic process. A comparison of parameter PDFs generated with the same model from multiple FLUXNET sites can provide insights into the concept and validity of plant functional types (PFT) - we would expect similar parameter estimates among sites sharing a single PFT

  4. Using data assimilation for systematic model improvement

    NASA Astrophysics Data System (ADS)

    Lang, Matthew S.; van Leeuwen, Peter Jan; Browne, Phil

    2016-04-01

    In Numerical Weather Prediction parameterisations are used to simulate missing physics in the model. These can be due to a lack of scientific understanding or a lack of computing power available to address all the known physical processes. Parameterisations are sources of large uncertainty in a model as parameter values used in these parameterisations cannot be measured directly and hence are often not well known, and the parameterisations themselves are approximations of the processes present in the true atmosphere. Whilst there are many efficient and effective methods for combined state/parameter estimation in data assimilation, such as state augmentation, these are not effective at estimating the structure of parameterisations. A new method of parameterisation estimation is proposed that uses sequential data assimilation methods to estimate errors in the numerical models at each space-time point for each model equation. These errors are then fitted to predetermined functional forms of missing physics or parameterisations, that are based upon prior information. The method picks out the functional form, or that combination of functional forms, that bests fits the error structure. The prior information typically takes the form of expert knowledge. We applied the method to a one-dimensional advection model with additive model error, and it is shown that the method can accurately estimate parameterisations, with consistent error estimates. It is also demonstrated that state augmentation is not successful. The results indicate that this new method is a powerful tool in systematic model improvement.

  5. Application of Improved Radiation Modeling to General Circulation Models

    SciTech Connect

    Michael J Iacono

    2011-04-07

    This research has accomplished its primary objectives of developing accurate and efficient radiation codes, validating them with measurements and higher resolution models, and providing these advancements to the global modeling community to enhance the treatment of cloud and radiative processes in weather and climate prediction models. A critical component of this research has been the development of the longwave and shortwave broadband radiative transfer code for general circulation model (GCM) applications, RRTMG, which is based on the single-column reference code, RRTM, also developed at AER. RRTMG is a rigorously tested radiation model that retains a considerable level of accuracy relative to higher resolution models and measurements despite the performance enhancements that have made it possible to apply this radiation code successfully to global dynamical models. This model includes the radiative effects of all significant atmospheric gases, and it treats the absorption and scattering from liquid and ice clouds and aerosols. RRTMG also includes a statistical technique for representing small-scale cloud variability, such as cloud fraction and the vertical overlap of clouds, which has been shown to improve cloud radiative forcing in global models. This development approach has provided a direct link from observations to the enhanced radiative transfer provided by RRTMG for application to GCMs. Recent comparison of existing climate model radiation codes with high resolution models has documented the improved radiative forcing capability provided by RRTMG, especially at the surface, relative to other GCM radiation models. Due to its high accuracy, its connection to observations, and its computational efficiency, RRTMG has been implemented operationally in many national and international dynamical models to provide validated radiative transfer for improving weather forecasts and enhancing the prediction of global climate change.

  6. An improved gravity model for Mars: Goddard Mars Model 1

    NASA Technical Reports Server (NTRS)

    Smith, D. E.; Lerch, F. J.; Nerem, R. S.; Zuber, M. T.; Patel, G. B.; Fricke, S. K.; Lemoine, F. G.

    1993-01-01

    Doppler tracking data of three orbiting spacecraft have been reanalyzed to develop a new gravitational field model for the planet Mars, Goddard Mars Model 1 (GMM-1). This model employs nearly all available data, consisting of approximately 1100 days of S band tracking data collected by NASA's Deep Space Network from the Mariner 9 and Viking 1 and Viking 2 spacecraft, in seven different orbits, between 1971 and 1979. GMM-1 is complete to spherical harmonic degree and order 50, which corresponds to a half-wavelength spatial resolution of 200-300 km where the data permit. GMM-1 represents satellite orbits with considerably better accuracy than previous Mars gravity models and shows greater resolution of identifiable geological structures. The notable improvement in GMM-1 over previous models is a consequence of several factors: improved computational capabilities, the use of otpimum weighting and least squares collocation solution techniques which stabilized the behavior of the solution at high degree and order, and the use of longer satellite arcs than employed in previous solutions that were made possible by improved force and measurement models. The inclusion of X band tracking data from the 379-km altitude, nnear-polar orbiting Mars Observer spacecraft should provide a significant improvement over GMM-1, particularly at high latitudes where current data poorly resolve the gravitational signature of the planet.

  7. An improved gravity model for Mars: Goddard Mars Model 1

    NASA Technical Reports Server (NTRS)

    Smith, D. E.; Lerch, F. J.; Nerem, R. S.; Zuber, M. T.; Patel, G. B.; Fricke, S. K.; Lemoine, F. G.

    1993-01-01

    Doppler tracking data of three orbiting spacecraft have been reanalyzed to develop a new gravitational field model for the planet Mars, Goddard Mars Model 1 (GMM-1). This model employs nearly all available data, consisting of approximately 1100 days of S band tracking data collected by NASA's Deep Space Network from the Mariner 9 and Viking 1 and Viking 2 spacecraft, in seven different orbits, between 1971 and 1979. GMM-1 is complete to spherical harmonic degree and order 50, which corresponds to a half-wavelength spatial resolution of 200-300 km where the data permit. GMM-1 represents satellite orbits with considerably better accuracy than previous Mars gravity models and shows greater resolution of identifiable geological structures. The notable improvement in GMM-1 over previous models is a consequence of several factors: improved computational capabilities, the use of otpimum weighting and least squares collocation solution techniques which stabilized the behavior of the solution at high degree and order, and the use of longer satellite arcs than employed in previous solutions that were made possible by improved force and measurement models. The inclusion of X band tracking data from the 379-km altitude, nnear-polar orbiting Mars Observer spacecraft should provide a significant improvement over GMM-1, particularly at high latitudes where current data poorly resolve the gravitational signature of the planet.

  8. Improving Distributed Diagnosis Through Structural Model Decomposition

    NASA Technical Reports Server (NTRS)

    Bregon, Anibal; Daigle, Matthew John; Roychoudhury, Indranil; Biswas, Gautam; Koutsoukos, Xenofon; Pulido, Belarmino

    2011-01-01

    Complex engineering systems require efficient fault diagnosis methodologies, but centralized approaches do not scale well, and this motivates the development of distributed solutions. This work presents an event-based approach for distributed diagnosis of abrupt parametric faults in continuous systems, by using the structural model decomposition capabilities provided by Possible Conflicts. We develop a distributed diagnosis algorithm that uses residuals computed by extending Possible Conflicts to build local event-based diagnosers based on global diagnosability analysis. The proposed approach is applied to a multitank system, and results demonstrate an improvement in the design of local diagnosers. Since local diagnosers use only a subset of the residuals, and use subsystem models to compute residuals (instead of the global system model), the local diagnosers are more efficient than previously developed distributed approaches.

  9. Lipid colloidal carriers for improvement of anticancer activity of orally delivered quercetin: formulation, characterization and establishing in vitro-in vivo advantage.

    PubMed

    Jain, Ankitkumar S; Shah, Sanket M; Nagarsenker, Mangal S; Nikam, Yuvraj; Gude, Rajiv P; Steiniger, Frank; Thamm, Jana; Fahr, Alfred

    2013-07-01

    Novel lipid nanocarriers, GeluPearl (GP) comprising of Precirol ATO 5 lipid nanoparticles with (GPNLC) or without oil (GPSLN), loaded with Quercetin (QR), were successfully fabricated to improve therapeutic efficacy. QR loaded GP nanoparticles were optimized to yield adequate colloidal stability, mean particle size in range of 350-380 nm and entrapment efficiency of more than 90%. GPSLN and GPNLC were characterized for morphological evaluation by virtue of cryo-TEM, surface charge, protection offered to QR against alkali mediated degradation and fluorescence studies to evaluate QR-lipid interaction. DSC analysis was performed to get insight into physical state of QR loaded in nanosystems. The in vitro release studies demonstrated sustained drug release potential of QR loaded GP. In vitro lipolysis studies confirmed that lipidic nanocarriers can improve QR solubilization. QR loaded GP nanosystems significantly (P < 0.05) reduced flank tumor volumes in C57BL/6 mice over a 22 day study period compared to QR suspension. GPSLN significantly reduced lung colonization and enhanced antimetastatic activity (P < 0.05) of drug against B16F10 melanoma cells in C57BL/6 mice as compared to QR suspension. QR loaded GPSLN and GPNLC could be effectively lyophilized without much change in particle size and drug content using 15% w/v mannitol as cryoprotectant.

  10. Improving the physics models in the Space Weather Modeling Framework

    NASA Astrophysics Data System (ADS)

    Toth, G.; Fang, F.; Frazin, R. A.; Gombosi, T. I.; Ilie, R.; Liemohn, M. W.; Manchester, W. B.; Meng, X.; Pawlowski, D. J.; Ridley, A. J.; Sokolov, I.; van der Holst, B.; Vichare, G.; Yigit, E.; Yu, Y.; Buzulukova, N.; Fok, M. H.; Glocer, A.; Jordanova, V. K.; Welling, D. T.; Zaharia, S. G.

    2010-12-01

    The success of physics based space weather forecasting depends on several factors: we need sufficient amount and quality of timely observational data, we have to understand the physics of the Sun-Earth system well enough, we need sophisticated computational models, and the models have to run faster than real time on the available computational resources. This presentation will focus on a single ingredient, the recent improvements of the mathematical and numerical models in the Space Weather Modeling Framework. We have developed a new physics based CME initiation code using flux emergence from the convection zone solving the equations of radiative magnetohydrodynamics (MHD). Our new lower corona and solar corona models use electron heat conduction, Alfven wave heating, and boundary conditions based on solar tomography. We can obtain a physically consistent solar wind model from the surface of the Sun all the way to the L1 point without artificially changing the polytropic index. The global magnetosphere model can now solve the multi-ion MHD equations and take into account the oxygen outflow from the polar wind model. We have also added the options of solving for Hall MHD and anisotropic pressure. Several new inner magnetosphere models have been added to the framework: CRCM, HEIDI and RAM-SCB. These new models resolve the pitch angle distribution of the trapped particles. The upper atmosphere model GITM has been improved by including a self-consistent equatorial electrodynamics and the effects of solar flares. This presentation will very briefly describe the developments and highlight some results obtained with the improved and new models.

  11. Mobile phone-delivered reminders and incentives to improve childhood immunisation coverage and timeliness in Kenya (M-SIMU): a cluster randomised controlled trial.

    PubMed

    Gibson, Dustin G; Ochieng, Benard; Kagucia, E Wangeci; Were, Joyce; Hayford, Kyla; Moulton, Lawrence H; Levine, Orin S; Odhiambo, Frank; O'Brien, Katherine L; Feikin, Daniel R

    2017-04-01

    As mobile phone access continues to expand globally, opportunities exist to leverage these technologies to support demand for immunisation services and improve vaccine coverage. We aimed to assess whether short message service (SMS) reminders and monetary incentives can improve immunisation uptake in Kenya. In this cluster-randomised controlled trial, villages were randomly and evenly allocated to four groups: control, SMS only, SMS plus a 75 Kenya Shilling (KES) incentive, and SMS plus 200 KES (85 KES = USD$1). Caregivers were eligible if they had a child younger than 5 weeks who had not yet received a first dose of pentavalent vaccine. Participants in the intervention groups received SMS reminders before scheduled pentavalent and measles immunisation visits. Participants in incentive groups, additionally, received money if their child was timely immunised (immunisation within 2 weeks of the due date). Caregivers and interviewers were not masked. The proportion of fully immunised children (receiving BCG, three doses of polio vaccine, three doses of pentavalent vaccine, and measles vaccine) by 12 months of age constituted the primary outcome and was analysed with log-binomial regression and General Estimating Equations to account for correlation within clusters. This trial is registered with ClinicalTrials.gov, number NCT01878435. Between Oct 14, 2013, and Oct 17, 2014, we enrolled 2018 caregivers and their infants from 152 villages into the following four groups: control (n=489), SMS only (n=476), SMS plus 75 KES (n=562), and SMS plus 200 KES (n=491). Overall, 1375 (86%) of 1600 children who were successfully followed up achieved the primary outcome, full immunisation by 12 months of age (296 [82%] of 360 control participants, 332 [86%] of 388 SMS only participants, 383 [86%] of 446 SMS plus 75 KES participants, and 364 [90%] of 406 SMS plus 200 KES participants). Children in the SMS plus 200 KES group were significantly more likely to achieve full

  12. Improving interannual prediction skill in a changing climate via the identi cation of compensating coupled model errors

    SciTech Connect

    Tziperman, Eli; MacMartin, Douglas

    2013-08-31

    Significant progress can be made through a truly interdisciplinary effort, combining the expertise from climate dynamics and from engineering control. We believe that this novel approach can make a unique and valuable contribution, and help the climate community deliver improved models for the potential response of the Earth's climate to increased greenhouse gas levels.

  13. A multi-professional educational intervention to improve and sustain respondents' confidence to deliver palliative care: A mixed-methods study.

    PubMed

    Reed, Elizabeth; Todd, Jennifer; Lawton, Sally; Grant, Robert; Sadler, Clair; Berg, Jane; Lucas, Caroline; Watson, Max

    2017-06-01

    Education has been highlighted as fundamental in equipping healthcare professionals with essential knowledge and skills to provide good end-of-life care. Multiprofessional educational programmes have a positive influence on knowledge, attitude and confidence but few have sought to understand the longer term impact on care delivery. The European Certificate in Essential Palliative Care is an 8-week home-study-based programme for healthcare professionals and is currently run in nine centres. Successful candidates have undertaken the course from their own countries around the world. This article describes the evaluation of the European Certificate in Essential Palliative Care which has been evolving over 15 years. To evaluate the impact an educational intervention has on participants' confidence in palliative care, to determine whether this is sustained over time and explore participants' perception of the influence of the course on confidence. A mixed-method longitudinal approach. A survey using a self-efficacy scale was emailed to 342 candidates who received an educational intervention and semi-structured interviews to a sub-sample of 15 candidates at baseline, 3 and 6 months. At 3 months, candidates had almost 20 times higher odds of being above any given level of confidence than at baseline which was sustained at 6 months. Qualitative analysis identified examples of increased competence and confidence improving palliative care delivery. Findings suggest that the European Certificate in Essential Palliative Care improves confidence in palliative care and that this is sustained over time with evidence of confidence in symptom control, communication and a holistic approach in clinical practice.

  14. Delivering Science on Day One

    SciTech Connect

    Williams, Timothy J.

    2016-03-01

    While benchmarking software is useful for testing the performance limits and stability of Argonne National Laboratory’s new Theta supercomputer, there is no substitute for running real applications to explore the system’s potential. The Argonne Leadership Computing Facility’s Theta Early Science Program, modeled after its highly successful code migration program for the Mira supercomputer, has one primary aim: to deliver science on day one. Here is a closer look at the type of science problems that will be getting early access to Theta, a next-generation machine being rolled out this year.

  15. A model for improving cancer patient education.

    PubMed

    Fredette, S L

    1990-08-01

    Adjustment to cancer requires modification of behavior that may be aided through patient education. Numerous programs have been developed to meet this need; however, studies show that even after being taught, patients are not well informed. It seems that the process of educating cancer patients needs to be improved. Authors suggest a progression of psychosocial stages of adjustment to serious illness during which specific behaviors are exhibited and coping mechanisms utilized. Understanding the nature of this process forms the basis for effective patient education since theories of adaptation describe behaviors that impact on motivation to learn, information required, and teaching methodology. Failure to attend to this variable of emotional response to the disease can prevent learning. This article integrates the theories of Weisman, Crate, Engle, and Kubler-Ross into an educational model for the cancer patient consisting of six periods. The model suggests nursing approaches, educational topics, and teaching strategies based on the patient's behavioral responses. Use of this model can improve teaching effectiveness in clinical practice by ensuring that the patient is ready to learn prior to teaching and by utilizing teaching strategies appropriate to the educational period. It can further be used as a tool to teach students of nursing how to use the stages of adjustment to chronic illness when planning patient teaching.

  16. Aligned genomic data compression via improved modeling.

    PubMed

    Ochoa, Idoia; Hernaez, Mikel; Weissman, Tsachy

    2014-12-01

    With the release of the latest Next-Generation Sequencing (NGS) machine, the HiSeq X by Illumina, the cost of sequencing the whole genome of a human is expected to drop to a mere $1000. This milestone in sequencing history marks the era of affordable sequencing of individuals and opens the doors to personalized medicine. In accord, unprecedented volumes of genomic data will require storage for processing. There will be dire need not only of compressing aligned data, but also of generating compressed files that can be fed directly to downstream applications to facilitate the analysis of and inference on the data. Several approaches to this challenge have been proposed in the literature; however, focus thus far has been on the low coverage regime and most of the suggested compressors are not based on effective modeling of the data. We demonstrate the benefit of data modeling for compressing aligned reads. Specifically, we show that, by working with data models designed for the aligned data, we can improve considerably over the best compression ratio achieved by previously proposed algorithms. Our results indicate that the pareto-optimal barrier for compression rate and speed claimed by Bonfield and Mahoney (2013) [Bonfield JK and Mahoneys MV, Compression of FASTQ and SAM format sequencing data, PLOS ONE, 8(3):e59190, 2013.] does not apply for high coverage aligned data. Furthermore, our improved compression ratio is achieved by splitting the data in a manner conducive to operations in the compressed domain by downstream applications.

  17. Improved Estimation Model of Lunar Surface Temperature

    NASA Astrophysics Data System (ADS)

    Zheng, Y.

    2015-12-01

    Lunar surface temperature (LST) is of great scientific interest both uncovering the thermal properties and designing the lunar robotic or manned landing missions. In this paper, we proposed the improved LST estimation model based on the one-dimensional partial differential equation (PDE). The shadow and surface tilts effects were combined into the model. Using the Chang'E (CE-1) DEM data from the Laser Altimeter (LA), the topographic effect can be estimated with an improved effective solar irradiance (ESI) model. In Fig. 1, the highest LST of the global Moon has been estimated with the spatial resolution of 1 degree /pixel, applying the solar albedo data derived from Clementine UV-750nm in solving the PDE function. The topographic effect is significant in the LST map. It can be identified clearly the maria, highland, and craters. The maximum daytime LST presents at the regions with low albedo, i.g. mare Procellarum, mare Serenitatis and mare Imbrium. The results are consistent with the Diviner's measurements of the LRO mission. Fig. 2 shows the temperature variations at the center of the disk in one year, assuming the Moon to be standard spherical. The seasonal variation of LST at the equator is about 10K. The highest LST occurs in early May. Fig.1. Estimated maximum surface temperatures of the global Moon in spatial resolution of 1 degree /pixel

  18. Can an evidence-based book club intervention delivered via a tablet computer improve physical activity in middle-aged women?

    PubMed

    Ehlers, Diane K; Huberty, Jennifer L; de Vreede, Gert-Jan

    2015-02-01

    Fewer than 50% of middle-aged women participate in regular physical activity (PA). Innovative approaches that engage women who may not otherwise participate in PA programs are warranted. The purpose of this study was to explore the acceptability and feasibility of a 12-week tablet-based book club for improving middle-aged women's PA. Thirty women (35-64 years of age) were randomized to the Fit Minded Tablet (n=15) and the Standard Fit Minded (i.e., face-to-face intervention) (n=15) groups. The Fit Minded Tablet was adapted from the Standard Fit Minded, a previously tested, theory-based book club intervention using books as a platform for discussion and group support to help women adopt regular PA. Both interventions met weekly for 3 months, for a total of 12 sessions. Tablet group participants accessed materials (e.g., e-books, workbook, live/recorded videoconferencing) via a tablet computer; Standard group participants received materials (e.g., printed books, workbook, live face-to-face meetings) in person. Feasibility (i.e., implementation and expansion) was assessed using process evaluation, qualitative interviews, satisfaction surveys, and quantitative outcome assessments. Women in the Tablet group attended fewer meetings (mean, 8.25) than women in the Standard group (mean, 9.9). Videoconferencing, digital literacy, and participant engagement limitations were observed in the Tablet group. Tablet participants enjoyed the e-books but thought technology barriers hindered their engagement during meetings. Women in both groups valued the support they received from other group members. Standard participants cited this support as a key contributor to their PA changes, whereas Tablet participants reported needing in-person contact to feel more connected. Given the popularity of tablet computers and the value that middle-aged women place on group interaction to support their PA behaviors, additional research is warranted to determine best strategies for optimizing

  19. Improving Mass Balance Modeling of Benchmark Glaciers

    NASA Astrophysics Data System (ADS)

    van Beusekom, A. E.; March, R. S.; O'Neel, S.

    2009-12-01

    The USGS monitors long-term glacier mass balance at three benchmark glaciers in different climate regimes. The coastal and continental glaciers are represented by Wolverine and Gulkana Glaciers in Alaska, respectively. Field measurements began in 1966 and continue. We have reanalyzed the published balance time series with more modern methods and recomputed reference surface and conventional balances. Addition of the most recent data shows a continuing trend of mass loss. We compare the updated balances to the previously accepted balances and discuss differences. Not all balance quantities can be determined from the field measurements. For surface processes, we model missing information with an improved degree-day model. Degree-day models predict ablation from the sum of daily mean temperatures and an empirical degree-day factor. We modernize the traditional degree-day model as well as derive new degree-day factors in an effort to closer match the balance time series and thus better predict the future state of the benchmark glaciers. For subsurface processes, we model the refreezing of meltwater for internal accumulation. We examine the sensitivity of the balance time series to the subsurface process of internal accumulation, with the goal of determining the best way to include internal accumulation into balance estimates.

  20. Improved protection against tuberculosis after boosting the BCG-primed mice with subunit Ag 85a delivered through intact skin with deformable vesicles.

    PubMed

    Kumar, Gavish; Sharma, Neha; Gupta, Pushpa; Joshi, Beenu; Gupta, Umesh Datta; Cevc, Gregor; Chopra, Amla

    2016-01-20

    To improve vaccination against tuberculosis (TBC) with Bacillus Calmette-Guerin (BCG), we introduce novel, non-invasive, secondary immunisations relying on epicutaneous (e.c.) applications of the TBC subunit antigen, Ag 85a, associated with deformable carrier vesicles. Immuno-boosting with such antigen-vesicles recruits more CD11c positive cells into the draining murine lymph nodes, and typically stimulates, especially the proximal, immune cells more than immunogen injections. Non-invasive antigen application also protects mice better against an infection with TBC. Subcutaneous injections of vesicular Ag 85a into BCG-primed mice mainly yield IgG1 and IgG2a, indicative of a mixed Th1 and Th2 response. Conversely, transcutaneous immuno-boosts of such mice with a deformable vesicle-Ag 85a combination mainly generate serum IgA and IgG2a, indicative of an IgA facilitated, Th1-mediated, immune response. The Ag 85a specific antibody titres are generally low, but T lymphocytes also proliferate in the immunised mice. The new, partially non-invasive, vaccination method lowers the burden of pulmonary infection with M. tuberculosis. In mice immunised with Ag85a associated with deformable vesicles we measured 116× (e.c.) to 51× (s.c.) lower colony forming units number in spleen and 9× (e.c.) to 3× (s.c.) lower such number in lungs. Copyright © 2015 Elsevier B.V. All rights reserved.

  1. The impact of a continuing training program on the perceived improvement in quality of health care delivered by health care professionals.

    PubMed

    Gracía-Pérez, María Luisa; Gil-Lacruz, Marta

    2017-09-28

    There is abundant scientific literature concerning factors that affect patients' perceptions of the quality of health care. However, there are few published works that consider the opinions of health care professionals. This article aims to conjointly analyse two organisational strategies that determine professional health care practice: continuous training and quality of care. The objective is to examine the opinions of physicians and nurses on the improvement of the quality of care after a 'learning by doing' program. An evaluation method was designed that integrates the main variables that intervene in quality of care. An online questionnaire was utilised for collecting opinions on the effects of the training program. A total of 184 nurses and 180 other medical professionals participated in the program and all of them were asked to complete the questionnaire. A descriptive, and inferential statistical analysis was undertaken and results showed that there is a direct relationship between perceptions about: satisfaction, professional competence, training modality, optimisation of health resources and quality of care. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Syllogisms delivered in an angry voice lead to improved performance and engagement of a different neural system compared to neutral voice

    PubMed Central

    Smith, Kathleen W.; Balkwill, Laura-Lee; Vartanian, Oshin; Goel, Vinod

    2015-01-01

    Despite the fact that most real-world reasoning occurs in some emotional context, very little is known about the underlying behavioral and neural implications of such context. To further understand the role of emotional context in logical reasoning we scanned 15 participants with fMRI while they engaged in logical reasoning about neutral syllogisms presented through the auditory channel in a sad, angry, or neutral tone of voice. Exposure to angry voice led to improved reasoning performance compared to exposure to sad and neutral voice. A likely explanation for this effect is that exposure to expressions of anger increases selective attention toward the relevant features of target stimuli, in this case the reasoning task. Supporting this interpretation, reasoning in the context of angry voice was accompanied by activation in the superior frontal gyrus—a region known to be associated with selective attention. Our findings contribute to a greater understanding of the neural processes that underlie reasoning in an emotional context by demonstrating that two emotional contexts, despite being of the same (negative) valence, have different effects on reasoning. PMID:26029089

  3. Syllogisms delivered in an angry voice lead to improved performance and engagement of a different neural system compared to neutral voice.

    PubMed

    Smith, Kathleen W; Balkwill, Laura-Lee; Vartanian, Oshin; Goel, Vinod

    2015-01-01

    Despite the fact that most real-world reasoning occurs in some emotional context, very little is known about the underlying behavioral and neural implications of such context. To further understand the role of emotional context in logical reasoning we scanned 15 participants with fMRI while they engaged in logical reasoning about neutral syllogisms presented through the auditory channel in a sad, angry, or neutral tone of voice. Exposure to angry voice led to improved reasoning performance compared to exposure to sad and neutral voice. A likely explanation for this effect is that exposure to expressions of anger increases selective attention toward the relevant features of target stimuli, in this case the reasoning task. Supporting this interpretation, reasoning in the context of angry voice was accompanied by activation in the superior frontal gyrus-a region known to be associated with selective attention. Our findings contribute to a greater understanding of the neural processes that underlie reasoning in an emotional context by demonstrating that two emotional contexts, despite being of the same (negative) valence, have different effects on reasoning.

  4. Improved modelling of independent parton hadronization

    NASA Astrophysics Data System (ADS)

    Biddulph, Phillip; Thompson, Graham

    1989-04-01

    A modification is proposed to current versions of the Field-Feynman ansatz for the hadronization of a quark in Monte Carlo models of QCD interactions. This faster-running algorithm has no more parameters and imposes a better degree of energy conservation. It results in naturally introducing a limitation of the transverse momentum distribution, similar to the experimentally observed "seagull" effect. There is now a much improved conservation of quantum numbers between the original parton and resultant hadrons, and the momentum of the emitted parton is better preserved in the summed momentum vectors of the final state particles.

  5. Coupled Facility-Payload Vibration Modeling Improvements

    NASA Technical Reports Server (NTRS)

    Carnahan, Timothy M.; Kaiser, Michael A.

    2015-01-01

    A major phase of aerospace hardware verification is vibration testing. The standard approach for such testing is to use a shaker to induce loads into the payload. In preparation for vibration testing at National Aeronautics and Space Administration/Goddard Space Flight Center an analysis is performed to assess the responses of the payload. A new method of modeling the test is presented that takes into account dynamic interactions between the facility and the payload. This dynamic interaction has affected testing in the past, but been ignored or adjusted for during testing. By modeling the combined dynamics of the facility and test article (payload) it is possible to improve the prediction of hardware responses. Many aerospace test facilities work in similar way to those at NASA/Goddard Space Flight Center. Lessons learned here should be applicable to other test facilities with similar setups.

  6. Coupled Facility/Payload Vibration Modeling Improvements

    NASA Technical Reports Server (NTRS)

    Carnahan, Timothy M.; Kaiser, Michael

    2015-01-01

    A major phase of aerospace hardware verification is vibration testing. The standard approach for such testing is to use a shaker to induce loads into the payload. In preparation for vibration testing at NASA/GSFC there is an analysis to assess the responses of the payload. A new method of modeling the test is presented that takes into account dynamic interactions between the facility and the payload. This dynamic interaction has affected testing in the past, but been ignored or adjusted for during testing. By modeling the combination of the facility and test article (payload) it is possible to improve the prediction of hardware responses. Many aerospace test facilities work in similar way to those at NASA Goddard Space Flight Center. Lessons learned here should be applicable to other test facilities with similar setups.

  7. Intra-Arterially Delivered Mesenchymal Stem Cells Are Not Detected in the Brain Parenchyma in an Alzheimer’s Disease Mouse Model

    PubMed Central

    Lee, Na Kyung; Yang, Jehoon; Chang, Eun Hyuk; Park, Sang Eon; Lee, Jeongmin; Choi, Soo Jin; Oh, Wonil; Chang, Jong Wook; Na, Duk L.

    2016-01-01

    Mesenchymal stem cells (MSCs) have a promising role as a therapeutic agent for neurodegenerative diseases such as Alzheimer’s disease (AD). Prior studies suggested that intra-arterially administered MSCs are engrafted into the brain in stroke or traumatic brain injury (TBI) animal models. However, a controversial standpoint exists in terms of the integrity of the blood brain barrier (BBB) in transgenic AD mice. The primary goal of this study was to explore the feasibility of delivering human umbilical cord-blood derived mesenchymal stem cells (hUCB-MSCs) into the brains of non-transgenic WT (C3H/C57) and transgenic AD (APP/PS1) mice through the intra-arterial (IA) route. Through two experiments, mice were infused with hUCB-MSCs via the right internal carotid artery and were sacrificed at two different time points: 6 hours (experiment 1) or 5 minutes (experiment 2) after infusion. In both experiments, no cells were detected in the brain parenchyma while MSCs were detected in the cerebrovasculature in experiment 2. The results from this study highlight that intra-arterial delivery of MSCs is not the most favorable route to be implemented as a potential therapeutic approach for AD. PMID:27203695

  8. Improved modeling techniques for turbomachinery flow fields

    SciTech Connect

    Lakshminarayana, B.; Fagan, J.R. Jr.

    1995-10-01

    This program has the objective of developing an improved methodology for modeling turbomachinery flow fields, including the prediction of losses and efficiency. Specifically, the program addresses the treatment of the mixing stress tensor terms attributed to deterministic flow field mechanisms required in steady-state Computational Fluid Dynamic (CFD) models for turbo-machinery flow fields. These mixing stress tensors arise due to spatial and temporal fluctuations (in an absolute frame of reference) caused by rotor-stator interaction due to various blade rows and by blade-to-blade variation of flow properties. These tasks include the acquisition of previously unavailable experimental data in a high-speed turbomachinery environment, the use of advanced techniques to analyze the data, and the development of a methodology to treat the deterministic component of the mixing stress tensor. Penn State will lead the effort to make direct measurements of the momentum and thermal mixing stress tensors in high-speed multistage compressor flow field in the turbomachinery laboratory at Penn State. They will also process the data by both conventional and conditional spectrum analysis to derive momentum and thermal mixing stress tensors due to blade-to-blade periodic and aperiodic components, revolution periodic and aperiodic components arising from various blade rows and non-deterministic (which includes random components) correlations. The modeling results from this program will be publicly available and generally applicable to steady-state Navier-Stokes solvers used for turbomachinery component (compressor or turbine) flow field predictions. These models will lead to improved methodology, including loss and efficiency prediction, for the design of high-efficiency turbomachinery and drastically reduce the time required for the design and development cycle of turbomachinery.

  9. Improving carbon model phenology using data assimilation

    NASA Astrophysics Data System (ADS)

    Exrayat, Jean-François; Smallman, T. Luke; Bloom, A. Anthony; Williams, Mathew

    2015-04-01

    drivers. DALEC2-GSI showed a more realistic response to climate variability and fire disturbance than DALEC2. DALEC2-GSI more accurately reproduced the assimilated global LAI time series, particularly in areas with high levels of disturbance. This result is supported by more ecologically consistent trait combinations generated by the DALEC2-GSI calibration. In addition, using DALEC2-GSI we are able to map global information on ecosystem traits such as drought tolerance and adaptation to repeated fire disturbance. This demonstrates that utilizing data assimilation provides a useful means of improving the representation of processes within models.

  10. An eighteen-month follow-up of a pilot parent-delivered play-based intervention to improve the social play skills of children with attention deficit hyperactivity disorder and their playmates.

    PubMed

    Cantrill, Alycia; Wilkes-Gillan, Sarah; Bundy, Anita; Cordier, Reinie; Wilson, Nathan J

    2015-06-01

    Children with attention deficit hyperactivity disorder (ADHD) experience significant ongoing social difficulties which occur in multiple contexts. Interventions designed to improve these social difficulties have demonstrated minimal effectiveness. Thus, there is a clear need to establish interventions that are effective in addressing the social difficulties of children with ADHD across contexts and in the long term. To examine the long-term effectiveness and appropriateness of a pilot parent-delivered intervention designed to improve the social play skills of children with ADHD and their playmates. Participants included five children with ADHD who had completed the intervention 18-months prior, their typically developing playmates and mothers of children with ADHD. Blinded ratings from the Test of Playfulness were used to measure children's social play: post-intervention and 18-months following the intervention in the home and clinic. Wilcoxon signed-ranks and Cohen's-d calculations were used to measure effectiveness. Parents' perspectives of the appropriateness of the intervention were explored through semi-structured interviews and data were analysed thematically. The social play skills of children with ADHD and their playmates were maintained following the intervention in the home and clinic. Thematic analysis revealed four core-themes against an intervention appropriateness framework: new parenting tools, a social shift, adapting strategies over time and the next developmental challenge. The parent-delivered intervention demonstrated long-term effectiveness and appropriateness for improving children's social play skills. These preliminary results are promising as maintaining treatment effects and achieving generalisation across contexts has remained an unachieved goal for most psycho-social interventions. © 2015 Occupational Therapy Australia.

  11. Therapeutic efficacy of improved α-fetoprotein promoter-mediated tBid delivered by folate-PEI600-cyclodextrin nanopolymer vector in hepatocellular carcinoma

    SciTech Connect

    Hu, Bao-guang; Liu, Li-ping; Chen, George G.; Ye, Cai Guo; Leung, Kevin K.C.; Ho, Rocky L.K.; Lin, Marie C.; Lai, Paul B.S.

    2014-06-10

    SNPs in human AFP promoter are associated with serum AFP levels in hepatocellular carcinoma (HCC), suggesting that AFP promoter variants may generate better transcriptional activities while retaining high specificity to AFP-producing cells. We sequenced human AFP promoters, cloned 15 different genotype promoters and tested their reporter activities in AFP-producing and non-producing cells. Among various AFP variant fragments tested, EA4D exhibited the highest reporter activity and thus was selected for the further study. EA4D was fused with tBid and coupled with nano-particle vector (H1) to form pGL3-EA4D-tBid/H1. pGL3-EA4D-tBid/H1 could express a high level of tBid while retain the specificity to AFP-producing cells. In a HCC tumor model, application of pGL3-EA4D-tBid/H1 significantly inhibited the growth of AFP-producing-implanted tumors with minimal side-effects, but had no effect on non-AFP-producing tumors. Furthermore, pGL3-EA4D-tBid/H1 could significantly sensitize HCC cells to sorafenib, an approved anti-HCC agent. Collectively, pGL3-EA4D-tBid/H1, a construct with the AFP promoter EA4D and the novel H1 delivery system, can specifically target and effectively suppress the AFP-producing HCC. This new therapeutic tool shows little toxicity in vitro and in vivo and it should thus be safe for further clinical tests. - Highlights: • The nano-particle vector H1 has advantages in mediating gene therapy construct pGL3-EA4D-tBid for HCC treatment. • pGL3-EA4D-tBid/H1, a construct with the AFP promoter EA4D, can specifically target the AFP-producing HCC. • pGL3-EA4D-tBid/H1effectively suppresses the proliferation and growth of AFP-producing HCC. • This novel pGL3-EA4D-tBid/H1 therapeutic tool shows little toxicity in vitro and in vivo.

  12. An analytically linearized helicopter model with improved modeling accuracy

    NASA Technical Reports Server (NTRS)

    Jensen, Patrick T.; Curtiss, H. C., Jr.; Mckillip, Robert M., Jr.

    1991-01-01

    An analytically linearized model for helicopter flight response including rotor blade dynamics and dynamic inflow, that was recently developed, was studied with the objective of increasing the understanding, the ease of use, and the accuracy of the model. The mathematical model is described along with a description of the UH-60A Black Hawk helicopter and flight test used to validate the model. To aid in utilization of the model for sensitivity analysis, a new, faster, and more efficient implementation of the model was developed. It is shown that several errors in the mathematical modeling of the system caused a reduction in accuracy. These errors in rotor force resolution, trim force and moment calculation, and rotor inertia terms were corrected along with improvements to the programming style and documentation. Use of a trim input file to drive the model is examined. Trim file errors in blade twist, control input phase angle, coning and lag angles, main and tail rotor pitch, and uniform induced velocity, were corrected. Finally, through direct comparison of the original and corrected model responses to flight test data, the effect of the corrections on overall model output is shown.

  13. Improving Heliospheric Field Models with Optimized Coronal Models

    NASA Astrophysics Data System (ADS)

    Jones, S. I.; Davila, J. M.; Uritsky, V. M.

    2015-12-01

    The Solar Orbiter and Solar Probe Plus missions will travel closer to the sun than any previous mission, collecting unprecedented in situ data. This data can provide insight into coronal structure, energy transport, and evolution in the inner heliosphere. However, in order to take full advantage of this data, researchers need quality models of the inner heliosphere to connect the in situ observations to their coronal and photospheric sources. Developing quality models for this region of space has proved difficult, in part because the only part of the field that is accessible for routine measurement is the photosphere. The photospheric field measurements, though somewhat problematic, are used as boundary conditions for coronal models, which often neglect or over-simplify chromospheric conditions, and these coronal models are then used as boundary conditions to drive heliospheric models. The result is a great deal of uncertainty about the accuracy and reliability of the heliospheric models. Here we present a technique we are developing for improving global coronal magnetic field models by optimizing the models to conform to the field morphology observed in coronal images. This agreement between the coronal model and the basic morphology of the corona is essential for creating accurate heliospheric models. We will present results of early tests of two implementations of this idea, and its first application to real-world data.

  14. Oscillating square wave Transcranial Direct Current Stimulation (tDCS) delivered during slow wave sleep does not improve declarative memory more than sham: A randomized sham controlled crossover study

    PubMed Central

    Sahlem, Gregory L.; Badran, Bashar W.; Halford, Jonathan J.; Williams, Nolan R.; Korte, Jeffrey E.; Leslie, Kimberly; Strachan, Martha; Breedlove, Jesse L.; Runion, Jennifer; Bachman, David L.; Uhde, Thomas W.; Borckardt, Jeffery J.; George, Mark S.

    2015-01-01

    Background A 2006 trial in healthy medical students found that anodal slow oscillating tDCS delivered bi-frontally during slow wave sleep had an enhancing effect in declarative, but not procedural memory. Although there have been supporting animal studies, and similar findings in pathological groups, this study has not been replicated, or refuted, in the intervening years. We therefore tested these earlier results for replication using similar methods with the exception of current wave form (square in our study, nearly sinusoidal in the original). Objective/Hypothesis Our objective was to test the findings of a 2006 trial suggesting bi-frontal anodal tDCS during slow wave sleep enhances declarative memory. Methods Twelve students (mean age 25, 9 women) free of medical problems underwent two testing conditions (active, sham) in a randomized counterbalanced fashion. Active stimulation consisted of oscillating square wave tDCS delivered during early Non-Rapid Eye Movement (NREM) sleep. The sham condition consisted of setting-up the tDCS device and electrodes, but not turning it on during sleep. tDCS was delivered bi-frontally with anodes placed at F3/F4, and cathodes placed at mastoids. Current density was 0.517mA/CM2, and oscillated between zero and maximal current at a frequency of 0.75Hz. Stimulation occurred during five-five minute blocks with one-minute inter-block intervals (25 minutes total stimulation). The primary outcomes were both declarative memory consolidation measured by a paired word association test (PWA), and non-declarative memory, measured by a non-dominant finger-tapping test (FTT). We also recorded and analyzed sleep EEG. Results There was no difference in the number of paired word associations remembered before compared to after sleep [(active = 3.1±3.0SD more associations) (sham = 3.8±3.1S.D more associations)]. Finger tapping improved, (non-significantly) following active stimulation [(3.6±2.7 S.D. correctly typed sequences) compared to

  15. Oscillating Square Wave Transcranial Direct Current Stimulation (tDCS) Delivered During Slow Wave Sleep Does Not Improve Declarative Memory More Than Sham: A Randomized Sham Controlled Crossover Study.

    PubMed

    Sahlem, Gregory L; Badran, Bashar W; Halford, Jonathan J; Williams, Nolan R; Korte, Jeffrey E; Leslie, Kimberly; Strachan, Martha; Breedlove, Jesse L; Runion, Jennifer; Bachman, David L; Uhde, Thomas W; Borckardt, Jeffery J; George, Mark S

    2015-01-01

    A 2006 trial in healthy medical students found that anodal slow oscillating tDCS delivered bi-frontally during slow wave sleep had an enhancing effect in declarative, but not procedural memory. Although there have been supporting animal studies, and similar findings in pathological groups, this study has not been replicated, or refuted, in the intervening years. We therefore tested these earlier results for replication using similar methods with the exception of current waveform (square in our study, nearly sinusoidal in the original). Our objective was to test the findings of a 2006 trial suggesting bi-frontal anodal tDCS during slow wave sleep enhances declarative memory. Twelve students (mean age 25, 9 women) free of medical problems underwent two testing conditions (active, sham) in a randomized counterbalanced fashion. Active stimulation consisted of oscillating square wave tDCS delivered during early Non-Rapid Eye Movement (NREM) sleep. The sham condition consisted of setting-up the tDCS device and electrodes, but not turning it on during sleep. tDCS was delivered bi-frontally with anodes placed at F3/F4, and cathodes placed at mastoids. Current density was 0.517 mA/cm(2), and oscillated between zero and maximal current at a frequency of 0.75 Hz. Stimulation occurred during five-five minute blocks with 1-min inter-block intervals (25 min total stimulation). The primary outcomes were both declarative memory consolidation measured by a paired word association test (PWA), and non-declarative memory, measured by a non-dominant finger-tapping test (FTT). We also recorded and analyzed sleep EEG. There was no difference in the number of paired word associations remembered before compared to after sleep [(active = 3.1 ± 3.0 SD more associations) (sham = 3.8 ± 3.1 SD more associations)]. Finger tapping improved, (non-significantly) following active stimulation [(3.6 ± 2.7 SD correctly typed sequences) compared to sham stimulation (2.3 ± 2.2 SD correctly typed

  16. Modeling soil water content for vegetation modeling improvement

    NASA Astrophysics Data System (ADS)

    Cianfrani, Carmen; Buri, Aline; Zingg, Barbara; Vittoz, Pascal; Verrecchia, Eric; Guisan, Antoine

    2016-04-01

    Soil water content (SWC) is known to be important for plants as it affects the physiological processes regulating plant growth. Therefore, SWC controls plant distribution over the Earth surface, ranging from deserts and grassland to rain forests. Unfortunately, only a few data on SWC are available as its measurement is very time consuming and costly and needs specific laboratory tools. The scarcity of SWC measurements in geographic space makes it difficult to model and spatially project SWC over larger areas. In particular, it prevents its inclusion in plant species distribution model (SDMs) as predictor. The aims of this study were, first, to test a new methodology allowing problems of the scarcity of SWC measurements to be overpassed and second, to model and spatially project SWC in order to improve plant SDMs with the inclusion of SWC parameter. The study was developed in four steps. First, SWC was modeled by measuring it at 10 different pressures (expressed in pF and ranging from pF=0 to pF=4.2). The different pF represent different degrees of soil water availability for plants. An ensemble of bivariate models was built to overpass the problem of having only a few SWC measurements (n = 24) but several predictors to include in the model. Soil texture (clay, silt, sand), organic matter (OM), topographic variables (elevation, aspect, convexity), climatic variables (precipitation) and hydrological variables (river distance, NDWI) were used as predictors. Weighted ensemble models were built using only bivariate models with adjusted-R2 > 0.5 for each SWC at different pF. The second step consisted in running plant SDMs including modeled SWC jointly with the conventional topo-climatic variable used for plant SDMs. Third, SDMs were only run using the conventional topo-climatic variables. Finally, comparing the models obtained in the second and third steps allowed assessing the additional predictive power of SWC in plant SDMs. SWC ensemble models remained very good, with

  17. Estuarine Modeling: Does a higher grid resolution improve model performance?

    NASA Astrophysics Data System (ADS)

    Pauer, J. J.; Feist, T. J.; Melendez, W.; Zhang, X.; Lehrter, J. C.

    2016-02-01

    Ecological models are useful tools to explore cause effect relationships, test hypothesis and perform management scenarios. A mathematical model, the Gulf of Mexico Dissolved Oxygen Model (GoMDOM), has been developed and applied to the Louisiana continental shelf of the northern Gulf of Mexico to address long-standing hypoxia issues. A computational grid of approximately 6 km x 6 km cells and 20 sigma layers for a total of 64,320 cells was used. GoMDOM was driven by hydrodynamics from the Navy's NCOM model, and comprehensive kinetic equations were used to describe nutrient, phytoplankton and oxygen dynamics. The model was able to represent the observed salinity (an indication of transport accuracy), biogeochemical processes and the concentrations and metrics including hypoxic area for 2003 and 2006. However, the scale of a model may influence the model's capabilities. Models with low grid resolution and large cells improve computational speed but may not completely capture system dynamics, while models with high grid resolution and small cells may be take a very long time to run, and require extensive computer resources, but better simulate horizontal or vertical gradients. In order to explore the impact of a higher resolution on the model performance, the model was also executed on a 2 km x 2 km modeling grid (558,880 total cells) using the same external boundaries, forcing functions and model coefficients as used in the calibrated 6km version. Here we compare the two modeling grid sizes in terms of how well they fit observations, describing biogeochemical processes, and predicting hypoxia under different nutrient scenarios.

  18. Exploring the possible reasons why the UK Government commended the EFQM (European Foundation for Quality Management) excellence model as the framework for delivering governance in the new NHS.

    PubMed

    Jackson, S

    1999-01-01

    A brief introduction into recent developments of the EFQM Excellence Model and the United Kingdom (UK) Government's agenda for ensuring that quality is at the heart of all decision making is given. In view of the Government explicitly commending the use of the EFQM Excellence Model to all organisations within the National Health Service, the author decides to explore the possible reasons behind the commendation. When comparing the EFQM Excellence Model with the Government's vision for quality, the former emerges as a more than ideal tool for any organisation wishing to commence or strengthen their journey on the road to quality and/or excellence; particularly as the EFQM Excellence Model is based on the principles of self-assessment, continuous improvement, learning and innovation, teamwork and a culture totally focused on the customer. Finally, ten possible reasons behind the Government commending the use of the Model are given.

  19. An improved nuclear mass model: FRDM (2012)

    NASA Astrophysics Data System (ADS)

    Moller, Peter

    2011-10-01

    We have developed an improved nuclear mass model which we plan to finalize in 2012, so we designate it FRDM(2012). Relative to our previous mass table in 1995 we do a full four-dimensional variation of the shape coordinates EPS2, EPS3, EPS4, and EPS6, we consider axial asymmetric shape degrees of freedom and we vary the density symmetry parameter L. Other additional features are also implemented. With respect to the Audi 2003 data base we now have an accuracy of 0.57 MeV. We have carefully tested the extrapolation properties of the new mass table by adjusting model parameters to limited data sets and testing on extended data sets and find it is highly reliable in new regions of nuclei. We discuss what the remaining differences between model calculations and experiment tell us about the limitations of the currently used effective single-particle potential and possible extensions. DOE No. DE-AC52-06NA25396.

  20. Voxel model in BNCT treatment planning: performance analysis and improvements.

    PubMed

    González, Sara J; Carando, Daniel G; Santa Cruz, Gustavo A; Zamenhof, Robert G

    2005-02-07

    In recent years, many efforts have been made to study the performance of treatment planning systems in deriving an accurate dosimetry of the complex radiation fields involved in boron neutron capture therapy (BNCT). The computational model of the patient's anatomy is one of the main factors involved in this subject. This work presents a detailed analysis of the performance of the 1 cm based voxel reconstruction approach. First, a new and improved material assignment algorithm implemented in NCTPlan treatment planning system for BNCT is described. Based on previous works, the performances of the 1 cm based voxel methods used in the MacNCTPlan and NCTPlan treatment planning systems are compared by standard simulation tests. In addition, the NCTPlan voxel model is benchmarked against in-phantom physical dosimetry of the RA-6 reactor of Argentina. This investigation shows the 1 cm resolution to be accurate enough for all reported tests, even in the extreme cases such as a parallelepiped phantom irradiated through one of its sharp edges. This accuracy can be degraded at very shallow depths in which, to improve the estimates, the anatomy images need to be positioned in a suitable way. Rules for this positioning are presented. The skin is considered one of the organs at risk in all BNCT treatments and, in the particular case of cutaneous melanoma of extremities, limits the delivered dose to the patient. Therefore, the performance of the voxel technique is deeply analysed in these shallow regions. A theoretical analysis is carried out to assess the distortion caused by homogenization and material percentage rounding processes. Then, a new strategy for the treatment of surface voxels is proposed and tested using two different irradiation problems. For a parallelepiped phantom perpendicularly irradiated with a 5 keV neutron source, the large thermal neutron fluence deviation present at shallow depths (from 54% at 0 mm depth to 5% at 4 mm depth) is reduced to 2% on average

  1. Improvements to type Ia supernova models

    NASA Astrophysics Data System (ADS)

    Saunders, Clare M.

    Type Ia Supernovae provided the first strong evidence of dark energy and are still an important tool for measuring the accelerated expansion of the universe. However, future improvements will be limited by systematic uncertainties in our use of Type Ia supernovae as standard candles. Using Type Ia supernovae for cosmology relies on our ability to standardize their absolute magnitudes, but this relies on imperfect models of supernova spectra time series. This thesis is focused on using data from the Nearby Supernova Factory both to understand current sources of uncertainty in standardizing Type Ia supernovae and to develop techniques that can be used to limit uncertainty in future analyses. (Abstract shortened by ProQuest.).

  2. Pegasus delivers SLS engine section

    NASA Image and Video Library

    2017-03-03

    NASA engineers install test hardware for the agency's new heavy lift rocket, the Space Launch System, into a newly constructed 50-foot structural test stand at NASA's Marshall Space Flight Center. In the stand, hydraulic cylinders will be electronically controlled to push, pull, twist and bend the test article with millions of pounds of force. Engineers will record and analyze over 3,000 channels of data for each test case to verify the capabilities of the engine section and validate that the design and analysis models accurately predict the amount of loads the core stage can withstand during launch and ascent. The engine section, recently delivered via NASA's barge Pegasus from NASA's Michoud Assembly Facility, is the first of four core stage structural test articles scheduled to be delivered to Marshall for testing. The engine section, located at the bottom of SLS's massive core stage, will house the rocket's four RS-25 engines and be an attachment point for the two solid rocket boosters.

  3. Pegasus delivers SLS engine section

    NASA Image and Video Library

    2017-05-18

    NASA engineers install test hardware for the agency's new heavy lift rocket, the Space Launch System, into a newly constructed 50-foot structural test stand at NASA's Marshall Space Flight Center. In the stand, hydraulic cylinders will be electronically controlled to push, pull, twist and bend the test article with millions of pounds of force. Engineers will record and analyze over 3,000 channels of data for each test case to verify the capabilities of the engine section and validate that the design and analysis models accurately predict the amount of loads the core stage can withstand during launch and ascent. The engine section, recently delivered via NASA's barge Pegasus from NASA's Michoud Assembly Facility, is the first of four core stage structural test articles scheduled to be delivered to Marshall for testing. The engine section, located at the bottom of SLS's massive core stage, will house the rocket's four RS-25 engines and be an attachment point for the two solid rocket boosters.

  4. Development of Liposomal Formulation for Delivering Anticancer Drug to Breast Cancer Stem-Cell-Like Cells and its Pharmacokinetics in an Animal Model.

    PubMed

    Ahmad, Ajaz; Mondal, Sujan Kumar; Mukhopadhyay, Debabrata; Banerjee, Rajkumar; Alkharfy, Khalid M

    2016-03-07

    The objective of the present study is to develop a liposomal formulation for delivering anticancer drug to breast cancer stem-cell-like cells, ANV-1, and evaluate its pharmacokinetics in an animal model. The anticancer drug ESC8 was used in dexamethasone (Dex)-associated liposome (DX) to form ESC8-entrapped liposome named DXE. ANV-1 cells showed high-level expression of NRP-1. To enhance tumor regression, we additionally adapted to codeliver the NRP-1 shRNA-encoded plasmid using the established DXE liposome. In vivo efficacy of DXE-NRP-1 was carried out in mice bearing ANV-1 cells as xenograft tumors and the extent of tumor growth inhibition was evaluated by tumor-size measurement. A significant difference in tumor volume started to reveal between DXE-NRP-1 group and DXE-Control group. DXE-NRP-1 group showed ∼4 folds and ∼2.5 folds smaller tumor volume than exhibited by untreated and DXE-Control-treated groups, respectively. DXE disposition was evaluated in Sprague-Dawley rats following an intraperitoneal dose (3.67 mg/kg of ESC8 in DXE). The plasma concentrations of ESC8 in the DXE formulation were measured by liquid chromatography mass spectrometry and pharmacokinetic parameters were determined using a noncompartmental analysis. ESC8 had a half-life of 11.01 ± 0.29 h, clearance of 2.10 ± 3.63 L/kg/h, and volume of distribution of 33.42 ± 0.83 L/kg. This suggests that the DXE liposome formulation could be administered once or twice daily for therapeutic efficacy. In overall, we developed a potent liposomal formulation with favorable pharmacokinetic and tumor regressing profile that could sensitize and kill highly aggressive and drug-resistive cancer stem-cell-like cells.

  5. Improved Shell models for screened Coulomb balls

    NASA Astrophysics Data System (ADS)

    Bonitz, M.; Kaehlert, H.; Henning, C.; Baumgartner, H.; Filinov, A.

    2006-10-01

    Spherical Coulomb crystals in dusty plasmas [1] are well described by an isotropic Yukawa-type pair interaction and an external parabolic confinement as was shown by extensive molecular dynamics simulations [2]. A much simpler description is possible with analytical shell models which have been derived for Yukawas plasmas in [3,4]. Here we analyze improved Yukawa shell models which include correlations along the lines proposed for Coulomb crystals in [5]. The shell configurations are efficiently evaluated using a Monte Carlo procedure. [1] O. Arp, A. Piel and A. Melzer, Phys. Rev. Lett. 93, 165004 (2004). [2] M. Bonitz, D. Block, O. Arp, V. Golunychiy, H. Baumgartner, P. Ludwig, A. Piel and A. Filinov, Phys. Rev. Lett. 96, 075001 (2006). [3] H. Totsuji, C. Totsuji, T. Ogawa, and K. Tsuruta, Phys. Rev. E 71, 045401 (2005). [4] C. Henning, M. Bonitz, A. Piel, P. Ludwig, H. Baumgartner, V. Golubnichiy, and D. Block, submitted to Phys. Rev. E [5] W.D. Kraeft and M. Bonitz, J. Phys. Conf. Ser. 35, 94 (2006).

  6. A comprehensive track model for the improvement of corrugation models

    NASA Astrophysics Data System (ADS)

    Gómez, J.; Vadillo, E. G.; Santamaría, J.

    2006-06-01

    This paper presents a detailed model of the railway track based on wave propagation, suitable for corrugation studies. The model analyses both the vertical and the transverse dynamics of the track. Using the finite strip method (FSM), only the cross-section of the rail must be meshed, and thus it is not necessary to discretise a whole span in 3D. This model takes into account the discrete nature of the support, introducing concepts pertaining to the theory of periodic structures in the formulation. Wave superposition is enriched taking into account the contribution of residual vectors. In this way, the model obtains accurate results when a finite section of railway track is considered. Results for the infinite track have been compared against those presented by Gry and Müller. Aside from the improvements provided by the model presented in this paper, which Gry's and Müller's models do not contemplate, the results arising from the comparison prove satisfactory. Finally, the calculated receptances are compared against the experimental values obtained by the authors, demonstrating a fair degree of adequacy. Finally, these receptances are used within a linear model of corrugation developed by the authors.

  7. Improved petrographic-coded model and its evaluation to determine a thermal conductivity log

    NASA Astrophysics Data System (ADS)

    Gegenhuber, Nina; Kienler, Markus

    2017-01-01

    Thermal conductivity is one of the crucial properties for thermal modelling as well as tunnelling or geological modelling. Available data are mainly from laboratory measurements. Therefore, additional ways, such as correlations with other properties to derive the petrophysical parameter, will be an advantage. The research presented here continues and improves the petrographic-coded model concept with an increased set of data, including a variety of lithologies, and, furthermore, the correlations, including the electrical resistivity. Input parameters are no longer taken from the literature, but are derived directly from measurements. In addition, the results are compared with other published approaches. Results show good correlations with measured data. The comparison with the multi-linear regression method shows acceptable outcome, in contrast to a geometric-mean method, where data scatter. In summary, it can be said that the improved model delivers for both correlation (compressional wave velocity and electrical resistivity with thermal conductivity) positive results.

  8. A Improved Transmission System Harmonic Modeling Technique.

    NASA Astrophysics Data System (ADS)

    Akram, Muhammad Fayyaz

    1994-01-01

    The development of a comprehensive approach to the modeling of electric power transmission systems at harmonic frequencies is presented. For harmonic analysis it is not practically possible to model a large transmission system with its neighboring interconnected systems in detail due to computer time and memory limitations. A large number of components of a large system also makes switching studies a recognized problem with respect to the desired accuracy, and required engineering and computer time. Current methods depend on the trial and error approach or the individual analyst's knowledge of the system, which are imprecise and expensive to develop at harmonic frequencies. The approach to solve this problem involves the development of a formal method for dividing large-scale transmission systems into a main study system and a group of external systems. Then, using an efficient and appropriate method of adjoint network sensitivity analysis, the size of the system model is reduced, keeping the same frequency characteristics as that of the original system. This reduction in model size in turn accommodates larger transmission system size and increases the accuracy and computational efficiency. An efficient and accurate method is also presented that determines the relative importance of external system equivalents on the harmonic impedance of a transmission network. The bilinear theorem provides an economical method of determining the appropriate locations for simplification of external systems. Using this technique, the system model error bounds can be fixed and the high error range of the external system equivalent impedance can be reduced. For filter designs, the most important issue of computing harmonic impedance boundaries is improved by using an efficient adjoint network sensitivity analysis. Using this sensitivity analysis an order of critical components is developed. The number of outage contingencies to be analyzed is reduced by a large factor which

  9. A small business worksite wellness model for improving health behaviors.

    PubMed

    Merrill, Ray M

    2013-08-01

    To evaluate the effectiveness of a wellness program delivered by WellSteps, LLC, aimed at improving employee health behaviors in small companies that lack the resources to independently develop and manage a wellness program. Analyses are based on 618 employees from five diverse companies that completed an initial personal health assessment. Exercise and dietary behaviors significantly improved across the five companies. Significant improvements in health perception and life satisfaction also resulted and were associated with improvements in health behaviors. Three of the five companies, each with fewer than 50 employees, were most effective in influencing positive health behaviors, health perceptions, and life satisfaction. The worksite wellness program effectively improved health behaviors, health perceptions, and life satisfaction.

  10. Clinical performance improvement series. Classic CQI integrated with comprehensive disease management as a model for performance improvement.

    PubMed

    Joshi, M S; Bernard, D B

    1999-08-01

    In recent years, health and disease management has emerged as an effective means of delivering, integrating, and improving care through a population-based approach. Since 1997 the University of Pennsylvania Health System (UPHS) has utilized the key principles and components of continuous quality improvement (CQI) and disease management to form a model for health care improvement that focuses on designing best practices, using best practices to influence clinical decision making, changing processes and systems to deploy and deliver best practices, and measuring outcomes to improve the process. Experience with 28 programs and more than 14,000 patients indicates significant improvement in outcomes, including high physician satisfaction, increased patient satisfaction, reduced costs, and improved clinical process and outcome measures across multiple diseases. DIABETES DISEASE MANAGEMENT: In three months a UPHS multidisciplinary diabetes disease management team developed a best practice approach for the treatment of all patients with diabetes in the UPHS. After the program was pilot tested in three primary care physician sites, it was then introduced progressively to additional practice sites throughout the health system. The establishment of the role of the diabetes nurse care managers (certified diabetes educators) was central to successful program deployment. Office-based coordinators ensure incorporation of the best practice protocols into routine flow processes. A disease management intranet disseminates programs electronically. Outcomes of the UPHS health and disease management programs so far demonstrate success across multiple dimensions of performance-service, clinical quality, access, and value. The task of health care leadership today is to remove barriers and enable effective implementation of key strategies, such as health and disease management. Substantial effort and resources must be dedicated to gain physician buy-in and achieve compliance. The

  11. Improved animal models for testing gene therapy for atherosclerosis.

    PubMed

    Du, Liang; Zhang, Jingwan; De Meyer, Guido R Y; Flynn, Rowan; Dichek, David A

    2014-04-01

    Gene therapy delivered to the blood vessel wall could augment current therapies for atherosclerosis, including systemic drug therapy and stenting. However, identification of clinically useful vectors and effective therapeutic transgenes remains at the preclinical stage. Identification of effective vectors and transgenes would be accelerated by availability of animal models that allow practical and expeditious testing of vessel-wall-directed gene therapy. Such models would include humanlike lesions that develop rapidly in vessels that are amenable to efficient gene delivery. Moreover, because human atherosclerosis develops in normal vessels, gene therapy that prevents atherosclerosis is most logically tested in relatively normal arteries. Similarly, gene therapy that causes atherosclerosis regression requires gene delivery to an existing lesion. Here we report development of three new rabbit models for testing vessel-wall-directed gene therapy that either prevents or reverses atherosclerosis. Carotid artery intimal lesions in these new models develop within 2-7 months after initiation of a high-fat diet and are 20-80 times larger than lesions in a model we described previously. Individual models allow generation of lesions that are relatively rich in either macrophages or smooth muscle cells, permitting testing of gene therapy strategies targeted at either cell type. Two of the models include gene delivery to essentially normal arteries and will be useful for identifying strategies that prevent lesion development. The third model generates lesions rapidly in vector-naïve animals and can be used for testing gene therapy that promotes lesion regression. These models are optimized for testing helper-dependent adenovirus (HDAd)-mediated gene therapy; however, they could be easily adapted for testing of other vectors or of different types of molecular therapies, delivered directly to the blood vessel wall. Our data also supports the promise of HDAd to deliver long

  12. Impact of improved snowmelt modelling in a monthly hydrological model.

    NASA Astrophysics Data System (ADS)

    Folton, Nathalie; Garcia, Florine

    2016-04-01

    The quantification and the management of water resources at the regional scale require hydrological models that are both easy to implement and efficient. To be reliable and robust, these models must be calibrated and validated on a large number of catchments that are representative of various hydro-meteorological conditions, physiographic contexts, and specific hydrological behavior (e.g. mountainous catchments). The GRLoiEau monthly model, with its simple structure and its two free parameters, answer our need of such a simple model. It required the development of a snow routine to model catchments with temporarily snow-covered areas. The snow routine developed here does not claim to represent physical snowmelt processes but rather to simulate them globally on the catchment. The snowmelt equation is based on the degree-day method which is widely used by the hydrological community, in particular in engineering studies (Etchevers 2000). A potential snowmelt (Schaefli et al. 2005) was computed, and the parameters of the snow routine were regionalized for each mountain area. The GRLoiEau parsimonious structure requires meteorological data. They come from the distributed mesoscale atmospheric analysis system SAFRAN, which provides estimations of daily solid and liquid precipitations and temperatures on a regular square grid at the spatial resolution of 8*8 km², throughout France. Potential evapotranspiration was estimated using the formula by Oudin et al. (2005). The aim of this study is to improve the quality of monthly simulations for ungauged basins, in particular for all types of mountain catchments, without increasing the number of free parameters of the model. By using daily SAFRAN data, the production store and snowmelt can be run at a daily time scale. The question then arises whether simulating the monthly flows using a production function at a finer time step would improve the results. And by using the SAFRAN distributed climate series, a distributed approach

  13. How can model comparison help improving species distribution models?

    PubMed

    Gritti, Emmanuel Stephan; Gaucherel, Cédric; Crespo-Perez, Maria-Veronica; Chuine, Isabelle

    2013-01-01

    Today, more than ever, robust projections of potential species range shifts are needed to anticipate and mitigate the impacts of climate change on biodiversity and ecosystem services. Such projections are so far provided almost exclusively by correlative species distribution models (correlative SDMs). However, concerns regarding the reliability of their predictive power are growing and several authors call for the development of process-based SDMs. Still, each of these methods presents strengths and weakness which have to be estimated if they are to be reliably used by decision makers. In this study we compare projections of three different SDMs (STASH, LPJ and PHENOFIT) that lie in the continuum between correlative models and process-based models for the current distribution of three major European tree species, Fagussylvatica L., Quercusrobur L. and Pinussylvestris L. We compare the consistency of the model simulations using an innovative comparison map profile method, integrating local and multi-scale comparisons. The three models simulate relatively accurately the current distribution of the three species. The process-based model performs almost as well as the correlative model, although parameters of the former are not fitted to the observed species distributions. According to our simulations, species range limits are triggered, at the European scale, by establishment and survival through processes primarily related to phenology and resistance to abiotic stress rather than to growth efficiency. The accuracy of projections of the hybrid and process-based model could however be improved by integrating a more realistic representation of the species resistance to water stress for instance, advocating for pursuing efforts to understand and formulate explicitly the impact of climatic conditions and variations on these processes.

  14. Nuevo Amanecer: Results of a Randomized Controlled Trial of a Community-Based, Peer-Delivered Stress Management Intervention to Improve Quality of Life in Latinas With Breast Cancer

    PubMed Central

    Ortíz, Carmen; Santoyo-Olsson, Jasmine; Stewart, Anita L.; Gregorich, Steven; Lee, Howard E.; Durón, Ysabel; McGuire, Peggy; Luce, Judith

    2015-01-01

    Objectives. We evaluated a community-based, translational stress management program to improve health-related quality of life in Spanish-speaking Latinas with breast cancer. Methods. We adapted a cognitive–behavioral stress management program integrating evidence-based and community best practices to address the needs of Latinas with breast cancer. Spanish-speaking Latinas with breast cancer were randomly assigned to an intervention or usual-care control group. Trained peers delivered the 8-week intervention between February 2011 and February 2014. Primary outcomes were breast cancer–specific quality of life and distress, and general symptoms of distress. Results. Of 151 participants, 95% were retained at 6 months (between May 2011 and May 2014). Improvements in quality of life from baseline to 6 months were greater for the intervention than the control group on physical well-being, emotional well-being, breast cancer concerns, and overall quality of life. Decreases from baseline to 6 months were greater for the intervention group on depression and somatization. Conclusions. Results suggest that translation of evidence-based programs can reduce psychosocial health disparities in Latinas with breast cancer. Integration of this program into community-based organizations enhances its dissemination potential. PMID:25905829

  15. Gravity model improvement investigation. [improved gravity model for determination of ocean geoid

    NASA Technical Reports Server (NTRS)

    Siry, J. W.; Kahn, W. D.; Bryan, J. W.; Vonbun, F. F.

    1973-01-01

    This investigation was undertaken to improve the gravity model and hence the ocean geoid. A specific objective is the determination of the gravity field and geoid with a space resolution of approximately 5 deg and a height resolution of the order of five meters. The concept of the investigation is to utilize both GEOS-C altimeter and satellite-to-satellite tracking data to achieve the gravity model improvement. It is also planned to determine the geoid in selected regions with a space resolution of about a degree and a height resolution of the order of a meter or two. The short term objectives include the study of the gravity field in the GEOS-C calibration area outlined by Goddard, Bermuda, Antigua, and Cape Kennedy, and also in the eastern Pacific area which is viewed by ATS-F.

  16. Making change last: applying the NHS institute for innovation and improvement sustainability model to healthcare improvement.

    PubMed

    Doyle, Cathal; Howe, Cathy; Woodcock, Thomas; Myron, Rowan; Phekoo, Karen; McNicholas, Chris; Saffer, Jessica; Bell, Derek

    2013-10-26

    The implementation of evidence-based treatments to deliver high-quality care is essential to meet the healthcare demands of aging populations. However, the sustainable application of recommended practice is difficult to achieve and variable outcomes well recognised. The NHS Institute for Innovation and Improvement Sustainability Model (SM) was designed to help healthcare teams recognise determinants of sustainability and take action to embed new practice in routine care. This article describes a formative evaluation of the application of the SM by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Northwest London (CLAHRC NWL). Data from project teams' responses to the SM and formal reviews was used to assess acceptability of the SM and the extent to which it prompted teams to take action. Projects were classified as 'engaged,' 'partially engaged' and 'non-engaged.' Quarterly survey feedback data was used to explore reasons for variation in engagement. Score patterns were compared against formal review data and a 'diversity of opinion' measure was derived to assess response variance over time. Of the 19 teams, six were categorized as 'engaged,' six 'partially engaged,' and seven as 'non-engaged.' Twelve teams found the model acceptable to some extent. Diversity of opinion reduced over time. A minority of teams used the SM consistently to take action to promote sustainability but for the majority SM use was sporadic. Feedback from some team members indicates difficulty in understanding and applying the model and negative views regarding its usefulness. The SM is an important attempt to enable teams to systematically consider determinants of sustainability, provide timely data to assess progress, and prompt action to create conditions for sustained practice. Tools such as these need to be tested in healthcare settings to assess strengths and weaknesses and findings disseminated to aid development. This

  17. Making change last: applying the NHS institute for innovation and improvement sustainability model to healthcare improvement

    PubMed Central

    2013-01-01

    The implementation of evidence-based treatments to deliver high-quality care is essential to meet the healthcare demands of aging populations. However, the sustainable application of recommended practice is difficult to achieve and variable outcomes well recognised. The NHS Institute for Innovation and Improvement Sustainability Model (SM) was designed to help healthcare teams recognise determinants of sustainability and take action to embed new practice in routine care. This article describes a formative evaluation of the application of the SM by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Northwest London (CLAHRC NWL). Data from project teams’ responses to the SM and formal reviews was used to assess acceptability of the SM and the extent to which it prompted teams to take action. Projects were classified as ‘engaged,’ ‘partially engaged’ and ‘non-engaged.’ Quarterly survey feedback data was used to explore reasons for variation in engagement. Score patterns were compared against formal review data and a ‘diversity of opinion’ measure was derived to assess response variance over time. Of the 19 teams, six were categorized as ‘engaged,’ six ‘partially engaged,’ and seven as ‘non-engaged.’ Twelve teams found the model acceptable to some extent. Diversity of opinion reduced over time. A minority of teams used the SM consistently to take action to promote sustainability but for the majority SM use was sporadic. Feedback from some team members indicates difficulty in understanding and applying the model and negative views regarding its usefulness. The SM is an important attempt to enable teams to systematically consider determinants of sustainability, provide timely data to assess progress, and prompt action to create conditions for sustained practice. Tools such as these need to be tested in healthcare settings to assess strengths and weaknesses and findings disseminated

  18. First Steps to Develop and Validate a CFPD Model in Order to Support the Design of Nose-to-Brain Delivered Biopharmaceuticals.

    PubMed

    Engelhardt, Lucas; Röhm, Martina; Mavoungou, Chrystelle; Schindowski, Katharina; Schafmeister, Annette; Simon, Ulrich

    2016-06-01

    Aerosol particle deposition in the human nasal cavity is of high interest in particular for intranasal central nervous system (CNS) drug delivery via the olfactory cleft. The objective of this study was the development and comparison of a numerical and experimental model to investigate various parameters for olfactory particle deposition within the complex anatomical nasal geometry. Based on a standardized nasal cavity, a computational fluid and particle dynamics (CFPD) model was developed that enables the variation and optimization of different parameters, which were validated by in vitro experiments using a constructed rapid-prototyped human nose model. For various flow rates (5 to 40 l/min) and particle sizes (1 to 10 μm), the airflow velocities, the calculated particle airflow patterns and the particle deposition correlated very well with the experiment. Particle deposition was investigated numerically by varying particle sizes at constant flow rate and vice versa assuming the particle size distribution of the used nebulizer. The developed CFPD model could be directly translated to the in vitro results. Hence, it can be applied for parameter screening and will contribute to the improvement of aerosol particle deposition at the olfactory cleft for CNS drug delivery in particular for biopharmaceuticals.

  19. Testing the H56 Vaccine Delivered in 4 Different Adjuvants as a BCG-Booster in a Non-Human Primate Model of Tuberculosis

    PubMed Central

    Billeskov, Rolf; Tan, Esterlina V.; Cang, Marjorie; Abalos, Rodolfo M.; Burgos, Jasmin; Pedersen, Bo Vestergaard; Christensen, Dennis; Agger, Else Marie; Andersen, Peter

    2016-01-01

    The search for new and improved tuberculosis (TB) vaccines has focused on IFN-γ both for selecting antigens and for evaluating vaccine delivery strategies. The essential role of IFN-γ in endogenous host protection is well established, but it is still uncertain whether this also holds true for vaccine protection. Here we evaluate the H56 fusion protein vaccine as a BCG booster in a non-human primate (NHP) model of TB that closely recapitulates human TB pathogenesis. To date, only a handful of novel adjuvants have been tested in the NHP model of TB, and therefore we administered H56 in 3 novel cationic liposome adjuvants of increasing immunogenicity (CAF01, CAF04, CAF05) and compared them to H56 in the IC31® adjuvant previously reported to promote protection in this model. The individual clinical parameters monitored during infection (weight, ESR, X-ray) all correlated with survival, and boosting BCG with H56 in all adjuvants resulted in better survival rates compared to BCG alone. The adjuvants promoted IFN-γ-responses of increasing intensity as measured by ELISPOT in the peripheral blood, but the level of vaccine-specific IFN-γ production did not correlate with or predict disease outcome. This study’s main outcome underscores the importance of the choice of adjuvant for TB subunit vaccines, and secondly it highlights the need for better correlates of protection in preclinical models of TB. PMID:27525651

  20. A comprehensive model to build improvement capability in a pediatric academic medical center.

    PubMed

    Kaminski, Gerry M; Schoettker, Pamela J; Alessandrini, Evaline A; Luzader, Carolyn; Kotagal, Uma

    2014-01-01

    Cincinnati Children's Hospital Medical Center developed a comprehensive model to build quality improvement (QI) capability to support its goal to transform its delivery system through a series of training courses. Two online modules orient staff to basic concepts and terminology and prepare them to participate more effectively in QI teams. The basic program (Rapid Cycle Improvement Collaborative, RCIC) is focused on developing the capability to use basic QI tools and complete a narrow-scoped project in approximately 120 days. The Intermediate Improvement Science Series (I(2)S(2)) program is a leadership course focusing on improvement skills and developing a broader and deeper understanding of QI in the context of the organization and external environment. The Advanced Improvement Methods (AIM) course and Quality Scholars Program stimulate the use of more sophisticated methods and prepare Cincinnati Children's Hospital Medical Center (CCHMC) and external faculty to undertake QI research. The Advanced Improvement Leadership Systems (AILS) sessions enable interprofessional care delivery system leadership teams to effectively lead a system of care, manage a portfolio of projects, and to deliver on CCHMC's strategic plan. Implementing these programs has shown us that 1) a multilevel curricular approach to building improvement capability is pragmatic and effective, 2) an interprofessional learning environment is critical to shifting mental models, 3) repetition of project experience with coaching and feedback solidifies critical skills, knowledge and behaviors, and 4) focusing first on developing capable interprofessional improvement leaders, versus engaging in broad general QI training across the whole organization, is effective.

  1. Hanford defined waste model limitations and improvements

    SciTech Connect

    HARMSEN, R.W.

    1999-02-24

    Recommendation 93-5 Implementation Plan, Milestone 5,6.3.1.i requires issuance of this report which addresses ''updates to the tank contents model''. This report summarizes the review of the Hanford Defined Waste, Revision 4, model limitations and provides conclusions and recommendations for potential updates to the model.

  2. Using Workflow Modeling to Identify Areas to Improve Genetic Test Processes in the University of Maryland Translational Pharmacogenomics Project

    PubMed Central

    Cutting, Elizabeth M.; Overby, Casey L.; Banchero, Meghan; Pollin, Toni; Kelemen, Mark; Shuldiner, Alan R.; Beitelshees, Amber L.

    2015-01-01

    Delivering genetic test results to clinicians is a complex process. It involves many actors and multiple steps, requiring all of these to work together in order to create an optimal course of treatment for the patient. We used information gained from focus groups in order to illustrate the current process of delivering genetic test results to clinicians. We propose a business process model and notation (BPMN) representation of this process for a Translational Pharmacogenomics Project being implemented at the University of Maryland Medical Center, so that personalized medicine program implementers can identify areas to improve genetic testing processes. We found that the current process could be improved to reduce input errors, better inform and notify clinicians about the implications of certain genetic tests, and make results more easily understood. We demonstrate our use of BPMN to improve this important clinical process for CYP2C19 genetic testing in patients undergoing invasive treatment of coronary heart disease. PMID:26958179

  3. Using Workflow Modeling to Identify Areas to Improve Genetic Test Processes in the University of Maryland Translational Pharmacogenomics Project.

    PubMed

    Cutting, Elizabeth M; Overby, Casey L; Banchero, Meghan; Pollin, Toni; Kelemen, Mark; Shuldiner, Alan R; Beitelshees, Amber L

    Delivering genetic test results to clinicians is a complex process. It involves many actors and multiple steps, requiring all of these to work together in order to create an optimal course of treatment for the patient. We used information gained from focus groups in order to illustrate the current process of delivering genetic test results to clinicians. We propose a business process model and notation (BPMN) representation of this process for a Translational Pharmacogenomics Project being implemented at the University of Maryland Medical Center, so that personalized medicine program implementers can identify areas to improve genetic testing processes. We found that the current process could be improved to reduce input errors, better inform and notify clinicians about the implications of certain genetic tests, and make results more easily understood. We demonstrate our use of BPMN to improve this important clinical process for CYP2C19 genetic testing in patients undergoing invasive treatment of coronary heart disease.

  4. Internet-Delivered Psychological Treatments.

    PubMed

    Andersson, Gerhard

    2016-01-01

    During the past 15 years, much progress has been made in developing and testing Internet-delivered psychological treatments. In particular, therapist-guided Internet treatments have been found to be effective for a wide range of psychiatric and somatic conditions in well over 100 controlled trials. These treatments require (a) a secure web platform, (b) robust assessment procedures, (c) treatment contents that can be text based or offered in other formats, and (d) a therapist role that differs from that in face-to-face therapy. Studies suggest that guided Internet treatments can be as effective as face-to-face treatments, lead to sustained improvements, work in clinically representative conditions, and probably are cost-effective. Despite these research findings, Internet treatment is not yet disseminated in most places, and clinical psychologists should consider using modern information technology and evidence-based treatment programs as a complement to their other services, even though there will always be clients for whom face-to-face treatment is the best option.

  5. TeamWorks: a model for continuous quality improvement in the health care industry.

    PubMed

    Hunter, D L; Kernan, M T; Grubbs, M R

    1995-01-01

    Total quality management (TQM) or continuous quality improvement (CQI) are terms no longer being used exclusively within the manufacturing industry sector. Health care facilities, such as hospitals and nursing homes, are beginning to actively compete with each other for patients as well as face new regulations from the government. Hence, it is imperative that these facilities reevaluate their services and correct any production problems in order to be cost-effective and efficient in providing quality. Therefore, the objective of this article is to describe a model developed for improvement of hospital-wide services provided by the Baptist Health Systems' Montclair facility, a private, community hospital located in Birmingham, Alabama. The TeamWorks for Quality model, used to charter over 40 teams, illustrates how managers and employees can build a multifaceted process that delivers services in excess of customer expectations.

  6. An Improved Model for the Turbulent PBL

    NASA Technical Reports Server (NTRS)

    Cheng, Y.; Canuto, V. M.; Howard, A. M.; Hansen, James E. (Technical Monitor)

    2001-01-01

    Second order turbulence models of the Mellor and Yamada type have been widely used to simulate the PBL. It is however known that these models have several deficiencies. For example, they all predict a critical Richardson number which is about four times smaller than the Large Eddy Simulation (LES) data, they are unable to match the surface data, and they predict a boundary layer height lower than expected. In the present model, we show that these difficulties are all overcome by a single new physical input: the use of the most complete expression for both the pressure-velocity and the pressure-temperature correlations presently available. Each of the new terms represents a physical process that, was not accounted for by previous models. The new model is presented in three different levels according to Mellor and Yamada's terminology, with new, ready-to-use expressions for the turbulent, moments. We show that the new model reproduces several experimental and LES data better than previous models. As far as the PBL is concerned, we show that the model reproduces both the Kansas data as analyzed by Businger et al. in the context of Monin-Obukhov similarity theory for smaller Richardson numbers, as well as the LES and laboratory data up to Richardson numbers of order unity. We also show that the model yields a higher PBL height than the previous models.

  7. Improving Regional Groundwater Models with Transmissivity Observations

    NASA Astrophysics Data System (ADS)

    Halford, K. J.

    2013-12-01

    Hydraulic-conductivity estimates in groundwater-flow models typically are constrained by a range for each hydrogeologic unit. These often-times wide ranges are derived from interpretations of many aquifer tests binned by hydrogeologic unit. Uncertainty is added to these ranges where hydraulic-conductivity estimates derived from aquifer tests use contributing thicknesses that differ from simulated thicknesses in a numerical model. Transmissivity observations from individual aquifer tests constrain model calibration better than hydraulic-conductivity ranges assigned to hydrogeologic units because simulated transmissivity and aquifer-test results are compared directly. Transmissivity comparisons require that simulated thicknesses and hydraulic conductivities for the volume investigated by the aquifer test be extracted from a model and integrated into a simulated transmissivity. Transmissivity observations have been ignored primarily because sampling simulated transmissivities is mechanically painful from complex models. A suite of programs called T-COMP has been developed to sample simulated transmissivities easily from regional MODFLOW models. Transmissivities of model cells are sampled where drawdown exceeds a user-defined threshold. Sampled transmissivities of model cells are averaged within a layer and summed between layers. This computationally intensive process occurs in separate programs that are executed prior to model calibration. Simulated transmissivities can be sampled quickly during calibration because nodes and their fractional contributions have been defined.

  8. A School Nurse-Delivered Intervention for Overweight and Obese Adolescents

    ERIC Educational Resources Information Center

    Pbert, Lori; Druker, Susan; Gapinski, Mary A.; Gellar, Lauren; Magner, Robert; Reed, George; Schneider, Kristin; Osganian, Stavroula

    2013-01-01

    Background: Models are needed for implementing weight management interventions for adolescents through readily accessible venues. This study evaluated the feasibility and ef?cacy of a school nurse-delivered intervention in improving diet and activity and reducing body mass index (BMI) among overweight and obese adolescents. Methods: Six high…

  9. An Investigation of Student-Selected and Parent-Delivered Reading Interventions

    ERIC Educational Resources Information Center

    Daly, Edward J., III; Kupzyk, Sara

    2012-01-01

    In this study, we examined whether individualized, student-selected, parent-delivered reading interventions would produce generalized oral reading fluency improvements. Three 3rd-grade students received reading fluency interventions (repeated readings, modeling, error correction, and flashcard instruction) 1 at a time and were shown the results…

  10. A School Nurse-Delivered Intervention for Overweight and Obese Adolescents

    ERIC Educational Resources Information Center

    Pbert, Lori; Druker, Susan; Gapinski, Mary A.; Gellar, Lauren; Magner, Robert; Reed, George; Schneider, Kristin; Osganian, Stavroula

    2013-01-01

    Background: Models are needed for implementing weight management interventions for adolescents through readily accessible venues. This study evaluated the feasibility and ef?cacy of a school nurse-delivered intervention in improving diet and activity and reducing body mass index (BMI) among overweight and obese adolescents. Methods: Six high…

  11. Efficient and Non-Toxic Biological Response Carrier Delivering TNF-α shRNA for Gene Silencing in a Murine Model of Rheumatoid Arthritis

    PubMed Central

    Song, Jialin; Chen, Yinghui; Jiang, Shichao; Yang, Kejia; Li, Xiaoming; Zhao, Xiaotian; Ouyang, Yuanming; Fan, Cunyi; Yuan, Weien

    2016-01-01

    Small interfering RNA (siRNA) is an effective and specific method for silencing genes. However, an efficient and non-toxic carrier is needed to deliver the siRNA into the target cells. Tumor necrosis factor α (TNF-α) plays a central role in the occurrence and progression of rheumatoid arthritis (RA). In this study, we pre-synthetized a degradable cationic polymer (PDAPEI) from 2,6-pyridinedicarboxaldehyde and low-molecular-weight polyethyleneimine (PEI, Mw = 1.8 kDa) as a gene vector for the delivery of TNF-α shRNA. The PDAPEI/pDNA complex showed a suitable particle size and stable zeta potential for transfection. In vitro study of the PDAPEI/pDNA complex revealed a lower cytotoxicity and higher transfection efficiency when transfecting TNF-α shRNA to macrophages by significantly down-regulating the expression of TNF-α. Moreover, the complex was extremely efficient in decreasing the severity of arthritis in mice with collagen-induced arthritis. PDAPEI delivered TNF-α shRNA has great potential in the treatment of RA. PMID:27594856

  12. CAN A MODEL TRANSFERABILITY FRAMEWORK IMPROVE ...

    EPA Pesticide Factsheets

    Budget constraints and policies that limit primary data collection have fueled a practice of transferring estimates (or models to generate estimates) of ecological endpoints from sites where primary data exists to sites where little to no primary data were collected. Whereas benefit transfer has been well studied; there is no comparable framework for evaluating whether model transfer between sites is justifiable. We developed and applied a transferability assessment framework to a case study involving forest carbon sequestration for soils in Tillamook Bay, Oregon. The carbon sequestration capacity of forested watersheds is an important ecosystem service in the effort to reduce atmospheric greenhouse gas emissions. We used our framework, incorporating three basic steps (model selection, defining context variables, assessing logistical constraints) for evaluating model transferability, to compare estimates of carbon storage capacity derived from two models, COMET-Farm and Yasso. We applied each model to Tillamook Bay and compared results to data extracted from the Soil Survey Geographic Database (SSURGO) using ArcGIS. Context variables considered were: geographic proximity to Tillamook, dominant tree species, climate and soil type. Preliminary analyses showed that estimates from COMET-Farm were more similar to SSURGO data, likely because model context variables (e.g. proximity to Tillamook and dominant tree species) were identical to those in Tillamook. In contras

  13. Improved diagnostic model for estimating wind energy

    SciTech Connect

    Endlich, R.M.; Lee, J.D.

    1983-03-01

    Because wind data are available only at scattered locations, a quantitative method is needed to estimate the wind resource at specific sites where wind energy generation may be economically feasible. This report describes a computer model that makes such estimates. The model uses standard weather reports and terrain heights in deriving wind estimates; the method of computation has been changed from what has been used previously. The performance of the current model is compared with that of the earlier version at three sites; estimates of wind energy at four new sites are also presented.

  14. An improved approach for tank purge modeling

    NASA Astrophysics Data System (ADS)

    Roth, Jacob R.; Chintalapati, Sunil; Gutierrez, Hector M.; Kirk, Daniel R.

    2013-05-01

    Many launch support processes use helium gas to purge rocket propellant tanks and fill lines to rid them of hazardous contaminants. As an example, the purge of the Space Shuttle's External Tank used approximately 1,100 kg of helium. With the rising cost of helium, initiatives are underway to examine methods to reduce helium consumption. Current helium purge processes have not been optimized using physics-based models, but rather use historical 'rules of thumb'. To develop a more accurate and useful model of the tank purge process, computational fluid dynamics simulations of several tank configurations were completed and used as the basis for the development of an algebraic model of the purge process. The computationally efficient algebraic model of the purge process compares well with a detailed transient, three-dimensional computational fluid dynamics (CFD) simulation as well as with experimental data from two external tank purges.

  15. Development of Improved Molecular Excitation Models

    DTIC Science & Technology

    2010-02-05

    support of this research: R. Kumar, E. Titov , D. Levin, N. Gimelshein, and S. Gimelshein, “Assessment of BGK Approaches to Modeling of Nozzle...Flows in the Near Continuum Regime,” accepted to AIAA Journal, January 26, 2010. R. Kumar, E. Titov , and D. Levin, “Study of Compressible Laminar...Kumar, E. Titov , and D. Levin, “Reconsideration of Planar Couette Flows Using a Statistical Approach to the BGK Model Kinetic Equation,” accepted

  16. Improving Vortex Models via Optimal Control Theory

    NASA Astrophysics Data System (ADS)

    Hemati, Maziar; Eldredge, Jeff; Speyer, Jason

    2012-11-01

    Flapping wing kinematics, common in biological flight, can allow for agile flight maneuvers. On the other hand, we currently lack sufficiently accurate low-order models that enable such agility in man-made micro air vehicles. Low-order point vortex models have had reasonable success in predicting the qualitative behavior of the aerodynamic forces resulting from such maneuvers. However, these models tend to over-predict the force response when compared to experiments and high-fidelity simulations, in part because they neglect small excursions of separation from the wing's edges. In the present study, we formulate a constrained minimization problem which allows us to relax the usual edge regularity conditions in favor of empirical determination of vortex strengths. The optimal vortex strengths are determined by minimizing the error with respect to empirical force data, while the vortex positions are constrained to evolve according to the impulse matching model developed in previous work. We consider a flat plate undergoing various canonical maneuvers. The optimized model leads to force predictions remarkably close to the empirical data. Additionally, we compare the optimized and original models in an effort to distill appropriate edge conditions for unsteady maneuvers.

  17. Improved Models for Precession and Nutation

    DTIC Science & Technology

    2000-03-01

    in the process of constructing the series. A series due to Shirai and Fukushima (2000) also gives a somewhat comparable t to data, improving on the...IERS 1996 have been e ected recently by Shirai and Fukushima (2000) through re nements of the method and the use of more extensive data, in their...once these series are implemented in the software used for estimation of nutation amplitudes from VLBI data. It is known ( Fukushima , 1991) that general

  18. Simple improvements to classical bubble nucleation models

    NASA Astrophysics Data System (ADS)

    Tanaka, Kyoko K.; Tanaka, Hidekazu; Angélil, Raymond; Diemand, Jürg

    2015-08-01

    We revisit classical nucleation theory (CNT) for the homogeneous bubble nucleation rate and improve the classical formula using a correct prefactor in the nucleation rate. Most of the previous theoretical studies have used the constant prefactor determined by the bubble growth due to the evaporation process from the bubble surface. However, the growth of bubbles is also regulated by the thermal conduction, the viscosity, and the inertia of liquid motion. These effects can decrease the prefactor significantly, especially when the liquid pressure is much smaller than the equilibrium one. The deviation in the nucleation rate between the improved formula and the CNT can be as large as several orders of magnitude. Our improved, accurate prefactor and recent advances in molecular dynamics simulations and laboratory experiments for argon bubble nucleation enable us to precisely constrain the free energy barrier for bubble nucleation. Assuming the correction to the CNT free energy is of the functional form suggested by Tolman, the precise evaluations of the free energy barriers suggest the Tolman length is ≃0.3 σ independently of the temperature for argon bubble nucleation, where σ is the unit length of the Lennard-Jones potential. With this Tolman correction and our prefactor one gets accurate bubble nucleation rate predictions in the parameter range probed by current experiments and molecular dynamics simulations.

  19. Improved modeling of GPS selective availability

    NASA Technical Reports Server (NTRS)

    Braasch, Michael S.; Fink, Annmarie; Duffus, Keith

    1994-01-01

    Selective Availability (SA) represents the dominant error source for stand-alone users of the Global Positioning System (GPS). Even for DGPS, SA mandates the update rate required for a desired level of accuracy in realtime applications. As was witnessed in the recent literature, the ability to model this error source is crucial to the proper evaluation of GPS-based systems. A variety of SA models were proposed to date; however, each has its own shortcomings. Most of these models were based on limited data sets or data which were corrupted by additional error sources. A comprehensive treatment of the problem is presented. The phenomenon of SA is discussed and a technique is presented whereby both clock and orbit components of SA are identifiable. Extensive SA data sets collected from Block 2 satellites are presented. System Identification theory then is used to derive a robust model of SA from the data. This theory also allows for the statistical analysis of SA. The stationarity of SA over time and across different satellites is analyzed and its impact on the modeling problem is discussed.

  20. NUCFRG3: Light ion improvements to the nuclear fragmentation model

    NASA Astrophysics Data System (ADS)

    Adamczyk, Anne; Norman, Ryan; Sriprisan, Sirikul; Townsend, Lawrence; Norbury, John; Blattnig, Steve; Slaba, Tony

    2011-10-01

    Light ion improvements to the nuclear fragmentation model NUCFRG are reported. Improvements include the replacement of the simple light ion production model with a light ion coalescence model and an improved electromagnetic dissociation (EMD) formalism. Prior versions of the model provide reasonable overall agreement with measured data; however, those versions lack a physics-based description for coalescence and EMD. The NUCFRG3 model has improved theoretical descriptions of these mechanisms and offers additional benefits. Previous work established the improved EMD formalism to be more accurate than the predecessor. The predictive capability of NUCFRG has been improved and strengthened by the light ion physics-based changes. Based on increased capability and better theoretical grounding of NUCFRG3, it is recommended that it replace NUCFRG2 for space radiation assessments and other applications.

  1. Improved Modeling of Structural Joint Damping

    DTIC Science & Technology

    1986-12-01

    Lazan , B . J ., "Review of Structural Damping Mechanisms," Wright Air Development Center Technical Report 59-676, 1961. 14...V |^ j ££^ \\S i r--*\\ S ! § ) —.-l’ V FRICTION MODEL RELOADS _L_i, V RELOO( B M-6 CURVE FRICTION MODEL RELOAD ( B ) k FIGURE 3-9 GROSS... b = the length of the shaft M = moment applied to shaft J = polar moment of inertia G = shear modulus K = JG/ b The polar moment of inertia

  2. Total body irradiation must be delivered at high dose for efficient engraftment and tolerance in a rhesus stem cell gene therapy model

    PubMed Central

    Uchida, Naoya; Weitzel, R Patrick; Shvygin, Anna; Skala, Luke P; Raines, Lydia; Bonifacino, Aylin C; Krouse, Allen E; Metzger, Mark E; Donahue, Robert E; Tisdale, John F

    2016-01-01

    Reduced intensity conditioning (RIC) is desirable for hematopoietic stem cell (HSC) gene therapy applications. However, low gene marking was previously observed in gene therapy trials, suggesting that RIC might be insufficient for (i) opening niches for efficient engraftment and/or (ii) inducing immunological tolerance for transgene-encoded proteins. Therefore, we evaluated both engraftment and tolerance for gene-modified cells using our rhesus HSC gene therapy model following RIC. We investigated a dose de-escalation of total body irradiation (TBI) from our standard dose of 10Gy (10, 8, 6, and 4Gy), in which rhesus CD34+ cells were transduced with a VSVG-pseudotyped chimeric HIV-1 vector encoding enhanced green fluorescent protein (GFP) (or enhanced yellow fluorescent protein (YFP)). At ~6 months after transplantation, higher-dose TBI resulted in higher gene marking with logarithmic regression in peripheral blood cells. We then evaluated immunological tolerance for gene-modified cells, and found that lower-dose TBI allowed vigorous anti-GFP antibody production with logarithmic regression, while no significant anti-VSVG antibody formation was observed among all TBI groups. These data suggest that higher-dose TBI improves both engraftment and immunological tolerance for gene-modified cells. Additional immunosuppression might be required in RIC to induce tolerance for transgene products. Our findings should be valuable for developing conditioning regimens for HSC gene therapy applications. PMID:27652288

  3. Automated dynamic analytical model improvement for damped structures

    NASA Technical Reports Server (NTRS)

    Fuh, J. S.; Berman, A.

    1985-01-01

    A method is described to improve a linear nonproportionally damped analytical model of a structure. The procedure finds the smallest changes in the analytical model such that the improved model matches the measured modal parameters. Features of the method are: (1) ability to properly treat complex valued modal parameters of a damped system; (2) applicability to realistically large structural models; and (3) computationally efficiency without involving eigensolutions and inversion of a large matrix.

  4. Optimal Combining Data for Improving Ocean Modeling

    DTIC Science & Technology

    2009-01-01

    estimating the upper ocean velocity field and mixing characteristics such as relative dispersion and finite size Lyapunov exponent , (2) constructing...model with realistic observation characteristics - Application of the above method for filling gaps in HF radar measurements - Developing fusion methods...based on the fuzzy logic [2,3] for estimating Lagrangian characteristics such as absolute and relative dispersion. - Testing the Lagrangian

  5. General Equilibrium Models: Improving the Microeconomics Classroom

    ERIC Educational Resources Information Center

    Nicholson, Walter; Westhoff, Frank

    2009-01-01

    General equilibrium models now play important roles in many fields of economics including tax policy, environmental regulation, international trade, and economic development. The intermediate microeconomics classroom has not kept pace with these trends, however. Microeconomics textbooks primarily focus on the insights that can be drawn from the…

  6. Improvements to a model of projectile fragmentation

    NASA Astrophysics Data System (ADS)

    Mallik, S.; Chaudhuri, G.; Das Gupta, S.

    2011-11-01

    In a recent paper [Phys. Rev. CPRVCAN0556-281310.1103/PhysRevC.83.044612 83, 044612 (2011)] we proposed a model for calculating cross sections of various reaction products which arise from disintegration of projectile-like fragments resulting from heavy-ion collisions at intermediate or higher energy. The model has three parts: (1) abrasion, (2) disintegration of the hot abraded projectile-like fragment (PLF) into nucleons and primary composites using a model of equilibrium statistical mechanics, and (3) possible evaporation of hot primary composites. It was assumed that the PLF resulting from abrasion has one temperature T. Data suggested that, while just one value of T seemed adequate for most cross-section calculations, a single value failed when dealing with very peripheral collisions. We have now introduced a variable T=T(b) where b is the impact parameter of the collision. We argue that there are data which not only show that T must be a function of b but, in addition, also point to an approximate value of T for a given b. We propose a very simple formula: T(b)=D0+D1[As(b)/A0] where As(b) is the mass of the abraded PLF and A0 is the mass of the projectile; D0 and D1 are constants. Using this model we compute cross sections for several collisions and compare with data.

  7. General Equilibrium Models: Improving the Microeconomics Classroom

    ERIC Educational Resources Information Center

    Nicholson, Walter; Westhoff, Frank

    2009-01-01

    General equilibrium models now play important roles in many fields of economics including tax policy, environmental regulation, international trade, and economic development. The intermediate microeconomics classroom has not kept pace with these trends, however. Microeconomics textbooks primarily focus on the insights that can be drawn from the…

  8. Optimal Combining Data for Improving Ocean Modeling

    DTIC Science & Technology

    2012-09-30

    regional circulation models for accurate estimating the upper ocean velocity field, subsurface thermohaline structure, and mixing characteristics (2... thermohaline patterns and, second, separating space and time variability in glider observations for fast changing thermohaline structures (etc mesoscale fronts...and tested three different procedures. The first one included a parameterization of thermohaline patterns following up an estimation of parameters

  9. Performance Improvements of the CYCOFOS Flow Model

    NASA Astrophysics Data System (ADS)

    Radhakrishnan, Hari; Moulitsas, Irene; Syrakos, Alexandros; Zodiatis, George; Nikolaides, Andreas; Hayes, Daniel; Georgiou, Georgios C.

    2013-04-01

    The CYCOFOS-Cyprus Coastal Ocean Forecasting and Observing System has been operational since early 2002, providing daily sea current, temperature, salinity and sea level forecasting data for the next 4 and 10 days to end-users in the Levantine Basin, necessary for operational application in marine safety, particularly concerning oil spills and floating objects predictions. CYCOFOS flow model, similar to most of the coastal and sub-regional operational hydrodynamic forecasting systems of the MONGOOS-Mediterranean Oceanographic Network for Global Ocean Observing System is based on the POM-Princeton Ocean Model. CYCOFOS is nested with the MyOcean Mediterranean regional forecasting data and with SKIRON and ECMWF for surface forcing. The increasing demand for higher and higher resolution data to meet coastal and offshore downstream applications motivated the parallelization of the CYCOFOS POM model. This development was carried out in the frame of the IPcycofos project, funded by the Cyprus Research Promotion Foundation. The parallel processing provides a viable solution to satisfy these demands without sacrificing accuracy or omitting any physical phenomena. Prior to IPcycofos project, there are been several attempts to parallelise the POM, as for example the MP-POM. The existing parallel code models rely on the use of specific outdated hardware architectures and associated software. The objective of the IPcycofos project is to produce an operational parallel version of the CYCOFOS POM code that can replicate the results of the serial version of the POM code used in CYCOFOS. The parallelization of the CYCOFOS POM model use Message Passing Interface-MPI, implemented on commodity computing clusters running open source software and not depending on any specialized vendor hardware. The parallel CYCOFOS POM code constructed in a modular fashion, allowing a fast re-locatable downscaled implementation. The MPI takes advantage of the Cartesian nature of the POM mesh, and use

  10. Hybrid Modeling Improves Health and Performance Monitoring

    NASA Technical Reports Server (NTRS)

    2007-01-01

    Scientific Monitoring Inc. was awarded a Phase I Small Business Innovation Research (SBIR) project by NASA's Dryden Flight Research Center to create a new, simplified health-monitoring approach for flight vehicles and flight equipment. The project developed a hybrid physical model concept that provided a structured approach to simplifying complex design models for use in health monitoring, allowing the output or performance of the equipment to be compared to what the design models predicted, so that deterioration or impending failure could be detected before there would be an impact on the equipment's operational capability. Based on the original modeling technology, Scientific Monitoring released I-Trend, a commercial health- and performance-monitoring software product named for its intelligent trending, diagnostics, and prognostics capabilities, as part of the company's complete ICEMS (Intelligent Condition-based Equipment Management System) suite of monitoring and advanced alerting software. I-Trend uses the hybrid physical model to better characterize the nature of health or performance alarms that result in "no fault found" false alarms. Additionally, the use of physical principles helps I-Trend identify problems sooner. I-Trend technology is currently in use in several commercial aviation programs, and the U.S. Air Force recently tapped Scientific Monitoring to develop next-generation engine health-management software for monitoring its fleet of jet engines. Scientific Monitoring has continued the original NASA work, this time under a Phase III SBIR contract with a joint NASA-Pratt & Whitney aviation security program on propulsion-controlled aircraft under missile-damaged aircraft conditions.

  11. Delivering value to multiple stakeholders: 2013 and beyond.

    PubMed

    Nugent, Michael E

    2012-12-01

    To deliver greater value, top payers and providers should: Measure the value they deliver to their business partners and customers, Create value through continuous performance improvement, Package and price value to optimize their margin, mission, and market share, Organize for value through new legal entities, employed medical groups, or both.

  12. An improved network model for railway traffic

    NASA Astrophysics Data System (ADS)

    Li, Keping; Ma, Xin; Shao, Fubo

    In railway traffic, safety analysis is a key issue for controlling train operation. Here, the identification and order of key factors are very important. In this paper, a new network model is constructed for analyzing the railway safety, in which nodes are regarded as causation factors and links represent possible relationships among those factors. Our aim is to give all these nodes an importance order, and to find the in-depth relationship among these nodes including how failures spread among them. Based on the constructed network model, we propose a control method to ensure the safe state by setting each node a threshold. As the results, by protecting the Hub node of the constructed network, the spreading of railway accident can be controlled well. The efficiency of such a method is further tested with the help of numerical example.

  13. Improving Sensitivity in the NNSS COMPASS Model

    SciTech Connect

    Wright, J

    2012-07-15

    The Comprehensive Analysis of Safeguards Strategies model, COMPASS, was initially implemented with the goal of eliminating functions and requirements that did not contribute to the MC&A program at the particular site. The model sub-elements were revised several times through additions and deletions as the process was better understood. Contributions and ratings were developed and implemented. Because of the original intent, the process left the contribution factors closely grouped toward the top of the range. The effect of this is a flat sensitivity; a change in any element and sub-element affected the system effectiveness to the same degree no matter which one changed. This paper describes a method for determining element and sub-element contributions so that changes in element effectiveness are more accurately reflected in the overall system effectiveness.

  14. Improved thermal force modeling for GPS satellites

    NASA Technical Reports Server (NTRS)

    Vigue, Y.; Schutz, R. E.; Abusali, P. A. M.

    1993-01-01

    Geophysical applications of the Global Positioning System (GPS) require the capability to estimate and propagate satellite orbits with high precision. An accurate model of all the forces acting on a satellite is an essential part of achieving high orbit accuracy. Methods of analyzing the perturbation due to thermal radiation and determining its effects on the long-term orbital behavior of GPS satellites are presented. The thermal imbalance force, a nongravitational orbit perturbation previously considered negligible, is the focus of this article. The earth's shadowing of a satellite in orbit causes periodic changes in the satellite's thermal environment. Simulations show that neglecting thermal imbalance in the satellite force model gives orbit error larger than ten meters over several days for eclipsing satellites. This orbit mismodeling can limit accuracy in orbit determination and in estimation of baselines used for geophysical applications.

  15. Intrasystem Analysis Program (IAP) Model Improvement.

    DTIC Science & Technology

    1982-02-01

    is designed for use by an EMC systems engineer with a minimum of computer experience. The input data requirements, program control, and output formats...implemented within IEMCAP. It was recommended that the proposed models be coded into a stand-alone computer program which can be exercised in a...in all cases this computation is transferred to the receptor input port where actual measurements are more readily obtained. An EMI margin of value

  16. Improving Flood Damage Assessment Models in Italy

    NASA Astrophysics Data System (ADS)

    Amadio, M.; Mysiak, J.; Carrera, L.; Koks, E.

    2015-12-01

    The use of Stage-Damage Curve (SDC) models is prevalent in ex-ante assessments of flood risk. To assess the potential damage of a flood event, SDCs describe a relation between water depth and the associated potential economic damage over land use. This relation is normally developed and calibrated through site-specific analysis based on ex-post damage observations. In some cases (e.g. Italy) SDCs are transferred from other countries, undermining the accuracy and reliability of simulation results. Against this background, we developed a refined SDC model for Northern Italy, underpinned by damage compensation records from a recent flood event. Our analysis considers both damage to physical assets and production losses from business interruptions. While the first is calculated based on land use information, production losses are measured through the spatial distribution of Gross Value Added (GVA). An additional component of the model assesses crop-specific agricultural losses as a function of flood seasonality. Our results show an overestimation of asset damage from non-calibrated SDC values up to a factor of 4.5 for tested land use categories. Furthermore, we estimate that production losses amount to around 6 per cent of the annual GVA. Also, maximum yield losses are less than a half of the amount predicted by the standard SDC methods.

  17. An Improved MUSIC Model for Gibbsite Surfaces

    SciTech Connect

    Mitchell, Scott C.; Bickmore, Barry R.; Tadanier, Christopher J.; Rosso, Kevin M.

    2004-06-01

    Here we use gibbsite as a model system with which to test a recently published, bond-valence method for predicting intrinsic pKa values for surface functional groups on oxides. At issue is whether the method is adequate when valence parameters for the functional groups are derived from ab initio structure optimization of surfaces terminated by vacuum. If not, ab initio molecular dynamics (AIMD) simulations of solvated surfaces (which are much more computationally expensive) will have to be used. To do this, we had to evaluate extant gibbsite potentiometric titration data that where some estimate of edge and basal surface area was available. Applying BET and recently developed atomic force microscopy methods, we found that most of these data sets were flawed, in that their surface area estimates were probably wrong. Similarly, there may have been problems with many of the titration procedures. However, one data set was adequate on both counts, and we applied our method of surface pKa int prediction to fitting a MUSIC model to this data with considerable success—several features of the titration data were predicted well. However, the model fit was certainly not perfect, and we experienced some difficulties optimizing highly charged, vacuum-terminated surfaces. Therefore, we conclude that we probably need to do AIMD simulations of solvated surfaces to adequately predict intrinsic pKa values for surface functional groups.

  18. Thoughts about conceptual models, theories, and quality improvement projects.

    PubMed

    Fawcett, Jacqueline

    2014-10-01

    This essay focuses on how a conceptual model of nursing can be the basis for identification of the phenomenon of interest for a quality improvement project and how a theory of quality improvement or a theory of change is the methodological guide for the project. An explanation and examples of conceptual-theoretical-empirical structures for quality improvement projects are given.

  19. A Bayesian model averaging method for improving SMT phrase table

    NASA Astrophysics Data System (ADS)

    Duan, Nan

    2013-03-01

    Previous methods on improving translation quality by employing multiple SMT models usually carry out as a second-pass decision procedure on hypotheses from multiple systems using extra features instead of using features in existing models in more depth. In this paper, we propose translation model generalization (TMG), an approach that updates probability feature values for the translation model being used based on the model itself and a set of auxiliary models, aiming to alleviate the over-estimation problem and enhance translation quality in the first-pass decoding phase. We validate our approach for translation models based on auxiliary models built by two different ways. We also introduce novel probability variance features into the log-linear models for further improvements. We conclude our approach can be developed independently and integrated into current SMT pipeline directly. We demonstrate BLEU improvements on the NIST Chinese-to-English MT tasks for single-system decodings.

  20. Performance Improvement/HPT Model: Guiding the Process

    ERIC Educational Resources Information Center

    Dessinger, Joan Conway; Moseley, James L.; Van Tiem, Darlene M.

    2012-01-01

    This commentary is part of an ongoing dialogue that began in the October 2011 special issue of "Performance Improvement"--Exploring a Universal Performance Model for HPT: Notes From the Field. The performance improvement/HPT (human performance technology) model represents a unifying process that helps accomplish successful change, create…

  1. Capability Maturity Model (CMM) for Software Process Improvements

    NASA Technical Reports Server (NTRS)

    Ling, Robert Y.

    2000-01-01

    This slide presentation reviews the Avionic Systems Division's implementation of the Capability Maturity Model (CMM) for improvements in the software development process. The presentation reviews the process involved in implementing the model and the benefits of using CMM to improve the software development process.

  2. The Development and Testing of a School Improvement Model

    ERIC Educational Resources Information Center

    Leithwood, Kenneth; Jantzi, Doris; McElheron-Hopkins, Charryn

    2006-01-01

    This multimethod study generated and tested a "best evidence" model of school improvement processes (SIP) capable of improving student achievement. Initially developed through the review of a comprehensive body of previous empirical research, the model was further refined through a 2, 5-year longitudinal study in 10 schools. A quantitative test of…

  3. Performance Improvement/HPT Model: Guiding the Process

    ERIC Educational Resources Information Center

    Dessinger, Joan Conway; Moseley, James L.; Van Tiem, Darlene M.

    2012-01-01

    This commentary is part of an ongoing dialogue that began in the October 2011 special issue of "Performance Improvement"--Exploring a Universal Performance Model for HPT: Notes From the Field. The performance improvement/HPT (human performance technology) model represents a unifying process that helps accomplish successful change, create…

  4. Improved dynamical modelling of the Arches cluster

    NASA Astrophysics Data System (ADS)

    Lee, Joowon; Kim, Sungsoo S.

    2014-05-01

    Recently, Clarkson et al. (2012) measured the intrinsic velocity dispersion of the Arches cluster, a young and massive star cluster in the Galactic center. Using the observed velocity dispersion profile and the surface brightness profile of Espinoza et al. (2009), they estimate the cluster's present-day mass to be ˜ 1.5×104 M⊙ by fitting an isothermal King model. In this study, we trace the best-fit initial mass for the Arches cluster using the same observed data set and also the anisotropic Fokker-Planck calculations for the dynamical evolution.

  5. Development of Improved Dynamic Failure Models.

    DTIC Science & Technology

    1985-02-15

    anisotropic yielding, and Bauschinger effect observed in to,- VI-3 & .... experiments of Naghdi et al.8 Bazant has recently begun formulation of a r...Plasticity," J. Appl. Mech. 25 201-209 (1958). 9. Z. P. Bazant and B. R. Oh, "Hicroplane Model for Fracture Analysis of Concrete Structures," Proceedings of...Yield Criteria and Flow Rules for Porous Ductile Media," J. Engin. Materials and Tech., Trans. of ASHE, Jan . 1977, pp. 2-15. VIII-29 e7 . . -4

  6. Improving Acoustic Models by Watching Television

    NASA Technical Reports Server (NTRS)

    Witbrock, Michael J.; Hauptmann, Alexander G.

    1998-01-01

    Obtaining sufficient labelled training data is a persistent difficulty for speech recognition research. Although well transcribed data is expensive to produce, there is a constant stream of challenging speech data and poor transcription broadcast as closed-captioned television. We describe a reliable unsupervised method for identifying accurately transcribed sections of these broadcasts, and show how these segments can be used to train a recognition system. Starting from acoustic models trained on the Wall Street Journal database, a single iteration of our training method reduced the word error rate on an independent broadcast television news test set from 62.2% to 59.5%.

  7. Improving Acoustic Models by Watching Television

    NASA Technical Reports Server (NTRS)

    Witbrock, Michael J.; Hauptmann, Alexander G.

    1998-01-01

    Obtaining sufficient labelled training data is a persistent difficulty for speech recognition research. Although well transcribed data is expensive to produce, there is a constant stream of challenging speech data and poor transcription broadcast as closed-captioned television. We describe a reliable unsupervised method for identifying accurately transcribed sections of these broadcasts, and show how these segments can be used to train a recognition system. Starting from acoustic models trained on the Wall Street Journal database, a single iteration of our training method reduced the word error rate on an independent broadcast television news test set from 62.2% to 59.5%.

  8. Genistein Delivered as a Once Daily Oral Supplement Had No Beneficial Effect on the Tibia in Rat Models for Postmenopausal Bone Loss

    PubMed Central

    Turner, Russell T.; Iwaniec, Urszula T.; Andrade, Juan E.; Branscum, Adam J.; Neese, Steven L.; Olson, Dawn A.; Wagner, Lindsay; Wang, Victor C.; Schantz, Susan L.; Helferich, William G.

    2014-01-01

    Objective Estrogen deficiency following menopause results in rapid bone loss, predisposing women to osteoporotic fractures. Genistein, a phytoestrogen present in high concentrations in soy, is an ingredient in dietary supplements aggressively marketed for bone health. However, the efficacy of soy extracts in reducing bone loss in a recent, long-duration clinical trial in postmenopausal women was disappointing. To better understand the failure of soy extracts to consistently induce a robust skeletal response in women, we investigated the long-term (5 months) effects of genistein, administered as a daily oral supplement, on 1) its efficacy to prevent cancellous bone loss in skeletally mature virgin Long-Evans rats ovariectomized (ovx) at 7 months of age, and 2) its efficacy to improve cancellous bone mass and architecture in aged retired breeder rats ovx at 16 or 22 months of age. Methods Rats within each age group were randomly assigned into one of 3 treatment groups (n=7–12 rats/group); 1) vehicle control, 2) 485 µg/day genistein, or 3) 970 µg/day genistein, resulting in serum genistein levels of 0.18 ± 0.10, 0.76 ± 0.15, and 1.48 ± 0.31 µM, respectively. Total tibia bone mass and density were evaluated using dual energy absorptiometry whereas cancellous bone mass and architecture in the tibial metaphysis and cortical bone mass and architecture in the tibial diaphysis were evaluated by micro-computed tomography. Results Oral genistein administered as a dietary supplement did not influence the cumulative effects of ovx, aging and/or reproductive history on cancellous and cortical bone mass and architecture. Conclusions Serum levels of genistein similar to those in women consuming a high soy diet are ineffective in prevention or treatment of bone loss in rat models for postmenopausal osteoporosis. PMID:23385720

  9. Accelerating quality improvement within your organization: Applying the Model for Improvement.

    PubMed

    Crowl, Ashley; Sharma, Anita; Sorge, Lindsay; Sorensen, Todd

    2015-01-01

    To discuss the fundamentals of the Model for Improvement and how the model can be applied to quality improvement activities associated with medication use, including understanding the three essential questions that guide quality improvement, applying a process for actively testing change within an organization, and measuring the success of these changes on care delivery. PubMed from 1990 through April 2014 using the search terms quality improvement, process improvement, hospitals, and primary care. At the authors' discretion, studies were selected based on their relevance in demonstrating the quality improvement process and tests of change within an organization. Organizations are continuously seeking to enhance quality in patient care services, and much of this work focuses on improving care delivery processes. Yet change in these systems is often slow, which can lead to frustration or apathy among frontline practitioners. Adopting and applying the Model for Improvement as a core strategy for quality improvement efforts can accelerate the process. While the model is frequently well known in hospitals and primary care settings, it is not always familiar to pharmacists. In addition, while some organizations may be familiar with the "plan, do, study, act" (PDSA) cycles-one element of the Model for Improvement-many do not apply it effectively. The goal of the model is to combine a continuous process of small tests of change (PDSA cycles) within an overarching aim with a longitudinal measurement process. This process differs from other forms of improvement work that plan and implement large-scale change over an extended period, followed by months of data collection. In this scenario it may take months or years to determine whether an intervention will have a positive impact. By following the Model for Improvement, frontline practitioners and their organizational leaders quickly identify strategies that make a positive difference and result in a greater degree of

  10. NUCFRG3: Light ion improvements to the nuclear fragmentation model

    NASA Astrophysics Data System (ADS)

    Adamczyk, A. M.; Norman, R. B.; Sriprisan, S. I.; Townsend, L. W.; Norbury, J. W.; Blattnig, S. R.; Slaba, T. C.

    2012-06-01

    Light ion improvements to the nuclear fragmentation model, NUCFRG, are reported. Improvements include the replacement of the simple light ion production model with a light ion coalescence model and an improved electromagnetic dissociation (EMD) formalism. Prior versions of the model provide reasonable overall agreement with measured data; however, those versions lack a physics-based description for coalescence and EMD. The version reported herein, NUCFRG3, has improved the theoretical descriptions of these mechanisms and offers additional benefits, such as the capability to calculate EMD cross-sections for single deuteron, triton, helion, and alpha particle emission. NUCFRG3 model evaluation and validation show that the predictive capability has been improved and strengthened by the light ion physics-based changes. Based on increased capability and better theoretical grounding, it is recommended that NUCFRG3 replace its predecessors for space radiation assessments and other applications.

  11. Improving lognormal models for cosmological fields

    NASA Astrophysics Data System (ADS)

    Xavier, Henrique S.; Abdalla, Filipe B.; Joachimi, Benjamin

    2016-07-01

    It is common practice in cosmology to model large-scale structure observables as lognormal random fields, and this approach has been successfully applied in the past to the matter density and weak lensing convergence fields separately. We argue that this approach has fundamental limitations which prevent its use for jointly modelling these two fields since the lognormal distribution's shape can prevent certain correlations to be attainable. Given the need of ongoing and future large-scale structure surveys for fast joint simulations of clustering and weak lensing, we propose two ways of overcoming these limitations. The first approach slightly distorts the power spectra of the fields using one of two algorithms that minimizes either the absolute or the fractional distortions. The second one is by obtaining more accurate convergence marginal distributions, for which we provide a fitting function, by integrating the lognormal density along the line of sight. The latter approach also provides a way to determine directly from theory the skewness of the convergence distribution and, therefore, the parameters for a lognormal fit. We present the public code Full-sky Lognormal Astro-fields Simulation Kit (FLASK) which can make tomographic realizations on the sphere of an arbitrary number of correlated lognormal or Gaussian random fields by applying either of the two proposed solutions, and show that it can create joint simulations of clustering and lensing with sub-per-cent accuracy over relevant angular scales and redshift ranges.

  12. Improving randomness characterization through Bayesian model selection.

    PubMed

    Díaz Hernández Rojas, Rafael; Solís, Aldo; Angulo Martínez, Alí M; U'Ren, Alfred B; Hirsch, Jorge G; Marsili, Matteo; Pérez Castillo, Isaac

    2017-06-08

    Random number generation plays an essential role in technology with important applications in areas ranging from cryptography to Monte Carlo methods, and other probabilistic algorithms. All such applications require high-quality sources of random numbers, yet effective methods for assessing whether a source produce truly random sequences are still missing. Current methods either do not rely on a formal description of randomness (NIST test suite) on the one hand, or are inapplicable in principle (the characterization derived from the Algorithmic Theory of Information), on the other, for they require testing all the possible computer programs that could produce the sequence to be analysed. Here we present a rigorous method that overcomes these problems based on Bayesian model selection. We derive analytic expressions for a model's likelihood which is then used to compute its posterior distribution. Our method proves to be more rigorous than NIST's suite and Borel-Normality criterion and its implementation is straightforward. We applied our method to an experimental device based on the process of spontaneous parametric downconversion to confirm it behaves as a genuine quantum random number generator. As our approach relies on Bayesian inference our scheme transcends individual sequence analysis, leading to a characterization of the source itself.

  13. Improved CHAID algorithm for document structure modelling

    NASA Astrophysics Data System (ADS)

    Belaïd, A.; Moinel, T.; Rangoni, Y.

    2010-01-01

    This paper proposes a technique for the logical labelling of document images. It makes use of a decision-tree based approach to learn and then recognise the logical elements of a page. A state-of-the-art OCR gives the physical features needed by the system. Each block of text is extracted during the layout analysis and raw physical features are collected and stored in the ALTO format. The data-mining method employed here is the "Improved CHi-squared Automatic Interaction Detection" (I-CHAID). The contribution of this work is the insertion of logical rules extracted from the logical layout knowledge to support the decision tree. Two setups have been tested; the first uses one tree per logical element, the second one uses a single tree for all the logical elements we want to recognise. The main system, implemented in Java, coordinates the third-party tools (Omnipage for the OCR part, and SIPINA for the I-CHAID algorithm) using XML and XSL transforms. It was tested on around 1000 documents belonging to the ICPR'04 and ICPR'08 conference proceedings, representing about 16,000 blocks. The final error rate for determining the logical labels (among 9 different ones) is less than 6%.

  14. Modeling Light Curves for Improved Classification

    NASA Astrophysics Data System (ADS)

    Faraway, Julian; Mahabal, Ashish; Sun, Jiayang; Wang, Xiaofeng; Yi; Zhang, Lingsong

    2016-02-01

    Many synoptic surveys are observing large parts of the sky multiple times. The resulting lightcurves provide a wonderful window to the dynamic nature of the universe. However, there are many significant challenges in analyzing these light curves. These include heterogeneity of the data, irregularly sampled data, missing data, censored data, known but variable measurement errors, and most importantly, the need to classify in astronomical objects in real time using these imperfect light curves. We describe a modeling-based approach using Gaussian process regression for generating critical measures representing features for the classification of such lightcurves. We demonstrate that our approach performs better by comparing it with past methods. Finally, we provide future directions for use in sky-surveys that are getting even bigger by the day.

  15. An improved model for fragment-based lead generation at AstraZeneca.

    PubMed

    Fuller, Nathan; Spadola, Loredana; Cowen, Scott; Patel, Joe; Schönherr, Heike; Cao, Qing; McKenzie, Andrew; Edfeldt, Fredrik; Rabow, Al; Goodnow, Robert

    2016-08-01

    Modest success rates in fragment-based lead generation (FBLG) projects at AstraZeneca (AZ) prompted operational changes to improve performance. In this review, we summarize these changes, emphasizing the construction and composition of the AZ fragment library, screening practices and working model. We describe the profiles of the screening method for specific fragment subsets and statistically assess our ability to follow up on fragment hits through near-neighbor selection. Performance analysis of our second-generation fragment library (FL2) in screening campaigns illustrates the complementary nature of flat and 3D fragments in exploring protein-binding pockets and highlights our ability to deliver fragment hits using multiple screening techniques for various target classes. The new model has had profound impact on the successful delivery of lead series to drug discovery projects.

  16. Enhanced Efficacy of a Codon-Optimized DNA Vaccine Encoding the Glycoprotein Precursor Gene of Lassa Virus in a Guinea Pig Disease Model When Delivered by Dermal Electroporation.

    PubMed

    Cashman, Kathleen A; Broderick, Kate E; Wilkinson, Eric R; Shaia, Carl I; Bell, Todd M; Shurtleff, Amy C; Spik, Kristin W; Badger, Catherine V; Guttieri, Mary C; Sardesai, Niranjan Y; Schmaljohn, Connie S

    2013-07-18

    Lassa virus (LASV) causes a severe, often fatal, hemorrhagic fever endemic to West Africa. Presently, there are no FDA-licensed medical countermeasures for this disease. In a pilot study, we constructed a DNA vaccine (pLASV-GPC) that expressed the LASV glycoprotein precursor gene (GPC). This plasmid was used to vaccinate guinea pigs (GPs) using intramuscular electroporation as the delivery platform. Vaccinated GPs were protected from lethal infection (5/6) with LASV compared to the controls. However, vaccinated GPs experienced transient viremia after challenge, although lower than the mock-vaccinated controls. In a follow-on study, we developed a new device that allowed for both the vaccine and electroporation pulse to be delivered to the dermis. We also codon-optimized the GPC sequence of the vaccine to enhance expression in GPs. Together, these innovations resulted in enhanced efficacy of the vaccine. Unlike the pilot study where neutralizing titers were not detected until after virus challenge, modest neutralizing titers were detected in guinea pigs before challenge, with escalating titers detected after challenge. The vaccinated GPs were never ill and were not viremic at any timepoint. The combination of the codon-optimized vaccine and dermal electroporation delivery is a worthy candidate for further development.

  17. Enhanced Efficacy of a Codon-Optimized DNA Vaccine Encoding the Glycoprotein Precursor Gene of Lassa Virus in a Guinea Pig Disease Model When Delivered by Dermal Electroporation

    PubMed Central

    Cashman, Kathleen A.; Broderick, Kate E.; Wilkinson, Eric R.; Shaia, Carl I.; Bell, Todd M.; Shurtleff, Amy C.; Spik, Kristin W.; Badger, Catherine V.; Guttieri, Mary C.; Sardesai, Niranjan Y.; Schmaljohn, Connie S.

    2013-01-01

    Lassa virus (LASV) causes a severe, often fatal, hemorrhagic fever endemic to West Africa. Presently, there are no FDA-licensed medical countermeasures for this disease. In a pilot study, we constructed a DNA vaccine (pLASV-GPC) that expressed the LASV glycoprotein precursor gene (GPC). This plasmid was used to vaccinate guinea pigs (GPs) using intramuscular electroporation as the delivery platform. Vaccinated GPs were protected from lethal infection (5/6) with LASV compared to the controls. However, vaccinated GPs experienced transient viremia after challenge, although lower than the mock-vaccinated controls. In a follow-on study, we developed a new device that allowed for both the vaccine and electroporation pulse to be delivered to the dermis. We also codon-optimized the GPC sequence of the vaccine to enhance expression in GPs. Together, these innovations resulted in enhanced efficacy of the vaccine. Unlike the pilot study where neutralizing titers were not detected until after virus challenge, modest neutralizing titers were detected in guinea pigs before challenge, with escalating titers detected after challenge. The vaccinated GPs were never ill and were not viremic at any timepoint. The combination of the codon-optimized vaccine and dermal electroporation delivery is a worthy candidate for further development. PMID:26344112

  18. Improving pregnancy outcome during imprisonment: a model residential care program.

    PubMed

    Siefert, K; Pimlott, S

    2001-04-01

    The female prison population has increased dramatically in recent years. Most women prisoners are involved with drugs, and as many as 25 percent are pregnant or have delivered within the past year. Reproductive health and drug treatment services for women in prison are inadequate, if they are available at all, and although illicit drugs are readily available in prison, drug-involved pregnant women often are incarcerated to protect fetal health. Studies of pregnancy outcome among women prisoners have demonstrated high rates of perinatal mortality and morbidity. This article examines issues related to pregnancy among women prisoners and describes an innovative residential program designed for pregnant, drug-dependent women in a state adult corrections system. Social workers can play an important role in promoting policy reform and improved services for this underserved population.

  19. Improvements in Empirical Modelling of the World-Wide Ionosphere

    DTIC Science & Technology

    1986-10-31

    OF THE WORLD -’WIDE IONOSPHIERE.I Prof. Kurt Suchy Inst. f. Theor. Physik 11...ELEMENT NO. NO. NO ACCESSION NO 62101F 4643 08 11. TITLE (Andude Secu ty Clauiflcation) IMPROVEMENTS IN EMPIRICAL MODELLING OF THE WORLD -WIDE IONOSPHERE 1...THE FIGURES 53 - 57 𔃻 ’ " " i " I ’ Q !NMI- P ’ I IMPROVE MENTS IN EMPIRICAL MODELLING OF THE WORLD -WIDE IONOSPHERE 1. INTRODUCTION Numerical Models

  20. Predictive modeling by the cerebellum improves proprioception.

    PubMed

    Bhanpuri, Nasir H; Okamura, Allison M; Bastian, Amy J

    2013-09-04

    Because sensation is delayed, real-time movement control requires not just sensing, but also predicting limb position, a function hypothesized for the cerebellum. Such cerebellar predictions could contribute to perception of limb position (i.e., proprioception), particularly when a person actively moves the limb. Here we show that human cerebellar patients have proprioceptive deficits compared with controls during active movement, but not when the arm is moved passively. Furthermore, when healthy subjects move in a force field with unpredictable dynamics, they have active proprioceptive deficits similar to cerebellar patients. Therefore, muscle activity alone is likely insufficient to enhance proprioception and predictability (i.e., an internal model of the body and environment) is important for active movement to benefit proprioception. We conclude that cerebellar patients have an active proprioceptive deficit consistent with disrupted movement prediction rather than an inability to generally enhance peripheral proprioceptive signals during action and suggest that active proprioceptive deficits should be considered a fundamental cerebellar impairment of clinical importance.

  1. Employing ISRU Models to Improve Hardware Design

    NASA Technical Reports Server (NTRS)

    Linne, Diane L.

    2010-01-01

    An analytical model for hydrogen reduction of regolith was used to investigate the effects of several key variables on the energy and mass performance of reactors for a lunar in-situ resource utilization oxygen production plant. Reactor geometry, reaction time, number of reactors, heat recuperation, heat loss, and operating pressure were all studied to guide hardware designers who are developing future prototype reactors. The effects of heat recuperation where the incoming regolith is pre-heated by the hot spent regolith before transfer was also investigated for the first time. In general, longer reaction times per batch provide a lower overall energy, but also result in larger and heavier reactors. Three reactors with long heat-up times results in similar energy requirements as a two-reactor system with all other parameters the same. Three reactors with heat recuperation results in energy reductions of 20 to 40 percent compared to a three-reactor system with no heat recuperation. Increasing operating pressure can provide similar energy reductions as heat recuperation for the same reaction times.

  2. Estuarine modeling: Does a higher grid resolution improve model performance?

    EPA Science Inventory

    Ecological models are useful tools to explore cause effect relationships, test hypothesis and perform management scenarios. A mathematical model, the Gulf of Mexico Dissolved Oxygen Model (GoMDOM), has been developed and applied to the Louisiana continental shelf of the northern ...

  3. Estuarine modeling: Does a higher grid resolution improve model performance?

    EPA Science Inventory

    Ecological models are useful tools to explore cause effect relationships, test hypothesis and perform management scenarios. A mathematical model, the Gulf of Mexico Dissolved Oxygen Model (GoMDOM), has been developed and applied to the Louisiana continental shelf of the northern ...

  4. Improved solar array power point model with SPICE realization

    SciTech Connect

    Glass, M.C.

    1996-12-31

    An improved and simplified formulation is given for a solar array current-voltage model. This model curve matches a specified maximum power point (i,v) specification, in addition to the open-circuit and short-circuit specifications. The improved model has a simplified numerical solution, which is practical for SPICE simulation of orbital-scale electrical power systems. This paper presents the mathematical development of the solar array model solution, and the form of the necessary Newton/Raphson equations. The iterative nonlinear solution is then realized in a SPICE model of the solar array, which is then demonstrated in an orbital-time-scale satellite power system simulation.

  5. Business Models for Training and Performance Improvement Departments

    ERIC Educational Resources Information Center

    Carliner, Saul

    2004-01-01

    Although typically applied to entire enterprises, the concept of business models applies to training and performance improvement groups. Business models are "the method by which firm[s] build and use [their] resources to offer.. value." Business models affect the types of projects, services offered, skills required, business processes, and type of…

  6. Improved Solar-Radiation-Pressure Models for GPS Satellites

    NASA Technical Reports Server (NTRS)

    Bar-Sever, Yoaz; Kuang, Da

    2006-01-01

    A report describes a series of computational models conceived as an improvement over prior models for determining effects of solar-radiation pressure on orbits of Global Positioning System (GPS) satellites. These models are based on fitting coefficients of Fourier functions of Sun-spacecraft- Earth angles to observed spacecraft orbital motions.

  7. Business Models for Training and Performance Improvement Departments

    ERIC Educational Resources Information Center

    Carliner, Saul

    2004-01-01

    Although typically applied to entire enterprises, the concept of business models applies to training and performance improvement groups. Business models are "the method by which firm[s] build and use [their] resources to offer.. value." Business models affect the types of projects, services offered, skills required, business processes, and type of…

  8. A Systematic Review of Whole School Improvement Models

    ERIC Educational Resources Information Center

    Kidron, Yael; Darwin, Marlene J.

    2007-01-01

    This article presents a review of widely implemented, externally developed whole school improvement models. The models serve elementary, middle, and high schools and schools operated by education service providers. A systematic review of the research was conducted using rigorous evidence standards. Across models, the whole school improvement…

  9. An Improved Modeling of Friction for Extrusion Simulations

    SciTech Connect

    Karadogan, Celalettin; Tong, Longchang; Hora, Pavel

    2007-04-07

    Realistic representation of friction is important in extrusion simulations. Purposefully designed multi-hole die aluminum extrusion experiments showed that the conventional friction models, like the Coulomb and the shear friction models, are deficient to represent the boundary phenomena that occur during aluminum extrusion. Based on the observations, phenomenological and implementational improvements are made in the friction modeling.

  10. Optimizing a Drone Network to Deliver Automated External Defibrillators.

    PubMed

    Boutilier, Justin J; Brooks, Steven C; Janmohamed, Alyf; Byers, Adam; Buick, Jason E; Zhan, Cathy; Schoellig, Angela P; Cheskes, Sheldon; Morrison, Laurie J; Chan, Timothy C Y

    2017-06-20

    Public access defibrillation programs can improve survival after out-of-hospital cardiac arrest, but automated external defibrillators (AEDs) are rarely available for bystander use at the scene. Drones are an emerging technology that can deliver an AED to the scene of an out-of-hospital cardiac arrest for bystander use. We hypothesize that a drone network designed with the aid of a mathematical model combining both optimization and queuing can reduce the time to AED arrival. We applied our model to 53 702 out-of-hospital cardiac arrests that occurred in the 8 regions of the Toronto Regional RescuNET between January 1, 2006, and December 31, 2014. Our primary analysis quantified the drone network size required to deliver an AED 1, 2, or 3 minutes faster than historical median 911 response times for each region independently. A secondary analysis quantified the reduction in drone resources required if RescuNET was treated as a large coordinated region. The region-specific analysis determined that 81 bases and 100 drones would be required to deliver an AED ahead of median 911 response times by 3 minutes. In the most urban region, the 90th percentile of the AED arrival time was reduced by 6 minutes and 43 seconds relative to historical 911 response times in the region. In the most rural region, the 90th percentile was reduced by 10 minutes and 34 seconds. A single coordinated drone network across all regions required 39.5% fewer bases and 30.0% fewer drones to achieve similar AED delivery times. An optimized drone network designed with the aid of a novel mathematical model can substantially reduce the AED delivery time to an out-of-hospital cardiac arrest event. © 2017 American Heart Association, Inc.

  11. Scientific Publishing: Adding Value, Delivering Impact

    NASA Astrophysics Data System (ADS)

    Mayes, Beth

    2015-08-01

    Publishers are developing new services and applying new technologies to improve publication and reading experiences for the scholarly community. This needs to be implemented with care to avoid adding technology-driven complexity. Our publishing processes need to be widely accessible to both authors and readers and to maintain the scientific record. Beth Mayes will outline new developments at IOP Publishing delivering (1) improvements to the presentation of articles and their commitment to formats that go beyond the PDF, improving the understanding of research. (2) How IOP Publishing is responding to the growing calls for metadata and linking that involve being central to the shared information ecosystem for astronomy. (3) After publication, discuss how publishers invest in metrics and new initiatives for discovery that improve the impact of published research.

  12. An improved computer model of struvite solution chemistry.

    PubMed

    Wrigley, T J; Scott, W D; Webb, K M

    1992-12-01

    The computer model of the solution chemistry of struvite has been improved. Firstly, with ammonia as the prime calculation point in the liquid phase, the algorithm is smaller and faster. Secondly, the incorporation of distilled magnesium hydrogen phosphate in the model significantly increased the concentrations in solution. Thirdly, estimates of the activity coefficients are included. These improvements have but a marginal (5-10%) improvement in the fit. However, proceeding with this flexible modelling procedure using the symbolic manipulator, Maple, easily allows the inclusion of all possible species. The addition of associated ammonium phosphates improves the fit. The relative standard deviation of the fit of both Taylor's data and the data of Webb is improved from 0.5 to 0.2. Estimates of the association constants are included.

  13. Delivering Subject Choice and Quality Assurance in Specialised Disciplines: The University of New England's Model of Subject Delivery at the University of Newcastle

    ERIC Educational Resources Information Center

    Dunne, Kerry

    2008-01-01

    Using a new model of subject delivery, the University of New England (UNE--Armidale, Australia) offers specialist subjects at partner or host institutions. The model is a modified version of distance education. It is designed to meet the needs of on-campus students who wish to study a subject that their university is unable to offer as a full…

  14. Assimilation of Spatio-Temporal Cosmic-Ray Neutron Data to Improve Hydrological Model Performance

    NASA Astrophysics Data System (ADS)

    Samaniego, L. E.; Schrön, M.; Kumar, R.; Zink, M.; Rosolem, R.; Rakovec, O.; Baroni, G.; Oswald, S. E.; Reinstorf, F.; Zacharias, S.

    2015-12-01

    Mesoscale hydrological models like mHM (Samaniego et al., 2010, WRR) are usually evaluated with observed discharge, which is a spatially integrated signal of the watershed. However, an accurate prediction of spatially distributed soil water content often is of higher interest for hydrologic prediction. For hydrologic models operating at intermediate to regional scales, Cosmic-Ray Neutron Sensors provide unrivaled soil moisture data which are much more representative than point data and of higher spatio-temporal resolution than most remote-sensing products. We are aiming to improve soil moisture calibration and evaluation in mHM with the support of the intermediate-scale data from cosmic-ray neutrons. The relationship between soil moisture profiles in the footprint and the corresponding cosmic-ray neutron counts is non-linear and not unique. Therefore we assimilate cosmic-ray neutron data directly by employing the nested forward model COSMIC (Shuttleworth et al. 2013, HESS), which calculates neutron counts from the modeled soil moisture. In optimization mode, mHM is able to calibrate parameters of both, the hydrological system and/or the neutron prediction model itself. Model performance is evaluated with independent measurements of soil moisture patterns from several catchment-wide TDR campaigns, time series of a Wireless Sensor Network and discharge in the small catchment "Schäfertal" (1.6 km2) in central Germany. One of the major challenges is to improve soil moisture and discharge performance simultaneously in the hydrologic model. This work is an important step towards the assimilation of continuous spatial data from mobile Cosmic Ray Sensing. The so-called TERENO:Rover delivers highly-resolved spatial patterns of water content in a whole catchment, which has a great potential to improve spatial performance of hydrological models.

  15. The Improving Citizenship Education Project: A Change Model That Works.

    ERIC Educational Resources Information Center

    Hepburn, Mary A.; Richardson, Helen W.

    1985-01-01

    The major objective of the Improving Citizenship Education Project (ICE) of the Fulton County (Georgia) school system was to improve the knowledge and attitudes of K-12 students about political science and citizenship. The ICE program is described as a model for other school systems. (RM)

  16. Improved input parameters for diffusion models of skin absorption.

    PubMed

    Hansen, Steffi; Lehr, Claus-Michael; Schaefer, Ulrich F

    2013-02-01

    To use a diffusion model for predicting skin absorption requires accurate estimates of input parameters on model geometry, affinity and transport characteristics. This review summarizes methods to obtain input parameters for diffusion models of skin absorption focusing on partition and diffusion coefficients. These include experimental methods, extrapolation approaches, and correlations that relate partition and diffusion coefficients to tabulated physico-chemical solute properties. Exhaustive databases on lipid-water and corneocyte protein-water partition coefficients are presented and analyzed to provide improved approximations to estimate lipid-water and corneocyte protein-water partition coefficients. The most commonly used estimates of lipid and corneocyte diffusion coefficients are also reviewed. In order to improve modeling of skin absorption in the future diffusion models should include the vertical stratum corneum heterogeneity, slow equilibration processes, the absorption from complex non-aqueous formulations, and an improved representation of dermal absorption processes. This will require input parameters for which no suitable estimates are yet available.

  17. Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians.

    PubMed

    Durey, Angela; Wynaden, Dianne; Thompson, Sandra C; Davidson, Patricia M; Bessarab, Dawn; Katzenellenbogen, Judith M

    2012-06-01

    Well-documented health disparities between Aboriginal and Torres Strait Islander (hereafter referred to as Aboriginal) and non-Aboriginal Australians are underpinned by complex historical and social factors. The effects of colonisation including racism continue to impact negatively on Aboriginal health outcomes, despite being under-recognised and under-reported. Many Aboriginal people find hospitals unwelcoming and are reluctant to attend for diagnosis and treatment, particularly with few Aboriginal health professionals employed on these facilities. In this paper, scientific literature and reports on Aboriginal health-care, methodology and cross-cultural education are reviewed to inform a collaborative model of hospital-based organisational change. The paper proposes a collaborative model of care to improve health service delivery by building capacity in Aboriginal and non-Aboriginal personnel by recruiting more Aboriginal health professionals, increasing knowledge and skills to establish good relationships between non-Aboriginal care providers and Aboriginal patients and their families, delivering quality care that is respectful of culture and improving Aboriginal health outcomes. A key element of model design, implementation and evaluation is critical reflection on barriers and facilitators to providing respectful and culturally safe quality care at systemic, interpersonal and patient/family-centred levels. Nurses are central to addressing the current state of inequity and are pivotal change agents within the proposed model. © 2011 Blackwell Publishing Ltd.

  18. In vivo genome editing improves muscle function in a mouse model of Duchenne muscular dystrophy.

    PubMed

    Nelson, Christopher E; Hakim, Chady H; Ousterout, David G; Thakore, Pratiksha I; Moreb, Eirik A; Castellanos Rivera, Ruth M; Madhavan, Sarina; Pan, Xiufang; Ran, F Ann; Yan, Winston X; Asokan, Aravind; Zhang, Feng; Duan, Dongsheng; Gersbach, Charles A

    2016-01-22

    Duchenne muscular dystrophy (DMD) is a devastating disease affecting about 1 out of 5000 male births and caused by mutations in the dystrophin gene. Genome editing has the potential to restore expression of a modified dystrophin gene from the native locus to modulate disease progression. In this study, adeno-associated virus was used to deliver the clustered regularly interspaced short palindromic repeats (CRISPR)-Cas9 system to the mdx mouse model of DMD to remove the mutated exon 23 from the dystrophin gene. This includes local and systemic delivery to adult mice and systemic delivery to neonatal mice. Exon 23 deletion by CRISPR-Cas9 resulted in expression of the modified dystrophin gene, partial recovery of functional dystrophin protein in skeletal myofibers and cardiac muscle, improvement of muscle biochemistry, and significant enhancement of muscle force. This work establishes CRISPR-Cas9-based genome editing as a potential therapy to treat DMD.

  19. Ex Vivo Gene Therapy Using Human Mesenchymal Stem Cells to Deliver Growth Factors in the Skeletal Muscle of a Familial ALS Rat Model.

    PubMed

    Suzuki, Masatoshi; Svendsen, Clive N

    2016-01-01

    Therapeutic protein and molecule delivery to target sites by transplanted human stem cells holds great promise for ex vivo gene therapy. Our group has demonstrated the therapeutic benefits of ex vivo gene therapy targeting the skeletal muscles in a transgenic rat model of familial amyotrophic lateral sclerosis (ALS). We used human mesenchymal stem cells (hMSCs) and genetically modified them to release neuroprotective growth factors such as glial cell line-derived neurotrophic factor (GDNF) and vascular endothelial growth factor (VEGF). Intramuscular growth factor delivery via hMSCs can enhance neuromuscular innervation and motor neuron survival in a rat model of ALS (SOD1(G93A) transgenic rats). Here, we describe the protocol of ex vivo delivery of growth factors via lentiviral vector-mediated genetic modification of hMSCs and hMSC transplantation into the skeletal muscle of a familial ALS rat model.

  20. Improving Catastrophe Modeling for Business Interruption Insurance Needs.

    PubMed

    Rose, Adam; Huyck, Charles K

    2016-10-01

    While catastrophe (CAT) modeling of property damage is well developed, modeling of business interruption (BI) lags far behind. One reason is the crude nature of functional relationships in CAT models that translate property damage into BI. Another is that estimating BI losses is more complicated because it depends greatly on public and private decisions during recovery with respect to resilience tactics that dampen losses by using remaining resources more efficiently to maintain business function and to recover more quickly. This article proposes a framework for improving hazard loss estimation for BI insurance needs. Improved data collection that allows for analysis at the level of individual facilities within a company can improve matching the facilities with the effectiveness of individual forms of resilience, such as accessing inventories, relocating operations, and accelerating repair, and can therefore improve estimation accuracy. We then illustrate the difference this can make in a case study example of losses from a hurricane.

  1. Model Self-Improvement Program for Inmates (SIPI). Final Report.

    ERIC Educational Resources Information Center

    Northeast Texas Community Coll., Mount Pleasant.

    The Model Self-Improvement Program for Inmates (SIPI) was a joint effort of Northeast Texas Community College, the Lone Star Steel Company, and the sheriff's department of Morris County, Texas, to provide a model life skills program for incarcerated individuals. A curriculum that included life skills and vocational and academic training was…

  2. Conductivity of microemulsions: An improved charge fluctuation model

    SciTech Connect

    Hall, D.G. )

    1990-01-11

    By considering the discreteness of electrical charge, an improved charged fluctuation model for the conductivity of water in oil microemulsions is forwarded. The new treatment given even better agreement with experiment than the model reported recently by Eicke and co-workers. This latter treatment turns out to be the continuum limit of that forwarded in the present paper.

  3. A corporate workplace model for ergonomic assessments and improvements.

    PubMed

    Törnström, Linda; Amprazis, Joakim; Christmansson, Marita; Eklund, Jörgen

    2008-03-01

    Several companies have developed their own company-specific models for ergonomic improvements. This study aims to describe and identify factors supporting and hindering the implementation and application of one such corporate model for ergonomic assessment and improvement. The model has been developed by Volvo Car Corporation and implemented at an assembly plant in Göteborg, Sweden. The model is unique as it is intended to be used by production engineers and safety representatives in cooperation. The process for assessment of musculoskeletal risks is standardised and participatory, which also supports identification of solutions. Interviews, questionnaires, observation and document studies were used to evaluate the use of the model. The model was found to improve participation and collaboration among stakeholders; provide a more effective ergonomic improvement process; visually represent the ergonomics situation in the company; and give legitimacy to and awareness of ergonomics. However, the model was found to be rather resource demanding and dependent on support from management and unions. In particular, a substantial training programme and regular use of the model are needed.

  4. Improving Retention through a Comprehensive Student Development Model.

    ERIC Educational Resources Information Center

    Johnson, Anne D.; Kreuzer, Paul G.

    Lehman College of the City University of New York has begin a 5-year project to improve the retention of first-time, full-time regularly admitted freshmen through the implementation of a student development model. The development of this model is described and the results of some preliminary studies are presented. As part of the project,…

  5. Improved Modeling of Intelligent Tutoring Systems Using Ant Colony Optimization

    ERIC Educational Resources Information Center

    Rastegarmoghadam, Mahin; Ziarati, Koorush

    2017-01-01

    Swarm intelligence approaches, such as ant colony optimization (ACO), are used in adaptive e-learning systems and provide an effective method for finding optimal learning paths based on self-organization. The aim of this paper is to develop an improved modeling of adaptive tutoring systems using ACO. In this model, the learning object is…

  6. Using airborne geophysical surveys to improve groundwater resource management models

    USGS Publications Warehouse

    Abraham, Jared D.; Cannia, James C.; Peterson, Steven M.; Smith, Bruce D.; Minsley, Burke J.; Bedrosian, Paul A.

    2010-01-01

    Increasingly, groundwater management requires more accurate hydrogeologic frameworks for groundwater models. These complex issues have created the demand for innovative approaches to data collection. In complicated terrains, groundwater modelers benefit from continuous high‐resolution geologic maps and their related hydrogeologic‐parameter estimates. The USGS and its partners have collaborated to use airborne geophysical surveys for near‐continuous coverage of areas of the North Platte River valley in western Nebraska. The survey objectives were to map the aquifers and bedrock topography of the area to help improve the understanding of groundwater‐surface‐water relationships, leading to improved water management decisions. Frequency‐domain heliborne electromagnetic surveys were completed, using a unique survey design to collect resistivity data that can be related to lithologic information to refine groundwater model inputs. To render the geophysical data useful to multidimensional groundwater models, numerical inversion is necessary to convert the measured data into a depth‐dependent subsurface resistivity model. This inverted model, in conjunction with sensitivity analysis, geological ground truth (boreholes and surface geology maps), and geological interpretation, is used to characterize hydrogeologic features. Interpreted two‐ and three‐dimensional data coverage provides the groundwater modeler with a high‐resolution hydrogeologic framework and a quantitative estimate of framework uncertainty. This method of creating hydrogeologic frameworks improved the understanding of flow path orientation by redefining the location of the paleochannels and associated bedrock highs. The improved models reflect actual hydrogeology at a level of accuracy not achievable using previous data sets.

  7. Models of delivering palliative and end-of-life care in sub-Saharan Africa: a narrative review of the evidence.

    PubMed

    Mwangi-Powell, Faith N; Powell, Richard A; Harding, Richard

    2013-06-01

    This narrative review examines evidence for models of palliative and end-of-life (eol) care delivery in sub-Saharan Africa (SSA) since 2010. It highlights recent developments, on-going challenges and innovative approaches used to address obstacles to increased access to care. Electronic databases were searched for the literature published in English during the period 2010-2012 around broad thematic areas of palliative and eol care delivery models in SSA. Literature showed increased palliative and eol care service development, underpinned by advocacy work undertaken by regional and national palliative care associations. Despite this increase, care provision remains inadequately integrated in national public health agendas and systems. Consequently, it continues to be heavily reliant upon nongovernmental, community-based and home-based care (HBC) models. Efforts are, however, underway to integrate palliative care into national health systems, which should increase access to care. National policies and government financing will be important to sustain this integration. Although community and HBC programs remain primary models of palliative and eol care delivery in SSA, there is an urgent need to develop a public health approach that integrates care into national health systems to increase accessibility.

  8. Improving of local ozone forecasting by integrated models.

    PubMed

    Gradišar, Dejan; Grašič, Boštjan; Božnar, Marija Zlata; Mlakar, Primož; Kocijan, Juš

    2016-09-01

    This paper discuss the problem of forecasting the maximum ozone concentrations in urban microlocations, where reliable alerting of the local population when thresholds have been surpassed is necessary. To improve the forecast, the methodology of integrated models is proposed. The model is based on multilayer perceptron neural networks that use as inputs all available information from QualeAria air-quality model, WRF numerical weather prediction model and onsite measurements of meteorology and air pollution. While air-quality and meteorological models cover large geographical 3-dimensional space, their local resolution is often not satisfactory. On the other hand, empirical methods have the advantage of good local forecasts. In this paper, integrated models are used for improved 1-day-ahead forecasting of the maximum hourly value of ozone within each day for representative locations in Slovenia. The WRF meteorological model is used for forecasting meteorological variables and the QualeAria air-quality model for gas concentrations. Their predictions, together with measurements from ground stations, are used as inputs to a neural network. The model validation results show that integrated models noticeably improve ozone forecasts and provide better alert systems.

  9. Modeling and Simulation of Ceramic Arrays to Improve Ballistic Performance

    DTIC Science & Technology

    2014-03-01

    is occurring. Future work will include new seem designs, experimental testing and modeling done in LS - DYNA 15. SUBJECT TERMS Adhesive Layer Effect...and experimental tests will down select for the best solution and improvement to seam design 3 Modeling will move from AutoDyn to LS - DYNA for...damage that is occurring ü Future work will include new seem designs, experimental testing and modeling done in LS - DYNA 2014 © University of Delaware

  10. An improved equivalent circuit model of radial mode piezoelectric transformer.

    PubMed

    Huang, Yihua; Huang, Wei

    2011-05-01

    In this paper, both the equivalent circuit models of the radial mode and the coupled thickness vibration mode of the radial mode piezoelectric transformer are deduced, and then with the Y-parameter matrix method and the dual-port network theory, an improved equivalent circuit model for the multilayer radial mode piezoelectric transformer is established. A radial mode transformer sample is tested to verify the equivalent circuit model. The experimental results show that the model proposed in this paper is more precise than the typical model.

  11. Can a Healthcare "Lean Sweep" Deliver on What Matters to Patients? Comment on "Improving Wait Times to Care for Individuals with Multimorbidities and Complex Conditions Using Value Stream Mapping".

    PubMed

    Verma, Jennifer Y; Amar, Claudia

    2015-07-28

    Disconnects and defects in care - such as duplication, poor integration between services or avoidable adverse events - are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and containing costs (eg, improving integration of services) as well as focusing on what matters to patients. Lean works particularly well to optimize existing processes and services. However, as the burden of chronic illness and frailty overtake episodic care needs, health systems require far greater complex, adaptive change. Such change ought to take into account outcomes in population health in addition to care experiences and costs (together, comprising the Triple Aim); and involve patients and families in co-designing new models of care that better address complex, longer-term health needs.

  12. Improvement of receptor model use in analytical aspect

    NASA Astrophysics Data System (ADS)

    Wang, Chu-Fang; Chiang, Pen-Chi; Cheng, Man-Ting; Chiang, Hung-Lung

    In this study, four certified particle standards including NIST SRM 1648 urban particulate matter, BCR Reference Material No. 176 city waste incineration ash, NIST SRM 2709 San Joaquin soil, and NIST SRM 1633b coal fly ash were used to simulate ambient particulate matter. Twenty-five samples were prepared with the four certified particulate standards. A total of 23 elements were analyzed per sample, 19 by ICP-AES and ICP-MS, three by IC, and one element, Si, by spectrophotometer. Results showed that combining the three IC-analyzed ionic species with the 19 ICP-AES/MS analyzed elements into the CMB model did not improve the source identification significantly. In addition, when all 23 analyzed chemical species per sample were used in the CMB model, they were still not good enough to effectively make the parameters of the CMB model fit the statistical criteria. Some of high variation and low recovery chemical species, i.e. Cd, V, Sb, etc., may have caused poor CMB model simulation. Omitting some poor quality analyzed species (such as relative analysis error >20%) could improve the CMB model simulation. Therefore, high quality chemical species data are important for the CMB model. In addition, co-linearity of source profiles also affects the CMB model; combining the co-linear sources could enhance the solubility of the CMB model. In this study, a two-step procedure was developed for CMB model simulation to improve source identification.

  13. Improved Systematic Pointing Error Model for the DSN Antennas

    NASA Technical Reports Server (NTRS)

    Rochblatt, David J.; Withington, Philip M.; Richter, Paul H.

    2011-01-01

    New pointing models have been developed for large reflector antennas whose construction is founded on elevation over azimuth mount. At JPL, the new models were applied to the Deep Space Network (DSN) 34-meter antenna s subnet for corrections of their systematic pointing errors; it achieved significant improvement in performance at Ka-band (32-GHz) and X-band (8.4-GHz). The new models provide pointing improvements relative to the traditional models by a factor of two to three, which translate to approximately 3-dB performance improvement at Ka-band. For radio science experiments where blind pointing performance is critical, the new innovation provides a new enabling technology. The model extends the traditional physical models with higher-order mathematical terms, thereby increasing the resolution of the model for a better fit to the underlying systematic imperfections that are the cause of antenna pointing errors. The philosophy of the traditional model was that all mathematical terms in the model must be traced to a physical phenomenon causing antenna pointing errors. The traditional physical terms are: antenna axis tilts, gravitational flexure, azimuth collimation, azimuth encoder fixed offset, azimuth and elevation skew, elevation encoder fixed offset, residual refraction, azimuth encoder scale error, and antenna pointing de-rotation terms for beam waveguide (BWG) antennas. Besides the addition of spherical harmonics terms, the new models differ from the traditional ones in that the coefficients for the cross-elevation and elevation corrections are completely independent and may be different, while in the traditional model, some of the terms are identical. In addition, the new software allows for all-sky or mission-specific model development, and can utilize the previously used model as an a priori estimate for the development of the updated models.

  14. Process correlation analysis model for process improvement identification.

    PubMed

    Choi, Su-jin; Kim, Dae-Kyoo; Park, Sooyong

    2014-01-01

    Software process improvement aims at improving the development process of software systems. It is initiated by process assessment identifying strengths and weaknesses and based on the findings, improvement plans are developed. In general, a process reference model (e.g., CMMI) is used throughout the process of software process improvement as the base. CMMI defines a set of process areas involved in software development and what to be carried out in process areas in terms of goals and practices. Process areas and their elements (goals and practices) are often correlated due to the iterative nature of software development process. However, in the current practice, correlations of process elements are often overlooked in the development of an improvement plan, which diminishes the efficiency of the plan. This is mainly attributed to significant efforts and the lack of required expertise. In this paper, we present a process correlation analysis model that helps identify correlations of process elements from the results of process assessment. This model is defined based on CMMI and empirical data of improvement practices. We evaluate the model using industrial data.

  15. Soil hydraulic properties near saturation, an improved conductivity model

    NASA Astrophysics Data System (ADS)

    Børgesen, Christen D.; Jacobsen, Ole H.; Hansen, Søren; Schaap, Marcel G.

    2006-06-01

    The hydraulic properties near saturation can change dramatically due to the presence of macropores that are usually difficult to handle in traditional pore size models. The purpose of this study is to establish a data set on hydraulic conductivity near saturation, test the predictive capability of commonly used hydraulic conductivity models and give suggestions for improved models. Water retention and near saturated and saturated hydraulic conductivity were measured for a variety of 81 top and subsoils. The hydraulic conductivity models by van Genuchten [ van Genuchten, 1980. A closed-form equation for predicting the hydraulic conductivity of unsaturated soils. Soil Sci. Soc. Am. J. 44, 892-898.] (vGM) and Brooks and Corey, modified by Jarvis [ Jarvis, 1991. MACRO—A Model of Water Movement and Solute Transport in Macroporous Soils. Swedish University of Agricultural Sciences. Department of Soil Sciences. Reports and Dissertations 9.] were optimised to describe the unsaturated hydraulic conductivity in the range measured. Different optimisation procedures were tested. Using the measured saturated hydraulic conductivity in the vGM model tends to overestimate the unsaturated hydraulic conductivity. Optimising a matching factor ( k0) improved the fit considerably whereas optimising the l-parameter in the vGM model improved the fit only slightly. The vGM was improved with an empirical scaling function to account for the rapid increase in conductivity near saturation. Using the improved models, it was possible to describe both the saturated and the unsaturated hydraulic conductivity better than a previously published model by Jarvis. The pore size boundary of the macropores was found at a capillary pressure of -4 hPa corresponding to a circular pore diameter of 750 μm.

  16. Kinetic models in industrial biotechnology - Improving cell factory performance.

    PubMed

    Almquist, Joachim; Cvijovic, Marija; Hatzimanikatis, Vassily; Nielsen, Jens; Jirstrand, Mats

    2014-07-01

    An increasing number of industrial bioprocesses capitalize on living cells by using them as cell factories that convert sugars into chemicals. These processes range from the production of bulk chemicals in yeasts and bacteria to the synthesis of therapeutic proteins in mammalian cell lines. One of the tools in the continuous search for improved performance of such production systems is the development and application of mathematical models. To be of value for industrial biotechnology, mathematical models should be able to assist in the rational design of cell factory properties or in the production processes in which they are utilized. Kinetic models are particularly suitable towards this end because they are capable of representing the complex biochemistry of cells in a more complete way compared to most other types of models. They can, at least in principle, be used to in detail understand, predict, and evaluate the effects of adding, removing, or modifying molecular components of a cell factory and for supporting the design of the bioreactor or fermentation process. However, several challenges still remain before kinetic modeling will reach the degree of maturity required for routine application in industry. Here we review the current status of kinetic cell factory modeling. Emphasis is on modeling methodology concepts, including model network structure, kinetic rate expressions, parameter estimation, optimization methods, identifiability analysis, model reduction, and model validation, but several applications of kinetic models for the improvement of cell factories are also discussed. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

  17. Improved parallel performance of the CICE model in CESM1

    SciTech Connect

    Craig, A. P.; Mickelson, S. A.; Hunke, E. C.; Bailey, D. A.

    2014-09-03

    The Los Alamos sea ice model, CICE, is a sophisticated finite difference grid point model. It has been a part of the National Science Foundation and Department of Energy community climate models (Community Climate System Model (CCSM) and Community Earth System Model (CESM)) for over a decade. It includes various physical and dynamical processes and is parallelized to run on large-scale computer systems. The CICE model was assessed in the CESM at different resolutions and target processor counts to better understand and optimize the performance. Several new decompositions and a new feature to reduce the halo cost were added to the model. The new decompositions better leverage land block elimination and take advantage of scaling opportunities in different computational kernels. As a result of these new features, the CICE model performance has been improved by up to 45% and has more flexibility to be run efficiently at arbitrary Message Passing Interface (MPI) task counts

  18. Single ocular injection of a sustained-release anti-VEGF delivers 6months pharmacokinetics and efficacy in a primate laser CNV model.

    PubMed

    Adamson, Peter; Wilde, Thomas; Dobrzynski, Eric; Sychterz, Caroline; Polsky, Rodd; Kurali, Edit; Haworth, Richard; Tang, Chi-Man; Korczynska, Justyna; Cook, Fiona; Papanicolaou, Irene; Tsikna, Lemy; Roberts, Chris; Hughes-Thomas, Zoe; Walford, James; Gibson, Daniel; Warrack, John; Smal, Jos; Verrijk, Ruud; Miller, Paul E; Nork, T Michael; Prusakiewicz, Jeffery; Streit, Timothy; Sorden, Steven; Struble, Craig; Christian, Brian; Catchpole, Ian R

    2016-12-28

    A potent anti-vascular endothelial growth factor (VEGF) biologic and a compatible delivery system were co-evaluated for protection against wet age-related macular degeneration (AMD) over a 6month period following a single intravitreal (IVT) injection. The anti-VEGF molecule is dimeric, containing two different anti-VEGF domain antibodies (dAb) attached to a human IgG1 Fc region: a dual dAb. The delivery system is based on microparticles of PolyActive™ hydrogel co-polymer. The molecule was evaluated both in vitro for potency against VEGF and in ocular VEGF-driven efficacy models in vivo. The dual dAb is highly potent, showing a lower IC50 than aflibercept in VEGF receptor binding assays (RBAs) and retaining activity upon release from microparticles over 12months in vitro. Microparticles released functional dual dAb in rabbit and primate eyes over 6months at sufficient levels to protect Cynomolgus against laser-induced grade IV choroidal neovascularisation (CNV). This demonstrates proof of concept for delivery of an anti-VEGF molecule within a sustained-release system, showing protection in a pre-clinical primate model of wet AMD over 6months. Polymer breakdown and movement of microparticles in the eye may limit development of particle-based approaches for sustained release after IVT injection. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

  19. An Efficient Nurse Practitioner-Led Community-Based Service Model for Delivering Coordinated Care to Persons With Serious Mental Illness at Risk for Homelessness [Formula: see text].

    PubMed

    Baker, Jeannemarie; Travers, Jasmine L; Buschman, Penelope; Merrill, Jacqueline A

    2017-04-01

    Access to mental health care is a struggle for those with serious mental illness (SMI). About 25% of homeless suffer from SMI, compared with 4.2% of the general population. From 2003 to 2012, St. Paul's Center (SPC) operated a unique model to provide quality care to the homeless and those at risk for homelessness, incarceration, and unnecessary hospitalization because of SMI. Data were available for analysis for the years 2008 to 2010. The SPC was developed, managed, and staffed by board-certified psychiatric/mental health nurse practitioners, offering comprehensive mental health services and coordinated interventions. All clients were housed and none incarcerated. From 2008 to 2010, only 3% of clients were hospitalized, compared with 7.5% of adults with SMI. Clinical, academic, and community partnerships increased value, but Medicaid reimbursement was not available. Mental health provisions in the recently passed 21st Century Cures Act support community mental health specialty treatment. The SPC provides a template for similar nurse practitioner-led models.

  20. An improved human display model for occupant crash simulation programs

    NASA Technical Reports Server (NTRS)

    Willmert, K. D.; Potter, T. E.

    1975-01-01

    An improved three-dimensional display model of a human being which can be used to display the results of three-dimensional simulation programs that predict the positions of an occupant during impact of a vehicle was presented. The model allows the user to view the occupant from any orientation in any position during the crash. The display model assumes the usual break up of the body into rigid segments which is normal for occupant crash simulation programs, but the shape of the segments in the display model are not necessarily the same as those used in the crash simulation. The display model is proportioned so as to produce a realistic drawing of the human body in any position. Joints connecting the segments are also drawn to improve realism.

  1. Improving nonlinear modeling capabilities of functional link adaptive filters.

    PubMed

    Comminiello, Danilo; Scarpiniti, Michele; Scardapane, Simone; Parisi, Raffaele; Uncini, Aurelio

    2015-09-01

    The functional link adaptive filter (FLAF) represents an effective solution for online nonlinear modeling problems. In this paper, we take into account a FLAF-based architecture, which separates the adaptation of linear and nonlinear elements, and we focus on the nonlinear branch to improve the modeling performance. In particular, we propose a new model that involves an adaptive combination of filters downstream of the nonlinear expansion. Such combination leads to a cooperative behavior of the whole architecture, thus yielding a performance improvement, particularly in the presence of strong nonlinearities. An advanced architecture is also proposed involving the adaptive combination of multiple filters on the nonlinear branch. The proposed models are assessed in different nonlinear modeling problems, in which their effectiveness and capabilities are shown.

  2. Outstanding issues concerning future thermospheric model improvements and applications

    NASA Astrophysics Data System (ADS)

    Owens, Jerry

    Significant improvements in the accuracy of thermosphere models have recently been achieved for the first time in more than thirty years. However, additional important issues remain to be addressed in the future in order to further improve both the current and future estimates of density values that affect the various assets, satellite and spacecraft, that society has come to depend upon. These include high latitude processes that are not yet treated adequately in the models, as well as accuracy of future estimates of model inputs such as both short and long term solar activity plus physical model structure and reliability. Orbiting spacecraft are affected by the total density as well as its composition. These parameters affect satellite and spacecraft tracking, operations, performance, orbital debris, lifetime estimation, and logistics planning for re-boost activities. This paper will review the various issues and relative importance for users of thermospheric model products.

  3. An integrated model for continuous quality improvement and productivity improvement in health services organizations.

    PubMed

    Rakich, J S; Darr, K; Longest, B B

    1993-01-01

    The health services paradigm with respect to quality has shifted to that of conformance to requirements (the absence of defects) and fitness for use (meeting customer expectations and needs). This article presents an integrated model of continuous quality improvement (CQI) (often referred to as total quality management) and productivity improvement for health services organizations. It incorporates input-output theory and focuses on the CQI challenge--"How can we be certain that we do the right things right the first time, every time?" The twin pillars of CQI are presented. Achievement of both will result in productivity improvement and enhancement of the health services organization's competitive position.

  4. Improving the representation of hydrologic processes in Earth System Models

    SciTech Connect

    Clark, Martyn P.; Fan, Ying; Lawrence, David M.; Adam, Jennifer C.; Bolster, Diogo; Gochis, David J.; Hooper, Richard P.; Kumar, Mukesh; Leung, L. Ruby; Mackay, D. Scott; Maxwell, Reed M.; Shen, Chaopeng; Swenson, Sean C.; Zeng, Xubin

    2015-08-21

    Many of the scientific and societal challenges in understanding and preparing for global environmental change rest upon our ability to understand and predict the water cycle change at large river basin, continent, and global scales. However, current large-scale models, such as the land components of Earth System Models (ESMs), do not yet represent the terrestrial water cycle in a fully integrated manner or resolve the finer-scale processes that can dominate large-scale water budgets. This paper reviews the current representation of hydrologic processes in ESMs and identifies the key opportunities for improvement. This review suggests that (1) the development of ESMs has not kept pace with modeling advances in hydrology, both through neglecting key processes (e.g., groundwater) and neglecting key aspects of spatial variability and hydrologic connectivity; and (2) many modeling advances in hydrology can readily be incorporated into ESMs and substantially improve predictions of the water cycle. Accelerating modeling advances in ESMs requires comprehensive hydrologic benchmarking activities, in order to systematically evaluate competing modeling alternatives, understand model weaknesses, and prioritize model development needs. This demands stronger collaboration, both through greater engagement of hydrologists in ESM development and through more detailed evaluation of ESM processes in research watersheds. Advances in the representation of hydrologic process in ESMs can substantially improve energy, carbon and nutrient cycle prediction capabilities through the fundamental role the water cycle plays in regulating these cycles.

  5. Demonstrating the improvement of predictive maturity of a computational model

    SciTech Connect

    Hemez, Francois M; Unal, Cetin; Atamturktur, Huriye S

    2010-01-01

    We demonstrate an improvement of predictive capability brought to a non-linear material model using a combination of test data, sensitivity analysis, uncertainty quantification, and calibration. A model that captures increasingly complicated phenomena, such as plasticity, temperature and strain rate effects, is analyzed. Predictive maturity is defined, here, as the accuracy of the model to predict multiple Hopkinson bar experiments. A statistical discrepancy quantifies the systematic disagreement (bias) between measurements and predictions. Our hypothesis is that improving the predictive capability of a model should translate into better agreement between measurements and predictions. This agreement, in turn, should lead to a smaller discrepancy. We have recently proposed to use discrepancy and coverage, that is, the extent to which the physical experiments used for calibration populate the regime of applicability of the model, as basis to define a Predictive Maturity Index (PMI). It was shown that predictive maturity could be improved when additional physical tests are made available to increase coverage of the regime of applicability. This contribution illustrates how the PMI changes as 'better' physics are implemented in the model. The application is the non-linear Preston-Tonks-Wallace (PTW) strength model applied to Beryllium metal. We demonstrate that our framework tracks the evolution of maturity of the PTW model. Robustness of the PMI with respect to the selection of coefficients needed in its definition is also studied.

  6. Improving the realism of hydrologic model through multivariate parameter estimation

    NASA Astrophysics Data System (ADS)

    Rakovec, Oldrich; Kumar, Rohini; Attinger, Sabine; Samaniego, Luis

    2017-04-01

    Increased availability and quality of near real-time observations should improve understanding of predictive skills of hydrological models. Recent studies have shown the limited capability of river discharge data alone to adequately constrain different components of distributed model parameterizations. In this study, the GRACE satellite-based total water storage (TWS) anomaly is used to complement the discharge data with an aim to improve the fidelity of mesoscale hydrologic model (mHM) through multivariate parameter estimation. The study is conducted in 83 European basins covering a wide range of hydro-climatic regimes. The model parameterization complemented with the TWS anomalies leads to statistically significant improvements in (1) discharge simulations during low-flow period, and (2) evapotranspiration estimates which are evaluated against independent (FLUXNET) data. Overall, there is no significant deterioration in model performance for the discharge simulations when complemented by information from the TWS anomalies. However, considerable changes in the partitioning of precipitation into runoff components are noticed by in-/exclusion of TWS during the parameter estimation. A cross-validation test carried out to assess the transferability and robustness of the calibrated parameters to other locations further confirms the benefit of complementary TWS data. In particular, the evapotranspiration estimates show more robust performance when TWS data are incorporated during the parameter estimation, in comparison with the benchmark model constrained against discharge only. This study highlights the value for incorporating multiple data sources during parameter estimation to improve the overall realism of hydrologic model and its applications over large domains. Rakovec, O., Kumar, R., Attinger, S. and Samaniego, L. (2016): Improving the realism of hydrologic model functioning through multivariate parameter estimation. Water Resour. Res., 52, http://dx.doi.org/10

  7. An improved car-following model considering relative velocity fluctuation

    NASA Astrophysics Data System (ADS)

    Yu, Shaowei; Shi, Zhongke

    2016-07-01

    To explore and evaluate the impacts of relative velocity fluctuation on the dynamic characteristics and fuel consumptions of traffic flow, we present an improved car-following model considering relative velocity fluctuation based on the full velocity difference model, then we carry out several numerical simulations to determine the optimal time window length and to explore how relative velocity fluctuation affects cars' velocity and its fluctuation as well as fuel consumptions. It can be found that the improved car-following model can describe the phase transition of traffic flow and estimate the evolution of traffic congestion, and that taking relative velocity fluctuation into account in designing the advanced adaptive cruise control strategy can improve the traffic flow stability and reduce fuel consumptions.

  8. A process improvement model for software verification and validation

    NASA Technical Reports Server (NTRS)

    Callahan, John; Sabolish, George

    1994-01-01

    We describe ongoing work at the NASA Independent Verification and Validation (IV&V) Facility to establish a process improvement model for software verification and validation (V&V) organizations. This model, similar to those used by some software development organizations, uses measurement-based techniques to identify problem areas and introduce incremental improvements. We seek to replicate this model for organizations involved in V&V on large-scale software development projects such as EOS and Space Station. At the IV&V Facility, a university research group and V&V contractors are working together to collect metrics across projects in order to determine the effectiveness of V&V and improve its application. Since V&V processes are intimately tied to development processes, this paper also examines the repercussions for development organizations in large-scale efforts.

  9. A process improvement model for software verification and validation

    NASA Technical Reports Server (NTRS)

    Callahan, John; Sabolish, George

    1994-01-01

    We describe ongoing work at the NASA Independent Verification and Validation (IV&V) Facility to establish a process improvement model for software verification and validation (V&V) organizations. This model, similar to those used by some software development organizations, uses measurement-based techniques to identify problem areas and introduce incremental improvements. We seek to replicate this model for organizations involved in V&V on large-scale software development projects such as EOS and space station. At the IV&V Facility, a university research group and V&V contractors are working together to collect metrics across projects in order to determine the effectiveness of V&V and improve its application. Since V&V processes are intimately tied to development processes, this paper also examines the repercussions for development organizations in large-scale efforts.

  10. Improving the representation of photosynthesis in Earth system models

    NASA Astrophysics Data System (ADS)

    Rogers, A.; Medlyn, B. E.; Dukes, J.; Bonan, G. B.; von Caemmerer, S.; Dietze, M.; Kattge, J.; Leakey, A. D.; Mercado, L. M.; Niinemets, U.; Prentice, I. C. C.; Serbin, S.; Sitch, S.; Way, D. A.; Zaehle, S.

    2015-12-01

    Continued use of fossil fuel drives an accelerating increase in atmospheric CO2 concentration ([CO2]) and is the principal cause of global climate change. Many of the observed and projected impacts of rising [CO2] portend increasing environmental and economic risk, yet the uncertainty surrounding the projection of our future climate by Earth System Models (ESMs) is unacceptably high. Improving confidence in our estimation of future [CO2] is essential if we seek to project global change with greater confidence. There are critical uncertainties over the long term response of terrestrial CO2 uptake to global change, more specifically, over the size of the terrestrial carbon sink and over its sensitivity to rising [CO2] and temperature. Reducing the uncertainty associated with model representation of the largest CO2 flux on the planet is therefore an essential part of improving confidence in projections of global change. Here we have examined model representation of photosynthesis in seven process models including several global models that underlie the representation of photosynthesis in the land surface model component of ESMs that were part of the recent Fifth Assessment Report from the IPCC. Our approach was to focus on how physiological responses are represented by these models, and to better understand how structural and parametric differences drive variation in model responses to light, CO2, nutrients, temperature, vapor pressure deficit and soil moisture. We challenged each model to produce leaf and canopy responses to these factors to help us identify areas in which current process knowledge and emerging data sets could be used to improve model skill, and also identify knowledge gaps in current understanding that directly impact model outputs. We hope this work will provide a roadmap for the scientific activity that is necessary to advance process representation, parameterization and scaling of photosynthesis in the next generation of Earth System Models.

  11. Improved meteorology from an updated WRF/CMAQ modeling ...

    EPA Pesticide Factsheets

    Realistic vegetation characteristics and phenology from the Moderate Resolution Imaging Spectroradiometer (MODIS) products improve the simulation for the meteorology and air quality modeling system WRF/CMAQ (Weather Research and Forecasting model and Community Multiscale Air Quality model) that employs the Pleim-Xiu land surface model (PX LSM). Recently, PX LSM WRF/CMAQ has been updated in vegetation, soil, and boundary layer processes resulting in improved 2 m temperature (T) and mixing ratio (Q), 10 m wind speed, and surface ozone simulations across the domain compared to the previous version for a period around August 2006. Yearlong meteorology simulations with the updated system demonstrate that MODIS input helps reduce bias of the 2 m Q estimation during the growing season from April to September. Improvements follow the green-up in the southeast from April and move toward the west and north through August. From October to March, MODIS input does not have much influence on the system because vegetation is not as active. The greatest effects of MODIS input include more accurate phenology, better representation of leaf area index (LAI) for various forest ecosystems and agricultural areas, and realistically sparse vegetation coverage in the western drylands. Despite the improved meteorology, MODIS input causes higher bias for the surface O3 simulation in April, August, and October in areas where MODIS LAI is much less than the base LAI. Thus, improvement

  12. Single ocular injection of a sustained-release anti-VEGF delivers 6 months pharmacokinetics and efficacy in a primate laser CNV model

    PubMed Central

    Adamson, Peter; Wilde, Thomas; Dobrzynski, Eric; Sychterz, Caroline; Polsky, Rodd; Kurali, Edit; Haworth, Richard; Tang, Chi-Man; Korczynska, Justyna; Cook, Fiona; Papanicolaou, Irene; Tsikna, Lemy; Roberts, Chris; Hughes-Thomas, Zoe; Walford, James; Gibson, Daniel; Warrack, John; Smal, Jos; Verrijk, Ruud; Miller, Paul E.; Nork, T. Michael; Prusakiewicz, Jeffery; Streit, Timothy; Sorden, Steven; Struble, Craig; Christian, Brian; Catchpole, Ian R.

    2017-01-01

    A potent anti-vascular endothelial growth factor (VEGF) biologic and a compatible delivery system were co-evaluated for protection against wet age-related macular degeneration (AMD) over a 6month period following a single intravitreal (IVT) injection. The anti-VEGF molecule is dimeric, containing two different anti-VEGF domain antibodies (dAb) attached to a human IgG1 Fc region: a dual dAb. The delivery system is based on microparticles of PolyActive™ hydrogel co-polymer. The molecule was evaluated both in vitro for potency against VEGF and in ocular VEGF-driven efficacy modelsin vivo. The dual dAb is highly potent, showing a lower IC50 than aflibercept in VEGF receptor binding assays (RBAs) and retaining activity upon release from microparticles over 12 months in vitro. Microparticles released functional dual dAb in rabbit and primate eyes over 6 months at sufficient levels to protect Cynomolgus against laser-induced grade IV choroidal neovascularisation (CNV). This demonstrates proof of concept for delivery of an anti-VEGF molecule within a sustained-release system, showing protection in a pre-clinical primate model of wet AMD over 6 months. Polymer breakdown and movement of microparticles in the eye may limit development of particle-based approaches for sustained release after IVT injection. PMID:27810558

  13. Crop model improvement reduces the uncertainty of the response to temperature of multi-model ensembles

    USDA-ARS?s Scientific Manuscript database

    To improve climate change impact estimates, multi-model ensembles (MMEs) have been suggested. MMEs enable quantifying model uncertainty, and their medians are more accurate than that of any single model when compared with observations. However, multi-model ensembles are costly to execute, so model i...

  14. Numerical Analysis of Modeling Based on Improved Elman Neural Network

    PubMed Central

    Jie, Shao

    2014-01-01

    A modeling based on the improved Elman neural network (IENN) is proposed to analyze the nonlinear circuits with the memory effect. The hidden layer neurons are activated by a group of Chebyshev orthogonal basis functions instead of sigmoid functions in this model. The error curves of the sum of squared error (SSE) varying with the number of hidden neurons and the iteration step are studied to determine the number of the hidden layer neurons. Simulation results of the half-bridge class-D power amplifier (CDPA) with two-tone signal and broadband signals as input have shown that the proposed behavioral modeling can reconstruct the system of CDPAs accurately and depict the memory effect of CDPAs well. Compared with Volterra-Laguerre (VL) model, Chebyshev neural network (CNN) model, and basic Elman neural network (BENN) model, the proposed model has better performance. PMID:25054172

  15. Improvement of the Scintillation-Irregularity Model in WBMOD

    DTIC Science & Technology

    1983-02-28

    DNA-TR-81-241 IMPROVEMENT OF THE SCINTILLATION- IRREGULARITY MODEL IN WBMOD James A. Secan Edward J. Fremouw Physical Dynamics, Inc. P.O. Box 3027 r...CONTENTS Section Page LIST OF ILLUSTRATIONS 2 LIST OF TABLES 4 1 INTRODUCTION 5 2 IMPROVEMENTS IN WBMOD 7 2-1 MAGNETIC TIME 7 2-1.1 Revision 3A2 7 2...Calculations 39 3 WBMOD REVISION 6B3 52 3-1 OVERVIEW 52 3-2 STRUCTURE OF THE CODE 52 3-3 MODEL 83 54 3-4 USE OF THE CODE 59 4 RESEARCH TOPICS 66 4-1

  16. GDF-15 secreted from human umbilical cord blood mesenchymal stem cells delivered through the cerebrospinal fluid promotes hippocampal neurogenesis and synaptic activity in an Alzheimer's disease model.

    PubMed

    Kim, Dong Hyun; Lee, Dahm; Chang, Eun Hyuk; Kim, Ji Hyun; Hwang, Jung Won; Kim, Ju-Yeon; Kyung, Jae Won; Kim, Sung Hyun; Oh, Jeong Su; Shim, Sang Mi; Na, Duk Lyul; Oh, Wonil; Chang, Jong Wook

    2015-10-15

    Our previous studies demonstrated that transplantation of human umbilical cord blood-derived mesenchymal stem cells (hUCB-MSCs) into the hippocampus of a transgenic mouse model of Alzheimer's disease (AD) reduced amyloid-β (Aβ) plaques and enhanced cognitive function through paracrine action. Due to the limited life span of hUCB-MSCs after their transplantation, the extension of hUCB-MSC efficacy was essential for AD treatment. In this study, we show that repeated cisterna magna injections of hUCB-MSCs activated endogenous hippocampal neurogenesis and significantly reduced Aβ42 levels. To identify the paracrine factors released from the hUCB-MSCs that stimulated endogenous hippocampal neurogenesis in the dentate gyrus, we cocultured adult mouse neural stem cells (NSCs) with hUCB-MSCs and analyzed the cocultured media with cytokine arrays. Growth differentiation factor-15 (GDF-15) levels were significantly increased in the media. GDF-15 suppression in hUCB-MSCs with GDF-15 small interfering RNA reduced the proliferation of NSCs in cocultures. Conversely, recombinant GDF-15 treatment in both in vitro and in vivo enhanced hippocampal NSC proliferation and neuronal differentiation. Repeated administration of hUBC-MSCs markedly promoted the expression of synaptic vesicle markers, including synaptophysin, which are downregulated in patients with AD. In addition, in vitro synaptic activity through GDF-15 was promoted. Taken together, these results indicated that repeated cisterna magna administration of hUCB-MSCs enhanced endogenous adult hippocampal neurogenesis and synaptic activity through a paracrine factor of GDF-15, suggesting a possible role of hUCB-MSCs in future treatment strategies for AD.

  17. Vaginally delivered tenofovir disoproxil fumarate provides greater protection than tenofovir against genital herpes in a murine model of efficacy and safety.

    PubMed

    Nixon, Briana; Jandl, Thomas; Teller, Ryan S; Taneva, Ekaterina; Wang, Yanhua; Nagaraja, Umadevi; Kiser, Patrick F; Herold, Betsy C

    2014-01-01

    Increased susceptibility to genital herpes in medroxyprogesterone-treated mice may provide a surrogate of increased HIV risk and a preclinical biomarker of topical preexposure prophylaxis safety. We evaluated tenofovir disoproxil fumarate (TDF) in this murine model because an intravaginal ring eluting this drug is being advanced into clinical trials. To avoid the complications of surgically inserting a ring, hydroxyethylcellulose (HEC)-stable formulations of TDF were prepared. One week of twice-daily 0.3% TDF gel was well tolerated and did not result in any increase in HSV-2 susceptibility but protected mice from herpes simplex virus 2 (HSV-2) disease compared to mice treated with the HEC placebo gel. No significant increase in inflammatory cytokines or chemokines in vaginal washes or change in cytokine, chemokine, or mitochondrial gene expression in RNA extracted from genital tract tissue was detected. To further evaluate efficacy, mice were treated with gel once daily beginning 12 h prior to high-dose HSV-2 challenge or 2 h before and after viral challenge (BAT24 dosing). The 0.3% TDF gel provided significant protection compared to the HEC gel following either daily (in 9/10 versus 1/10 mice, P < 0.01) or BAT24 (in 14/20 versus 4/20 mice, P < 0.01) dosing. In contrast, 1% tenofovir (TFV) gel protected only 4/10 mice treated with either regimen. Significant protection was also observed with daily 0.03% TDF compared to HEC. Protection was associated with greater murine cellular permeability of radiolabeled TDF than of TFV. Together, these findings suggest that TDF is safe, may provide substantially greater protection against HSV than TFV, and support the further clinical development of a TDF ring.

  18. Improved simulation of groundwater - surface water interaction in catchment models

    NASA Astrophysics Data System (ADS)

    teklesadik, aklilu; van Griensven, Ann; Anibas, Christian; Huysmans, Marijke

    2016-04-01

    Groundwater storage can have a significant contribution to stream flow, therefore a thorough understanding of the groundwater surface water interaction is of prime important when doing catchment modeling. The aim of this study is to improve the simulation of groundwater - surface water interaction in a catchment model of the upper Zenne River basin located in Belgium. To achieve this objective we used the "Groundwater-Surface water Flow" (GSFLOW) modeling software, which is an integration of the surface water modeling tool "Precipitation and Runoff Modeling system" (PRMS) and the groundwater modeling tool MODFLOW. For this case study, the PRMS model and MODFLOW model were built and calibrated independently. The PRMS upper Zenne River basin model is divided into 84 hydrological response units (HRUs) and is calibrated with flow data at the Tubize gauging station. The spatial discretization of the MODFLOW upper Zenne groundwater flow model consists of 100m grids. Natural groundwater divides and the Brussels-Charleroi canal are used as boundary conditions for the MODFLOW model. The model is calibrated using piezometric data. The GSFLOW results were evaluated against a SWAT model application and field observations of groundwater-surface water interactions along a cross section of the Zenne River and riparian zone. The field observations confirm that there is no exchange of groundwater beyond the Brussel-Charleroi canal and that the interaction at the river bed is relatively low. The results show that there is a significant difference in the groundwater simulations when using GSFLOW versus SWAT. This indicates that the groundwater component representation in the SWAT model could be improved and that a more realistic implementation of the interactions between groundwater and surface water is advisable. This could be achieved by integrating SWAT and MODFLOW.

  19. Electron scattering in HCl: An improved nonlocal resonance model

    NASA Astrophysics Data System (ADS)

    Fedor, J.; Winstead, C.; McKoy, V.; Čížek, M.; Houfek, K.; Kolorenč, P.; Horáček, J.

    2010-04-01

    We present an improved nonlocal resonance model for electron-HCl collisions. The short-range part of the model is fitted to ab initio electron-scattering eigenphase sums calculated using the Schwinger multichannel method, while the long-range part is based on the ab initio potential-energy curve of the bound anion HCl-. This model significantly improves the agreement of nonlocal resonance calculations with recent absolute experimental data on dissociative electron attachment cross sections for HCl and DCl. It also partly resolves an inconsistency in the temperature effect in dissociative electron attachment to HCl present in the literature. Finally, the present model reproduces all qualitative structures observed previously in elastic scattering and vibrational-excitation cross sections.

  20. Improved community model for social networks based on social mobility

    NASA Astrophysics Data System (ADS)

    Lu, Zhe-Ming; Wu, Zhen; Luo, Hao; Wang, Hao-Xian

    2015-07-01

    This paper proposes an improved community model for social networks based on social mobility. The relationship between the group distribution and the community size is investigated in terms of communication rate and turnover rate. The degree distributions, clustering coefficients, average distances and diameters of networks are analyzed. Experimental results demonstrate that the proposed model possesses the small-world property and can reproduce social networks effectively and efficiently.

  1. An improved turbulence model for rotating shear flows*

    NASA Astrophysics Data System (ADS)

    Nagano, Yasutaka; Hattori, Hirofumi

    2002-01-01

    In the present study, we construct a turbulence model based on a low-Reynolds-number non-linear k e model for turbulent flows in a rotating channel. Two-equation models, in particular the non-linear k e model, are very effective for solving various flow problems encountered in technological applications. In channel flows with rotation, however, the explicit effects of rotation only appear in the Reynolds stress components. The exact equations for k and e do not have any explicit terms concerned with the rotation effects. Moreover, the Coriolis force vanishes in the momentum equation for a fully developed channel flow with spanwise rotation. Consequently, in order to predict rotating channel flows, after proper revision the Reynolds stress equation model or the non-linear eddy viscosity model should be used. In this study, we improve the non-linear k e model so as to predict rotating channel flows. In the modelling, the wall-limiting behaviour of turbulence is also considered. First, we evaluated the non-linear k e model using the direct numerical simulation (DNS) database for a fully developed rotating turbulent channel flow. Next, we assessed the non-linear k e model at various rotation numbers. Finally, on the basis of these assessments, we reconstruct the non-linear k e model to calculate rotating shear flows, and the proposed model is tested on various rotation number channel flows. The agreement with DNS and experiment data is quite satisfactory.

  2. ILNCSIM: improved lncRNA functional similarity calculation model

    PubMed Central

    You, Zhu-Hong; Huang, De-Shuang; Chan, Keith C.C.

    2016-01-01

    Increasing observations have indicated that lncRNAs play a significant role in various critical biological processes and the development and progression of various human diseases. Constructing lncRNA functional similarity networks could benefit the development of computational models for inferring lncRNA functions and identifying lncRNA-disease associations. However, little effort has been devoted to quantifying lncRNA functional similarity. In this study, we developed an Improved LNCRNA functional SIMilarity calculation model (ILNCSIM) based on the assumption that lncRNAs with similar biological functions tend to be involved in similar diseases. The main improvement comes from the combination of the concept of information content and the hierarchical structure of disease directed acyclic graphs for disease similarity calculation. ILNCSIM was combined with the previously proposed model of Laplacian Regularized Least Squares for lncRNA-Disease Association to further evaluate its performance. As a result, new model obtained reliable performance in the leave-one-out cross validation (AUCs of 0.9316 and 0.9074 based on MNDR and Lnc2cancer databases, respectively), and 5-fold cross validation (AUCs of 0.9221 and 0.9033 for MNDR and Lnc2cancer databases), which significantly improved the prediction performance of previous models. It is anticipated that ILNCSIM could serve as an effective lncRNA function prediction model for future biomedical researches. PMID:27028993

  3. Ensemble Learning of QTL Models Improves Prediction of Complex Traits

    PubMed Central

    Bian, Yang; Holland, James B.

    2015-01-01

    Quantitative trait locus (QTL) models can provide useful insights into trait genetic architecture because of their straightforward interpretability but are less useful for genetic prediction because of the difficulty in including the effects of numerous small effect loci without overfitting. Tight linkage between markers introduces near collinearity among marker genotypes, complicating the detection of QTL and estimation of QTL effects in linkage mapping, and this problem is exacerbated by very high density linkage maps. Here we developed a thinning and aggregating (TAGGING) method as a new ensemble learning approach to QTL mapping. TAGGING reduces collinearity problems by thinning dense linkage maps, maintains aspects of marker selection that characterize standard QTL mapping, and by ensembling, incorporates information from many more markers-trait associations than traditional QTL mapping. The objective of TAGGING was to improve prediction power compared with QTL mapping while also providing more specific insights into genetic architecture than genome-wide prediction models. TAGGING was compared with standard QTL mapping using cross validation of empirical data from the maize (Zea mays L.) nested association mapping population. TAGGING-assisted QTL mapping substantially improved prediction ability for both biparental and multifamily populations by reducing both the variance and bias in prediction. Furthermore, an ensemble model combining predictions from TAGGING-assisted QTL and infinitesimal models improved prediction abilities over the component models, indicating some complementarity between model assumptions and suggesting that some trait genetic architectures involve a mixture of a few major QTL and polygenic effects. PMID:26276383

  4. ILNCSIM: improved lncRNA functional similarity calculation model.

    PubMed

    Huang, Yu-An; Chen, Xing; You, Zhu-Hong; Huang, De-Shuang; Chan, Keith C C

    2016-05-03

    Increasing observations have indicated that lncRNAs play a significant role in various critical biological processes and the development and progression of various human diseases. Constructing lncRNA functional similarity networks could benefit the development of computational models for inferring lncRNA functions and identifying lncRNA-disease associations. However, little effort has been devoted to quantifying lncRNA functional similarity. In this study, we developed an Improved LNCRNA functional SIMilarity calculation model (ILNCSIM) based on the assumption that lncRNAs with similar biological functions tend to be involved in similar diseases. The main improvement comes from the combination of the concept of information content and the hierarchical structure of disease directed acyclic graphs for disease similarity calculation. ILNCSIM was combined with the previously proposed model of Laplacian Regularized Least Squares for lncRNA-Disease Association to further evaluate its performance. As a result, new model obtained reliable performance in the leave-one-out cross validation (AUCs of 0.9316 and 0.9074 based on MNDR and Lnc2cancer databases, respectively), and 5-fold cross validation (AUCs of 0.9221 and 0.9033 for MNDR and Lnc2cancer databases), which significantly improved the prediction performance of previous models. It is anticipated that ILNCSIM could serve as an effective lncRNA function prediction model for future biomedical researches.

  5. Plant water potential improves prediction of empirical stomatal models.

    PubMed

    Anderegg, William R L; Wolf, Adam; Arango-Velez, Adriana; Choat, Brendan; Chmura, Daniel J; Jansen, Steven; Kolb, Thomas; Li, Shan; Meinzer, Frederick; Pita, Pilar; Resco de Dios, Víctor; Sperry, John S; Wolfe, Brett T; Pacala, Stephen

    2017-01-01

    Climate change is expected to lead to increases in drought frequency and severity, with deleterious effects on many ecosystems. Stomatal responses to changing environmental conditions form the backbone of all ecosystem models, but are based on empirical relationships and are not well-tested during drought conditions. Here, we use a dataset of 34 woody plant species spanning global forest biomes to examine the effect of leaf water potential on stomatal conductance and test the predictive accuracy of three major stomatal models and a recently proposed model. We find that current leaf-level empirical models have consistent biases of over-prediction of stomatal conductance during dry conditions, particularly at low soil water potentials. Furthermore, the recently proposed stomatal conductance model yields increases in predictive capability compared to current models, and with particular improvement during drought conditions. Our results reveal that including stomatal sensitivity to declining water potential and consequent impairment of plant water transport will improve predictions during drought conditions and show that many biomes contain a diversity of plant stomatal strategies that range from risky to conservative stomatal regulation during water stress. Such improvements in stomatal simulation are greatly needed to help unravel and predict the response of ecosystems to future climate extremes.

  6. Delivering hazard information: from misunderstandings to mayhem

    NASA Astrophysics Data System (ADS)

    Kilburn, Christopher; Solana, Carmen; Michnowicz, Sabina; Edwards, Stephen

    2014-05-01

    Misunderstandings between monitoring specialists, decision makers and the public can transform a volcanic emergency into a disaster. They are especially likely to occur during unrest at long-quiescent volcanoes, where few, if any, of the key groups may have experience of such behaviour. The potential for misunderstanding strongly depends on the quality of scientific information and the manner in which it is delivered. The same factors determine the nature of a misunderstanding, which, in turn, affects the perception and response of vulnerable communities. As we illustrate with selected case studies, four classes of response can be recognised: realistic, overconfident, confused and sceptical. A response is realistic when good information has been delivered effectively and, as a result, has been well understood. Overconfidence occurs when a recipient overestimates how well they have understood the information supplied. Overestimation may not be immediately evident, so that the provider erroneously believes that the information has been understood and no further action is necessary. Confused and sceptical responses occur when the information delivered is insufficient or ambiguous. In the first case, the impact of poor information is compounded by a poor understanding; in the second, the information is recognised as being inadequate and so engenders a lack of trust. The realistic response represents an ideal outcome for hazard-mitigation procedures and is often implicitly anticipated when the procedures are being developed. In practice, however, one of the other responses usually prevails. Crucial improvements will follow when account is taken explicitly of the full range of potential response and will require raising awareness among key groups of the needs and limitations of each other.

  7. Improving and applying Lagrangian models of the atmosphere

    NASA Astrophysics Data System (ADS)

    Lin, John C.; Brunner, Dominik; Gerbig, Christoph

    2012-01-01

    AGU Chapman Conference on Advances in Lagrangian Modeling of the Atmosphere; Grindelwald, Switzerland, 10-14 October 2011 Under the majestic gaze of the Eiger north face in Switzerland, an international group of researchers met as part of a Chapman Conference to discuss advances in Lagrangian modeling of the atmosphere. Lagrangian models track the movement of air parcels, giving rise to trajectory information and source/receptor linkages that have become increasingly popular as tools used by geoscientists. The conference was an opportunity for a diverse group of researchers developing and applying Lagrangian models to congregate and discuss the use of such models to understand geophysical phenomena and to identify how to further improve the models. The 98 participants (of which 17 were graduate students) hailed from 19 countries around the world.

  8. Evaluation and improvement of the cloud resolving model component of the multi-scale modeling framework

    SciTech Connect

    Xu, Kuan-Man; Cheng, Anning

    2009-10-01

    Developed, implemented and tested an improved Colorado State University (CSU) SAM (System for Atmospheric Modeling) cloud-resolving model (CRM) with the advanced third-order turbulence closure (IPHOC).

  9. Improved 20- to 32-GHz atmospheric absorption model

    NASA Astrophysics Data System (ADS)

    Cruz Pol, Sandra L.; Ruf, Christopher S.; Keihm, Stephen J.

    1998-09-01

    An improved model for the absorption of the atmosphere near the 22-GHz water vapor line is presented. The Van Vleck-Weisskopf line shape is used with a simple parameterized version of the model from Liebe et al. [1993] for the water vapor absorption spectra and a scaling of the model from Rosenkranz [1993] for the 20- to 32-GHz oxygen absorption. Radiometric brightness temperature measurements from two sites of contrasting climatological properties, San Diego, California, and West Palm Beach, Florida, were used as ground truth for comparison with in situ radiosonde-derived brightness temperatures under clear-sky conditions. Estimation of the new model's four parameters, related to water vapor line strength, line width and continuum absorption, and far-wing oxygen absorption, was performed using the Newton-Raphson inversion method. Improvements to the water vapor line strength and line width parameters are found to be statistically significant. The accuracy of the new absorption model is estimated to be 3% between 20 and 24 GHz, degrading to 8% near 32 GHz. In addition, the Hill line shape asymmetry ratio was evaluated in several currently used models to show the agreement of the data with Van Vleck-Weisskopf based models and to rule out water vapor absorption models near 22 GHz given by Waters [1976] and Ulaby et al. [1981], which are based on the Gross line shape.

  10. Pump for delivering heated fluids

    NASA Technical Reports Server (NTRS)

    Sabelman, E. E. (Inventor)

    1973-01-01

    A thermomechanical pump particularly suited for use in pumping a warming fluid obtained from an RTG (Radioisotope Thermal Generator) through science and flight instrumentation aboard operative spacecraft is described. The invention is characterized by a pair of operatively related cylinders, each including a reciprocating piston head dividing the cylinder into a pressure chamber confining therein a vaporizable fluid, and a pumping chamber for propelling the warming fluid, and a fluid delivery circuit for alternately delivering the warming fluid from the RTG through the pressure chamber of one cylinder to the pumping chamber of the other cylinder, whereby the vaporizable fluid within the pair of pressure chambers alternately is vaporized and condensed for driving the associated pistons in pumping and intake strokes.

  11. The Mobile Solutions for Immunization (M-SIMU) Trial: A Protocol for a Cluster Randomized Controlled Trial That Assesses the Impact of Mobile Phone Delivered Reminders and Travel Subsidies to Improve Childhood Immunization Coverage Rates and Timeliness in Western Kenya

    PubMed Central

    Kagucia, E. Wangeci; Ochieng, Benard; Hariharan, Nisha; Obor, David; Moulton, Lawrence H; Winch, Peter J; Levine, Orin S; Odhiambo, Frank; O'Brien, Katherine L; Feikin, Daniel R

    2016-01-01

    vaccines for bacille Calmette-Guerin, three doses of pentavalent and polio, and measles by 12 months of age. General estimating equation (GEE) models that account for clustering will be employed for primary outcome analyses. Results Enrollment was completed in October 2014. Twelve month follow-up visits to ascertain immunization status from the maternal and child health booklet were completed in February 2016. Conclusions This is one of the first studies to examine the effect of text message reminders on immunization coverage and timeliness in a lower income country and is the first study to assess the effect of mobile money-based incentives to improve immunization coverage. Trial Registration Clinicaltrials.gov NCT01878435; https://clinicaltrials.gov/ct2/show/NCT01878435 (Archived by WebCite at http://www.webcitation.org/6hQlwGYJR) PMID:27189422

  12. Forecast improvement by interactive ensemble of atmospheric models

    NASA Astrophysics Data System (ADS)

    Basnarkov, L.; Duane, G. S.; Kocarev, L.

    2013-12-01

    The advances in weather forecast traditionally have been based on two lines of improvement: 1 - deepening the understanding of physical phenomena that underlies the atmospheric dynamics; and 2 - steady increase in computer power that enables use of finer grid resolution. The meteorological centers model dynamics of the atmosphere with the same basic physical laws, but sometimes take different approaches in capturing small-scale phenomena and generally use different grid sizes. As a result there are dozens operational models around the globe with various parameterizations of the unresolved processes. Newest attempts in forecast improvements are based on using ensemble prediction. Multiple outputs are taken from runs with perturbed initial conditions, or perturbed parameter values. A novel paradigm is exploiting dynamical exchange of variables between simultaneously running models. There are already simulations of models exchanging fluxes between ocean and atmospheric models, but examples with direct coupling of different atmospheric models are rather new. Within this approach the coupling schemes can be different, but as simplest appear those that combine corresponding dynamical variables or tendency components. In this work we present results with an artificial toy model-Lorenz 96 model. To make more faithful example as reality (the atmosphere) is considered one Lorenz 96 class III system, while as its imperfect models are taken three class II systems that have different forcing terms. These resemble the models used in three different meteorological centers. The interactive ensemble has tendency that is weighted combination of the individual models' tendencies. The weights are obtained with statistical techniques based on past observations that target to minimize the mismatch between the truth's and interactive ensemble's tendencies. By means of anomaly correlation it is numerically verified that this ensemble has longer range of forecast than the individual models.

  13. Guiding and Modelling Quality Improvement in Higher Education Institutions

    ERIC Educational Resources Information Center

    Little, Daniel

    2015-01-01

    The article considers the process of creating quality improvement in higher education institutions from the point of view of current organisational theory and social-science modelling techniques. The author considers the higher education institution as a functioning complex of rules, norms and other organisational features and reviews the social…

  14. Does Writing Modeled after Children's Picture Books Improve Reading Comprehension?

    ERIC Educational Resources Information Center

    Whitmer, Jean E.

    A study examined whether writing modeled from children's picture books would improve reading comprehension of fourth and fifth graders as much as traditional skills instruction. Subjects, 69 children reading at least one year below grade level from six Chapter 1 Colorado schools, were pretested for reading comprehension levels. Subjects were then…

  15. Does Writing Modeled after Children's Picture Books Improve Reading Comprehension?

    ERIC Educational Resources Information Center

    Whitmer, Jean E.

    A study examined whether writing modeled from children's picture books would improve reading comprehension of fourth and fifth graders as much as traditional skills instruction. Subjects, 69 children reading at least one year below grade level from six Chapter 1 Colorado schools, were pretested for reading comprehension levels. Subjects were then…

  16. The Theoretical Basis of the Effective School Improvement Model (ESI)

    ERIC Educational Resources Information Center

    Scheerens, Jaap; Demeuse, Marc

    2005-01-01

    This article describes the process of theoretical reflection that preceded the development and empirical verification of a model of "effective school improvement". The focus is on basic mechanisms that could be seen as underlying "getting things in motion" and change in education systems. Four mechanisms are distinguished:…

  17. Model for Improvement of Learning Using Topographic Mapping.

    ERIC Educational Resources Information Center

    Andrews, David B.

    The paper develops a method for learning improvement which incorporates the learner in the development of the learning/instructional strategy. To this end, a rate limiting model using topographical brain mapping as an educational intervention is presented. It is suggested that such intervention programs focus on those factors which are…

  18. The Continuous Improvement Model: A K-12 Literacy Focus

    ERIC Educational Resources Information Center

    Smith, Vicky B.

    2013-01-01

    The purpose of the study was to determine if the eight steps of the Continuous Improvement Model (CIM) provided a framework to raise achievement and to focus educators in identifying high-yield literacy strategies. This study sought to determine if an examination of the assessment data in reading revealed differences among schools that fully,…

  19. RDI Advising Model for Improving the Teaching-Learning Process

    ERIC Educational Resources Information Center

    de la Fuente, Jesus; Lopez-Medialdea, Ana Maria

    2007-01-01

    Introduction: Advising in Educational Psychology from the perspective of RDI takes on a stronger investigative, innovative nature. The model proposed by De la Fuente et al (2006, 2007) and Education & Psychology (2007) was applied to the field of improving teaching-learning processes at a school. Hypotheses were as follows: (1) interdependence…

  20. Model for Improvement of Learning Using Topographic Mapping.

    ERIC Educational Resources Information Center

    Andrews, David B.

    The paper develops a method for learning improvement which incorporates the learner in the development of the learning/instructional strategy. To this end, a rate limiting model using topographical brain mapping as an educational intervention is presented. It is suggested that such intervention programs focus on those factors which are…

  1. Improving Project Management Using Formal Models and Architectures

    NASA Technical Reports Server (NTRS)

    Kahn, Theodore; Sturken, Ian

    2011-01-01

    This talk discusses the advantages formal modeling and architecture brings to project management. These emerging technologies have both great potential and challenges for improving information available for decision-making. The presentation covers standards, tools and cultural issues needing consideration, and includes lessons learned from projects the presenters have worked on.

  2. RDI Advising Model for Improving the Teaching-Learning Process

    ERIC Educational Resources Information Center

    de la Fuente, Jesus; Lopez-Medialdea, Ana Maria

    2007-01-01

    Introduction: Advising in Educational Psychology from the perspective of RDI takes on a stronger investigative, innovative nature. The model proposed by De la Fuente et al (2006, 2007) and Education & Psychology (2007) was applied to the field of improving teaching-learning processes at a school. Hypotheses were as follows: (1) interdependence…

  3. Improved Kinetic Models for High-Speed Combustion Simulation

    DTIC Science & Technology

    2008-06-01

    TYPE 3. DATES COVERED (From - To) June 2008 Final 18 May 2006 – 18 June 2008 4 . TITLE AND SUBTITLE IMPROVED KINETIC MODELS FOR HIGH-SPEED...44 4 Results and Discussion...19 4 . Multi-Step, Sequential Process Leading to Formation of Phenyl from Benzyl (Scheme 1) ....20 5. Generic Chemical Activation Reaction System

  4. Guiding and Modelling Quality Improvement in Higher Education Institutions

    ERIC Educational Resources Information Center

    Little, Daniel

    2015-01-01

    The article considers the process of creating quality improvement in higher education institutions from the point of view of current organisational theory and social-science modelling techniques. The author considers the higher education institution as a functioning complex of rules, norms and other organisational features and reviews the social…

  5. Improving Schools through Inservice Test Construction: The Rossville Model.

    ERIC Educational Resources Information Center

    Gilman, David Alan

    A method for improving curriculum and schools through the local development of competency tests in basic skills--the Competency-Rossville Model (CRM)--is outlined. The method was originated in the school system of Rossville (Illinois) and has been tested in five other midwestern school systems. The approach leads the faculty of the school, with…

  6. Promoting Continuous Quality Improvement in Online Teaching: The META Model

    ERIC Educational Resources Information Center

    Dittmar, Eileen; McCracken, Holly

    2012-01-01

    Experienced e-learning faculty members share strategies for implementing a comprehensive postsecondary faculty development program essential to continuous improvement of instructional skills. The high-impact META Model (centered around Mentoring, Engagement, Technology, and Assessment) promotes information sharing and content creation, and fosters…

  7. Improved Cell Culture Method for Growing Contracting Skeletal Muscle Models

    NASA Technical Reports Server (NTRS)

    Marquette, Michele L.; Sognier, Marguerite A.

    2013-01-01

    An improved method for culturing immature muscle cells (myoblasts) into a mature skeletal muscle overcomes some of the notable limitations of prior culture methods. The development of the method is a major advance in tissue engineering in that, for the first time, a cell-based model spontaneously fuses and differentiates into masses of highly aligned, contracting myotubes. This method enables (1) the construction of improved two-dimensional (monolayer) skeletal muscle test beds; (2) development of contracting three-dimensional tissue models; and (3) improved transplantable tissues for biomedical and regenerative medicine applications. With adaptation, this method also offers potential application for production of other tissue types (i.e., bone and cardiac) from corresponding precursor cells.

  8. A Cooperative Model to Improve Hospital Equipments and Drugs Management

    NASA Astrophysics Data System (ADS)

    Baffo, Ilaria; Confessore, Giuseppe; Liotta, Giacomo; Stecca, Giuseppe

    The cost of services provided by public and private healthcare systems is nowadays becoming critical. This work tackles the criticalities of hospital equipments and drugs management by emphasizing its implications on the whole healthcare system efficiency. The work presents a multi-agent based model for decisional cooperation in order to address the problem of integration of departments, wards and personnel for improving equipments, and drugs management. The proposed model faces the challenge of (i) gaining the benefits deriving from successful collaborative models already used in industrial systems and (ii) transferring the most appropriate industrial management practices to healthcare systems.

  9. Improved Propulsion Modeling for Low-Thrust Trajectory Optimization

    NASA Technical Reports Server (NTRS)

    Knittel, Jeremy M.; Englander, Jacob A.; Ozimek, Martin T.; Atchison, Justin A.; Gould, Julian J.

    2017-01-01

    Low-thrust trajectory design is tightly coupled with spacecraft systems design. In particular, the propulsion and power characteristics of a low-thrust spacecraft are major drivers in the design of the optimal trajectory. Accurate modeling of the power and propulsion behavior is essential for meaningful low-thrust trajectory optimization. In this work, we discuss new techniques to improve the accuracy of propulsion modeling in low-thrust trajectory optimization while maintaining the smooth derivatives that are necessary for a gradient-based optimizer. The resulting model is significantly more realistic than the industry standard and performs well inside an optimizer. A variety of deep-space trajectory examples are presented.

  10. Improving the theoretical underpinnings of process-based hydrologic models

    NASA Astrophysics Data System (ADS)

    Clark, Martyn P.; Schaefli, Bettina; Schymanski, Stanislaus J.; Samaniego, Luis; Luce, Charles H.; Jackson, Bethanna M.; Freer, Jim E.; Arnold, Jeffrey R.; Moore, R. Dan; Istanbulluoglu, Erkan; Ceola, Serena

    2016-03-01

    In this Commentary, we argue that it is possible to improve the physical realism of hydrologic models by making better use of existing hydrologic theory. We address the following questions: (1) what are some key elements of current hydrologic theory; (2) how can those elements best be incorporated where they may be missing in current models; and (3) how can we evaluate competing hydrologic theories across scales and locations? We propose that hydrologic science would benefit from a model-based community synthesis effort to reframe, integrate, and evaluate different explanations of hydrologic behavior, and provide a controlled avenue to find where understanding falls short.

  11. A simulation model for improving learner and health outcomes.

    PubMed

    Aebersold, Michelle; Titler, Marita G

    2014-09-01

    Simulation has become a necessary and integral part of education for prelicensure and ongoing education of health care practitioners. To guide this process, the Simulation Model for Improving Learner and Health Outcomes (SMILHO) model provides a framework to design the experience from a science of learning approach and links it to learner and health outcomes to add to the knowledge base. Much work has been done in this area, and the SMILHO model will support the future work needed to continue to create effective simulation-based learning experiences and move research from knowledge and skill evaluation to learner and health outcomes. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. An improved switching converter model using discrete and average techniques

    NASA Technical Reports Server (NTRS)

    Shortt, D. J.; Lee, F. C.

    1982-01-01

    The nonlinear modeling and analysis of dc-dc converters has been done by averaging and discrete-sampling techniques. The averaging technique is simple, but inaccurate as the modulation frequencies approach the theoretical limit of one-half the switching frequency. The discrete technique is accurate even at high frequencies, but is very complex and cumbersome. An improved model is developed by combining the aforementioned techniques. This new model is easy to implement in circuit and state variable forms and is accurate to the theoretical limit.

  13. OPC model sampling evaluation and weakpoint "in-situ" improvement

    NASA Astrophysics Data System (ADS)

    Fu, Nan; Elshafie, Shady; Ning, Guoxiang; Roling, Stefan

    2016-10-01

    One of the major challenges of optical proximity correction (OPC) models is to maximize the coverage of real design features using sampling pattern. Normally, OPC model building is based on 1-D and 2-D test patterns with systematically changing pitches alignment with design rules. However, those features with different optical and geometric properties will generate weak-points where OPC simulation cannot precisely predict resist contours on wafer due to the nature of infinite IC designs and limited number of model test patterns. In this paper, optical property data of real design features were collected from full chips and classified to compare with the same kind of data from OPC test patterns. Therefore sample coverage could be visually mapped according to different optical properties. Design features, which are out of OPC capability, were distinguished by their optical properties and marked as weak-points. New patterns with similar optical properties would be added into model build site-list. Further, an alternative and more efficient method was created in this paper to improve the treatment of issue features and remove weak-points without rebuilding models. Since certain classification of optical properties will generate weak-points, an OPC-integrated repair algorithm was developed and implemented to scan full chip for optical properties, locate those features and then optimize OPC treatment or apply precise sizing on site. This is a named "in-situ" weak-point improvement flow which includes issue feature definition, allocation in full chip and real-time improvement.

  14. On improving the communication between models and data.

    PubMed

    Dietze, Michael C; Lebauer, David S; Kooper, Rob

    2013-09-01

    The potential for model-data synthesis is growing in importance as we enter an era of 'big data', greater connectivity and faster computation. Realizing this potential requires that the research community broaden its perspective about how and why they interact with models. Models can be viewed as scaffolds that allow data at different scales to inform each other through our understanding of underlying processes. Perceptions of relevance, accessibility and informatics are presented as the primary barriers to broader adoption of models by the community, while an inability to fully utilize the breadth of expertise and data from the community is a primary barrier to model improvement. Overall, we promote a community-based paradigm to model-data synthesis and highlight some of the tools and techniques that facilitate this approach. Scientific workflows address critical informatics issues in transparency, repeatability and automation, while intuitive, flexible web-based interfaces make running and visualizing models more accessible. Bayesian statistics provides powerful tools for assimilating a diversity of data types and for the analysis of uncertainty. Uncertainty analyses enable new measurements to target those processes most limiting our predictive ability. Moving forward, tools for information management and data assimilation need to be improved and made more accessible.

  15. Correction, improvement and model verification of CARE 3, version 3

    NASA Technical Reports Server (NTRS)

    Rose, D. M.; Manke, J. W.; Altschul, R. E.; Nelson, D. L.

    1987-01-01

    An independent verification of the CARE 3 mathematical model and computer code was conducted and reported in NASA Contractor Report 166096, Review and Verification of CARE 3 Mathematical Model and Code: Interim Report. The study uncovered some implementation errors that were corrected and are reported in this document. The corrected CARE 3 program is called version 4. Thus the document, correction. improvement, and model verification of CARE 3, version 3 was written in April 1984. It is being published now as it has been determined to contain a more accurate representation of CARE 3 than the preceding document of April 1983. This edition supercedes NASA-CR-166122 entitled, 'Correction and Improvement of CARE 3,' version 3, April 1983.

  16. Improved mathematical models of flat-plate solar collectors

    SciTech Connect

    Siegler, M.

    1986-01-01

    This thesis examines various mathematical models of flat-plate solar collectors with the intent of analyzing their strengths and weaknesses and investigating various possible improvements. The purpose is to seek the simplest models that can provide sufficient accuracy for efficient control and design of the collector and for reliable estimation of system parameters. The first part of the thesis investigates the effects of the diffusivity of the collector fluid under steady-state operating conditions. It is shown that under zero flow conditions this diffusivity must be included in the model to accurately describe the rapid changes in the temperatures between adjacent components of the system. The second part of the thesis investigates the relationship between two well-known models for the temperature within the flat-plate solar collector. The simpler of the two models determines the temperature of the collector fluid alone and assumes the collector plate is at the same temperature as the fluid. The other model was separate state equations for the fluid and the collector. Finally, through a frequency analysis of these two different models for the flat-plate collector, it is shown how the thermal effects of the two-temperature model can be imitated by the one-temperature model by adding an artificial diffusion term into the one-temperature model.

  17. Background Model Status and Improvements for the LUX Detector

    NASA Astrophysics Data System (ADS)

    Tennyson, Brian; LUX Collaboration

    2015-04-01

    The LUX dark matter search experiment is a 350 kg two-phase liquid/gas xenon time projection chamber located at the 4850 ft level of the Sanford Underground Research Facility in Lead, SD. Gamma radiation from detector components produces a significant number of the background events seen by the LUX detector. The gamma ray background model implemented in an ongoing re-analysis of the first science run builds on the model employed in the original results announcement. This revised background model was created with a greater number of simulated events and allows for the model to include a spatial distribution component in addition to an energy distribution component. This revised model is expected to provide improved sensitivity to a dark matter signal in a forthcoming re-analysis, since dark matter event distribution is not expected to vary with position.

  18. Methods improvements incorporated into the SAPHIRE ASP models

    SciTech Connect

    Sattison, M.B.; Blackman, H.S.; Novack, S.D.

    1995-04-01

    The Office for Analysis and Evaluation of Operational Data (AEOD) has sought the assistance of the Idaho National Engineering Laboratory (INEL) to make some significant enhancements to the SAPHIRE-based Accident Sequence Precursor (ASP) models recently developed by the INEL. The challenge of this project is to provide the features of a full-scale PRA within the framework of the simplified ASP models. Some of these features include: (1) uncertainty analysis addressing the standard PRA uncertainties and the uncertainties unique to the ASP models and methods, (2) incorporation and proper quantification of individual human actions and the interaction among human actions, (3) enhanced treatment of common cause failures, and (4) extension of the ASP models to more closely mimic full-scale PRAs (inclusion of more initiators, explicitly modeling support system failures, etc.). This paper provides an overview of the methods being used to make the above improvements.

  19. 'Opening up the mind': problem-solving therapy delivered by female lay health workers to improve access to evidence-based care for depression and other common mental disorders through the Friendship Bench Project in Zimbabwe.

    PubMed

    Abas, Melanie; Bowers, Tarryn; Manda, Ethel; Cooper, Sara; Machando, Debra; Verhey, Ruth; Lamech, Neha; Araya, Ricardo; Chibanda, Dixon

    2016-01-01

    There are few accounts of evidence-based interventions for depression and other common mental disorders (CMDs) in primary care in low-income countries. The Friendship Bench Project is a collaborative care mental health intervention in primary care in Harare for CMDs which began as a pilot in 2006. We employed a mixture of quantitative and qualitative approaches to investigate the project's acceptability and implementation, 4-8 years after the initial pilot study. We carried out basic descriptive analyses of routine data on attendance collected between 2010 and 2014. We also conducted five focus group discussions (FGDs) with LHWs in 2013 and 12 in-depth interviews, six with staff and six with patients, to explore experiences of the intervention, which we analysed using grounded theory. Results show that the intervention appears highly acceptable as evidenced by a consistent number of visits between 2010 and 2014 (mean 505 per year, SD 132); by the finding that the same team of female community LHWs employed as government health promoters continue to deliver assessment and problem-solving therapy, and the perceived positive benefits expressed by those interviewed. Clients described feeling 'relieved and relaxed' after therapy, and having their 'mind opened', and LHWs describing satisfaction from being agents of change. Characteristics of the LHWs (status in the community, maturity, trustworthiness), and of the intervention (use of locally validated symptom screen, perceived relevance of problem-solving therapy) and continuity of the LHW team appeared crucial. Challenges to implementation included the LHWs ongoing need for weekly supervision despite years of experience; the supervisors need for supervision for herself; training needs in managing suicidal and hostile clients; poor documentation; lack of follow-up of depressed clients; and poor access to antidepressants. This case study shows that a collaborative care intervention for CMDs is positively received by

  20. Improved Real-Time Helicopter Flight Dynamics Modelling

    NASA Astrophysics Data System (ADS)

    Haycock, Bruce Charles

    The University of Toronto Institute for Aerospace Studies has a number of previously developed real-time helicopter models for piloted simulations. An area of concern with physics-based helicopter models is that they often have an inaccurate off-axis response to cyclic control inputs compared to flight test data. To explain the cause of this problem, several theories have been put forth in the literature concerning which aspects are modelled incorrectly or not at all, including blade elasticity, rotor wake distortion and curvature, and unsteady aerodynamic effects. In this thesis these modelling improvements were implemented and their effectiveness evaluated. To include blade elasticity, a rotor model was developed using a Ritz expansion approach with constrained elastic modes. The effect of including these features on the on-axis and off-axis response of the UTIAS helicopter models was examined. The various improvements were successful in altering the off-axis response, with notable improvements in some areas, without disrupting the on-axis response. In some conditions, the magnitude of change due to flexibility was greater than differences noted due to dynamic wake distortion or unsteady aerodynamics. The best results were obtained when blade flexibility and wake distortion were used together, which is also the most physically accurate model. The impact of these changes was also evaluated from a pilot-in-the-loop perspective, quantifying the perceived changes using simulation fidelity ratings. Since this is a newly developed metric, the simulator was first evaluated using the original baseline vehicle models. Through this process, experience could be gained in the usage of the fidelity rating scale, while also examining what effect changes to the dynamics had on the overall simulator fidelity rating obtained. While an improved match to flight test data was found to lead to a higher rated fidelity, there was a limit to how high these improvements could increase

  1. A System Dynamics Model to Improve Water Resources Allocation in the Conchos River

    NASA Astrophysics Data System (ADS)

    Gastelum, J. R.; Valdes, J. B.; Stewart, S.

    2005-12-01

    The Conchos river located in Chihuahua state on a semiarid region is the most important Mexican river contributing water deliveries to USA as established by the Water treaty of 1944 signed between Mexico and USA. Historically, Mexico has delivered to UNITED STATES 550 Hm3 (445,549.5 ACF) per year of water since the treaty was established, which is 25% above the yearly water volume Mexico is required to deliver. The Conchos river has contributed with 54% of the historic Mexican water treaty deliveries to the UNITED STATES, which represents the highest percentage of the 6 Mexican rivers considered on the water treaty. However, during drought situations the basin has proven to be vulnerable, for instance, because of the severe drought of the 90's, several cities in 1992 on Chihuahua state where declared disaster areas, and from 1992 to 2001 Mexico had accumulated a water treaty deficit of 2111.6 Hm3 (1,710,586 ACF). This has conduced to economic, social, and political difficulties in both countries. Because of the cited problematic and considering the poor understanding of the relationship between water supply and demand factors on the basin, a decision support system (DSS) has been developed aimed to improve the decision making process related with the water resources allocation process. This DSS has been created using System Dynamics (SD). It is a semi-distributed model and is running on monthly time step basis. For both the short and long term, three important water resources management strategies have been evaluated: several water allocation policies from reservoirs to water users; bulk water rights transfers inside and outside Irrigation Districts; and improvement of water distribution efficiencies. The model results have provided very useful regard to gain more quantitative understanding of the different strategies being implemented. They have also indicated that the different water resources alternatives change its degree of importance according to the

  2. Freezable Radiator Model Correlation Improvements and Fluids Study

    NASA Technical Reports Server (NTRS)

    Lillibridge, Sean; Navarro, Moses

    2011-01-01

    Freezable radiators offer an attractive solution to the issue of thermal control system scalability. As thermal environments change, a freezable radiator will effectively scale the total heat rejection it is capable of as a function of the thermal environment and flow rate through the radiator. Scalable thermal control systems are a critical technology for spacecraft that will endure missions with widely varying thermal requirements. These changing requirements are a result of the space craft s surroundings and because of different thermal rejection requirements during different mission phases. However, freezing and thawing (recovering) a radiator is a process that has historically proven very difficult to predict through modeling, resulting in highly inaccurate predictions of recovery time. To attempt to improve this, tests were conducted in 2009 to determine whether the behavior of a simple stagnating radiator could be predicted or emulated in a Thermal Desktop(trademark) numerical model. A 50-50 mixture of DowFrost HD and water was used as the working fluid. Efforts to scale this model to a full scale design, as well as efforts to characterize various thermal control fluids at low temperatures are also discussed. Previous testing and modeling efforts showed that freezable radiators could be operated as intended, and be fairly, if not perfectly predicted by numerical models. This paper documents the improvements made to the numerical model, and outcomes of fluid studies that were determined necessary to go forward with further radiator testing.

  3. Improved harmonic mean estimator for phylogenetic model evidence.

    PubMed

    Arima, Serena; Tardella, Luca

    2012-04-01

    Bayesian phylogenetic methods are generating noticeable enthusiasm in the field of molecular systematics. Many phylogenetic models are often at stake, and different approaches are used to compare them within a Bayesian framework. The Bayes factor, defined as the ratio of the marginal likelihoods of two competing models, plays a key role in Bayesian model selection. We focus on an alternative estimator of the marginal likelihood whose computation is still a challenging problem. Several computational solutions have been proposed, none of which can be considered outperforming the others simultaneously in terms of simplicity of implementation, computational burden and precision of the estimates. Practitioners and researchers, often led by available software, have privileged so far the simplicity of the harmonic mean (HM) estimator. However, it is known that the resulting estimates of the Bayesian evidence in favor of one model are biased and often inaccurate, up to having an infinite variance so that the reliability of the corresponding conclusions is doubtful. We consider possible improvements of the generalized harmonic mean (GHM) idea that recycle Markov Chain Monte Carlo (MCMC) simulations from the posterior, share the computational simplicity of the original HM estimator, but, unlike it, overcome the infinite variance issue. We show reliability and comparative performance of the improved harmonic mean estimators comparing them to approximation techniques relying on improved variants of the thermodynamic integration.

  4. Improving distributed hydrologic modeling and global land cover data

    NASA Astrophysics Data System (ADS)

    Broxton, Patrick

    Distributed models of the land surface are essential for global climate models because of the importance of land-atmosphere exchanges of water, energy, momentum. They are also used for high resolution hydrologic simulation because of the need to capture non-linear responses to spatially variable inputs. Continued improvements to these models, and the data which they use, is especially important given ongoing changes in climate and land cover. In hydrologic models, important aspects are sometimes neglected due to the need to simplify the models for operational simulation. For example, operational flash flood models do not consider the role of snow and are often lumped (i.e. do not discretize a watershed into multiple units, and so do not fully consider the effect of intense, localized rainstorms). To address this deficiency, an overland flow model is coupled with a subsurface flow model to create a distributed flash flood forecasting system that can simulate flash floods that involve rain on snow. The model is intended for operational use, and there are extensive algorithms to incorporate high-resolution hydrometeorologic data, to assist in the calibration of the models, and to run the model in real time. A second study, which is designed to improve snow simulation in forested environments, demonstrates the importance of explicitly representing a near canopy environment in snow models, instead of only representing open and canopy covered areas (i.e. with % canopy fraction), as is often done. Our modeling, which uses canopy structure information from Aerial Laser Survey Mapping at 1 meter resolution, suggests that areas near trees have more net snow water input than surrounding areas because of the lack of snow interception, shading by the trees, and the effects of wind. In addition, the greatest discrepancy between our model simulations that explicitly represent forest structure and those that do not occur in areas with more canopy edges. In addition, two value

  5. Metabolic models of ruminant metabolism: recent improvements and current status.

    PubMed

    Hanigan, M D; Bateman, H G; Fadel, J G; McNamara, J P

    2006-03-01

    The NC-1009 regional research project has two broad goals of quantifying the properties of feeds and the metabolic interactions among nutrients that influence nutrient availability for milk production and that alter synthesis of milk, and using those quantitative relationships to challenge and refine computer-based nutrition systems for dairy cattle. The objective of this paper was to review progress in modeling. Significant progress has been made in model refinements over the past 10 yr as exemplified by the most recent NRC model (2001) and work on the Molly model of Baldwin and colleagues (1987). These models have different objectives but share many properties. The level of aggregation of the NRC model (2001) does not allow detailed analyses of specific metabolic reactions that affect nutritional efficiency. The Baldwin model is aggregated at the pathway level and is therefore amenable to assessment with a broad range of biological measurements. Recent improvements to that model include the addition of an ingredient based input scheme, use of in situ data to set ruminal protein degradation rates, and refinement of the representation of mammary cell numbers and activity. Although the Baldwin model appears to be appropriate structurally, several parameters are known to be inadequate. Predictions of ruminal N metabolism and total-tract starch digestions have similar accuracy as the NRC model. However, the NRC more accurately predicts total-tract fiber digestion and both models significantly overpredict total-tract lipid digestion. These errors contribute to overpredictions of weight retention when simulating full lactations with the Baldwin model and may result in performance prediction errors with the NRC model. Limitations remain in the descriptions of metabolism and metabolic regulation of the splanchnic, viscera, adipose tissue, body muscle, and mammary tissue. Integration of genetic control mechanisms can expand these efforts to assist genetic selection as well

  6. Looking beyond historical patient outcomes to improve clinical models.

    PubMed

    Chia, Chih-Chun; Rubinfeld, Ilan; Scirica, Benjamin M; McMillan, Sean; Gurm, Hitinder S; Syed, Zeeshan

    2012-04-25

    Conventional algorithms for modeling clinical events focus on characterizing the differences between patients with varying outcomes in historical data sets used for the model derivation. For many clinical conditions with low prevalence and where small data sets are available, this approach to developing models is challenging due to the limited number of positive (that is, event) examples available for model training. Here, we investigate how the approach of developing clinical models might be improved across three distinct patient populations (patients with acute coronary syndrome enrolled in the DISPERSE2-TIMI33 and MERLIN-TIMI36 trials, patients undergoing inpatient surgery in the National Surgical Quality Improvement Program registry, and patients undergoing percutaneous coronary intervention in the Blue Cross Blue Shield of Michigan Cardiovascular Consortium registry). For each of these cases, we supplement an incomplete characterization of patient outcomes in the derivation data set (uncensored view of the data) with an additional characterization of the extent to which patients differ from the statistical support of their clinical characteristics (censored view of the data). Our approach exploits the same training data within the derivation cohort in multiple ways to improve the accuracy of prediction. We position this approach within the context of traditional supervised (2-class) and unsupervised (1-class) learning methods and present a 1.5-class approach for clinical decision-making. We describe a 1.5-class support vector machine (SVM) classification algorithm that implements this approach, and report on its performance relative to logistic regression and 2-class SVM classification with cost-sensitive weighting and oversampling. The 1.5-class SVM algorithm improved prediction accuracy relative to other approaches and may have value in predicting clinical events both at the bedside and for risk-adjusted quality of care assessment.

  7. Delivering Science from Big Data

    NASA Astrophysics Data System (ADS)

    Quinn, Peter Joseph

    2015-08-01

    The SKA will be capable of producing a stream of science data products that are Exa-scale in terms of their storage and processing requirements. This Google-scale enterprise is attracting considerable international interest and excitement from within the industrial and academic communities. In this paper we examine the data flow, storage and processing requirements of a number of key SKA survey science projects to be executed on the baseline SKA1 configuration. Based on a set of conservative assumptions about trends for HPC and storage costs, and the data flow process within the SKA Observatory, it is apparent that survey projects of the scale proposed will potentially drive construction and operations costs beyond the current anticipated SKA1 budget. This implies a sharing of the resources and costs to deliver SKA science between the community and what is contained within the SKA Observatory. A similar situation was apparent to the designers of the LHC more than 10 years ago. We propose that it is time for the SKA project and broader community to consider the effort and process needed to design and implement a distributed science data system that leans on the lessons of other projects and looks to recent developments in Cloud technologies to ensure an affordable, effective and global achievement of science goals.

  8. Nanoshell-mediated photothermal therapy improves survival in a murine glioma model.

    PubMed

    Day, Emily S; Thompson, Patrick A; Zhang, Linna; Lewinski, Nastassja A; Ahmed, Nabil; Drezek, Rebekah A; Blaney, Susan M; West, Jennifer L

    2011-08-01

    We are developing a novel treatment for high-grade gliomas using near infrared-absorbing silica-gold nanoshells that are thermally activated upon exposure to a near infrared laser, thereby irreversibly damaging cancerous cells. The goal of this work was to determine the efficacy of nanoshell-mediated photothermal therapy in vivo in murine xenograft models. Tumors were induced in male IcrTac:ICR-Prkdc(SCID) mice by subcutaneous implantation of Firefly Luciferase-labeled U373 human glioma cells and biodistribution and survival studies were performed. To evaluate nanoparticle biodistribution, nanoshells were delivered intravenously to tumor-bearing mice and after 6, 24, or 48 h the tumor, liver, spleen, brain, muscle, and blood were assessed for gold content by inductively coupled plasma-mass spectrometry (ICP-MS) and histology. Nanoshell concentrations in the tumor increased for the first 24 h and stabilized thereafter. Treatment efficacy was evaluated by delivering saline or nanoshells intravenously and externally irradiating tumors with a near infrared laser 24 h post-injection. Success of treatment was assessed by monitoring tumor size, tumor luminescence, and survival time of the mice following laser irradiation. There was a significant improvement in survival for the nanoshell treatment group versus the control (P < 0.02) and 57% of the mice in the nanoshell treatment group remained tumor free at the end of the 90-day study period. By comparison, none of the mice in the control group survived beyond 24 days and mean survival was only 13.3 days. The results of these studies suggest that nanoshell-mediated photothermal therapy represents a promising novel treatment strategy for malignant glioma.

  9. An improved source model for aircraft interior noise studies

    NASA Technical Reports Server (NTRS)

    Mahan, J. R.; Fuller, C. R.

    1985-01-01

    There is concern that advanced turboprop engines currently being developed may produce excessive aircraft cabin noise level. This concern has stimulated renewed interest in developing aircraft interior noise reduction methods that do not significnatly increase take off weight. An existing analytical model for noise transmission into aircraft cabins was utilized to investigate the behavior of an improved propeller source model for use in aircraft interior noise studies. The new source model, a virtually rotating dipole, is shown to adequately match measured fuselage sound pressure distributions, including the correct phase relationships, for published data. The virtually rotating dipole is used to study the sensitivity of synchrophasing effectiveness to the fuselage sound pressure trace velocity distribution. Results of calculations are presented which reveal the importance of correctly modeling the surface pressure phase relations in synchrophasing and other aircraft interior noise studies.

  10. An improved source model for aircraft interior noise studies

    NASA Technical Reports Server (NTRS)

    Mahan, J. R.; Fuller, C. R.

    1985-01-01

    There is concern that advanced turboprop engines currently being developed may produce excessive aircraft cabin noise levels. This concern has stimulated renewed interest in developing aircraft interior noise reduction methods that do not significantly increase take off weight. An existing analytical model for noise transmission into aircraft cabins was utilized to investigate the behavior of an improved propeller source model for use in aircraft interior noise studies. The new source model, a virtually rotating dipole, is shown to adequately match measured fuselage sound pressure distributions, including the correct phase relationships, for published data. The virtually rotating dipole is used to study the sensitivity of synchrophasing effectiveness to the fuselage sound pressure trace velocity distribution. Results of calculations are presented which reveal the importance of correctly modeling the surface pressure phase relations in synchrophasing and other aircraft interior noise studies.

  11. Improved Denoising via Poisson Mixture Modeling of Image Sensor Noise.

    PubMed

    Zhang, Jiachao; Hirakawa, Keigo

    2017-04-01

    This paper describes a study aimed at comparing the real image sensor noise distribution to the models of noise often assumed in image denoising designs. A quantile analysis in pixel, wavelet transform, and variance stabilization domains reveal that the tails of Poisson, signal-dependent Gaussian, and Poisson-Gaussian models are too short to capture real sensor noise behavior. A new Poisson mixture noise model is proposed to correct the mismatch of tail behavior. Based on the fact that noise model mismatch results in image denoising that undersmoothes real sensor data, we propose a mixture of Poisson denoising method to remove the denoising artifacts without affecting image details, such as edge and textures. Experiments with real sensor data verify that denoising for real image sensor data is indeed improved by this new technique.

  12. Loss-improved electroacoustical modeling of small Helmholtz resonators.

    PubMed

    Starecki, Tomasz

    2007-10-01

    Modeling of small Helmholtz resonators based on electroacoustical analogies often results in significant disagreement with measurements, as existing models do not take into account some losses that are observed in practical implementations of such acoustical circuits, e.g., in photoacoustic Helmholtz cells. The paper presents a method which introduces loss corrections to the transmission line model, resulting in substantial improvement of simulations. Values of the loss corrections obtained from comparison of frequency responses of practically implemented resonators with computer simulations are presented in tabular and graphical form. A simple analytical function that can be used for interpolation or extrapolation of the loss corrections for other dimensions of the Helmholtz resonators is also given. Verification of such a modeling method against an open two-cavity Helmholtz structure shows very good agreement between measurements and simulations.

  13. Improved techniques for thermomechanical testing in support of deformation modeling

    NASA Technical Reports Server (NTRS)

    Castelli, Michael G.; Ellis, John R.

    1992-01-01

    The feasibility of generating precise thermomechanical deformation data to support constitutive model development was investigated. Here, the requirement is for experimental data that is free from anomalies caused by less than ideal equipment and procedures. A series of exploratory tests conducted on Hastelloy X showed that generally accepted techniques for strain controlled tests were lacking in at least three areas. Specifically, problems were encountered with specimen stability, thermal strain compensation, and temperature/mechanical strain phasing. The source of these difficulties was identified and improved thermomechanical testing techniques to correct them were developed. These goals were achieved by developing