The Scientific Return of VLT Programmes

NASA Astrophysics Data System (ADS)

Sterzik, M.; Dumas, C.; Grothkopf, U.; Kaufer, A.; Leibundgut, B.; Marteau, S.; Meakins, S.; Patat, F.; Primas, F.; Rejkuba, M.; Romaniello, M.; Stoehr, F.; Tacconi-Garman, L.; Vera, I.

2015-12-01

An in-depth analysis of the publications from 8414 distinct scheduled VLT observing programmes between April 1999 and March 2015 (Periods 63 to 94) is presented. The productivity by mode (Visitor or Service Mode) and type (Normal and Large, Guaranteed Time, Target of Opportunity, Director's Discretionary Time) are examined through their publication records. We investigate how Service Mode rank classes impact the scientific return. Several results derive from this study: Large Programmes result in the highest productivity, whereas only about half of all scheduled observing programmes produce a refereed publication. Programmes that result in a publication yield on average two refereed papers. B rank class Service Mode Programmes appear to be slightly less productive. Follow-up studies will investigate in more detail the parameters that influence the productivity of the Observatory.

Access to and utilisation of GP services among Burmese migrants in London: a cross-sectional descriptive study.

PubMed

Aung, Nyein Chan; Rechel, Bernd; Odermatt, Peter

2010-10-12

An estimated 10,000 Burmese migrants are currently living in London. No studies have been conducted on their access to health services. Furthermore, most studies on migrants in the United Kingdom (UK) have been conducted at the point of service provision, carrying the risk of selection bias. Our cross-sectional study explored access to and utilisation of General Practice (GP) services by Burmese migrants residing in London. We used a mixed-method approach: a quantitative survey using self-administered questionnaires was complemented by qualitative in-depth interviews for developing the questionnaire and triangulating the findings of the survey. Overall, 137 questionnaires were received (a response rate of 57%) and 11 in-depth interviews conducted. The main outcome variables of the study included GP registration, barriers towards registration, GP consultations, barriers towards consultations, and knowledge on entitlements to health care. Quantitative data were analysed using descriptive statistics, association tests, and a multivariate analysis using logistic regression. The qualitative information was analysed using content analysis. The respondents were young, of roughly equal gender (51.5% female), well educated, and had a fair level of knowledge on health services in the UK. Although the GP registration rate was relatively high (80%, 109 out of 136), GP service utilisation during the last episode of illness, at 56.8% (54 out of 95), was low. The statistical analysis showed that age being younger than 35 years, lacking prior overseas experience, having an unstable immigration status, having a shorter duration of stay, and resorting to self-medication were the main barriers hindering Burmese migrants from accessing primary health care services. These findings were corroborated by the in-depth interviews. Our study found that having formal access to primary health care was not sufficient to ensure GP registration and health care utilisation. Some respondents faced difficulties in registering with GP practices. Many of those who have registered prefer to forego GP services in favour of self-medication, partly due to long waiting times and language barriers. To ensure that migrants enjoy the health services they need and to which they are entitled, more proactive steps are required, including those that make health services culturally responsive.

Second Graders Connect to Their Community with a WebQuest

ERIC Educational Resources Information Center

Henning, Mary Beth; Bell, Danielle

2011-01-01

Community workers and community services are a typical part of the second grade curriculum in many American schools. However, the content provided in textbooks often lacks depth and the personal connection that students need to make their learning meaningful. How many times have seven year olds already learned about fire fighters and mail…

Is the short form 36 (SF-36) suitable for routine health outcomes assessment in health care for older people? Evidence from preliminary work in community based health services in England.

PubMed Central

Hill, S; Harries, U; Popay, J

1996-01-01

STUDY OBJECTIVE: To examine the short form 36 (SF-36) health status measure when used to assess older people's views of the outcome of community based health care. DESIGN: Completion of a structured questionnaire, before and after intervention alongside in-depth interviews with a subsample of the interviewees. SETTING: Community based continence and mental health services in two health authorities in the North West Health Region. PATIENTS: Forty seven older people newly referred to mental health services or continence services between December 1992 and April 1993 participated. MAIN RESULTS: The SF-36 showed minimal change over time for both patient groups. The more detailed in-depth interviews showed that people experienced positive changes and derived value from contact with services in a number of important ways. For many reasons these benefits were not reflected in their SF-36 scores. CONCLUSIONS: The SF-36 is not likely to be the "measure of choice" for this type of evaluation, particularly where it involves older patient groups who have high levels of comorbidity. The content of the SF-36 and its lack of detail for individual assessment of change means it masks rather than illuminates patients' views of outcome. PMID:8762362

Factors influencing the provision of public health services by village doctors in Hubei and Jiangxi provinces, China

PubMed Central

Ding, Yan; Smith, Helen J; Fei, Yang; Xu, Biao; Nie, Shaofa; Yan, Weirong; Diwan, Vinod K; Sauerborn, Rainer

2013-01-01

Abstract Problem The Chinese central government launched the Health System Reform Plan in 2009 to strengthen disease control and health promotion and provide a package of basic public health services. Village doctors receive a modest subsidy for providing public health services associated with the package. Their beliefs about this subsidy and providing public health services could influence the quality and effectiveness of preventive health services and disease surveillance. Approach To understand village doctors’ perspectives on the subsidy and their experiences of delivering public health services, we performed 10 focus group discussions with village doctors, 12 in-depth interviews with directors of township health centres and 4 in-depth interviews with directors of county-level Centers for Disease Control and Prevention. Local setting The study was conducted in four counties in central China, two in Hubei province and two in Jiangxi province. Relevant changes Village doctors prioritize medical services but they do their best to manage their time to include public health services. The willingness of township health centre directors and village doctors to provide public health services has improved since the introduction of the package and a minimum subsidy, but village doctors do not find the subsidy to be sufficient remuneration for their efforts. Lessons learnt Improving the delivery of public health services by village doctors is likely to require an increase in the subsidy, improvement in the supervisory relationship between village clinics and township health centres and the creation of a government pension for village doctors. PMID:23397352

The GEON Integrated Data Viewer (IDV) and IRIS DMC Services Illustrate CyberInfrastructure Support for Seismic Data Visualization and Interpretation

NASA Astrophysics Data System (ADS)

Meertens, C.; Wier, S.; Ahern, T.; Casey, R.; Weertman, B.; Laughbon, C.

2008-12-01

UNAVCO and the IRIS DMC are data service partners for seismic visualization, particularly for hypocentral data and tomography. UNAVCO provides the GEON Integrated Data Viewer (IDV), an extension of the Unidata IDV, a free, interactive, research-level, software display and analysis tool for data in 3D (latitude, longitude, depth) and 4D (with time), located on or inside the Earth. The GEON IDV is designed to meet the challenge of investigating complex, multi-variate, time-varying, three- dimensional geoscience data in the context of new remote and shared data sources. The GEON IDV supports data access from data sources using HTTP and FTP servers, OPeNDAP servers, THREDDS catalogs, RSS feeds, and WMS (web map) servers. The IRIS DMC (Data Management System) has developed web services providing data for earthquake hypocentral data and seismic tomography model grids. These services can be called by the GEON IDV to access data at IRIS without copying files. The IRIS Earthquake Browser (IEB) is a web-based query tool for hypocentral data. The IEB combines the DMC's large database of more than 1,900,000 earthquakes with the Google Maps web interface. With the IEB you can quickly find earthquakes in any region of the globe and then import this information into the GEON Integrated Data Viewer where the hypocenters may be visualized. You can select earthquakes by location region, time, depth, and magnitude. The IEB gives the IDV a URL to the selected data. The IDV then shows the data as maps or 3D displays, with interactive control of vertical scale, area, map projection, with symbol size and color control by magnitude or depth. The IDV can show progressive time animation of, for example, aftershocks filling a source region. The IRIS Tomoserver converts seismic tomography model output grids to NetCDF for use in the IDV. The Tomoserver accepts a tomographic model file as input from a user and provides an equivalent NetCDF file as output. The service supports NA04, S3D, A1D and CUB input file formats, contributed by their respective creators. The NetCDF file is saved to a location that can be referenced with a URL on an IRIS server. The URL for the NetCDF file is provided to the user. The user can download the data from IRIS, or copy the URL into IDV directly for interpretation, and the IDV will access the data at IRIS. The Tomoserver conversion software was developed by Instrumental Software Technologies, Inc. Use cases with the GEON IDV and IRIS DMC data services will be shown.

Forecasted Flood Depth Grids Providing Early Situational Awareness to FEMA during the 2017 Atlantic Hurricane Season

NASA Astrophysics Data System (ADS)

Jones, M.; Longenecker, H. E., III

2017-12-01

The 2017 hurricane season brought the unprecedented landfall of three Category 4 hurricanes (Harvey, Irma and Maria). FEMA is responsible for coordinating the federal response and recovery efforts for large disasters such as these. FEMA depends on timely and accurate depth grids to estimate hazard exposure, model damage assessments, plan flight paths for imagery acquisition, and prioritize response efforts. In order to produce riverine or coastal depth grids based on observed flooding, the methodology requires peak crest water levels at stream gauges, tide gauges, high water marks, and best-available elevation data. Because peak crest data isn't available until the apex of a flooding event and high water marks may take up to several weeks for field teams to collect for a large-scale flooding event, final observed depth grids are not available to FEMA until several days after a flood has begun to subside. Within the last decade NOAA's National Weather Service (NWS) has implemented the Advanced Hydrologic Prediction Service (AHPS), a web-based suite of accurate forecast products that provide hydrograph forecasts at over 3,500 stream gauge locations across the United States. These forecasts have been newly implemented into an automated depth grid script tool, using predicted instead of observed water levels, allowing FEMA access to flood hazard information up to 3 days prior to a flooding event. Water depths are calculated from the AHPS predicted flood stages and are interpolated at 100m spacing along NHD hydrolines within the basin of interest. A water surface elevation raster is generated from these water depths using an Inverse Distance Weighted interpolation. Then, elevation (USGS NED 30m) is subtracted from the water surface elevation raster so that the remaining values represent the depth of predicted flooding above the ground surface. This automated process requires minimal user input and produced forecasted depth grids that were comparable to post-event observed depth grids and remote sensing-derived flood extents for the 2017 hurricane season. These newly available forecasted models were used for pre-event response planning and early estimated hazard exposure counts, allowing FEMA to plan for and stand up operations several days sooner than previously possible.

Changes in High School Chemistry Teacher Beliefs and Practice after a Professional Development Program

ERIC Educational Resources Information Center

Spraker, Ralph Everett, Jr.

2010-01-01

This study proposed that when professional development modeled the inquiry-approach and provided time for peer-observed enactment and reflection, it would produce change in in-service chemistry teachers' beliefs and practices. Case study methodology was used to collect a variety of in-depth data on teachers' beliefs and practice including…

Economic valuation of flood mitigation services: A case study from the Otter Creek, VT.

NASA Astrophysics Data System (ADS)

Galford, G. L.; Ricketts, T.; Bryan, K. L.; ONeil-Dunne, J.; Polasky, S.

2014-12-01

The ecosystem services provided by wetlands are widely recognized but difficult to quantify. In particular, estimating the effect of landcover and land use on downstream flood outcomes remains challenging, but is increasingly important in light of climate change predictions of increased precipitation in many areas. Economic valuation can help incorporate ecosystem services into decisions and enable communities to plan for climate and flood resiliency. Here we estimate the economic value of Otter Creek wetlands for Middlebury, VT in mitigating the flood that followed Tropical Storm Irene, as well as for ten historic floods. Observationally, hydrographs above and below the wetlands in the case of each storm indicated the wetlands functioned as a temporary reservoir, slowing the delivery of water to Middlebury. We compare observed floods, based on Middlebury's hydrograph, with simulated floods for scenarios without wetlands. To simulate these "without wetlands" scenarios, we assume the same volume of water was delivered to Middlebury, but in a shorter time pulse similar to a hydrograph upstream of the wetlands. For scenarios with and without wetlands, we map the spatial extent of flooding using LiDAR digital elevation data. We then estimate flood depth at each affected building, and calculate monetary losses as a function of the flood depth and house value using established depth damage relationships. For example, we expect damages equal to 20% of the houses value for a flood depth of two feet in a two-story home with a basement. We define the value of flood mitigation services as the difference in damages between the with and without wetlands scenario, and find that the Otter Creek wetlands reduced flood damage in Middlebury by 88% following Hurricane Irene. Using the 10 additional historic floods, we estimate an ongoing mean value of $400,000 in avoided damages per year. Economic impacts of this magnitude stress the importance of wetland conservation and warrant the consideration of ecosystem services in land use decisions. Our study indicates that here and elsewhere, green infrastructure may have to potential to increase the resilience of communities to projected changes in climate.

Daily Snow Depth Measurements from 195 Stations in the United States (1997) (NDP-059)

DOE Data Explorer

Easterling, D. R. [NOAA, National Climatic Data Center; Jamason, P. [NOAA, National Climatic Data Center; Bowman, D. P. [NOAA, National Climatic Data Center; Hughes, P. Y. [NOAA, National Climatic Data Center; Mason, E. H. [NOAA, National Climatic Data Center; Allison, L. J. [ORNL, Carbon Dioxide Information Analysis Center (CDIAC)

1997-02-01

This data package provides daily measurements of snow depth at 195 National Weather Service (NWS) first-order climatological stations in the United States. The data have been assembled and made available by the National Climatic Data Center (NCDC) in Asheville, North Carolina. The 195 stations encompass 388 unique sampling locations in 48 of the 50 states; no observations from Delaware or Hawaii are included in the database. Station selection criteria emphasized the quality and length of station records while seeking to provide a network with good geographic coverage. Snow depth at the 388 locations was measured once per day on ground open to the sky. The daily snow depth is the total depth of the snow on the ground at measurement time. The time period covered by the database is 1893-1992; however, not all station records encompass the complete period. While a station record ideally should contain daily data for at least the seven winter months (January through April and October through December), not all stations have complete records. Each logical record in the snow depth database contains one station's daily data values for a period of one month, including data source, measurement, and quality flags. The snow depth data have undergone extensive manual and automated quality assurance checks by NCDC and the Carbon Dioxide Information Analysis Center (CDIAC). These reviews involved examining the data for completeness, reasonableness, and accuracy, and included comparison of some data records with records in NCDC's Summary of the Day First Order online database. Since the snow depth measurements have been taken at NWS first-order stations that have long periods of record, they should prove useful in monitoring climate change.

Potentiality of a fruit peel (banana peel) toward abatement of fluoride from synthetic and underground water samples collected from fluoride affected villages of Birbhum district

NASA Astrophysics Data System (ADS)

Mondal, Naba Kumar; Roy, Arunabha

2018-06-01

Contamination of underground water with fluoride (F) is a tremendous health hazard. Excessive F (> 1.5 mg/L) in drinking water can cause both dental and skeletal fluorosis. A fixed-bed column experiments were carried out with the operating variables such as different initial F concentrations, bed depths, pH and flow rates. Results revealed that the breakthrough time and exhaustion time decrease with increasing flow rate, decreasing bed depth and increasing influent fluoride concentration. The optimized conditions are: 10 mg/L initial fluoride concentration; flow rate 3.4 mL/min, bed depth 3.5 and pH 5. The bed depth service time model and the Thomas model were applied to the experimental results. Both the models were in good agreement with the experimental data for all the process parameters studied except flow rate, indicating that the models were appropriate for removal of F by natural banana peel dust in fix-bed design. Moreover, column adsorption was reversible and the regeneration was accomplished by pumping of 0.1 M NaOH through the loaded banana peel dust column. On the other hand, field water sample analysis data revealed that 86.5% fluoride can be removed under such optimized conditions. From the experimental results, it may be inferred that natural banana peel dust is an effective adsorbent for defluoridation of water.

The National Library of Medicine's Services: Initial Observations on Indexing, Interlibrary Loan, and Reference *

PubMed Central

Langner, Mildred Crowe

1967-01-01

How have the three services—indexing, reference (including history of medicine), and interlibrary loan—been provided throughout the years by NLM, and how have they been used? At the present time of great growth and development, the use of the computer has influenced these services and will continue to figure prominently in plans for the future. NLM's services often have not been well or correctly used by its public, even by librarians. Some of its services, however, need to be provided in more depth and on a higher scale, and they should be publicized more widely. History shows that NLM has been faithful to its basic charge and has gone far beyond it in its service to the medical, educational, and library communities. Medical librarians are most fortunate that such a great national resource exists to provide materials and services to fulfill the needs of their libraries. PMID:6016365

Summary of dimensionless Texas hyetographs and distribution of storm depth developed for Texas Department of Transportation research project 0–4194

USGS Publications Warehouse

Asquith, William H.; Roussel, Meghan C.; Thompson, David B.; Cleveland, Theodore G.; Fang, Xing

2005-01-01

Hyetographs and storm depth distributions are important elements of hydraulic design by Texas Department of Transportation engineers. Design hyetographs are used in conjunction with unit hydrographs to obtain peak discharge and hydrograph shape for hydraulic design. Storm-depth distributions can be used to assess the probability of a total rainfall depth for a storm. A research project from 2000–2004 has been conducted to (1) determine if existing Natural Resources Conservation Service (NRCS) dimensionless hyetographs are representative of storms in Texas, (2) provide new procedures for dimensionless hyetograph estimation if the NRCS hyetographs are not representative, and (3) provide a procedure to estimate the distribution of storm depth for Texas. This report summarizes the research activities and results of the research project. The report documents several functional models of dimensionless hyetographs and provides curves and tabulated ordinates of empirical (nonfunctional) dimensionless hyetographs for a database of runoff-producing storms in Texas. The dimensionless hyetographs are compared to the NRCS dimensionless hyetographs. The distribution of storm depth is documented for seven values of minimum interevent time through dimensionless frequency curves and tables of mean storm depth for each county in Texas. Conclusions regarding application of the research results are included in the report.

Navigation Architecture For A Space Mobile Network

NASA Technical Reports Server (NTRS)

Valdez, Jennifer E.; Ashman, Benjamin; Gramling, Cheryl; Heckler, Gregory W.; Carpenter, Russell

2016-01-01

The Tracking and Data Relay Satellite System (TDRSS) Augmentation Service for Satellites (TASS) is a proposed beacon service to provide a global, space-based GPS augmentation service based on the NASA Global Differential GPS (GDGPS) System. The TASS signal will be tied to the GPS time system and usable as an additional ranging and Doppler radiometric source. Additionally, it will provide data vital to autonomous navigation in the near Earth regime, including space weather information, TDRS ephemerides, Earth Orientation Parameters (EOP), and forward commanding capability. TASS benefits include enhancing situational awareness, enabling increased autonomy, and providing near real-time command access for user platforms. As NASA Headquarters Space Communication and Navigation Office (SCaN) begins to move away from a centralized network architecture and towards a Space Mobile Network (SMN) that allows for user initiated services, autonomous navigation will be a key part of such a system. This paper explores how a TASS beacon service enables the Space Mobile Networking paradigm, what a typical user platform would require, and provides an in-depth analysis of several navigation scenarios and operations concepts.

AASG Wells Data for the EGS Test Site Planning and Analysis Task

DOE Data Explorer

Augustine, Chad

2013-10-09

AASG Wells Data for the EGS Test Site Planning and Analysis Task Temperature measurement data obtained from boreholes for the Association of American State Geologists (AASG) geothermal data project. Typically bottomhole temperatures are recorded from log headers, and this information is provided through a borehole temperature observation service for each state. Service includes header records, well logs, temperature measurements, and other information for each borehole. Information presented in Geothermal Prospector was derived from data aggregated from the borehole temperature observations for all states. For each observation, the given well location was recorded and the best available well identified (name), temperature and depth were chosen. The “Well Name Source,” “Temp. Type” and “Depth Type” attributes indicate the field used from the original service. This data was then cleaned and converted to consistent units. The accuracy of the observation’s location, name, temperature or depth was note assessed beyond that originally provided by the service. - AASG bottom hole temperature datasets were downloaded from repository.usgin.org between the dates of May 16th and May 24th, 2013. - Datasets were cleaned to remove “null” and non-real entries, and data converted into consistent units across all datasets - Methodology for selecting ”best” temperature and depth attributes from column headers in AASG BHT Data sets: • Temperature: • CorrectedTemperature – best • MeasuredTemperature – next best • Depth: • DepthOfMeasurement – best • TrueVerticalDepth – next best • DrillerTotalDepth – last option • Well Name/Identifier • APINo – best • WellName – next best • ObservationURI - last option. The column headers are as follows: • gid = internal unique ID • src_state = the state from which the well was downloaded (note: the low temperature wells in Idaho are coded as “ID_LowTemp”, while all other wells are simply the two character state abbreviation) • source_url = the url for the source WFS service or Excel file • temp_c = “best” temperature in Celsius • temp_type = indicates whether temp_c comes from the corrected or measured temperature header column in the source document • depth_m = “best” depth in meters • depth_type = indicates whether depth_m comes from the measured, true vertical, or driller total depth header column in the source document • well_name = “best” well name or ID • name_src = indicates whether well_name came from apino, wellname, or observationuri header column in the source document • lat_wgs84 = latitude in wgs84 • lon_wgs84 = longitude in wgs84 • state = state in which the point is located • county = county in which the point is located

A passive microwave snow depth algorithm with a proxy for snow metamorphism

USGS Publications Warehouse

Josberger, E.G.; Mognard, N.M.

2002-01-01

Passive microwave brightness temperatures of snowpacks depend not only on the snow depth, but also on the internal snowpack properties, particularly the grain size, which changes through the winter. Algorithms that assume a constant grain size can yield erroneous estimates of snow depth or water equivalent. For snowpacks that are subject to temperatures well below freezing, the bulk temperature gradient through the snowpack controls the metamorphosis of the snow grains. This study used National Weather Service (NWS) station measurements of snow depth and air temperature from the Northern US Great Plains to determine temporal and spatial variability of the snow depth and bulk snowpack temperature gradient. This region is well suited for this study because it consists primarily of open farmland or prairie, has little relief, is subject to very cold temperatures, and has more than 280 reporting stations. A geostatistical technique called Kriging was used to grid the randomly spaced snow depth measurements. The resulting snow depth maps were then compared with the passive microwave observations from the Special Sensor Microwave Imager (SSM/I). Two snow seasons were examined: 1988-89, a typical snow year, and 1996-97, a record year for snow that was responsible for extensive flooding in the Red River Basin. Inspection of the time series of snow depth and microwave spectral gradient (the difference between the 19 and 37 GHz bands) showed that while the snowpack was constant, the spectral gradient continued to increase. However, there was a strong correlation (0.6 < R2 < 0.9) between the spectral gradient and the cumulative bulk temperature gradient through the snowpack (TGI). Hence, TGI is an index of grain size metamorphism that has occurred within the snowpack. TGI time series from 21 representative sites across the region and the corresponding SSM/I observations were used to develop an algorithm for snow depth that requires daily air temperatures. Copyright ?? 2002 John Wiley & Sons, Ltd.

High-uniformity centimeter-wide Si etching method for MEMS devices with large opening elements

NASA Astrophysics Data System (ADS)

Okamoto, Yuki; Tohyama, Yukiya; Inagaki, Shunsuke; Takiguchi, Mikio; Ono, Tomoki; Lebrasseur, Eric; Mita, Yoshio

2018-04-01

We propose a compensated mesh pattern filling method to achieve highly uniform wafer depth etching (over hundreds of microns) with a large-area opening (over centimeter). The mesh opening diameter is gradually changed between the center and the edge of a large etching area. Using such a design, the etching depth distribution depending on sidewall distance (known as the local loading effect) inversely compensates for the over-centimeter-scale etching depth distribution, known as the global or within-die(chip)-scale loading effect. Only a single DRIE with test structure patterns provides a micro-electromechanical systems (MEMS) designer with the etched depth dependence on the mesh opening size as well as on the distance from the chip edge, and the designer only has to set the opening size so as to obtain a uniform etching depth over the entire chip. This method is useful when process optimization cannot be performed, such as in the cases of using standard conditions for a foundry service and of short turn-around-time prototyping. To demonstrate, a large MEMS mirror that needed over 1 cm2 of backside etching was successfully fabricated using as-is-provided DRIE conditions.

Web-based visualization of gridded dataset usings OceanBrowser

NASA Astrophysics Data System (ADS)

Barth, Alexander; Watelet, Sylvain; Troupin, Charles; Beckers, Jean-Marie

2015-04-01

OceanBrowser is a web-based visualization tool for gridded oceanographic data sets. Those data sets are typically four-dimensional (longitude, latitude, depth and time). OceanBrowser allows one to visualize horizontal sections at a given depth and time to examine the horizontal distribution of a given variable. It also offers the possibility to display the results on an arbitrary vertical section. To study the evolution of the variable in time, the horizontal and vertical sections can also be animated. Vertical section can be generated by using a fixed distance from coast or fixed ocean depth. The user can customize the plot by changing the color-map, the range of the color-bar, the type of the plot (linearly interpolated color, simple contours, filled contours) and download the current view as a simple image or as Keyhole Markup Language (KML) file for visualization in applications such as Google Earth. The data products can also be accessed as NetCDF files and through OPeNDAP. Third-party layers from a web map service can also be integrated. OceanBrowser is used in the frame of the SeaDataNet project (http://gher-diva.phys.ulg.ac.be/web-vis/) and EMODNET Chemistry (http://oceanbrowser.net/emodnet/) to distribute gridded data sets interpolated from in situ observation using DIVA (Data-Interpolating Variational Analysis).

The role of palaeoecological records in assessing ecosystem services

NASA Astrophysics Data System (ADS)

Jeffers, Elizabeth S.; Nogué, Sandra; Willis, Katherine J.

2015-03-01

Biological conservation and environmental management are increasingly focussing on the preservation and restoration of ecosystem services (i.e. the benefits that humans receive from the natural functioning of healthy ecosystems). Over the past decade there has been a rapid increase in the number of palaeoecological studies that have contributed to conservation of biodiversity and management of ecosystem processes; however, there are relatively few instances in which attempts have been made to estimate the continuity of ecosystem goods and services over time. How resistant is an ecosystem service to environmental perturbations? And, if damaged, how long it does it take an ecosystem service to recover? Both questions are highly relevant to conservation and management of landscapes that are important for ecosystem service provision and require an in-depth understanding of the way ecosystems function in space and time. An understanding of time is particularly relevant for those ecosystem services - be they supporting, provisioning, regulating or cultural services that involve processes that vary over a decadal (or longer) timeframe. Most trees, for example, have generation times >50 years. Understanding the response of forested ecosystems to environmental perturbations and therefore the continuity of the ecosystem services they provide for human well-being - be it for example, carbon draw-down (regulating service) or timber (provisioning service) - requires datasets that reflect the typical replacement rates in these systems and the lifecycle of processes that alter their trajectories of change. Therefore, data are required that span decadal to millennial time-scales. Very rarely, however, is this information available from neo-ecological datasets and in many ecosystem service assessments, this lack of a temporal record is acknowledged as a significant information gap. This review aims to address this knowledge gap by examining the type and nature of palaeoecological datasets that might be critical to assessing the persistence of ecosystem services across a variety of time scales. Specifically we examine the types of palaeoecological records that can inform on the dynamics of ecosystem processes and services over time - and their response to complex environmental changes. We focus on three key areas: a) exploring the suitability of palaeoecological records for examining variability in space and time of ecosystem processes; b) using palaeoecological data to determine the resilience and persistence of ecosystem services and goods over time in response to drivers of change; and c) how best to translate raw palaeoecological data into the relevant currencies required for ecosystem service assessments.

Thermal stability analysis under embankment with asphalt pavement and cement pavement in permafrost regions.

PubMed

Junwei, Zhang; Jinping, Li; Xiaojuan, Quan

2013-01-01

The permafrost degradation is the fundamental cause generating embankment diseases and pavement diseases in permafrost region while the permafrost degradation is related with temperature. Based on the field monitoring results of ground temperature along G214 Highway in high temperature permafrost regions, both the ground temperatures in superficial layer and the annual average temperatures under the embankment were discussed, respectively, for concrete pavements and asphalt pavements. The maximum depth of temperature field under the embankment for concrete pavements and asphalt pavements was also studied by using the finite element method. The results of numerical analysis indicate that there were remarkable seasonal differences of the ground temperatures in superficial layer between asphalt pavement and concrete pavement. The maximum influencing depth of temperature field under the permafrost embankment for every pavement was under the depth of 8 m. The thawed cores under both embankments have close relation with the maximum thawed depth, the embankment height, and the service time. The effective measurements will be proposed to keep the thermal stabilities of highway embankment by the results.

Thermal Stability Analysis under Embankment with Asphalt Pavement and Cement Pavement in Permafrost Regions

PubMed Central

Jinping, Li; Xiaojuan, Quan

2013-01-01

The permafrost degradation is the fundamental cause generating embankment diseases and pavement diseases in permafrost region while the permafrost degradation is related with temperature. Based on the field monitoring results of ground temperature along G214 Highway in high temperature permafrost regions, both the ground temperatures in superficial layer and the annual average temperatures under the embankment were discussed, respectively, for concrete pavements and asphalt pavements. The maximum depth of temperature field under the embankment for concrete pavements and asphalt pavements was also studied by using the finite element method. The results of numerical analysis indicate that there were remarkable seasonal differences of the ground temperatures in superficial layer between asphalt pavement and concrete pavement. The maximum influencing depth of temperature field under the permafrost embankment for every pavement was under the depth of 8 m. The thawed cores under both embankments have close relation with the maximum thawed depth, the embankment height, and the service time. The effective measurements will be proposed to keep the thermal stabilities of highway embankment by the results. PMID:24027444

21 CFR 882.1330 - Depth electrode.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Depth electrode. 882.1330 Section 882.1330 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES NEUROLOGICAL DEVICES Neurological Diagnostic Devices § 882.1330 Depth electrode. (a...

21 CFR 882.1330 - Depth electrode.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Depth electrode. 882.1330 Section 882.1330 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES NEUROLOGICAL DEVICES Neurological Diagnostic Devices § 882.1330 Depth electrode. (a...

An exploration of moral hazard behaviors under the national health insurance scheme in Northern Ghana: a qualitative study.

PubMed

Debpuur, Cornelius; Dalaba, Maxwell Ayindenaba; Chatio, Samuel; Adjuik, Martin; Akweongo, Patricia

2015-10-15

The government of Ghana introduced the National Health Insurance Scheme (NHIS) in 2003 through an Act of Parliament (Act 650) as a strategy to improve financial access to quality basic health care services. Although attendance at health facilities has increased since the introduction of the NHIS, there have been media reports of widespread abuse of the NHIS by scheme operators, service providers and insured persons. The aim of the study was to document behaviors and practices of service providers and clients of the NHIS in the Kassena-Nankana District (KND) of Ghana that constitute moral hazards (abuse of the scheme) and identify strategies to minimize such behaviors. Qualitative methods through 14 Focused Group Discussions (FGDs) and 5 individual in-depth interviews were conducted between December 2009 and January 2010. Thematic analysis was performed with the aid of QSR NVivo 8 software. Analysis of FGDs and in-depth interviews showed that community members, health providers and NHIS officers are aware of various behaviors and practices that constitute abuse of the scheme. Behaviors such as frequent and 'frivolous' visits to health facilities, impersonation, feigning sickness to collect drugs for non-insured persons, over charging for services provided to clients, charging clients for services not provided and over prescription were identified. Suggestions on how to minimize abuse of the NHIS offered by respondents included: reduction of premiums and registration fees, premium payments by installment, improvement in the picture quality of the membership cards, critical examination and verification of membership cards at health facilities, some ceiling on the number of times one can seek health care within a specified time period, and general education to change behaviors that abuse the scheme. Attention should be focused on addressing the identified moral hazard behaviors and pursue cost containment strategies to ensure the smooth operation of the scheme and enhance its sustainability.

A Context-Aware S-Health Service System for Drivers.

PubMed

Chang, Jingkun; Yao, Wenbin; Li, Xiaoyong

2017-03-17

As a stressful and sensitive task, driving can be disturbed by various factors from the health condition of the driver to the environmental variables of the vehicle. Continuous monitoring of driving hazards and providing the most appropriate business services to meet actual needs can guarantee safe driving and make great use of the existing information resources and business services. However, there is no in-depth research on the perception of a driver's health status or the provision of customized business services in case of various hazardous situations. In order to constantly monitor the health status of the drivers and react to abnormal situations, this paper proposes a context-aware service system providing a configurable architecture for the design and implementation of the smart health service system for safe driving, which can perceive a driver's health status and provide helpful services to the driver. With the context-aware technology to construct a smart health services system for safe driving, this is the first time that such a service system has been implemented in practice. Additionally, an assessment model is proposed to mitigate the impact of the acceptable abnormal status and, thus, reduce the unnecessary invocation of the services. With regard to different assessed situations, the business services can be invoked for the driver to adapt to hazardous situations according to the services configuration model, which can take full advantage of the existing information resources and business services. The evaluation results indicate that the alteration of the observed status in a valid time range T can be tolerated and the frequency of the service invocation can be reduced.

A Context-Aware S-Health Service System for Drivers

PubMed Central

Chang, Jingkun; Yao, Wenbin; Li, Xiaoyong

2017-01-01

As a stressful and sensitive task, driving can be disturbed by various factors from the health condition of the driver to the environmental variables of the vehicle. Continuous monitoring of driving hazards and providing the most appropriate business services to meet actual needs can guarantee safe driving and make great use of the existing information resources and business services. However, there is no in-depth research on the perception of a driver’s health status or the provision of customized business services in case of various hazardous situations. In order to constantly monitor the health status of the drivers and react to abnormal situations, this paper proposes a context-aware service system providing a configurable architecture for the design and implementation of the smart health service system for safe driving, which can perceive a driver’s health status and provide helpful services to the driver. With the context-aware technology to construct a smart health services system for safe driving, this is the first time that such a service system has been implemented in practice. Additionally, an assessment model is proposed to mitigate the impact of the acceptable abnormal status and, thus, reduce the unnecessary invocation of the services. With regard to different assessed situations, the business services can be invoked for the driver to adapt to hazardous situations according to the services configuration model, which can take full advantage of the existing information resources and business services. The evaluation results indicate that the alteration of the observed status in a valid time range T can be tolerated and the frequency of the service invocation can be reduced. PMID:28304330

Efficiently Serving HDF5 Products via OPeNDAP

NASA Technical Reports Server (NTRS)

Yang, Kent

2017-01-01

Hyrax OPeNDAP services are widely used by the Earth Science data centers in NASA, NOAA and other organizations to serve end users. In this talk, we will present some key features added in the HDF5 Hyrax OPeNDAP handler that can help data centers to better serve the HDF5netCDF-4 data products. Among these new features, we will focus on the following:1.The DAP4 support 2.The memory cache and the disk cache support that can reduce the service access time 3.The enhancement that makes the swath-like HDF5 products visualized by CF-client tools. We will also discuss the role of the HDF5 handler in-depth in the recent study of the Hyrax service in the cloud environment.

Evaluation of flood hazard maps in print and web mapping services as information tools in flood risk communication

NASA Astrophysics Data System (ADS)

Hagemeier-Klose, M.; Wagner, K.

2009-04-01

Flood risk communication with the general public and the population at risk is getting increasingly important for flood risk management, especially as a precautionary measure. This is also underlined by the EU Flood Directive. The flood related authorities therefore have to develop adjusted information tools which meet the demands of different user groups. This article presents the formative evaluation of flood hazard maps and web mapping services according to the specific requirements and needs of the general public using the dynamic-transactional approach as a theoretical framework. The evaluation was done by a mixture of different methods; an analysis of existing tools, a creative workshop with experts and laymen and an online survey. The currently existing flood hazard maps or web mapping services or web GIS still lack a good balance between simplicity and complexity with adequate readability and usability for the public. Well designed and associative maps (e.g. using blue colours for water depths) which can be compared with past local flood events and which can create empathy in viewers, can help to raise awareness, to heighten the activity and knowledge level or can lead to further information seeking. Concerning web mapping services, a linkage between general flood information like flood extents of different scenarios and corresponding water depths and real time information like gauge levels is an important demand by users. Gauge levels of these scenarios are easier to understand than the scientifically correct return periods or annualities. The recently developed Bavarian web mapping service tries to integrate these requirements.

Characterising an aluminium oxide dosimetry system.

PubMed

Conheady, Clement F; Gagliardi, Frank M; Ackerly, Trevor

2015-09-01

In vivo dosimetry is recommended as a defence-in-depth strategy in radiotherapy treatments and is currently employed by clinics around the world. The characteristics of a new optically stimulated luminescence dosimetry system were investigated for the purpose of replacing an aging thermoluminescence dosimetry system for in vivo dosimetry. The stability of the system was not sufficient to satisfy commissioning requirements and therefore it has not been released into clinical service at this time.

AVE/VAS 3: 25-mb sounding data

NASA Technical Reports Server (NTRS)

Sienkiewicz, M. E.

1982-01-01

The rawinsonde sounding program for the AVE/VAS 3 experiment is described. Tabulated data are presented at 25-mb intervals for the 24 National Weather Service stations and 14 special stations participating in the experiment. Soundings were taken at 3-hr intervals, beginning at 1200 GMT on March 27, 1982, and ending at 0600 GMT on March 28, 1982 (7 sounding times). An additional sounding was taken at the National Weather Service stations at 1200 GMT on March 28, 1982, at the normal synoptic observation time. The method of processing soundings is briefly discussed, estimates of the RMS errors in the data are presented, and an example of contact data is given. Termination pressures of soundings taken in the mesos-beta-scale network are tabulated, as are observations of ground temperature at a depth of 2 cm.

21 CFR 888.4300 - Depth gauge for clinical use.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Depth gauge for clinical use. 888.4300 Section 888.4300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4300 Depth gauge for clinical use. (a...

21 CFR 888.4300 - Depth gauge for clinical use.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Depth gauge for clinical use. 888.4300 Section 888.4300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4300 Depth gauge for clinical use. (a...

21 CFR 888.4300 - Depth gauge for clinical use.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Depth gauge for clinical use. 888.4300 Section 888.4300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4300 Depth gauge for clinical use. (a...

21 CFR 888.4300 - Depth gauge for clinical use.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Depth gauge for clinical use. 888.4300 Section 888.4300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4300 Depth gauge for clinical use. (a...

Quantitative retrieval of aerosol optical thickness from FY-2 VISSR data

NASA Astrophysics Data System (ADS)

Bai, Linyan; Xue, Yong; Cao, Chunxiang; Feng, Jianzhong; Zhang, Hao; Guang, Jie; Wang, Ying; Li, Yingjie; Mei, Linlu; Ai, Jianwen

2010-11-01

Atmospheric aerosol, as particulate matter suspended in the air, exists in a variety of forms such as dust, fume and mist. It deeply affects climate and land surface environment in both regional and global scales, and furthermore, lead to be hugely much influence on human health. For the sake of effectively monitoring it, many atmospheric aerosol observation networks are set up and provide associated informational services in the wide world, as well-known Aerosol robotic network (AERONET), Canadian Sunphotometer Network (AeroCan) and so forth. Given large-scale atmospheric aerosol monitoring, that satellite remote sensing data are used to inverse aerosol optical depth is one of available and effective approaches. Nowadays, special types of instruments aboard running satellites are applied to obtain related remote sensing data of retrieving atmospheric aerosol. However, atmospheric aerosol real-timely or near real-timely monitoring hasn't been accomplished. Nevertheless, retrievals, using Fengyun-2 VISSR data, are carried out and the above problem resolved to certain extent, especially over China. In this paper, the authors have developed a new retrieving model/mode to retrieve aerosol optical depth, using Fengyun-2 satellite data that were obtained by the VISSR aboard FY-2C and FY-2D. A series of the aerosol optical depth distribution maps with high time resolution were able to obtained, is helpful for understanding the forming mechanism, transport, influence and controlling approach of atmospheric aerosol.

Left behind in the return-to-work journey: consumer insights for policy change and practice strategies.

PubMed

Korzycki, Monica; Korzycki, Martha; Shaw, Lynn

2008-01-01

This study examined system barriers that precluded injured workers from accessing services and supports in the return-to-work (RTW) process. A grounded theory approach was used to investigate injured worker experiences. Methods included in-depth telephone interviews and the constant comparative method to analyze the data. Findings revealed that consumers experienced tensions or a tug-of-war between the RTW system, the health care system, and in accessing and using knowledge. Over time consumers reflected upon these tensions and initiated strategies to enhance return to function and RTW. Insights from consumer-driven strategies that might inform future policy change and promote positive service delivery for injured workers are examined.

An Exploratory Case Study of a Sexual Assault Telephone Hotline: Training and Practice Implications.

PubMed

Colvin, Marianna L; Pruett, Jana A; Young, Stephen M; Holosko, Michael J

2016-06-29

Using archival data, this case study systematically examines telephone calls received by a regional sexual assault hotline in the Southeastern United States over a 5-year period. A stratified random sample (n = 383) reveals that hotline staff require diversity and depth in knowledge and skills, demonstrated by the hotline's primary use as a crisis service, combined with notable use by long-term survivors. Findings include the utility of the hotline by survivors and community stakeholders, categories of assault, the time gap between incidents occurring and contacting the hotline, call severity and urgency, and services and referrals provided. Implications for training, practice, and future research are discussed. © The Author(s) 2016.

Introducing Technology in Child Welfare Referrals: A Case Study.

PubMed

Dellor, Elinam; Lovato-Hermann, Kristina; Wolf, Jennifer Price; Curry, Susanna R; Freisthler, Bridget

2015-01-01

Access to social services is important for the safety of children and ultimately for reunification of families involved in the child welfare system. The process of linking families to services however, varies by caseworker and can be cumbersome and time-consuming. The DCFS Needs Portal is an internet-based intervention to improve the timing and quality of social service referrals in Los Angeles County We used a case study approach including in-depth interviews, direct observations and user feedback obtained from the Needs Portal to 1) determine perceived benefits and barriers to adopting the Needs Portal and 2) report how the flow of information between users and developers was used to adapt to user needs. Our analyses revealed four major barriers: 1) caseworker apprehension regarding new technology, 2) variation in communication styles by user type, 3) lack of technological infrastructure and 4) competing workplace demands. Information sharing between developers and users has the potential to better meet the needs of users and ultimately maximize utilization of new technology. Although internet-based interventions are designed to inexpensively and effectively coordinate services, emerging interventions may require in-person assistance and modifications in order to succeed.

Family Planning in Substance Use Disorder Treatment Centers: Opportunities and Challenges.

PubMed

Robinowitz, Natanya; Muqueeth, Sadiya; Scheibler, Jill; Salisbury-Afshar, Elizabeth; Terplan, Mishka

2016-09-18

Alcohol, tobacco, and drug use during pregnancy can cause a range of adverse birth outcomes. Promoting family planning among women with substance use disorders (SUD) can help reduce substance exposed pregnancies. We conducted qualitative research to determine the acceptability and feasibility of offering family planning education and services SUD treatment centers. Focus groups and in-depth interviews were conducted with clients, staff and medical providers at three treatment centers. Interviews were transcribed and data was analyzed using a flexible coding scheme. Clients reported being interested in family planning services while they were in treatment. Most preferred to receive these services onsite. Providers also felt that services should be received onsite, though cited several barriers to implementation, including time constraints and staff levels of comfort with the subject. Women in SUD treatment are open to the integration of family planning services into treatment. Treatment centers have the opportunity to serve as models of client-centered health homes that offer a variety of educational, preventive, and medical services for women in both treatment and recovery.

Nonlinear ecosystem services response to groundwater availability under climate extremes

NASA Astrophysics Data System (ADS)

Qiu, J.; Zipper, S. C.; Motew, M.; Booth, E.; Kucharik, C. J.; Steven, L. I.

2017-12-01

Depletion of groundwater has been accelerating at regional to global scales. Besides serving domestic, industrial and agricultural needs, in situ groundwater is also a key control on biological, physical and chemical processes across the critical zone, all of which underpin supply of ecosystem services essential for humanity. While there is a rich history of research on groundwater effects on subsurface and surface processes, understanding interactions, nonlinearity and feedbacks between groundwater and ecosystem services remain limited, and almost absent in the ecosystem service literature. Moreover, how climate extremes may alter groundwater effects on services is underexplored. In this research, we used a process-based ecosystem model (Agro-IBIS) to quantify groundwater effects on eight ecosystem services related to food, water and biogeochemical processes in an urbanizing agricultural watershed in the Midwest, USA. We asked: (1) Which ecosystem services are more susceptible to shallow groundwater influences? (2) Do effects of groundwater on ecosystem services vary under contrasting climate conditions (i.e., dry, wet and average)? (3) Where on the landscape are groundwater effects on ecosystem services most pronounced? (4) How do groundwater effects depend on water table depth? Overall, groundwater significantly impacted all services studied, with the largest effects on food production, water quality and quantity, and flood regulation services. Climate also mediated groundwater effects with the strongest effects occurring under dry climatic conditions. There was substantial spatial heterogeneity in groundwater effects across the landscape that is driven in part by spatial variations in water table depth. Most ecosystem services responded nonlinearly to groundwater availability, with most apparent groundwater effects occurring when the water table is shallower than a critical depth of 2.5-m. Our findings provide compelling evidence that groundwater plays a vital role in sustaining ecosystem services. Our research highlights the pressing need to consider groundwater during the assessment and management of ecosystem services, and suggests that protecting groundwater resources may enhance ecosystem service resilience to future climate extremes and increased climate variability.

STI service delivery in British Columbia, Canada; providers' views of their services to youth

PubMed Central

2012-01-01

Background Little is known about service providers’ knowledge, attitudes, and experiences in relation to the assessment, diagnosis, and treatment of individuals seeking care for sexually transmitted infections (STIs), and how they influence the delivery of services. The purpose of this study was to explore the perceptions of STI care providers and the ways they approached their practice. Methods We used a qualitative approach drawing on methods used in thematic analysis. Individual semi-structured in-depth interviews were conducted with 21 service providers delivering STI services in youth clinics, STI clinics, reproductive health clinics, and community public health units in British Columbia (BC), Canada. Results Service providers’ descriptions of their activities and roles were shaped by a number of themes including specialization, scarcity, and maintaining the status quo. The analysis suggests that service providers perceive, at times, the delivery of STI care to be inefficient and inadequate. Conclusion Findings from this study identify deficits in the delivery of STI services in BC. To understand these deficits, more research is needed to examine the larger health care structure within which service providers work, and how this structure not only informs and influences the delivery of services, but also how particular structural barriers impinge on and/or restrict practice. PMID:22863400

Sustainability of a Primary Care-Driven eConsult Service.

PubMed

Liddy, Clare; Moroz, Isabella; Afkham, Amir; Keely, Erin

2018-03-01

Excessive wait times for specialist appointments pose a serious barrier to patient care. To improve access to specialist care and reduce wait times, we launched the Champlain BASE (Building Access to Specialists through eConsultation) eConsult service in April 2011. The objective of this study is to report on the impact of our multiple specialty eConsult service during the first 5 years of use after implementation, with a focus on growth and sustainability. We conducted a cross-sectional study of all eConsult cases submitted between April 1, 2011 and April 30, 2016, and measured impact with system utilization data and mandatory close-out surveys completed at the end of each eConsult. Impact indicators included time interval to obtain specialist advice, effect of specialist advice on the primary care clinician's course of action, and rate of avoidance of face-to-face visits. A total of 14,105 eConsult cases were directed to 56 different medical specialty groups, completed with a median response time of 21 hours, and 65% of all eConsults were resolved without a specialist visit. We observed rapid growth in the use of eConsult during the study period: 5 years after implementation the system was in use by 1,020 primary care clinicians, with more than 700 consultations taking place per month. This study presents the first in-depth look at the growth and sustainability of the multispecialty eConsult service. The results show the positive impact of an eConsult service and can inform other regions interested in implementing similar systems. © 2018 Annals of Family Medicine, Inc.

Identifying Ecosystem Services of Rivers and Streams Through Content Analysis

EPA Science Inventory

While much ecosystem services research focuses on analysis such as mapping and/or valuation, fewer research efforts are directed toward in-depth understanding of the specific ecological quantities people value. Ecosystem service monitoring and analysis efforts and communications ...

Client satisfaction and quality of health care in rural Bangladesh.

PubMed Central

Mendoza Aldana, J.; Piechulek, H.; al-Sabir, A.

2001-01-01

OBJECTIVE: To assess user expectations and degree of client satisfaction and quality of health care provided in rural Bangladesh. METHODS: A total of 1913 persons chosen by systematic random sampling were successfully interviewed immediately after having received care in government health facilities. FINDINGS: The most powerful predictor for client satisfaction with the government services was provider behaviour, especially respect and politeness. For patients this aspect was much more important than the technical competence of the provider. Furthermore, a reduction in waiting time (on average to 30 min) was more important to clients than a prolongation of the quite short (from a medical standpoint) consultation time (on average 2 min, 22 sec), with 75% of clients being satisfied. Waiting time, which was about double at outreach services than that at fixed services, was the only element with which users of outreach services were dissatisfied. CONCLUSIONS: This study underscores that client satisfaction is determined by the cultural background of the people. It shows the dilemma that, though optimally care should be capable of meeting both medical and psychosocial needs, in reality care that meets all medical needs may fail to meet the client's emotional or social needs. Conversely, care that meets psychosocial needs may leave the clients medically at risk. It seems important that developing countries promoting client-oriented health services should carry out more in-depth research on the determinants of client satisfaction in the respective culture. PMID:11436472

7 CFR 1755.505 - Buried services.

Code of Federal Regulations, 2011 CFR

2011-01-01

... or cable to the surface of the ground or rock; (4) In the case of a layer of soil over rock either the minimum depth in rock measured to the surface of the rock, or the minimum depth in soil measured... cable shall be plowed or trenched to a depth of 12 in. (305 mm) or greater where practicable in soil, 36...

7 CFR 1755.505 - Buried services.

Code of Federal Regulations, 2014 CFR

2014-01-01

... or cable to the surface of the ground or rock; (4) In the case of a layer of soil over rock either the minimum depth in rock measured to the surface of the rock, or the minimum depth in soil measured... cable shall be plowed or trenched to a depth of 12 in. (305 mm) or greater where practicable in soil, 36...

7 CFR 1755.505 - Buried services.

Code of Federal Regulations, 2012 CFR

2012-01-01

... or cable to the surface of the ground or rock; (4) In the case of a layer of soil over rock either the minimum depth in rock measured to the surface of the rock, or the minimum depth in soil measured... cable shall be plowed or trenched to a depth of 12 in. (305 mm) or greater where practicable in soil, 36...

7 CFR 1755.505 - Buried services.

Code of Federal Regulations, 2013 CFR

2013-01-01

... or cable to the surface of the ground or rock; (4) In the case of a layer of soil over rock either the minimum depth in rock measured to the surface of the rock, or the minimum depth in soil measured... cable shall be plowed or trenched to a depth of 12 in. (305 mm) or greater where practicable in soil, 36...

Qualitative assessment of the dental health services provided at a dental school in Kerman, Iran.

PubMed

Rad, Maryam; Haghani, Jahangir; Shahravan, Arash; Khosravifar, Ali

2009-01-01

Increasing the quality of the services provided in a Dental School can raise the satisfaction level of patients and consequently increase the level of their oral health. This study was conducted to evaluate the quality of dental care and services provided to patients referred to a Dental School in Kerman, Iran. In this qualitative study, face-to-face, in-depth interviews were conducted with 41 participants [25 patients (P), 5 nurses (N), 6 dental academic staff (AS), and 5 dental students (S)]. Then, the interviews were transcribed and analyzed, using content analysis of data. Data analysis in qualitative research involves breaking down the data and searching for codes and categories that are then reassembled to form themes. Both positive and negative themes emerged. Positive themes included: good infection control, service accessibility, patient appointments and visits were not assigned on merit, precise examinations, and comprehensive treatment plans. Negative themes included: long wait time, lack of options to pass waiting time, such as newspapers and television, an insufficient number of nurses, and not enough professors for supervision. In addition, the results of this study show that the patients and dental staff have high expectations in relation to dental services, and that implementation of these expectations would increase the overall satisfaction with and the quality of the level of services. Finally, some recommendations for improving services in the Kerman Dental School were given to the managing team of the Dental School.

Time-of-flight depth image enhancement using variable integration time

NASA Astrophysics Data System (ADS)

Kim, Sun Kwon; Choi, Ouk; Kang, Byongmin; Kim, James Dokyoon; Kim, Chang-Yeong

2013-03-01

Time-of-Flight (ToF) cameras are used for a variety of applications because it delivers depth information at a high frame rate. These cameras, however, suffer from challenging problems such as noise and motion artifacts. To increase signal-to-noise ratio (SNR), the camera should calculate a distance based on a large amount of infra-red light, which needs to be integrated over a long time. On the other hand, the integration time should be short enough to suppress motion artifacts. We propose a ToF depth imaging method to combine advantages of short and long integration times exploiting an imaging fusion scheme proposed for color imaging. To calibrate depth differences due to the change of integration times, a depth transfer function is estimated by analyzing the joint histogram of depths in the two images of different integration times. The depth images are then transformed into wavelet domains and fused into a depth image with suppressed noise and low motion artifacts. To evaluate the proposed method, we captured a moving bar of a metronome with different integration times. The experiment shows the proposed method could effectively remove the motion artifacts while preserving high SNR comparable to the depth images acquired during long integration time.

Content analysis to document publicly valued ecosystem services of rivers and streams

EPA Science Inventory

While much ecosystem services research focuses on analysis such as mapping and/or valuation, fewer research efforts are directed toward in-depth understanding of the specific ecological quantities people value. Ecosystem service monitoring and analysis efforts and communications ...

Service seeking experiences of college-aged sexual and intimate partner violence victims with a mental health and/or behavioral disability.

PubMed

Nichols, Emily M; Bonomi, Amy; Kammes, Rebecca; Miller, Elizabeth

2018-02-15

To examine mental health service experiences following sexual violence (SV) and intimate partner violence (IPV) victimization among college women with a disability. College women (n = 27, ages 19 to 24) with a disability who experienced at least one SV/IPV occurrence; interviewed July/August 2016. Qualitative study using in-depth interviews, with thematic analysis. Women tended to wait several months (or did not seek care at all) following SV/IPV, because they downplayed their experience (e.g., not wanting to label an experience as "rape"). Those seeking services primarily did so because of escalating mental health concerns. Among service seekers, women were satisfied when professionals validated their experiences/concerns; and were dissatisfied when faced with extended wait time for care and/or professionals unskilled with SV/IPV and mental health. However, women still sought care following negative experiences. Improved access to integrated care for SV/IPV and mental health, along with skilled professionals, is essential.

An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study.

PubMed

McDevitt, Joe; Melby, Vidar

2015-02-01

To evaluate the quality of the emergency nurse practitioner service provided to people presenting to a rural urgent care centre with minor injuries. The three objectives that were focused were an evaluation of the safety and effectiveness of the emergency nurse practitioner service, an assessment of patients' satisfaction with the emergency nurse practitioner service and a determination of factors that may enhance the quality of the emergency nurse practitioner service. Urgent care centres have become increasingly prevalent across the UK. Emergency nurse practitioner services at these rural urgent care centres remain largely unevaluated. This study attempts to redress this deficit by evaluating the quality of an emergency nurse practitioner service in relation to the care of patients presenting with minor injuries to a rural urgent care centre. This descriptive study used a case-note review and a survey design with one open-ended exploratory question. Patient views were collected using a self-completed questionnaire and a data extraction tool to survey patients' case notes retrospectively. Despite comparatively low total length-of-stay times, most patients felt they had enough time to discuss things fully with the emergency nurse practitioner. Although emergency nurse practitioners routinely impart injury advice, feedback from some patients suggests a need for the provision of more in-depth information regarding their injury. The vast majority (97·3%) of patients felt that the quality of the emergency nurse practitioner service was of a high standard. Contrary to some other studies, the findings in this study indicate that patient satisfaction is not influenced by waiting times. Emergency nurse practitioners in rural urgent care centres have the potential to deliver a safe and effective quality service that is reflected in high levels of patient satisfaction. This study provides some evidence to support the continued expansion of the emergency nurse practitioner service in rural settings in the UK. © 2014 John Wiley & Sons Ltd.

Web Services and Other Enhancements at the Northern California Earthquake Data Center

NASA Astrophysics Data System (ADS)

Neuhauser, D. S.; Zuzlewski, S.; Allen, R. M.

2012-12-01

The Northern California Earthquake Data Center (NCEDC) provides data archive and distribution services for seismological and geophysical data sets that encompass northern California. The NCEDC is enhancing its ability to deliver rapid information through Web Services. NCEDC Web Services use well-established web server and client protocols and REST software architecture to allow users to easily make queries using web browsers or simple program interfaces and to receive the requested data in real-time rather than through batch or email-based requests. Data are returned to the user in the appropriate format such as XML, RESP, or MiniSEED depending on the service, and are compatible with the equivalent IRIS DMC web services. The NCEDC is currently providing the following Web Services: (1) Station inventory and channel response information delivered in StationXML format, (2) Channel response information delivered in RESP format, (3) Time series availability delivered in text and XML formats, (4) Single channel and bulk data request delivered in MiniSEED format. The NCEDC is also developing a rich Earthquake Catalog Web Service to allow users to query earthquake catalogs based on selection parameters such as time, location or geographic region, magnitude, depth, azimuthal gap, and rms. It will return (in QuakeML format) user-specified results that can include simple earthquake parameters, as well as observations such as phase arrivals, codas, amplitudes, and computed parameters such as first motion mechanisms, moment tensors, and rupture length. The NCEDC will work with both IRIS and the International Federation of Digital Seismograph Networks (FDSN) to define a uniform set of web service specifications that can be implemented by multiple data centers to provide users with a common data interface across data centers. The NCEDC now hosts earthquake catalogs and waveforms from the US Department of Energy (DOE) Enhanced Geothermal Systems (EGS) monitoring networks. These data can be accessed through the above web services and through special NCEDC web pages.

Pre-Service Physics and Chemistry Teachers' Conceptual Integration of Physics and Chemistry Concepts

ERIC Educational Resources Information Center

Tuysuz, Mustafa; Bektas, Oktay; Geban, Omer; Ozturk, Gokhan; Yalvac, Bugrahan

2016-01-01

This study examines the pre-service teachers' opinions about conceptual integration (CI) and their understanding of it. A qualitative phenomenology design was used in the study. Data was collected through in-depth semi-structured interviews comprising ten guiding questions. Three pre-service physics and three pre-service chemistry teachers…

Theory and Practical Application of Information Research Services at Lakeland Community College.

ERIC Educational Resources Information Center

Valvoda, Mary Alice

The focus of this report is an in-depth analysis of the Research Services Office (RSO) at Lakeland Community College, including specialized information services and procedures of the RSO. Research services at Lakeland include but are not limited to: (1) acquisition, centralization, and coordination of internal reports; (2) collection of…

Measuring and Investigating Pretrial Multi-Expectations of Service Quality within the Higher Education Context

ERIC Educational Resources Information Center

Prugsamatz, Sunita; Heaney, Joo-Gim; Alpert, Frank

2007-01-01

Understanding what consumers expect from a service provider prior to consumption is necessary for marketers because expectations provide a standard of comparison against which consumers judge the performance of that service provider. This study is an in-depth investigation into consumers' pretrial multi-expectations of service quality within a…

Evaluation and verification of two systems for mechanistic structural design of asphalt concrete pavements in Nebraska

NASA Astrophysics Data System (ADS)

Sneddon, R. V.

1982-07-01

The VESY-3-A mechanistic design system for asphalt pavements was field verified for three pavement sections at two test sites in Nebraska. PSI predictions from VESYS were in good agreement with field measurements for a 20 year old 3 layer pavement located near Elmwood, Nebraska. Field measured PSI values for an 8 in. full depth pavement also agreed with VESYS predictions for the study period. Rut depth estimates from the model were small and were in general agreement with field measurements. Cracking estimates were poor and tended to underestimate the time required to develop observable fatigue cracking in the field. Asphalt, base course and subgrade materials were tested in a 4.0 in. diameter modified triaxial cell. Test procedures used dynamic conditioning and rest periods to simulate service conditions.

Removal of fluoride ions from drinking water and fluoride solutions by aluminum modified iron oxides in a column system.

PubMed

García-Sánchez, J J; Solache-Ríos, M; Martínez-Miranda, V; Solís Morelos, C

2013-10-01

The purpose of this work was to evaluate the potential of aluminum modified iron oxides, in a continuous flow for removal of fluoride ions from aqueous solutions and drinking water. The breakthrough curves obtained for fluoride ions adsorption from aqueous solutions and drinking water were fitted to Thomas, Bohart-Adams, and bed depth service time model (BDST). Adsorption capacities at the breakthroughs, Thomas model constant, kinetic constant and the saturation concentration were determined. The results show that in general, the adsorption efficiency decreases as the bed depth increases, and this behavior shows that the adsorption is controlled by the mass transport resistance. The adsorption capacity for fluoride ions by CP-Al is higher for fluoride aqueous solutions than drinking water. Copyright © 2013 Elsevier Inc. All rights reserved.

A weighted optimization approach to time-of-flight sensor fusion.

PubMed

Schwarz, Sebastian; Sjostrom, Marten; Olsson, Roger

2014-01-01

Acquiring scenery depth is a fundamental task in computer vision, with many applications in manufacturing, surveillance, or robotics relying on accurate scenery information. Time-of-flight cameras can provide depth information in real-time and overcome short-comings of traditional stereo analysis. However, they provide limited spatial resolution and sophisticated upscaling algorithms are sought after. In this paper, we present a sensor fusion approach to time-of-flight super resolution, based on the combination of depth and texture sources. Unlike other texture guided approaches, we interpret the depth upscaling process as a weighted energy optimization problem. Three different weights are introduced, employing different available sensor data. The individual weights address object boundaries in depth, depth sensor noise, and temporal consistency. Applied in consecutive order, they form three weighting strategies for time-of-flight super resolution. Objective evaluations show advantages in depth accuracy and for depth image based rendering compared with state-of-the-art depth upscaling. Subjective view synthesis evaluation shows a significant increase in viewer preference by a factor of four in stereoscopic viewing conditions. To the best of our knowledge, this is the first extensive subjective test performed on time-of-flight depth upscaling. Objective and subjective results proof the suitability of our approach to time-of-flight super resolution approach for depth scenery capture.

Academic physicians' views on low-value services and the choosing wisely campaign: A qualitative study.

PubMed

Bishop, Tara F; Cea, Meagan; Miranda, Yesenia; Kim, Robert; Lash-Dardia, Meredith; Lee, Jennifer I; Steel, Peter; Goldberg, Jordan; Mechanic, Elaine; Fener, Victoria; Gerber, Linda M

2017-03-01

In 2012, the American Board of Internal Medicine (ABIM) Foundation launched a campaign called Choosing Wisely which was intended to start a national dialogue on services that are not medically necessary. More research is needed on the in-depth reasons why doctors overuse low-value services, their views on Choosing Wisely specifically, and ways to help them change their practice patterns. We performed a qualitative study of focus groups with physicians to explore their views on the problem of overuse of low-value services, the reasons why they overuse, and ways that they think could be effective at curbing overuse. Participants were attendings in the fields of emergency medicine, internal medicine, hospital medicine, and cardiology. All physicians felt that overuse of low-value services was a significant problem. Physicians frequently cited that patient expectations drove the use of low-value services and lack of time was the most cited reason why behavior change was difficult. Facilitators that could promote behavior change included decision support through the electronic medical record, motivation to maintain their reputation among their colleagues, internal motivation to be a good doctor, objective data showing their rates of overuse, alignment of institutional goals, and forums to discuss evidence and new research. In focus groups with physicians, we found that physicians perceived that overuse of low-value services was a problem. Participants cited many barriers to behavior change. Methods that help address patient expectations, physician time, and social norms may help physicians reduce their use of low-value services. Copyright © 2017. Published by Elsevier Inc.

Regional early flood warning system: design and implementation

NASA Astrophysics Data System (ADS)

Chang, L. C.; Yang, S. N.; Kuo, C. L.; Wang, Y. F.

2017-12-01

This study proposes a prototype of the regional early flood inundation warning system in Tainan City, Taiwan. The AI technology is used to forecast multi-step-ahead regional flood inundation maps during storm events. The computing time is only few seconds that leads to real-time regional flood inundation forecasting. A database is built to organize data and information for building real-time forecasting models, maintaining the relations of forecasted points, and displaying forecasted results, while real-time data acquisition is another key task where the model requires immediately accessing rain gauge information to provide forecast services. All programs related database are constructed in Microsoft SQL Server by using Visual C# to extracting real-time hydrological data, managing data, storing the forecasted data and providing the information to the visual map-based display. The regional early flood inundation warning system use the up-to-date Web technologies driven by the database and real-time data acquisition to display the on-line forecasting flood inundation depths in the study area. The friendly interface includes on-line sequentially showing inundation area by Google Map, maximum inundation depth and its location, and providing KMZ file download of the results which can be watched on Google Earth. The developed system can provide all the relevant information and on-line forecast results that helps city authorities to make decisions during typhoon events and make actions to mitigate the losses.

Evaluating Service Quality in Universities: A Service Department Perspective

ERIC Educational Resources Information Center

Smith, Gareth; Smith, Alison; Clarke, Alison

2007-01-01

Purpose: The purpose of the study is to report on an in-depth exploration of service quality in an Information Technology service department in a Higher Education Institute (HEI) and to evaluate the instrument used. Design/methodology/approach: The study surveys customers using the SERVQUAL instrument, which is one of the most widely used and…

Depth-area-duration characteristics of storm rainfall in Texas using Multi-Sensor Precipitation Estimates

NASA Astrophysics Data System (ADS)

McEnery, J. A.; Jitkajornwanich, K.

2012-12-01

This presentation will describe the methodology and overall system development by which a benchmark dataset of precipitation information has been used to characterize the depth-area-duration relations in heavy rain storms occurring over regions of Texas. Over the past two years project investigators along with the National Weather Service (NWS) West Gulf River Forecast Center (WGRFC) have developed and operated a gateway data system to ingest, store, and disseminate NWS multi-sensor precipitation estimates (MPE). As a pilot project of the Integrated Water Resources Science and Services (IWRSS) initiative, this testbed uses a Standard Query Language (SQL) server to maintain a full archive of current and historic MPE values within the WGRFC service area. These time series values are made available for public access as web services in the standard WaterML format. Having this volume of information maintained in a comprehensive database now allows the use of relational analysis capabilities within SQL to leverage these multi-sensor precipitation values and produce a valuable derivative product. The area of focus for this study is North Texas and will utilize values that originated from the West Gulf River Forecast Center (WGRFC); one of three River Forecast Centers currently represented in the holdings of this data system. Over the past two decades, NEXRAD radar has dramatically improved the ability to record rainfall. The resulting hourly MPE values, distributed over an approximate 4 km by 4 km grid, are considered by the NWS to be the "best estimate" of rainfall. The data server provides an accepted standard interface for internet access to the largest time-series dataset of NEXRAD based MPE values ever assembled. An automated script has been written to search and extract storms over the 18 year period of record from the contents of this massive historical precipitation database. Not only can it extract site-specific storms, but also duration-specific storms and storms separated by user defined inter-event periods. A separate storm database has been created to store the selected output. By storing output within tables in a separate database, we can make use of powerful SQL capabilities to perform flexible pattern analysis. Previous efforts have made use of historic data from limited clusters of irregularly spaced physical gauges. Spatial extent of the observational network has been a limiting factor. The relatively dense distribution of MPE provides a virtual mesh of observations stretched over the landscape. This work combines a unique hydrologic data resource with programming and database analysis to characterize storm depth-area-duration relationships.

Testing an Adapted Modified Delphi Method: Synthesizing Multiple Stakeholder Ratings of Health Care Service Effectiveness.

PubMed

Escaron, Anne L; Chang Weir, Rosy; Stanton, Petra; Vangala, Sitaram; Grogan, Tristan R; Clarke, Robin M

2016-03-01

The Affordable Care Act incentivizes health systems for better meeting patient needs, but often guidance about patient preferences for particular health services is limited. All too often vulnerable patient populations are excluded from these decision-making settings. A community-based participatory approach harnesses the in-depth knowledge of those experiencing barriers to health care. We made three modifications to the RAND-UCLA appropriateness method, a modified Delphi approach, involving patients, adding an advisory council group to characterize existing knowledge in this little studied area, and using effectiveness rather than "appropriateness" as the basis for rating. As a proof of concept, we tested this method by examining the broadly delivered but understudied nonmedical services that community health centers provide. This method created discrete, new knowledge about these services by defining 6 categories and 112 unique services and by prioritizing among these services based on effectiveness using a 9-point scale. Consistent with the appropriateness method, we found statistical convergence of ratings among the panelists. Challenges include time commitment and adherence to a clear definition of effectiveness of services. This diverse stakeholder engagement method efficiently addresses gaps in knowledge about the effectiveness of health care services to inform population health management. © 2015 Society for Public Health Education.

Spatial analysis of storm depths from an Arizona raingage network

NASA Technical Reports Server (NTRS)

Fennessey, N. M.; Eagleson, P. S.; Qinliang, W.; Rodriguez-Iturbe, I.

1986-01-01

Eight years of summer rainstorm observations are analyzed by a dense network of 93 raingages operated by the U.S. Department of Agriculture, Agricultural Research Service, in the 150 km Walnut Gulch experimental catchment near Tucson, Arizona. Storms are defined by the total depths collected at each raingage during the noon-to-noon period for which there was depth recorded at any of the gages. For each of the resulting 428 storm days, the gage depths are interpolated onto a dense grid and the resulting random field analyzed to obtain moments, isohyetal plots, spatial correlation function, variance function, and the spatial distribution of storm depth.

Initiation of traditional birth attendants and their traditional and spiritual practices during pregnancy and childbirth in Ghana.

PubMed

Aziato, Lydia; Omenyo, Cephas N

2018-03-07

Prior to the advent of modern obstetric services, traditional birth attendants (TBAs) have rendered services to pregnant women and women in labour for a long time. Although it is anticipated that women in contemporary societies will give birth in hospitals and clinics, some women still patronize the services of TBAs. The study therefore sought to gain an in-depth understanding of the initiation of TBAs and their traditional and spiritual practices employed during pregnancy and childbirth in Ghana. The design was an exploratory qualitative one using in-depth individual interviews. Data saturation was reached with 16 participants who were all of Christian faith. Interviews were conducted with a semi-structured interview guide, audiotaped and transcribed verbatim. Content analysis was employed to generate findings. The findings showed that TBAs were initiated through apprenticeship from family members who were TBAs and other non-family TBAs as well as through dreams and revelations. They practice using both spiritual and physical methods and their work was founded on spiritual directions, use of spiritual artefacts, herbs and physical examination. TBAs delay cutting of the cord and disposal of the placenta was associated with beliefs which indicated that when not properly disposed, it will have negative consequences on the child during adulthood. Although, TBAs like maternal health professionals operate to improve maternal health care, some of their spiritual practices and beliefs may pose threats to their clients. Nonetheless, with appropriate initiation and training, they can become useful.

The electronics system for the LBNL positron emission mammography (PEM) camera

NASA Astrophysics Data System (ADS)

Moses, W. W.; Young, J. W.; Baker, K.; Jones, W.; Lenox, M.; Ho, M. H.; Weng, M.

2001-06-01

Describes the electronics for a high-performance positron emission mammography (PEM) camera. It is based on the electronics for a human brain positron emission tomography (PET) camera (the Siemens/CTI HRRT), modified to use a detector module that incorporates a photodiode (PD) array. An application-specified integrated circuit (ASIC) services the photodetector (PD) array, amplifying its signal and identifying the crystal of interaction. Another ASIC services the photomultiplier tube (PMT), measuring its output and providing a timing signal. Field-programmable gate arrays (FPGAs) and lookup RAMs are used to apply crystal-by-crystal correction factors and measure the energy deposit and the interaction depth (based on the PD/PMT ratio). Additional FPGAs provide event multiplexing, derandomization, coincidence detection, and real-time rebinning. Embedded PC/104 microprocessors provide communication, real-time control, and configure the system. Extensive use of FPGAs make the overall design extremely flexible, allowing many different functions (or design modifications) to be realized without hardware changes. Incorporation of extensive onboard diagnostics, implemented in the FPGAs, is required by the very high level of integration and density achieved by this system.

Material investigation of the full-depth, precast concrete deck panels of the old Woodrow Wilson Bridge.

DOT National Transportation Integrated Search

2007-01-01

The Woodrow Wilson Memorial Bridge crossing the Potomac River near Washington, D.C., was replaced after more than 45 years of service. Researchers examined the full-depth, precast lightweight concrete deck panels that were installed on this structure...

Data services providing by the Ukrainian NODC (MHI NASU)

NASA Astrophysics Data System (ADS)

Eremeev, V.; Godin, E.; Khaliulin, A.; Ingerov, A.; Zhuk, E.

2009-04-01

At modern stage of the World Ocean study information support of investigation based on ad-vanced computer technologies becomes of particular importance. These abstracts are devoted to presentation of several data services developed in the Ukrainian NODC on the base of the Ma-rine Environmental and Information Technologies Department of MHI NASU. The Data Quality Control Service Using experience of international collaboration in the field of data collection and quality check we have developed the quality control (QC) software providing both preliminary(automatic) and expert(manual) data quality check procedures. The current version of the QC software works for the Mediterranean and Black seas and includes the climatic arrays for hydrological and few hydrochemical parameters based on such products as MEDAR/MEDATLAS II, Physical Oceanography of the Black Sea and Climatic Atlas of Oxygen and Hydrogen Sulfide in the Black sea. The data quality check procedure includes metadata control and hydrological and hydrochemical data control. Metadata control provides checking of duplicate cruises and pro-files, date and chronology, ship velocity, station location, sea depth and observation depth. Data QC procedure includes climatic (or range for parameters with small number of observations) data QC, density inversion check for hydrological data and searching for spikes. Using of cli-matic fields and profiles prepared by regional oceanography experts leads to more reliable results of data quality check procedure. The Data Access Services The Ukrainian NODC provides two products for data access - on-line software and data access module for the MHI NASU local net. This software allows select-ing data on rectangle area, on date, on months, on cruises. The result of query is metadata which are presented in the table and the visual presentation of stations on the map. It is possible to see both metadata and data. For this purpose it is necessary to select station in the table of metadata or on the map. There is also an opportunity to export data in ODV format. The product is avail-able on http://www.ocean.nodc.org.ua/DataAccess.php The local net version provides access to the oceanological database of the MHI NASU. The cur-rent version allows selecting data by spatial and temporal limits, depth, values of parameters, quality flags and works for the Mediterranean and Black seas. It provides visualization of meta-data and data, statistics of data selection, data export into several data formats. The Operational Data Management Services The collaborators of the MHI Experimental Branch developed a system of obtaining information on water pressure and temperature, as well as on atmospheric pressure. Sea level observations are also conducted. The obtained data are transferred online. The interface for operation data access was developed. It allows to select parameters (sea level, water temperature, atmospheric pressure, wind and wa-ter pressure) and time interval to see parameter graphics. The product is available on http://www.ocean.nodc.org.ua/Katsively.php . The Climatic products The current version of the Climatic Atlas includes maps on such pa-rameters as temperature, salinity, density, heat storage, dynamic heights, upper boundary of hy-drogen sulfide and lower boundary of oxygen for the Black sea basin. Maps for temperature, sa-linity, density were calculated on 19 standard depths and averaged monthly for depths 0 - 300 m and annually for lower depth values. The climatic maps of upper boundary of hydrogen sulfide and lower boundary of oxygen were averaged by decades from 20 till 90 of the XX century and by seasons. Two versions of climatic atlas viewer - on-line and desktop for presentation of the climatic maps were developed. They provide similar functions of selection and viewing maps by parameter, month and depth and saving maps in various formats. On-line version of atlas is available on http://www.ocean.nodc.org.ua/Main_Atlas.php .

Spatial characteristics of observed precipitation fields: A catalog of summer storms in Arizona, Volume 1

NASA Technical Reports Server (NTRS)

Fennessey, N. M.; Eagleson, P. S.; Qinliang, W.; Rodrigues-Iturbe, I.

1986-01-01

Eight years of summer raingage observations are analyzed for a dense, 93 gage, network operated by the U. S. Department of Agriculture, Agricultural Research Service, in their 150 sq km Walnut Gulch catchment near Tucson, Arizona. Storms are defined by the total depths collected at each raingage during the noon to noon period for which there was depth recorded at any of the gages. For each of the resulting 428 storms, the 93 gage depths are interpolated onto a dense grid and the resulting random field is anlyzed. Presented are: storm depth isohyets at 2 mm contour intervals, first three moments of point storm depth, spatial correlation function, spatial variance function, and the spatial distribution of total rainstorm depth.

Ask the eConsultant: Improving access to haematology expertise using an asynchronous eConsult system.

PubMed

Fogel, Adam; Khamisa, Karima; Afkham, Amir; Liddy, Clare; Keely, Erin

2017-04-01

Introduction The Champlain BASE (Building Access to Specialists through eConsultation) eConsultation service was designed to address the limited access to specialist care in Canada, which can lead to long waiting times and, subsequently, negative patient outcomes. Our primary objective was to perform an in-depth analysis of the use, content, and perceived value of haematology electronic consults (eConsults) submitted by primary care providers (PCPs) to the eConsult service. Methods We conducted a cross-sectional study using descriptive statistics to examine post-eConsult surveys for PCPs and other collected data including PCP designation, time for specialist to complete the eConsult, specialist response time, perceived value of the eConsult by the PCP, and the need for a face-to-face referral following the eConsult. A medically-trained author reviewed all haematology eConsults from April 2011 to January 2015, and categorized them by clinical topic and question type using validated taxonomies. Results Haematology accounted for 436 out of 5601 (7.8%) total eConsults, making it the third most popular service utilized. In 66% of haematology eConsults, a face-to-face consultation was not needed. Anaemia, neutropenia, and hyperferritinemia were the most common clinical queries. Most eConsult question types concerned the management of haematological disorders or the interpretation of laboratory tests. Most eConsults were answered within three days, using less than 15 minutes of the specialists' time. PCPs highly valued the service. Discussion This initiative increases access to haematology care and has the potential to reduce the long waiting times for non-urgent traditional consultation, along with the benefit of cost savings to the healthcare system.

US Religious Congregations' Programming to Support Veterans: A Mixed Methods Study.

PubMed

Derose, Kathryn Pitkin; Haas, Ann; Werber, Laura

2016-06-01

Religious congregations may be well equipped to address veterans' reintegration needs, but little is known about the prevalence and nature of such support. We conducted a mixed methods study using nationally representative congregational survey data and in-depth interviews with congregational leaders. Overall, 28% of congregations nationally reported having programming to support veterans and positive, independent predictors included: community context (county veteran presence, high-poverty census tract, rural compared to urban location); congregational resources (more adult attendees, having a paid employee that spent time on service programs); and external engagement (assessing community needs, collaboration, and social service participation). Qualitative interviews revealed a range of activities, including attending to spiritual issues, supporting mental, physical and social well-being, and addressing vocational, legal, financial, and material needs.

Navigating the field of temporally framed care in the Danish home care sector.

PubMed

Tufte, Pernille; Dahl, Hanne Marlene

2016-01-01

The organisational and temporal framing of elderly care in Europe has changed in the wake of new public management reforms and standardised care services, the strict measurement of time and work schedules have become central aspects of care work. The article investigates the crafting of care in this framing: how care workers approach the services specified in their rotas and navigate between needs, demands and opportunities in the daily performance of duties. Applying feminist theory on time and anthropological theory on social navigation, it examines the practice of home care work in two Danish municipalities. Data are derived predominantly from participant observation. The article identifies two overarching temporal dilemmas in different home care situations: one where process time prevails over clock time and another where the care workers balance the two. Focusing on how care workers respond to these dilemmas in practice, the article identifies various navigation tactics, including leaving time outside, individualised routinisation, working on different paths simultaneously and postponing tasks. By assessing care workers' performance in the temporal framing of work and focusing on care workers' mediation between different time logics, this study provides an in-depth perspective on the broader feminist literature on the dilemmas of care. © 2015 Foundation for the Sociology of Health & Illness.

On Becoming a Positive Leader: The Intersection of Positivity, Leadership, and Service-Learning

ERIC Educational Resources Information Center

Clark, Dennis Robert

2018-01-01

I investigated how people experience becoming a positive leader in the context of a service-learning environment. I examined the relationship between positivity, leadership development, and service-learning by exploring in-depth stories of five graduate students who completed a graduate level positive leadership development program at a Lasallian…

Assessing Learning in Service-Learning Courses through Critical Reflection

ERIC Educational Resources Information Center

Molee, Lenore M.; Henry, Mary E.; Sessa, Valerie I.; McKinney-Prupis, Erin R.

2010-01-01

The purpose of this study was to describe and examine a model for assessing student learning through reflection in service-learning courses. This model utilized a course-embedded process to frame, facilitate, support, and assess students' depth of learning and critical thinking. Student reflection products in two service-learning courses (a…

Beyond 'flood hotspots': Modelling emergency service accessibility during flooding in York, UK

NASA Astrophysics Data System (ADS)

Coles, Daniel; Yu, Dapeng; Wilby, Robert L.; Green, Daniel; Herring, Zara

2017-03-01

This paper describes the development of a method that couples flood modelling with network analysis to evaluate the accessibility of city districts by emergency responders during flood events. We integrate numerical modelling of flood inundation with geographical analysis of service areas for the Ambulance Service and the Fire & Rescue Service. The method was demonstrated for two flood events in the City of York, UK to assess the vulnerability of care homes and sheltered accommodation. We determine the feasibility of emergency services gaining access within the statutory 8- and 10-min targets for high-priority, life-threatening incidents 75% of the time, during flood episodes. A hydrodynamic flood inundation model (FloodMap) simulates the 2014 pluvial and 2015 fluvial flood events. Predicted floods (with depth >25 cm and areas >100 m2) were overlain on the road network to identify sites with potentially restricted access. Accessibility of the city to emergency responders during flooding was quantified and mapped using; (i) spatial coverage from individual emergency nodes within the legislated timeframes, and; (ii) response times from individual emergency service nodes to vulnerable care homes and sheltered accommodation under flood and non-flood conditions. Results show that, during the 2015 fluvial flood, the area covered by two of the three Fire & Rescue Service stations reduced by 14% and 39% respectively, while the remaining station needed to increase its coverage by 39%. This amounts to an overall reduction of 6% and 20% for modelled and observed floods respectively. During the 2014 surface water flood, 7 out of 22 care homes (32%) and 15 out of 43 sheltered accommodation nodes (35%) had modelled response times above the 8-min threshold from any Ambulance station. Overall, modelled surface water flooding has a larger spatial footprint than fluvial flood events. Hence, accessibility of emergency services may be impacted differently depending on flood mechanism. Moreover, we expect emergency services to face greater challenges under a changing climate with a growing, more vulnerable population. The methodology developed in this study could be applied to other cities, as well as for scenario-based evaluation of emergency preparedness to support strategic decision making, and in real-time forecasting to guide operational decisions where heavy rainfall lead-time and spatial resolution are sufficient.

Volcanic ash deposition, eelgrass beds, and inshore habitat loss from the 1920s to the 1990s at Chignik, Alaska

NASA Astrophysics Data System (ADS)

Zimmermann, Mark; Ruggerone, Gregory T.; Freymueller, Jeffrey T.; Kinsman, Nicole; Ward, David H.; Hogrefe, Kyle R.

2018-03-01

We quantified the shallowing of the seafloor in five of six bays examined in the Chignik region of the Alaska Peninsula, confirming National Ocean Service observations that 1990s hydrographic surveys were shallower than previous surveys from the 1920s. Castle Bay, Chignik Lagoon, Hook Bay, Kujulik Bay and Mud Bay lost volume as calculated from Mean Lower Low Water (Chart Datum) to the deepest depths and four of these sites lost volume from Mean High Water to the deepest depths. Calculations relative to each datum were made because tidal datum records exhibited an increase in tidal range in this region from the 1920s to the 1990s. Our analysis showed that Mud Bay is quickly disappearing while Chignik Lagoon is being reduced to narrow channels. Anchorage Bay was the only site that increased in depth over time, perhaps due to erosion. Volcanoes dominate the landscape of the Chignik area. They have blanketed the region in deep ash deposits before the time frame of this study, and some have had smaller ash-producing eruptions during the time frame of this study. Remobilization of land-deposited ash and redeposition in marine areas - in some locations facilitated by extensive eelgrass (Zostera marina) beds (covering 54% of Chignik Lagoon and 68% of Mud Bay in 2010) - is the most likely cause of shallowing in the marine environment. Loss of shallow water marine habitat may alter future abundance and distribution of several fish, invertebrate and avian species.

Surface Fatigue Resistance with Induction Hardening

NASA Technical Reports Server (NTRS)

Townsend, Dennis; Turza, Alan; Chapman, Mike

1996-01-01

Induction hardening has been used for some years to harden the surface and improve the strength and service life of gears and other components. Many applications that employ induction hardening require a relatively long time to finish the hardening process and controlling the hardness of the surface layer and its depth often was a problem. Other surface hardening methods, ie., carbonizing, take a very long time and tend to cause deformations of the toothing, whose elimination requires supplementary finishing work. In double-frequency induction hardening, one uses a low frequency for the preheating of the toothed wheel and a much higher frequency for the purpose of rapidly heating the surface by way of surface hardening.

Zinc coated sheet steel for press hardening

NASA Astrophysics Data System (ADS)

Ghanbari, Zahra N.

Galvanized steels are of interest to enhance corrosion resistance of press-hardened steels, but concerns related to liquid metal embrittlement have been raised. The objective of this study was to assess the soak time and temperature conditions relevant to the hot-stamping process during which Zn penetration did or did not occur in galvanized 22MnB5 press-hardening steel. A GleebleRTM 3500 was used to heat treat samples using hold times and temperatures similar to those used in industrial hot-stamping. Deformation at both elevated temperature and room temperature were conducted to assess the coating and substrate behavior related to forming (at high temperature) and service (at room temperature). The extent of alloying between the coating and substrate was assessed on undeformed samples heat treated under similar conditions to the deformed samples. The coating transitioned from an α + Gamma1 composition to an α (bcc Fe-Zn) phase with increased soak time. This transition likely corresponded to a decrease in availability of Zn-rich liquid in the coating during elevated temperature deformation. Penetration of Zn into the substrate sheet in the undeformed condition was not observed for any of the processing conditions examined. The number and depth of cracks in the coating and substrate steel was also measured in the hot-ductility samples. The number of cracks appeared to increase, while the depth of cracks appeared to decrease, with increasing soak time and increasing soak temperature. The crack depth appeared to be minimized in the sample soaked at the highest soak temperature (900 °C) for intermediate and extended soak times (300 s or 600 s). Zn penetration into the substrate steel was observed in the hot-ductility samples soaked at each hold temperature for the shortest soak time (10 s) before being deformed at elevated temperature. Reduction of area and elongation measurements showed that the coated sample soaked at the highest temperature and longest soak time maintained the highest ductility when compared to the uncoated sample processed under the sample conditions. Fractography of the hot-ductility samples showed features associated with increased ductility with increased soak time for all soak temperatures. Heat treatments (without elevated temperature deformation) and subsequent room temperature deformation were conducted to investigate the "in-service" behavior of 22MnB5. The uncoated and coated specimens deformed at room temperature showed similar ultimate tensile strength and ductility values. The only notable differences in the room temperature mechanical behavior of uncoated and coated samples processed under the same conditions were a result of differences in the substrate microstructure. All samples appeared to have ductile fracture features; features characteristic of liquid metal embrittlement were not observed.

Space Weathering Radiation Environment of the Inner Solar System from the Virtual Energetic Particle Observatory

NASA Astrophysics Data System (ADS)

Cooper, J. F.; Papitashvili, N. E.

2016-12-01

The surfaces of Mercury, the Moon, the moons of Mars, the asteroids, and other small bodies of the inner solar system have been directly weathered for millions to billions of years by solar wind, energetic particle, and solar ultraviolet irradiation. Surface regolith layers to meters in depth are formed by impacts of smaller bodies and micrometeoroids. Sample return missions to small bodies, such as Osiris-REx to the asteroid Bennu, are intended to recover information on the early history of solar system formation, but must contend with the long-term space weathering effects that perturb the original structure and composition of the affected bodies. Solar wind plasma ions at keV energies penetrate only to sub-micron depths, while more energetic solar & heliospheric particles up to MeV energies reach centimeter depths, and higher-energy galactic cosmic rays to GeV energies fully penetrate through the impact regolith. The weathering effects vary with energy and penetration depth from ion implantation and erosive sputtering at solar wind energies to chemical and structural evolution driven by MeV - GeV particles. The energy versus depth dependence of such effects is weighted by the differential flux distributions of the incident particles as measured near the orbits of the affected bodies over long periods of time. Our Virtual Energetic Particle Observatory (http://vepo.gsfc.nasa.gov/) enables simultaneous access to multiple data sets from 1973 through the present in the form of differential flux spectral plots and downloadable data tables. The most continuous VEPO coverage exists for geospace data sources at 1 AU from the Interplanetary Monitoring Platform 8 (IMP-8), launched in 1973, through the present 1-AU constellation including the ACE, WIND, SOHO, and Stereo-A/B spacecraft. Other mission data, e.g. more occasionally from Pioneer-10/11, Helios-1/2, Voyager-1/2, and Ulysses, extend heliospheric coverage from the orbit of Mercury to that of Mars, the asteroid belt, and beyond. Using data from the VEPO services, we show the time-averaged spectra of protons and helium during 1973 - 2016 from Mercury to Mars. The main contributors on solar cycle time scales at keV to MeV energies are large solar flare and ICME events. These time-averaged spectra can then be used for space weathering models of the inner solar system.

'In some ways it all helps but in some ways it doesn't': The complexities of service users' experiences of inpatient mental health care in Australia.

PubMed

Isobel, Sophie

2018-06-13

Recovery-oriented mental health care requires active involvement of service users in the evaluation of care. While experience of care surveys is routinely given out upon discharge, capturing the depth and detail of service users' experiences in such a way to meaningfully improve services may require more in-depth and targeted approaches. This study aimed to gather voluntary and involuntary service users' experiences of care during hospitalization in two acute adult mental health inpatient units, through the collaborative completion of a purpose designed tool. The purpose of the study was to examine broad experiences of care and to identify the utility of proactive approaches to ongoing service evaluation. Overall, 67 participants were interviewed. Findings highlight the complexity of experiences of care including how an admission can seemingly facilitate clinical recovery while not being recovery-oriented. The findings also detail areas for improvement in the way that care is delivered and evaluated. The implications are particularly pertinent for mental health nurses to consider how, within the existing constraints of their roles, they can provide therapeutic care to all service users. © 2018 Australian College of Mental Health Nurses Inc.

Diel movement and habitat use by paddlefish in Navigation Pool 8 of the upper Mississippi River

USGS Publications Warehouse

Zigler, Steven J.; Dewey, Michael R.; Knights, Brent C.

1999-01-01

We studied diel movement and habitat use by paddlefish Polyodon spathula implanted with radio transmitters in Navigation Pool 8 of the upper Mississippi River. We radio-tracked five paddlefish during three randomly chosen 24-h periods each month in May, Aug, and Oct 1995. Paddlefish were located by boat one to three times every 3 h during each 24-h period. At each location, geographic coordinates were determined with a global positioning system receiver using the Precise Positioning Service, and depth was measured with a depth sounder. Location coordinates were plotted with ARC/INFO software on a Geographic Information System land–water coverage. Movement distances were calculated as the linear distance between sequential locations. Radio-tagged paddlefish usually remained in a secondary channel that had low current velocity during all seasons, whereas main channel, main channel border, tailwater, and backwater habitats were seldom used. Paddlefish strongly selected areas that were deep; about 62% of paddlefish locations were in areas with more than 6 m of depth, although this habitat constituted only 14.5% of the total study area. However, paddlefish used significantly shallower areas during the night than during the day. Paddlefish moved significantly larger distances at night than during the day in spring and fall, but differences in movement among diel periods during summer were not significant. Our research suggests that radiotelemetry studies that need to determine depth use or movement of paddlefish during small time scales may need to incorporate a diel component. However, study objectives to determine use of general habitat types by radio-marked paddlefish can be adequately met by tracking during the day.

CPR performance in the presence of audiovisual feedback or football shoulder pads.

PubMed

Tanaka, Shota; Rodrigues, Wayne; Sotir, Susan; Sagisaka, Ryo; Tanaka, Hideharu

2017-01-01

The initiation of cardiopulmonary resuscitation (CPR) can be complicated by the use of protective equipment in contact sports, and the rate of success in resuscitating the patient depends on the time from incident to start of CPR. The aim of our study was to see if (1) previous training, (2) the presence of audiovisual feedback and (3) the presence of football shoulder pads (FSP) affected the quality of chest compressions. Six basic life support certified athletic training students (BLS-ATS), six basic life support certified emergency medical service personnel (BLS-EMS) and six advanced cardiac life support certified emergency medical service personnel (ACLS-EMS) participated in a crossover manikin study. A quasi-experimental repeated measures design was used to measure the chest compression depth (cm), rate (cpm), depth accuracy (%) and rate accuracy (%) on four different conditions by using feedback and/or FSP. Real CPR Help manufactured by ZOLL (Chelmsford, Massachusetts, USA) was used for the audiovisual feedback. Three participants from each group performed 2 min of chest compressions at baseline first, followed by compressions with FSP, with feedback and with both FSP and feedback (FSP+feedback). The other three participants from each group performed compressions at baseline first, followed by compressions with FSP+feedback, feedback and FSP. CPR performance did not differ between the groups at baseline (median (IQR), BLS-ATS: 5.0 (4.4-6.1) cm, 114(96-131) cpm; BLS-EMS: 5.4 (4.1-6.4) cm, 112(99-131) cpm; ACLS-EMS: 6.4 (5.7-6.7) cm, 138(113-140) cpm; depth p=0.10, rate p=0.37). A statistically significant difference in the percentage of depth accuracy was found with feedback (median (IQR), 13.8 (0.9-49.2)% vs 69.6 (32.3-85.8)%; p=0.0002). The rate accuracy was changed from 17.1 (0-80.7)% without feedback to 59.2 (17.3-74.3)% with feedback (p=0.50). The use of feedback was effective for depth accuracy, especially in the BLS-ATS group, regardless of the presence of FSP (median (IQR), 22.0 (7.3-36.2)% vs 71.3 (35.4-86.5)%; p=0.0002). The use of audiovisual feedback positively affects the quality of the depth of CPR. Both feedback and FSP do not alter the rate measurements. Medically trained personnel are able to deliver the desired depth regardless of the presence of FSP even though shallower chest compressions depth can be seen in CPR with FSP. A feedback device must be introduced into the athletic training settings.

CPR performance in the presence of audiovisual feedback or football shoulder pads

PubMed Central

Tanaka, Shota; Rodrigues, Wayne; Sotir, Susan; Sagisaka, Ryo; Tanaka, Hideharu

2017-01-01

Objective The initiation of cardiopulmonary resuscitation (CPR) can be complicated by the use of protective equipment in contact sports, and the rate of success in resuscitating the patient depends on the time from incident to start of CPR. The aim of our study was to see if (1) previous training, (2) the presence of audiovisual feedback and (3) the presence of football shoulder pads (FSP) affected the quality of chest compressions. Methods Six basic life support certified athletic training students (BLS-ATS), six basic life support certified emergency medical service personnel (BLS-EMS) and six advanced cardiac life support certified emergency medical service personnel (ACLS-EMS) participated in a crossover manikin study. A quasi-experimental repeated measures design was used to measure the chest compression depth (cm), rate (cpm), depth accuracy (%) and rate accuracy (%) on four different conditions by using feedback and/or FSP. Real CPR Help manufactured by ZOLL (Chelmsford, Massachusetts, USA) was used for the audiovisual feedback. Three participants from each group performed 2 min of chest compressions at baseline first, followed by compressions with FSP, with feedback and with both FSP and feedback (FSP+feedback). The other three participants from each group performed compressions at baseline first, followed by compressions with FSP+feedback, feedback and FSP. Results CPR performance did not differ between the groups at baseline (median (IQR), BLS-ATS: 5.0 (4.4–6.1) cm, 114(96–131) cpm; BLS-EMS: 5.4 (4.1–6.4) cm, 112(99–131) cpm; ACLS-EMS: 6.4 (5.7–6.7) cm, 138(113–140) cpm; depth p=0.10, rate p=0.37). A statistically significant difference in the percentage of depth accuracy was found with feedback (median (IQR), 13.8 (0.9–49.2)% vs 69.6 (32.3–85.8)%; p=0.0002). The rate accuracy was changed from 17.1 (0–80.7)% without feedback to 59.2 (17.3–74.3)% with feedback (p=0.50). The use of feedback was effective for depth accuracy, especially in the BLS-ATS group, regardless of the presence of FSP (median (IQR), 22.0 (7.3–36.2)% vs 71.3 (35.4–86.5)%; p=0.0002). Conclusions The use of audiovisual feedback positively affects the quality of the depth of CPR. Both feedback and FSP do not alter the rate measurements. Medically trained personnel are able to deliver the desired depth regardless of the presence of FSP even though shallower chest compressions depth can be seen in CPR with FSP. A feedback device must be introduced into the athletic training settings. PMID:28761704

Work in progress. Integrating physicians' services in the home.

PubMed Central

McWilliam, C. L.; Stewart, M.; Sangster, J.; Cohen, I.; Mitchell, J.; Sutherland, C.; Ryan, B.

2001-01-01

OBJECTIVE: While increasing acuity levels and the concomitant complexity of service demand that physicians be involved in in-home care, conflicting evidence and opinions do not show how this can best be achieved. DESIGN: A phenomenologic research design was used to obtain insights into the challenges and opportunities of integrating physicians' services into the usual in-home services in London, Ont. SETTING: Home care in London, Ont. PARTICIPANTS: Twelve participants included three patients, two family caregivers, two family physicians, the program's nurse practitioner, two case managers, and two community nurses. METHOD: In-depth interviews with a maximally varied purposeful sample of patients, caregivers, and providers were analyzed using immersion and crystallization techniques. MAIN FINDINGS: Findings revealed the potential for enhanced continuity of care and interdisciplinary team functioning. Having a nurse practitioner, interdisciplinary team-building exercises and meetings, regular face-to-face contact among all providers, support for family caregivers, and 24-hour coverage for physicians were found to be essential for success. CONCLUSION: Integration of services takes time, money, and sustained commitment, particularly when undertaken in geographically isolated communities. Informed choice and a fair remuneration system remain important considerations for family physicians. PMID:11785281

Navigation Architecture for a Space Mobile Network

NASA Technical Reports Server (NTRS)

Valdez, Jennifer E.; Ashman, Benjamin; Gramling, Cheryl; Heckler, Gregory W.; Carpenter, Russell

2016-01-01

The Tracking and Data Relay Satellite System (TDRSS) Augmentation Service for Satellites (TASS) is a proposed beacon service to provide a global, space based GPS augmentation service based on the NASA Global Differential GPS (GDGPS) System. The TASS signal will be tied to the GPS time system and usable as an additional ranging and Doppler radiometric source. Additionally, it will provide data vital to autonomous navigation in the near Earth regime, including space weather information, TDRS ephemerides, Earth Orientation Parameters (EOP), and forward commanding capability. TASS benefits include enhancing situational awareness, enabling increased autonomy, and providing near real-time command access for user platforms. As NASA Headquarters' Space Communication and Navigation Office (SCaN) begins to move away from a centralized network architecture and towards a Space Mobile Network (SMN) that allows for user initiated services, autonomous navigation will be a key part of such a system. This paper explores how a TASS beacon service enables the Space Mobile Networking paradigm, what a typical user platform would require, and provides an in-depth analysis of several navigation scenarios and operations concepts. This paper provides an overview of the TASS beacon and its role within the SMN and user community. Supporting navigation analysis is presented for two user mission scenarios: an Earth observing spacecraft in low earth orbit (LEO), and a highly elliptical spacecraft in a lunar resonance orbit. These diverse flight scenarios indicate the breadth of applicability of the TASS beacon for upcoming users within the current network architecture and in the SMN.

How Do Pre-Service Teachers' Reflective Processes Differ in Relation to Different Contexts?

ERIC Educational Resources Information Center

Kaasila, Raimo; Lauriala, Anneli

2012-01-01

Reflective practice represents a central theme in teacher education. The focus of this study is to look at pre-service teachers' reflection processes and their breadth and depth in four different contexts. Our research data consist of 53 pre-service teachers' mathematics portfolios, from which three were selected for closer scrutiny. The chosen…

Modeling the Structure of Partnership between Researchers and Front-Line Service Providers: Strengthening Collaborative Public Health Research

ERIC Educational Resources Information Center

Pinto, Rogério M.; Wall, Melanie M.; Spector, Anya Y.

2014-01-01

Partnerships between HIV researchers and service providers are essential for reducing the gap between research and practice. Community-Based Participatory Research principles guided this cross-sectional study, combining 40 in-depth interviews with surveys of 141 providers in 24 social service agencies in New York City. We generated the…

The Unsolved Challenge of System Reform: The Condition of the Frontline Human Services Workforce.

ERIC Educational Resources Information Center

Annie E. Casey Foundation, Baltimore, MD.

Frontline social services workers are the heart and soul of our nation's publicly funded human services system. Conservatively estimated at about 3 million, these workers have a tremendous impact on the life chances of vulnerable children and families. This vital role prompted Casey Foundation staff to conduct an in-depth exploration of job…

An Analysis of "In-Depth" Schools Conducted by Area Extension Agents in the Agricultural Industry.

ERIC Educational Resources Information Center

Cunningham, Clarence J.

The Ohio Extension Service conducted "in-depth" schools on Dairy Genetics and Reproduction, Beef Cattle, Capital Management, and Fertilizer and Lime at area centers in Wooster, Defiance and Fremont, Washington Court House, and McConnellsville. Two thirds of the instructional staff were area agents; others were specialists, resident…

Healthcare seeking practices and barriers to accessing under-five child health services in urban slums in Malawi: a qualitative study.

PubMed

Lungu, Edgar Arnold; Biesma, Regien; Chirwa, Maureen; Darker, Catherine

2016-08-19

Access to child health services is an important determinant of child health. Whereas, child health indicators are generally better in urban than rural areas, some population groups in urban areas, such as children residing in urban slums do not enjoy this urban health advantage. In the context of increasing urbanisation and urban poverty manifesting with proliferation of urban slums, the health of under-five children in slum areas remains a public health imperative in Malawi. This paper explores healthcare-seeking practices for common childhood illnesses focusing on use of biomedical health services and perceived barriers to accessing under-five child health services in urban slums of Lilongwe, Malawi's capital city. Qualitative data from 8 focus group discussions with caregivers and 11 in-depth interviews with key informants conducted from September 2012 to April 2013 were analysed using conventional content analysis. Whereas, caregivers sought care from biomedical health providers, late care-seeking also emerged as a major theme and phenomenon. Home management was actively undertaken for childhood illnesses. Various health system barriers: lack of medicines and supplies; long waiting times; late facility opening times; negative attitude of health workers; suboptimal examination of the sick child; long distance to health facility; and cost of healthcare were cited in this qualitative inquiry as critical health system factors affecting healthcare-seeking for child health services. Interventions to strengthen the health system's responsiveness to expectations are essential to promote utilisation of child health services among urban slum populations, and ultimately improve child health and survival.

Service use and unmet service needs in grandparents raising grandchildren.

PubMed

Yancura, Loriena A

2013-01-01

Most in-depth studies of grandparents raising grandchildren use samples recruited from service providers, so little is known about those who do not use formal services. A sample of 200 grandparents registered with a public school district completed a survey on service use and unmet service needs. Of the 131 who did not use services, 82 reported unmet service needs, and 49 reported no needs. Those with unmet needs were younger, more likely to be Native Hawaiian, and less likely to receive public assistance. These findings indicate that some grandparents are falling through the cracks of the service provision network.

Inverse scattering pre-stack depth imaging and it's comparison to some depth migration methods for imaging rich fault complex structure

NASA Astrophysics Data System (ADS)

Nurhandoko, Bagus Endar B.; Sukmana, Indriani; Mubarok, Syahrul; Deny, Agus; Widowati, Sri; Kurniadi, Rizal

2012-06-01

Migration is important issue for seismic imaging in complex structure. In this decade, depth imaging becomes important tools for producing accurate image in depth imaging instead of time domain imaging. The challenge of depth migration method, however, is in revealing the complex structure of subsurface. There are many methods of depth migration with their advantages and weaknesses. In this paper, we show our propose method of pre-stack depth migration based on time domain inverse scattering wave equation. Hopefully this method can be as solution for imaging complex structure in Indonesia, especially in rich thrusting fault zones. In this research, we develop a recent advance wave equation migration based on time domain inverse scattering wave which use more natural wave propagation using scattering wave. This wave equation pre-stack depth migration use time domain inverse scattering wave equation based on Helmholtz equation. To provide true amplitude recovery, an inverse of divergence procedure and recovering transmission loss are considered of pre-stack migration. Benchmarking the propose inverse scattering pre-stack depth migration with the other migration methods are also presented, i.e.: wave equation pre-stack depth migration, waveequation depth migration, and pre-stack time migration method. This inverse scattering pre-stack depth migration could image successfully the rich fault zone which consist extremely dip and resulting superior quality of seismic image. The image quality of inverse scattering migration is much better than the others migration methods.

Impact of different cloud deployments on real-time video applications for mobile video cloud users

NASA Astrophysics Data System (ADS)

Khan, Kashif A.; Wang, Qi; Luo, Chunbo; Wang, Xinheng; Grecos, Christos

2015-02-01

The latest trend to access mobile cloud services through wireless network connectivity has amplified globally among both entrepreneurs and home end users. Although existing public cloud service vendors such as Google, Microsoft Azure etc. are providing on-demand cloud services with affordable cost for mobile users, there are still a number of challenges to achieve high-quality mobile cloud based video applications, especially due to the bandwidth-constrained and errorprone mobile network connectivity, which is the communication bottleneck for end-to-end video delivery. In addition, existing accessible clouds networking architectures are different in term of their implementation, services, resources, storage, pricing, support and so on, and these differences have varied impact on the performance of cloud-based real-time video applications. Nevertheless, these challenges and impacts have not been thoroughly investigated in the literature. In our previous work, we have implemented a mobile cloud network model that integrates localized and decentralized cloudlets (mini-clouds) and wireless mesh networks. In this paper, we deploy a real-time framework consisting of various existing Internet cloud networking architectures (Google Cloud, Microsoft Azure and Eucalyptus Cloud) and a cloudlet based on Ubuntu Enterprise Cloud over wireless mesh networking technology for mobile cloud end users. It is noted that the increasing trend to access real-time video streaming over HTTP/HTTPS is gaining popularity among both research and industrial communities to leverage the existing web services and HTTP infrastructure in the Internet. To study the performance under different deployments using different public and private cloud service providers, we employ real-time video streaming over the HTTP/HTTPS standard, and conduct experimental evaluation and in-depth comparative analysis of the impact of different deployments on the quality of service for mobile video cloud users. Empirical results are presented and discussed to quantify and explain the different impacts resulted from various cloud deployments, video application and wireless/mobile network setting, and user mobility. Additionally, this paper analyses the advantages, disadvantages, limitations and optimization techniques in various cloud networking deployments, in particular the cloudlet approach compared with the Internet cloud approach, with recommendations of optimized deployments highlighted. Finally, federated clouds and inter-cloud collaboration challenges and opportunities are discussed in the context of supporting real-time video applications for mobile users.

Rivers and streams in the media: a content analysis of ecosystem services

EPA Science Inventory

While ecosystem services research has become common, few efforts are directed toward in-depth understanding of the specific ecological quantities people value. Environmental communications as well as ecological monitoring and analysis efforts could be enhanced by such information...

Empirical analysis of individual popularity and activity on an online music service system

NASA Astrophysics Data System (ADS)

Hu, Hai-Bo; Han, Ding-Yi

2008-10-01

Quantitative understanding of human behaviors supplies basic comprehension of the dynamics of many socio-economic systems. Based on the log data of an online music service system, we investigate the statistical characteristics of individual activity and popularity, and find that the distributions of both of them follow a stretched exponential form which interpolates between exponential and power law distribution. We also study the human dynamics on the online system and find that the distribution of interevent time between two consecutive listenings of music shows the fat tail feature. Besides, with the reduction of user activity the fat tail becomes more and more irregular, indicating different behavior patterns for users with diverse activities. The research results may shed some light on the in-depth understanding of collective behaviors in socio-economic systems.

Measurement of patient satisfaction with community pharmacy services: a review.

PubMed

Naik Panvelkar, Pradnya; Saini, Bandana; Armour, Carol

2009-10-01

The aim of this review is to conduct an in-depth analysis of the available literature in order to identify and evaluate studies measuring patient satisfaction with pharmacy services delivered by pharmacists in a community setting. An extensive literature search was conducted in five databases (Medline, Scopus, Embase, Psychinfo, International Pharmaceutical Abstracts) using the search terms "patient/client/consumer satisfaction" AND "community pharmacy/pharmacies" AND "pharmacy service/pharmaceutical services/pharmacy program/intervention/intervention studies". Only those articles where the main focus was measuring patient satisfaction with services delivered in community pharmacies were included in the review. Patient satisfaction was explored with three different levels of pharmacy services -- general services, intervention services and cognitive services. Twenty-four articles measuring patient satisfaction with community pharmacy services were retrieved. Of these, eleven measured patient satisfaction with general services, six measured satisfaction with intervention services and seven measured satisfaction with cognitive services. The majority of studies reviewed had adopted and measured satisfaction as a multidimensional construct. None of the studies reviewed tested any theoretical models of satisfaction. Further a lack of consistent instruments measuring patient satisfaction was observed, with most of the reviewed studies using self developed, non-validated or ad hoc instruments with items from various previously published papers. The review also observed high levels of patient satisfaction with pharmacy services be they general, intervention or cognitive services. This review found that patient satisfaction has been measured within the community pharmacy context to a certain degree. Further research is needed to develop and test instruments based on theoretical frameworks, to test satisfaction pre and post hoc and in well designed randomized controlled trials and to measure changes in satisfaction over time. Novel approaches involving an understanding of expectations and preferences of patients and matching these to the services provided also need to be explored.

Exploring the scientific underpinnings of ecosystem services in the Willamette Valley, Oregon, USA - a place-based study

EPA Science Inventory

The US Environmental Protection Agency has undertaken a national research effort (Ecological Research Program) involving approximately 200 scientists, nation-wide to develop the science breadth and depth required to incorporate ecosystem services into environmental policy decisio...

Optimizing the night time with dome vents and SNR-QSO at CFHT

NASA Astrophysics Data System (ADS)

Devost, Daniel; Mahoney, Billy; Moutou, Claire; CFHT QSO Team, CFHT software Group

2017-06-01

Night time is a precious and costly commodity and it is important to get everything we can out of every second of every night of observing. In 2012 the Canada-France-Hawaii Telescope started operating 12 new vent doors installed on the dome over the course of the previous two years. The project was highly successful and seeing measurements show that venting the dome greatly enhances image quality at the focal plane. In order to capitalize on the gains brought by the new vents, the observatory started exploring a new mode of observation called SNR-QSO. This mode consist of a new implementation inside our Queued Service Observation (QSO) system. Exposure times are adjusted for each frame depending on the weather conditions in order to reach a specific depth, Signal to Noise Ratio (SNR) at a certain magnitude. The goal of this new mode is to capitalize on the exquisite seeing provided by Maunakea, complemented by the minimized dome turbulence, to use the least amount of time to reach the depth required by the science programs. Specific implementations were successfully tested on two different instruments, our wide field camera MegaCam and our high resolution spectrograph ESPaDOnS. I will present the methods used for each instrument to achieve SNR observing and the gains produced by these new observing modes in order to reach the scientific goals of accepted programs in a shorter amount of time.

Perceived needs of pharmaceutical care services among healthcare professionals in South Korea: a qualitative study.

PubMed

Lee, Iyn-Hyang; Rhie, Sandy Jeong; Je, Nam Kyung; Rhew, Ki Yon; Ji, Eunhee; Oh, Jung Mi; Lee, Euni; Yoon, Jeong-Hyun

2016-10-01

Purpose To explore the need for pharmaceutical care services, key features of desirable pharmacy services, and perceived barriers for advancing the services in hospital environments with doctors and nurses who are key co-workers of the interdisciplinary team care services.Methods Semi-structured, in-depth interviews with eighteen doctors and fifteen nurses employing purposive and snowballing sampling strategies were conducted in ten hospitals in South Korea. Results The level of pharmaceutical care was varied across regions or institutions in South Korea. The concept of pharmaceutical care was insufficiently defined, and tended to be limited to some parts of medication counseling. Through pharmaceutical care services, doctors desired to acquire comprehensive drug information from and to share clinical responsibilities with pharmacists. Nurses wished to lower their burdens of medication counseling services from their daily practices. Doctors and nurses asked for pharmacists providing essential and carefully selected medication information to their patients in a patient-centered manner. The listed barriers to pharmaceutical care included the lack of appropriate systems for reward, insufficient accessibility to patient records by pharmacists, ambiguous role descriptions of pharmacist, and absence of effective communication among professionals. Conclusion A successful pharmaceutical care service model should allow efficient exchange of information among healthcare professionals to build inter-professional trust and to provide a continuity of care both in terms of time and setting. As prerequisites of such system, it was warranted to develop clinical evidence and an appropriate reward system for pharmaceutical care services.

Tips for scholarly writing in nursing.

PubMed

Dexter, P

2000-01-01

Professional nurses, and certainly those in academia and nursing service leadership positions, are experiencing an increasing need for writing skills. Among the most important skills required for scholarly writing are those relating to critical thinking. With this in mind, suggestions for scholarly writing in nursing are presented in this article, organized according to Paul's criteria for critical thinking: clarity, precision, specificity, accuracy, relevance, consistency, logicalness, depth, completeness, significance, fairness, and adequacy for purpose. Although becoming proficient in scholarly writing takes time and effort, the rewards in terms of career advancement, professional contributions, and personal satisfaction and enjoyment are considerable.

Unpacking Clinical Supervision in Transitional and Permanent Supportive Housing: Scrutiny or Support?

PubMed

Choy-Brown, Mimi; Stanhope, Victoria; Tiderington, Emmy; Padgett, Deborah K

2016-07-01

Behavioral health organizations use clinical supervision to ensure professional development and practice quality. This qualitative study examined 35 service coordinators' perspectives on supervision in two distinct supportive housing program types (permanent and transitional). Thematic analysis of in-depth interviews yielded three contrast themes: support versus scrutiny, planned versus impromptu time, and housing first versus treatment first. Supervisory content and format resulted in differential perceptions of supervision, thereby influencing opportunities for learning. These findings suggest that unpacking discrete elements of supervision enactment in usual care settings can inform implementation of recovery-oriented practice.

Unpacking clinical supervision in transitional and permanent supportive housing: Scrutiny or support?

PubMed Central

Choy-Brown, Mimi; Stanhope, Victoria; Tiderington, Emmy; Padgett, Deborah K.

2015-01-01

Behavioral health organizations use clinical supervision to ensure professional development and practice quality. This qualitative study examined 35 service coordinators' perspectives on supervision in two distinct supportive housing program types (permanent and transitional). Thematic analysis of in-depth interviews yielded three contrast themes: support versus scrutiny, planned versus impromptu time, and Housing First versus Treatment First. Supervisory content and format resulted in differential perceptions of supervision, thereby influencing opportunities for learning. These findings suggest that unpacking discrete elements of supervision enactment in usual care settings can inform implementation of recovery-oriented practice. PMID:26066866

The design and implementation of postprocessing for depth map on real-time extraction system.

PubMed

Tang, Zhiwei; Li, Bin; Li, Huosheng; Xu, Zheng

2014-01-01

Depth estimation becomes the key technology to resolve the communications of the stereo vision. We can get the real-time depth map based on hardware, which cannot implement complicated algorithm as software, because there are some restrictions in the hardware structure. Eventually, some wrong stereo matching will inevitably exist in the process of depth estimation by hardware, such as FPGA. In order to solve the problem a postprocessing function is designed in this paper. After matching cost unique test, the both left-right and right-left consistency check solutions are implemented, respectively; then, the cavities in depth maps can be filled by right depth values on the basis of right-left consistency check solution. The results in the experiments have shown that the depth map extraction and postprocessing function can be implemented in real time in the same system; what is more, the quality of the depth maps is satisfactory.

The organization and delivery of family planning services in community health centers.

PubMed

Goldberg, Debora Goetz; Wood, Susan F; Johnson, Kay; Mead, Katherine Holly; Beeson, Tishra; Lewis, Julie; Rosenbaum, Sara

2015-01-01

Family planning and related reproductive health services are essential primary care services for women. Access is limited for women with low incomes and those living in medically underserved areas. Little information is available on how federally funded health centers organize and provide family planning services. This was a mixed methods study of the organization and delivery of family planning services in federally funded health centers across the United States. A national survey was developed and administered (n = 423) and in-depth case studies were conducted of nine health centers to obtain detailed information on their approach to family planning. Study findings indicate that health centers utilize a variety of organizational models and staffing arrangements to deliver family planning services. Health centers' family planning offerings are organized in one of two ways, either a separate service with specific providers and clinic times or fully integrated with primary care. Health centers experience difficulties in providing a full range of family planning services. Major challenges include funding limitations; hiring obstetricians/gynecologists, counselors, and advanced practice clinicians; and connecting patients to specialized services not offered by the health center. Health centers play an integral role in delivering primary care and family planning services to women in medically underserved communities. Improving the accessibility and comprehensiveness of family planning services will require a combination of additional direct funding, technical assistance, and policies that emphasize how health centers can incorporate quality family planning as a fundamental element of primary care. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Education Technology Survey, 1995.

ERIC Educational Resources Information Center

Quality Education Data, Inc., Denver, CO.

Primary research (in-depth telephone interviews) was conducted among elementary and secondary school educators in Spring 1995 to determine usage, attitudes, and barriers to usage for five electronic in-school services: Cable in the Classroom; computers, laserdisc or CD-ROM; Internet; online computer services such as America Online and Prodigy; and…

The Development of a Qualitative Dynamic Attribute Value Model for Healthcare Institutes

PubMed Central

Lee, Wan-I

2010-01-01

Background: Understanding customers has become an urgent topic for increasing competitiveness. The purpopse of the study was to develop a qualitative dynamic attribute value model which provides insight into the customers’ value for healthcare institute managers by conducting the initial open-ended questionnaire survey to select participants purposefully. Methods: A total number of 427 questionnaires was conducted in two hospitals in Taiwan (one district hospital with 635 beds and one academic hospital with 2495 beds) and 419 questionnaires were received in nine weeks. Then, apply qualitative in-depth interviews to explore customers’ perspective of values for building a model of partial differential equations. Results: This study concludes nine categories of value, including cost, equipment, physician background, physicain care, environment, timing arrangement, relationship, brand image and additional value, to construct objective network for customer value and qualitative dynamic attribute value model where the network shows the value process of loyalty development via its effect on customer satisfaction, customer relationship, customer loyalty and healthcare service. Conclusion: One set predicts the customer relationship based on comminent, including service quality, communication and empahty. As the same time, customer loyalty based on trust, involves buzz marketing, brand and image. Customer value of the current instance is useful for traversing original customer attributes and identifing customers on different service share. PMID:23113034

The development of a qualitative dynamic attribute value model for healthcare institutes.

PubMed

Lee, Wan-I

2010-01-01

Understanding customers has become an urgent topic for increasing competitiveness. The purpopse of the study was to develop a qualitative dynamic attribute value model which provides insight into the customers' value for healthcare institute managers by conducting the initial open-ended questionnaire survey to select participants purposefully. A total number of 427 questionnaires was conducted in two hospitals in Taiwan (one district hospital with 635 beds and one academic hospital with 2495 beds) and 419 questionnaires were received in nine weeks. Then, apply qualitative in-depth interviews to explore customers' perspective of values for building a model of partial differential equations. This study concludes nine categories of value, including cost, equipment, physician background, physicain care, environment, timing arrangement, relationship, brand image and additional value, to construct objective network for customer value and qualitative dynamic attribute value model where the network shows the value process of loyalty development via its effect on customer satisfaction, customer relationship, customer loyalty and healthcare service. One set predicts the customer relationship based on comminent, including service quality, communication and empahty. As the same time, customer loyalty based on trust, involves buzz marketing, brand and image. Customer value of the current instance is useful for traversing original customer attributes and identifing customers on different service share.

Integrating Multilevel Command and Control into a Service Oriented Architecture to Provide Cross Domain Capability

DTIC Science & Technology

2006-06-01

Horizontal Fusion, the JCDX team developed two web services, a Classification Policy Decision Service (cPDS), and a Federated Search Provider (FSP...The cPDS web service primarily provides other systems with methods for handling labeled data such as label comparison. The federated search provider...level domains. To provide defense-in-depth, cPDS and the Federated Search Provider are implemented on a separate server known as the JCDX Web

Sexual Health Services for Young People in a Rural Area of Northern Ireland: A Study of the Key Issues for Those Who Provide Them

ERIC Educational Resources Information Center

McCann, Lyndsey; Donnelly, Lyn; Quinn, Phelim; McAnerney, Rosemary

2008-01-01

Objective: To identify the key issues for service providers in delivering high quality sexual health services, responsive to the needs of young people, in a rural area of Northern Ireland. Design: A triangulation survey approach using questionnaires, in-depth interviews and focus groups was undertaken with a range of organizations and…

Polymorphous Organization: A Nested-Structurationist Study of an Organizational Form in the IT Services Outsourcing Industry

ERIC Educational Resources Information Center

Joy, Simy

2010-01-01

In an in-depth field study of the work practices among the teams engaged in the delivery of outsourced IT services in a large IT services company in India, I discovered the organizational form that I call "Polymorphous Organization". It is the phenomenon where each team was embedded in a unique work context constituted by both the parent…

An Exploratory Study of GP Perceptions of the Impact of a Primary Care Counselling Service on Their Practice

ERIC Educational Resources Information Center

Schafer, Tim; Amoateng, Geoffrey; Wrycraft, Nick

2009-01-01

This paper presents the results of research into GP perceptions of the impact of on-site counselling on general practice. The research is part of a larger evaluation of a local enhanced primary care mental service. The initial survey and in-depth interviews with GPs reported here focused on the pre-existing counselling service. The results suggest…

The Influence of Collaborative Reflection and Think-Aloud Protocols on Pre-Service Teachers' Reflection: A Mixed Methods Approach

ERIC Educational Resources Information Center

Epler, Cory M.; Drape, Tiffany A.; Broyles, Thomas W.; Rudd, Rick D.

2013-01-01

The purpose of this mixed methods study was to determine if there are differences in pre-service teachers' depth of reflection when using a written self-reflection form, a written self-reflection form and a think-aloud protocol, and collaborative reflection. Twenty-six pre-service teachers were randomly assigned to fourteen teaching teams. The…

Report on Pilot Test Of Impact and In-Depth Measures. Child and Family Mental Health Project.

ERIC Educational Resources Information Center

Condry, Sandra; Hayes, William A.

This document reports the pilot test of the two components of the Child and Family Mental Health (CFMH) Evaluation Project -- the impact evaluation component and the in-depth evaluation component. (The impact evaluation is designed to determine the effects of the two primary prevention models of service and activities on the CFMH Head Start…

Marine microbes in 4D-using time series observation to assess the dynamics of the ocean microbiome and its links to ocean health.

PubMed

Buttigieg, Pier Luigi; Fadeev, Eduard; Bienhold, Christina; Hehemann, Laura; Offre, Pierre; Boetius, Antje

2018-02-21

Microbial observation is of high relevance in assessing marine phenomena of scientific and societal concern including ocean productivity, harmful algal blooms, and pathogen exposure. However, we have yet to realise its potential to coherently and comprehensively report on global ocean status. The ability of satellites to monitor the distribution of phytoplankton has transformed our appreciation of microbes as the foundation of key ecosystem services; however, more in-depth understanding of microbial dynamics is needed to fully assess natural and anthropogenically induced variation in ocean ecosystems. While this first synthesis shows that notable efforts exist, vast regions such as the ocean depths, the open ocean, the polar oceans, and most of the Southern Hemisphere lack consistent observation. To secure a coordinated future for a global microbial observing system, existing long-term efforts must be better networked to generate shared bioindicators of the Global Ocean's state and health. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

A new perspective on the incentive-blood donation relationship: partnership, congruency, and affirmation of competence.

PubMed

Chmielewski, Danielle; Bove, Liliana L; Lei, Jing; Neville, Ben; Nagpal, Anish

2012-09-01

The Motivation Crowding-out Theory suggests that incentives undermine intrinsic motivation and thus blood donation behavior. While there is strong evidence showing the negative relationship between monetary incentives and blood donation, findings on the effect of nonmonetary incentives are mixed. Set in a voluntary, nonremunerated environment, this study explores aspects of the nonmonetary incentive-blood donation relationship not captured by the crowding-out hypothesis. In-depth interviews were conducted to explore donors' attitudes toward nonmonetary incentives currently used or considered by the Australian Red Cross Blood Service (Blood Service). Transcripts were analyzed using an inductive, thematic approach. Of the nonmonetary incentives examined (i.e., health screening tests, branded tokens, paid time off work, recognition of key milestones, and postdonation refreshments), none were found to crowd out intrinsic motivation, although not all were viewed favorably. Donors who viewed branded tokens negatively considered the cost implications for the Blood Service, while donors who responded positively considered the public benefit of tokens in raising the profile of the Blood Service. Other nonmonetary incentives-paid time off work, postdonation refreshments, and health screening tests-were viewed positively because donors perceived them to be congruent to the effort expended in donating blood. Finally, donors expressed a preference for private over public recognition when acknowledging significant contributions. When operating in a voluntary, nonremunerated environment, blood services should view donors as supply partners rather than customers, only consider nonmonetary incentives that are congruent with the act of donation, and provide private rather than public recognition of key milestones. © 2012 American Association of Blood Banks.

Care Models of eHealth Services: A Case Study on the Design of a Business Model for an Online Precare Service.

PubMed

van Meeuwen, Dorine Pd; van Walt Meijer, Quirine J; Simonse, Lianne Wl

2015-03-24

With a growing population of health care clients in the future, the organization of high-quality and cost-effective service providing becomes an increasing challenge. New online eHealth services are proposed as innovative options for the future. Yet, a major barrier to these services appears to be the lack of new business model designs. Although design efforts generally result in visual models, no such artifacts have been found in the literature on business model design. This paper investigates business model design in eHealth service practices from a design perspective. It adopts a research by design approach and seeks to unravel what characteristics of business models determine an online service and what are important value exchanges between health professionals and clients. The objective of the study was to analyze the construction of care models in-depth, framing the essential elements of a business model, and design a new care model that structures these elements for the particular context of an online pre-care service in practice. This research employs a qualitative method of an in-depth case study in which different perspectives on constructing a care model are investigated. Data are collected by using the visual business modeling toolkit, designed to cocreate and visualize the business model. The cocreated models are transcribed and analyzed per actor perspective, transactions, and value attributes. We revealed eight new actors in the business model for providing the service. Essential actors are: the intermediary network coordinator connecting companies, the service dedicated information technology specialists, and the service dedicated health specialist. In the transactions for every service providing we found a certain type of contract, such as a license contract and service contracts for precare services and software products. In addition to the efficiency, quality, and convenience, important value attributes appeared to be: timelines, privacy and credibility, availability, pleasantness, and social interaction. Based on the in-depth insights from the actor perspectives, the business model for online precare services is modeled with a visual design. A new care model of the online precare service is designed and compiled of building blocks for the business model. For the construction of a care model, actors, transactions, and value attributes are essential elements. The design of a care model structures these elements in a visual way. Guided by the business modeling toolkit, the care model design artifact is visualized in the context of an online precare service. Important building blocks include: provision of an online flow of information with regular interactions to the client stimulates self-management of personal health and service-dedicated health expert ensure an increase of the perceived quality of the eHealth service.

Care Models of eHealth Services: A Case Study on the Design of a Business Model for an Online Precare Service

PubMed Central

2015-01-01

Background With a growing population of health care clients in the future, the organization of high-quality and cost-effective service providing becomes an increasing challenge. New online eHealth services are proposed as innovative options for the future. Yet, a major barrier to these services appears to be the lack of new business model designs. Although design efforts generally result in visual models, no such artifacts have been found in the literature on business model design. This paper investigates business model design in eHealth service practices from a design perspective. It adopts a research by design approach and seeks to unravel what characteristics of business models determine an online service and what are important value exchanges between health professionals and clients. Objective The objective of the study was to analyze the construction of care models in-depth, framing the essential elements of a business model, and design a new care model that structures these elements for the particular context of an online pre-care service in practice. Methods This research employs a qualitative method of an in-depth case study in which different perspectives on constructing a care model are investigated. Data are collected by using the visual business modeling toolkit, designed to cocreate and visualize the business model. The cocreated models are transcribed and analyzed per actor perspective, transactions, and value attributes. Results We revealed eight new actors in the business model for providing the service. Essential actors are: the intermediary network coordinator connecting companies, the service dedicated information technology specialists, and the service dedicated health specialist. In the transactions for every service providing we found a certain type of contract, such as a license contract and service contracts for precare services and software products. In addition to the efficiency, quality, and convenience, important value attributes appeared to be: timelines, privacy and credibility, availability, pleasantness, and social interaction. Based on the in-depth insights from the actor perspectives, the business model for online precare services is modeled with a visual design. A new care model of the online precare service is designed and compiled of building blocks for the business model. Conclusions For the construction of a care model, actors, transactions, and value attributes are essential elements. The design of a care model structures these elements in a visual way. Guided by the business modeling toolkit, the care model design artifact is visualized in the context of an online precare service. Important building blocks include: provision of an online flow of information with regular interactions to the client stimulates self-management of personal health and service-dedicated health expert ensure an increase of the perceived quality of the eHealth service. PMID:25831094

Polymer impregnated bridge slabs : interim report, condition of slabs after three years of service life.

DOT National Transportation Integrated Search

1983-01-01

The condition of six concrete bridge slabs that had been in service for three years was evaluated. The top 2 in. of the four slabs that had been impregnated to a depth of about 1 in. with a methyl methacrylate and trimethylolpropane trimethacrylate m...

Changes, Challenges, and Opportunities for Student Services at One Baccalaureate Degree-Granting Community College

ERIC Educational Resources Information Center

Martinez, Edna

2018-01-01

Objective: The objective of this study was to explore organizational changes within the area of student services at one baccalaureate degree-granting community college. Method: Data were collected via in-depth semistructured interviews with faculty and administrators, observations, and organizational documents. Results: Analysis revealed extensive…

Cognitive Processes Embedded in Self-Explanations of Solving Technical Problems: Implications for Training

ERIC Educational Resources Information Center

Maughan, George R.

2007-01-01

This qualitative research examines the cognitive processes embedded in self-explanations of automobile and motorcycle service technicians performing troubleshooting tasks and solving technical problems. In-depth interviews were conducted with twelve service technicians who have obtained the designation of "master technician" or equivalent within…

Healing the Whole Family: A Look at Family Care Programs.

ERIC Educational Resources Information Center

Allen, MaryLee; Larson, Jamila

This report details characteristics of 50 family care programs that provide comprehensive, individualized services to families struggling with various problems, as well as services that allow parents and children to continue living together in supervised living arrangements for extended periods. Data were collected through in-depth telephone…

Federal interagency nature‐like fishway passage design guidelines for Atlantic coast diadromous fishes

USGS Publications Warehouse

Turek, James; Haro, Alexander J.; Towler, Brett

2016-01-01

The National Marine Fisheries Service (NMFS), the U.S. Geological Survey (USGS) and the U.S. Fish and Wildlife Service (USFWS) have collaborated to develop passage design guidance for use by engineers and other restoration practitioners considering and designing nature‐like fishways (NLFs). The primary purpose of these guidelines is to provide a summary of existing fish swimming and leaping performance data and the best available scientific information on safe, timely and effective passage for 14 diadromous fish species using Atlantic Coast rivers and streams. These guidelines apply to passage sites where complete barrier removal is not possible. This technical memorandum presents seven key physical design parameters based on the biometrics and swimming mode and performance of each target fishes for application in the design of NLFs addressing passage of a species or an assemblage of these species. The passage parameters include six dimensional guidelines recommended for minimum weir opening width and depth, minimum pool length, width and depth, and maximum channel slope, along with a maximum flow velocity guideline for each species. While these guidelines are targeted for the design of step‐pool NLFs, the information may also have application in the design of other NLF types being considered at passage restoration sites and grade control necessary for infrastructure protection upstream of some dam removals, and in considering passage performance at sites such as natural bedrock features.

Using the Donabedian framework to examine the quality and safety of nursing service innovation.

PubMed

Gardner, Glenn; Gardner, Anne; O'Connell, Jane

2014-01-01

To evaluate the safety and quality of nurse practitioner service using the audit framework of Structure, Process and Outcome. Health service and workforce reform are on the agenda of governments and other service providers seeking to contain healthcare costs whilst providing safe and effective health care to communities. The nurse practitioner service is one health workforce innovation that has been adopted globally to improve timely access to clinical care, but there is scant literature reporting evaluation of the quality of this service innovation. A mixed-methods design within the Donabedian evaluation framework was used. The Donabedian framework was used to evaluate the Structure, Process and Outcome of nurse practitioner service. A range of data collection approaches was used, including stakeholder survey (n = 36), in-depth interviews (11 patients and 13 nurse practitioners) and health records data on service processes. The study identified that adequate and detailed preparation of Structure and Process is essential for the successful implementation of a service innovation. The multidisciplinary team was accepting of the addition of nurse practitioner service, and nurse practitioner clinical care was shown to be effective, satisfactory and safe from the perspective of the clinician stakeholders and patients. This study demonstrated that the Donabedian framework of Structure, Process and Outcome evaluation is a valuable and validated approach to examine the safety and quality of a service innovation. Furthermore, in this study, specific Structure elements were shown to influence the quality of service processes further validating the framework and the interdependence of the Structure, Process and Outcome components. Understanding the Structure and Process requirements for establishing nursing service innovation lays the foundation for safe, effective and patient-centred clinical care. © 2013 John Wiley & Sons Ltd.

Internal Stress Monitoring of In-Service Structural Steel Members with Ultrasonic Method

PubMed Central

Li, Zuohua; He, Jingbo; Teng, Jun; Wang, Ying

2016-01-01

Internal stress in structural steel members is an important parameter for steel structures in their design, construction, and service stages. However, it is hard to measure via traditional approaches. Among the existing non-destructive testing (NDT) methods, the ultrasonic method has received the most research attention. Longitudinal critically refracted (Lcr) waves, which propagate parallel to the surface of the material within an effective depth, have shown great potential as an effective stress measurement approach. This paper presents a systematic non-destructive evaluation method to determine the internal stress in in-service structural steel members using Lcr waves. Based on theory of acoustoelasticity, a stress evaluation formula is derived. Factor of stress to acoustic time difference is used to describe the relationship between stress and measurable acoustic results. A testing facility is developed and used to demonstrate the performance of the proposed method. Two steel members are measured by using the proposed method and the traditional strain gauge method for verification. Parametric studies are performed on three steel members and the aluminum plate to investigate the factors that influence the testing results. The results show that the proposed method is effective and accurate for determining stress in in-service structural steel members. PMID:28773347

Internal Stress Monitoring of In-Service Structural Steel Members with Ultrasonic Method.

PubMed

Li, Zuohua; He, Jingbo; Teng, Jun; Wang, Ying

2016-03-23

Internal stress in structural steel members is an important parameter for steel structures in their design, construction, and service stages. However, it is hard to measure via traditional approaches. Among the existing non-destructive testing (NDT) methods, the ultrasonic method has received the most research attention. Longitudinal critically refracted (Lcr) waves, which propagate parallel to the surface of the material within an effective depth, have shown great potential as an effective stress measurement approach. This paper presents a systematic non-destructive evaluation method to determine the internal stress in in-service structural steel members using Lcr waves. Based on theory of acoustoelasticity, a stress evaluation formula is derived. Factor of stress to acoustic time difference is used to describe the relationship between stress and measurable acoustic results. A testing facility is developed and used to demonstrate the performance of the proposed method. Two steel members are measured by using the proposed method and the traditional strain gauge method for verification. Parametric studies are performed on three steel members and the aluminum plate to investigate the factors that influence the testing results. The results show that the proposed method is effective and accurate for determining stress in in-service structural steel members.

Sidestepping questions of legitimacy: how community representatives manoeuvre to effect change in a health service.

PubMed

Nathan, Sally; Stephenson, Niamh; Braithwaite, Jeffrey

2014-01-01

Empirical studies of community participation in health services commonly tie effectiveness to the perceived legitimacy of community representatives among health staff. This article examines the underlying assumption that legitimacy is the major pathway to influence for community representatives. It takes a different vantage point from previous research in its examination of data (primarily through 34 in-depth interviews, observation and recording of 26 meetings and other interactions documented in field notes) from a 3-year study of community representatives' action in a large health region in Australia. The analysis primarily deploys Michel de Certeau's ideas of Strategy and Tactic to understand the action and effects of the generally 'weaker players' in the spaces and places dominated by powerful institutions. Through this lens, we can see the points where community representatives are active participants following their own agenda, tactically capitalising on cracks in the armour of the health service to seize opportunities that present themselves in time to effect change. Being able to see community representatives as active producers of change, not simply passengers following the path of the health service, challenges how we view the success of community participation in health.

Working at the frontline in cases of elder abuse: 'it keeps me awake at night'.

PubMed

Cairns, Jane; Vreugdenhil, Anthea

2014-03-01

To explore the experiences of frontline health and welfare practitioners in working with older people experiencing abuse. In-depth interviews with 16 Tasmanian community-based health and welfare practitioners regarding their experiences of working in 49 recent cases of elder abuse. Interview transcripts were analysed using thematic analysis. All participants found working in cases of elder abuse challenging and the work itself was perceived as difficult, complex and at times dangerous. The cumulative effect of intimidating work contexts, practice dilemmas and a lack of support resulted in frustration and stress for many practitioners. Nevertheless, participants were committed to providing ongoing services and support for older people experiencing abuse. Frontline practitioners working in cases of elder abuse face significant challenges and could be better supported through strengthening organisational elder abuse policies, increased management support and more age-inclusive family violence support services. © 2013 The Authors. Australasian Journal on Ageing © 2013 ACOTA.

The Challenge of Implementing Peer-Led Interventions in a Professionalized Health Service: A Case Study of the National Health Trainers Service in England

PubMed Central

Mathers, Jonathan; Taylor, Rebecca; Parry, Jayne

2014-01-01

Context In 2004, the English Public Health White Paper Choosing Health introduced “health trainers” as new members of the National Health Service (NHS) workforce. Health trainers would offer one-to-one peer-support to anyone who wished to adopt and maintain a healthier lifestyle. Choosing Health implicitly envisaged health trainers working in community settings in order to engage “hard-to-reach” individuals and other groups who often have the poorest health but who engage the least with traditional health promotion and other NHS services. Methods During longitudinal case studies of 6 local health trainer services, we conducted in-depth interviews with key stakeholders and analyzed service activity data. Findings Rather than an unproblematic and stable implementation of community-focused services according to the vision in Choosing Health, we observed substantial shifts in the case studies’ configuration and delivery as the services embedded themselves in the local NHS systems. To explain these observations, we drew on a recently proposed conceptual framework to examine and understand the adoption and diffusion of innovations in health care systems. Conclusions The health trainer services have become more “medicalized” over time, and in doing so, the original theory underpinning the program has been threatened. The paradox is that policymakers and practitioners recognize the need to have a different service model for traditional NHS services if they want hard-to-reach populations to engage in preventive actions as a first step to redress health inequalities. The long-term sustainability of any new service model, however, depends on its aligning with the established medical system's (ie, the NHS's) characteristics. PMID:25492602

Spatial environmental heterogeneity affects plant growth and thermal performance on a green roof.

PubMed

Buckland-Nicks, Michael; Heim, Amy; Lundholm, Jeremy

2016-05-15

Green roofs provide ecosystem services, including stormwater retention and reductions in heat transfer through the roof. Microclimates, as well as designed features of green roofs, such as substrate and vegetation, affect the magnitude of these services. Many green roofs are partially shaded by surrounding buildings, but the effects of this within-roof spatial environmental heterogeneity on thermal performance and other ecosystem services have not been examined. We quantified the effects of spatial heterogeneity in solar radiation, substrate depth and other variables affected by these drivers on vegetation and ecosystem services in an extensive green roof. Spatial heterogeneity in substrate depth and insolation were correlated with differential growth, survival and flowering in two focal plant species. These effects were likely driven by the resulting spatial heterogeneity in substrate temperature and moisture content. Thermal performance (indicated by heat flux and substrate temperature) was influenced by spatial heterogeneity in vegetation cover and substrate depth. Areas with less insolation were cooler in summer and had greater substrate moisture, leading to more favorable conditions for plant growth and survival. Spatial variation in substrate moisture (7%-26% volumetric moisture content) and temperature (21°C-36°C) during hot sunny conditions in summer could cause large differences in stormwater retention and heat flux within a single green roof. Shaded areas promote smaller heat fluxes through the roof, leading to energy savings, but lower evapotranspiration in these areas should reduce stormwater retention capacity. Spatial heterogeneity can thus result in trade-offs between different ecosystem services. The effects of these spatial heterogeneities are likely widespread in green roofs. Structures that provide shelter from sun and wind may be productively utilized to design higher functioning green roofs and increase biodiversity by providing habitat heterogeneity. Copyright © 2016 Elsevier B.V. All rights reserved.

Rationing in the emergency department: the good, the bad, and the unacceptable.

PubMed

Cross, E; Goodacre, S; O'Cathain, A; Arnold, J

2005-03-01

Waiting times in emergency departments (EDs) are an important government priority. Although substantial efforts are currently being made to reduce waiting times, little attention has been paid to the patients' view. We used qualitative methods to explore patients' perspectives on waiting times and other approaches to rationing and prioritisation. Face to face, in depth, qualitative interviews (n = 11) explored how patients valued waiting times for non-urgent ED care. The framework approach (identifying a thematic framework through repeated re-reading) was used to analyse transcripts. Interviewees found some forms of rationing and prioritisation acceptable. They expected rationing by delay, but required explanations or information on the reason for their wait. They valued prioritisation by triage (rationing by selection) and thought that this role could be expanded for the re-direction of non-urgent patients elsewhere (rationing by deflection). Interviewees were mainly unwilling or unable to engage in prioritisation of different types of patients, openly prioritising only those with obvious clinical need, and children. However, some interviewees were willing to ration implicitly, labelling some attenders as inappropriate, such as those causing a nuisance. Others felt it was unacceptable to blame "inappropriate" attenders, as their attendance may relate to lack of information or awareness of service use. Explicit rationing between services was not acceptable, although some believed there were more important priorities for NHS resources than ED waiting times. Interviewees disagreed with the hypothetical notion of paying to be seen more quickly in the ED (rationing by charging). Interviewees expected to wait and accepted the need for prioritisation, although they were reluctant to engage in judgements regarding prioritisation. They supported the re-direction of patients with certain non-urgent complaints. However, they perceived a need for more explanation and information about their wait, the system, and alternative services.

Living on social assistance with chronic illness: Buffering and undermining features to well-being

PubMed Central

2010-01-01

Background In Sweden, the social security and sickness insurance systems are comprehensive and aim to provide people whose illness prevents them from earning their own living, with either sickness benefits or disability pension. Some, however, are not entitled to these benefits or receive social insurance benefits at a level too low for subsistence, and are referred to social assistance. The purpose of this study was to explore in depth how social assistance recipients with chronic illness perceive and respond to the experience of living on social assistance. Methods Seventeen in-depth interviews were carried out with chronically ill people who had received social assistance for several years. Grounded theory informed the design of the study. Results The study showed that different strategies (living one day at a time, taking steps forwards and backwards and making attempts to find ways out of the situation) were employed by social assistance recipients to maintain or improve their well-being. Contextual features like the prevailing welfare system, public services and the local neighbourhood could buffer or undermine these strategies and their overall well-being. These features together influenced how interviewees perceived their situation, the possible ways out of the situation and the consequences for their well-being. Conclusion From this study it is evident that the way in which individuals on social assistance interact with services and how they are treated by professionals plays an important role in their well-being, in combination with what kind of help and support is available for recipients through the welfare system. In this respect, persons living on social assistance with chronic illness are particularly vulnerable. This study suggests that more effort should be made to find long term solutions concerning income support, rehabilitation and other services provided to this group. PMID:21134265

Sensitivity analysis of 1-D dynamical model for basin analysis

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

Cao, S.

1987-01-01

Geological processes related to petroleum generation, migration and accumulation are very complicated in terms of time and variables involved, and it is very difficult to simulate these processes by laboratory experiments. For this reasons, many mathematic/computer models have been developed to simulate these geological processes based on geological, geophysical and geochemical principles. The sensitivity analysis in this study is a comprehensive examination on how geological, geophysical and geochemical parameters influence the reconstructions of geohistory, thermal history and hydrocarbon generation history using the 1-D fluid flow/compaction model developed in the Basin Modeling Group at the University of South Carolina. This studymore » shows the effects of some commonly used parameter such as depth, age, lithology, porosity, permeability, unconformity (eroded thickness and erosion time), temperature at sediment surface, bottom hole temperature, present day heat flow, thermal gradient, thermal conductivity and kerogen type and content on the evolutions of formation thickness, porosity, permeability, pressure with time and depth, heat flow with time, temperature with time and depth, vitrinite reflectance (Ro) and TTI with time and depth, and oil window in terms of time and depth, amount of hydrocarbons generated with time and depth. Lithology, present day heat flow and thermal conductivity are the most sensitive parameters in the reconstruction of temperature history.« less

Examining leadership as a strategy to enhance health care service delivery in regional hospitals in South Africa

PubMed Central

Govender, Sagaren; Gerwel Proches, Cecile N; Kader, Abdulla

2018-01-01

Background Four public hospitals in South Africa, which render both specialized and nonspecialized services to thousands of patients, were examined to determine the impact of leadership on health care service delivery. These hospitals were inundated by various problems that were impacting negatively on health care service delivery. Purpose This research study aimed to gain a comprehensive understanding of the challenges, complexities and constraints facing public health care in KwaZulu-Natal (KZN) and to examine leadership as a strategy to enhance healthcare service delivery with a particular focus on four regional hospitals in the KZN Province. Methods The mixed-method research approach was utilized. Purposive sampling and stratified random sampling were employed in the research setting, and in-depth, semistructured interviews and questionnaires were used to collect data. Data were analyzed using the Nvivo computer software package for in-depth interviews and the Statistical Package for the Social Sciences (SPSS) software for the quantitative analysis. Results The research findings showed that the current leadership framework adopted by the health care leaders in regional hospitals in KZN is weak and is contributing to poor health care service delivery. Conclusion This study, therefore, aimed to address the current challenges and weaknesses that are impacting negatively on health care service delivery in regional hospitals in the KZN Province and made recommendations for improvement. PMID:29535529

Examining leadership as a strategy to enhance health care service delivery in regional hospitals in South Africa.

PubMed

Govender, Sagaren; Gerwel Proches, Cecile N; Kader, Abdulla

2018-01-01

Four public hospitals in South Africa, which render both specialized and nonspecialized services to thousands of patients, were examined to determine the impact of leadership on health care service delivery. These hospitals were inundated by various problems that were impacting negatively on health care service delivery. This research study aimed to gain a comprehensive understanding of the challenges, complexities and constraints facing public health care in KwaZulu-Natal (KZN) and to examine leadership as a strategy to enhance healthcare service delivery with a particular focus on four regional hospitals in the KZN Province. The mixed-method research approach was utilized. Purposive sampling and stratified random sampling were employed in the research setting, and in-depth, semistructured interviews and questionnaires were used to collect data. Data were analyzed using the Nvivo computer software package for in-depth interviews and the Statistical Package for the Social Sciences (SPSS) software for the quantitative analysis. The research findings showed that the current leadership framework adopted by the health care leaders in regional hospitals in KZN is weak and is contributing to poor health care service delivery. This study, therefore, aimed to address the current challenges and weaknesses that are impacting negatively on health care service delivery in regional hospitals in the KZN Province and made recommendations for improvement.

CREST-SAFE: Snow LST validation, wetness profiler creation, and depth/SWE product development

NASA Astrophysics Data System (ADS)

Perez Diaz, C. L.; Lakhankar, T.; Romanov, P.; Khanbilvardi, R.; Munoz Barreto, J.; Yu, Y.

2017-12-01

CREST-SAFE: Snow LST validation, wetness profiler creation, and depth/SWE product development The Field Snow Research Station (also referred to as Snow Analysis and Field Experiment, SAFE) is operated by the NOAA Center for Earth System Sciences and Remote Sensing Technologies (CREST) in the City University of New York (CUNY). The field station is located within the premises of the Caribou Municipal Airport (46°52'59'' N, 68°01'07'' W) and in close proximity to the National Weather Service (NWS) Regional Forecast Office. The station was established in 2010 to support studies in snow physics and snow remote sensing. The Visible Infrared Imager Radiometer Suite (VIIRS) Land Surface Temperature (LST) Environmental Data Record (EDR) and Moderate Resolution Imaging Spectroradiometer (MODIS) LST product (provided by the Terra and Aqua Earth Observing System satellites) were validated using in situ LST (T-skin) and near-surface air temperature (T-air) observations recorded at CREST-SAFE for the winters of 2013 and 2014. Results indicate that T-air correlates better than T-skin with VIIRS LST data and that the accuracy of nighttime LST retrievals is considerably better than that of daytime. Several trends in the MODIS LST data were observed, including the underestimation of daytime values and night-time values. Results indicate that, although all the data sets showed high correlation with ground measurements, day values yielded slightly higher accuracy ( 1°C). Additionally, we created a liquid water content (LWC)-profiling instrument using time-domain reflectometry (TDR) at CREST-SAFE and tested it during the snow melt period (February-April) immediately after installation in 2014. Results displayed high agreement when compared to LWC estimates obtained using empirical formulas developed in previous studies, and minor improvement over wet snow LWC estimates. Lastly, to improve on global snow cover mapping, a snow product capable of estimating snow depth and snow water equivalent (SWE) using microwave remote sensing and the CREST Snow Depth Regression Tree Model (SDRTM) was developed. Data from AMSR2 onboard the JAXA GCOM-W1 satellite is used to produce daily global snow depth and SWE maps in automated fashion at a 10-km resolution.

Profiling defect depth in composite materials using thermal imaging NDE

NASA Astrophysics Data System (ADS)

Obeidat, Omar; Yu, Qiuye; Han, Xiaoyan

2018-04-01

Sonic Infrared (IR) NDE, is a relatively new NDE technology; it has been demonstrated as a reliable and sensitive method to detect defects. SIR uses ultrasonic excitation with IR imaging to detect defects and flaws in the structures being inspected. An IR camera captures infrared radiation from the target for a period of time covering the ultrasound pulse. This period of time may be much longer than the pulse depending on the defect depth and the thermal properties of the materials. With the increasing deployment of composites in modern aerospace and automobile structures, fast, wide-area and reliable NDE methods are necessary. Impact damage is one of the major concerns in modern composites. Damage can occur at a certain depth without any visual indication on the surface. Defect depth information can influence maintenance decisions. Depth profiling relies on the time delays in the captured image sequence. We'll present our work on the defect depth profiling by using the temporal information of IR images. An analytical model is introduced to describe heat diffusion from subsurface defects in composite materials. Depth profiling using peak time is introduced as well.

Ethics of using language editing services in an era of digital communication and heavily multi-authored papers.

PubMed

Lozano, George A

2014-06-01

Scientists of many countries in which English is not the primary language routinely use a variety of manuscript preparation, correction or editing services, a practice that is openly endorsed by many journals and scientific institutions. These services vary tremendously in their scope; at one end there is simple proof-reading, and at the other extreme there is in-depth and extensive peer-reviewing, proposal preparation, statistical analyses, re-writing and co-writing. In this paper, the various types of service are reviewed, along with authorship guidelines, and the question is raised of whether the high-end services surpass most guidelines' criteria for authorship. Three other factors are considered. First, the ease of collaboration possible in the internet era allows multiple iterations between the author(s) and the "editing service", so essentially, papers can be co-written. Second, "editing services" often offer subject-specific experts who comment not only on the language, but interpret and improve scientific content. Third, the trend towards heavily multi-authored papers implies that the threshold necessary to earn authorship is declining. The inevitable conclusion is that at some point the contributions by "editing services" should be deemed sufficient to warrant authorship. Trying to enforce any guidelines would likely be futile, but nevertheless, it might be time to revisit the ethics of using some of the high-end "editing services". In an increasingly international job market, awareness of this problem might prove increasingly important in authorship disputes, the allocation of research grants, and hiring decisions.

Forensic Investigation of Cooperative Storage Cloud Service: Symform as a Case Study.

PubMed

Teing, Yee-Yang; Dehghantanha, Ali; Choo, Kim-Kwang Raymond; Dargahi, Tooska; Conti, Mauro

2017-05-01

Researchers envisioned Storage as a Service (StaaS) as an effective solution to the distributed management of digital data. Cooperative storage cloud forensic is relatively new and is an under-explored area of research. Using Symform as a case study, we seek to determine the data remnants from the use of cooperative cloud storage services. In particular, we consider both mobile devices and personal computers running various popular operating systems, namely Windows 8.1, Mac OS X Mavericks 10.9.5, Ubuntu 14.04.1 LTS, iOS 7.1.2, and Android KitKat 4.4.4. Potential artefacts recovered during the research include data relating to the installation and uninstallation of the cloud applications, log-in to and log-out from Symform account using the client application, file synchronization as well as their time stamp information. This research contributes to an in-depth understanding of the types of terrestrial artifacts that are likely to remain after the use of cooperative storage cloud on client devices. © 2016 American Academy of Forensic Sciences.

Overcommunication Strategies of Violating Grice's Cooperative Principle in Ground Service

ERIC Educational Resources Information Center

Xiaoqin, Liu

2017-01-01

Based on four maxims of Grice's cooperative principle framework, a small-scale study is conducted to examine the communication strategies employed by experienced ground service staff. Data have been collected from questionnaires and in-depth interviews with Chinese domestic airlines' ground staff. This study identifies that the communicative…

Outsourcing on American Campuses: National Developments and the Food Service Experience at GWU

ERIC Educational Resources Information Center

Glickman, Theodore S.; Holm, Jennifer; Keating, Devlin; Pannait, Claudia; White, Susan C.

2007-01-01

Purpose: The purpose of this paper is to provide an in-depth examination of the outsourcing of food services on a university campus. Design/methodology/approach: The paper uses a detailed case study including interviews with university administrators, contractor administrators, and students and background information taken from student…

California Integrated Service Delivery Evaluation Report. Phase I

ERIC Educational Resources Information Center

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

2010-01-01

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

Using Reflection to Assess Students Ability to Learn and Develop Leadership Skills

ERIC Educational Resources Information Center

Olsen, Heather M.; Burk, Brooke

2014-01-01

Leadership skill development has been identified as an important element of future leisure service professionals academic preparation. Thus, the purpose of this paper was to utilize in-depth course reflection and service-learning to assess whether undergraduate students enrolled in a leadership course were meeting the leadership objectives set…

Experiences of Early Transdisciplinary Teams in Pediatric Community Rehabilitation

ERIC Educational Resources Information Center

Aubin, Tamie; Mortenson, Patricia

2015-01-01

Although a transdisciplinary approach (TA) is considered best practice for children aged 0-3 years, there is limited information for professionals on how to successfully implement TA services. Using qualitative inquiry, in-depth interviews were conducted to explore the experiences of 6 service providers and managers who took part in early…

Defense in Depth: Foundation for Secure and Resilient IT Enterprises

DTIC Science & Technology

2006-09-01

Gabbard , D., & May, C. (2003). Outsourcing Managed Security Service. http://www.sei.cmu.edu/publications/documents/sims/sim012.html. 296 CMU/SEI...security_matters/2001/2q01/security-2q01.htm. [Allen 03] Allen, J., Gabbard , D., & May, C. Outsourcing Managed Security Service (CMU/SEI-SIM-012

Filming Compassion

ERIC Educational Resources Information Center

Bremer, Janet; Clark, Marilyn

2005-01-01

Service learning components have increased markedly in the curriculum of both public and private schools in the past few years. In fact, according to a 1999 report by the National Center for Education Statistics, 64% of all public schools have students participate in service learning. Here we offer an in-depth look at how video production can be…

Perspective Taking through Film: Educating Pre-Service and In-Service Teachers about Autism

ERIC Educational Resources Information Center

Kelleher, Jacqueline P.

2015-01-01

When it comes to educating students with autism in the classroom, teachers' perceptions and attitudes toward inclusion are essential. Professional development that enhances perspective taking about autism is powerful if it leads to depth of understanding and action. Instructional media can play a role in raising viewer awareness; unfortunately,…

Integrated Children's Services: Enablers, Challenges and Impact. Research Briefing

ERIC Educational Resources Information Center

Robinson, Mark; Atkinson, Mary; Downing, Dick

2008-01-01

This summary provides background information about the enablers, challenges and impact of integration, based on a thorough literature review of thirty-five sources. The review findings are presented under thematic headings that reflect the: (1) extent of integration: the "stage" or depth of the collaborative activity in integrated services; (2)…

The linkage of life course, migration, health, and aging: health in adults and elderly Mexican migrants.

PubMed

de Oca, Verónica Montes; García, Telésforo Ramírez; Sáenz, Rogelio; Guillén, Jennifer

2011-10-01

Migration is a phenomenon that impacts individuals throughout the life course. Particularly, Mexican elderly migrants show evidence of lifetime accumulations of the effects of migration on health conditions. Examine how the relationship between historical time and individual time explains different factors impacting the health of Mexican adult and elderly migrants in Mexico and the United States. Data from in-depth interviews with Mexican migrants living in selected locations in Mexico and the United States were used to illustrate the links between life course conditions, aging, migration, and health outcomes. According to this theoretical perspective and the data, historical time, age at migration, and the conditions under which the migration trajectory developed, show different impacts on the health and quality of life of the elderly, as revealed through analysis of labor experience, disease and accidents, medical service, health treatment, transnational networks, and family formation.

Organisational space for partnership and sustainability: lessons from the implementation of the National Dementia Strategy for England.

PubMed

Clarke, Charlotte Laura; Keyes, Sarah Elizabeth; Wilkinson, Heather; Alexjuk, Joanna; Wilcockson, Jane; Robinson, Louise; Corner, Lynne; Cattan, Mima

2014-11-01

National policy initiatives are faced with challenges in their partnership development and sustainability. The National Dementia Strategy for England recommended Dementia Adviser (DA) and Peer Support Network (PSN) services and 40 demonstration sites were established. In this paper, we report on the national evaluation of these demonstration sites, with specific reference to aspects of organisational development. The research used a mixed-methods design with three main strands: (i) activity and outcome monitoring; (ii) organisational surveys and collaborative discussion; (iii) in-depth case studies in eight of the 40 sites. This paper focuses primarily on three rounds of organisational surveys distributed to all 40 demonstration sites over a period of 21 months and interviews in the case studies. Data identify the significance of infrastructure within immediate services as well as the position of services within the external infrastructure of the wider health and social care landscape. Partnership - both internally and externally - was key to establishing and sustaining services that flourished. When working well, DAs and PSNs acted as a link between services and people with dementia at the same time as filling gaps in existing support, providing information, advice and interpersonal support that was tailored to individual needs and circumstances. In conclusion, to achieve the full potential and sustainability of services requires them to be in an organisational space that allows them to work in partnership and collaboration with other services, and that values their distinct knowledge of their communities. © 2014 John Wiley & Sons Ltd.

Spatio-thermal depth correction of RGB-D sensors based on Gaussian processes in real-time

NASA Astrophysics Data System (ADS)

Heindl, Christoph; Pönitz, Thomas; Stübl, Gernot; Pichler, Andreas; Scharinger, Josef

2018-04-01

Commodity RGB-D sensors capture color images along with dense pixel-wise depth information in real-time. Typical RGB-D sensors are provided with a factory calibration and exhibit erratic depth readings due to coarse calibration values, ageing and thermal influence effects. This limits their applicability in computer vision and robotics. We propose a novel method to accurately calibrate depth considering spatial and thermal influences jointly. Our work is based on Gaussian Process Regression in a four dimensional Cartesian and thermal domain. We propose to leverage modern GPUs for dense depth map correction in real-time. For reproducibility we make our dataset and source code publicly available.

Column study of chromium(VI) adsorption from electroplating industry by coconut coir pith.

PubMed

Suksabye, Parinda; Thiravetyan, Paitip; Nakbanpote, Woranan

2008-12-15

The removal of Cr(VI) from electroplating wastewater by coir pith was investigated in a fixed-bed column. The experiments were conducted to study the effect of important parameters such as bed depth (40-60cm) and flow rate (10-30ml min(-1)). At 0.05 C(t)/C(0), the breakthrough volume increased as flow rate decreased or a bed depth increased due to an increase in empty bed contact time (EBCT). The bed depth service time model (BDST) fit well with the experimental data in the initial region of the breakthrough curve, while the simulation of the whole curve using non-linear regression analysis was effective using the Thomas model. The adsorption capacity estimated from the BDST model was reduced with increasing flow rate, which was 16.40mg cm(-3) or 137.91mg Cr(VI)g(-1) coir pith for the flow rates of 10ml min(-1) and 14.05mg cm(-3) or 118.20mg Cr(VI)g(-1) coir pith for the flow rates of 30ml min(-1). At the highest bed depth (60cm) and the lowest flow rate (10mlmin(-1)), the maximum adsorption reached 201.47mg Cr(VI)g(-1) adsorbent according to the Thomas model. The column was regenerated by eluting chromium using 2M HNO(3) after adsorption studies. The desorption of Cr(III) in each of three cycles was about 67-70%. The desorption of Cr(III) in each cycle did not reach 100% due to the fact that Cr(V) was present through the reduction of Cr(VI), and was still in coir pith, possibly bound to glucose in the cellulose part of coir pith. Therefore, the Cr(V) complex cannot be desorbed in solution. The evidence of Cr(V) signal was observed in coir pith, alpha-cellulose and holocellulose extracted from coir pith using electron spin resonance (ESR).

Utilising a collective case study system theory mixed methods approach: a rural health example

PubMed Central

2014-01-01

Background Insight into local health service provision in rural communities is limited in the literature. The dominant workforce focus in the rural health literature, while revealing issues of shortage of maldistribution, does not describe service provision in rural towns. Similarly aggregation of data tends to render local health service provision virtually invisible. This paper describes a methodology to explore specific aspects of rural health service provision with an initial focus on understanding rurality as it pertains to rural physiotherapy service provision. Method A system theory-case study heuristic combined with a sequential mixed methods approach to provide a framework for both quantitative and qualitative exploration across sites. Stakeholder perspectives were obtained through surveys and in depth interviews. The investigation site was a large area of one Australian state with a mix of rural, regional and remote communities. Results 39 surveys were received from 11 locations within the investigation site and 19 in depth interviews were conducted. Stakeholder perspectives of rurality and workforce numbers informed the development of six case types relevant to the exploration of rural physiotherapy service provision. Participant perspective of rurality often differed with the geographical classification of their location. The numbers of onsite colleagues and local access to health services contributed to participant perceptions of rurality. Conclusions The complexity of understanding the concept of rurality was revealed by interview participants when providing their perspectives about rural physiotherapy service provision. Dual measures, such as rurality and workforce numbers, provide more relevant differentiation of sites to explore specific services, such rural physiotherapy service provision, than single measure of rurality as defined by geographic classification. The system theory-case study heuristic supports both qualitative and quantitative exploration in rural health services research. PMID:25066241

Utilising a collective case study system theory mixed methods approach: a rural health example.

PubMed

Adams, Robyn; Jones, Anne; Lefmann, Sophie; Sheppard, Lorraine

2014-07-28

Insight into local health service provision in rural communities is limited in the literature. The dominant workforce focus in the rural health literature, while revealing issues of shortage of maldistribution, does not describe service provision in rural towns. Similarly aggregation of data tends to render local health service provision virtually invisible. This paper describes a methodology to explore specific aspects of rural health service provision with an initial focus on understanding rurality as it pertains to rural physiotherapy service provision. A system theory-case study heuristic combined with a sequential mixed methods approach to provide a framework for both quantitative and qualitative exploration across sites. Stakeholder perspectives were obtained through surveys and in depth interviews. The investigation site was a large area of one Australian state with a mix of rural, regional and remote communities. 39 surveys were received from 11 locations within the investigation site and 19 in depth interviews were conducted. Stakeholder perspectives of rurality and workforce numbers informed the development of six case types relevant to the exploration of rural physiotherapy service provision. Participant perspective of rurality often differed with the geographical classification of their location. The numbers of onsite colleagues and local access to health services contributed to participant perceptions of rurality. The complexity of understanding the concept of rurality was revealed by interview participants when providing their perspectives about rural physiotherapy service provision. Dual measures, such as rurality and workforce numbers, provide more relevant differentiation of sites to explore specific services, such rural physiotherapy service provision, than single measure of rurality as defined by geographic classification. The system theory-case study heuristic supports both qualitative and quantitative exploration in rural health services research.

Depth resolution and preferential sputtering in depth profiling of sharp interfaces

NASA Astrophysics Data System (ADS)

Hofmann, S.; Han, Y. S.; Wang, J. Y.

2017-07-01

The influence of preferential sputtering on depth resolution of sputter depth profiles is studied for different sputtering rates of the two components at an A/B interface. Surface concentration and intensity depth profiles on both the sputtering time scale (as measured) and the depth scale are obtained by calculations with an extended Mixing-Roughness-Information depth (MRI)-model. The results show a clear difference for the two extreme cases (a) preponderant roughness and (b) preponderant atomic mixing. In case (a), the interface width on the time scale (Δt(16-84%)) increases with preferential sputtering if the faster sputtering component is on top of the slower sputtering component, but the true resolution on the depth scale (Δz(16-84%)) stays constant. In case (b), the interface width on the time scale stays constant but the true resolution on the depth scale varies with preferential sputtering. For similar order of magnitude of the atomic mixing and the roughness parameters, a transition state between the two extremes is obtained. While the normalized intensity profile of SIMS represents that of the surface concentration, an additional broadening effect is encountered in XPS or AES by the influence of the mean electron escape depth which may even cause an additional matrix effect at the interface.

Parameters on reconstructions of geohistory, thermal history, and hydrocarbon generation history in a sedimentary basin

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

Cao, S.; Lerche, I.

1988-01-01

Geological processes related to petroleum generation, migration, and accumulation are very complicated in terms of time and variables involved, and are very difficult to simulate by laboratory experiments. For this reason, many mathematic/computer models have been developed to simulate these geological processes based on geological, geophysical, and geochemical principles. Unfortunately, none of these models can exactly simulate these processes because of the assumptions and simplifications made in these models and the errors in the input for the models. The sensitivity analysis is a comprehensive examination on how geological, geophysical, and geochemical parameters affect the reconstructions of geohistory, thermal history, andmore » hydrocarbon generation history. In this study, a one-dimensional fluid flow/compaction model has been used to run the sensitivity analysis. The authors will show the effects of some commonly used parameters such as depth, age, lithology, porosity, permeability, unconformity (time and eroded thickness), temperature at sediment surface, bottom hole temperature, present day heat flow, thermal gradient, thermal conductivity and kerogen type, and content on the evolutions of formation thickness, porosity, permeability, pressure with time and depth, heat flow with time, temperature with time and depth, vitrinite reflectance (R/sub 0/) and TTI with time and depth, oil window in terms of time and depth, and amount of hydrocarbon generated with time and depth.« less

When high pressure, system constraints, and a social justice mission collide: A socio-structural analysis of emergency department social work services.

PubMed

Moore, Megan; Cristofalo, Margaret; Dotolo, Danae; Torres, Nicole; Lahdya, Alexandra; Ho, Leyna; Vogel, Mia; Forrester, Mollie; Conley, Bonnie; Fouts, Susan

2017-04-01

The emergency department (ED) can be a critical intervention point for many patients with multifaceted needs. Social workers have long been part of interdisciplinary ED teams. This study aimed to contribute to the limited understanding of social worker-patient interactions and factors influencing social work services in this setting. This paper reports a qualitative content analysis of social work medical record notes (N = 1509) of services provided to trauma patients in an urban, public, level 1 trauma center and an in-depth analysis of semi-structured interviews with ED social workers (N = 10). Eight major social work roles were identified: investigator, gatekeeper, resource broker, care coordinator, problem solver, crisis manager, advocate, discharge planner. Analyses revealed a complex interplay between ED social work services and multi-layered contexts. Using a social-ecological framework, we identified the interactions between micro or individual level factors, mezzo or local system level factors and macro environmental and systemic factors that play a role in ED interactions and patient services. Macro-level contextual influences were socio-structural forces including socioeconomic barriers to health, social hierarchies that reflected power differentials between providers and patients, and distrust or bias. Mezzo-level forces were limited resources, lack of healthcare system coordination, a challenging hierarchy within the medical model and the pressure to discharge patients quickly. Micro-level factors included characteristics of patients and social workers, complexity of patient stressors, empathic strain, lack of closure and compassion. All of these forces were at play in patient-social worker interactions and impacted service provision. Social workers were at times able to successfully navigate these forces, yet at other times these challenges were insurmountable. A conceptual model of ED social work and the influences on the patient-social worker interactions was developed to assist in guiding innovative research and practice models to improve services and outcomes in the complex, fast-paced ED. Copyright © 2017 Elsevier Ltd. All rights reserved.

When high pressure, system constraints, and a social justice mission collide: a socio-structural analysis of emergency department social work services

PubMed Central

Cristofalo, Margaret; Dotolo, Danae; Torres, Nicole; Lahdya, Alexandra; Ho, Leyna; Vogel, Mia; Forrester, Mollie; Conley, Bonnie; Fouts, Susan

2017-01-01

The emergency department (ED) can be a critical intervention point for many patients with multifaceted needs. Social workers have long been part of interdisciplinary ED teams. This study aimed to contribute to the limited understanding of social worker-patient interactions and factors influencing social work services in this setting. This paper reports a qualitative content analysis of social work medical record notes (N=1,509) of services provided to trauma patients in an urban, public, level 1 trauma center and an in-depth analysis of semi-structured interviews with ED social workers (N=10). Eight major social work roles were identified: investigator, gatekeeper, resource broker, care coordinator, problem solver, crisis manager, advocate, discharge planner. Analyses revealed a complex interplay between ED social work services and multi-layered contexts. Using a social-ecological framework, we identified the interactions between micro or individual level factors, mezzo or local system level factors and macro environmental and systemic factors that play a role in ED interactions and patient services. Macro-level contextual influences were socio-structural forces including socioeconomic barriers to health, social hierarchies that reflected power differentials between providers and patients, and distrust or bias. Mezzo-level forces were limited resources, lack of healthcare system coordination, a challenging hierarchy within the medical model and the pressure to discharge patients quickly. Micro-level factors included characteristics of patients and social workers, complexity of patient stressors, empathic strain, lack of closure and compassion. All of these forces were at play in patient-social worker interactions and impacted service provision. Social workers were at times able to successfully navigate these forces, yet at other times these challenges were insurmountable. A conceptual model of ED social work and the influences on the patient-social worker interactions was developed to assist in guiding innovative research and practice models to improve services and outcomes in the complex, fast-paced ED. PMID:28214722

Using intersectionality to explore experiences of disability and HIV among women and men in Zambia.

PubMed

Yoshida, Karen; Hanass-Hancock, Jill; Nixon, Stephanie; Bond, Virginia

2014-01-01

Little is known about the experiences of people with disabilities (PWD) who live with HIV. Existing research largely assumes a "double burden" approach, which views HIV as doubling the load for people already burdened by disability. Intersectionality (a dynamic process of converging systems of relationships) offers an alternative approach for understanding differences in experience. This study uses an intersectional approach to explore the experiences of PWD in Zambia who have become HIV-positive. We conducted semi-structured, in depth interviews with 21 PWD who live with HIV in Zambia (12 women, 9 men). Participants had various impairments (visual, hearing, mobility, intellectual). Interviews were conducted to meet participants' accessibility preferences. Our intersectional analysis demonstrates the dynamic and situational emergent meanings and consequences for PWD who are living with HIV related to: (1) meanings of HIV and disability linked with time and trajectory; (2) oppression and negotiation related to accessing health services and (3) social roles and relationships. Three case studies illustrate these circumstances. Intersectionality offers a complementary approach for examining the complex interrelationship among HIV, disability, gender and time among PWD living with HIV. Findings illustrate directions for improved services and policies for this important group. Rehabilitation services need to take a cross-disability (multiple disabilities) approach working with people living with HIV and disability. Rehabilitation, as illustrated by a CBR approach, needs to include services that will facilitate not only health, but education, jobs and housing for people living with HIV and disability. Rehabilitation needs to make more direct connections with Zambia social service sector to help address the fluctuating experience of living with HIV and disability.

[Time management: realities for parents living with children with motor deficiencies].

PubMed

Tétreault, S; Beaulieu, J; Martin, G; Bédard, J; Laurion, S

2000-10-01

A quantitative study involving 244 families from three health and social service regions of Quebec was undertaken to explore how families function. Fourteen families agreed to participate in the qualitative part of this study. Twenty-eight parents participated through an in-depth interview. During the interviews, the impact of the presence of a child with a motor disability on the parents' use of time was discussed. An analysis of the themes and categories highlighted the different aspects of the impact of a handicapped child on the parents' use of time in relation to the four spheres of life. In fact, the parents that were interviewed indicated that the presence of their child greatly influenced the time they had available for their personal, conjugal and family life as well as for doing any paid work. In general, mothers devoted more time than fathers to the care of the child. This situation has a direct impact on the way the mothers manage their time. Based on an analysis of the respondents' comments, the author recommends to offer support to the parents in order to assist them with time management.

In Search of Facilitating Citizens' Problem Solving: Public Libraries' Collaborative Development of Services with Related Organizations

ERIC Educational Resources Information Center

Ikeya, Nozomi; Tamura, Shunsaku; Miwa, Makiko; Koshizuka, Mika; Saito, Seiichi; Kasai, Yumiko

2011-01-01

Introduction: The paper attempts to understand value constellations in organising and using the business information service that was recently developed by various stakeholders with libraries who were in pursuit of supporting people's problem solving in Japanese public libraries. Method: In-depth interviews were conducted not only with users and…

Student Perceptions of Service Quality in a Multi-Campus Higher Education System in Spain

ERIC Educational Resources Information Center

Gallifa, Josep; Batalle, Pere

2010-01-01

Purpose: This paper aims to present an in-depth case study with student perceptions of service quality, discussing the relevance of these perceptions for the important issue of quality improvement in higher education. Design/methodology/approach: The paper presents institutional research carried out in a multi-campus system in Spain made up of…

Deepening Pre-Service Secondary Teachers' Mathematical Content Knowledge through Engaging with Peers' Mathematical Contributions

ERIC Educational Resources Information Center

Pournara, C.

2016-01-01

Depth and rigour in mathematical knowledge for pre-service secondary school mathematics teachers may be found in particular experiences of learning and doing school-level mathematics. Drawing on two cases from a course on financial mathematics for secondary school teachers, I illustrate opportunities for exploring compound and exponential growth.…

The Politics of Resistance to Workplace Cultural Diversity Education for Health Service Providers: An Australian Study

ERIC Educational Resources Information Center

Johnstone, Megan-Jane; Kanitsaki, Olga

2008-01-01

This qualitative study has as its focus an exploration of health service providers' perceptions and experiences of the processes and implications of delivering workplace cultural diversity education for staff. Data were obtained from conducting in-depth individual and focus group interviews with a purposeful sample of 137 healthcare professionals,…

Community College Developmental Education Services: Perspectives of Spanish-Speaking Latino Early Childhood Educators

ERIC Educational Resources Information Center

Eberly, John E.

2018-01-01

The purpose of this single-case study was to understand the perceptions of Latino Spanish-speaking English learners on the efficacy of developmental education services at a Western U.S. community college. The primary data collection method was in-depth individual interviews of a purposeful sample of nine successful students. Findings indicated…

Needs Analysis of People with a Disability Living in Remote and Rural Areas of NSW.

ERIC Educational Resources Information Center

Gething, Lindsay; And Others

This paper examines the unmet service needs and problems of persons with disabilities in rural and remote regions of New South Wales (Australia). Data were collected through consultations with disabled persons, families, and service providers in Sydney and four rural areas; a literature review; compilation of an in-depth inventory of service…

The Voices of Higher Education Service-Learning Directors: A Qualitative Inductive Analysis

ERIC Educational Resources Information Center

Woodard, Kelsey

2013-01-01

This research explored issues surrounding service-learning directors (SLDs) within higher education institutions, including who they are, how they became SLDs, and what they experience in the role. Qualitative data were drawn from in-depth interviews of 11 SLDs, as well as review of their vitaes. A qualitative inductive analysis was conducted in…

An Explorative Study of Idiom Teaching for Pre-Service Teachers of English

ERIC Educational Resources Information Center

Tran, Huong Quynh

2012-01-01

This study investigated the situation of teaching and learning idioms at a university level in Vietnam, a foreign language context. It also examined the evaluation of the idiom teaching process in three language classes over a 15-week period for pre-service teachers of English. The data were collected though questionnaires, in-depth interviews and…

Time multiplexing based extended depth of focus imaging.

PubMed

Ilovitsh, Asaf; Zalevsky, Zeev

2016-01-01

We propose to utilize the time multiplexing super resolution method to extend the depth of focus of an imaging system. In standard time multiplexing, the super resolution is achieved by generating duplication of the optical transfer function in the spectrum domain, by the use of moving gratings. While this improves the spatial resolution, it does not increase the depth of focus. By changing the gratings frequency and, by that changing the duplication positions, it is possible to obtain an extended depth of focus. The proposed method is presented analytically, demonstrated via numerical simulations and validated by a laboratory experiment.

Depth-Based Detection of Standing-Pigs in Moving Noise Environments.

PubMed

Kim, Jinseong; Chung, Yeonwoo; Choi, Younchang; Sa, Jaewon; Kim, Heegon; Chung, Yongwha; Park, Daihee; Kim, Hakjae

2017-11-29

In a surveillance camera environment, the detection of standing-pigs in real-time is an important issue towards the final goal of 24-h tracking of individual pigs. In this study, we focus on depth-based detection of standing-pigs with "moving noises", which appear every night in a commercial pig farm, but have not been reported yet. We first apply a spatiotemporal interpolation technique to remove the moving noises occurring in the depth images. Then, we detect the standing-pigs by utilizing the undefined depth values around them. Our experimental results show that this method is effective for detecting standing-pigs at night, in terms of both cost-effectiveness (using a low-cost Kinect depth sensor) and accuracy (i.e., 94.47%), even with severe moving noises occluding up to half of an input depth image. Furthermore, without any time-consuming technique, the proposed method can be executed in real-time.

Young people with depression and their experience accessing an enhanced primary care service for youth with emerging mental health problems: a qualitative study.

PubMed

McCann, Terence V; Lubman, Dan I

2012-08-01

Despite the emergence of mental health problems during adolescence and early adulthood, many young people encounter difficulties accessing appropriate services. In response to this gap, the Australian Government recently established new enhanced primary care services (headspace) that target young people with emerging mental health problems. In this study, we examine the experience of young people with depression accessing one of these services, with a focus on understanding how they access the service and the difficulties they encounter in the process. Individual, in-depth, audio-recorded interviews were used to collect data. Twenty-six young people with depression were recruited from a headspace site in Melbourne, Australia. Interpretative phenomenological analysis was used to analyse the data. Four overlapping themes were identified in the data. First, school counsellors as access mediators, highlights the prominent role school counsellors have in facilitating student access to the service. Second, location as an access facilitator and inhibitor. Although the service is accessible by public transport, it is less so to those who do not live near public transport. Third, encountering barriers accessing the service initially. Two main service access barriers were experienced: unfamiliarity with the service, and delays in obtaining initial appointments for ongoing therapy. Finally, the service's funding model acts as an access facilitator and barrier. While the model provides a low or no cost services initially, it limits the number of funded sessions, and this can be problematic. Young people have contrasting experiences accessing the service. School counsellors have an influential role in facilitating access, and its close proximity to public transport enhances access. The service needs to become more prominent in young people's consciousness, while the appointment system would benefit from providing more timely appointments with therapists. The service's funding model is important in enabling access initially to young people from low socioeconomic backgrounds, but the government needs to reassess the model for those who require additional support.

Decompression management by 43 models of dive computer: single square-wave exposures to between 15 and 50 metres' depth.

PubMed

Sayer, Martin D J; Azzopardi, Elaine; Sieber, Arne

2014-12-01

Dive computers are used in some occupational diving sectors to manage decompression but there is little independent assessment of their performance. A significant proportion of occupational diving operations employ single square-wave pressure exposures in support of their work. Single examples of 43 models of dive computer were compressed to five simulated depths between 15 and 50 metres' sea water (msw) and maintained at those depths until they had registered over 30 minutes of decompression. At each depth, and for each model, downloaded data were used to collate the times at which the unit was still registering "no decompression" and the times at which various levels of decompression were indicated or exceeded. Each depth profile was replicated three times for most models. Decompression isopleths for no-stop dives indicated that computers tended to be more conservative than standard decompression tables at depths shallower than 30 msw but less conservative between 30-50 msw. For dives requiring decompression, computers were predominantly more conservative than tables across the whole depth range tested. There was considerable variation between models in the times permitted at all of the depth/decompression combinations. The present study would support the use of some dive computers for controlling single, square-wave diving by some occupational sectors. The choice of which makes and models to use would have to consider their specific dive management characteristics which may additionally be affected by the intended operational depth and whether staged decompression was permitted.

"There is such a thing as asking for trouble": taking rapid HIV testing to gay venues is fraught with challenges.

PubMed

Prost, Audrey; Chopin, Mathias; McOwan, Alan; Elam, Gillian; Dodds, Julie; Macdonald, Neil; Imrie, John

2007-06-01

To explore the feasibility and acceptability of offering rapid HIV testing to men who have sex with men in gay social venues. Qualitative study with in-depth interviews and focus group discussions. Interview transcripts were analysed for recurrent themes. 24 respondents participated in the study. Six gay venue owners, four gay service users and one service provider took part in in-depth interviews. Focus groups were conducted with eight members of a rapid HIV testing clinic staff and five positive gay men. Respondents had strong concerns about confidentiality and privacy, and many felt that HIV testing was "too serious" an event to be undertaken in social venues. Many also voiced concerns about issues relating to post-test support and behaviour, and clinical standards. Venue owners also discussed the potential negative impact of HIV testing on social venues. There are currently substantial barriers to offering rapid HIV tests to men who have sex with men in social venues. Further work to enhance acceptability must consider ways of increasing the confidentiality and professionalism of testing services, designing appropriate pre-discussion and post-discussion protocols, evaluating different models of service delivery, and considering their cost-effectiveness in relation to existing services.

The Evolution of the Seismic-Aseismic Transition During the Earthquake Cycle: Constraints from the Time-Dependent Depth Distribution of Aftershocks

NASA Astrophysics Data System (ADS)

Rolandone, F.; Bürgmann, R.; Nadeau, R.; Freed, A.

2003-12-01

We have demonstrated that in the aftermath of large earthquakes, the depth extent of aftershocks shows an immediate deepening from pre-earthquake levels, followed by a time-dependent postseismic shallowing. We use these seismic data to constrain the variation of the depth of the seismic-aseismic transition with time throughout the earthquake cycle. Most studies of the seismic-aseismic transition have focussed on the effect of temperature and/or lithology on the transition either from brittle faulting to viscous flow or from unstable to stable sliding. They have shown that the maximum depth of seismic activity is well correlated with the spatial variations of these two parameters. However, little has been done to examine how the maximum depth of seismogenic faulting varies locally, at the scale of a fault segment, during the course of the earthquake cycle. Geologic and laboratory observations indicate that the depth of the seismic-aseismic transition should vary with strain rate and thus change with time throughout the earthquake cycle. We quantify the time-dependent variations in the depth of seismicity on various strike-slip faults in California before and after large earthquakes. We specifically investigate (1) the deepening of the aftershocks relative to the background seismicity, (2) the time constant of the postseismic shallowing of the deepest earthquakes, and (3) the correlation of the time-dependent pattern with the coseismic slip distribution and the expected stress increase. Together with geodetic measurements, these seismological observations form the basis for developing more sophisticated models for the mechanical evolution of strike-slip shear zones during the earthquake cycle. We develop non-linear viscoelastic models, for which the brittle-ductile transition is not fixed, but varies with assumed temperature and calculated stress gradients. We use them to place constraints on strain rate at depth, on time-dependent rheology, and on the partitioning of deformation between brittle faulting and distributed viscous flow associated with the earthquake cycle.

Health Care Professionals’ Opinions and Expectations of Clinical Pharmacy Services on a Surgical Ward

PubMed Central

Chevalier, Bernadette; Neville, Heather L; Thompson, Kara; Nodwell, Lisa; MacNeil, Michael

2016-01-01

Background Pharmacists have made significant contributions to patient care and have been recognized as integral members of the interprofessional team. Health care professionals differ in their opinions and expectations of clinical pharmacy services. Very little has been published about health care professionals’ perspectives on advanced clinical pharmacy roles, such as prescriptive authority or administration of vaccines. In 2013, clinical pharmacy services were introduced in a vascular and general surgery ward where a pharmacist had not previously been assigned. Objectives To explore surgical nurses’ and physicians’ opinions and expectations of clinical pharmacy services and to determine how these views changed over time; to compare pharmacists’ views of clinical pharmacy services with those of nurses and physicians; and to develop validated survey tools. Methods Three survey tools were created and validated, one for each profession. Surveys were distributed to nurses and physicians assigned to the general and vascular surgery ward before introduction of clinical pharmacy services and 8 months after implementation. Hospital pharmacists were invited to complete the survey at one time point. Results Differences existed in the opinions of nurses, physicians, and pharmacists about some traditional activities. Nurses and physicians indicated stronger agreement with pharmacists participating in medication reconciliation activities than did pharmacists (p < 0.001), whereas a greater proportion of pharmacists felt that they were the most appropriate health care professionals to provide medication discharge counselling, relative to nurses and physicians (p = 0.001). Respondents supported advanced roles for pharmacists, such as collaborative practice agreements, but there was less support for prescribing, physical assessments, and administration of vaccines. Nurses indicated the strongest agreement with pharmacist prescribing (82% versus 69% among pharmacists and 27% among physicians; p < 0.001). Nurses and physicians expressed strong endorsements of clinical pharmacy services in the surveys’ comment sections. Conclusions The introduction of clinical pharmacy services to a surgical health care team resulted in high levels of satisfaction among nurses and physicians who responded to this survey. Differences in perceptions of traditional clinical pharmacy service activities and advanced practice roles need to be studied in more depth to better understand the factors influencing health care professionals’ views. PMID:28123189

Analysis of the silicone polymer surface aging profile with laser-induced breakdown spectroscopy

NASA Astrophysics Data System (ADS)

Wang, Xilin; Hong, Xiao; Wang, Han; Chen, Can; Zhao, Chenlong; Jia, Zhidong; Wang, Liming; Zou, Lin

2017-10-01

Silicone rubber composite materials have been widely used in high voltage transmission lines for anti-pollution flashover. The aging surface of silicone rubber materials decreases service properties, causing loss of the anti-pollution ability. In this paper, as an analysis method requiring no sample preparation that is able to be conducted on site and suitable for nearly all types of materials, laser-induced breakdown spectroscopy (LIBS) was used for the analysis of newly prepared and aging (out of service) silicone rubber composites. With scanning electron microscopy (SEM) and hydrophobicity test, LIBS was proven to be nearly non-destructive for silicone rubber. Under the same LIBS testing parameters, a linear relationship was observed between ablation depth and laser pulses number. With the emission spectra, all types of elements and their distribution in samples along the depth direction from the surface to the inner part were acquired and verified with EDS results. This research showed that LIBS was suitable to detect the aging layer depth and element distribution of the silicone rubber surface.

Utilization of dental care: An Indian outlook

PubMed Central

Gambhir, Ramandeep Singh; Brar, Prabhleen; Singh, Gurminder; Sofat, Anjali; Kakar, Heena

2013-01-01

Oral health has a significant impact on the quality of life, appearance, and self-esteem of the people. Preventive dental visits help in the early detection and treatment of oral diseases. Dental care utilization can be defined as the percentage of the population who access dental services over a specified period of time. There are reports that dental patients only visit the dentist when in pain and never bother to return for follow-up in most cases. To improve oral health outcomes an adequate knowledge of the way the individuals use health services and the factors predictive of this behavior is essential. The interest in developing models explaining the utilization of dental services has increased; issues like dental anxiety, price, income, the distance a person had to travel to get care, and preference for preservation of teeth are treated as barriers in regular dental care. Published materials which pertain to the use of dental services by Indian population have been reviewed and analyzed in depth in the present study. Dental surgeons and dental health workers have to play an adequate role in facilitating public enlightenment that people may appreciate the need for regular dental care and make adequate and proper use of the available dental care facilities. PMID:24082719

Primary health-care teams as adaptive organizations: exploring and explaining work variation using case studies in rural and urban Scotland.

PubMed

Farmer, Jane; West, Christina; Whyte, Bruce; Maclean, Margaret

2005-08-01

It is acknowledged, internationally, that health-care practitioners' work differs between and urban areas. While several factors affect individual teams' activities, there is little understanding about how patterns of work evolve. Consideration of work in relation to local circumstances is important for training, devising contracts and redesigning services. Six case studies centred on Scottish rural and urban general practices were used to examine, in-depth, the activity of primary health-care teams. Quantitative workload data about patient contacts were collected over 24 months. Interviews and diaries revealed insightful qualitative data. Findings revealed that rural general practitioners and district nurses tended to conduct more consultations per practice patient compared with their urban counterparts. Conditions seen and work tasks varied between case study teams. Qualitative data suggested that the key reasons for variation were: local needs and circumstances; choices made about deployment of available time, team composition and the extent of access to other services. Primary care teams might be viewed as adaptive organization, with co-evolution of services produced by health professionals and local people. The study highlights limitations in the application of workload data and suggests that understanding the nature of work in relation to local circumstances is important in service redesign.

[Migrants' female partners: social image and the search for sexual and reproductive health services].

PubMed

Ochoa-Marín, Sandra C; Cristancho-Marulanda, Sergio; González-López, José Rafael

2011-04-01

Analysing the self-image and social image of migrants' female partners (MFP) and their relationship with the search for sexual and reproductive health services (SRHS) in communities having a high US migratory intensity index. 60 MFP were subjected to in-depth interviews between October 2004 and May 2005 and 19 semi-structured interviews were held with members of their families, 14 representatives from social organisations, 10 health service representatives and 31 men and women residing in the community. MFP self-image and social image regards women as being "vulnerable", "alone", "lacking sexual partner" and thus being sexually inactive. Consequently, "they must not contract sexually-transmitted diseases (STD), use contraceptives or become pregnant" when their partners are in the USA. The search for SRHS services was found to be related to self-image, social image and the notion of family or social control predominated in the behaviour expected for these women which, in turn, was related to conditions regarding their coexistence (or not) with their families. MFP living with their family or their partner's family were subject to greater "family" control in their search for SRHS services. On the contrary, MFP living alone were subjected to greater "social" control over such process. Sexuallyinactive women's self-image and social image seems to have a bearing on such women's social behaviour and could become an obstacle to the timely search for SRHS services in communities having high migratory intensity.

Patients do not always complain when they are dissatisfied: implications for service quality and patient safety.

PubMed

Howard, Matylda; Fleming, Mary Louise; Parker, Elizabeth

2013-12-01

This study aimed to explore the actions taken by patients who had been admitted to an acute care Queensland hospital and experienced dissatisfaction with service delivery. It is proposed that before complaints can be used as part of a strategy to inform health service improvement and ultimately ensure patient safety, an understanding of the effectiveness of the complaints handling process from the patient's perspective must be gained. In-depth qualitative interviews using a phenomenological exploration were undertaken. The theoretical framework supporting the thematic analysis of the interview data was drawn from Lazarus's cognitive emotive model of coping. Analysis of the research data, aided by Leximancer software, revealed a series of relational themes that supported the interpretative data analysis process undertaken. In 16 interviews, the study outcomes identified that 15 of the participants did not voice their complaint at the time of the event, but after the event, they stated they wished that they had reacted differently and complained at the actual point in time that they were dissatisfied. The themes that emerged that reflected potential lost opportunities included issues with ineffective communication, being treated with disrespect, inconsistent standards of care, perceptions of negligence, and lack of information about how to make a complaint. Our findings suggest that health-care professionals should take a more active role in identifying and responding to patients who are experiencing dissatisfaction but are not actively complaining. This level of vigilance and responsiveness will ensure opportunities to improve health service delivery, and patient safety are not lost.

Implementation of a novel occupational and environmental medicine specialty teleconsultation service: the VHA experience.

PubMed

Eaton, Jennifer L; Mohr, David C; Mohammad, Amir; Kirkhorn, Steven; Gerstel-Santucci, Christina; McPhaul, Kathleen; Hodgson, Michael J

2015-02-01

Occupational and environmental medicine (OEM) physician specialty practices continue to grow in scope and intensity across the Veterans Health Administration. This study characterizes the implementation of a novel, nationwide telemedicine program that provides OEM specialty consultation to providers across the Veterans Health Administration. We examined provider requests and specialist responses for a 6-month pilot from May to October 2013. Characteristics of consult users, determinants of case complexity, and specific applications of OEM specialty expertise were identified. Over a 6-month period, employee occupational health providers consulted the OEM telemedicine pilot a total of 65 times. Employee occupational health providers without formal training repeatedly identified complex cases related to work and disability. The program has created a new system management solution to deliver expert, in-depth consultation and real-time provider education in OEM.

A study on the impact of prioritising emergency department arrivals on the patient waiting time.

PubMed

Van Bockstal, Ellen; Maenhout, Broos

2018-05-03

In the past decade, the crowding of the emergency department has gained considerable attention of researchers as the number of medical service providers is typically insufficient to fulfil the demand for emergency care. In this paper, we solve the stochastic emergency department workforce planning problem and consider the planning of nurses and physicians simultaneously for a real-life case study in Belgium. We study the patient arrival pattern of the emergency department in depth and consider different patient acuity classes by disaggregating the arrival pattern. We determine the personnel staffing requirements and the design of the shifts based on the patient arrival rates per acuity class such that the resource staffing cost and the weighted patient waiting time are minimised. In order to solve this multi-objective optimisation problem, we construct a Pareto set of optimal solutions via the -constraints method. For a particular staffing composition, the proposed model minimises the patient waiting time subject to upper bounds on the staffing size using the Sample Average Approximation Method. In our computational experiments, we discern the impact of prioritising the emergency department arrivals. Triaging results in lower patient waiting times for higher priority acuity classes and to a higher waiting time for the lowest priority class, which does not require immediate care. Moreover, we perform a sensitivity analysis to verify the impact of the arrival and service pattern characteristics, the prioritisation weights between different acuity classes and the incorporated shift flexibility in the model.

Urban stormwater capture curve using three-parameter mixed exponential probability density function and NRCS runoff curve number method.

PubMed

Kim, Sangdan; Han, Suhee

2010-01-01

Most related literature regarding designing urban non-point-source management systems assumes that precipitation event-depths follow the 1-parameter exponential probability density function to reduce the mathematical complexity of the derivation process. However, the method of expressing the rainfall is the most important factor for analyzing stormwater; thus, a better mathematical expression, which represents the probability distribution of rainfall depths, is suggested in this study. Also, the rainfall-runoff calculation procedure required for deriving a stormwater-capture curve is altered by the U.S. Natural Resources Conservation Service (Washington, D.C.) (NRCS) runoff curve number method to consider the nonlinearity of the rainfall-runoff relation and, at the same time, obtain a more verifiable and representative curve for design when applying it to urban drainage areas with complicated land-use characteristics, such as occurs in Korea. The result of developing the stormwater-capture curve from the rainfall data in Busan, Korea, confirms that the methodology suggested in this study provides a better solution than the pre-existing one.

Opportunities, challenges and systems requirements for developing post-abortion family planning services: Perceptions of service stakeholders in China

PubMed Central

Richards, Esther; Zhang, Weihong; Hu, Lina; Wu, Shangchun; Tolhurst, Rachel

2017-01-01

Post-abortion family planning (PAFP) has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. However, the accessibility and quality of PAFP services remain a challenge in many countries including China where more than 10 million unintended pregnancies occur each year. Most of these unwanted pregnancies end in repeated induced abortions. This paper aims to explore service providers’ perceptions of the current situation regarding family planning and abortion service needs, provision, utilization, and the feasibility and acceptability of high quality PAFP in the future. Qualitative methods, including in-depth interviews and focus group discussions, were used with family planning policy makers, health managers, and service providers. Three provinces—Zhejiang, Hubei and Yunnan—were purposively selected, representing high, medium and relatively undeveloped areas of China. A total of fifty-three in-depth interviews and ten focus-group discussions were conducted and analysed thematically. Increased numbers of abortions among young, unmarried women were perceived as a major reason for high numbers of abortions. Participants attributed this to increasing socio-cultural acceptability of premarital sex, and simultaneously, lack of understanding or awareness of contraception among young people. The majority of service stakeholders acknowledged that free family planning services were neither targeted at, nor accessible to unmarried people. The extent of PAFP provision is variable and limited. However, service providers expressed willingness and enthusiasm towards providing PAFP services in the future. Three main considerations were expressed regarding the feasibility of developing and implementing PAFP services: policy support, human resources, and financial resources. The study indicated that key service stakeholders show demand for and perceive considerable opportunities to develop PAFP in China. However, changes are needed to enable the systematic development of high quality PAFP, including actively targeting young and unmarried people in service provision, obtaining policy support and increasing the investment of human and financial resources. PMID:29045434

Opportunities, challenges and systems requirements for developing post-abortion family planning services: Perceptions of service stakeholders in China.

PubMed

Jiang, Hong; Xu, Jieshuang; Richards, Esther; Qian, Xu; Zhang, Weihong; Hu, Lina; Wu, Shangchun; Tolhurst, Rachel

2017-01-01

Post-abortion family planning (PAFP) has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. However, the accessibility and quality of PAFP services remain a challenge in many countries including China where more than 10 million unintended pregnancies occur each year. Most of these unwanted pregnancies end in repeated induced abortions. This paper aims to explore service providers' perceptions of the current situation regarding family planning and abortion service needs, provision, utilization, and the feasibility and acceptability of high quality PAFP in the future. Qualitative methods, including in-depth interviews and focus group discussions, were used with family planning policy makers, health managers, and service providers. Three provinces-Zhejiang, Hubei and Yunnan-were purposively selected, representing high, medium and relatively undeveloped areas of China. A total of fifty-three in-depth interviews and ten focus-group discussions were conducted and analysed thematically. Increased numbers of abortions among young, unmarried women were perceived as a major reason for high numbers of abortions. Participants attributed this to increasing socio-cultural acceptability of premarital sex, and simultaneously, lack of understanding or awareness of contraception among young people. The majority of service stakeholders acknowledged that free family planning services were neither targeted at, nor accessible to unmarried people. The extent of PAFP provision is variable and limited. However, service providers expressed willingness and enthusiasm towards providing PAFP services in the future. Three main considerations were expressed regarding the feasibility of developing and implementing PAFP services: policy support, human resources, and financial resources. The study indicated that key service stakeholders show demand for and perceive considerable opportunities to develop PAFP in China. However, changes are needed to enable the systematic development of high quality PAFP, including actively targeting young and unmarried people in service provision, obtaining policy support and increasing the investment of human and financial resources.

Modeling climate effects on hip fracture rate by the multivariate GARCH model in Montreal region, Canada.

PubMed

Modarres, Reza; Ouarda, Taha B M J; Vanasse, Alain; Orzanco, Maria Gabriela; Gosselin, Pierre

2014-07-01

Changes in extreme meteorological variables and the demographic shift towards an older population have made it important to investigate the association of climate variables and hip fracture by advanced methods in order to determine the climate variables that most affect hip fracture incidence. The nonlinear autoregressive moving average with exogenous variable-generalized autoregressive conditional heteroscedasticity (ARMAX-GARCH) and multivariate GARCH (MGARCH) time series approaches were applied to investigate the nonlinear association between hip fracture rate in female and male patients aged 40-74 and 75+ years and climate variables in the period of 1993-2004, in Montreal, Canada. The models describe 50-56% of daily variation in hip fracture rate and identify snow depth, air temperature, day length and air pressure as the influencing variables on the time-varying mean and variance of the hip fracture rate. The conditional covariance between climate variables and hip fracture rate is increasing exponentially, showing that the effect of climate variables on hip fracture rate is most acute when rates are high and climate conditions are at their worst. In Montreal, climate variables, particularly snow depth and air temperature, appear to be important predictors of hip fracture incidence. The association of climate variables and hip fracture does not seem to change linearly with time, but increases exponentially under harsh climate conditions. The results of this study can be used to provide an adaptive climate-related public health program and ti guide allocation of services for avoiding hip fracture risk.

Modeling climate effects on hip fracture rate by the multivariate GARCH model in Montreal region, Canada

NASA Astrophysics Data System (ADS)

Modarres, Reza; Ouarda, Taha B. M. J.; Vanasse, Alain; Orzanco, Maria Gabriela; Gosselin, Pierre

2014-07-01

Changes in extreme meteorological variables and the demographic shift towards an older population have made it important to investigate the association of climate variables and hip fracture by advanced methods in order to determine the climate variables that most affect hip fracture incidence. The nonlinear autoregressive moving average with exogenous variable-generalized autoregressive conditional heteroscedasticity (ARMA X-GARCH) and multivariate GARCH (MGARCH) time series approaches were applied to investigate the nonlinear association between hip fracture rate in female and male patients aged 40-74 and 75+ years and climate variables in the period of 1993-2004, in Montreal, Canada. The models describe 50-56 % of daily variation in hip fracture rate and identify snow depth, air temperature, day length and air pressure as the influencing variables on the time-varying mean and variance of the hip fracture rate. The conditional covariance between climate variables and hip fracture rate is increasing exponentially, showing that the effect of climate variables on hip fracture rate is most acute when rates are high and climate conditions are at their worst. In Montreal, climate variables, particularly snow depth and air temperature, appear to be important predictors of hip fracture incidence. The association of climate variables and hip fracture does not seem to change linearly with time, but increases exponentially under harsh climate conditions. The results of this study can be used to provide an adaptive climate-related public health program and ti guide allocation of services for avoiding hip fracture risk.

Thermal degradation of fire-retardant -treated wood : predicting residual service life

Treesearch

Jerrold E. Winandy

2001-01-01

This paper presents a review of more than 10 years of research on the effects of fire-retardant treatments on wood properties and the potential of these treatments for in-service degradation when exposed to elevated temperatures. It presents an in-depth discussion of the findings and implications of a major wood engineering research program to assess the current...

Understanding the Psychosocial and Environmental Factors and Barriers Affecting Utilization of Maternal Healthcare Services in Kalomo, Zambia: A Qualitative Study

ERIC Educational Resources Information Center

Sialubanje, Cephas; Massar, Karlijn; Hamer, Davidson H.; Ruiter, Robert A. C.

2014-01-01

This qualitative study aimed to identify psychosocial and environmental factors contributing to low utilization of maternal healthcare services in Kalomo, Zambia. Twelve focus group discussions (n = 141) and 35 in-depth interviews were conducted in six health centre catchment areas. Focus group discussions comprised women of reproductive age…

How Homeless Sector Workers Deal with the Death of Service Users: A Grounded Theory Study

ERIC Educational Resources Information Center

Lakeman, Richard

2011-01-01

Homeless sector workers often encounter the deaths of service users. A modified grounded theory methodology project was used to explore how workers make sense of, respond to, and cope with sudden death. In-depth interviews were undertaken with 16 paid homeless sector workers who had experienced the death of someone with whom they worked.…

Exploring Pre-Service School Counselling Teachers' Learning Needs: Perceptions of Teacher Educators and Student-Teachers

ERIC Educational Resources Information Center

Yuan, Rui

2017-01-01

Drawing on the dual perspectives of teacher educators and student-teachers, this research explores the complex learning needs of pre-service school counselling teachers (SCTs) in China. Relying on data from in-depth interviews and relevant curriculum documents, the findings of the study demonstrate four critical needs of SCTs, namely, developing a…

Mathematical modeling of the heat transfer for determining the depth of thawing basin buildings with long service life

NASA Astrophysics Data System (ADS)

Sirditov, Ivan; Stepanov, Sergei

2017-11-01

In this paper, a numerical study of the problem of determining a thawing basin in the permafrost soil for buildings with a long service life is carried out using two methods, with the formulas of set of rules 25.13330.2012 "Soil bases and foundations on permafrost soils" and using a mathematical model.

Pre-Service Teachers in PE Involved in an Organizational Critical Incident: Emotions, Appraisal and Coping Strategies

ERIC Educational Resources Information Center

Vandercleyen, François; Boudreau, Pierre; Carlier, Ghislain; Delens, Cécile

2014-01-01

Background: Emotions play a major role in the learning of pre-service teachers. However, there is a lack of in-depth research on emotion in the context of physical education (PE), especially during the practicum. Lazarus's model and its concepts of appraisal and coping is a salient theoretical framework for understanding the emotional process.…

Application of current guidelines for chest compression depth on different surfaces and using feedback devices: a randomized cross-over study.

PubMed

Schober, P; Krage, R; Lagerburg, V; Van Groeningen, D; Loer, S A; Schwarte, L A

2014-04-01

Current cardiopulmonary resuscitation (CPR)-guidelines recommend an increased chest compression depth and rate compared to previous guidelines, and the use of automatic feedback devices is encouraged. However, it is unclear whether this compression depth can be maintained at an increased frequency. Moreover, the underlying surface may influence accuracy of feedback devices. We investigated compression depths over time and evaluated the accuracy of a feedback device on different surfaces. Twenty-four volunteers performed four two-minute blocks of CPR targeting at current guideline recommendations on different surfaces (floor, mattress, 2 backboards) on a patient simulator. Participants rested for 2 minutes between blocks. Influences of time and different surfaces on chest compression depth (ANOVA, mean [95% CI]) and accuracy of a feedback device to determine compression depth (Bland-Altman) were assessed. Mean compression depth did not reach recommended depth and decreased over time during all blocks (first block: from 42 mm [39-46 mm] to 39 mm [37-42 mm]). A two-minute resting period was insufficient to restore compression depth to baseline. No differences in compression depth were observed on different surfaces. The feedback device slightly underestimated compression depth on the floor (bias -3.9 mm), but markedly overestimated on the mattress (bias +12.6 mm). This overestimation was eliminated after correcting compression depth by a second sensor between manikin and mattress. Strategies are needed to improve chest compression depth, and more than two providers should alternate with chest compressions. The underlying surface does not necessarily adversely affect CPR performance but influences accuracy of feedback devices. Accuracy is improved by a second, posterior, sensor.

Reconnaissance Report. Sedimentation Problem, Quincy Bay, Illinois

DTIC Science & Technology

1987-09-01

are shown on figure 7 of the Fish and Wildife Service’s Planning Aid Report. Area D5 is primarily an agricultural site located within the Indian Grave...and that the placement of dredged material will be permanent. 20 Disposal Site 1 (designated D5 in the Fish and Wildife Service’s Planning Aid Report...provide a more than adequate depth for recreational craft. The U.S. Fish and Wildife Service, in their Planning Aid Report (appendix B), also has

Management Plan Report. Unconfined Open-Water Disposal of Dredged Material. Phase 2. (North and South Puget Sound)

DTIC Science & Technology

1989-09-01

depth of 442’ at the center of the disposal zone. The area is subject to weak currents. In general, commercially important marine invertebrate ...Fish and Wildlife Service " Charles Dunn U.S. Fish and Wildlife Service * Rob Jones National Marine Fisheries Service * Dr. Herb Curl National Oceanic...environmental impacts. In the future, for many projects, disposal in deep and relatively deep marine waters is expected to be a preferred option for envirc

State-of-the-Art Resources (SOAR) for Software Vulnerability Detection, Test, and Evaluation

DTIC Science & Technology

2014-07-01

preclude in-depth analysis, and widespread use of a Software -as-a- Service ( SaaS ) model that limits data availability and application to DoD systems...provide mobile application analysis using a Software - as-a- Service ( SaaS ) model. In this case, any software to be analyzed must be sent to the...tools are only available through a SaaS model. The widespread use of a Software -as-a- Service ( SaaS ) model as a sole evaluation model limits data

Community development--improving patient safety by enhancing the use of health services.

PubMed

Baum, Fran; Freeman, Toby; Lawless, Angela; Jolley, Gwyneth

2012-06-01

Community development plays an important role in increasing the access of disadvantaged groups to resources and services. We examined how community development in primary healthcare services may improve patient safety by involving people in activities that lead to their enhanced use of services. Audits of service activity and 68 in-depth interviews at six primary healthcare services in South Australia and the Northern Territory. Managers, practitioners and administration staff, plus regional health service executives and departmental funders participated in the interviews. Each of the services undertook some community development. Reported benefits included engaging people in health promoting activity, providing people with social contacts and, crucially, encouraging people to use health services. Community development is a means of engaging people who, for a range of reasons, are reluctant to use services and therefore can increase patient safety.

Adolescents and mothers value referral to a specialist service for chronic fatigue syndrome or myalgic encephalopathy (CFS/ME).

PubMed

Beasant, Lucy; Mills, Nicola; Crawley, Esther

2014-04-01

Paediatric chronic fatigue syndrome or myalgic encephalopathy (CFS/ME) is relatively common and disabling. Current guidance recommends referral to specialist services, although some general practitioners believe the label of CFS/ME is harmful and many are not confident about diagnosing CFS/ME. Aim Explore whether or not adolescents and their mothers value referral to a specialist service for young people with CFS/ME. A qualitative study nested within a feasibility study of interventions for CFS/ME [Specialist Medical Intervention and Lightning Evaluation (SMILE)]. In-depth interviews were undertaken with 13 mothers and 12 adolescents participating in the SMILE study. Transcripts were systematically assigned codes using the qualitative data organisation package NVivo and analysed thematically using techniques of constant comparison. Gaining access to the specialist service was difficult and took a long time. Mothers felt that they needed to be proactive and persistent, partly because of a lack of knowledge in primary and secondary care. Having gained access, mothers felt the CFS/ME service was useful because it recognised and acknowledged their child's condition and opened channels of dialogue between health-care professionals and education providers. Adolescents reported that specialist medical care resulted in better symptom management, although some adolescents did not like the fact that the treatment approach limited activity. Adolescents and their mothers value receiving a diagnosis from a specialist service and making progress in managing CFS/ME. General practitioners should support adolescents with CFS/ME in accessing CFS/ME specialist services, consistent with current guidance.

Key successes and challenges in providing mental health care in an urban male remand prison: a qualitative study.

PubMed

Samele, Chiara; Forrester, Andrew; Urquía, Norman; Hopkin, Gareth

2016-04-01

This study aimed to describe the workings of an urban male remand prison mental health service exploring the key challenges and successes, levels of integration and collaboration with other services. A purposive sampling was used to recruit key prison and healthcare professionals for in-depth interviews. A thematic analysis was used to analyse transcripts based on an initial coding frame of several predefined themes. Other key themes were also identified. Twenty-eight interviews were conducted. Prisoners referred to the service had complex, sometimes acute mental illness requiring specialist assessment and treatment. Key successes of the in-reach service included the introduction of an open referral system, locating a mental health nurse at reception to screen all new prisoners and a zoning system to prioritise urgent or non-urgent cases. Achieving an integrated system of healthcare was challenging because of the numerous internal and external services operating across the prison, a highly transient population, limited time and space to deliver services and difficulties with providing inpatient care (e.g., establishing the criteria for admission and managing patient flow). Collaborative working between prison and healthcare staff was required to enable best care for prisoners. The prison mental health in-reach service worked well in assessing and prioritising those who required specialist mental health care. Although the challenges of working within the prison context limited what the in-reach team could achieve. Further work was needed to improve the unit environment and how best to target and deliver inpatient care within the prison.

UNAVCO Software and Services for Visualization and Exploration of Geoscience Data

NASA Astrophysics Data System (ADS)

Meertens, C.; Wier, S.

2007-12-01

UNAVCO has been involved in visualization of geoscience data to support education and research for several years. An early and ongoing service is the Jules Verne Voyager, a web browser applet built on the GMT that displays any area on Earth, with many data set choices, including maps, satellite images, topography, geoid heights, sea-floor ages, strain rates, political boundaries, rivers and lakes, earthquake and volcano locations, focal mechanisms, stress axes, and observed and modeled plate motion and deformation velocity vectors from geodetic measurements around the world. As part of the GEON project, UNAVCO has developed the GEON IDV, a research-level, 4D (earth location, depth and/or altitude, and time), Java application for interactive display and analysis of geoscience data. The GEON IDV is designed to meet the challenge of investigating complex, multi-variate, time-varying, three-dimensional geoscience data anywhere on earth. The GEON IDV supports simultaneous displays of data sets from differing sources, with complete control over colors, time animation, map projection, map area, point of view, and vertical scale. The GEON IDV displays gridded and point data, images, GIS shape files, and several other types of data. The GEON IDV has symbols and displays for GPS velocity vectors, seismic tomography, earthquake focal mechanisms, earthquake locations with magnitude or depth, seismic ray paths in 3D, seismic anisotropy, convection model visualization, earth strain axes and strain field imagery, and high-resolution 3D topographic relief maps. Multiple data sources and display types may appear in one view. As an example of GEON IDV utility, it can display hypocenters under a volcano, a surface geology map of the volcano draped over 3D topographic relief, town locations and political boundaries, and real-time 3D weather radar clouds of volcanic ash in the atmosphere, with time animation. The GEON IDV can drive a GeoWall or other 3D stereo system. IDV output includes imagery, movies, and KML files for Google Earth use of IDV static images, where Google Earth can handle the display. The IDV can be scripted to create display images on user request or automatically on data arrival, offering the use of the IDV as a back end to support a data web site. We plan to extend the power of the IDV by accepting new data types and data services, such as GeoSciML. An active program of online and video training in GEON IDV use is planned. UNAVCO will support users who need assistance converting their data to the standard formats used by the GEON IDV. The UNAVCO Facility provides web-accessible support for Google Earth and Google Maps display of any of more than 9500 GPS stations and survey points, including metadata for each installation. UNAVCO provides corresponding Open Geospatial Consortium (OGC) web services with the same data. UNAVCO's goal is to facilitate data access, interoperability, and efficient searches, exploration, and use of data by promoting web services, standards for GEON IDV data formats and metadata, and software able to simultaneously read and display multiple data sources, formats, and map locations or projections. Retention and propagation of semantics and metadata with observational and experimental values is essential for interoperability and understanding diverse data sources.

Timing properties of phosphor-coated polished LSO crystals.

PubMed

Schmall, Jeffrey P; Roncali, Emilie; Berg, Eric; Viswanath, Varsha; Du, Junwei; Cherry, Simon R

2014-08-07

This study investigates a time-of-flight (TOF)-depth-of-interaction (DOI) detector design for positron emission tomography (PET), based on phosphor-coated lutetium oxyorthosilicate (LSO) scintillator crystals coupled to fast single channel photomultiplier tubes. Interaction of the scintillation light with the phosphor coating changes the pulse shape in a depth-dependent manner. 3 × 3 × 10 mm(3) LSO scintillation crystals with polished surfaces were characterized, with and without phosphor coating, to assess DOI capability and timing properties. Two different phosphor coating geometries were studied: coating of the top surface of the crystal, and the top plus half of the crystal sides. There was negligible depth dependency in the decay time when coating only the top surface, however there was a ∼10 ns difference in end-to-end decay time when coating the top plus half of the crystal sides, sufficient to support the use of three DOI bins (3.3 mm DOI bin width). The rise time of the half-coated phosphor crystal was slightly faster at all depths, compared to uncoated crystals, however the signal amplitude was lower. Phosphor coating resulted in depth-dependent photopeak positions with an energy resolution of 13.7%, at a depth of 1 mm, and 15.3%, at a depth of 9 mm, for the half-coated crystal. Uncoated LSO crystals showed no change in photopeak position as a function of depth, with an energy resolution of 10.4%. The head-on coincidence timing resolution (CTR) of two uncoated LSO crystals was 287 ps using constant fraction discrimination for time pick-off. With phosphor coating, the CTR of the top-coated crystal was 314 ps, compared to 384 ps for the half-coated crystal. We demonstrate that the trade-off between timing resolution and DOI resolution can be controlled by the phosphor coating geometry. Here we present preliminary results demonstrating that good DOI resolution can be achieved with only a modest 26% degradation in CTR.

The performance of the stations of the Romanian seismic network in monitoring the local seismic activity

NASA Astrophysics Data System (ADS)

Ardeleanu, Luminita Angela; Neagoe, Cristian

2014-05-01

The seismic survey of the territory of Romania is mainly performed by the national seismic network operated by the National Institute for Earth Physics of Bucharest. After successive developments and upgrades, the network consists at present of 123 permanent stations equipped with high quality digital instruments (Kinemetrics K2, Quantera Q330, Quantera Q330HR, PS6-24 and Basalt digitizers) - 102 real time and 20 off-line stations - which cover the whole territory of the country. All permanent stations are supplied with 3 component accelerometers (episenzor type), while the real time stations are in addition provided with broadband (CMG3ESP, CMG40T, KS2000, KS54000, KS2000, CMG3T, STS2) or short period (SH-1, S13, Mark l4c, Ranger, GS21, L22_VEL) velocity sensors. Several communication systems are currently used for the real time data transmission: an analog line in UHF band, a line through GPRS (General Packet Radio Service), a dedicated line through satellite, and a dedicated line provided by the Romanian Special Telecommunication Service. During the period January 1, 2006 - June 30, 2013, 5936 shallow depth seismic events - earthquakes and quarry blasts - with local magnitude ML ≥ 1.2 were localized on the Romanian territory, or in its immediate vicinity, using the records of the national seismic network; 1467 subcrustal earthquakes (depth ≥ 60 km) with magnitude ML ≥ 1.9 were also localized in the Vrancea region, at the bend of the Eastern Carpathians. The goal of the present study is to evaluate the individual contribution of the real time seismic stations to the monitoring of the local seismicity. The performance of each station is estimated by taking into consideration the fraction of events that are localised using the station records, compared to the total number of events of the catalogue, occurred during the time of station operation. Taking into account the nonuniform space distribution of earthquakes, the location of the site and the recovery rate of reliable data are defining elements for the usefulness of a particular station. Our analysis provides a measure of station reliability, essential indicator for decisions regarding the increasing of effectiveness and future development of the Romanian seismic network.

Evaluation of Norwegian cancer hospitals' Web sites and explorative survey among cancer patients on their use of the Internet

PubMed Central

2001-01-01

Background Hospital homepages should provide comprehensive information on the hospital's services, such as departments and treatments available, prices, waiting time, leisure facilities, and other information important for patients and their relatives. Norway, with its population of approximately 4.3 million, ranks among the top countries globally for its ability to absorb and use technology. It is unclear to what degree Norwegian hospitals and patients use the Internet for information about health services. Objectives This study was undertaken to evaluate the quality of the biggest Norwegian cancer hospitals' Web sites and to gather some preliminary data on patients' use of the Internet. Methods In January 2001, we analyzed Web sites of 5 of the 7 biggest Norwegian hospitals treating cancer patients using a scoring system. The scoring instrument was based on recommendations developed by the Norwegian Central Information Service for Web sites and reflects the scope and depth of service information offered on hospital Web pages. In addition, 31 cancer patients visiting one hospital-based medical oncologist were surveyed about their use of the Internet. Results Of the 7 hospitals, 5 had a Web site. The Web sites differed markedly in quality. Types of information included - and number of Web sites that included each type of information - were, for example: search option, 1; interpreter service, 2; date of last update, 2; postal address, phone number, and e-mail service, 3; information in English, 2. None of the Web sites included information on waiting time or prices. Of the 31 patients surveyed, 12 had personal experience using the Internet and 4 had searched for medical information. The Internet users were significantly younger (mean age 47.8 years, range 28.4-66.8 years) than the nonusers (mean age 61.8 years, range 33.1-90.0 years) ( P= 0.007). Conclusions The hospitals' Web sites offer cancer patients and relatives useful information, but the Web sites were not impressive. PMID:11772545

Factors that Influence the Way Communities Respond to Proposals for Major Changes to Local Emergency Services: A Qualitative Study

PubMed Central

Barratt, Helen; Harrison, David A.; Fulop, Naomi J.; Raine, Rosalind

2015-01-01

Objective According to policy commentators, decisions about how best to organise care involve trade-offs between factors relating to care quality, workforce, cost, and patient access. In England, proposed changes such as Emergency Department closures often face public opposition. This study examined the way communities respond to plans aimed at reorganising emergency services, including the trade-offs inherent in such decisions. Design Cross-sectional study involving in-depth interviews. Participants selected their priorities for emergency care, including aspects they might be prepared to have ‘less’ of (e.g. rapid access) if it meant having ‘more’ of another (e.g. consultant-delivered care). A thematic analysis was carried out, combining inductive and deductive approaches, drawing on theories about risk perception. Setting Two urban areas of England; one where changes to emergency services were under consideration (‘Greenville’), and one where they were not (‘Hilltown’). Participants 28 participants in total. Greenville interviewees included more common emergency service users - parents of young children (n=5) and older people (n=6) - plus patient representatives and individuals campaigning against service closures (n=9). Hilltown interviewees (n=8) received outpatient care for Chronic Obstructive Pulmonary Disease, an important cause of emergency admission. Results Most participants, in both areas, were not willing to accommodate the trade-offs involved in consolidating emergency services, principally because of the belief that timely access is associated with better outcomes. Participants did not consider the proposed improvements as gains worth having; interviewees believed care quality would be adversely impact, partly because increased patient numbers would place staff under greater pressure and result in longer waiting times. Conclusions Visible clinical leadership and detailed explanation of the case for change were insufficient to overcome opposition to the reconfiguration in Greenville, challenging the assumption that communities can be persuaded by evidence. Commissioners should make explicit credible plans to accommodate changes in patient flows, as well as clarifying the roles played by key staff groups. PMID:25807143

Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme--a systems approach.

PubMed

Agyepong, Irene A; Aryeetey, Geneieve C; Nonvignon, Justice; Asenso-Boadi, Francis; Dzikunu, Helen; Antwi, Edward; Ankrah, Daniel; Adjei-Acquah, Charles; Esena, Reuben; Aikins, Moses; Arhinful, Daniel K

2014-08-05

Assuring equitable universal access to essential health services without exposure to undue financial hardship requires adequate resource mobilization, efficient use of resources, and attention to quality and responsiveness of services. The way providers are paid is a critical part of this process because it can create incentives and patterns of behaviour related to supply. The objective of this work was to describe provider behaviour related to supply of health services to insured clients in Ghana and the influence of provider payment methods on incentives and behaviour. A mixed methods study involving grey and published literature reviews, as well as health management information system and primary data collection and analysis was used. Primary data collection involved in-depth interviews, observations of time spent obtaining service, prescription analysis, and exit interviews with clients. Qualitative data was analysed manually to draw out themes, commonalities, and contrasts. Quantitative data was analysed in Excel and Stata. Causal loop and cause tree diagrams were used to develop a qualitative explanatory model of provider supply incentives and behaviour related to payment method in context. There are multiple provider payment methods in the Ghanaian health system. National Health Insurance provider payment methods are the most recent additions. At the time of the study, the methods used nationwide were the Ghana Diagnostic Related Groupings payment for services and an itemized and standardized fee schedule for medicines. The influence of provider payment method on supply behaviour was sometimes intuitive and sometimes counter intuitive. It appeared to be related to context and the interaction of the methods with context and each other rather than linearly to any given method. As countries work towards Universal Health Coverage, there is a need to holistically design, implement, and manage provider payment methods reforms from systems rather than linear perspectives, since the latter fail to recognize the effects of context and the between-methods and context interactions in producing net effects.

Factors that influence the way communities respond to proposals for major changes to local emergency services: a qualitative study.

PubMed

Barratt, Helen; Harrison, David A; Fulop, Naomi J; Raine, Rosalind

2015-01-01

According to policy commentators, decisions about how best to organise care involve trade-offs between factors relating to care quality, workforce, cost, and patient access. In England, proposed changes such as Emergency Department closures often face public opposition. This study examined the way communities respond to plans aimed at reorganising emergency services, including the trade-offs inherent in such decisions. Cross-sectional study involving in-depth interviews. Participants selected their priorities for emergency care, including aspects they might be prepared to have 'less' of (e.g. rapid access) if it meant having 'more' of another (e.g. consultant-delivered care). A thematic analysis was carried out, combining inductive and deductive approaches, drawing on theories about risk perception. Two urban areas of England; one where changes to emergency services were under consideration ('Greenville'), and one where they were not ('Hilltown'). 28 participants in total. Greenville interviewees included more common emergency service users - parents of young children (n=5) and older people (n=6) - plus patient representatives and individuals campaigning against service closures (n=9). Hilltown interviewees (n=8) received outpatient care for Chronic Obstructive Pulmonary Disease, an important cause of emergency admission. Most participants, in both areas, were not willing to accommodate the trade-offs involved in consolidating emergency services, principally because of the belief that timely access is associated with better outcomes. Participants did not consider the proposed improvements as gains worth having; interviewees believed care quality would be adversely impact, partly because increased patient numbers would place staff under greater pressure and result in longer waiting times. Visible clinical leadership and detailed explanation of the case for change were insufficient to overcome opposition to the reconfiguration in Greenville, challenging the assumption that communities can be persuaded by evidence. Commissioners should make explicit credible plans to accommodate changes in patient flows, as well as clarifying the roles played by key staff groups.

A qualitative study of parents' experiences using family support services: applying the concept of surface and depth.

PubMed

Whittaker, Karen A; Cox, Pat; Thomas, Nigel; Cocker, Karen

2014-09-01

United Kingdom policy and practice endorses family support for child well-being. Achieving such support requires multi-agency approaches that consider all aspects of parents' and children's lives and which offer practical, social and emotional help. The potential for services to make a positive impact on parents and their families will depend in part on the level and nature of engagement. In this paper, a case is made for the application of the two-part surface and depth concept for understanding how practitioners engage with families and how they might improve the chances of supporting sustainable differences for parents and families. To illustrate, qualitative data from a review of family centre support provided by a north of England local authority are presented. The review was commissioned to explore why families often need to re-engage with intensive support services. Data were drawn from interviews with parents (n = 18, recruited following a survey of all those registered with the service during April-May 2009) and discussions with family centre support workers (n = 4), and following thematic analysis, three dominant themes emerged--resources available, staff approach and real life--which were appraised in the light of the surface and depth concept. Much of the work with parents effectively dealt with pressing needs. This felt gratifying for both parent and worker and supported immediate service engagement. However, each noted that the more complex issues in parents' lives went unchallenged and thus the sustainability of progress in terms of parenting practice was questionable. A strengths focused approach by staff that understood needs in the context of parents' real-life circumstances was important to parent engagement. Thus, longer term benefits from family support require practitioners to work with parents to problem solve immediate issues while also digging deeper to acknowledge and seek to resolve the more complex challenges parents face in their real lives. © 2014 John Wiley & Sons Ltd.

Barriers to immunization among children of HIV-infected mothers in Kolkata, India: a qualitative study.

PubMed

Sensarma, Pinaki; Bhandari, Subhasis; Kutty, V Raman

2015-03-01

More than one fourth of children of HIV-infected mothers living in Kolkata city are not completely immunized by 12 months of age. This qualitative study aims to explore the barriers to immunization of these children as perceived by their caregivers and the local health care service providers. In-depth interviews were conducted after obtaining written informed consent. Audio recording and hand-recorded notes were used with permission. The transcripts were coded and analyzed using grounded theory. Deteriorating socioeconomic status, tightening of time schedule of caregivers due to illness in the family, stigma, discrimination, and lack of awareness about immunization prove to be major barriers for immunization of the HIV-exposed children. Interplay of these factors coupled with harassment and negative attitudes of service providers toward HIV-affected/HIV-infected people also impede immunization. The intervention efforts need to address these social barriers and adverse life events to improve immunization coverage. © 2013 APJPH.

The perspectives of older Greek-Australians toward changes in the nature of family support: implications for family care policies.

PubMed

Walker, Ruth; Newman, Lareen; Tsianikas, Michael; Panagiotopoulos, Georgia; Hurley, Catherine

2013-01-01

Internationally, public policies encourage "aging in place," and the majority of older Australians requiring care in the community receive informal care, supplemented by publicly subsidized formal services. The effect of contemporary social changes on informal care in aging migrant communities is poorly understood. This articles explores the perceptions of older Greek-Australians toward changes in the nature of family support. Bicultural and bilingual researchers carried out in-depth interviews (n = 27) and five focus groups (n = 63 total participants) with older Greek-Australians in modern Greek. While "cultures of care" remain among Greek-Australian families, the means for a family to assist have shifted, and these compromises are met with considerable powerlessness among older Greek-Australians. Implications for policy include the need to better involve older migrants and their families in decisions about their care needs, potentially involving consumer-directed care models. Service providers may also need to adopt the use of new technologies to communicate with increasingly time-pressured family members.

A Regularized Volumetric Fusion Framework for Large-Scale 3D Reconstruction

NASA Astrophysics Data System (ADS)

Rajput, Asif; Funk, Eugen; Börner, Anko; Hellwich, Olaf

2018-07-01

Modern computational resources combined with low-cost depth sensing systems have enabled mobile robots to reconstruct 3D models of surrounding environments in real-time. Unfortunately, low-cost depth sensors are prone to produce undesirable estimation noise in depth measurements which result in either depth outliers or introduce surface deformations in the reconstructed model. Conventional 3D fusion frameworks integrate multiple error-prone depth measurements over time to reduce noise effects, therefore additional constraints such as steady sensor movement and high frame-rates are required for high quality 3D models. In this paper we propose a generic 3D fusion framework with controlled regularization parameter which inherently reduces noise at the time of data fusion. This allows the proposed framework to generate high quality 3D models without enforcing additional constraints. Evaluation of the reconstructed 3D models shows that the proposed framework outperforms state of art techniques in terms of both absolute reconstruction error and processing time.

Sons as sole caregivers for their elderly parents. How do they cope?

PubMed Central

Thompson, B.; Tudiver, F.; Manson, J.

2000-01-01

OBJECTIVE: To examine the experiences of men who are sole caregivers for their elderly parents. DESIGN: Semistructured in-depth interviews. SETTING: Family practice clinic attached to a large tertiary care centre in north central Toronto. PARTICIPANTS: A convenience sample of 10 men who identified themselves as sole caregivers in that they had no particular women assisting them with caregiving. METHOD: Interviews were analyzed by standard qualitative methods. MAIN FINDINGS: Emerging themes were the spectrum of caregiving, the experience of caregiving, and the use of formal support systems. Scope of care varied from very little to total care, including personal care. Participants described positive and negative aspects of and the nature of their relationships with those for whom they cared. Avoiding institutionalization was seen as positive; effects on work and social life were negative. Use of more than homemaking services was associated with previous hospitalization; participants complained about difficulties accessing services. CONCLUSIONS: The nature of sons' relationships with their parents and the amount of time they have available can predict how much caregiving they can undertake. Information about community support services is not readily accessible to these men. PMID:10690492

An examination of the services provided by Psychiatric Consultation Liaison Nurses in a general hospital.

PubMed

Johnston, M L; Cowman, S

2008-08-01

The political, professional and economic context in which mental health care is delivered has witnessed significant changes in recent times. The movement of psychiatric patients from institutions to community settings has seen the emphasis of the loci of care delivery shifting with increasing numbers presenting to general hospitals. The speciality of the Psychiatric Consultation Liaison Nurse (PCLN) has emerged as a bridge between mental health and general hospital services. A descriptive, non-experimental research approach was employed to establish patient profiles and to provide an overview of the depth of service provision. This design was selected as the most appropriate because of the limited information on the PCLN in an Irish setting and secondly, as the study was limited to one rural geographical location. A questionnaire was utilized to collate the details of patients who had received a mental health assessment. The findings presented here are the profiles of patients assessed by the PCLN during the 3-month study period. The results add further credence to the existing evaluative studies in presenting the characteristics of patients within the Irish context and further contribute to the unique body of evidence that defines the mental health nurse in an advancing role.

Approach for scene reconstruction from the analysis of a triplet of still images

NASA Astrophysics Data System (ADS)

Lechat, Patrick; Le Mestre, Gwenaelle; Pele, Danielle

1997-03-01

Three-dimensional modeling of a scene from the automatic analysis of 2D image sequences is a big challenge for future interactive audiovisual services based on 3D content manipulation such as virtual vests, 3D teleconferencing and interactive television. We propose a scheme that computes 3D objects models from stereo analysis of image triplets shot by calibrated cameras. After matching the different views with a correlation based algorithm, a depth map referring to a given view is built by using a fusion criterion taking into account depth coherency, visibility constraints and correlation scores. Because luminance segmentation helps to compute accurate object borders and to detect and improve the unreliable depth values, a two steps segmentation algorithm using both depth map and graylevel image is applied to extract the objects masks. First an edge detection segments the luminance image in regions and a multimodal thresholding method selects depth classes from the depth map. Then the regions are merged and labelled with the different depth classes numbers by using a coherence test on depth values according to the rate of reliable and dominant depth values and the size of the regions. The structures of the segmented objects are obtained with a constrained Delaunay triangulation followed by a refining stage. Finally, texture mapping is performed using open inventor or VRML1.0 tools.

Model Integration for Real-Time Flood Forecasting Inundation Mapping for Nashville Tributaries

NASA Astrophysics Data System (ADS)

Charley, W.; Moran, B.; LaRosa, J.

2012-12-01

In May of 2010, between 14 and 19 inches of rain fell on the Nashville metro area in two days, quickly overwhelming tributaries to the Cumberland River and causing wide-spread, serious flooding. Tractor-trailers and houses were seen floating down Mill Creek, a primary tributary in the south eastern area of Nashville. Twenty-six people died and over 2 billion dollars in damage occurred as a result of the flood. Since that time, several other significant rainfall events have occurred in the area. Emergency responders were unable to deliver aid or preventive measures to areas under threat of flooding (or under water) in time to reduce damages because they could not identify those areas far enough in advance of the floods. Nashville Metro Water, the National Weather Service, the US Geological Survey and the US Army Corps of Engineers established a joint venture to seek ways to better forecast short-term flood events in the region. One component of this effort was a pilot project to compute and display real time inundation maps for Mill Creek, a 108 square-mile basin to the south east of Nashville. HEC-RTS (Real-Time Simulation) was used to assimilate and integrate the hydrologic model HEC-HMS with the hydraulics model HEC-RAS and the inundation mapping program HEC-RAS Mapper. The USGS, along with the other agencies, installed additional precipitation and flow/stage gages in the area. Measurements are recorded every 5-30 minutes and are posted on the USGS NWIS database, which are downloaded by HEC-RTS. Using this data in combination with QPFs (Quantitative Precipitation Forecasts) from the NWS, HEC-RTS applies HEC-HMS and HEC-RAS to estimate current and forecast stage hydrographs. The peak stages are read by HEC-RAS Mapper to compute inundation depths for 6 by 6 foot grid cells. HEC-RTS displays the inundation on a high resolution MrSid aerial photo, along with subbasin boundary, street and various other layers. When a user zooms in and "mouses" over a cell, the inundation depth for that cell is displayed as a tool-tip. This procedure for real-time inundation mapping provides a relatively accurate depiction of water depths throughout the basin, as it is computed using the temporal and spatial distribution of rainfall that has actually occurred and will compute depths based on forecasted rainfall. In addition, the HEC-RAS hydraulics model can be modified as the event is occurring to represent changes in the stream channels, such as obstructions at bridges. This paper covers the procedure used and provides results and images from the integrated models for various precipitation scenarios.

Upper mantle velocity structure beneath southern Africa from modeling regional seismic data

NASA Astrophysics Data System (ADS)

Zhao, Ming; Langston, Charles A.; Nyblade, Andrew A.; Owens, Thomas J.

1999-03-01

The upper mantle seismic velocity structure beneath southern Africa is investigated using travel time and waveform data which come from a large mine tremor in South Africa (mb 5.6) recorded by the Tanzania broadband seismic experiment and by several stations in southern Africa. The waveform data show upper mantle triplications for both the 410- and 670-km discontinuities between distances of 2100 and 3000 km. Auxiliary travel time data along similar profiles obtained from other moderate events are also used. P wave travel times are inverted for velocity structure down to ˜800-km depth using the Wiechert-Herglotz technique, and the resulting model is evaluated by perturbing it at three depth intervals and then testing the perturbed model against the travel time and waveform data. The results indicate a typical upper mantle P wave velocity structure for a shield. P wave velocities from the top of the mantle down to 300-km depth are as much as 3% higher than the global average and are slightly slower than the global average between 300- and 420-km depth. Little evidence is found for a pronounced low-velocity zone in the upper mantle. A high-velocity gradient zone is required above the 410-km discontinuity, but both sharp and smooth 410-km discontinuities are permitted by the data. The 670-km discontinuity is characterized by high-velocity gradients over a depth range of ˜80 km around 660-km depth. Limited S wave travel time data suggest fast S wave velocities above ˜150-km depth. These results suggest that the bouyant support for the African superswell does not reside at shallow depths in the upper mantle.

Fusion of Kinect depth data with trifocal disparity estimation for near real-time high quality depth maps generation

NASA Astrophysics Data System (ADS)

Boisson, Guillaume; Kerbiriou, Paul; Drazic, Valter; Bureller, Olivier; Sabater, Neus; Schubert, Arno

2014-03-01

Generating depth maps along with video streams is valuable for Cinema and Television production. Thanks to the improvements of depth acquisition systems, the challenge of fusion between depth sensing and disparity estimation is widely investigated in computer vision. This paper presents a new framework for generating depth maps from a rig made of a professional camera with two satellite cameras and a Kinect device. A new disparity-based calibration method is proposed so that registered Kinect depth samples become perfectly consistent with disparities estimated between rectified views. Also, a new hierarchical fusion approach is proposed for combining on the flow depth sensing and disparity estimation in order to circumvent their respective weaknesses. Depth is determined by minimizing a global energy criterion that takes into account the matching reliability and the consistency with the Kinect input. Thus generated depth maps are relevant both in uniform and textured areas, without holes due to occlusions or structured light shadows. Our GPU implementation reaches 20fps for generating quarter-pel accurate HD720p depth maps along with main view, which is close to real-time performances for video applications. The estimated depth is high quality and suitable for 3D reconstruction or virtual view synthesis.

Determination of the neutralization depth of concrete under the aggressive environment influence

NASA Astrophysics Data System (ADS)

Morzhukhina, Anastasia; Nikitin, Stanislav; Akimova, Elena

2018-03-01

Aggressive environments have a significant impact on destruction of many reinforced concrete structures, such as high-rise constructions or chemical plants. For example, some high-rise constructions are equipped with a swimming pool, so they are exposed to chloride ions in the air. Penetration of aggressive chemical substances into the body of concrete contributes to acceleration of reinforced concrete structure corrosion that in turn leads to load bearing capacity loss and destruction of the building. The article considers and analyzes the main technologies for calculating penetration depth of various aggressive substances into the body of concrete. The calculation of corrosion depth was made for 50-year service life.

Depth of artificial Burrowing Owl burrows affects thermal suitability and occupancy

USGS Publications Warehouse

Nadeau, Christopher P.; Conway, Courtney J.; Rathbun, Nathan

2015-01-01

Many organizations have installed artificial burrows to help bolster local Burrowing Owl (Athene cunicularia) populations. However, occupancy probability and reproductive success in artificial burrows varies within and among burrow installations. We evaluated the possibility that depth below ground might explain differences in occupancy probability and reproductive success by affecting the temperature of artificial burrows. We measured burrow temperatures from March to July 2010 in 27 artificial burrows in southern California that were buried 15–76 cm below the surface (measured between the surface and the top of the burrow chamber). Burrow depth was one of several characteristics that affected burrow temperature. Burrow temperature decreased by 0.03°C per cm of soil on top of the burrow. The percentage of time that artificial burrows provided a thermal refuge from above-ground temperature decreased with burrow depth and ranged between 50% and 58% among burrows. The percentage of time that burrow temperature was optimal for incubating females also decreased with burrow depth and ranged between 27% and 100% among burrows. However, the percentage of time that burrow temperature was optimal for unattended eggs increased with burrow depth and ranged between 11% and 95% among burrows. We found no effect of burrow depth on reproductive success across 21 nesting attempts. However, occupancy probability had a non-linear relationship with burrow depth. The shallowest burrows (15 cm) had a moderate probability of being occupied (0.46), burrows between 28 and 40 cm had the highest probability of being occupied (>0.80), and burrows >53 cm had the lowest probability of being occupied (<0.43). Burrowing Owls may prefer burrows at moderate depths because these burrows provide a thermal refuge from above-ground temperatures, and are often cool enough to allow females to leave eggs unattended before the onset of full-time incubation, but not too cool for incubating females that spend most of their time in the burrow during incubation. Our results suggest that depth is an important consideration when installing artificial burrows for Burrowing Owls. However, additional study is needed to determine the possible effects of burrow depth on reproductive success and on possible tradeoffs between the effects of burrow depth on optimal temperature and other factors, such as minimizing the risk of nest predation.

The HEW Review of Educational Services to New York's Minority Children

ERIC Educational Resources Information Center

Gerry, Martin

1975-01-01

Testimony before a public hearing of the New York City Commission on Human Rights in May 1974 by the project director of a projected in-depth review of the delivery of educational services to over 700,000 minority children attending the New York City Public School system asserted to be the largest civil rights review of its kind in U.S. history.…

The Value of the Output and Services Produced by Students While Enrolled in Job Corps.

ERIC Educational Resources Information Center

McConnell, Sheena

The value of the output and services produced by students while enrolled in the Job Corps was estimated by analyzing data from a sample of 2 projects from each of 23 Job Corps centers. The projects were subjected to in-depth analysis based on independent-estimate and relative-productivity approaches. The following were among the key findings: (1)…

Understanding Total Quality Management in Context: Qualitative Research on Managers' Awareness of TQM Aspects in the Greek Service Industry

ERIC Educational Resources Information Center

Psychogios, Alexandros G.; Priporas, Constantinos-Vasilios

2007-01-01

This study addresses managers' awareness and familiarity with Total Quality Management (TQM). Eighteen (18) semi-structured, in-depth interviews were conducted with managers working in a variety of service organizations in Greece. The major argument of the study is that although the acronym TQM and some of its concepts and practices are known by a…

Embracing Change: Adapting and Evolving Your Distance Learning Library Services to Meet the New ACRL Distance Learning Library Services Standards

ERIC Educational Resources Information Center

Marcum, Brad

2016-01-01

This article examines the update and revision of the current Association of College and Research Libraries (ACRL) Distance Learning Standards that has been proposed and submitted to the ACRL Standards Committee. An in-depth analysis of the update is included, along with some comparisons between the old and new. Practical advice detailing…

Try to Be a Hero: Community Service Learning as a Pedagogy for Moral-Political Education and Leadership Development in the Chinese University

ERIC Educational Resources Information Center

Waite, Paul Daniel

2009-01-01

Based on ten months of ethnographic fieldwork, including more than 65 in-depth interviews with Chinese university students and higher education administrators, this study examines the roots of an emerging community service learning movement in mainland China. The dissertation focuses on a case study of a pioneering Chinese Party State-sponsored…

Pedagogical Content Knowledge for World History Teachers: Bridging the Gap between Knowing and Teaching

ERIC Educational Resources Information Center

Harris, Lauren McArthur; Bain, Robert B.

2011-01-01

The authors are conducting studies to determine what knowledge world history teachers need and how they can use it to plan instruction. In this article, they report on a small but in-depth study designed to examine how four pre-service and six in-service world history teachers think about, organize, and make meaning of separate world historical…

Assessed Perceptions of Female Materials Science and Engineering Graduates on Academic Advising, Student Support Services and Retention Strategies

ERIC Educational Resources Information Center

Washington, Renita Linette

2013-01-01

Females currently undertaking STEM-related programs can benefit from knowing about how other females who had been in a similar position as them were able to persevere through the challenges of higher education with the help of advisement and student support services that aim to increasing student retention. While there have been a depth of studies…

Developing a robust wireless sensor network structure for environmental sensing

NASA Astrophysics Data System (ADS)

Zhang, Z.; Oroza, C.; Glaser, S. D.; Bales, R. C.; Conklin, M. H.

2013-12-01

The American River Hydrologic Observatory is being strategically deployed as a real-time ground-based measurement network that delivers accurate and timely information on snow conditions and other hydrologic attributes with a previously unheard of granularity of time and space. The basin-scale network involves 18 sub-networks set out at physiographically representative locations spanning the seasonally snow-covered half of the 5000 km2 American river basin. Each sub-network, covering about a 1-km2 area, consists of 10 wirelessly networked sensing nodes that continuously measure and telemeter temperature, and snow depth; plus selected locations are equipped with sensors for relative humidity, solar radiation, and soil moisture at several depths. The sensor locations were chosen to maximize the variance sampled for snow depth within the basin. Network design and deployment involves an iterative but efficient process. After sensor-station locations are determined, a robust network of interlinking sensor stations and signal repeaters must be constructed to route sensor data to a central base station with a two-way communicable data uplink. Data can then be uploaded from site to remote servers in real time through satellite and cell modems. Signal repeaters are placed for robustness of a self-healing network with redundant signal paths to the base station. Manual, trial-and-error heuristic approaches for node placement are inefficient and labor intensive. In that approach field personnel must restructure the network in real time and wait for new network statistics to be calculated at the base station before finalizing a placement, acting without knowledge of the global topography or overall network structure. We show how digital elevation plus high-definition aerial photographs to give foliage coverage can optimize planning of signal repeater placements and guarantee a robust network structure prior to the physical deployment. We can also 'stress test' the final network by simulating the failure of an individual node and investigating the effect and the self-healing ability of the stressed network. The resulting sensor network can survive temporary service interruption from a small subset of signal repeaters and sensor stations. The robustness and the resilient of the network performance ensure the integrity of the dataset and the real-time transmissibility during harsh conditions.

Why do some women still prefer traditional birth attendants and home delivery?: a qualitative study on delivery care services in West Java Province, Indonesia.

PubMed

Titaley, Christiana R; Hunter, Cynthia L; Dibley, Michael J; Heywood, Peter

2010-08-11

Trained birth attendants at delivery are important for preventing both maternal and newborn deaths. West Java is one of the provinces on Java Island, Indonesia, where many women still deliver at home and without the assistance of trained birth attendants. This study aims to explore the perspectives of community members and health workers about the use of delivery care services in six villages of West Java Province. A qualitative study using focus group discussions (FGDs) and in-depth interviews was conducted in six villages of three districts in West Java Province from March to July 2009. Twenty FGDs and 165 in-depth interviews were conducted involving a total of 295 participants representing mothers, fathers, health care providers, traditional birth attendants and community leaders. The FGD and in-depth interview guidelines included reasons for using a trained or a traditional birth attendant and reasons for having a home or an institutional delivery. The use of traditional birth attendants and home delivery were preferable for some community members despite the availability of the village midwife in the village. Physical distance and financial limitations were two major constraints that prevented community members from accessing and using trained attendants and institutional deliveries. A number of respondents reported that trained delivery attendants or an institutional delivery were only aimed at women who experienced obstetric complications. The limited availability of health care providers was reported by residents in remote areas. In these settings the village midwife, who was sometimes the only health care provider, frequently travelled out of the village. The community perceived the role of both village midwives and traditional birth attendants as essential for providing maternal and health care services. A comprehensive strategy to increase the availability, accessibility, and affordability of delivery care services should be considered in these West Java areas. Health education strategies are required to increase community awareness about the importance of health services along with the existing financing mechanisms for the poor communities. Public health strategies involving traditional birth attendants will be beneficial particularly in remote areas where their services are highly utilized.

Why do some women still prefer traditional birth attendants and home delivery?: a qualitative study on delivery care services in West Java Province, Indonesia

PubMed Central

2010-01-01

Background Trained birth attendants at delivery are important for preventing both maternal and newborn deaths. West Java is one of the provinces on Java Island, Indonesia, where many women still deliver at home and without the assistance of trained birth attendants. This study aims to explore the perspectives of community members and health workers about the use of delivery care services in six villages of West Java Province. Methods A qualitative study using focus group discussions (FGDs) and in-depth interviews was conducted in six villages of three districts in West Java Province from March to July 2009. Twenty FGDs and 165 in-depth interviews were conducted involving a total of 295 participants representing mothers, fathers, health care providers, traditional birth attendants and community leaders. The FGD and in-depth interview guidelines included reasons for using a trained or a traditional birth attendant and reasons for having a home or an institutional delivery. Results The use of traditional birth attendants and home delivery were preferable for some community members despite the availability of the village midwife in the village. Physical distance and financial limitations were two major constraints that prevented community members from accessing and using trained attendants and institutional deliveries. A number of respondents reported that trained delivery attendants or an institutional delivery were only aimed at women who experienced obstetric complications. The limited availability of health care providers was reported by residents in remote areas. In these settings the village midwife, who was sometimes the only health care provider, frequently travelled out of the village. The community perceived the role of both village midwives and traditional birth attendants as essential for providing maternal and health care services. Conclusions A comprehensive strategy to increase the availability, accessibility, and affordability of delivery care services should be considered in these West Java areas. Health education strategies are required to increase community awareness about the importance of health services along with the existing financing mechanisms for the poor communities. Public health strategies involving traditional birth attendants will be beneficial particularly in remote areas where their services are highly utilized. PMID:20701762

Hydrologic Monitoring in the Deep Subsurface to Support Repository Performance

NASA Astrophysics Data System (ADS)

Hubbell, J. M.; Heath, G. L.; Scott, C. L.

2007-12-01

The INL has installed and operated several vadose and ground water monitoring systems in arid and humid sites to depths of about 200m. Some of these systems have been in continuous operation for over 12 years. It is important that the systems be physically robust, simple, yet versatile enough that it can operate for extended time periods with little or no maintenance. Monitoring instruments are frequently installed and run to characterize the site, collect data during site operation, and continue to run for long-term stewardship, necessitating sensors that can be maintained or serviced. Sensors are carefully chosen based on the perceived data requirements over the life of the site. An emphasis is given on direct measurements such as tensiometers (portable and advanced), neutron probe, drain gauge, temperature, wells or sampling for fluids and gases. Other complementary data can include using TDR/capacitance, radiation detectors, and larger scale geophysical techniques (3-d resistivity and EM) for volumetric measurements. Commercially available instruments may have to be modified for their use at greater depths, to allow multiple instruments in a single borehole or to perform the intended monitoring function. Access tubes (some open at the bottom) can be placed to allow insertion of multiple sensors (radiation, neutron and portable sensors/samplers), future drilling/sampling and to install new instruments at a later time. The installation techniques and backfill materials must be chosen and the measurement technique tested to ensure representative data collection for the parameters of interest. The data collection system can be linked to climatic data (precipitation, barometric pressure, snow depth, runoff, surface water sources) that may influence the site's subsurface hydrology. The instruments are then connected to a real-time automated data collection system that collect, stores, and provides access to the data. These systems have been developed that allow easy access, automatic data quality checks with notification, processing, and presentation of the data in real time through the web. The systems can be designed to manipulate/test the system remotely. Data from several sites will be presented showing that continuous monitoring is necessary to detect rapid changes in the deep vadose zone and ground water at fractured rock sites.

Integrated Collaborative Model in Research and Education with Emphasis on Small Satellite Technology

DTIC Science & Technology

1996-01-01

feedback; the number of iterations in a complete iteration is referred to as loop depth or iteration depth, g (i). A data packet or packet is data...loop depth, g (i)) is either a finite (constant or variable) or an infinite value. 1) Finite loop depth, variable number of iterations Some problems...design time. The time needed for the first packet to leave and a new initial data to be introduced to the iteration is min(R * ( g (k) * (N+I) + k-1

Older LGBT people's experiences and concerns with healthcare professionals and services in Ireland.

PubMed

Sharek, Danika Burke; McCann, Edward; Sheerin, Fintan; Glacken, Michele; Higgins, Agnes

2015-09-01

The specific healthcare needs and concerns for older lesbian, gay, bisexual and transgender (LGBT) persons have not been explored to any degree within Ireland. The aim of this paper, which is part of a larger study, is to detail older LGBT persons' usage, experiences and concerns with accessing healthcare services, disclosing their LGBT identity to professionals, preferences for care and their suggestions for improvement in services, including nursing services. A mixed methods research design combining quantitative survey and qualitative interview approaches of equal significance was used. 144 respondents completed an 84-item questionnaire concerning their use of healthcare services, experiences and needs. The qualitative phase involved in-depth interviews where 36 participants' experiences and concerns around health services were explored more in-depth. Quantitative data were analysed using descriptive statistics. Qualitative analysis employed the constant comparative process to generate the leading themes. Only one in three participants believed that healthcare professionals have sufficient knowledge of LGBT issues, and less than half (43%) felt respected as an LGBT person by healthcare professionals. Although 26% had chosen not to reveal their LGBT status for fear of a negative response, many positive encounters of coming out to healthcare professionals were relayed in the interviews. LGBT persons have specific concerns around residential care, particularly in relation to the perception that the Irish healthcare services emanate a heteronormative culture. Irish healthcare services need to reflect on how they currently engage with older LGBT persons at both an organisational and practitioner level. Consideration needs to be given to the specific concerns of ageing LGBT persons, particularly in relation to long-term residential care. Healthcare practitioners need to be knowledgeable of, and sensitive to, LGBT issues. © 2014 John Wiley & Sons Ltd.

User Services Offered By Medical School Libraries in 1968: Results of a National Survey Employing New Methodology *

PubMed Central

Orr, Richard H.; Bloomquist, Harold; Cruzat, Gwendolyn S.; Schless, Arthur P.

1970-01-01

The breadth and depth of services that ninety-two medical school libraries offer to individual users were ascertained by interviewing the heads of these libraries, employing a standardized inventory procedure developed earlier (Bulletin 56:380-403, Oct. 1968). Selected aspects of the descriptive data obtained on services to faculty and to medical students are presented and commented upon. Comparisons with the findings of earlier surveys suggest that increases in the staffs and budgets of medical school libraries over the past two decades have gone largely to supporting a rapidly increasing volume of service, rather than to any striking increase in the breadth and depth of services. To facilitate summarization and comparisions among libraries the descriptive data were weighted and converted to quantitative measures; the weighting scheme was established by a group of five academic medical librarians to reflect the relative values the group assigned to different services. One of these quantitative measures, the percentage score for overall services relative to the optimal library, summarizes a library's services in a single figure. On this measure, medical school libraries ranged from 38 percent to 87 percent; the median overall score was 63 percent. Results of some exploratory analyses are described; these analyses attempted to find explanations for the observed differences among libraries and among geographical regions on the quantitative measures. Present and potential uses of the survey data for managerial and research purposes are discussed. One of the most important of these uses is in establishing and implementing standards—activities which should be carried out by the library profession itself—and recommendations are made for a program of such activities that is appropriate for the Medical Library Association. PMID:5496234

Exploring aspects of physiotherapy care valued by breast cancer patients.

PubMed

Pidlyskyj, K; Roddam, H; Rawlinson, G; Selfe, J

2014-06-01

To explore the reported value of physiotherapy care received by patients who had accessed a Specialist Breast Care Physiotherapy Service. Exploratory qualitative study using in-depth interviews to explore aspects of physiotherapy care valued by breast cancer patients. Thematic network analysis was used to interpret the data and bring together the different experiences of the participants and identify common themes. Physiotherapy Department at a NHS Foundation Trust Teaching Hospital. Nineteen participants were recruited and three were selected to take part in the in-depth interviews. All participants had received physiotherapy care from a Specialist Breast Care Physiotherapy Service and had been discharged within the last six months. Participants valued a patient-centred holistic approach to care and access to a Specialist Service with an experienced clinician. In particular the importance of the therapeutic alliance and the value of psychological, emotional and educational support emerged, with the participants feeling empowered in their recovery. Participants reported an overall positive experience of their physiotherapy care. This study supports the need for service providers to evaluate their current physiotherapy provision and subsequently develop Specialised Services to meet the physiotherapy needs of breast cancer patients throughout all stages of their treatment pathway from the delivery of pre-operative care through to post-treatment follow-up. Copyright © 2014 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

Time domain diffuse Raman spectrometer based on a TCSPC camera for the depth analysis of diffusive media.

PubMed

Konugolu Venkata Sekar, S; Mosca, S; Tannert, S; Valentini, G; Martelli, F; Binzoni, T; Prokazov, Y; Turbin, E; Zuschratter, W; Erdmann, R; Pifferi, A

2018-05-01

We present a time domain diffuse Raman spectrometer for depth probing of highly scattering media. The system is based on, to the best of our knowledge, a novel time-correlated single-photon counting (TCSPC) camera that simultaneously acquires both spectral and temporal information of Raman photons. A dedicated non-contact probe was built, and time domain Raman measurements were performed on a tissue mimicking bilayer phantom. The fluorescence contamination of the Raman signal was eliminated by early time gating (0-212 ps) the Raman photons. Depth sensitivity is achieved by time gating Raman photons at different delays with a gate width of 106 ps. Importantly, the time domain can provide time-dependent depth sensitivity leading to a high contrast between two layers of Raman signal. As a result, an enhancement factor of 2170 was found for our bilayer phantom which is much higher than the values obtained by spatial offset Raman spectroscopy (SORS), frequency offset Raman spectroscopy (FORS), or hybrid FORS-SORS on a similar phantom.

Method to tune electrical impedance of LSMO/PMN-PT by nanocontact

NASA Astrophysics Data System (ADS)

Zhou, Hao; Pei, Yongmao; Wang, Yaobing; Lei, Hongshuai

2018-01-01

Electromagnetic composites have wide application in the functional devices. For the best performance of devices, the regulation of the electrical impedance has been being desired for the impedance matching in service. However, the keeping of impedance matching in service is quite challenging. In the present work, a mechanical method for tuning the electrical impedance of La0.7Sr0.3MnO3/0.72Pb(Mg1/3Nb2/3)O3-0.28PbTiO3 (LSMO/PMN-PT) based on the nanocontact technique is proposed. It is found that the electrical impedance reduces with the increase of the nanocontact load. A linear relationship is found between the square of impedance magnitude and the inverse of nanocontact depth. Furthermore, a method for predicting the contact-depth-dependent impedance magnitude of LSMO/PMN-PT is proposed.

Experiences of health care providers with integrated HIV and reproductive health services in Kenya: a qualitative study.

PubMed

Mutemwa, Richard; Mayhew, Susannah; Colombini, Manuela; Busza, Joanna; Kivunaga, Jackline; Ndwiga, Charity

2013-01-11

There is broad consensus on the value of integration of HIV services and reproductive health services in regions of the world with generalised HIV/AIDS epidemics and high reproductive morbidity. Integration is thought to increase access to and uptake of health services; and improves their efficiency and cost-effectiveness through better use of available resources. However, there is still very limited empirical literature on health service providers and how they experience and operationalize integration. This qualitative study was conducted among frontline health workers to explore provider experiences with integration in order to ascertain their significance to the performance of integrated health facilities. Semi-structured in-depth interviews were conducted with 32 frontline clinical officers, registered nurses, and enrolled nurses in Kitui district (Eastern province) and Thika and Nyeri districts (Central province) in Kenya. The study was conducted in health facilities providing integrated HIV and reproductive health services (post-natal care and family planning). All interviews were conducted in English, transcribed and analysed using Nvivo 8 qualitative data analysis software. Providers reported delivering services in provider-level and unit-level integration, as well as a combination of both. Provider experiences of actual integration were mixed. At personal level, providers valued skills enhancement, more variety and challenge in their work, better job satisfaction through increased client-satisfaction. However, they also felt that their salaries were poor, they faced increased occupational stress from: increased workload, treating very sick/poor clients, and less quality time with clients. At operational level, providers reported increased service uptake, increased willingness among clients to take an HIV test, and reduced loss of clients. But the majority also reported infrastructural and logistic deficiencies (insufficient physical room space, equipment, drugs and other medical supplies), as well as increased workload, waiting times, contact session times and low staffing levels. The success of integration primarily depends on the performance of service providers which, in turn, depends on a whole range of facilitative organisational factors. The central Ministry of Health should create a coherent policy environment, spearhead strategic planning and ensure availability of resources for implementation at lower levels of the health system. Health facility staffing norms, technical support, cost-sharing policies, clinical reporting procedures, salary and incentive schemes, clinical supply chains, and resourcing of health facility physical space upgrades, all need attention. Yet, despite these system challenges, this study has shown that integration can have a positive motivating effect on staff and can lead to better sharing of workload - these are important opportunities that deserve to be built on.

Breakthrough curves for toluene adsorption on different types of activated carbon fibers: application in respiratory protection.

PubMed

Balanay, Jo Anne G; Floyd, Evan L; Lungu, Claudiu T

2015-05-01

Activated carbon fibers (ACF) are considered viable alternative adsorbent materials in respirators because of their larger surface area, lighter weight, and fabric form. The purpose of this study was to characterize the breakthrough curves of toluene for different types of commercially available ACFs to understand their potential service lives in respirators. Two forms of ACF, cloth (AC) and felt (AF), with three surface areas each were tested. ACFs were challenged with six toluene concentrations (50-500 p.p.m.) at constant air temperature (23°C), relative humidity (50%), and air flow (16 l min-1) at different bed depths. Breakthrough data were obtained using continuous monitoring by gas chromatography using a gas sampling valve. The ACF specific surface areas were measured by an automatic physisorption analyzer. Results showed unique shapes of breakthrough curves for each ACF form: AC demonstrated a gradual increase in breakthrough concentration, whereas AF showed abrupt increase in concentration from the breakpoint, which was attributed to the difference in fiber density between the forms. AF has steeper breakthrough curves compared with AC with similar specific surface area. AC exhibits higher 10% breakthrough times for a given bed depth due to higher mass per bed depth compared with AF, indicating more adsorption per bed depth with AC. ACF in respirators may be appropriate for use as protection in environments with toluene concentration at the Occupational Safety and Health Administration Permissible Exposure Limit, or during emergency escape for higher toluene concentrations. ACF has shown great potential for application in respiratory protection against toluene and in the development of thinner, lighter, and more efficient respirators. © The Author 2014. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.

A Comparison of Chest Compression Quality Delivered During On-Scene and Ground Transport Cardiopulmonary Resuscitation

PubMed Central

Russi, Christopher S.; Myers, Lucas A.; Kolb, Logan J.; Lohse, Christine M.; Hess, Erik P.; White, Roger D.

2016-01-01

Introduction American Heart Association (AHA) guidelines recommend cardiopulmonary resuscitation (CPR) chest compressions 1.5 to 2 inches (3.75–5 cm) deep at 100 to 120 per minute. Recent studies demonstrated that manual CPR by emergency medical services (EMS) personnel is substandard. We hypothesized that transport CPR quality is significantly worse than on-scene CPR quality. Methods We analyzed adult patients receiving on-scene and transport chest compressions from nine EMS sites across Minnesota and Wisconsin from May 2008 to July 2010. Two periods were analyzed: before and after visual feedback. CPR data were collected and exported with the Zoll M series monitor and a sternally placed accelerometer measuring chest compression rate and depth. We compared compression data with 2010 AHA guidelines and Zoll RescueNet Code Review software. CPR depth and rate were “above (deep),” “in,” or “below (shallow)” the target range according to AHA guidelines. We paired on-scene and transport data for each patient; paired proportions were compared with the nonparametric Wilcoxon signed rank test. Results In the pre-feedback period, we analyzed 105 of 140 paired cases (75.0%); in the post-feedback period, 35 of 140 paired cases (25.0%) were analyzed. The proportion of correct depths during on-scene compressions (median, 41.9%; interquartile range [IQR], 16.1–73.1) was higher compared to the paired transport proportion (median, 8.7%; IQR, 2.7–48.9). Proportions of on-scene median correct rates and transport median correct depths did not improve in the post-feedback period. Conclusion Transport chest compressions are significantly worse than on-scene compressions. Implementation of visual real-time feedback did not affect performance. PMID:27625733

Egocentric Depth Judgements in Optical, See-Through Augmented Reality

DTIC Science & Technology

2007-06-01

Gabbard , and D. Hix, “An Augmented Reality System for Military Operations in Urban Terrain,” Proc. Inter- service/Industry Training, Simulation...Education Conf. (I/ITSEC ’02), 2002. [20] M.A. Livingston, J.E. Swan II, J.L. Gabbard , T.H. Höllerer, D. Hix, S.J. Julier, Y. Baillot, and D. Brown...J.E. Swan II, M.A. Livingston, H.S. Smallman, D. Brown, Y. Baillot, J.L. Gabbard , and D. Hix, “A Perceptual Matching Technique for Depth Judgements in

Rationing is a reality in rural physiotherapy: a qualitative exploration of service level decision-making.

PubMed

Adams, Robyn; Jones, Anne; Lefmann, Sophie; Sheppard, Lorraine

2015-03-27

Deciding what health services are provided is a key consideration in delivering appropriate and accessible health care for rural and remote populations. Despite residents of rural communities experiencing poorer health outcomes and exhibiting higher health need, workforce shortages and maldistribution mean that rural communities do not have access to the range of services available in metropolitan centres. Where demand exceeds available resources, decisions about resource allocation are required. A qualitative approach enabled the researchers to explore participant perspectives about decisions informing rural physiotherapy service provision. Stakeholder perspectives were obtained through surveys and in-depth interviews. A system theory-case study heuristic provided a framework for exploration across sites within the investigation area: a large area of one Australian state with a mix of rural, regional and remote communities. Thirty-nine surveys were received from participants in eleven communities. Nineteen in-depth interviews were conducted with physiotherapist and key decision-makers. Increasing demand, organisational priorities, fiscal austerity measures and workforce challenges were identified as factors influencing both decision-making and service provision. Rationing of physiotherapy services was common to all sites of this study. Rationing of services, more commonly expressed as service prioritisation, was more evident in responses of public sector physiotherapy participants compared to private physiotherapists. However, private physiotherapists in rural areas reported capacity limits, including expertise, space and affordability that constrained service provision. The imbalance between increasing service demands and limited physiotherapy capacity meant making choices was inevitable. Decreased community access to local physiotherapy services and increased workforce stress, a key determinant of retention, are two results of such choices or decisions. Decreased access was particularly evident for adults and children requiring neurological rehabilitation and for people requiring post-acute physiotherapy. It should not be presumed that rural private physiotherapy providers will cover service gaps that may emerge from changes to public sector service provision. Clinician preference combines with capacity limits and the imperative of financial viability to negate such assumptions. This study provides insight into rural physiotherapy service provision not usually evident and can be used to inform health service planning and decision-making and education of current and future rural physiotherapists.

Pesticide (acephate) removal by GAC: a case study.

PubMed

Banerjee, G; Kumar, B

2002-04-01

Pesticides are persistent pollutants which need utmost attention in agricultural pollution. They usually accumulate in the food chain, and hence are hazardous in nature. The present study reports the performance of granular activated carbon (GAC) in the removal of acephate contained in the effluent of a nearby pesticide manufacturing industry. In the batch study, the optimum dose of GAC was found to be 85 gm/litre for almost 100% removal of acephate from its initial concentration of 2.9 mg/litre which was found in the industrial effluent under treatment. The adsorption kinetics were represented closely by Langmuir isotherm. The equilibrium time was found as 80 minutes. The adsorptive capacity of GAC for acephate (pesticide) was of the order of 0.04614 mg/gm. A column system was devised and designed based on bed depth-service time (BDST) approach with the experimental value of 'a' and 'b' as 6.125 and 47.75 respectively.

Understanding Coastal Wetland Vulnerability to Sea-Level Rise Enhanced Inundation Using Real-Time Stage Monitoring, LiDAR, and Monte Carlo Simulation in Everglades National Park

NASA Astrophysics Data System (ADS)

Cooper, H.; Zhang, C.

2017-12-01

Coastal wetlands are one of the most productive ecological systems in the world, providing critical habitat area and valuable ecosystem services such as carbon sequestration. However, due to their location in low lying areas, coastal wetlands are particularly vulnerable to sea-level rise (SLR). Everglades National Park (ENP) encompasses the southern-most portion of the Greater Everglades Ecosystem, and is the largest subtropical wetland in the USA. Water depths have shown to have a significant relationship to vegetation community composition and organization while also playing a crucial role in vegetation health throughout the Everglades. Live plants play a vital role in maintaining soil structure (i.e. elevation), and decreases in vegetation health can cause peat collapse or wetland loss resulting in dramatic habitat, organic soil, and elevation loss posing concerns for Everglades management and restoration. One suspected mechanism for peat collapse is enhanced inundation due to SLR, thus mapping and modeling water depths is a critical component to understanding the potential impacts of future SLR. Previous research in the Everglades focused on a conventional Water Depth Model (WDM) approach where a Digital Elevation Model (DEM) is subtracted from a Water Table Elevation Model (WTEM). In this study, the conventional WDM approach is extended to a more rigorous WDM technique so that the accuracy and precision of the underlying data may be considered. Monte Carlo simulation is used to propagate probability distributions through our SLR depth model using our Random Forest-based LiDAR DEM, Empirical Bayesian Kriging-based WTEMs, uncertainties in vertical datums, soil accretion projections, and regional sea-level rise projections. Water depth maps were produced for the wet and dry seasons in April and October, which successfully revealed the potential spatial and temporal water depth variations due to future SLR. It is concluded that a more rigorous WDM technique helps to increase the integrity of derived products used to support and guide coastal restoration managers and planners under the challenge of rising seas.

Improving the depth sensitivity of time-resolved measurements by extracting the distribution of times-of-flight

PubMed Central

Diop, Mamadou; St. Lawrence, Keith

2013-01-01

Time-resolved (TR) techniques provide a means of discriminating photons based on their time-of-flight. Since early arriving photons have a lower probability of probing deeper tissue than photons with long time-of-flight, time-windowing has been suggested as a method for improving depth sensitivity. However, TR measurements also contain instrument contributions (instrument-response-function, IRF), which cause temporal broadening of the measured temporal point-spread function (TPSF) compared to the true distribution of times-of-flight (DTOF). The purpose of this study was to investigate the influence of the IRF on the depth sensitivity of TR measurements. TPSFs were acquired on homogeneous and two-layer tissue-mimicking phantoms with varying optical properties. The measured IRF and TPSFs were deconvolved using a stable algorithm to recover the DTOFs. The microscopic Beer-Lambert law was applied to the TPSFs and DTOFs to obtain depth-resolved absorption changes. In contrast to the DTOF, the latest part of the TPSF was not the most sensitive to absorption changes in the lower layer, which was confirmed by computer simulations. The improved depth sensitivity of the DTOF was illustrated in a pig model of the adult human head. Specifically, it was shown that dynamic absorption changes obtained from the late part of the DTOFs recovered from TPSFs acquired by probes positioned on the scalp were similar to absorption changes measured directly on the brain. These results collectively demonstrate that this method improves the depth sensitivity of TR measurements by removing the effects of the IRF. PMID:23504445

Velocity gradients and reservoir volumes lessons in computational sensitivity

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

Johnson, P.W.

1995-12-31

The sensitivity of reservoir volume estimation from depth converted geophysical time maps to the velocity gradients employed is investigated through a simple model study. The computed volumes are disconcertingly sensitive to gradients, both horizontal and vertical. The need for an accurate method of time to depth conversion is well demonstrated by the model study in which errors in velocity are magnified 40 fold in the computation of the volume. Thus if +/- 10% accuracy in the volume is desired, we must be able to estimate the velocity at the water contact with 0.25% accuracy. Put another way, if the velocitymore » is 8000 feet per second at the well then we have only +/- 20 feet per second leeway in estimating the velocity at the water contact. Very moderate horizontal and vertical gradients would typically indicate a velocity change of a few hundred feet per second if they are in the same direction. Clearly the interpreter needs to by very careful. A methodology is demonstrated which takes into account all the information that is available, velocities, tops, depositional and lithologic spatial patterns, and common sense. It is assumed that through appropriate use of check shot and other time-depth information, that the interpreter has correctly tied the reflection picks to the well tops. Such ties are ordinarily too soft for direct time-depth conversion to give adequate depth ties. The proposed method uses a common compaction law as its basis and incorporates time picks, tops and stratigraphic maps into the depth conversion process. The resulting depth map ties the known well tops in an optimum fashion.« less

Formative research and development of innovative tools for "Better Outcomes in Labour Difficulty" (BOLD): study protocol.

PubMed

Bohren, Meghan A; Oladapo, Olufemi T; Tunçalp, Özge; Wendland, Melanie; Vogel, Joshua P; Tikkanen, Mari; Fawole, Bukola; Mugerwa, Kidza; Souza, João Paulo; Bahl, Rajiv; Gülmezoglu, A Metin

2015-05-26

Most complications during labour and childbirth could be averted with timely interventions by skilled healthcare providers. Yet, the quality and outcomes of childbirth care remains suboptimal in many health facilities in low-resource settings. To accelerate the reduction of childbirth-related maternal, fetal and newborn mortality and morbidity, the World Health Organization has initiated the "Better Outcomes in Labour Difficulty" (BOLD) project to address weaknesses in labour care processes and better connect health systems and communities. The project seeks to develop a "Simplified, Effective, Labour Monitoring-to-Action" tool (SELMA) to assist healthcare providers to monitor labour and take decisive actions more efficiently; and by developing an innovative set of service prototypes and/or tools termed "Passport to Safer Birth", designed with communities and healthcare providers, to promote access to quality care for women during childbirth. This protocol describes the formative research activities to support the development of these tools. We will employ qualitative research and service design methodologies in eight health facilities and their catchment communities in Nigeria and Uganda. In the health facilities, focus group discussions (FGD) and in-depth interviews (IDI) will be conducted among different cadres of healthcare providers and facility administrators. In the communities, FGDs and IDIs will be conducted among women who have delivered in a health facility. We will use service design methods to explore women's journey to access and receive childbirth care in order to innovate and design services around the needs and expectations of women, within the context of the health system. This formative research will serve several roles. First, it will provide an in-depth understanding of healthcare providers and health system issues to be accounted for in the final design and implementation of SELMA. Second, it will help to identify key moments ("touch points") where women's experiences of childbirth care are shaped, and where the overall experience of quality care could be improved. The synthesis of findings from the qualitative and service design activities will help identify potential areas for behaviour change related to the provision and experience of childbirth care, and serve as the basis for the development of Passport to Safer Birth. Please see related articles 'http://dx.doi.org/ 10.1186/s12978-015-0027-6 ' and 'http://dx.doi.org/ 10.1186/s12978-015-0029-4 '.

Chest compression rates and survival following out-of-hospital cardiac arrest.

PubMed

Idris, Ahamed H; Guffey, Danielle; Pepe, Paul E; Brown, Siobhan P; Brooks, Steven C; Callaway, Clifton W; Christenson, Jim; Davis, Daniel P; Daya, Mohamud R; Gray, Randal; Kudenchuk, Peter J; Larsen, Jonathan; Lin, Steve; Menegazzi, James J; Sheehan, Kellie; Sopko, George; Stiell, Ian; Nichol, Graham; Aufderheide, Tom P

2015-04-01

Guidelines for cardiopulmonary resuscitation recommend a chest compression rate of at least 100 compressions/min. A recent clinical study reported optimal return of spontaneous circulation with rates between 100 and 120/min during cardiopulmonary resuscitation for out-of-hospital cardiac arrest. However, the relationship between compression rate and survival is still undetermined. Prospective, observational study. Data is from the Resuscitation Outcomes Consortium Prehospital Resuscitation IMpedance threshold device and Early versus Delayed analysis clinical trial. Adults with out-of-hospital cardiac arrest treated by emergency medical service providers. None. Data were abstracted from monitor-defibrillator recordings for the first five minutes of emergency medical service cardiopulmonary resuscitation. Multiple logistic regression assessed odds ratio for survival by compression rate categories (<80, 80-99, 100-119, 120-139, ≥140), both unadjusted and adjusted for sex, age, witnessed status, attempted bystander cardiopulmonary resuscitation, location of arrest, chest compression fraction and depth, first rhythm, and study site. Compression rate data were available for 10,371 patients; 6,399 also had chest compression fraction and depth data. Age (mean±SD) was 67±16 years. Chest compression rate was 111±19 per minute, compression fraction was 0.70±0.17, and compression depth was 42±12 mm. Circulation was restored in 34%; 9% survived to hospital discharge. After adjustment for covariates without chest compression depth and fraction (n=10,371), a global test found no significant relationship between compression rate and survival (p=0.19). However, after adjustment for covariates including chest compression depth and fraction (n=6,399), the global test found a significant relationship between compression rate and survival (p=0.02), with the reference group (100-119 compressions/min) having the greatest likelihood for survival. After adjustment for chest compression fraction and depth, compression rates between 100 and 120 per minute were associated with greatest survival to hospital discharge.

Explaining bathymetric diversity patterns in marine benthic invertebrates and demersal fishes: physiological contributions to adaptation of life at depth.

PubMed

Brown, Alastair; Thatje, Sven

2014-05-01

Bathymetric biodiversity patterns of marine benthic invertebrates and demersal fishes have been identified in the extant fauna of the deep continental margins. Depth zonation is widespread and evident through a transition between shelf and slope fauna from the shelf break to 1000 m, and a transition between slope and abyssal fauna from 2000 to 3000 m; these transitions are characterised by high species turnover. A unimodal pattern of diversity with depth peaks between 1000 and 3000 m, despite the relatively low area represented by these depths. Zonation is thought to result from the colonisation of the deep sea by shallow-water organisms following multiple mass extinction events throughout the Phanerozoic. The effects of low temperature and high pressure act across hierarchical levels of biological organisation and appear sufficient to limit the distributions of such shallow-water species. Hydrostatic pressures of bathyal depths have consistently been identified experimentally as the maximum tolerated by shallow-water and upper bathyal benthic invertebrates at in situ temperatures, and adaptation appears required for passage to deeper water in both benthic invertebrates and demersal fishes. Together, this suggests that a hyperbaric and thermal physiological bottleneck at bathyal depths contributes to bathymetric zonation. The peak of the unimodal diversity-depth pattern typically occurs at these depths even though the area represented by these depths is relatively low. Although it is recognised that, over long evolutionary time scales, shallow-water diversity patterns are driven by speciation, little consideration has been given to the potential implications for species distribution patterns with depth. Molecular and morphological evidence indicates that cool bathyal waters are the primary site of adaptive radiation in the deep sea, and we hypothesise that bathymetric variation in speciation rates could drive the unimodal diversity-depth pattern over time. Thermal effects on metabolic-rate-dependent mutation and on generation times have been proposed to drive differences in speciation rates, which result in modern latitudinal biodiversity patterns over time. Clearly, this thermal mechanism alone cannot explain bathymetric patterns since temperature generally decreases with depth. We hypothesise that demonstrated physiological effects of high hydrostatic pressure and low temperature at bathyal depths, acting on shallow-water taxa invading the deep sea, may invoke a stress-evolution mechanism by increasing mutagenic activity in germ cells, by inactivating canalisation during embryonic or larval development, by releasing hidden variation or mutagenic activity, or by activating or releasing transposable elements in larvae or adults. In this scenario, increased variation at a physiological bottleneck at bathyal depths results in elevated speciation rate. Adaptation that increases tolerance to high hydrostatic pressure and low temperature allows colonisation of abyssal depths and reduces the stress-evolution response, consequently returning speciation of deeper taxa to the background rate. Over time this mechanism could contribute to the unimodal diversity-depth pattern. © 2013 Natural Environment Research Council. Biological Reviews published by John Wiley & Sons Ltd on behalf of Cambridge Philosophical Society.

Explaining bathymetric diversity patterns in marine benthic invertebrates and demersal fishes: physiological contributions to adaptation of life at depth

PubMed Central

Brown, Alastair; Thatje, Sven

2014-01-01

Bathymetric biodiversity patterns of marine benthic invertebrates and demersal fishes have been identified in the extant fauna of the deep continental margins. Depth zonation is widespread and evident through a transition between shelf and slope fauna from the shelf break to 1000 m, and a transition between slope and abyssal fauna from 2000 to 3000 m; these transitions are characterised by high species turnover. A unimodal pattern of diversity with depth peaks between 1000 and 3000 m, despite the relatively low area represented by these depths. Zonation is thought to result from the colonisation of the deep sea by shallow-water organisms following multiple mass extinction events throughout the Phanerozoic. The effects of low temperature and high pressure act across hierarchical levels of biological organisation and appear sufficient to limit the distributions of such shallow-water species. Hydrostatic pressures of bathyal depths have consistently been identified experimentally as the maximum tolerated by shallow-water and upper bathyal benthic invertebrates at in situ temperatures, and adaptation appears required for passage to deeper water in both benthic invertebrates and demersal fishes. Together, this suggests that a hyperbaric and thermal physiological bottleneck at bathyal depths contributes to bathymetric zonation. The peak of the unimodal diversity–depth pattern typically occurs at these depths even though the area represented by these depths is relatively low. Although it is recognised that, over long evolutionary time scales, shallow-water diversity patterns are driven by speciation, little consideration has been given to the potential implications for species distribution patterns with depth. Molecular and morphological evidence indicates that cool bathyal waters are the primary site of adaptive radiation in the deep sea, and we hypothesise that bathymetric variation in speciation rates could drive the unimodal diversity–depth pattern over time. Thermal effects on metabolic-rate-dependent mutation and on generation times have been proposed to drive differences in speciation rates, which result in modern latitudinal biodiversity patterns over time. Clearly, this thermal mechanism alone cannot explain bathymetric patterns since temperature generally decreases with depth. We hypothesise that demonstrated physiological effects of high hydrostatic pressure and low temperature at bathyal depths, acting on shallow-water taxa invading the deep sea, may invoke a stress–evolution mechanism by increasing mutagenic activity in germ cells, by inactivating canalisation during embryonic or larval development, by releasing hidden variation or mutagenic activity, or by activating or releasing transposable elements in larvae or adults. In this scenario, increased variation at a physiological bottleneck at bathyal depths results in elevated speciation rate. Adaptation that increases tolerance to high hydrostatic pressure and low temperature allows colonisation of abyssal depths and reduces the stress–evolution response, consequently returning speciation of deeper taxa to the background rate. Over time this mechanism could contribute to the unimodal diversity–depth pattern. PMID:24118851

Preliminary research on eddy current bobbin quantitative test for heat exchange tube in nuclear power plant

NASA Astrophysics Data System (ADS)

Qi, Pan; Shao, Wenbin; Liao, Shusheng

2016-02-01

For quantitative defects detection research on heat transfer tube in nuclear power plants (NPP), two parts of work are carried out based on the crack as the main research objects. (1) Production optimization of calibration tube. Firstly, ASME, RSEM and homemade crack calibration tubes are applied to quantitatively analyze the defects depth on other designed crack test tubes, and then the judgment with quantitative results under crack calibration tube with more accuracy is given. Base on that, weight analysis of influence factors for crack depth quantitative test such as crack orientation, length, volume and so on can be undertaken, which will optimize manufacture technology of calibration tubes. (2) Quantitative optimization of crack depth. Neural network model with multi-calibration curve adopted to optimize natural crack test depth generated in in-service tubes shows preliminary ability to improve quantitative accuracy.

Traffic information computing platform for big data

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

Duan, Zongtao, E-mail: ztduan@chd.edu.cn; Li, Ying, E-mail: ztduan@chd.edu.cn; Zheng, Xibin, E-mail: ztduan@chd.edu.cn

Big data environment create data conditions for improving the quality of traffic information service. The target of this article is to construct a traffic information computing platform for big data environment. Through in-depth analysis the connotation and technology characteristics of big data and traffic information service, a distributed traffic atomic information computing platform architecture is proposed. Under the big data environment, this type of traffic atomic information computing architecture helps to guarantee the traffic safety and efficient operation, more intelligent and personalized traffic information service can be used for the traffic information users.

Evaluation of the microsoft kinect skeletal versus depth data analysis for timed-up and go and figure of 8 walk tests.

PubMed

Hotrabhavananda, Benjamin; Mishra, Anup K; Skubic, Marjorie; Hotrabhavananda, Nijaporn; Abbott, Carmen

2016-08-01

We compared the performance of the Kinect skeletal data with the Kinect depth data in capturing different gait parameters during the Timed-up and Go Test (TUG) and Figure of 8 Walk Test (F8W). The gait parameters considered were stride length, stride time, and walking speed for the TUG, and number of steps and completion time for the F8W. A marker-based Vicon motion capture system was used for the ground-truth measurements. Five healthy participants were recruited for the experiment and were asked to perform three trials of each task. Results show that depth data analysis yields stride length and stride time measures with significantly low percentile errors as compared to the skeletal data analysis. However, the skeletal and depth data performed similar with less than 3% of absolute mean percentile error in determining the walking speed for the TUG and both parameters of F8W. The results show potential capabilities of Kinect depth data analysis in computing many gait parameters, whereas, the Kinect skeletal data can also be used for walking speed in TUG and F8W gait parameters.

Time-resolved measurements in diffuse reflectance: effects of the instrument response function of different detection systems on the depth sensitivity

NASA Astrophysics Data System (ADS)

Puszka, Agathe; Planat-Chrétien, Anne; Berger, Michel; Hervé, Lionel; Dinten, Jean-Marc

2014-02-01

We demonstrate the loss of depth sensitivity induced by the instrument response function on reflectance time-resolved diffuse optical tomography through the comparison of 3 detection systems: on one hand a photomultiplier tube (PMT) and a hybrid PMT coupled with a time-correlated single-photon counting card and on the other hand a high rate intensified camera. We experimentally evaluate the depth sensitivity achieved for each detection module with an absorbing inclusion embedded in a turbid medium. The different interfiber distances of 5, 10 and 15 mm are considered. Finally, we determine a maximal depth reached for each detection system by using 3D tomographic reconstructions based on the Mellin-Laplace transform.

Assessment of the ecosystem services provided by ponds in hilly areas.

PubMed

Fu, Bin; Xu, Pei; Wang, Yukuan; Yan, Kun; Chaudhary, Suresh

2018-06-18

Ponds are an important ecosystem in rural landscapes. They play an important role in water retention, aquatic products supply and biodiversity conservation. By using a questionnaire-based survey of rural households in a small watershed in the Three Gorges Reservoir area, we analyzed the distribution of ponds, their size and current status. The Integrated Valuation of Environmental Services and Tradeoffs (InVEST) model was used to evaluate the regulation, provision and culture services of the ponds. We found that pond density was high throughout hilly areas. About 20 ponds were within an area of 1 km 2 . They were mainly distributed in the middle and lower parts of the basin. The presence of such a large number of ponds was considered remarkable. Water retention was the primary ecosystem service. On average, each pond contained about 4500 mm depth of water, which was 10 times that of the surrounding forest. However, with the transformation of agriculture in mountainous areas, the irrigation and domestic water services provided by ponds have declined. In recent years, ponds have been used predominantly for fish farming and leisure services. Aquaculture and multi-function ponds accounted for 54.55% and 27.7% of the surveyed ponds, respectively. Multi-function ponds consumed more water, but fish farming ponds were the most economically valuable. Due to weak environmental management and the decreasing economic value of ponds, it is necessary to conduct ecological management of ponds in accordance with societal changes in mountainous areas and to promote the protection and use of ponds. Copyright © 2018 Elsevier B.V. All rights reserved.

Factors Affecting Medical Service Quality.

PubMed

Mosadeghrad, Ali Mohammad

2014-02-01

A better understanding of factors influencing quality of medical service can pinpoint better strategies for quality assurance in medical services. This study aimed to identify factors affecting the quality of medical services provided by Iranian physicians. Exploratory in-depth individual interviews were conducted with sixty-four physicians working in various medical institutions in Iran. Individual, organizational and environmental factors enhance or inhibit the quality of medical services. Quality of medical services depends on the personal factors of the physician and patient, and factors pertaining to the healthcare setting and the broader environment. Differences in internal and external factors such as availability of resources, patient cooperation and collaboration among providers affect the quality of medical services and patient outcomes. Supportive leadership, proper planning, education and training and effective management of resources and processes improve the quality of medical services. This article contributes to healthcare theory and practice by developing a conceptual framework for understanding factors that influence medical services quality.

Soil Water Content Sensors as a Method of Measuring Ice Depth

NASA Astrophysics Data System (ADS)

Whitaker, E.; Reed, D. E.; Desai, A. R.

2015-12-01

Lake ice depth provides important information about local and regional climate change, weather patterns, and recreational safety, as well as impacting in situ ecology and carbon cycling. However, it is challenging to measure ice depth continuously from a remote location, as existing methods are too large, expensive, and/or time-intensive. Therefore, we present a novel application that reduces the size and cost issues by using soil water content reflectometer sensors. Analysis of sensors deployed in an environmental chamber using a scale model of a lake demonstrated their value as accurate measures of the change in ice depth over any time period, through measurement of the liquid-to-solid phase change. A robust correlation exists between volumetric water content in time as a function of environmental temperature. This relationship allows us to convert volumetric water content into ice depth. An array of these sensors will be placed in Lake Mendota, Madison, Wisconsin in winter 2015-2016, to create a temporally high-resolution ice depth record, which will be used for ecological or climatological studies while also being transmitted to the public to increase recreational safety.

Deforestation impacts on soil organic carbon stocks in the Semiarid Chaco Region, Argentina.

PubMed

Villarino, Sebastián Horacio; Studdert, Guillermo Alberto; Baldassini, Pablo; Cendoya, María Gabriela; Ciuffoli, Lucía; Mastrángelo, Matias; Piñeiro, Gervasio

2017-01-01

Land use change affects soil organic carbon (SOC) and generates CO 2 emissions. Moreover, SOC depletion entails degradation of soil functions that support ecosystem services. Large areas covered by dry forests have been cleared in the Semiarid Chaco Region of Argentina for cropping expansion. However, deforestation impacts on the SOC stock and its distribution in the soil profile have been scarcely reported. We assessed these impacts based on the analysis of field data along a time-since-deforestation-for-cropping chronosequence, and remote sensing indices. Soil organic C was determined up to 100cm depth and physically fractionated into mineral associated organic carbon (MAOC) and particulate organic C (POC). Models describing vertical distribution of SOC were fitted. Total SOC, POC and MAOC stocks decreased markedly with increasing cropping age. Particulate organic C was the most sensitive fraction to cultivation. After 10yr of cropping SOC loss was around 30%, with greater POC loss (near 60%) and smaller MAOC loss (near 15%), at 0-30cm depth. Similar relative SOC losses were observed in deeper soil layers (30-60 and 60-100cm). Deforestation and subsequent cropping also modified SOC vertical distribution. Soil organic C loss was negatively associated with the proportion of maize in the rotation and total crop biomass inputs, but positively associated with the proportion of soybean in the rotation. Without effective land use polices, deforestation and agricultural expansion can lead to rapid soil degradation and reductions in the provision of important ecosystem services. Copyright © 2016 Elsevier B.V. All rights reserved.

A qualitative exploration of the human resource policy implications of voluntary counselling and testing scale-up in Kenya: applying a model for policy analysis

PubMed Central

2011-01-01

Background Kenya experienced rapid scale up of HIV testing and counselling services in government health services from 2001. We set out to examine the human resource policy implications of scaling up HIV testing and counselling in Kenya and to analyse the resultant policy against a recognised theoretical framework of health policy reform (policy analysis triangle). Methods Qualitative methods were used to gain in-depth insights from policy makers who shaped scale up. This included 22 in-depth interviews with Voluntary Counselling and Testing (VCT) task force members, critical analysis of 53 sets of minutes and diary notes. We explore points of consensus and conflict amongst policymakers in Kenya and analyse this content to assess who favoured and resisted new policies, how scale up was achieved and the importance of the local context in which scale up occurred. Results The scale up of VCT in Kenya had a number of human resource policy implications resulting from the introduction of lay counsellors and their authorisation to conduct rapid HIV testing using newly introduced rapid testing technologies. Our findings indicate that three key groups of actors were critical: laboratory professionals, counselling associations and the Ministry of Health. Strategic alliances between donors, NGOs and these three key groups underpinned the process. The process of reaching consensus required compromise and time commitment but was critical to a unified nationwide approach. Policies around quality assurance were integral in ensuring standardisation of content and approach. Conclusion The introduction and scale up of new health service initiatives such as HIV voluntary counselling and testing necessitates changes to existing health systems and modification of entrenched interests around professional counselling and laboratory testing. Our methodological approach enabled exploration of complexities of scale up of HIV testing and counselling in Kenya. We argue that a better understanding of the diverse actors, the context and the process, is required to mitigate risks and maximise impact. PMID:22008721

Comparison: Discovery on WSMOLX and miAamics/jABC

NASA Astrophysics Data System (ADS)

Kubczak, Christian; Vitvar, Tomas; Winkler, Christian; Zaharia, Raluca; Zaremba, Maciej

This chapter compares the solutions to the SWS-Challenge discovery problems provided by DERI Galway and the joint solution from the Technical University of Dortmund and University of Postdam. The two approaches are described in depth in Chapters 10 and 13. The discovery scenario raises problems associated with making service discovery an automated process. It requires fine-grained specifications of search requests and service functionality including support for fetching dynamic information during the discovery process (e.g., shipment price). Both teams utilize semantics to describe services, service requests and data models in order to enable search at the required fine-grained level of detail.

The effects of quantity and depth of processing on children's time perception.

PubMed

Arlin, M

1986-08-01

Two experiments were conducted to investigate the effects of quantity and depth of processing on children's time perception. These experiments tested the appropriateness of two adult time-perception models (attentional and storage size) for younger ages. Children were given stimulus sets of equal time which varied by level of processing (deep/shallow) and quantity (list length). In the first experiment, 28 children in Grade 6 reproduced presentation times of various quantities of pictures under deep (living/nonliving categorization) or shallow (repeating label) conditions. Students also compared pairs of durations. In the second experiment, 128 children in Grades K, 2, 4, and 6 reproduced presentation times under similar conditions with three or six pictures and with deep or shallow processing requirements. Deep processing led to decreased estimation of time. Higher quantity led to increased estimation of time. Comparative judgments were influenced by quantity. The interaction between age and depth of processing was significant. Older children were more affected by depth differences than were younger children. Results were interpreted as supporting different aspects of each adult model as explanations of children's time perception. The processing effect supported the attentional model and the quantity effect supported the storage size model.

Lapse-time-dependent coda-wave depth sensitivity to local velocity perturbations in 3-D heterogeneous elastic media

NASA Astrophysics Data System (ADS)

Obermann, Anne; Planès, Thomas; Hadziioannou, Céline; Campillo, Michel

2016-10-01

In the context of seismic monitoring, recent studies made successful use of seismic coda waves to locate medium changes on the horizontal plane. Locating the depth of the changes, however, remains a challenge. In this paper, we use 3-D wavefield simulations to address two problems: first, we evaluate the contribution of surface- and body-wave sensitivity to a change at depth. We introduce a thin layer with a perturbed velocity at different depths and measure the apparent relative velocity changes due to this layer at different times in the coda and for different degrees of heterogeneity of the model. We show that the depth sensitivity can be modelled as a linear combination of body- and surface-wave sensitivity. The lapse-time-dependent sensitivity ratio of body waves and surface waves can be used to build 3-D sensitivity kernels for imaging purposes. Second, we compare the lapse-time behaviour in the presence of a perturbation in horizontal and vertical slabs to address, for instance, the origin of the velocity changes detected after large earthquakes.

Quality of closed chest compression on a manikin in ambulance vehicles and flying helicopters with a real time automated feedback.

PubMed

Havel, Christof; Schreiber, Wolfgang; Trimmel, Helmut; Malzer, Reinhard; Haugk, Moritz; Richling, Nina; Riedmüller, Eva; Sterz, Fritz; Herkner, Harald

2010-01-01

Automated verbal and visual feedback improves quality of resuscitation in out-of-hospital cardiac arrest and was proven to increase short-term survival. Quality of resuscitation may be hampered in more difficult situations like emergency transportation. Currently there is no evidence if feedback devices can improve resuscitation quality during different modes of transportation. To assess the effect of real time automated feedback on the quality of resuscitation in an emergency transportation setting. Randomised cross-over trial. Medical University of Vienna, Vienna Municipal Ambulance Service and Helicopter Emergency Medical Service Unit (Christophorus Flugrettungsverein) in September 2007. European Resuscitation Council (ERC) certified health care professionals performing CPR in a flying helicopter and in a moving ambulance vehicle on a manikin with human-like chest properties. CPR sessions, with real time automated feedback as the intervention and standard CPR without feedback as control. Quality of chest compression during resuscitation. Feedback resulted in less deviation from ideal compression rate 100 min(-1) (9+/-9 min(-1), p<0.0001) with this effect becoming steadily larger over time. Applied work was less in the feedback group compared to controls (373+/-448 cm x compression; p<0.001). Feedback did not influence ideal compression depth significantly. There was some indication of a learning effect of the feedback device. Real time automated feedback improves certain aspects of CPR quality in flying helicopters and moving ambulance vehicles. The effect of feedback guidance was most pronounced for chest compression rate. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

An Examination of the Concept of Social Integration as Related to Preventive Medical Care in Poverty Families in Rural and Urban Areas.

ERIC Educational Resources Information Center

Slesinger, Doris P.

Based on an in-depth study of 125 mothers of young infants in both urban and rural areas of Wisconsin, this study analyzed the utilization of preventive medical services for the infant. The hypothesis that "mothers who are more socially integrated will be more likely to use preventive medical services than those who are less integrated,…

Integrating Satellite Measurements from Polar-orbiting instruments into Smoke Disperson Forecasts

NASA Astrophysics Data System (ADS)

Smith, N.; Pierce, R. B.; Barnet, C.; Gambacorta, A.; Davies, J. E.; Strabala, K.

2015-12-01

The IDEA-I (Infusion of Satellite Data into Environmental Applications-International) is a real-time system that currently generates trajectory-based forecasts of aerosol dispersion and stratospheric intrusions. Here we demonstrate new capabilities that use satellite measurements from the Joint Polar Satellite System (JPSS) Suomi-NPP (S-NPP) instruments (operational since 2012) in the generation of trajectory-based predictions of smoke dispersion from North American wildfires. Two such data products are used, namely the Visible Infrared Imaging Radiometer Suite (VIIRS) Aerosol Optical Depth (AOD) and the combined Cross-track Infrared Sounder (CrIS) and Advanced Technology Microwave Sounder (ATMS) NOAA-Unique CrIS-ATMS Processing System (NUCAPS) carbon monoxide (CO) retrievals. The latter is a new data product made possible by the release of full spectral-resolution CrIS measurements since December 2014. Once NUCAPS CO becomes operationally available it will be used in real-time applications such as IDEA-I along with VIIRS AOD and meteorological forecast fields to support National Weather Service (NWS) Incident Meteorologist (IMET) and air quality management decision making. By combining different measurements, the information content of the IDEA-I transport and dispersion forecast is improved within the complex terrain features that dominate the Western US and Alaska. The primary user community of smoke forecasts is the Western regions of the National Weather Service (NWS) and US Environmental Protection Agency (EPA) due to the significant impacts of wildfires in these regions. With this we demonstrate the quality of the smoke dispersion forecasts that can be achieved by integrating polar-orbiting satellite measurements with forecast models to enable on-site decision support services for fire incident management teams and other real-time air quality agencies.

Location and vocation: why some government doctors stay on in rural Chhattisgarh, India.

PubMed

Sheikh, Kabir; Rajkumari, Babita; Jain, Kamlesh; Rao, Krishna; Patanwar, Pratibha; Gupta, Garima; Antony, K R; Sundararaman, T

2012-09-01

We conducted a qualitative research study in Chhattisgarh State, India, to explore why some qualified medical practitioners decide to stay on in government rural service. The fieldwork consisted of in-depth interviews with 37 practitioners who had an established record of rural service, and data were analyzed using the 'framework' approach for applied policy research. Study participants cited complexes of reasons for staying on, including geographical and ethnic (tribal) affinities, rural upbringing, availability of schools, personal values of service, professional interests, co-location with spouses, and relations with co-workers. Extrinsic (environmental) and intrinsic (personal) factors both play a part in determining the decisions of doctors to stay on, and are interdependent. Some doctors were influenced to remain by the close relationships they had developed with local communities and their acclimatisation over time to rural life. The policy imperative of rural workforce adequacy may be served less by choosing one retention strategy over another than by developing multi-dimensional solutions focused simultaneously on identifying and incentivising rural practitioners with appropriate characteristics, and on creating external conditions for their improved performance and welfare. Further, in a low-income setting such as India, questions of rural workforce adequacy cannot be addressed in isolation, but need to be tackled as part of broad agenda of social development that include strengthening public service systems and empowering communities.

Parents' and professionals' perceptions of family-centered care for children with autism spectrum disorder across service sectors.

PubMed

Hodgetts, Sandra; Nicholas, David; Zwaigenbaum, Lonnie; McConnell, David

2013-11-01

Family-centered care (FCC) has been linked with improved parent and child outcomes, yet its implementation can be challenging due to family, professional, organizational and systemic factors and policies. This study aims to increase knowledge and understanding of how families with children with autism spectrum disorder (ASD) experience FCC in Alberta, Canada. 152 parents with a child with ASD completed the Measure of Processes of Care, separately for each utilized service sector, and 146 professionals working with persons with ASD completed the Measure of Processes of Care - Service Providers. Additionally, in-depth interviews were conducted with a sub-sample of 19 parents, purposefully sampled for diversity in child and family characteristics. Data were collected in 2011. Descriptive and inferential statistics were used to analyze quantitative data. Interview transcripts were analyzed using grounded theory constant comparison methods, yielding a data generated theoretical model depicting families' experiences with FCC over time and across service sectors. There were no statistically significant differences in FCC scores across service sectors, but statistically significant differences in FCC scores between parents' and professionals' were found. Qualitative data revealed positive experiences and perceptions of receiving FCC from professionals "on the ground" across sectors, but negative experiences and perceptions of FCC at the systems level (i.e., administration, funders). These broad experiences emerged as a core theme "System of Exclusion", which integrated the key themes: (1) "The Fight", (2) "Roles and Restrictions of Care", and (3) "Therapeutic Rapport". Professionals and service providers can use findings to ensure that services reflect current conceptualizations of FCC, and decision and policy makers can use findings to recognize systemic barriers to implementing FCC and inform policy change. Copyright © 2013 Elsevier Ltd. All rights reserved.

Psychosocial support for adolescent girls in post-conflict settings: beyond a health systems approach

PubMed Central

Samuels, Fiona; Jones, Nicola; Abu Hamad, Bassam

2017-01-01

Abstract Adaptive and adequately resourced health systems are necessary to achieve good health outcomes in post-conflict settings, however domains beyond the health system are also critical to ensure broader wellbeing. This paper focuses on the importance of psychosocial support services for adolescent girls in fragile contexts. Its starting point is that adolescence is a pivotal time in the life course but given the physical, cognitive and emotional changes triggered by the onset of puberty, it can also be a period of heightened sensitivity and vulnerability to trauma, social isolation, bullying by peers, a lack of supportive adults and gender-based and sexual violence. Our findings highlight why humanitarian and biomedical approaches in their current form are inadequate to address these complexities. Drawing on qualitative fieldwork (consisting of in-depth and key informant interviews as well as group discussions in Gaza, Liberia and Sri Lanka involving a total of 386 respondents across the three countries), we argue that going beyond biomedical approaches and considering the social determinants of health, including approaches to tackle discriminatory gendered norms and barriers to service access, are critical for achieving broader health and wellbeing. While all three case study countries are classified as post-conflict, the political economy dynamics vary with associated implications for experiences of psychosocial vulnerabilities and the service environment. The study concludes by reflecting on actions to address psychosocial vulnerabilities facing adolescent girls. These include: tailoring services to ensure gender and age-sensitivity; investing in capacity building of service providers to promote service uptake; and enhancing strategies to regulate and coordinate actors providing mental health and psychosocial support services. PMID:29244106

FP7 GLOWASIS - A new collaborative project aimed at pre-validation of a GMES Global Water Scarcity Information Service

NASA Astrophysics Data System (ADS)

Westerhoff, R.; Levizzani, V.; Pappenberger, F.; de Roo, A.; Lange, R. D.; Wagner, W.; Bierkens, M. F.; Ceran, M.; Weerts, A.; Sinclair, S.; Miguez-Macho, G.; Langius, E.; Glowasis Team

2011-12-01

The main objective of the project GLOWASIS is to pre-validate a GMES Global Service for Water Scarcity Information. It will be set up as a one-stop-shop portal for water scarcity information, in which focus is put on: - monitoring data from satellites and in-situ sensors; - improving forecasting models with improved monitoring data; - linking statistical water data in forecasting; - promotion of GMES Services and European satellites. In European and global pilots on the scale of river catchments it combines hydrological models with in-situ and satellite derived water cycle information, as well as government ruled statistical water demand data. By linking water demand and supply in three pilot studies with existing platforms (European Drought Observatory and PCR-GLOBWB) for medium- and long-term forecasting in Europe, Africa and worldwide, GLOWASIS' information contributes both in near-real time reporting for emerging drought events as well as in provision of climate change time series. By combining complex water cycle variables, governmental issues and economic relations with respect to water demand, GLOWASIS will aim for the needed streamlining of the wide variety of important water scarcity information. More awareness for the complexity of the water scarcity problem will be created and additional capabilities of satellite-measured water cycle parameters can be promoted. The service uses data from GMES Core Services LMCS Geoland2 and Marine Core Service MyOcean (land use, soil moisture, soil sealing, sea level), in-situ data from GEWEX' initiatives (i.e. International Soil Moisture network), agricultural and industrial water use and demand (statistical - AQUASTAT, SEEAW and modelled) and additional water-cycle information from existing global satellite services. In-depth interviews with a.o. EEA and the Australian Bureau of Meteorology are taking place. GLOWASIS will aim for an open source and open-standard information portal on water scarcity and use of modern media (forums, Twitter, etc). Infrastructure of the GLOWASIS portal is set up for dissemination and inclusion of current and future innovative and integrated multi-purpose products for research & operational applications with open standards. The project has started in January 2011 and the duration is 24 months.

Structured illumination assisted microdeflectometry with optical depth scanning capability

PubMed Central

Lu, Sheng-Huei; Hua, Hong

2018-01-01

Microdeflectometry is a powerful noncontact tool for measuring nanometer defects on a freeform surface. However, it requires a time-consuming process to take measurements at different depths for an extended depth of field (EDOF) and lacks surface information for integrating the measured gradient data to height. We propose an optical depth scanning technique to speed up the measurement process and introduce the structured illumination technique to efficiently determine the focused data among 3D observation and provide surface orientations for reconstructing an unknown surface shape. We demonstrated 3D measurements with an equivalent surface height sensitivity of 7.21 nm and an EDOF of at least 250 μm, which is 15 times that of the diffraction limited depth range. PMID:27607986

Wind Wave Behavior in Fetch and Depth Limited Estuaries

NASA Astrophysics Data System (ADS)

Karimpour, Arash; Chen, Qin; Twilley, Robert R.

2017-01-01

Wetland dominated estuaries serve as one of the most productive natural ecosystems through their ecological, economic and cultural services, such as nursery grounds for fisheries, nutrient sequestration, and ecotourism. The ongoing deterioration of wetland ecosystems in many shallow estuaries raises concerns about the contributing erosive processes and their roles in restraining coastal restoration efforts. Given the combination of wetlands and shallow bays as landscape components that determine the function of estuaries, successful restoration strategies require knowledge of wind wave behavior in fetch and depth limited water as a critical design feature. We experimentally evaluate physics of wind wave growth in fetch and depth limited estuaries. We demonstrate that wave growth rate in shallow estuaries is a function of wind fetch to water depth ratio, which helps to develop a new set of parametric wave growth equations. We find that the final stage of wave growth in shallow estuaries can be presented by a product of water depth and wave number, whereby their product approaches 1.363 as either depth or wave energy increases. Suggested wave growth equations and their asymptotic constraints establish the magnitude of wave forces acting on wetland erosion that must be included in ecosystem restoration design.

Wind Wave Behavior in Fetch and Depth Limited Estuaries

PubMed Central

Karimpour, Arash; Chen, Qin; Twilley, Robert R.

2017-01-01

Wetland dominated estuaries serve as one of the most productive natural ecosystems through their ecological, economic and cultural services, such as nursery grounds for fisheries, nutrient sequestration, and ecotourism. The ongoing deterioration of wetland ecosystems in many shallow estuaries raises concerns about the contributing erosive processes and their roles in restraining coastal restoration efforts. Given the combination of wetlands and shallow bays as landscape components that determine the function of estuaries, successful restoration strategies require knowledge of wind wave behavior in fetch and depth limited water as a critical design feature. We experimentally evaluate physics of wind wave growth in fetch and depth limited estuaries. We demonstrate that wave growth rate in shallow estuaries is a function of wind fetch to water depth ratio, which helps to develop a new set of parametric wave growth equations. We find that the final stage of wave growth in shallow estuaries can be presented by a product of water depth and wave number, whereby their product approaches 1.363 as either depth or wave energy increases. Suggested wave growth equations and their asymptotic constraints establish the magnitude of wave forces acting on wetland erosion that must be included in ecosystem restoration design. PMID:28098236

Wind Wave Behavior in Fetch and Depth Limited Estuaries.

PubMed

Karimpour, Arash; Chen, Qin; Twilley, Robert R

2017-01-18

Wetland dominated estuaries serve as one of the most productive natural ecosystems through their ecological, economic and cultural services, such as nursery grounds for fisheries, nutrient sequestration, and ecotourism. The ongoing deterioration of wetland ecosystems in many shallow estuaries raises concerns about the contributing erosive processes and their roles in restraining coastal restoration efforts. Given the combination of wetlands and shallow bays as landscape components that determine the function of estuaries, successful restoration strategies require knowledge of wind wave behavior in fetch and depth limited water as a critical design feature. We experimentally evaluate physics of wind wave growth in fetch and depth limited estuaries. We demonstrate that wave growth rate in shallow estuaries is a function of wind fetch to water depth ratio, which helps to develop a new set of parametric wave growth equations. We find that the final stage of wave growth in shallow estuaries can be presented by a product of water depth and wave number, whereby their product approaches 1.363 as either depth or wave energy increases. Suggested wave growth equations and their asymptotic constraints establish the magnitude of wave forces acting on wetland erosion that must be included in ecosystem restoration design.

Time functions of deep earthquakes from broadband and short-period stacks

USGS Publications Warehouse

Houston, H.; Benz, H.M.; Vidale, J.E.

1998-01-01

To constrain dynamic source properties of deep earthquakes, we have systematically constructed broadband time functions of deep earthquakes by stacking and scaling teleseismic P waves from U.S. National Seismic Network, TERRAscope, and Berkeley Digital Seismic Network broadband stations. We examined 42 earthquakes with depths from 100 to 660 km that occurred between July 1, 1992 and July 31, 1995. To directly compare time functions, or to group them by size, depth, or region, it is essential to scale them to remove the effect of moment, which varies by more than 3 orders of magnitude for these events. For each event we also computed short-period stacks of P waves recorded by west coast regional arrays. The comparison of broadband with short-period stacks yields a considerable advantage, enabling more reliable measurement of event duration. A more accurate estimate of the duration better constrains the scaling procedure to remove the effect of moment, producing scaled time functions with both correct timing and amplitude. We find only subtle differences in the broadband time-function shape with moment, indicating successful scaling and minimal effects of attenuation at the periods considered here. The average shape of the envelopes of the short-period stacks is very similar to the average broadband time function. The main variations seen with depth are (1) a mild decrease in duration with increasing depth, (2) greater asymmetry in the time functions of intermediate events compared to deep ones, and (3) unexpected complexity and late moment release for events between 350 and 550 km, with seven of the eight events in that depth interval displaying markedly more complicated time functions with more moment release late in the rupture than most events above or below. The first two results are broadly consistent with our previous studies, while the third is reported here for the first time. The greater complexity between 350 and 550 km suggests greater heterogeneity in the failure process in that depth range. Copyright 1998 by the American Geophysical Union.

Atlas of depth-duration frequency of precipitation annual maxima for Texas

USGS Publications Warehouse

Asquith, William H.; Roussel, Meghan C.

2004-01-01

Ninety-six maps depicting the spatial variation of the depth-duration frequency of precipitation annual maxima for Texas are presented. The recurrence intervals represented are 2, 5, 10, 25, 50, 100, 250, and 500 years. The storm durations represented are 15 and 30 minutes; 1, 2, 3, 6, and 12 hours; and 1, 2, 3, 5, and 7 days. The maps were derived using geographically referenced parameter maps of probability distributions used in previously published research by the U.S. Geological Survey to model the magnitude and frequency of precipitation annual maxima for Texas. The maps in this report apply that research and update depth-duration frequency of precipitation maps available in earlier studies done by the National Weather Service.

Topographic, edaphic, and vegetative controls on plant-available water

USGS Publications Warehouse

Dymond, Salli F.; Bradford, John B.; Bolstad, Paul V.; Kolka, Randall K.; Sebestyen, Stephen D.; DeSutter, Thomas S.

2017-01-01

Soil moisture varies within landscapes in response to vegetative, physiographic, and climatic drivers, which makes quantifying soil moisture over time and space difficult. Nevertheless, understanding soil moisture dynamics for different ecosystems is critical, as the amount of water in a soil determines a myriad ecosystem services and processes such as net primary productivity, runoff, microbial decomposition, and soil fertility. We investigated the patterns and variability in in situ soil moisture measurements converted to plant-available water across time and space under different vegetative cover types and topographic positions at the Marcell Experimental Forest (Minnesota, USA). From 0 – 228.6 cm soil depth, plant-available water was significantly higher under the hardwoods (12%), followed by the aspen (8%) and red pine (5%) cover types. Across the same soil depth, toeslopes were wetter (mean plant-available water = 10%) than ridges and backslopes (mean plant-available water was 8%), although these differences were not statistically significant (p < 0.05). Using a mixed model of fixed and random effects, we found that cover type, soil texture, and time were related to plant-available water and that topography was not significantly related to plant-available water within this low-relief landscape. Additionally, during the three-year monitoring period, red pine and quaking aspen sites experienced plant-available water levels that may be considered limiting to plant growth and function. Given that increasing temperatures and more erratic precipitation patterns associated with climate change may result in decreased soil moisture in this region, these species may be sensitive and vulnerable to future shifts in climate.

Development and Validation of a Gender Ideology Scale for Family Planning Services in Rural China

PubMed Central

Yang, Xueyan; Li, Shuzhuo; Feldman, Marcus W.

2013-01-01

The objectives of this study are to develop a scale of gender role ideology appropriate for assessing Quality of Care in family planning services for rural China. Literature review, focus-group discussions and in-depth interviews with service providers and clients from two counties in eastern and western China, as well as experts’ assessments, were used to develop a scale for family planning services. Psychometric methodologies were applied to samples of 601 service clients and 541 service providers from a survey in a district in central China to validate its internal consistency, reliability, and construct validity with realistic and strategic dimensions. This scale is found to be reliable and valid, and has prospects for application both academically and practically in the field. PMID:23573222

Integration time for the perception of depth from motion parallax.

PubMed

Nawrot, Mark; Stroyan, Keith

2012-04-15

The perception of depth from relative motion is believed to be a slow process that "builds-up" over a period of observation. However, in the case of motion parallax, the potential accuracy of the depth estimate suffers as the observer translates during the viewing period. Our recent quantitative model for the perception of depth from motion parallax proposes that relative object depth (d) can be determined from retinal image motion (dθ/dt), pursuit eye movement (dα/dt), and fixation distance (f) by the formula: d/f≈dθ/dα. Given the model's dynamics, it is important to know the integration time required by the visual system to recover dα and dθ, and then estimate d. Knowing the minimum integration time reveals the incumbent error in this process. A depth-phase discrimination task was used to determine the time necessary to perceive depth-sign from motion parallax. Observers remained stationary and viewed a briefly translating random-dot motion parallax stimulus. Stimulus duration varied between trials. Fixation on the translating stimulus was monitored and enforced with an eye-tracker. The study found that relative depth discrimination can be performed with presentations as brief as 16.6 ms, with only two stimulus frames providing both retinal image motion and the stimulus window motion for pursuit (mean range=16.6-33.2 ms). This was found for conditions in which, prior to stimulus presentation, the eye was engaged in ongoing pursuit or the eye was stationary. A large high-contrast masking stimulus disrupted depth-discrimination for stimulus presentations less than 70-75 ms in both pursuit and stationary conditions. This interval might be linked to ocular-following response eye-movement latencies. We conclude that neural mechanisms serving depth from motion parallax generate a depth estimate much more quickly than previously believed. We propose that additional sluggishness might be due to the visual system's attempt to determine the maximum dθ/dα ratio for a selection of points on a complicated stimulus. Copyright © 2012 Elsevier Ltd. All rights reserved.

Comparative incidences of decompression illness in repetitive, staged, mixed-gas decompression diving: is 'dive fitness' an influencing factor?

PubMed

Sayer, Martin Dj; Akroyd, Jim; Williams, Guy D

2008-06-01

Wreck diving at Bikini Atoll consists of a relatively standard series of decompression dives with maximum depths in the region of 45-55 metres' sea water (msw). In a typical week of diving at Bikini, divers can perform up to 12 decompression dives to these depths over seven days; on five of those days, divers can perform two decompression dives per day. All the dives employ multi-level, staged decompression schedules using air and surface-supplied nitrox containing 80% oxygen. Bikini is serviced by a single diving operator and so a relatively precise record exists both of the actual number of dives undertaken and of the decompression illness incidents both for customer divers and the dive guides. The dive guides follow exactly the dive profiles and decompression schedules of the customers. Each dive guide will perform nearly 400 decompression dives a year, with maximum depths mostly around 50 msw, compared with an average of 10 (maximum of 12) undertaken typically by each customer diver in a week. The incidence of decompression illness for the customer population (presumed in the absence of medical records) is over ten times higher than that for the dive guides. The physiological reasons for such a marked difference are discussed in terms of customer demographics and dive-guide acclimatization to repetitive decompression stress. The rates of decompression illness for a range of diving populations are reviewed.

A qualitative study comparing commercial and health service weight loss groups, classes and clubs.

PubMed

Allan, K; Hoddinott, P; Avenell, A

2011-02-01

Group-based interventions for weight loss are popular; however, little is known about how health service groups compare with the commercial sector, from either the participant or the group leader perspective. Currently, health professionals have little guidance on how to deliver effective group interventions. The present study aimed to compare and contrast leaders' and attendees' experiences of health service and commercial weight loss groups, through in-depth interviews and group observations. Purposive sampling, guided by a sampling frame, was employed to identify diverse groups operating in Scotland with differing content, structures and style. Data collection and analysis took place concurrently in accordance with a grounded theory approach. Thirteen semi-structured group observations and in-depth audio-recorded interviews with 11 leaders and 22 attendees were conducted. Identification of themes and the construction of matrices to identify data patterns were guided by the Framework Method for qualitative analysis. Compared to commercial groups, health service 'groups' or 'classes' tended to offer smaller periodic fixed term groups, involving gatekeeper referral systems. Commercial organisations provide a fixed branded package, for 'club' or 'class' members, and most commercial leaders share personal experiences of losing weight. Health service leaders had less opportunity for supervision, peer support or specific training in how to run their groups compared to commercial leaders. Commercial and health service groups differ in access; attendee and leader autonomy; engagement in group processes; and approaches to leadership and training, which could influence weight loss outcomes. Health service groups can provide different group content and experiences, particularly for those with chronic diseases and for populations less likely to attend commercial groups, such as men. © 2010 The Authors. Journal compilation © 2010 The British Dietetic Association Ltd.

AIR QUALITY FORECAST VERIFICATION USING SATELLITE DATA

EPA Science Inventory

NOAA 's operational geostationary satellite retrievals of aerosol optical depths (AODs) were used to verify National Weather Service (NWS) experimental (research mode) particulate matter (PM2.5) forecast guidance issued during the summer 2004 International Consortium for Atmosp...

Marine corrosion of mild steel at Lumut, Perak

NASA Astrophysics Data System (ADS)

Ting, Ong Shiou; Potty, Narayanan Sambu; Liew, Mohd. Shahir

2012-09-01

The corrosion rate of structural steels in the adverse marine and offshore environments affects the economic interest of offshore structures since the loss of steel may have significant impact on structural safety and performance. With more emphasis to maintain existing structures in service for longer time and hence to defer replacement costs, there is increasing interest in predicting corrosion rate at a given location for a given period of exposure once the protection coating or cathodic protection is lost. The immersion depth, salinity, steel composition and water pollution will be taken into account. Various corrosion allowances are prescribed for structural members by different standards. There are no studies to determine the appropriate corrosion allowance for steel structures in marine environment in Malaysia. The objectives of the research are to determine the nature and rate of corrosion in mm/year for steel structures in marine environment. It also tries to identify whether the corrosion rate is affected by differences in the chemical composition of the steels, and microalgae. Two sets of corrosion coupons of Type 3 Steel consisting of mild steel were fabricated and immersed in seawater using steel frames. The corrosion rate of the coupon in mm/ per year is estimated based on the material weight loss with time in service. The results are compared with recommendations of the code.

Real-time estimation of lesion depth and control of radiofrequency ablation within ex vivo animal tissues using a neural network.

PubMed

Wang, Yearnchee Curtis; Chan, Terence Chee-Hung; Sahakian, Alan Varteres

2018-01-04

Radiofrequency ablation (RFA), a method of inducing thermal ablation (cell death), is often used to destroy tumours or potentially cancerous tissue. Current techniques for RFA estimation (electrical impedance tomography, Nakagami ultrasound, etc.) require long compute times (≥ 2 s) and measurement devices other than the RFA device. This study aims to determine if a neural network (NN) can estimate ablation lesion depth for control of bipolar RFA using complex electrical impedance - since tissue electrical conductivity varies as a function of tissue temperature - in real time using only the RFA therapy device's electrodes. Three-dimensional, cubic models comprised of beef liver, pork loin or pork belly represented target tissue. Temperature and complex electrical impedance from 72 data generation ablations in pork loin and belly were used for training the NN (403 s on Xeon processor). NN inputs were inquiry depth, starting complex impedance and current complex impedance. Training-validation-test splits were 70%-0%-30% and 80%-10%-10% (overfit test). Once the NN-estimated lesion depth for a margin reached the target lesion depth, RFA was stopped for that margin of tissue. The NN trained to 93% accuracy and an NN-integrated control ablated tissue to within 1.0 mm of the target lesion depth on average. Full 15-mm depth maps were calculated in 0.2 s on a single-core ARMv7 processor. The results show that a NN could make lesion depth estimations in real-time using less in situ devices than current techniques. With the NN-based technique, physicians could deliver quicker and more precise ablation therapy.

Capture and Emission of Charge Carriers by Quantum Well

NASA Astrophysics Data System (ADS)

Davydov, V. N.; Karankevich, O. A.

2018-06-01

The interaction of electrons from the conduction band of the barrier layer of a LED heterostructure with the quantum well size-quantization level described by the capture time and emission time of charge carriers is considered. Relaxation of an excess energy upon capture and emission of charge carriers occurs as a result of their collisions with phonons of the quantum well substance and the "barrier layer-quantum well" interface. Analytical expressions are obtained for the interaction times, taking into account the depth of the sizequantization level, involved in the interaction with electrons, and the width of the well. Numerical estimates show that in real conditions, the capture time is shorter than the emission time, and this difference increases with increasing depth of the level. At shallow depths, the capture and emission times are comparable.

Anticipating the potential for positive uptake and adaptation in the implementation of a publicly funded online STBBI testing service: a qualitative analysis.

PubMed

Chabot, Cathy; Gilbert, Mark; Haag, Devon; Ogilvie, Gina; Hawe, Penelope; Bungay, Vicky; Shoveller, Jean A

2018-01-30

Online health services are a rapidly growing aspect of public health provision, including testing for sexually transmitted and other blood-borne infections (STBBI). Generally, healthcare providers, policymakers, and clients imbue online approaches with great positive potential (e.g., encouraging clients' agency; providing cost-effective services to more clients). However, the promise of online health services may vary across contexts and be perceived in negative or ambiguous ways (e.g., risks to 'gold standard' care provision; loss of provider control over an intervention; uncertainty related to budget implications). This study examines attitudes and perceptions regarding the development of a novel online STBBI testing service in Vancouver, Canada. We examine the perceptions about the intervention's potential by interviewing practitioners and planners who were engaged in the development and initial implementation of this testing service. We conducted in-depth interviews with 37 healthcare providers, administrators, policymakers, and community-based service providers engaged in the design and launch of the new online STBBI testing service. We also conducted observations during planning and implementation meetings for the new service. Thematic analysis techniques were employed to identify codes and broader discursive themes across the interview transcripts and observation notes. Some study participants expressed concern that the potential popularity of the new testing service might increase demand on existing sexual health services or become fiscally unsustainable. However, most participants regarded the new service as having the potential to improve STBBI testing in several ways, including reducing waiting times, enhancing privacy and confidentiality, appealing to more tech-savvy sub-populations, optimizing the redistribution of demands on face-to-face service provision, and providing patient-centred technology to empower clients to seek testing. Participants perceived this online STBBI testing service to have the potential to improve sexual health care provision. But, they also anticipated actions-and-reactions, revealing a need to monitor ongoing implementation dynamics. They also identified the larger, potentially system-transforming dimension of the new technology, which enables new system drivers (consumers) and reduces the amount of control health care providers have over online STBBI testing compared to conventional in-person testing.

High-resolution depth profiling using a range-gated CMOS SPAD quanta image sensor.

PubMed

Ren, Ximing; Connolly, Peter W R; Halimi, Abderrahim; Altmann, Yoann; McLaughlin, Stephen; Gyongy, Istvan; Henderson, Robert K; Buller, Gerald S

2018-03-05

A CMOS single-photon avalanche diode (SPAD) quanta image sensor is used to reconstruct depth and intensity profiles when operating in a range-gated mode used in conjunction with pulsed laser illumination. By designing the CMOS SPAD array to acquire photons within a pre-determined temporal gate, the need for timing circuitry was avoided and it was therefore possible to have an enhanced fill factor (61% in this case) and a frame rate (100,000 frames per second) that is more difficult to achieve in a SPAD array which uses time-correlated single-photon counting. When coupled with appropriate image reconstruction algorithms, millimeter resolution depth profiles were achieved by iterating through a sequence of temporal delay steps in synchronization with laser illumination pulses. For photon data with high signal-to-noise ratios, depth images with millimeter scale depth uncertainty can be estimated using a standard cross-correlation approach. To enhance the estimation of depth and intensity images in the sparse photon regime, we used a bespoke clustering-based image restoration strategy, taking into account the binomial statistics of the photon data and non-local spatial correlations within the scene. For sparse photon data with total exposure times of 75 ms or less, the bespoke algorithm can reconstruct depth images with millimeter scale depth uncertainty at a stand-off distance of approximately 2 meters. We demonstrate a new approach to single-photon depth and intensity profiling using different target scenes, taking full advantage of the high fill-factor, high frame rate and large array format of this range-gated CMOS SPAD array.

Piloting a real-time surface water flood nowcasting system for enhancing operational resilience of emergency responders

NASA Astrophysics Data System (ADS)

Yu, Dapeng; Guan, Mingfu; Wilby, Robert; Bruce, Wright; Szegner, Mark

2017-04-01

Emergency services (such as Fire & Rescue, and Ambulance) can face the challenging tasks of having to respond to or operate under extreme and fast changing weather conditions, including surface water flooding. UK-wide, return period based surface water flood risk mapping undertaken by the Environment Agency provides useful information about areas at risks. Although these maps are useful for planning purposes for emergency responders, their utility to operational response during flood emergencies can be limited. A street-level, high resolution, real-time, surface water flood nowcasting system, has been piloted in the City of Leicester, UK to assess emergency response resilience to surface water flooding. Precipitation nowcasting over 7- and 48-hour horizons are obtained from the UK Met Office and used as inputs to the system. A hydro-inundation model is used to simulate urban surface water flood depths/areas at both the city and basin scale, with a 20 m and 3 m spatial resolution respectively, and a 15-minute temporal resolution, 7-hour and 48-hour in advance. Based on this, we evaluate both the direct and indirect impacts of potential surface water flood events on emergency responses, including: (i) identifying vulnerable populations (e.g. care homes and schools) at risk; and (ii) generating novel metrics of accessibility (e.g. travel time from service stations to vulnerable sites; spatial coverage with certain legislative timeframes) in real-time. In doing so, real-time information on potential risks and impacts of emerging flood incidents arising from intense rainfall can be communicated via a dedicated web-based platform to emergency responders thereby improving response times and operational resilience.

Living with diabetes on Baffin Island: Inuit storytellers share their experiences.

PubMed

Bird, Susan M; Wiles, Janine L; Okalik, Looee; Kilabuk, Jonah; Egeland, Grace M

2008-01-01

The prevention and management of Type 2 diabetes mellitus has become a concern in Inuit communities across Canada. Although Inuit living with diabetes in remote Canadian Arctic communities could help guide the development of health services, their voices have not been heard. The experiences and perceptions of Inuit themselves are often overlooked in research. In this study, Inuit living in a small rural Arctic community on Baffin Island were invited to share their experiences of living with diabetes. A qualitative multi-case study approach was taken. In-depth interviews (n=4), field observations, and informal interviews over one month in the community were used to build and contextualize the cases. In-depth interviews were transcribed, and analyzed using holistic thematic analysis and open coding. Accessibility was a concern with respect to foods, health knowledge, language interpretation and health services. In all methods of analysis, the importance of language and effective cross-cultural communication figured prominently. It was also evident that trust and rapport is crucial when discussing diabetes. There was strong interest in promoting diabetes education and prevention within the community. These findings suggest that current health education and services may not be adequate for this setting. The voices of Inuit should be integral in steering the direction of their future diabetes education and health service delivery. Focusing on language barriers may help to improve the accessibility of knowledge about diabetes and nutrition, and enhance relationships between non-Inuit health service providers and Inuit.

Thermal ablation of an aluminium film upon absorption of a femtosecond laser pulse

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

Bezhanov, S G; Kanavin, A P; Uryupin, S A

We have found the time dependence of the ablation depth of aluminium irradiated by a femtosecond laser pulse. It is shown to what extent an increase in the radiation energy flux density leads to an increase in the quasi-stationary value of the ablation depth. By reducing the aluminium film thickness down to one hundred nanometres and less, the ablation depth significantly increases. At the same time, the quasi-stationary value of the ablation depth of a thin film is obtained due to the removal of heat from the focal spot region. (interaction of laser radiation with matter. laser plasma)

Time effect of erosion by solid particle impingement on ductile materials

NASA Technical Reports Server (NTRS)

Rao, P. V.; Buckley, D. H.

1983-01-01

Erosion and morphological studies of several metals and alloys eroded by normal impingement jets of spherical glass beads and angular crushed-glass erodent particles were conducted. Erosion morphology (the width, depth, and width-depth ratio of the pit) was studied in order to fully investigate the effect of time on erosion rate. The eroded surfaces were studied with a scanning electron microscope, and surface profiles were measured with a profilometer. A large amount of experimental data reported in the literature was also analyzed in order to understand the effect of variables such as the type of device, the erodent particle size and shape, the impact velocity, and the abrasive charge on erosion-rate-versus-time curves. In the present experiments the pit-width-versus-time or pit-depth-versus-time curves were similar to erosion-versus-time curves for glass-bead impingement. The pit-depth-rate-versus-time curves were similar to erosion-rate-versus-time curves for crushed-glass impingement. Analysis of experimental data with two forms of glass resulted in four types of erosion-rate-versus-time curves: (1) incubation, acceleration, and steady-state periods (type I), (2) incubation, acceleration, deceleration, and steady-state periods (type III), (3) incubation, acceleration, peak rate, and deceleration periods (type IV), and (4) incubation, acceleration, steady-state, and deceleration periods (type V).

Evaluation of Phantom-Based Education System for Acupuncture Manipulation

PubMed Central

Lee, In-Seon; Lee, Ye-Seul; Park, Hi-Joon; Lee, Hyejung; Chae, Younbyoung

2015-01-01

Background Although acupuncture manipulation has been regarded as one of the important factors in clinical outcome, it has been difficult to train novice students to become skillful experts due to a lack of adequate educational program and tools. Objectives In the present study, we investigated whether newly developed phantom acupoint tools would be useful to practice-naïve acupuncture students for practicing the three different types of acupuncture manipulation to enhance their skills. Methods We recruited 12 novice students and had them practice acupuncture manipulations on the phantom acupoint (5% agarose gel). We used the Acusensor 2 and compared their acupuncture manipulation techniques, for which the target criteria were depth and time factors, at acupoint LI11 in the human body before and after 10 training sessions. The outcomes were depth of needle insertion, depth error from target criterion, time of rotating, lifting, and thrusting, time error from target criteria and the time ratio. Results After 10 training sessions, the students showed significantly improved outcomes in depth of needle, depth error (rotation, reducing lifting/thrusting), thumb-forward time error, thumb-backward time error (rotation), and lifting time (reinforcing lifting/thrusting). Conclusions The phantom acupoint tool could be useful in a phantom-based education program for acupuncture-manipulation training for students. For advanced education programs for acupuncture manipulation, we will need to collect additional information, such as patient responses, acupoint-specific anatomical characteristics, delicate tissue-like modeling, haptic and visual feedback, and data from an acupuncture practice simulator. PMID:25689598

Evaluation of phantom-based education system for acupuncture manipulation.

PubMed

Lee, In-Seon; Lee, Ye-Seul; Park, Hi-Joon; Lee, Hyejung; Chae, Younbyoung

2015-01-01

Although acupuncture manipulation has been regarded as one of the important factors in clinical outcome, it has been difficult to train novice students to become skillful experts due to a lack of adequate educational program and tools. In the present study, we investigated whether newly developed phantom acupoint tools would be useful to practice-naïve acupuncture students for practicing the three different types of acupuncture manipulation to enhance their skills. We recruited 12 novice students and had them practice acupuncture manipulations on the phantom acupoint (5% agarose gel). We used the Acusensor 2 and compared their acupuncture manipulation techniques, for which the target criteria were depth and time factors, at acupoint LI11 in the human body before and after 10 training sessions. The outcomes were depth of needle insertion, depth error from target criterion, time of rotating, lifting, and thrusting, time error from target criteria and the time ratio. After 10 training sessions, the students showed significantly improved outcomes in depth of needle, depth error (rotation, reducing lifting/thrusting), thumb-forward time error, thumb-backward time error (rotation), and lifting time (reinforcing lifting/thrusting). The phantom acupoint tool could be useful in a phantom-based education program for acupuncture-manipulation training for students. For advanced education programs for acupuncture manipulation, we will need to collect additional information, such as patient responses, acupoint-specific anatomical characteristics, delicate tissue-like modeling, haptic and visual feedback, and data from an acupuncture practice simulator.

Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique: an equity analysis.

PubMed

Give, Celso Soares; Sidat, Mohsin; Ormel, Hermen; Ndima, Sozinho; McCollum, Rosalind; Taegtmeyer, Miriam

2015-09-01

Mozambique launched its revitalized community health programme in 2010 in response to inequitable coverage and quality of health services. The programme is focused on health promotion and disease prevention, with 20 % of community health workers' (known in Mozambique as Agentes Polivalentes Elementares (APEs)) time spent on curative services and 80 % on activities promoting health and preventing illness. We set out to conduct a health system and equity analysis, exploring experiences and expectations of APEs, community members and healthcare workers supervising APEs. This exploratory qualitative study captured the perspectives of a range of participants including women caring for children under 5 years (service clients), community leaders, service providers (APEs) and their supervisors. Participants in the Moamba and Manhiça districts, located in Maputo Province (Mozambique), were selected purposively. In total, 29 in-depth interviews and 9 focus group discussions were conducted in the local language and/or Portuguese. A framework approach was used for analysis, assisted by NVivo10 software. Our analysis revealed that health equity is viewed as linked to the quality and coverage of the APE programme. Demand and supply factors interplay to shape health equity. The availability of responsive and appropriate services led to tensions between community expectations for curative services (and APEs' willingness to perform them) and official policy focusing APE efforts mainly on preventive services and health promotion. The demand for more curative services by community members is a result of having limited access to healthcare services other than those offered by APEs. This study highlights the need to pay attention to the determinants of demand and supply of community interventions in health, to understand the opportunities and challenges of the difficult interface role played by APEs and to create communication among stakeholders in order to build a stronger, more effective and equitable community programme.

Depth-dependence of time-lapse seismic velocity change detected by a joint interferometric analysis of vertical array data

NASA Astrophysics Data System (ADS)

Sawazaki, K.; Saito, T.; Ueno, T.; Shiomi, K.

2015-12-01

In this study, utilizing depth-sensitivity of interferometric waveforms recorded by co-located Hi-net and KiK-net sensors, we separate the responsible depth of seismic velocity change associated with the M6.3 earthquake occurred on November 22, 2014, in central Japan. The Hi-net station N.MKGH is located about 20 km northeast from the epicenter, where the seismometer is installed at the 150 m depth. At the same site, the KiK-net has two strong motion seismometers installed at the depths of 0 and 150 m. To estimate average velocity change around the N.MKGH station, we apply the stretching technique to auto-correlation function (ACF) of ambient noise recorded by the Hi-net sensor. To evaluate sensitivity of the Hi-net ACF to velocity change above and below the 150 m depth, we perform a numerical wave propagation simulation using 2-D FDM. To obtain velocity change above the 150 m depth, we measure response waveform from the depths of 150 m to 0 m by computing deconvolution function (DCF) of earthquake records obtained by the two KiK-net vertical array sensors. The background annual velocity variation is subtracted from the detected velocity change. From the KiK-net DCF records, the velocity reduction ratio above the 150 m depth is estimated to be 4.2 % and 3.1 % in the periods of 1-7 days and 7 days - 4 months after the mainshock, respectively. From the Hi-net ACF records, the velocity reduction ratio is estimated to be 2.2 % and 1.8 % in the same time periods, respectively. This difference in the estimated velocity reduction ratio is attributed to depth-dependence of the velocity change. By using the depth sensitivity obtained from the numerical simulation, we estimate the velocity reduction ratio below the 150 m depth to be lower than 1.0 % for both time periods. Thus the significant velocity reduction and recovery are observed above the 150 m depth only, which may be caused by strong ground motion of the mainshock and following healing in the shallow ground.

Young people with depression and their experience accessing an enhanced primary care service for youth with emerging mental health problems: a qualitative study

PubMed Central

2012-01-01

Background Despite the emergence of mental health problems during adolescence and early adulthood, many young people encounter difficulties accessing appropriate services. In response to this gap, the Australian Government recently established new enhanced primary care services (headspace) that target young people with emerging mental health problems. In this study, we examine the experience of young people with depression accessing one of these services, with a focus on understanding how they access the service and the difficulties they encounter in the process. Method Individual, in-depth, audio-recorded interviews were used to collect data. Twenty-six young people with depression were recruited from a headspace site in Melbourne, Australia. Interpretative phenomenological analysis was used to analyse the data. Results Four overlapping themes were identified in the data. First, school counsellors as access mediators, highlights the prominent role school counsellors have in facilitating student access to the service. Second, location as an access facilitator and inhibitor. Although the service is accessible by public transport, it is less so to those who do not live near public transport. Third, encountering barriers accessing the service initially. Two main service access barriers were experienced: unfamiliarity with the service, and delays in obtaining initial appointments for ongoing therapy. Finally, the service’s funding model acts as an access facilitator and barrier. While the model provides a low or no cost services initially, it limits the number of funded sessions, and this can be problematic. Conclusions Young people have contrasting experiences accessing the service. School counsellors have an influential role in facilitating access, and its close proximity to public transport enhances access. The service needs to become more prominent in young people’s consciousness, while the appointment system would benefit from providing more timely appointments with therapists. The service’s funding model is important in enabling access initially to young people from low socioeconomic backgrounds, but the government needs to reassess the model for those who require additional support. PMID:22853550

Analysis of Human Resources and Services Administration-funded services for HIV-positive substance users: a study of Ryan White CARE Act Title III, Title IV, and Special Projects of National Significance providers.

PubMed

Tobias, Carol; Drainoni, Mari-Lynn; Wood, Starr

2004-10-01

In this study, 175 organizations providing health care and/or social services to HIV-positive substance users responded to a questionnaire to: (1) investigate how programs were configured to serve consumer needs and (2) identify potential innovative strategies to be explored in greater depth in a subsequent study. The results demonstrated wide variability in types of services provided, racial and ethnic diversity, methods of addressing cultural and linguistic needs, accessibility provisions, strategies for engagement and retention, strategies for coordination and integrations of care, most difficult barriers to care, and funding sources.

Calibration of the Regional Crustal Waveguide and the Retrieval of Source Parameters Using Waveform Modeling

NASA Astrophysics Data System (ADS)

Saikia, C. K.; Woods, B. B.; Thio, H. K.

- Regional crustal waveguide calibration is essential to the retrieval of source parameters and the location of smaller (M<4.8) seismic events. This path calibration of regional seismic phases is strongly dependent on the accuracy of hypocentral locations of calibration (or master) events. This information can be difficult to obtain, especially for smaller events. Generally, explosion or quarry blast generated travel-time data with known locations and origin times are useful for developing the path calibration parameters, but in many regions such data sets are scanty or do not exist. We present a method which is useful for regional path calibration independent of such data, i.e. with earthquakes, which is applicable for events down to Mw = 4 and which has successfully been applied in India, central Asia, western Mediterranean, North Africa, Tibet and the former Soviet Union. These studies suggest that reliably determining depth is essential to establishing accurate epicentral location and origin time for events. We find that the error in source depth does not necessarily trade-off only with the origin time for events with poor azimuthal coverage, but with the horizontal location as well, thus resulting in poor epicentral locations. For example, hypocenters for some events in central Asia were found to move from their fixed-depth locations by about 20km. Such errors in location and depth will propagate into path calibration parameters, particularly with respect to travel times. The modeling of teleseismic depth phases (pP, sP) yields accurate depths for earthquakes down to magnitude Mw = 4.7. This Mwthreshold can be lowered to four if regional seismograms are used in conjunction with a calibrated velocity structure model to determine depth, with the relative amplitude of the Pnl waves to the surface waves and the interaction of regional sPmP and pPmP phases being good indicators of event depths. We also found that for deep events a seismic phase which follows an S-wave path to the surface and becomes critical, developing a head wave by S to P conversion is also indicative of depth. The detailed characteristic of this phase is controlled by the crustal waveguide. The key to calibrating regionalized crustal velocity structure is to determine depths for a set of master events by applying the above methods and then by modeling characteristic features that are recorded on the regional waveforms. The regionalization scheme can also incorporate mixed-path crustal waveguide models for cases in which seismic waves traverse two or more distinctly different crustal structures. We also demonstrate that once depths are established, we need only two-stations travel-time data to obtain reliable epicentral locations using a new adaptive grid-search technique which yields locations similar to those determined using travel-time data from local seismic networks with better azimuthal coverage.

The Ongoing Evolution of the K2-22 System

NASA Astrophysics Data System (ADS)

Colon, Knicole D.; Zhou, George; Shporer, Avi; Collins, Karen A.; Bieryla, Allyson; Latham, David W.; Espinoza, Nestor; Murgas, Felipe; Pattarakijwanich, Petchara; Awiphan, Supachai; TECH Collaboration

2018-06-01

Of the thousands of exoplanets known, only three disintegrating planets have been identified. These disintegrating planets appear to have tails of dusty material that produce asymmetric transit shapes. K2-22b is one of these few disintegrating planets discovered to date, and its light curve not only displays highly variable transit depths but also uniquely displays evidence of a leading dust tail. Here, we present results from a large ground-based photometric observing campaign of the K2-22 system that took place between December 2016 and May 2017, which we use to investigate the evolution of the transit of K2-22b. Last observed in early 2015, in these new observations we recover the transit around the expected time and measure a typical depth of <1%. We find that the transit depth has decreased compared to observations from 2014 and 2015, where the maximum transit depth measured at that time was ~1.3%. These new observations support ongoing variability in the transit depth, shape, and time of K2-22b, although the overall shallowness of the transit makes a detailed analysis of the transit shape and timing difficult. In addition, we find no strong evidence of wavelength-dependent transit depths for epochs where we have simultaneous coverage at multiple wavelengths. Given the observed decrease in the transit depth between 2015 and 2017, we encourage continued high-precision photometric monitoring of this system in order to further constrain the evolution timescale and to aid comparative studies with the other few disintegrating planets known.

Approximate furrow infiltration model for time-variable ponding depth

USDA-ARS?s Scientific Manuscript database

A methodology is proposed for estimating furrow infiltration under time-variable ponding depth conditions. The methodology approximates the solution to the two-dimensional Richards equation, and is a modification of a procedure that was originally proposed for computing infiltration under constant ...

The Global Fund and tuberculosis in Nicaragua: building sustainable capacity?

PubMed

Plamondon, Katrina M; Hanson, Lori; Labonté, Ronald; Abonyi, Sylvia

2008-01-01

The purpose of the study was to explore and provide feedback on local stakeholders' experiences with the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) as it related to capacity building for tuberculosis (TB) services in Nicaragua. An ethnomethodological approach was used to capture the experiences of three different groups: service providers, service recipients, and decision-makers. Data collection involved reviewing secondary texts and records, participant observation, and in-depth interviews and focus groups in both rural and urban municipalities. Stakeholders felt that Nicaragua's Global Fund project improved TB control, built human resource capacity and strengthened community involvement in TB programming; however, they noted several contextual and structural threats to sustainable capacity development. The nature of the GFATM's performance-based evaluation de-emphasized qualitative assessment and, at times, created pressure to meet numeric targets at the risk of decreasing quality. Contextual challenges often determined or limited the potential sustainability of activities. Two examples (training volunteer health workers and establishing TB Clubs) from the broader study are offered here to highlight these challenges from health systems and community perspectives. Current approaches to GFATM evaluation and accountability may compromise its positive impacts on capacity building in Nicaragua. Greater consideration needs to be given to ensuring more comprehensive evaluation of project implementation.

A study comparing changes in loading conditions of an extended service life system using aluminum 2024-T351

NASA Astrophysics Data System (ADS)

Beal, Roger Zack

The current fiscally austere environment prevalent in the military and industry is driving extreme measures to save money. In the United States Air Force, this has driven enormous efforts to trim sustainment spending on extended life aircraft. The challenge to the aerospace engineer is to ensure flight safety in the midst of this economic pressure. One method of cutting costs is to increase the time an aircraft is in service by delaying the point when the aircraft is taken out of service for depot maintenance. To ensure flight safety, in depth fatigue and fracture analysis needs to be accomplished to assess increasing the inspection interval. The purpose of this study was to determine the sensitivity of Aluminum 2024-T351 alloy, a common material used in tension dominated aerospace applications, to two different loading spectra---one that is aggressive and the other that is benign. This was accomplished by conducting five different combinations of the two spectra, developing computer simulations using the AFGROW software and comparing with the measured data. The results showed that the material demonstrated significantly different behavior between the two spectra. These results provide a valuable tool for the aerospace engineer for fatigue life prediction and inspection interval evaluation.

A multi-perspective service evaluation exploring tuberculosis contact screening attendance among adults at a North London hospital.

PubMed

MacLellan, J; Wallace, K; Vacchelli, E; Roe, J; Davidson, R; Abubakar, I; Southern, J

2016-09-01

Non-attendance at TB contact screening clinics has been highlighted as a common phenomenon across a number of sites during recruitment to the PREDICT TB Study. This has obvious implications for the safety of patients, their communities and for NHS resources. The objective of this study was to explore why adults who have been in contact with TB do, and do not, attend their screening appointment, thereby allowing identification of interventions to reduce non-attendance. A multi-method approach was taken using 15 questionnaires with adults who attended for screening, 15 telephone questionnaires with adults who did not attend and in-depth interviews with 8 TB nurses. Interviews were coded to trace emerging descriptive themes, then refined through an iterative process of interpretation and recoding. Findings from the questionnaires and interviews were categorized into three principle themes following analysis: awareness, hospital factors and leadership. These themes deconstruct the complex phenomena of patients' lack of attendance at this TB contact screening service. Recommendations related to issues of leadership, outreach services, flexibility of clinic timing and awareness amongst both the local community and GPs were made. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Retrospective evaluation of urological admissions to emergency service of a training and research hospital.

PubMed

Topaktaş, Ramazan; Altın, Selçuk; Aydın, Cemil; Akkoç, Ali; Yılmaz, Yakup

2014-12-01

Many patients consult emergency services with urological complaints. The aim of this study was to investigate the epidemiology, clinical presentation and treatments of urological emergency cases in a training and research hospital. We retrospectively evaluated urological emergency patients referred to the emergency unit between July 2012 and July 2013 according to age, gender, affected organ, radiological imaging techniques and treatment. Among 141.844 emergency cases, 3.113 (2.19%) were urological emergencies and 53.2% of the patients were male (mean age: 49.1), and 46.8% of them were female (median age: 42.8). The most frequent illness was genitourinary infection constituting 41.2% of the cases followed by renal colic (36.9%). Among the urological emergencies 483 (15.5%) patients were hospitalized and 152 surgical operations were performed. The mostly performed procedure was the placement of a suprapubic catheter in 34 patients constituting (22.3%) of the cases. Totally eight patients were referred to another experienced health center due to different reasons. Most of the urological emergency patients do not require emergency surgical interventions however, timely identification and management of urological emergencies with in-depth clinical evaluation are important to prevent late complications. Therefore the doctors working in emergency services must be heedful of urological emergencies.

Motivators and barriers to HIV testing among street-based female sex workers in St. Petersburg, Russia.

PubMed

King, Elizabeth J; Maman, Suzanne; Dudina, Victoria I; Moracco, Kathryn E; Bowling, J Michael

2017-07-01

Female sex workers are particularly susceptible to HIV-infection in Russia. However, a dearth of information exists on their utilisation of HIV services. A mixed-methods, cross-sectional study was conducted to examine motivators and barriers to HIV testing among street-based sex workers in St. Petersburg, Russia. The health belief model was the theoretical framework for the study. Twenty-nine sex workers participated in in-depth interviews, and 139 sex workers completed interviewer-administered surveys between February and September 2009. Barriers to getting an HIV test were fear of learning the results, worrying that other people would think they were sick, and the distance needed to travel to obtain services. Motivators for getting tested were protecting others from infection, wanting to know one's status and getting treatment if diagnosed. Logistic regression analysis demonstrated that knowing people living with HIV [aOR = 6.75, 95% CI (1.11, 41.10)] and length of time since start of injection drug use [aOR = 0.30, 95% CI (0.09, 0.97)] were significantly associated with recently getting tested. These results are important to consider when developing public health interventions to help female sex workers in Russia learn their HIV status and get linked to care and treatment services if needed.

ART access-related barriers faced by HIV-positive persons linked to care in southern Ghana: a mixed method study.

PubMed

Ankomah, Augustine; Ganle, John Kuumuori; Lartey, Margaret Yaa; Kwara, Awewura; Nortey, Priscilla Awo; Okyerefo, Michael Perry Kweku; Laar, Amos Kankponang

2016-12-07

Timely and enduring access to antiretroviral therapy (ART) by HIV-infected individuals has been shown to substantially reduce HIV transmission risk, HIV-related morbidity and mortality. However, there is evidence that in addition to limited supply of antiretrovirals (ARVs) and linkage to ART in many low-income countries, HIV+ persons often encounter barriers in accessing ART-related services even in contexts where these services are freely available. In Ghana, limited research evidence exists regarding the barriers HIV+ persons already linked to ART face. This paper explores ART access-related barriers that HIV+ persons linked to care in southern Ghana face. A mixed method study design, involving a cross-sectional survey and qualitative in-depth interviews, was conducted to collect data from four healthcare providers and a total of 540 adult HIV+ persons receiving ART at four treatment centres in Ghana. We used univariate analysis to generate descriptive tabulations for key variables from the survey. Data from qualitative in-depth interviews were thematically analysed. Results from the survey and in-depth interviews were brought together to illuminate the challenges of the HIV+ persons. All (100%) the HIV+ persons interviewed were ARV-exposed and linked to ART. Reasons for taking ARVs ranged from beliefs that they will suppress the HIV virus, desire to maintain good health and prolong life, and desire to prevent infection in unborn children, desire both to avoid death and to become good therapeutic citizens (abide by doctors' advice). Despite this, more than half of the study participants (63.3%) reported seven major factors as barriers hindering access to ART. These were high financial costs associated with accessing and receiving ART (26%), delays associated with receiving care from treatment centres (24%), shortage of drugs and other commodities (23%), stigma (8.8%), fear of side effects of taking ARVs (7.9%), job insecurity arising from regular leave of absence to receive ART (5.3%), and long distance to treatment centres (4.9%). The results in this study suggest that efforts to provide and scale-up ART to all HIV+ persons must be accompanied by interventions that address structural and individual level access barriers.

Evaluation of the Sparton tight-tolerance AXBT

NASA Technical Reports Server (NTRS)

Boyd, Janice D.; Linzell, Robert S.

1993-01-01

Forty-six near-simultaneous pairs of conductivity - temperature - depth (CTD) and Sparton 'tight tolerance' air expendable bathythermograph (AXBT) temperature profiles were obtained in summer 1991 from a location in the Sargasso Sea. The data were analyzed to assess the temperature and depth accuracies of the Sparton AXBTs. The tight-tolerance criterion was not achieved using the manufacturer's equations but may have been achieved using customized equations computed from the CTD data. The temperature data from the customized equations had a one standard deviation error of 0.13 C. A customized elapsed fall time-to-depth conversion equation was found to be z = 1.620t - 2.2384 x 10(exp -4) t(exp 2) + 1.291 x 10(exp -7) t(exp 3), with z the depth in meters and t the elapsed fall time after probe release in seconds. The standard deviation of the depth error was about 5 m; a rule of thumb for estimating maximum bounds on the depth error below 100 m could be expressed as +/-2% of depth or +/- 10 m, whichever is greater. This equation gave greater depth accuracy than either the manufacturer's supplied equation or the navy standard equation.

A prospective comparison of performance during back-to-back, anterograde manual spiral enteroscopy and double-balloon enteroscopy.

PubMed

Despott, Edward J; Murino, Alberto; Bourikas, Leonidas; Nakamura, Masanao; Ramachandra, Vino; Fraser, Chris

2015-05-01

Spiral enteroscopy is a recently introduced technology alternative to balloon-assisted enteroscopy for examination of the small bowel. To compare small bowel insertion depths and procedure duration by spiral enteroscopy and double-balloon enteroscopy performed in the same cohort of patients, in immediate succession, using the same method of insertion depth estimation. A prospective, back-to-back comparative study was performed in 15 patients. Spiral enteroscopy procedures were performed first and a tattoo was placed to mark the most distal point. Double-balloon enteroscopy passed the tattoo placed at spiral enteroscopy in 14/15 cases (93%). Median insertion depths for double-balloon enteroscopy and spiral enteroscopy were 265cm and 175cm, respectively (P=0.004). Median time to achieve maximal depth of insertion was significantly shorter for spiral enteroscopy compared with double-balloon enteroscopy (24min vs. 45min, respectively; P=0.0005). However, in 14 patients no differences were found in median time to reach the same insertion depth (P=0.28). Double-balloon enteroscopy achieved significantly greater small bowel insertion depth than spiral enteroscopy. Although overall double-balloon enteroscopy procedure duration was longer, the time taken to reach the same small bowel insertion depth by both spiral enteroscopy and double-balloon enteroscopy was similar. Copyright © 2015 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

Diffusion accessibility as a method for visualizing macromolecular surface geometry.

PubMed

Tsai, Yingssu; Holton, Thomas; Yeates, Todd O

2015-10-01

Important three-dimensional spatial features such as depth and surface concavity can be difficult to convey clearly in the context of two-dimensional images. In the area of macromolecular visualization, the computer graphics technique of ray-tracing can be helpful, but further techniques for emphasizing surface concavity can give clearer perceptions of depth. The notion of diffusion accessibility is well-suited for emphasizing such features of macromolecular surfaces, but a method for calculating diffusion accessibility has not been made widely available. Here we make available a web-based platform that performs the necessary calculation by solving the Laplace equation for steady state diffusion, and produces scripts for visualization that emphasize surface depth by coloring according to diffusion accessibility. The URL is http://services.mbi.ucla.edu/DiffAcc/. © 2015 The Protein Society.

Linking sediment structure, hydrological functioning and biogeochemical cycling in disturbed coastal saltmarshes and implications for vegetation development

NASA Astrophysics Data System (ADS)

Spencer, Kate; Harvey, Gemma; James, Tempest; Simon, Carr; Michelle, Morris

2014-05-01

Saltmarsh restoration undoubtedly provides environmental enhancement, with vegetation quickly re-establishing following the breach of sea walls and subsequent tidal inundation of previously defended areas. Yet evidence increasingly suggests that the restored saltmarshes do not have the same biological characteristics as their natural counterparts (Mossman et al. 2012) and this may be in part be due to physicochemical parameters at the site including anoxia and poor drainage. Hence, restored saltmarshes may not offer the range and quality of ecosystem services anticipated. These environments will have been 'disturbed' by previous land use and there is little understanding of the impacts of this disturbance on the wider hydrogeomorphic and biogeochemical functioning in restored saltmarshes and the implications for saltmarsh vegetation development. This study examines linkages between physical sediment characteristics, sediment structure (using X-ray microtomography), sub-surface hydrology (using pressure transducers and time series analysis), and sediment and porewater geochemistry (major and trace elements, major anions) in sediment cores collected from undisturbed saltmarshes and those restored by de-embankment. Sub-surface sediments in restored saltmarshes have lower organic matter content, lower moisture content and higher bulk density than undisturbed sites. Using X-ray tomography a clear horizon can be observed which separates relict agricultural soils at depth with less dense and structureless sediments deposited since de-embankment. Ratios of open to closed pore space suggest that while undisturbed saltmarshes have the highest porosity, restored saltmarshes have larger void spaces, but limited pore connectivity. Sub-surface hydrological response to tidal flooding was subdued in the restored compared to the undisturbed site, suggesting that porewater flow may be impeded. Time series analysis indicated that flow pathways differ in restored saltmarsh sediments with preferential horizontal flows. The undisturbed saltmarsh displayed typical vertical geochemical sediment profiles. However, in the restored sites total Fe and Mn are elevated at depth indicating an absence of diagenetic cycling, whilst porewater sulphate and nitrate increased at depth suggesting that vertical solute transport is impeded in restored sites. In surface sediments, though total Hg concentrations are similar, Hg methylation rates are significantly higher than in the undisturbed saltmarsh suggesting that surface anoxia and poor drainage may result in increased mobilization and bioavailability of Hg. These findings have implications for the wider biogeochemical ecosystem services offered by saltmarsh restoration and the water-logged, anoxic conditions produced are unsuitable for seedling germination and plant growth. This highlights the need for integrated understanding of physical and biogeochemical processes.

Exploring Canadian Physicians' Experiences Providing Medical Assistance in Dying: A Qualitative Study.

PubMed

Khoshnood, Narges; Hopwood, Marie-Clare; Lokuge, Bhadra; Kurahashi, Allison; Tobin, Anastasia; Isenberg, Sarina; Husain, Amna

2018-05-15

MAiD allows a practitioner to administer or prescribe medication for the purpose of ending a patient's life. In 2016, Canada was the latest country, following several European countries and American states, to legalize physician-assisted death. Although some studies report on physician attitudes towards MAiD or describe patient characteristics, there are few that explore the professional challenges faced by physicians who provide MAiD. To explore the professional challenges faced by Canadian physicians who provide MAiD. Sixteen physicians from across Canada who provide MAiD completed in-depth, semi-structured telephone interviews. An inductive thematic analysis approach guided data collection and the iterative, interpretive analysis of interview transcripts. Three members of the research team systematically co-coded interview transcripts and the emerging themes were developed with the broader research team. NVivo was used to manage the coded data. Participants described three challenges associated with providing MAiD: 1) their relationships with other MAiD providers were enhanced and relationships with objecting colleagues were sometimes strained, 2) they received inadequate financial compensation for time, and, 3) they experienced increased workload, resulting in sacrifices to personal time. Although these providers did not intend to stop providing MAiD at the time of the interview, they indicated their concerns about whether they would be able to sustain this service over time. Physicians described relationship, financial, and workload challenges to providing MAiD. We provide several recommendations to address these challenges and help ensure the sustainability of MAiD in countries that provide this service. Copyright © 2018. Published by Elsevier Inc.

Treating the clock and not the patient: ambulance response times and risk.

PubMed

Price, L

2006-04-01

In a qualitative study of paramedics' attitudes to pre-hospital thrombolysis (PHT), the government target that emergency calls should receive a response within 8 minutes emerged as a key factor influencing attitudes to staff morale and attitudes to the job as a whole. A study was undertaken to examine paramedics' accounts of the effects on patient care and on their own health and safety of attempts to meet the 8 minute target. In-depth semi-structured interviews were conducted with a purposive sample of 20 experienced paramedics (16 men) mostly aged 30-50 years with a mean length of service of 19 years. The paramedics were encouraged to raise issues which they themselves considered salient. The interviews were tape recorded, transcribed, and analysed according to the constant comparative method. The paramedics argued that response time targets are inadequate as a performance indicator. They dominate ambulance service culture and practice at the expense of other quality indicators and are vulnerable to "fiddling". The targets can conflict with other quality indicators such as timely administration of PHT and rapid transport of patients to hospital. The strategies introduced to meet the targets can be detrimental to patient care and also have adverse effects on the health, safety, wellbeing, and morale of paramedics. The results of this study suggest that the 8 minute response time is not evidence based and is putting patients and ambulance crews at risk. There is a need for less simplistic quality indicators which recognise that there are many stages between a patient's call for help and safe arrival in hospital.

Use of microcomputer in mapping depth of stratigraphic horizons in National Petroleum Reserve in Alaska

USGS Publications Warehouse

Payne, Thomas G.

1982-01-01

REGIONAL MAPPER is a menu-driven system in the BASIC language for computing and plotting (1) time, depth, and average velocity to geologic horizons, (2) interval time, thickness, and interval velocity of stratigraphic intervals, and (3) subcropping and onlapping intervals at unconformities. The system consists of three programs: FILER, TRAVERSER, and PLOTTER. A control point is a shot point with velocity analysis or a shot point at or near a well with velocity check-shot survey. Reflection time to and code number of seismic horizons are filed by digitizing tablet from record sections. TRAVERSER starts at a point of geologic control and, in traversing to another, parallels seismic events, records loss of horizons by onlap and truncation, and stores reflection time for geologic horizons at traversed shot points. TRAVERSER is basically a phantoming procedure. Permafrost thickness and velocity variations, buried canyons with low-velocity fill, and error in seismically derived velocity cause velocity anomalies that complicate depth mapping. Two depths to the top of the pebble is based shale are computed for each control point. One depth, designated Zs on seismically derived velocity. The other (Zw) is based on interval velocity interpolated linearly between wells and multiplied by interval time (isochron) to give interval thickness. Z w is computed for all geologic horizons by downward summation of interval thickness. Unknown true depth (Z) to the pebble shale may be expressed as Z = Zs + es and Z = Zw + ew where the e terms represent error. Equating the two expressions gives the depth difference D = Zs + Zw = ew + es A plot of D for the top of the pebble shale is readily contourable but smoothing is required to produce a reasonably simple surface. Seismically derived velocity used in computing Zs includes the effect of velocity anomalies but is subject to some large randomly distributed errors resulting in depth errors (es). Well-derived velocity used in computing Zw does not include the effect of velocity anomalies, but the error (ew) should reflect these anomalies and should be contourable (non-random). The D surface as contoured with smoothing is assumed to represent ew, that is, the depth effect of variations in permafrost thickness and velocity and buried canyon depth. Estimated depth (Zest) to each geologic horizon is the sum of Z w for that horizon and a constant e w as contoured for the pebble shale, which is the first highly continuous seismic horizon below the zone of anomalous velocity. Results of this 'depthing' procedure are compared with those of Tetra Tech, Inc., the subcontractor responsible for geologic and geophysical interpretation and mapping.

Nanosecond pulsed laser micromachining for experimental fatigue life study of Ti-3Al-2.5V tubes

NASA Astrophysics Data System (ADS)

Lin, Yaomin; Gupta, Mool C.; Taylor, Robert E.; Lei, Charles; Stone, William; Spidel, Tom; Yu, Michael; Williams, Reanne

2009-01-01

Defects on external surface of in-service hydraulic tubes can reduce total life cycles for operation. Evaluation of fatigue life of the tubes with damage is thus critical for safety reasons. A methodology of generating defects in the Ti-3Al-2.5V tube—a widely used pipeline in hydraulic systems of aircrafts—using nanosecond pulsed laser for experimental fatigue life study is described in this paper. Straight tubes of five different sizes were laser micromachined to generate notches of given length and depths on the outside surface. Approaches were developed to precisely control the notch dimensions. The laser-notched tubes were tested with cyclic internal impulse pressure and fatigue life was measured. The laser notches and fatigue cracks were characterized after the test. It is concluded that laser micromachining generated consistent notches, and the influence of notch depth on fatigue life of the tube is significant. Based on the experimental test results, the relationship between the fatigue life of the Ti-3Al-2.5V tube and the notch depth was revealed. The research demonstrated that laser micromachining is applicable for experimental fatigue life study of titanium tubes. The presented test data are useful for estimating the damage limits of the titanium tubes in service environment and for further theoretical studies.

A comparison of petrophysical data inputs for establishing time-depth relationships: a guide for future drilling expeditions

NASA Astrophysics Data System (ADS)

Boaga, J.; Sauermilch, I.; Mateo, Z. R. P.

2017-12-01

Time-depth relationships (TDR) are crucial in correlating drillhole and core information to seismic reflection profiles, for accurate resource estimation, scientific interpretation and to guide drilling operations. Conventional seismic time-depth domain conversion utilizes downhole sonic logs (DSI), calibrated using available checkshot data, which are local travel times from the surface to a particular depth. Scientific drilling programs (ODP and IODP) also measure P-wave velocity (PWL or C) on recovered core samples. Only three percent of all ODP and IODP sites record all three velocity measurements, however this information can be instructive as sometimes these data input show dissimilar TDR. These representative sites provide us with an opportunity to perform a comparative analysis highlighting the differences and similarities of TDRs derived from checkshot, downhole, and laboratory measurements. We then discuss the impact of lithology, stratigraphy, water column and other petrophysical properties in the predictive accuracy of TDR calculations, in an effort to provide guidance for future drilling and coring expeditions.

Real-time depth camera tracking with geometrically stable weight algorithm

NASA Astrophysics Data System (ADS)

Fu, Xingyin; Zhu, Feng; Qi, Feng; Wang, Mingming

2017-03-01

We present an approach for real-time camera tracking with depth stream. Existing methods are prone to drift in sceneries without sufficient geometric information. First, we propose a new weight method for an iterative closest point algorithm commonly used in real-time dense mapping and tracking systems. By detecting uncertainty in pose and increasing weight of points that constrain unstable transformations, our system achieves accurate and robust trajectory estimation results. Our pipeline can be fully parallelized with GPU and incorporated into the current real-time depth camera tracking system seamlessly. Second, we compare the state-of-the-art weight algorithms and propose a weight degradation algorithm according to the measurement characteristics of a consumer depth camera. Third, we use Nvidia Kepler Shuffle instructions during warp and block reduction to improve the efficiency of our system. Results on the public TUM RGB-D database benchmark demonstrate that our camera tracking system achieves state-of-the-art results both in accuracy and efficiency.

A Green's function approach for assessing the thermal disturbance caused by drilling deep boreholes in rock or ice

USGS Publications Warehouse

Clow, Gary D.

2015-01-01

A knowledge of subsurface temperatures in sedimentary basins, fault zones, volcanic environments and polar ice sheets is of interest for a wide variety of geophysical applications. However, the process of drilling deep boreholes in these environments to provide access for temperature and other measurements invariably disturbs the temperature field around a newly created borehole. Although this disturbance dissipates over time, most temperature measurements are made while the temperature field is still disturbed. Thus, the measurements must be ‘corrected’ for the drilling-disturbance effect if the undisturbed temperature field is to be determined. This paper provides compact analytical solutions for the thermal drilling disturbance based on 1-D (radial) and 2-D (radial and depth) Green's functions (GFs) in cylindrical coordinates. Solutions are developed for three types of boundary conditions (BCs) at the borehole wall: (1) prescribed temperature, (2) prescribed heat flux and (3) a prescribed convective condition. The BC at the borehole wall is allowed to vary both with depth and time. Inclusion of the depth dimension in the 2-D solution allows vertical heat-transfer effects to be quantified in situations where they are potentially important, that is, near the earth's surface, at the bottom of a well and when considering finite-drilling rates. The 2-D solution also includes a radial- and time-dependent BC at the earth's surface to assess the impact of drilling-related infrastructure (drilling pads, mud pits, permanent shelters) on the subsurface temperature field. Latent-heat effects due to the melting and subsequent refreezing of interstitial ice while drilling a borehole through ice-rich permafrost can be included in the GF solution as a moving-plane heat source (or sink) located at the solid–liquid interface. Synthetic examples are provided illustrating the 1-D and 2-D GF solutions. The flexibility of the approach allows the investigation of thermal drilling effects in rock or ice for a wide variety of drilling technologies. Numerical values for the required radial GFs GR are available through the Advanced Cooperative Arctic Data and Information Service at doi:10.5065/D64F1NS6.

"They see you as a different thing": the experiences of men who have sex with men with healthcare workers in South African township communities.

PubMed

Lane, T; Mogale, T; Struthers, H; McIntyre, J; Kegeles, S M

2008-11-01

To describe interactions between men who have sex with men (MSM) and healthcare workers (HCW) in peri-urban township communities in South Africa. Qualitative study using semistructured in-depth interviews and focus group discussions in the Gauteng province townships of Soweto and Mamelodi. 32 MSM were purposively sampled for in-depth interviews and 15 for focus group discussions. Topics explored included identity, sexuality, community life, use of health services and experiences of stigma and discrimination. MSM felt their options for non-stigmatising sexual healthcare services were limited by homophobic verbal harassment by HCW. Gay-identified men sought out clinics with reputations for employing HCW who respected their privacy and their sexuality and challenged those HCW who mistreated them. Non-gay-identified MSM presented masculine, heterosexual identities when presenting for sexual health problems and avoided discussing their sexuality with HCW. The strategies MSM employ to confront or avoid homophobia from HCW may not be conducive to sexual health promotion in this population. Interventions that increase the capacity of public sector HCW to provide appropriate sexual health services to MSM are urgently needed.

“They see you as a different thing”: The Experiences of Men Who Have Sex with Men with Health Care Workers in South African Township Communities

PubMed Central

Lane, Tim; Mogale, Thomas; Struthers, Helen; McIntyre, James; Kegeles, Susan M.

2009-01-01

Objectives To describe interactions between men who have sex with men (MSM) and health care workers (HCWs) in peri-urban township communities in South Africa. Method Qualitative study using semistructured in-depth interviews and focus group discussions in the Gauteng province townships of Soweto and Mamelodi. We purposively sampled 32 MSM for in-depth interviews and 15 for focus group discussions. Topics explored included identity, sexuality, community life, use of health services, and experiences of stigma and discrimination. Results MSM felt their options for non-stigmatizing sexual health care services were limited by homophobic verbal harassment by HCWs. Gay-identified men sought out clinics with reputations for employing HCWs who respected their privacy and their sexuality, and challenged those HCWs who mistreated them. Non-gay identified MSM presented masculine, heterosexual identities when presenting for sexual health problems, and avoided discussing their sexuality with HCWs. Conclusions The strategies MSM employ to confront or avoid homophobia from HCWs may not be conducive to sexual health promotion in this population. Interventions that increase the capacity of public sector HCWs to provide appropriate sexual health services to MSM are urgently needed. PMID:19028941

Northern New Mexico regional airport market feasibility

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

Drake, R.H.; Williams, D.S.

1998-06-01

This report is about the market for airline travel in northern New Mexico. Interest in developing a northern New Mexico regional airport has periodically surfaced for a number of years. The New Mexico State Legislature passed a memorial during the 1998 Second Session calling for the conduct of a study to determine the feasibility of building a new regional airport in NNM. This report is a study of the passenger market feasibility of such an airport. In addition to commercial passenger market feasibility, there are other feasibility issues dealing with siting, environmental impact, noise, economic impact, intermodal transportation integration, region-widemore » transportation services, airport engineering requirements, and others. These other feasibility issues are not analyzed in any depth in this report although none were discovered to be show-stoppers as a by-product of the authors doing research on the passenger market itself. Preceding the need for a detailed study of these other issues is the determination of the basic market need for an airport with regular commercial airline service in the first place. This report is restricted to an in-depth look at the market for commercial passenger air service in NNM. 20 figs., 8 tabs.« less

Exploring patient experiences of neo-adjuvant chemotherapy for breast cancer.

PubMed

Beaver, Kinta; Williamson, Susan; Briggs, Jean

2016-02-01

Neo-adjuvant chemotherapy is recommended for 'inoperable' locally advanced and inflammatory breast cancers. For operable breast cancers, trials indicate no survival differences between chemotherapy given pre or post-surgery. Communicating evidence based information to patients is complex and studies examining patient experiences of neo-adjuvant chemotherapy are lacking. This study aims to explore the experiences of women who received neo-adjuvant chemotherapy for breast cancer. A qualitative approach using in-depth interviews with 20 women who had completed neo-adjuvant chemotherapy for breast cancer. Interview data were analysed using thematic analysis. The sample included a relatively young group of women, with caring responsibilities. Five main themes emerged: coping with the rapid transition from 'well' to 'ill', information needs and decision making, needing support and empathy, impact on family, and creating a new 'normal'. More support was needed towards the end of chemotherapy, when side effects were at their most toxic, and decisions about forthcoming surgery were being made. Some women were referred to psychological services, but usually when a crisis point had been reached. Information and support would have been beneficial at key time points. This information is vital in developing services and interventions to meet the complex needs of these patients and potentially prevent late referral to psychological services. Specialist oncology nurses are able to develop empathetic relationships with patients and have the experience, knowledge and skills to inform and support women experiencing neo-adjuvant chemotherapy. Targeting key time points and maintaining relationship throughout neo-adjuvant chemotherapy would be highly beneficial. Copyright © 2015 Elsevier Ltd. All rights reserved.

[Advantages and disadvantages of incorporating qualitative methodology in the evaluation of health services. A practical case: evaluation of a high-resolution clinic].

PubMed

Alvarez Del Arco, D; Rodríguez Rieiro, C; Sanchidrián De Blás, C; Alejos, B; Plá Mestre, R

2012-01-01

We examined the usefulness of incorporating a qualitative phase in the evaluation of the quality of care in a high-resolution medical service carried out with quantitative methods. A quantitative research was performed using a structured questionnaire and selecting interviewees by systematic randomized sampling methods (n=320). In addition, a qualitative research was carried on through semi-structured interviews with patients selected by convenience criteria (n=11), observations in the care assistance circuit, and a group interview with health professionals working in the service. A multidisciplinary research team conducted an individual analysis of the information collected in both quantitative and qualitative phases. Subsequently, three meetings based on group brainstorming techniques were held to identify the diverse contributions of each of the methodologies employed to the research, using affinity graphs to analyse the different results obtained in both phases and evaluate possible bias arising from the use of qualitative methods. Qualitative research allowed examining specific aspects of the health care service that had been collected in the quantitative phase, harmonizing the results obtained in the previous phase, giving in-depth data on the reasons for patient dissatisfaction with specific aspects, such as waiting times and available infrastructures, and identifying emerging issues of the service which had not been previously assessed. Overall, the qualitative phase enriched the results of the research. It is appropriate and recommendable to incorporate this methodological approach in research aimed at evaluating the quality of the service in specific health care settings, since it is provided first hand, by the voice of the customer. Copyright © 2011 SECA. Published by Elsevier Espana. All rights reserved.

Adopting a Sustainable Community of Practice Model when Developing a Service to Support Patients with Epidermolysis Bullosa (EB): A Stakeholder-Centered Approach.

PubMed

Gowran, Rosemary Joan; Kennan, Avril; Marshall, Siobhán; Mulcahy, Irene; Ní Mhaille, Sile; Beasley, Sarah; Devlin, Mark

2015-02-01

Epidermolysis bullosa (EB) is a rare, genetic skin condition that is complicated, distressing, and painful and permeates every aspect of patients' lives. Support services are essential for meeting the primary needs of patients and families living with EB; however, provision is challenged by many complex issues. In collaboration with the patient organization DEBRA Ireland, this research conducted an in-depth analysis of Irish healthcare support services for EB, with a view to moving towards an improved and sustainable care pathway. A sustainable community of practice model (SCOP), as a core construct provided a simplified framework when studying this complex system. The research utilized mixed methods, comprising individual interviews, questionnaires, and a participatory action research workshop based on a soft systems approach. The study engaged patients, family members, service providers, and policy developers. Findings emphasized that the complexities of life with EB are more than 'skin deep'. The lived experience of stakeholders revealed many levels of emotion, both positive and heart-rending. Despite the positive efforts of specialists in this field, inadequacies to meet the primary needs of people with EB, such as bandages-fundamental for survival-were highlighted. Participants reported challenges relating to understanding patients' needs, access to consistent services within hospitals and the community, time constraints, and the strong emotions evoked by this severe and rare disease. The study identified several areas that can be targeted to bring about improvements in meeting primary needs. Education and research at public, policy, and practice levels need to be prioritized. It is imperative that citizens move beyond an awareness that EB exists and demonstrate a consciousness about the importance of advocating and enabling seamless and sustainable support services through collective action.

Care-'less': exploring the interface between child care and parental control in the context of child rights for workers in children's homes in Ghana.

PubMed

Darkwah, Ernest; Daniel, Marguerite; Yendork, Joana Salifu

2018-02-20

This study explored how employed caregivers experience the interface between child care, parental control and child rights in the context of Children's Homes in Ghana. The focus was on investigating caregiver perceptions of proper child care, their experiences with having to work with child rights principles and the implication of these for their relationships with the children and the care services they deliver. Adopting a qualitative approach with phenomenological design, data were collected from 41 caregivers in two children's homes in Ghana using focus group discussions and in-depth interviews. It emerged that caregivers experienced frustrations with perceived limitations that child rights principles place on their control over the children describing it as lessening and, at the same time, complicating the care services they provide. The findings suggest a need for a review of the implementation strategies of the child rights approach in that context. A re-organization of the children's homes environment and re-orientation of caregivers and children regarding their relationship is also suggested.

Aging women with schizophrenia.

PubMed

Pentland, Wendy; Miscio, Gina; Eastabrook, Shirley; Krupa, Terry

2003-01-01

The purpose of this study was to describe the aging experiences of women with schizophrenia. The research focused on how participants viewed their own aging with schizophrenia, their perceived worries and concerns and how they were coping with aging with the disorder. Using a qualitative approach, data were collected using multiple in-depth interviews with six participants selected purposefully from the client list of a community mental health center. Interview transcriptions were coded and analyzed according to the study questions using QSR Nudist 4 software. Several categories and sub-categories emerged. These included the improvement in the illness over time; physical and daily living activity limitations; specific positive and negative changes that the women report have accompanied aging; the profound losses experienced by the participants when they were younger as a result of having schizophrenia; and how these losses have affected their present lives in terms of limiting available informal support, creating dependency on formal programs and services, and participants' fears of the future. Based on the study findings, implications for mental health practice and services are considered and suggestions are made to guide future research.

The experience of being a traditional midwife: living and working in relationship with women.

PubMed

Dietsch, Elaine; Mulimbalimba-Masururu, Luc

2011-01-01

The purpose of this project was to learn from traditional midwives about their experience of practicing in an area of rural Kenya. This qualitative, service-based research project used a simple exploratory and descriptive design. Data were collected through in-depth interviews and fieldwork notes taken during and immediately after the interviews with 84 traditional midwives. Data were thematically analyzed and themes identified through paired-author consensus. Exemplars using the participants' translated words were used for analysis and presentation purposes. In being humble, patient, and kind, the traditional midwives used their relationships with women to create an enabling, calm, and physiologically sound intrapartum environment. Traditional midwives provide a valuable service to women in this area of Kenya at a time when their role is being increasingly devalued by global health agencies. We recommend a redirection of global policy from one that esteems only professional caregivers to one that recognizes the potential value of traditional midwives and supports them through sustainable, evidence-based education and resourcing. © 2011 by the American College of Nurse-Midwives.

Core aspects of "empowering" caregivers as articulated by leaders in home health care: palliative and chronic illness contexts.

PubMed

Stajduhar, Kelli I; Funk, Laura; Wolse, Faye; Crooks, Valorie; Roberts, Della; Williams, Allison M; Cloutier-Fisher, Denise; McLeod, Barbara

2011-09-01

Home-based family caregivers are often assisted by home care services founded upon principles of health promotion, such as empowerment. Using an interpretive approach and in-depth qualitative interviews, the authors examine descriptions of family empowerment by leaders and managers in the field of home health care in the province of British Columbia, Canada. In a culture of fiscal restraint, dying at home, and self-care, participants described how home care nurses empower family caregivers to meet these objectives. This involves educating and informing caregivers, engaging them in planning and decision-making, and reassuring them that their role is manageable and worthwhile. Though some participants viewed providing supports as empowering (e.g., during times of crisis), others viewed them as disempowering (by promoting dependence). Empowered caregivers were characterized as able to provide home care, confident of their capabilities, and believing that their work is positive and beneficial. The long-term goal of empowerment was characterized as client self-care and/or family care and decreased dependence on formal services.

Introduction of the Mobile Platform for the Meteorological Observations in Seoul Metropolitan City of Korea

NASA Astrophysics Data System (ADS)

Baek, K. T.; Lee, S.; Kang, M.; Lee, G.

2016-12-01

Traffic accidents due to adverse weather such as fog, heavy rainfall, flooding and road surface freezing have been increasing in Korea. To reduce damages caused by the severe weather on the road, a forecast service of combined real-time road-wise weather and the traffic situation is required. Conventional stationary meteorological observations in sparse location system are limited to observe the detailed road environment. For this reason, a mobile meteorological observation platform has been coupled in Weather Information Service Engine (WISE) which is the prototype of urban-scale high resolution weather prediction system in Seoul metropolitan area of Korea in early August 2016. The instruments onboard are designed to measure 15 meteorological parameters; pressure, temperature, relative humidity, precipitation, up/down net radiation, up/down longwave radiation, up/down shortwave radiation, road surface condition, friction coefficient, water depth, wind direction and speed. The observations from mobile platform show a distinctive advantage of data collection in need for road conditions and inputs for the numerical forecast model. In this study, we introduce and examine the feasibility of mobile observations in urban weather prediction and applications.

Flood-inundation maps for the Scioto River at La Rue, Ohio

USGS Publications Warehouse

Whitehead, Matthew

2015-08-26

Digital flood-inundation maps for a 3-mile (mi) reach of the Scioto River that extends about 1/2 mi upstream and 1/2 mi downstream of the corporate boundary for La Rue, Ohio, were created by the U.S. Geological Survey (USGS) in cooperation with the Village of La Rue, Marion County Commissioners, Montgomery Township, and Marion County Scioto River Conservancy. The flood-inundation maps show estimates of the areal extent and depth of flooding correspond ing to selected water levels (stages) at the USGS streamgage on the Scioto River at La Rue (station number 03217500). The maps can be accessed through the USGS Flood Inundation Mapping Science Web site at http://water.usgs.gov/osw/flood_ inundation/ . Near-real-time stages at this streamgage can be obtained from the USGS National Water Information System at http://waterdata.usgs.gov/oh/nwis/uv/?site_no=03217500 or the National Weather Service (NWS) Advanced Hydro - logic Prediction Service at http://water.weather.gov/ahps2/ hydrograph.php?wfo=cle&gage=LARO1 , which also forecasts flood hydrographs at this site.

HIV Care Providers' Attitudes regarding Mobile Phone Applications and Web-Based Dashboards to support Patient Self-Management and Care Coordination: Results from a Qualitative Feasibility Study.

PubMed

Swendeman, Dallas; Farmer, Shu; Mindry, Deborah; Lee, Sung-Jae; Medich, Melissa

2016-10-01

In-depth qualitative interviews were conducted with healthcare providers (HCPs) from five HIV medical care coordination teams in a large Los Angeles County HIV clinic, including physicians, nurses, and psychosocial services providers. HCPs reported on the potential utility, acceptability, and barriers for patient self-monitoring and notifications via mobile phones, and web-based dashboards for HCPs. Potential benefits included: 1) enhancing patient engagement, motivation, adherence, and self-management; and 2) improving provider-patient relationships and HCP care coordination. Newly diagnosed and patients with co-morbidities were highest priorities for mobile application support. Facilitators included universal mobile phone ownership and use of smartphones or text messaging. Patient-level barriers included concerns about low motivation and financial instability for consistent use by some patients. Organizational barriers, cited primarily by physicians, included concerns about privacy protections, easy dashboard access, non-integrated electronic records, and competing burdens in limited appointment times. Psychosocial services providers were most supportive of the proposed mobile tools.

Healthcare service quality: towards a broad definition.

PubMed

Mosadeghrad, Ali Mohammad

2013-01-01

The main purpose of this study is to define healthcare quality to encompass healthcare stakeholder needs and expectations because healthcare quality has varying definitions for clients, professionals, managers, policy makers and payers. This study represents an exploratory effort to understand healthcare quality in an Iranian context. In-depth individual and focus group interviews were conducted with key healthcare stakeholders. Quality healthcare is defined as "consistently delighting the patient by providing efficacious, effective and efficient healthcare services according to the latest clinical guidelines and standards, which meet the patient's needs and satisfies providers". Healthcare quality definitions common to all stakeholders involve offering effective care that contributes to the patient well-being and satisfaction. This study helps us to understand quality healthcare, highlighting its complex nature, which has direct implications for healthcare providers who are encouraged to regularly monitor healthcare quality using the attributes identified in this study. Accordingly, they can initiate continuous quality improvement programmes to maintain high patient-satisfaction levels. This is the first time a comprehensive healthcare quality definition has been developed using various healthcare stakeholder perceptions and expectations.

Influence of depth, time and human activity on detection rate of acoustic tags: a case study on two fish farms.

PubMed

Otterå, H; Skilbrei, O T

2016-03-01

The detection rates of stationary acoustic transmitters deployed at three depths on two Atlantic salmon Salmo salar cage farms for c. 2 months were investigated. Deployment depth, time of day, day of the year and specific incidences at the farm substantially affected the rate of signal detection by the receiver. © 2016 The Authors. Journal of Fish Biology published by John Wiley & Sons Ltd on behalf of The Fisheries Society of the British Isles.

A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities.

PubMed

AlDossary, Sharifah; Martin-Khan, Melinda G; Bradford, Natalie K; Smith, Anthony C

2017-01-01

The adoption of telemedicine into mainstream health services has been slower than expected. Many telemedicine projects tend not to progress beyond the trial phase; there are a large number of pilot or project publications and fewer 'service' publications. This issue has been noted since 1999 and continues to be acknowledged in the literature. While overall telemedicine uptake has been slow, some services have been successful. The reporting and evaluation of these successful services may help to improve future uptake and sustainability. The aim of this literature review was to identify peer-reviewed publications of deployed telemedicine services in hospital facilities; and to report, and appraise, the methodology used to evaluate these services. Computerised literature searches of bibliographic databases were performed using the MeSH terms for "Telemedicine" and "Hospital Services" or "Hospital", for papers published up to May 2016. A total of 164 papers were identified, representing 137 telemedicine services. The majority of reported telemedicine services were based in the United States of America (n=61, 44.5%). Almost two thirds of the services (n=86, 62.7%) were delivered by real time telemedicine. Of the reviewed studies, almost half (n=81, 49.3%) assessed their services from three different evaluation perspectives: clinical outcomes, economics and satisfaction. While the remaining half (n=83, 50.6%) described their service and its activities without reporting any evaluation measures. Only 30 (18.2%) studies indicated a two-step implementation and evaluation process. There was limited information in all reported studies regarding description of a structured planning strategy. Our systematic review identified only 137 telemedicine services. This suggests either telemedicine service implementation is still not a part of mainstream clinical services, or it is not being reported in the peer-reviewed literature. The depth and the quality of information were variable across studies, reducing the generalisability. The reporting of service implementation and planning strategies should be encouraged. Given the fast paced technology driven environment of telemedicine, this may enable others to learn and understand how to implement sustainable services. The key component of planning was underreported in these studies. Studies applying and reporting more rigorous methodology would contribute greatly to the evidence for telemedicine. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

48 CFR 242.7302 - Requirements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Section 242.7302 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE CONTRACT MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Contractor Insurance/Pension Review 242.7302 Requirements. (a)(1) An in-depth CIPR as described at DFARS 242.7301(a)(1) shall...

The hidden cost of 'free' maternity care in Dhaka, Bangladesh.

PubMed

Nahar, S; Costello, A

1998-12-01

We studied the cost and affordability of 'free' maternity services at government facilities in Dhaka, Bangladesh, to assess whether economic factors may contribute to low utilization. We conducted a questionnaire survey and in-depth interviews among 220 post-partum mothers and their husbands, selected from four government maternity facilities (three referral hospitals and one Mother and Child Health hospital) in Dhaka. Mothers with serious complications were excluded. Information was collected on the costs of maternity care, household income, the sources of finance used to cover the costs, and the family's willingness to pay for maternity services. The mean cost for normal delivery was 1275 taka (US$31.9) and for caesarean section 4703 taka (US$117.5). Average monthly household income was 4933 taka (US$123). Twenty-one per cent of families were spending 51-100% of monthly income, and 27% of families 2-8 times their monthly income for maternity care. Overall, 51% of the families (and 74% of those having a caesarean delivery) did not have enough money to pay; of these, 79% had to borrow from a money lender or relative. Surprisingly, 72% of the families said they were willing to pay a government-levied user charge, though this was less popular among low-income families (61%). 'Free' maternity care in Bangladesh involves considerable hidden costs which may be a major contributor to low utilization of maternity services, especially among low-income groups. To increase utilization of safer motherhood services, policy-makers might consider introducing fixed user charges with clear exemption guidelines, or greater subsidies for existing services, especially caesarean section.

Using poisons information service data to assess the acute harms associated with novel psychoactive substances.

PubMed

Wood, D M; Hill, S L; Thomas, S H L; Dargan, P I

2014-01-01

Novel psychoactive substances (NPS) can cause significant acute toxicity but usually little is known about their toxicity when they enter the recreational drug scene. Current data sources include online user forums, user questionnaires, case reports/series, and deaths; however, these are limited by their focus on sub-populations and generally include severe cases and specific geographical areas. Approximately 54% of countries have at least one poisons information service (in 2012 there were 274 worldwide) providing advice to healthcare professionals and/or the public on poisoning. They provide advice on recreational drug and NPS toxicity. In 2012, 2.5% of telephone enquiries to the UK National Poisons Information Service and 2.4% of enquiries to US poisons centres related to recreational drugs. Data are collected at population level and can be used to complement other data sources with clinical details on acute NPS toxicity and geographical/time patterns of toxicity. Like other acute NPS toxicity data, poisons centre data should be interpreted within their limitations, notably the absence of analytical confirmation and reliance on secondary reporting of clinical features. This manuscript demonstrates the breadth and depth of poisons information service data in the literature with a focus on mephedrone and synthetic cannabinoid-receptor agonists. In our opinion it would be possible to develop a more robust and systematic reporting system using a network of poisons information services both within and across countries that would be complimentary to other datasets on acute NPS toxicity and allow more accurate data triangulation. Copyright © 2014 John Wiley & Sons, Ltd.

Method and apparatus to measure the depth of skin burns

DOEpatents

Dickey, Fred M.; Holswade, Scott C.

2002-01-01

A new device for measuring the depth of surface tissue burns based on the rate at which the skin temperature responds to a sudden differential temperature stimulus. This technique can be performed without physical contact with the burned tissue. In one implementation, time-dependent surface temperature data is taken from subsequent frames of a video signal from an infrared-sensitive video camera. When a thermal transient is created, e.g., by turning off a heat lamp directed at the skin surface, the following time-dependent surface temperature data can be used to determine the skin burn depth. Imaging and non-imaging versions of this device can be implemented, thereby enabling laboratory-quality skin burn depth imagers for hospitals as well as hand-held skin burn depth sensors the size of a small pocket flashlight for field use and triage.

On-line depth measurement for laser-drilled holes based on the intensity of plasma emission

NASA Astrophysics Data System (ADS)

Ho, Chao-Ching; Chiu, Chih-Mu; Chang, Yuan-Jen; Hsu, Jin-Chen; Kuo, Chia-Lung

2014-09-01

The direct time-resolved depth measurement of blind holes is extremely difficult due to the short time interval and the limited space inside the hole. This work presents a method that involves on-line plasma emission acquisition and analysis to obtain correlations between the machining processes and the optical signal output. Given that the depths of laser-machined holes can be estimated on-line using a coaxial photodiode, this was employed in our inspection system. Our experiments were conducted in air under normal atmospheric conditions without gas assist. The intensity of radiation emitted from the vaporized material was found to correlate with the depth of the hole. The results indicate that the estimated depths of the laser-drilled holes were inversely proportional to the maximum plasma light emission measured for a given laser pulse number.

A flexible pressure sensor could correctly measure the depth of chest compression on a mattress.

PubMed

Minami, Kouichiro; Kokubo, Yota; Maeda, Ichinosuke; Hibino, Shingo

2016-05-01

Feedback devices are used to improve the quality of chest compression (CC). However, reports have noted that accelerometers substantially overestimate depth when cardiopulmonary resuscitation (CPR) is performed on a soft surface. Here, we determined whether a flexible pressure sensor could correctly evaluate the depth CC performed on a mannequin placed on a mattress. Chest compression was performed 100 times/min by a compression machine on the floor or a mattress, and the depth of CC was monitored using a flexible pressure sensor (Shinnosukekun) and CPRmeter(™). The depth of machine-performed CC was consistently 5cm. We compared data from the feedback sensor with the true depth of CC using dual real-time auto feedback system that incorporated an infrared camera (CPR evolution(™)). On the floor, the true depth of CC was 5.0±0.0cm (n=100), or identical to the depth of CC performed by the machine. The Shinnosukekun(™) measured a mean (±SD) CC depth of 5.0±0.1cm (n=100), and the CPRmeter(™) measured a depth of 5.0±0.2cm (n=100). On the mattress, the true depth of CC was 4.4±0.0cm (n=100). The Shinnosukekun(™) measured a mean CC depth of 4.4±0.0cm (n=100), and the CPRmeter(™) measured a depth of 4.7±0.1cm (n=100). The data of CPRmeter(™) were overestimated (P<.0001 between the true depth and the CPRmeter(™)-measured depth). The Shinnosukekun(™) could correctly measure the depth of CC on a mattress. According to our present results, the flexible pressure sensor could be a useful feedback system for CC performed on a soft surface. Copyright © 2016 Elsevier Inc. All rights reserved.

Why don't some women attend antenatal and postnatal care services?: a qualitative study of community members' perspectives in Garut, Sukabumi and Ciamis districts of West Java Province, Indonesia.

PubMed

Titaley, Christiana R; Hunter, Cynthia L; Heywood, Peter; Dibley, Michael J

2010-10-12

Antenatal, delivery and postnatal care services are amongst the recommended interventions aimed at preventing maternal and newborn deaths worldwide. West Java is one of the provinces of Java Island in Indonesia with a high proportion of home deliveries, a low attendance of four antenatal services and a low postnatal care uptake. This paper aims to explore community members' perspectives on antenatal and postnatal care services, including reasons for using or not using these services, the services received during antenatal and postnatal care, and cultural practices during antenatal and postnatal periods in Garut, Sukabumi and Ciamis districts of West Java province. A qualitative study was conducted from March to July 2009 in six villages in three districts of West Java province. Twenty focus group discussions (FGDs) and 165 in-depth interviews were carried out involving a total of 295 respondents. The guidelines for FGDs and in-depth interviews included the topics of community experiences with antenatal and postnatal care services, reasons for not attending the services, and cultural practices during antenatal and postnatal periods. Our study found that the main reason women attended antenatal and postnatal care services was to ensure the safe health of both mother and infant. Financial difficulty emerged as the major issue among women who did not fulfil the minimum requirements of four antenatal care services or two postnatal care services within the first month after delivery. This was related to the cost of health services, transportation costs, or both. In remote areas, the limited availability of health services was also a problem, especially if the village midwife frequently travelled out of the village. The distances from health facilities, in addition to poor road conditions were major concerns, particularly for those living in remote areas. Lack of community awareness about the importance of these services was also found, as some community members perceived health services to be necessary only if obstetric complications occurred. The services of traditional birth attendants for antenatal, delivery, and postnatal care were widely used, and their roles in maternal and child care were considered vital by some community members. It is important that public health strategies take into account the availability, affordability and accessibility of health services. Poverty alleviation strategies will help financially deprived communities to use antenatal and postnatal health services. This study also demonstrated the importance of health promotion programs for increasing community awareness about the necessity of antenatal and postnatal services.

Service Level Decision-making in Rural Physiotherapy: Development of Conceptual Models.

PubMed

Adams, Robyn; Jones, Anne; Lefmann, Sophie; Sheppard, Lorraine

2016-06-01

Understanding decision-making about health service provision is increasingly important in an environment of increasing demand and constrained resources. Multiple factors are likely to influence decisions about which services will be provided, yet workforce is the most noted factor in the rural physiotherapy literature. This paper draws together results obtained from exploration of service level decision-making (SLDM) to propose 'conceptual' models of rural physiotherapy SLDM. A prioritized qualitative approach enabled exploration of participant perspectives about rural physiotherapy decision-making. Stakeholder perspectives were obtained through surveys and in-depth interviews. Interviews were transcribed verbatim and reviewed by participants. Participant confidentiality was maintained by coding both participants and sites. A system theory-case study heuristic provided a framework for exploration across sites within the investigation area: a large area of one Australian state with a mix of regional, rural and remote communities. Thirty-nine surveys were received from participants in 11 communities. Nineteen in-depth interviews were conducted with physiotherapists and key decision-makers. Results reveal the complexity of factors influencing rural physiotherapy service provision and the value of a systems approach when exploring decision-making about rural physiotherapy service provision. Six key features were identified that formed the rural physiotherapy SLDM system: capacity and capability; contextual influences; layered decision-making; access issues; value and beliefs; and tensions and conflict. Rural physiotherapy SLDM is not a one-dimensional process but results from the complex interaction of clusters of systems issues. Decision-making about physiotherapy service provision is influenced by both internal and external factors. Similarities in influencing factors and the iterative nature of decision-making emerged, which enabled linking physiotherapy SLDM with clinical decision-making and placing both within the broader healthcare context. The conceptual models provide a way of thinking about decisions informing rural physiotherapy service provision. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

A collaborative exploration of the reasons for lower satisfaction with services among Bangladeshi and Pakistani social care users.

PubMed

Blake, Margaret; Bowes, Alison; Gill, Valdeep; Husain, Fatima; Mir, Ghazala

2017-05-01

This study explored underlying reasons for the expression of dissatisfaction with services among Bangladeshi and Pakistani social care users in England and investigated, using a collaborative approach, how these could be addressed. In-depth interviews were conducted in Birmingham, Leeds and London during 2012-2013 with 63 Bangladeshi, Pakistani and white British service users and 24 social care managers, social workers and care workers. A further 34 cognitive interviews were conducted within the same study. Following data analysis, three collaborative workshops involving service users and providers were held to validate the findings and to draw out policy and practice recommendations. Analysis of the cognitive interviews showed that higher dissatisfaction among Bangladeshi and Pakistani service users reported in social care surveys was not due to questionnaire design. Instead in-depth interviews showed that dissatisfaction across all three groups was expressed along the social care journey, including accessing care, communication with social workers and the nature of care received. While many issues were common to all three groups, cultural differences also emerged as affecting experiences of social care. These included misunderstandings about family roles in care; gender issues, especially relating to women; language and communication barriers, alongside the need for a more nuanced approach to ethnic 'matching'; and continuing limited cultural understanding among care workers. The collaborative workshops identified practical actions that could address some of the issues identified. These covered raising awareness of services within communities; improving support for informal carers; service user input to assessments; consistent and ongoing sharing of information; improving access; and more efforts to diversify and appropriately train the social care workforce. In conclusion, the paper presents the reality of dissatisfaction among these groups and argues for more action involving communities and service providers to address these persistent issues collaboratively. © 2016 John Wiley & Sons Ltd.

Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme – a systems approach

PubMed Central

2014-01-01

Background Assuring equitable universal access to essential health services without exposure to undue financial hardship requires adequate resource mobilization, efficient use of resources, and attention to quality and responsiveness of services. The way providers are paid is a critical part of this process because it can create incentives and patterns of behaviour related to supply. The objective of this work was to describe provider behaviour related to supply of health services to insured clients in Ghana and the influence of provider payment methods on incentives and behaviour. Methods A mixed methods study involving grey and published literature reviews, as well as health management information system and primary data collection and analysis was used. Primary data collection involved in-depth interviews, observations of time spent obtaining service, prescription analysis, and exit interviews with clients. Qualitative data was analysed manually to draw out themes, commonalities, and contrasts. Quantitative data was analysed in Excel and Stata. Causal loop and cause tree diagrams were used to develop a qualitative explanatory model of provider supply incentives and behaviour related to payment method in context. Results There are multiple provider payment methods in the Ghanaian health system. National Health Insurance provider payment methods are the most recent additions. At the time of the study, the methods used nationwide were the Ghana Diagnostic Related Groupings payment for services and an itemized and standardized fee schedule for medicines. The influence of provider payment method on supply behaviour was sometimes intuitive and sometimes counter intuitive. It appeared to be related to context and the interaction of the methods with context and each other rather than linearly to any given method. Conclusions As countries work towards Universal Health Coverage, there is a need to holistically design, implement, and manage provider payment methods reforms from systems rather than linear perspectives, since the latter fail to recognize the effects of context and the between-methods and context interactions in producing net effects. PMID:25096303

A risk-based approach to scheduling audits.

PubMed

Rönninger, Stephan; Holmes, Malcolm

2009-01-01

The manufacture and supply of pharmaceutical products can be a very complex operation. Companies may purchase a wide variety of materials, from active pharmaceutical ingredients to packaging materials, from "in company" suppliers or from third parties. They may also purchase or contract a number of services such as analysis, data management, audit, among others. It is very important that these materials and services are of the requisite quality in order that patient safety and company reputation are adequately protected. Such quality requirements are ongoing throughout the product life cycle. In recent years, assurance of quality has been derived via audit of the supplier or service provider and by using periodic audits, for example, annually or at least once every 5 years. In the past, companies may have used an audit only for what they considered to be "key" materials or services and used testing on receipt, for example, as their quality assurance measure for "less important" supplies. Such approaches changed as a result of pressure from both internal sources and regulators to the time-driven audit for all suppliers and service providers. Companies recognised that eventually they would be responsible for the quality of the supplied product or service and audit, although providing only a "snapshot in time" seemed a convenient way of demonstrating that they were meeting their obligations. Problems, however, still occur with the supplied product or service and will usually be more frequent from certain suppliers. Additionally, some third-party suppliers will no longer accept routine audits from individual companies, as the overall audit load can exceed one external audit per working day. Consequently a different model is needed for assessing supplier quality. This paper presents a risk-based approach to creating an audit plan and for scheduling the frequency and depth of such audits. The approach is based on the principles and process of the Quality Risk Management guideline (ICH Q9) of the International Conference on Harmonisation (ICH). It proposes that if regulatory conditions allow, it may be possible to remove the need to conduct audits on the sole basis of time elapsed since the last audit, or at least to increase the time interval between such audits without compromising either patient safety or company reputation. The proposal is equally applicable to both large and small companies. Small companies may find it particularly useful in cases where they use a supplier that may have a monopoly position or that serves many other pharmaceutical companies. In such circumstances the supplier may be reluctant or even refuse to accept audits from some individual companies because of their low purchasing levels. A similar approach could be proposed for regulatory authorities for the scheduling of regulatory inspections.

Clinical directors' views of centralisation and commissioning of cleft services in the U.K.

PubMed

Searle, Aidan; Scott, Julia K; Sandy, Jonathan; Ness, Andrew; Waylen, Andrea

2015-01-22

To determine the views of Clinical Directors working in the United Kingdom (U.K.) Cleft Service with regard to centralisation, commissioning and impact on cleft service provision. In-depth qualitative interviews were conducted with 11 Clinical Directors representing regional cleft services. Interviews were transcribed verbatim, a coding frame was developed by two researchers and transcripts were coded using a thematic, 'interpretive' approach. Clinical Directors perceived the commissioning of cleft services in the U.K. to be dependent upon historical agreements and individual negotiation despite service centralisation. Furthermore, Clinical Directors perceived unfairness in the commissioning and funding of cleft services and reported inconsistencies in funding models and service costs that have implications for delivering an equitable cleft service with an effective Multidisciplinary Team. National Health Service (NHS) commissioning bodies can learn lessons from the centralisation of cleft care. Clinical Directors' accounts of their relationships with specialist commissioning bodies and their perspectives of funding cleft services may serve to increase parity and improve the commissioning of cleft services in the U.K.

Skin contamination dosimeter

DOEpatents

Hamby, David M [Corvallis, OR; Farsoni, Abdollah T [Corvallis, OR; Cazalas, Edward [Corvallis, OR

2011-06-21

A technique and device provides absolute skin dosimetry in real time at multiple tissue depths simultaneously. The device uses a phoswich detector which has multiple scintillators embedded at different depths within a non-scintillating material. A digital pulse processor connected to the phoswich detector measures a differential distribution (dN/dH) of count rate N as function of pulse height H for signals from each of the multiple scintillators. A digital processor computes in real time from the differential count-rate distribution for each of multiple scintillators an estimate of an ionizing radiation dose delivered to each of multiple depths of skin tissue corresponding to the multiple scintillators embedded at multiple corresponding depths within the non-scintillating material.

[Fire behavior of Mongolian oak leaves fuel bed under no-wind and zero-slope conditions. II. Analysis of the factors affecting flame length and residence time and related prediction models].

PubMed

Zhang, Ji-Li; Liu, Bo-Fei; Di, Xue-Ying; Chu, Teng-Fei; Jin, Sen

2012-11-01

Taking fuel moisture content, fuel loading, and fuel bed depth as controlling factors, the fuel beds of Mongolian oak leaves in Maoershan region of Northeast China in field were simulated, and a total of one hundred experimental burnings under no-wind and zero-slope conditions were conducted in laboratory, with the effects of the fuel moisture content, fuel loading, and fuel bed depth on the flame length and its residence time analyzed and the multivariate linear prediction models constructed. The results indicated that fuel moisture content had a significant negative liner correlation with flame length, but less correlation with flame residence time. Both the fuel loading and the fuel bed depth were significantly positively correlated with flame length and its residence time. The interactions of fuel bed depth with fuel moisture content and fuel loading had significant effects on the flame length, while the interactions of fuel moisture content with fuel loading and fuel bed depth affected the flame residence time significantly. The prediction model of flame length had better prediction effect, which could explain 83.3% of variance, with a mean absolute error of 7.8 cm and a mean relative error of 16.2%, while the prediction model of flame residence time was not good enough, which could only explain 54% of variance, with a mean absolute error of 9.2 s and a mean relative error of 18.6%.

Exploring patients' reasons for participation in a medical education home visit program: a qualitative study in Malaysia.

PubMed

Tan, Chai-Eng; Jaffar, Aida; Tohit, Noorlaili; Hamzah, Zuhra; Hashim, Syahnaz Mohd

2017-06-01

Direct contact with patients for medical education is essential in healthcare professional training. Patients who were recruited for a medical education home visit program in Malaysia did so on a voluntary basis without remuneration. This paper aims to explore their reasons for participation in this program. An exploratory qualitative study was conducted on patients who had been visited during the 2012/2013 academic session. Purposive sampling was done to select adult participants from varying ethnicities and ages from the list of patients. In-depth interviews were conducted at the participants' homes and were audio recorded. The transcripts of these interviews were analyzed using thematic analysis. A total of nine in-depth interviews were conducted. Four main themes were identified from thematic analysis: 1) Perceived meaning of the visit; 2) Perceived benefits and risks; 3) Past healthcare experiences; 4) Availability for visits. The home visits meant different things to different participants, including a teaching-learning encounter, a social visit, a charitable deed or a healthcare check-up. The benefits and risks of accepting unknown students to their homes and sharing their health issues with them had been weighed prior to participation. Prior experience with healthcare services such as gratitude to healthcare providers or having a relative in the healthcare profession increased their receptivity for involvement. Lastly, enabling factors such as availability of time would determine their acceptance for home visits. Patients agree to participate in medical education activities on a voluntary basis for various reasons. Providing good healthcare service and sufficient preparation are crucial to increase patient receptivity for such activities.

Real-time audiovisual feedback system in a physician-staffed helicopter emergency medical service in Finland: the quality results and barriers to implementation.

PubMed

Sainio, Marko; Kämäräinen, Antti; Huhtala, Heini; Aaltonen, Petri; Tenhunen, Jyrki; Olkkola, Klaus T; Hoppu, Sanna

2013-07-01

To evaluate the quality of cardiopulmonary resuscitation (CPR) in a physician staffed helicopter emergency medical service (HEMS) using a monitor-defibrillator with a quality analysis feature. As a post hoc analysis, the potential barriers to implementation were surveyed. The quality of CPR performed by the HEMS from November 2008 to April 2010 was analysed. To evaluate the implementation rate of quality analysis, the HEMS database was screened for all cardiac arrest missions during the study period. As a consequence of the observed low implementation rate, a survey was sent to physicians working in the HEMS to evaluate the possible reasons for not utilizing the automated quality analysis feature. During the study period, the quality analysis was used for 52 out of 187 patients (28%). In these cases the mean compression depth was < 40 mm in 46% and < 50 mm in 96% of the 1-min analysis intervals, but otherwise CPR quality corresponded with the 2005 resuscitation guidelines. In particular, the no-flow fraction was remarkably low 0.10 (0.07, 0.16). The most common reasons for not using quality-controlled CPR were that the device itself was not taken to the scene, or not applied to the patient, because another EMS unit was already treating the patient with another defibrillator. When quality-controlled CPR technology was used, the indicators of good quality CPR as described in the 2005 resuscitation guidelines were mostly achieved albeit with sufficient compression depth. The use of the well-described technology in improving patient care was low. Wider implementation of the automated quality control and feedback feature in defibrillators could further improve the quality of CPR on the field. ClinicalTrials.gov (NCT00951704).

Time and its uses in accounts of conditional discharge in forensic psychiatry.

PubMed

Coffey, Michael

2013-11-01

Time is a recurring feature of storied accounts of health and social care. This article addresses the use of time in accounts of conditionally discharged patients and workers in forensic psychiatry. This study contributes new knowledge about time and its uses by a seldom heard group. An analysis of time-relevant discourse taken from 59 in-depth interviews with patients and their workers is provided to show regularities and discontinuities in schedules of post-discharge supervision in community living. Regularities included timed phases for achieving discretionary permission for greater liberty from services. Discontinuities indicate mismatches between hospital and community time and patient and professional time. Benchmarking by patients is an important resource and allows comparisons and measurements of stages in the discharge process. The discharged patients showed awareness of deviance and implicated time as an important resource in claiming ordinary identities. The participants produced progressive stories to show their incremental movement towards recovery and, ultimately, establish their non-deviant identities. The workers use time as just one part of a complex display of professional judgement of continued risk status. Fixed periods of elapsed time are necessary but not sufficient criteria for workers to reduce surveillance. Time remains a useful resource for patients to chart their way towards more routine identities. © 2013 The Author. Sociology of Health & Illness © 2013 Foundation for the Sociology of Health & Illness/John Wiley & Sons Ltd.

Effect of bench time polymerization on depth of cure of dental composite resin

NASA Astrophysics Data System (ADS)

Harahap, K.; Yudhit, A.; Sari, F.

2017-07-01

The aim of this research was to investigate the effect of bench time before light cured polymerization on the depth of cure of dental composite resin. Nanofiller composite resin (Filtek Z350 XT,3M, ESPE,China) was used in this study. Sixty samples of nanofiller composite resin were made and divided into control and test groups with bench time for 0, 15, 30, 45, and 60 min. For the test group, composite resins were stored in refrigerator with 4°C temperatures. Meanwhile, for the control groups, the composite resin was stored at room temperature. The samples were prepared using metal mould with size diameter of 6 mm and 4 mm in thickness. Samples were cured for 20 s by using visible blue light curing unit. Part of samples that unpolymerized were removed by using a plastic spatula. The remaining parts of samples were measured by digital caliper and noted as depth of cure (mm). Data were analyzed to one-way ANOVA and LSD tests (p≤0.05). Results showed there was no significance differences between test groups (p=0.5). A 60 minutes bench time group showed the highest depth of cure value among test group, and it was almost similar with control group value. It can be concluded that longer bench time can increase the depth of cure of composite resin.

The Efficacy of LUCAS in Prehospital Cardiac Arrest Scenarios: A Crossover Mannequin Study.

PubMed

Gyory, Robert A; Buchle, Scott E; Rodgers, David; Lubin, Jeffrey S

2017-04-01

High-quality cardiopulmonary resuscitation (CPR) is critical for successful cardiac arrest outcomes. Mechanical devices may improve CPR quality. We simulated a prehospital cardiac arrest, including patient transport, and compared the performance of the LUCAS™ device, a mechanical chest compression-decompression system, to manual CPR. We hypothesized that because of the movement involved in transporting the patient, LUCAS would provide chest compressions more consistent with high-quality CPR guidelines. We performed a crossover-controlled study in which a recording mannequin was placed on the second floor of a building. An emergency medical services (EMS) crew responded, defibrillated, and provided either manual or LUCAS CPR. The team transported the mannequin through hallways and down stairs to an ambulance and drove to the hospital with CPR in progress. Critical events were manually timed while the mannequin recorded data on compressions. Twenty-three EMS providers participated. Median time to defibrillation was not different for LUCAS compared to manual CPR (p=0.97). LUCAS had a lower median number of compressions per minute (112/min vs. 125/min; IQR = 102-128 and 102-126 respectively; p<0.002), which was more consistent with current American Heart Association CPR guidelines, and percent adequate compression rate (71% vs. 40%; IQR = 21-93 and 12-88 respectively; p<0.002). In addition, LUCAS had a higher percent adequate depth (52% vs. 36%; IQR = 25-64 and 29-39 respectively; p<0.007) and lower percent total hands-off time (15% vs. 20%; IQR = 10-22 and 15-27 respectively; p<0.005). LUCAS performed no differently than manual CPR in median compression release depth, percent fully released compressions, median time hands off, or percent correct hand position. In our simulation, LUCAS had a higher rate of adequate compressions and decreased total hands-off time as compared to manual CPR. Chest compression quality may be better when using a mechanical device during patient movement in prehospital cardiac arrest patient.

Zero-Inertial Recession for a Kinematic Wave Model

USDA-ARS?s Scientific Manuscript database

Kinematic-wave models of surface irrigation assume a fixed relationship between depth and discharge (typically, normal depth). When surface irrigation inflow is cut off, the calculated upstream flow depth goes to zero, since the discharge is zero. For short time steps, use of the Kinematic Wave mode...

Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study.

PubMed

Ganle, John Kuumuori; Otupiri, Easmon; Obeng, Bernard; Edusie, Anthony Kwaku; Ankomah, Augustine; Adanu, Richard

2016-01-01

While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana. A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling's thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers' insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability. Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and patient-centred training for healthcare providers as well as the provision of disability-friendly transport and healthcare facilities and services are needed.

Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study

PubMed Central

Ganle, John Kuumuori; Otupiri, Easmon; Obeng, Bernard; Edusie, Anthony Kwaku; Ankomah, Augustine; Adanu, Richard

2016-01-01

Background While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana. Methods and Findings A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling’s thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers’ insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability. Conclusions Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and patient-centred training for healthcare providers as well as the provision of disability-friendly transport and healthcare facilities and services are needed. PMID:27347880

Interpreting Repeated Temperature-Depth Profiles for Groundwater Flow

NASA Astrophysics Data System (ADS)

Bense, Victor F.; Kurylyk, Barret L.; van Daal, Jonathan; van der Ploeg, Martine J.; Carey, Sean K.

2017-10-01

Temperature can be used to trace groundwater flows due to thermal disturbances of subsurface advection. Prior hydrogeological studies that have used temperature-depth profiles to estimate vertical groundwater fluxes have either ignored the influence of climate change by employing steady-state analytical solutions or applied transient techniques to study temperature-depth profiles recorded at only a single point in time. Transient analyses of a single profile are predicated on the accurate determination of an unknown profile at some time in the past to form the initial condition. In this study, we use both analytical solutions and a numerical model to demonstrate that boreholes with temperature-depth profiles recorded at multiple times can be analyzed to either overcome the uncertainty associated with estimating unknown initial conditions or to form an additional check for the profile fitting. We further illustrate that the common approach of assuming a linear initial temperature-depth profile can result in significant errors for groundwater flux estimates. Profiles obtained from a borehole in the Veluwe area, Netherlands in both 1978 and 2016 are analyzed for an illustrative example. Since many temperature-depth profiles were collected in the late 1970s and 1980s, these previously profiled boreholes represent a significant and underexploited opportunity to obtain repeat measurements that can be used for similar analyses at other sites around the world.

Effects of repetitive or intensified instructions in telephone assisted, bystander cardiopulmonary resuscitation: an investigator-blinded, 4-armed, randomized, factorial simulation trial.

PubMed

van Tulder, R; Roth, D; Krammel, M; Laggner, R; Heidinger, B; Kienbacher, C; Novosad, H; Chwojka, C; Havel, C; Sterz, F; Schreiber, W; Herkner, H

2014-01-01

Compression depth is frequently suboptimal in cardiopulmonary resuscitation (CPR). We investigated effects of intensified wording and/or repetitive target depth instructions on compression depth in telephone-assisted, protocol driven, bystander CPR on a simulation manikin. Thirty-two volunteers performed 10 min of compression only-CPR in a prospective, investigator-blinded, 4-armed, factorial setting. Participants were randomized either to standard wording ("push down firmly 5 cm"), intensified wording ("it is very important to push down 5 cm every time") or standard or intensified wording repeated every 20s. Three dispatchers were randomized to give these instructions. Primary outcome was relative compression depth (absolute compression depth minus leaning depth). Secondary outcomes were absolute distance, hands-off times as well as BORG-scale and nine-hole peg test (NHPT), pulse rate and blood pressure to reflect physical exertion. We applied a random effects linear regression model. Relative compression depth was 35 ± 10 mm (standard) versus 31 ± 11 mm (intensified wording) versus 25 ± 8 mm (repeated standard) and 31 ± 14 mm (repeated intensified wording). Adjusted for design, body mass index and female sex, intensified wording and repetition led to decreased compression depth of 13 (95%CI -25 to -1) mm (p=0.04) and 9 (95%CI -21 to 3) mm (p=0.13), respectively. Secondary outcomes regarding intensified wording showed significant differences for absolute distance (43 ± 2 versus 20 (95%CI 3-37) mm; p=0.01) and hands-off times (60 ± 40 versus 157 (95%CI 63-251) s; p=0.04). In protocol driven, telephone-assisted, bystander CPR, intensified wording and/or repetitive target depth instruction will not improve compression depth compared to the standard instruction. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Worker Dislocation and Its Consequences.

ERIC Educational Resources Information Center

Rosenbaum, Allan; Zirkin, Barbara G.

A study examined the socioeconomic characteristcs, family and social supportive services, economic and social difficulties, education and training levels, and ways in which dislocated workers in Maryland found reemployment. Data were collected from in-depth personal interviews with 9 dislocated workers, questionnaires administered to 45 unemployed…

7 CFR 3400.14 - Proposal review.

Code of Federal Regulations, 2010 CFR

2010-01-01

... SERVICE, DEPARTMENT OF AGRICULTURE SPECIAL RESEARCH GRANTS PROGRAM Scientific Peer Review of Research... employees of the Department, the respective peer review group, and ad hoc reviewers, as required. Written...-depth discussions will be provided by peer review group members prior to recommending applications for...

Reproductive rights and options available to women infected with HIV in Ghana: perspectives of service providers from three Ghanaian health facilities.

PubMed

Laar, Amos Kankponang

2013-03-15

Owing to improved management of HIV and its associated opportunistic infections, many HIV-positive persons of reproductive age are choosing to exercise their right of parenthood. This study explored the knowledge of health workers from two Ghanaian districts on the reproductive rights and options available to HIV-positive women who wish to conceive. Facility-based cross-sectional in design, the study involved the entire population of nurse counselors (32) and medical officers (3) who provide counseling and testing services to clients infected with HIV. Both structured and in-depth interviews were conducted after informed consent. Two main perspectives were revealed. There was an overwhelmingly high level of approbation by the providers on HIV-positive women's right to reproduction (94.3%). At the same time, the providers demonstrated a lack of knowledge regarding the various reproductive options available to women infected with HIV. Site of facility, and being younger were associated with practices that violated client's right to contraceptive counseling (p < 0.05) in each case. Some of the providers openly expressed their inability to give qualified guidance to HIV-positive women on the various reproductive options. Taken together, these findings suggest that many HIV-positive clients do not receive comprehensive information about their reproductive options. These findings highlight some of the problems that service providers face as HIV counselors. Both service providers and policy makers need to recognize these realities and incorporate reproductive health issues of HIV-persons into the existing guidelines.

Patterns of health service utilization at a medical school clinic in Ghana.

PubMed

Yawson, A E; Malm, K L; Adu, A A; Wontumi, G-M; Biritwum, R B

2012-09-01

The University of Ghana Medical School (UGMS) Clinic provides healthcare service which is free at point of service to students, staff, retired staff and dependents of staff of the College of Health Sciences. However, since 1983, no in-depth review of health service provision or utilization has been undertaken. This study reviewed client characteristics, utilization and disease patterns at the clinic and also compared the disease patterns to that of other primary health facilities nationwide. This was an analytical cross-sectional study undertaken at the UGMS clinic in Korle-Bu. It was a retrospective review of records of all clients attending the facility from January 2002 to December, 2004. More males than females attended the clinic and majority (63.9%) of clients were between 15-44 years (median age was 26 years). Dependents of staff constituted the highest attendants (41%) to the clinic. Among staff, junior staffs were in the majority. Malaria, respiratory tract infection and musculoskeletal pain were the most common conditions seen. Overall, 83% of clients were treated and discharged per visit without the need for review visits. Dependents of staff used the facility the most and they live in many different part of the city of Accra, and to ask them to attend the clinic for care is not efficient. It will be better to provide or supplement their securing of insurance so that they could access health care close to their homes and save time and attention to students and staff.

Infectious disease health services for refugees and asylum seekers during a time of crisis: A scoping study of six European Union countries.

PubMed

Bozorgmehr, Kayvan; Samuilova, Mariya; Petrova-Benedict, Roumyana; Girardi, Enrico; Piselli, Pierluca; Kentikelenis, Alexander

2018-04-11

Systematic information on infectious disease services provided to refugees and asylum seekers in the European Union (EU) is sparse. We conducted a scoping study of experts in six EU countries in order to map health system responses related to infectious disease prevention and control among refugees and asylum seekers. We conducted 27 semi-structured in-depth interviews with first-line staff and health officials to collect information about existing guidelines and practices at each stage of reception in first-entry (Greece/Italy), transit (Croatia/Slovenia), and destination countries (Austria/Sweden). Thematic coding was used to perform a content analysis of interview material. Guidance on infectious disease screening and health assessments lack standardisation across and-partly-within countries. Data collection on notifiable infectious diseases is mainly reported to be performed by national public health institutions, but is not stratified by migrant status. Health-related information is not transferred in a standardized way between facilities within a single country. International exchange of medical information between countries along the migration route is irregular. Services were reported to be fragmented, and respondents mentioned no specific coordination bodies beyond health authorities at different levels. Infectious disease health services provided to refugees and asylum seekers lack standardisation in health assessments, data collection, transfer of health-related information and (partly) coordination. This may negatively affect health system performance including public health emergency preparedness. Copyright © 2018 Elsevier B.V. All rights reserved.

Medium and long-term adherence to postabortion contraception among women having experienced unsafe abortion in Dar es Salaam, Tanzania

PubMed Central

Rasch, Vibeke; Yambesi, Fortunata; Massawe, Siriel

2008-01-01

Background Postabortion contraceptive service is considered an effective means in addressing the problem of unsafe abortion; in spite this fact this component remains one of the weakest parts of postabortion care. In this context, the paper aims to describe the impact of a postabortion contraceptive service intervention among women admitted with complications from unsafe abortions and to explore the women's long-term contraceptive adherence. Methods 392 women having experienced unsafe abortion were identified by an empathetic approach and offered postabortion contraceptive service, which included counselling on HIV and condom use. Questionnaire interviews about contraceptive use were conducted at the time of inclusion and 12 months after the abortion. Additionally, in-depth interviews were performed 6–12 months after the abortion. Results Eighty-nine percent of the women accepted postabortion contraception. Follow-up information was obtained 12 months after the abortion among 59 percent of the women. Among these, 79 percent of the married women and 84 percent of the single women stated they were using contraception at 12 months. Condom use among the single women increased significantly during the 12 months follow up. Conclusion Postabortion contraceptive services appear to be well accepted by women who are admitted with complications after an unsafe abortion and should thus be recognized as an important means in addressing the problem of unsafe abortion. In addition, counselling about HIV and condom use should be considered an essential aspect of postabortion care. PMID:18667094

Challenges experienced by service providers in the delivery of medico-legal services to survivors of sexual violence in Kenya.

PubMed

Ajema, C; Mukoma, W; Kilonzo, N; Bwire, B; Otwombe, K

2011-05-01

While much discussion has been devoted to defining the standards of care required when offering services to survivors of sexual violence, much less attention has been given to procedures for evidence collection to allow the successful prosecution of perpetrators. In Kenya there are no comprehensive guidelines that outline the roles of the survivor, the community, health care workers, and the police with regard to the handling of forensic evidence, a deficit that contributes to delays in prosecuting, or even a failure to prosecute sex offenders. This study examines some of the obstacles in Kenya to the adequate handling of forensic evidence in sexual violence cases. It was based on in-depth interviews with respondents drawn from health facilities, police stations, civil society organizations and with the Government Chemist in three Kenyan provinces. The study's objective was to examine the existing policy requirements regarding the maintenance of an evidence chain by the health and criminal justice systems, and how effectively they are being implemented. The findings indicate that the quality of the evidence obtained by the health care workers was often deficient, depending on the time elapsed before the rape survivor reports to the health facility; the equipment available at the health facility; the age of the survivor; and the level of knowledge of the service provider regarding the types of evidence to be collected from survivors of sexual violence. Copyright © 2011 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

IMPLEMENTING AN ATTACHMENT-BASED PARENTING INTERVENTION WITHIN HOME-BASED EARLY HEAD START: HOME-VISITORS' PERCEPTIONS AND EXPERIENCES.

PubMed

West, Allison L; Aparicio, Elizabeth M; Berlin, Lisa J; Jones Harden, Brenda

2017-07-01

Implementation of evidence-based interventions in "real-world" settings is enhanced when front-line staff view the intervention as acceptable, appropriate, and feasible. This qualitative study addresses Early Head Start (EHS) home visitors' perceptions and experiences of an evidence-based parenting intervention, the Attachment and Biobehavioral Catch-up program (M. Dozier, O. Lindhiem, & J. Ackerman, 2005), when added to EHS services as usual within the context of a research-practice partnership. Thematic analysis of in-depth, qualitative interviews indicates that home visitors experienced the intervention as positive and helpful for EHS families. Some challenges included scheduling and uncertainty regarding the goals of the intervention. Concerns over participation in the research centered on information exchange, confidentiality, and time limitations. © 2017 Michigan Association for Infant Mental Health.

[Exercising sexual and reproductive rights: a qualitative study of heterosexual people with HIV in Mexico].

PubMed

Campero, Lourdes; Kendall, Tamil; Caballero, Marta; Mena, Ana Lorena; Herrera, Cristina

2010-01-01

To analyze experiences of heterosexual Mexican people living with HIV (PLWHA) related to the exercise of their sexual and reproductive rights. Qualitative study based on 40 in-depth interviews with PLWHA in four Mexican States. Lack of support and counseling limits the exercise of sexual and reproductive rights by PLWHA, especially women. Principal limitations include feelings of frustration and confusion, fear of re-infection, scanty information, lack of power to negotiate condom use, social stigma and discrimination, and limited access to services and adequate technologies. To increase awareness and exercise of rights by PLWHA it is necessary to: improve sexual education; promote processes of cultural change to combat gender inequality and stigma and discrimination; and provide timely and scientific information about HIV prevention.

Subsurface Supergranular Vertical Flows as Measured Using Large Distance Separations in Time-Distance Helioseismology

NASA Technical Reports Server (NTRS)

Duvall, Thomas L., Jr.; Hanasoge, S. M.

2012-01-01

As large-distance rays (say, 10 - 24deg) approach the solar surface approximately vertically, travel times measured from surface pairs for these large separations are mostly sensitive to vertical flows, at least for shallow flows within a few Mm of the solar surface. All previous analyses of supergranulation have used smaller separations and have been hampered by the difficulty of separating the horizontal and vertical flow components. We find that the large-separation travel times associated with supergranulation cannot be studied using the standard phase-speed filters of time-distance helioseismology. These filters, whose use is based upon a refractive model of the perturbations, reduce the resultant travel time signal by at least an order of magnitude at some distances. More effective filters are derived. Modeling suggests that the center-annulus travel-time difference [outward-going time minus inward-going time] in the separation range delta= 10 - 24deg is insensitive to the horizontally diverging flow from the centers of the supergranules and should lead to a constant signal from the vertical flow. Our measurement of this quantity, 5.1+/-0.1 seconds, is constant over the distance range. This magnitude of the signal cannot be caused by the level of upflow at cell centers seen at the photosphere of 10 ms(exp-1) extended in depth. It requires the vertical flow to increase with depth. A simple Gaussian model of the increase with depth implies a peak upward flow of 240 ms(exp-1) at a depth of 2.3 Mm and a peak horizontal flow of 700 ms(exp-1) at a depth of 1.6 Mm.

The temporal distribution of seismic radiation during deep earthquake rupture

USGS Publications Warehouse

Houston, H.; Vidale, J.E.

1994-01-01

The time history of energy release during earthquakes illuminates the process of failure, which remains enigmatic for events deeper than about 100 kilometers. Stacks of teleseismic records from regional arrays for 122 intermediate (depths of 100 to 350 kilometers) and deep (depths of 350 to 700 kilometers) earthquakes show that the temporal pattern of short-period seismic radiation has a systematic variation with depth. On average, for intermediate depth events more radiation is released toward the beginning of the rupture than near the end, whereas for deep events radiation is released symmetrically over the duration of the event, with an abrupt beginning and end of rupture. These findings suggest a variation in the style of rupture related to decreasing fault heterogeneity with depth.The time history of energy release during earthquakes illuminates the process of failure, which remains enigmatic for events deeper than about 100 kilometers. Stacks of teleseismic records from regional arrays for 122 intermediate (depths of 100 to 350 kilometers) and deep (depths of 350 to 700 kilometers) earthquakes show that the temporal pattern of short-period seismic radiation has a systematic variation with depth. On average, for intermediate depth events more radiation is released toward the beginning of the rupture than near the end, whereas for deep events radiation is released symmetrically over the duration of the event, with an abrupt beginning and end of rupture. These findings suggest a variation in the style of rupture related to decreasing fault heterogeneity with depth.

Real-time handling of existing content sources on a multi-layer display

NASA Astrophysics Data System (ADS)

Singh, Darryl S. K.; Shin, Jung

2013-03-01

A Multi-Layer Display (MLD) consists of two or more imaging planes separated by physical depth where the depth is a key component in creating a glasses-free 3D effect. Its core benefits include being viewable from multiple angles, having full panel resolution for 3D effects with no side effects of nausea or eye-strain. However, typically content must be designed for its optical configuration in foreground and background image pairs. A process was designed to give a consistent 3D effect in a 2-layer MLD from existing stereo video content in real-time. Optimizations to stereo matching algorithms that generate depth maps in real-time were specifically tailored for the optical characteristics and image processing algorithms of a MLD. The end-to-end process included improvements to the Hierarchical Belief Propagation (HBP) stereo matching algorithm, improvements to optical flow and temporal consistency. Imaging algorithms designed for the optical characteristics of a MLD provided some visual compensation for depth map inaccuracies. The result can be demonstrated in a PC environment, displayed on a 22" MLD, used in the casino slot market, with 8mm of panel seperation. Prior to this development, stereo content had not been used to achieve a depth-based 3D effect on a MLD in real-time

On-line applications of numerical models in the Black Sea GIS

NASA Astrophysics Data System (ADS)

Zhuk, E.; Khaliulin, A.; Zodiatis, G.; Nikolaidis, A.; Nikolaidis, M.; Stylianou, Stavros

2017-09-01

The Black Sea Geographical Information System (GIS) is developed based on cutting edge information technologies, and provides automated data processing and visualization on-line. Mapserver is used as a mapping service; the data are stored in MySQL DBMS; PHP and Python modules are utilized for data access, processing, and exchange. New numerical models can be incorporated in the GIS environment as individual software modules, compiled for a server-based operational system, providing interaction with the GIS. A common interface allows setting the input parameters; then the model performs the calculation of the output data in specifically predefined files and format. The calculation results are then passed to the GIS for visualization. Initially, a test scenario of integration of a numerical model into the GIS was performed, using software, developed to describe a two-dimensional tsunami propagation in variable basin depth, based on a linear long surface wave model which is legitimate for more than 5 m depth. Furthermore, the well established oil spill and trajectory 3-D model MEDSLIK (http://www.oceanography.ucy.ac.cy/medslik/) was integrated into the GIS with more advanced GIS functionality and capabilities. MEDSLIK is able to forecast and hind cast the trajectories of oil pollution and floating objects, by using meteo-ocean data and the state of oil spill. The MEDSLIK module interface allows a user to enter all the necessary oil spill parameters, i.e. date and time, rate of spill or spill volume, forecasting time, coordinates, oil spill type, currents, wind, and waves, as well as the specification of the output parameters. The entered data are passed on to MEDSLIK; then the oil pollution characteristics are calculated for pre-defined time steps. The results of the forecast or hind cast are then visualized upon a map.

Lake and wetland ecosystem services measuring water storage and local climate regulation

NASA Astrophysics Data System (ADS)

Wong, Christina P.; Jiang, Bo; Bohn, Theodore J.; Lee, Kai N.; Lettenmaier, Dennis P.; Ma, Dongchun; Ouyang, Zhiyun

2017-04-01

Developing interdisciplinary methods to measure ecosystem services is a scientific priority, however, progress remains slow in part because we lack ecological production functions (EPFs) to quantitatively link ecohydrological processes to human benefits. In this study, we tested a new approach, combining a process-based model with regression models, to create EPFs to evaluate water storage and local climate regulation from a green infrastructure project on the Yongding River in Beijing, China. Seven artificial lakes and wetlands were established to improve local water storage and human comfort; evapotranspiration (ET) regulates both services. Managers want to minimize the trade-off between water losses and cooling to sustain water supplies while lowering the heat index (HI) to improve human comfort. We selected human benefit indicators using water storage targets and Beijing's HI, and the Variable Infiltration Capacity model to determine the change in ET from the new ecosystems. We created EPFs to quantify the ecosystem services as marginal values [Δfinal ecosystem service/Δecohydrological process]: (1) Δwater loss (lake evaporation/volume)/Δdepth and (2) Δsummer HI/ΔET. We estimate the new ecosystems increased local ET by 0.7 mm/d (20.3 W/m2) on the Yongding River. However, ET rates are causing water storage shortfalls while producing no improvements in human comfort. The shallow lakes/wetlands are vulnerable to drying when inflow rates fluctuate, low depths lead to higher evaporative losses, causing water storage shortfalls with minimal cooling effects. We recommend managers make the lakes deeper to increase water storage, and plant shade trees to improve human comfort in the parks.

The Costs of Climate Change: Impact of Future Snow Cover Projections on Valuation of Albedo in Forest Management

NASA Astrophysics Data System (ADS)

Burakowski, E. A.; Lutz, D. A.

2014-12-01

Surface albedo provides an important climate regulating ecosystem service, particularly in the mid-latitudes where seasonal snow cover influences surface radiation budgets. In the case of substantial seasonal snow cover, the influence of albedo can equal or surpass the climatic benefits of carbon sequestration from forest growth. Climate mitigation platforms should therefore consider albedo in their framework in order to integrate these two climatic services in an economic context for the effective design and implementation of forest management projects. Over the next century, the influence of surface albedo is projected to diminish under higher emissions scenarios due to an overall decrease in snow depth and duration of snow cover in the mid-latitudes. In this study, we focus on the change in economic value of winter albedo in the northeastern United States projected through 2100 using the Special Report on Emissions Scenarios (SRES) a1 and b1 scenarios. Statistically downscaled temperature and precipitation are used as input to the Variable Infiltration Capacity (VIC) model to provide future daily snow depth fields through 2100. Using VIC projections of future snow depth, projected winter albedo fields over deforested lands were generated using an empirical logarithmic relationship between snow depth and albedo derived from a volunteer network of snow observers in New Hampshire over the period Nov 2011 through 2014. Our results show that greater reductions in snow depth and the number of winter days with snow cover in the a1 compared to the b1 scenario reduce wintertime albedo when forested lands are harvested. This result has implications on future trade-offs among albedo, carbon storage, and timber value that should be investigated in greater detail. The impacts of forest harvest on radiative forcing associated with energy redistribution (e.g., latent heat and surface roughness length) should also be considered in future work.

Improving the Depth-Time Fit of Holocene Climate Proxy Measures by Increasing Coherence with a Reference Time-Series

NASA Astrophysics Data System (ADS)

Rahim, K. J.; Cumming, B. F.; Hallett, D. J.; Thomson, D. J.

2007-12-01

An accurate assessment of historical local Holocene data is important in making future climate predictions. Holocene climate is often obtained through proxy measures such as diatoms or pollen using radiocarbon dating. Wiggle Match Dating (WMD) uses an iterative least squares approach to tune a core with a large amount of 14C dates to the 14C calibration curve. This poster will present a new method of tuning a time series with when only a modest number of 14C dates are available. The method presented uses the multitaper spectral estimation, and it specifically makes use of a multitaper spectral coherence tuning technique. Holocene climate reconstructions are often based on a simple depth-time fit such as a linear interpolation, splines, or low order polynomials. Many of these models make use of only a small number of 14C dates, each of which is a point estimate with a significant variance. This technique attempts to tune the 14C dates to a reference series, such as tree rings, varves, or the radiocarbon calibration curve. The amount of 14C in the atmosphere is not constant, and a significant source of variance is solar activity. A decrease in solar activity coincides with an increase in cosmogenic isotope production, and an increase in cosmogenic isotope production coincides with a decrease in temperature. The method presented uses multitaper coherence estimates and adjusts the phase of the time series to line up significant line components with that of the reference series in attempt to obtain a better depth-time fit then the original model. Given recent concerns and demonstrations of the variation in estimated dates from radiocarbon labs, methods to confirm and tune the depth-time fit can aid climate reconstructions by improving and serving to confirm the accuracy of the underlying depth-time fit. Climate reconstructions can then be made on the improved depth-time fit. This poster presents a run though of this process using Chauvin Lake in the Canadian prairies and Mt. Barr Cirque Lake located in British Columbia as examples.

Medical students are afraid to include abortion in their future practices: in-depth interviews in Maharastra, India.

PubMed

Sjöström, Susanne; Essén, Birgitta; Gemzell-Danielsson, Kristina; Klingberg-Allvin, Marie

2016-01-12

Unsafe abortions are estimated to cause eight per-cent of maternal mortality in India. Lack of providers, especially in rural areas, is one reason unsafe abortions take place despite decades of legal abortion. Education and training in reproductive health services has been shown to influence attitudes and increase chances that medical students will provide abortion care services in their future practice. To further explore previous findings about poor attitudes toward abortion among medical students in Maharastra, India, we conducted in-depth interviews with medical students in their final year of education. We used a qualitative design conducting in-depth interviews with twenty-three medical students in Maharastra applying a topic guide. Data was organized using thematic analysis with an inductive approach. The participants described a fear to provide abortion in their future practice. They lacked understanding of the law and confused the legal regulation of abortion with the law governing gender biased sex selection, and concluded that abortion is illegal in Maharastra. The interviewed medical students' attitudes were supported by their experiences and perceptions from the clinical setting as well as traditions and norms in society. Medical abortion using mifepristone and misoprostol was believed to be unsafe and prohibited in Maharastra. The students perceived that nurse-midwives were knowledgeable in Sexual and Reproductive Health and many found that they could be trained to perform abortions in the future. To increase chances that medical students in Maharastra will perform abortion care services in their future practice, it is important to strengthen their confidence and knowledge through improved medical education including value clarification and clinical training.

Item generation in the development of an inpatient experience questionnaire: a qualitative study

PubMed Central

2013-01-01

Background Patient experience is a key feature of quality improvement in modern health-care delivery. Measuring patient experience is one of several tools used to assess and monitor the quality of health services. This study aims to develop a tool for assessing patient experience with inpatient care in public hospitals in Hong Kong. Methods Based on the General Inpatient Questionnaire (GIQ) framework of the Care Quality Commission as a discussion guide, a qualitative study involving focus group discussions and in-depth individual interviews with patients was employed to develop a tool for measuring inpatient experience in Hong Kong. Results All participants agreed that a patient satisfaction survey is an important platform for collecting patients’ views on improving the quality of health-care services. Findings of the focus group discussions and in-depth individual interviews identified nine key themes as important hospital quality indicators: prompt access, information provision, care and involvement in decision making, physical and emotional needs, coordination of care, respect and privacy, environment and facilities, handling of patient feedback, and overall care from health-care professionals and quality of care. Privacy, complaint mechanisms, patient involvement, and information provision were further highlighted as particularly important areas for item revision by the in-depth individual interviews. Thus, the initial version of the Hong Kong Inpatient Experience Questionnaire (HKIEQ), comprising 58 core items under nine themes, was developed. Conclusions A set of dimensions and core items of the HKIEQ was developed and the instrument will undergo validity and reliability tests through a validation survey. A valid and reliable tool is important in accurately assessing patient experience with care delivery in hospitals to improve the quality of health-care services. PMID:23835186

Detainee optometry at Camp Cropper, Iraq, 2009-2010.

PubMed

White, Thomas M; Elledge, James B

2012-06-01

This article details the first in-depth analysis of an Optometry Service working with a large Middle Eastern detainee population composed entirely of Iraqi males. The mission of the Camp Cropper Optometry Service was to provide eye care services to the detainee population consistent with the standards of optometric care that would be provided to any U.S. military member in the same geographic area. This included providing detainees with eyeglasses, therapeutic treatment of eye disease, and referral for treatment of medical conditions and surgical care, if it was needed and available at the U.S. military facilities in the Iraq Theater. Diagnoses, services provided, and medications given to the detainees are listed in detail and demonstrate the complexity of pathology encountered in this population.

[Legal health services of abortion in Uruguay. Strategies of the primary health care public services].

PubMed

López-Gómez, Alejandra; Couto, Martín; Píriz, Gabriela; Monza, Ana; Abracinskas, Lilián; Ituarte, María Luisa

2017-01-01

To analyze the strategies developed by the health centers to implement the law of legal abortion (LA) in public services of the primary care in Montevideo, Uruguay. A qualitative research was conducted combining techniques of document analysis, self-administered questionnaires to key informants, and in-depth interviews with directors of health centers. A simple summative index of accessibility to abortion services was built. The law approved in Uruguay in 2012 demanded the development of a strategy to promote women's accessibility to LA in the public primary care system. The services failed to fully implement the strategy, due to institutional barriers. Despite the wide availability of LA services in primary care and that they are an integral part of sexual and reproductive health benefits, there is an important barrier to their use in the number of gynecologists that appeal to conscientious objection.

Siderite concretions: indicators of early diagenesis in the Gammon shale (Cretaceous).

USGS Publications Warehouse

Gautier, D.L.

1982-01-01

The Gammon member of the Pierre shale of the northern Great Plains, USA, contains abundant siderite concretions. The relative depth and time of siderite precipitation can be inferred from the structure, mineralogy and isotopic composition of these concretions. Concretions that formed at shallow depths, early in the history of the sediment, contain a high percentage (75-85%) of carbonate, preserve uncompacted structures and have oxygen isotopic ratios similar to that of sea-water. In contrast, concretions that formed later and/or at greater depths have lower carbonate content and lower 18O/16O ratios. Concretions in rapidly deposited sediments formed at shallow depths (<10 m), and those in sediments that accumulated slowly formed at greater depths. These differences agree with the fossil evidence. Siderite did not form until nearly all the dissolved sulphur had been reduced and precipitated as pyrite; the excess organic matter produced methane at about the same time.-H.R.B.

Dynamic analysis of reactive oxygen nitrogen species in plasma-activated culture medium by UV absorption spectroscopy

NASA Astrophysics Data System (ADS)

Brubaker, Timothy R.; Ishikawa, Kenji; Takeda, Keigo; Oh, Jun-Seok; Kondo, Hiroki; Hashizume, Hiroshi; Tanaka, Hiromasa; Knecht, Sean D.; Bilén, Sven G.; Hori, Masaru

2017-12-01

The liquid-phase chemical kinetics of a cell culture basal medium during treatment by an argon-fed, non-equilibrium atmospheric-pressure plasma source were investigated using real-time ultraviolet absorption spectroscopy and colorimetric assays. Depth- and time-resolved NO2- and NO3- concentrations were strongly inhomogeneous and primarily driven by convection during and after plasma-liquid interactions. H2O2 concentrations determined from deconvolved optical depth spectra were found to compensate for the optical depth spectra of excluded reactive species and changes in dissolved gas content. Plasma-activated media remained weakly basic due to NaHCO3 buffering, preventing the H+-catalyzed decomposition of NO2- seen in acidic plasma-activated water. An initial increase in pH may indicate CO2 sparging. Furthermore, the pH-dependency of UV optical depth spectra illustrated the need for pH compensation in the fitting of optical depth data.

There’s plenty of light at the bottom: statistics of photon penetration depth in random media

PubMed Central

Martelli, Fabrizio; Binzoni, Tiziano; Pifferi, Antonio; Spinelli, Lorenzo; Farina, Andrea; Torricelli, Alessandro

2016-01-01

We propose a comprehensive statistical approach describing the penetration depth of light in random media. The presented theory exploits the concept of probability density function f(z|ρ, t) for the maximum depth reached by the photons that are eventually re-emitted from the surface of the medium at distance ρ and time t. Analytical formulas for f, for the mean maximum depth 〈zmax〉 and for the mean average depth reached by the detected photons at the surface of a diffusive slab are derived within the framework of the diffusion approximation to the radiative transfer equation, both in the time domain and the continuous wave domain. Validation of the theory by means of comparisons with Monte Carlo simulations is also presented. The results are of interest for many research fields such as biomedical optics, advanced microscopy and disordered photonics. PMID:27256988

Short-term visual memory for location in depth: A U-shaped function of time.

PubMed

Reeves, Adam; Lei, Quan

2017-10-01

Short-term visual memory was studied by displaying arrays of four or five numerals, each numeral in its own depth plane, followed after various delays by an arrow cue shown in one of the depth planes. Subjects reported the numeral at the depth cued by the arrow. Accuracy fell with increasing cue delay for the first 500 ms or so, and then recovered almost fully. This dipping pattern contrasts with the usual iconic decay observed for memory traces. The dip occurred with or without a verbal or color-shape retention load on working memory. In contrast, accuracy did not change with delay when a tonal cue replaced the arrow cue. We hypothesized that information concerning the depths of the numerals decays over time in sensory memory, but that cued recall is aided later on by transfer to a visual memory specialized for depth. This transfer is sufficiently rapid with a tonal cue to compensate for the sensory decay, but it is slowed by the need to tag the arrow cue's depth relative to the depths of the numerals, exposing a dip when sensation has decayed and transfer is not yet complete. A model with a fixed rate of sensory decay and varied transfer rates across individuals captures the dip as well as the cue modality effect.

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

PubMed

Muething, S E; Conway, P H; Kloppenborg, E; Lesko, A; Schoettker, P J; Seid, M; Kotagal, U

2010-10-01

To describe how in-depth analysis of adverse events can reveal underlying causes. Triggers for adverse events were developed using the hospital's computerised medical record (naloxone for opiate-related oversedation and administration of a glucose bolus while on insulin for insulin-related hypoglycaemia). Triggers were identified daily. Based on information from the medical record and interviews, a subject expert determined if an adverse drug event had occurred and then conducted a real-time analysis to identify event characteristics. Expert groups, consisting of frontline staff and specialist physicians, examined event characteristics and determined the apparent cause. 30 insulin-related hypoglycaemia events and 34 opiate-related oversedation events were identified by the triggers over 16 and 21 months, respectively. In the opinion of the experts, patients receiving continuous-infusion insulin and those receiving dextrose only via parenteral nutrition were at increased risk for insulin-related hypoglycaemia. Lack of standardisation in insulin-dosing decisions and variation regarding when and how much to adjust insulin doses in response to changing glucose levels were identified as common causes of the adverse events. Opiate-related oversedation events often occurred within 48 h of surgery. Variation in pain management in the operating room and post-anaesthesia care unit was identified by the experts as potential causes. Variations in practice, multiple services writing orders, multidrug regimens and variations in interpretation of patient assessments were also noted as potential contributing causes. Identification of adverse drug events through an automated trigger system, supplemented by in-depth analysis, can help identify targets for intervention and improvement.

Accommodating permafrost in contaminant transport modeling, a preliminary approach to modify the TREECS modeling tools

NASA Astrophysics Data System (ADS)

Ryder, J. L.; Dortch, M. S.; Johnson, B. E.

2017-12-01

Efforts are underway to adapt TREECS (Training Range Environmental Evaluation and Characterization System) for use in arctic or subarctic conditions where the extent and duration of snowpack and frozen ground may influence the development and concentration of contaminant plumes. TREECS is a multi-media model designed to aid facility managers in the long term stewardship of Army properties. TREECS includes sub-models for mass loading, soil, vadose zone, aquifer, and stream transport. Potential changes to the sub-models to improve the ability to model contaminant transport in areas with permafrost include accurately representing the dissolution of contaminants over a wider range of temperatures, estimating snow depth and ablation for both the hydrology and thermal conditions, determining ground freeze/thaw state and an average active layer depth, a more precise method to estimate a vertical transport time to a water table, and a soil interflow routine that adapts for permafrost condition. In this presentation we will show three sub-model comparisons 1) the use of the National Weather Service SNOW-17 model and the current TREECS snowmelt routines for input hydrology, 2) a Continuous Frozen Ground Index (CFGI) model and the Geophysical Institute Permafrost Lab model (GIPL 1.0) for determining active layer depth and summer season length, and 3) the use of HYDRUS-1D and the current TREECS vadose zone model for transport to the water table. The performance vs input needs, assumptions, and limitations of each approach, as well as the physical system uncertainties will also be discussed.

Contaminant transport in soil with depth-dependent reaction coefficients and time-dependent boundary conditions.

PubMed

Gao, Guangyao; Fu, Bojie; Zhan, Hongbin; Ma, Ying

2013-05-01

Predicting the fate and movement of contaminant in soils and groundwater is essential to assess and reduce the risk of soil contamination and groundwater pollution. Reaction processes of contaminant often decreased monotonously with depth. Time-dependent input sources usually occurred at the inlet of natural or human-made system such as radioactive waste disposal site. This study presented a one-dimensional convection-dispersion equation (CDE) for contaminant transport in soils with depth-dependent reaction coefficients and time-dependent inlet boundary conditions, and derived its analytical solution. The adsorption coefficient and degradation rate were represented as sigmoidal functions of soil depth. Solute breakthrough curves (BTCs) and concentration profiles obtained from CDE with depth-dependent and constant reaction coefficients were compared, and a constant effective reaction coefficient, which was calculated by arithmetically averaging the depth-dependent reaction coefficient, was proposed to reflect the lumped depth-dependent reaction effect. With the effective adsorption coefficient and degradation rate, CDE could produce similar BTCs and concentration profiles as those from CDE with depth-dependent reactions in soils with moderate chemical heterogeneity. In contrast, the predicted concentrations of CDE with fitted reaction coefficients at a certain depth departed significantly from those of CDE with depth-dependent reactions. Parametric analysis was performed to illustrate the effects of sinusoidally and exponentially decaying input functions on solute BTCs. The BTCs and concentration profiles obtained from the solutions for finite and semi-infinite domain were compared to investigate the effects of effluent boundary condition. The finite solution produced higher concentrations at the increasing limb of the BTCs and possessed a higher peak concentration than the semi-infinite solution which had a slightly long tail. Furthermore, the finite solution gave a higher concentration in the immediate vicinity of the exit boundary than the semi-infinite solution. The applicability of the proposed model was tested with a field herbicide and tracer leaching experiment in an agricultural area of northeastern Greece. The simulation results indicated that the proposed CDE with depth-dependent reaction coefficients was able to capture the evolution of metolachlor concentration at the upper soil depths. However, the simulation results at deep depths were not satisfactory as the proposed model did not account for preferential flow observed in the field. Copyright © 2013 Elsevier Ltd. All rights reserved.

Public accountability needs to be enforced -a case study of the governance arrangements and accountability practices in a rural health district in Ghana.

PubMed

Van Belle, Sara; Mayhew, Susannah H

2016-10-12

Improving public accountability is currently high on the global agenda. At the same time, the organisation of health services in low- and middle-income countries is taking place in fragmented institutional landscapes. State and non-state actors are involved in increasingly complex governance arrangements. This often leads to coordination problems, confusion of roles and responsibilities and possibly accountability gaps. This study aimed at assessing the governance arrangements and the accountability practices of key health actors at the level of a Ghanaian health district with the aim to understand how far public accountability is achieved. We adopted the case study design as it allows for in-depth analysis of the governance arrangements and accountability relations between actors, their formal policies and actual accountability practices towards the public and towards stakeholders. Data were collected at a rural health district using in-depth interviews, observation and document review. In the analysis, we used a four-step sequence: identification of the key actors and their relationships, description of the multi-level governance arrangements, identification of the actual accountability relations and practices between all actors and finally appraisal of the public accountability practices, which we define as those practices that ensure direct accountability towards the public. In this rural health district with few (international) non-governmental organisations and private sector providers, accountability linkages towards management and partners in health programmes were found to be strong. Direct accountability towards the public, however, was woefully underdeveloped. This study shows that in settings where there is a small number of actors involved in organising health care, and where the state actors are underfunded, the intense interaction can lead to a web of relations that favours collaboration between partners in health service delivery, but fails public accountability. It is clear that new formal channels need to be created by all actors involved in health service delivery to address the demand of the public for accountability. If the public does not find an adequate response to its genuine concerns, distrust between communities and service users on one hand, and providers, international non-governmental organisations and District Health Management Teams on the other is likely to increase to the detriment of all parties' interests.

Design of an impact evaluation using a mixed methods model--an explanatory assessment of the effects of results-based financing mechanisms on maternal healthcare services in Malawi.

PubMed

Brenner, Stephan; Muula, Adamson S; Robyn, Paul Jacob; Bärnighausen, Till; Sarker, Malabika; Mathanga, Don P; Bossert, Thomas; De Allegri, Manuela

2014-04-22

In this article we present a study design to evaluate the causal impact of providing supply-side performance-based financing incentives in combination with a demand-side cash transfer component on equitable access to and quality of maternal and neonatal healthcare services. This intervention is introduced to selected emergency obstetric care facilities and catchment area populations in four districts in Malawi. We here describe and discuss our study protocol with regard to the research aims, the local implementation context, and our rationale for selecting a mixed methods explanatory design with a quasi-experimental quantitative component. The quantitative research component consists of a controlled pre- and post-test design with multiple post-test measurements. This allows us to quantitatively measure 'equitable access to healthcare services' at the community level and 'healthcare quality' at the health facility level. Guided by a theoretical framework of causal relationships, we determined a number of input, process, and output indicators to evaluate both intended and unintended effects of the intervention. Overall causal impact estimates will result from a difference-in-difference analysis comparing selected indicators across intervention and control facilities/catchment populations over time.To further explain heterogeneity of quantitatively observed effects and to understand the experiential dimensions of financial incentives on clients and providers, we designed a qualitative component in line with the overall explanatory mixed methods approach. This component consists of in-depth interviews and focus group discussions with providers, service user, non-users, and policy stakeholders. In this explanatory design comprehensive understanding of expected and unexpected effects of the intervention on both access and quality will emerge through careful triangulation at two levels: across multiple quantitative elements and across quantitative and qualitative elements. Combining a traditional quasi-experimental controlled pre- and post-test design with an explanatory mixed methods model permits an additional assessment of organizational and behavioral changes affecting complex processes. Through this impact evaluation approach, our design will not only create robust evidence measures for the outcome of interest, but also generate insights on how and why the investigated interventions produce certain intended and unintended effects and allows for a more in-depth evaluation approach.

Trust, but verify: social media models for disaster management.

PubMed

Mehta, Amisha M; Bruns, Axel; Newton, Judith

2017-07-01

A lack of trust in the information exchanged via social media may significantly hinder decisionmaking by community members and emergency services during disasters. The need for timely information at such times, though, challenges traditional ways of establishing trust. This paper, building on a multi-year research project that combined social media data analysis and participant observation within an emergency management organisation and in-depth engagement with stakeholders across the sector, pinpoints and examines assumptions governing trust and trusting relationships in social media disaster management. It assesses three models for using social media in disaster management-information gathering, quasi-journalistic verification, and crowdsourcing-in relation to the guardianship of trust to highlight the verification process for content and source and to identify the role of power and responsibilities. The conclusions contain important implications for emergency management organisations seeking to enhance their mechanisms for incorporating user-generated information from social media sources in their disaster response efforts. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

Interpolate with DIVA and view the products in OceanBrowser : what's up ?

NASA Astrophysics Data System (ADS)

Watelet, Sylvain; Barth, Alexander; Beckers, Jean-Marie; Troupin, Charles

2017-04-01

The Data-Interpolating Variational Analysis (DIVA) software is a statistical tool designed to reconstruct a continuous field from discrete measurements. This method is based on the numerical implementation of the Variational Inverse Model (VIM), which consists of a minimization of a cost function, allowing the choice of the analyzed field fitting at best the data sets without presenting unrealistic strong variations. The problem is solved efficiently using a finite-element method. This method, equivalent to the Optimal Interpolation, is particularly suited to deal with irregularly-spaced observations and produces outputs on a regular grid (2D, 3D or 4D). The results are stored in NetCDF files, the most widespread format in the earth sciences community. OceanBrowser is a web-service that allows one to visualize gridded fields on-line. Within the SeaDataNet and EMODNET (Chemical lot) projects, several national ocean data centers have created gridded climatologies of different ocean properties using the data analysis software DIVA. In order to give a common viewing service to those interpolated products, the GHER has developed OceanBrowser which is based on open standards from the Open Geospatial Consortium (OGC), in particular Web Map Service (WMS) and Web Feature Service (WFS). These standards define a protocol for describing, requesting and querying two-dimensional maps at a given depth and time. DIVA and OceanBrowser are both softwares tools which are continuously upgraded and distributed for free through frequent version releases. The development is funded by the EMODnet and SeaDataNet projects and include many discussions and feedback from the users community. Here, we present two recent major upgrades. First, we have implemented a "customization" of DIVA analyses following the sea bottom, using the bottom depth gradient as a new source of information. The weaker the slope of the bottom ocean, the higher the correlation length. This correlation length being associated with the propagation of the information, it is therefore harder to interpolate through bottom topographic "barriers" such as the continental slope and easier to do it in the perpendicular direction. Although realistic for most applications, this behaviour can always be disabled by the user. Second, we have added some combined products in OceanBrowser, covering all European seas at once. Based on the analyses performed by the other EMODnet partners using DIVA on five zones (Atlantic, North Sea, Baltic Sea, Black Sea, Mediterranean Sea), we have computed a single European product for five variables : ammonium, chlorophyll-a, dissolved oxygen concentration, phosphate and silicate. At boundaries, a smooth filter was used to remove possible discrepancies between regional analyses. Our European combined product is available for all seasons and several depths. This is the first step towards the use of a common reference field for all European seas when running DIVA.

Weighted fusion of depth and inertial data to improve view invariance for real-time human action recognition

NASA Astrophysics Data System (ADS)

Chen, Chen; Hao, Huiyan; Jafari, Roozbeh; Kehtarnavaz, Nasser

2017-05-01

This paper presents an extension to our previously developed fusion framework [10] involving a depth camera and an inertial sensor in order to improve its view invariance aspect for real-time human action recognition applications. A computationally efficient view estimation based on skeleton joints is considered in order to select the most relevant depth training data when recognizing test samples. Two collaborative representation classifiers, one for depth features and one for inertial features, are appropriately weighted to generate a decision making probability. The experimental results applied to a multi-view human action dataset show that this weighted extension improves the recognition performance by about 5% over equally weighted fusion deployed in our previous fusion framework.

Real-Time View Correction for Mobile Devices.

PubMed

Schops, Thomas; Oswald, Martin R; Speciale, Pablo; Yang, Shuoran; Pollefeys, Marc

2017-11-01

We present a real-time method for rendering novel virtual camera views from given RGB-D (color and depth) data of a different viewpoint. Missing color and depth information due to incomplete input or disocclusions is efficiently inpainted in a temporally consistent way. The inpainting takes the location of strong image gradients into account as likely depth discontinuities. We present our method in the context of a view correction system for mobile devices, and discuss how to obtain a screen-camera calibration and options for acquiring depth input. Our method has use cases in both augmented and virtual reality applications. We demonstrate the speed of our system and the visual quality of its results in multiple experiments in the paper as well as in the supplementary video.

Catchment-scale snow depth monitoring with balloon photogrammetry

NASA Astrophysics Data System (ADS)

Durand, M. T.; Li, D.; Wigmore, O.; Vanderjagt, B. J.; Molotch, N. P.; Bales, R. C.

2016-12-01

Field campaigns and permanent in-situ facilities provide extensive measurements of snowpack properties at catchment (or smaller) scales, and have consistently improved our understanding of snow processes and the estimation of snow water resources. However, snow depth, one of the most important snow states, has been measured almost entirely with discrete point-scale samplings in field measurements; spatiotemporally continuous snow depth measurements are nearly nonexistent, mainly due to the high cost of airborne flights and the ban of Unmanned Aerial Systems in many areas (e.g. in all the national parks). In this study, we estimate spatially continuous snow depth from photogrammetric reconstruction of aerial photos taken from a weather balloon. The study was conducted in a 0.2 km2 watershed in Wolverton, Sequoia National Park, California. We tied a point-and-shoot camera on a helium-inflated weather balloon to take aerial images; the camera was scripted to automatically capture images every 3 seconds and to record the camera position and orientation at the imaging times using a built-in GPS. With the 2D images of the snow-covered ground and the camera position and orientation data, the 3D coordinates of the snow surface were reconstructed at 10 cm resolution using photogrammetry software PhotoScan. Similar measurements were taken for the snow-free ground after snowmelt, and the snow depth was estimated from the difference between the snow-on and snow-off measurements. Comparing the photogrammetric-estimated snow depths with the 32 manually measured depths, taken at the same time as the snow-on balloon flight, we find the RMSE of the photogrammetric snow depth is 7 cm, which is 2% of the long-term peak snow depth in the study area. This study suggests that the balloon photogrammetry is a repeatable, economical, simple, and environmental-friendly method to continuously monitor snow at small-scales. Spatiotemporally continuous snow depth could be regularly measured in future field measurements to supplement traditional snow property observations. In addition, since the process of collecting and processing balloon photogrammetry data is straightforward, the photogrammetric snow depth could be shared with the public in real time using our cloud platform that is currently under development.

An Industrialist's View of University Physics Teaching

ERIC Educational Resources Information Center

Hillier, K. W.

1975-01-01

Suggests that university physics teaching maintains rigorous depth but does not place enough emphasis on communication skills with nonphysicists. Discusses the problem of recruiting university graduates into service industries which have predominately awarded managerial positions to personnel with work experience rather than formal education. (MLH)

7 CFR 3401.16 - Proposal review.

Code of Federal Regulations, 2010 CFR

2010-01-01

... SERVICE, DEPARTMENT OF AGRICULTURE RANGELAND RESEARCH GRANTS PROGRAM Scientific Peer Review of Research... comments and in-depth discussions will be provided by peer review group members prior to recommending... 7 Agriculture 15 2010-01-01 2010-01-01 false Proposal review. 3401.16 Section 3401.16 Agriculture...

21 CFR 880.6920 - Syringe needle introducer.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Syringe needle introducer. 880.6920 Section 880.6920 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... depth below the skin surface. (b) Classification. Class II (performance standards). ...

21 CFR 880.6920 - Syringe needle introducer.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Syringe needle introducer. 880.6920 Section 880.6920 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... depth below the skin surface. (b) Classification. Class II (performance standards). ...

76 FR 36961 - Standards and Specifications for Timber Products Acceptable for Use by Rural Utilities Service...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-24

... limited to the equivalent displacement of a knot \\3/8\\ of an inch deep on one face and the maximum round.../2\\ the equivalent displacement of a round knot permitted at that location, provided that the depth...

Understanding Student Veterans in Transition

ERIC Educational Resources Information Center

Jones, Kevin C.

2013-01-01

In this research report the author details a phenomenological study documenting identity development in student veterans making the transition from active military service to higher education. This study took place at a doctoral granting proprietary university with a significant veteran population and consisted of in-depth interviews. This…

Technology usage, quality management system, and service quality in Thailand.

PubMed

Sivabrovornvatana, Nilubon; Siengthai, Sununta; Krairit, Donyaprueth; Paul, Himangshu

2005-01-01

This article aims to explore the relationship between technology and quality management for enhancing Thai hospital service quality. The paper presents the findings of an exploratory study that investigates service quality from the customer and service provider perception. In-depth interviews were conducted with respondents in Thai hospitals. The interviews explored service-related factors that patients and service providers perceive to be important for hospital services. The first interview group consisted of professionals as internal customers in direct contact with external customers, while the second group consisted of external customers of the same hospitals. The study's outcomes clearly suggest factors that make significant contribution to service quality. These factors can be categorized according to five SERVQUAL dimensions (reliability, responsiveness, assurance, empathy, and tangibility), although some factors required slightly different interpretation. The findings suggest that hospitals can develop an appropriate approach to their advantage, which can yield sustainable improvement in service quality as perceived by patients and professionals. Hospitals can make better quality decisions based on structured measurement and knowledge. It is recommended that managers apply this knowledge for successful implementation of activities related to service quality in their organizations.

A 3D image sensor with adaptable charge subtraction scheme for background light suppression

NASA Astrophysics Data System (ADS)

Shin, Jungsoon; Kang, Byongmin; Lee, Keechang; Kim, James D. K.

2013-02-01

We present a 3D ToF (Time-of-Flight) image sensor with adaptive charge subtraction scheme for background light suppression. The proposed sensor can alternately capture high resolution color image and high quality depth map in each frame. In depth-mode, the sensor requires enough integration time for accurate depth acquisition, but saturation will occur in high background light illumination. We propose to divide the integration time into N sub-integration times adaptively. In each sub-integration time, our sensor captures an image without saturation and subtracts the charge to prevent the pixel from the saturation. In addition, the subtraction results are cumulated N times obtaining a final result image without background illumination at full integration time. Experimental results with our own ToF sensor show high background suppression performance. We also propose in-pixel storage and column-level subtraction circuit for chiplevel implementation of the proposed method. We believe the proposed scheme will enable 3D sensors to be used in out-door environment.

Utilising social media contents for flood inundation mapping

NASA Astrophysics Data System (ADS)

Schröter, Kai; Dransch, Doris; Fohringer, Joachim; Kreibich, Heidi

2016-04-01

Data about the hazard and its consequences are scarce and not readily available during and shortly after a disaster. An information source which should be explored in a more efficient way is eyewitness accounts via social media. This research presents a methodology that leverages social media content to support rapid inundation mapping, including inundation extent and water depth in the case of floods. It uses quantitative data that are estimated from photos extracted from social media posts and their integration with established data. Due to the rapid availability of these posts compared to traditional data sources such as remote sensing data, areas affected by a flood, for example, can be determined quickly. Key challenges are to filter the large number of posts to a manageable amount of potentially useful inundation-related information, and to interpret and integrate the posts into mapping procedures in a timely manner. We present a methodology and a tool ("PostDistiller") to filter geo-located posts from social media services which include links to photos and to further explore this spatial distributed contextualized in situ information for inundation mapping. The June 2013 flood in Dresden is used as an application case study in which we evaluate the utilization of this approach and compare the resulting spatial flood patterns and inundation depths to 'traditional' data sources and mapping approaches like water level observations and remote sensing flood masks. The outcomes of the application case are encouraging. Strengths of the proposed procedure are that information for the estimation of inundation depth is rapidly available, particularly in urban areas where it is of high interest and of great value because alternative information sources like remote sensing data analysis do not perform very well. The uncertainty of derived inundation depth data and the uncontrollable availability of the information sources are major threats to the utility of the approach.

Using soil microbial inoculations to enhance substrate performance on extensive green roofs.

PubMed

Molineux, Chloe J; Gange, Alan C; Newport, Darryl J

2017-02-15

Green roofs are increasing in popularity in the urban environment for their contribution to green infrastructure; but their role for biodiversity is not often a design priority. Maximising biodiversity will impact positively on ecosystem services and is therefore fundamental for achieving the greatest benefits from green roofs. Extensive green roofs are lightweight systems generally constructed with a specialised growing medium that tends to be biologically limited and as such can be a harsh habitat for plants to thrive in. Thus, this investigation aimed to enhance the soil functioning with inoculations of soil microbes to increase plant diversity, improve vegetation health/performance and maximise access to soil nutrients. Manipulations included the addition of mycorrhizal fungi and a microbial mixture ('compost tea') to green roof rootzones, composed mainly of crushed brick or crushed concrete. The study revealed that growing media type and depth play a vital role in the microbial ecology of green roofs, with complex relationships between depth and type of substrate and the type of microbial inoculant applied, with no clear pattern being observed. For bait plant measurements (heights, leaf numbers, root/shoot biomass, leaf nutrients), a compost tea may have positive effects on plant performance when grown in substrates of shallower depths (5.5cm), even one year after inoculums are applied. Results from the species richness surveys show that diversity was significantly increased with the application of an AM fungal treatment and that overall, results suggest that brick-based substrate blends are most effective for vegetation performance as are deeper depths (although this varied with time). Microbial inoculations of green roof habitats appeared to be sustainable; they need only be done once for benefits to still been seen in subsequent years where treatments are added independently (not in combination). They seem to be a novel and viable method of enhancing rooftop conditions. Copyright © 2016 Elsevier B.V. All rights reserved.

Patient perspectives of care in a regionalised trauma system: lessons from the Victorian State Trauma System.

PubMed

Gabbe, Belinda J; Sleney, Jude S; Gosling, Cameron M; Wilson, Krystle; Hart, Melissa J; Sutherland, Ann M; Christie, Nicola

2013-02-18

To explore injured patients' experiences of trauma care to identify areas for improvement in service delivery. Qualitative study using in-depth, semi-structured interviews, conducted from 1 April 2011 to 31 January 2012, with 120 trauma patients registered by the Victorian State Trauma Registry and the Victorian Orthopaedic Trauma Outcomes Registry and managed at the major adult trauma services (MTS) in Victoria. Emergent themes from patients' experiences of acute, rehabilitation and post-discharge care in the Victorian State Trauma System (VSTS). Patients perceived their acute hospital care as high quality, although 3s with communication and surgical management delays were common. Discharge from hospital was perceived as stressful, and many felt ill prepared for discharge. A consistent emerging theme was the sense of a lack of coordination of post-discharge care, and the absence of a consistent point of contact for ongoing management. Most patients' primary point of contact after discharge was outpatient clinics at the MTS, which were widely criticised because of substantial delays in receiving an appointment, prolonged waiting times, limited time with clinicians, lack of continuity of care and inability to see senior clinicians. This study highlights perceived 3s in the patient care pathway in the VSTS, especially those relating to communication, information provision and post-discharge care. Trauma patients perceived the need for a single point of contact for coordination of post-discharge care.

Use of New Commercial, Off-the-Shelf, High-Definition Structure Scanning Fathometer/Depth Finder For Coastal Current Survey Operations

NASA Astrophysics Data System (ADS)

Roggenstein, E. B.; Gray, G.

2013-12-01

The National Oceanic and Atmospheric Administration (NOAA) National Ocean Service (NOS) Center for Operational Oceanographic Products and Services (COOPS) manages three national observing system programs. These are the National Water level Observation Network (NWLON) (210 stations), the 23 NOAA/Physical Oceanographic Real-Time Systems (PORTS), and National Currents Observing Program (NCOP) (approximately 70 deployments/year). In support of its mission COOPS operates and maintains a number of small boats. During vessel operations, side-scan sonar data are at times needed to provide information about bottom structure for future work in the area. For example, potential hazards, obstructions, or bottom morphology features that have not been identified on localized charts for a given area could be used to inform decisions on planned installations. Side-scan sonar capability is also important when attempting to reacquire bottom mounts that fail to surface at the conclusion of a current meter survey. Structure mapping and side-scan capabilities have been added to recent consumer-level, commercial, off-the-shelf fathometers, generally intended for recreational, commercial fishing, and diving applications. We are proposing to investigate these systems' viability for meeting survey requirements. We assess their ability to provide a flexible alternative to research/commercial oceanographic level side-scan system at a significant cost savings. Such systems could provide important information to support scientific missions that require qualitative seafloor imagery.

Profile of a city: characterizing and classifying urban soils in the city of Ghent

NASA Astrophysics Data System (ADS)

Delbecque, Nele; Verdoodt, Ann

2017-04-01

Worldwide, urban lands are expanding rapidly. Conversion of agricultural and natural landscapes to urban fabric can strongly influence soil properties through soil sealing, excavation, leveling, contamination, waste disposal and land management. Urban lands, often characterized by intensive use, need to deliver many production, ecological and cultural ecosystem services. To safeguard this natural capital for future generations, an improved understanding of biogeochemical characteristics, processes and functions of urban soils in time and space is essential. Additionally, existing (inter)national soil classification systems, based on the identification of soil genetic horizons, do not always allow a functional classification of urban soils. This research aims (1) to gain insight into urban soils and their properties in the city of Ghent (Belgium), and (2) to develop a procedure to functionally incorporate urban soils into existing (inter)national soil classification systems. Undisturbed soil cores (depth up to 1.25 m) are collected at 15 locations in Ghent with different times since development and land uses. Geotek MSCL-scans are taken to determine magnetic susceptibility and gamma density and to obtain high resolution images. Physico-chemical characterization of the soil cores is performed by means of detailed soil profile descriptions, traditional lab analyses, as well as proximal soil sensing techniques (XRF). The first results of this research will be presented and critically discussed to improve future efforts to characterize, classify and evaluate urban soils and their ecosystem services.

Subsurface Supergranular Vertical Flows as Measured Using Large Distance Separations in Time-Distance Helioseismology

NASA Technical Reports Server (NTRS)

Duvall, T. L., Jr.; Hanasoge, S. M.

2012-01-01

As large-distance rays (say, 10-24 deg) approach the solar surface approximately vertically, travel times measured from surface pairs for these large separations are mostly sensitive to vertical flows, at least for shallow flows within a few Mm of the solar surface. All previous analyses of supergranulation have used smaller separations and have been hampered by the difficulty of separating the horizontal and vertical flow components. We find that the large separation travel times associated with upergranulation cannot be studied using the standard phase-speed filters of time-distance helioseismology. These filters, whose use is based upon a refractive model of the perturbations,reduce the resultant travel time signal by at least an order of magnitude at some distances. More effective filters are derived. Modeling suggests that the center-annulus travel time difference in the separation range 10-24 deg is insensitive to the horizontally diverging flow from the centers of the supergranules and should lead to a constant signal from the vertical flow. Our measurement of this quantity for the average supergranule, 5.1 s, is constant over the distance range. This magnitude of signal cannot be caused by the level of upflow at cell centers seen at the photosphere of 10 m/s extended in depth. It requires the vertical flow to increase with depth. A simple Gaussian model of the increase with depth implies a peak upward flow of 240 m/s at a depth of 2.3 Mm and a peak horizontal flow of 700 m/s at a depth of 1.6 Mm.

Perception of CPR quality: Influence of CPR feedback, Just-in-Time CPR training and provider role.

PubMed

Cheng, Adam; Overly, Frank; Kessler, David; Nadkarni, Vinay M; Lin, Yiqun; Doan, Quynh; Duff, Jonathan P; Tofil, Nancy M; Bhanji, Farhan; Adler, Mark; Charnovich, Alex; Hunt, Elizabeth A; Brown, Linda L

2015-02-01

Many healthcare providers rely on visual perception to guide cardiopulmonary resuscitation (CPR), but little is known about the accuracy of provider perceptions of CPR quality. We aimed to describe the difference between perceived versus measured CPR quality, and to determine the impact of provider role, real-time visual CPR feedback and Just-in-Time (JIT) CPR training on provider perceptions. We conducted secondary analyses of data collected from a prospective, multicenter, randomized trial of 324 healthcare providers who participated in a simulated cardiac arrest scenario between July 2012 and April 2014. Participants were randomized to one of four permutations of: JIT CPR training and real-time visual CPR feedback. We calculated the difference between perceived and measured quality of CPR and reported the proportion of subjects accurately estimating the quality of CPR within each study arm. Participants overestimated achieving adequate chest compression depth (mean difference range: 16.1-60.6%) and rate (range: 0.2-51%), and underestimated chest compression fraction (0.2-2.9%) across all arms. Compared to no intervention, the use of real-time feedback and JIT CPR training (alone or in combination) improved perception of depth (p<0.001). Accurate estimation of CPR quality was poor for chest compression depth (0-13%), rate (5-46%) and chest compression fraction (60-63%). Perception of depth is more accurate in CPR providers versus team leaders (27.8% vs. 7.4%; p=0.043) when using real-time feedback. Healthcare providers' visual perception of CPR quality is poor. Perceptions of CPR depth are improved by using real-time visual feedback and with prior JIT CPR training. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

“I feel it is not enough…” Health providers’ perspectives on services for victims of intimate partner violence in Malaysia

PubMed Central

2013-01-01

Background This study explores the views and attitudes of health providers in Malaysia towards intimate partner violence (IPV) and abused women and considers whether and how their views affect the provision or quality of services. The impact of provider attitudes on the provision of services for women experiencing violence is particularly important to understand since there is a need to ensure that these women are not re-victimised by the health sector, but are treated sensitively. Methods In-depth interviews were conducted with 54 health care providers responsible for providing services to survivors of IPV and working in health care facilities in two Northern States in Malaysia. A thematic framework analysis method was employed to analyse the emerging themes. Interviews were coded and managed by using NVIVO (N7), a qualitative software package. Results We found that when providers follow the traditional role of treating and solving IPV as “medical problem”, they tend to focus on the physical aspect of the injury, minimise the underlying cause of the problem and ignore emotional care for patients. Providers frequently felt under-trained and poorly supported in their role to help women beyond merely treating their physical injuries. What emerged from the findings is that time shortages may well impact on the ability of medical officers to identify cases of abuse, with some saying that time limitations made it more difficult to detect the real problem behind the injury. However, data from the interviews seem to suggest that time constraints may or may not end up resulting in limited care, depending on the individual interest of medical professionals on violence issues. Conclusions Promoting empathetic health care provision is challenging. More awareness training and sensitisation could help, especially if courses focus on women’s needs and strengths and how health providers can validate these and contribute to a longer term process of change for victims of violence. Clear guidance on how to record history of abuse, ask questions sensitively and validate experiences is also important together with training on good communication skills such as listening and being empathetic. PMID:23419141

"I feel it is not enough…" Health providers' perspectives on services for victims of intimate partner violence in Malaysia.

PubMed

Colombini, Manuela; Mayhew, Susannah; Ali, Siti Hawa; Shuib, Rashidah; Watts, Charlotte

2013-02-18

This study explores the views and attitudes of health providers in Malaysia towards intimate partner violence (IPV) and abused women and considers whether and how their views affect the provision or quality of services. The impact of provider attitudes on the provision of services for women experiencing violence is particularly important to understand since there is a need to ensure that these women are not re-victimised by the health sector, but are treated sensitively. In-depth interviews were conducted with 54 health care providers responsible for providing services to survivors of IPV and working in health care facilities in two Northern States in Malaysia. A thematic framework analysis method was employed to analyse the emerging themes. Interviews were coded and managed by using NVIVO (N7), a qualitative software package. We found that when providers follow the traditional role of treating and solving IPV as "medical problem", they tend to focus on the physical aspect of the injury, minimise the underlying cause of the problem and ignore emotional care for patients. Providers frequently felt under-trained and poorly supported in their role to help women beyond merely treating their physical injuries. What emerged from the findings is that time shortages may well impact on the ability of medical officers to identify cases of abuse, with some saying that time limitations made it more difficult to detect the real problem behind the injury. However, data from the interviews seem to suggest that time constraints may or may not end up resulting in limited care, depending on the individual interest of medical professionals on violence issues. Promoting empathetic health care provision is challenging. More awareness training and sensitisation could help, especially if courses focus on women's needs and strengths and how health providers can validate these and contribute to a longer term process of change for victims of violence. Clear guidance on how to record history of abuse, ask questions sensitively and validate experiences is also important together with training on good communication skills such as listening and being empathetic.

Health transitions in recently widowed older women: a mixed methods study

PubMed Central

2013-01-01

Background Older recently widowed women are faced with increased health risks and chronic conditions associated not only with bereavement, but also, older age. Loss and grief, adjusting to living alone, decreased income, and managing multiple chronic conditions can impact on older women’s ability to transition following recent spousal bereavement. Providing appropriate, timely, and effective services to foster this life transition is of critical importance, yet few services directed towards these women exist in Australia, and there is little data describing the experiences of women and their support needs at this time. Methods We conducted a longitudinal mixed method study using in-depth semi-structured interviews and questionnaires that were administered three times over a twelve month period to understand the experiences and needs of older women in the period following their husbands’ deaths. Descriptive statistics and Interpretive Phenomenological Analysis were used to analyse quantitative and qualitative data, respectively, prior to data integration. Results Participants were twenty-one community-dwelling recently widowed older women who were an average age of 71 (SD 6.13) years. The majority of participants scored within normal ranges of depression, anxiety, and stress, yet a subset of participants had elevated levels of each of these constructs (37%, 27%, and 19%, respectively) throughout the study period. Positive self-reports of general health predominated, yet 86% of participants were living with one or more chronic condition and taking an average of 4 medications per day. The majority (76%) experienced exacerbations of existing conditions or were diagnosed with a new illness in the early bereavement period, leading to planned and unplanned hospitalisations and other health service use. Qualitative data provided insight into these experiences, the meanings women ascribed to them, and their reasons for enacting certain health risk behaviours. Conclusions The combination of co-morbidities, polypharmacy, and risk behaviors impacted on medication management and appeared associated with health events. The feminization of ageing and an increasing number of older women living alone with multiple chronic conditions represent significant challenges to health services and societal support systems. Older women’s transition to widowhood signals concomitant health transitions and multidimensional support needs. PMID:23597163

Considerations for site-specific implementation of active downforce and seeding depth technologies on row-crop planters

USDA-ARS?s Scientific Manuscript database

Planter technology continues to rapidly advance including row-by-row control of parameters such as applied downforce and seeding depth that permit real-time adjustment to varying field conditions. The objective of this research was to investigate the relationship of seeding depth and applied downfo...

Rock Cutting Depth Model Based on Kinetic Energy of Abrasive Waterjet

NASA Astrophysics Data System (ADS)

Oh, Tae-Min; Cho, Gye-Chun

2016-03-01

Abrasive waterjets are widely used in the fields of civil and mechanical engineering for cutting a great variety of hard materials including rocks, metals, and other materials. Cutting depth is an important index to estimate operating time and cost, but it is very difficult to predict because there are a number of influential variables (e.g., energy, geometry, material, and nozzle system parameters). In this study, the cutting depth is correlated to the maximum kinetic energy expressed in terms of energy (i.e., water pressure, water flow rate, abrasive feed rate, and traverse speed), geometry (i.e., standoff distance), material (i.e., α and β), and nozzle system parameters (i.e., nozzle size, shape, and jet diffusion level). The maximum kinetic energy cutting depth model is verified with experimental test data that are obtained using one type of hard granite specimen for various parameters. The results show a unique curve for a specific rock type in a power function between cutting depth and maximum kinetic energy. The cutting depth model developed here can be very useful for estimating the process time when cutting rock using an abrasive waterjet.

Real-time multiple human perception with color-depth cameras on a mobile robot.

PubMed

Zhang, Hao; Reardon, Christopher; Parker, Lynne E

2013-10-01

The ability to perceive humans is an essential requirement for safe and efficient human-robot interaction. In real-world applications, the need for a robot to interact in real time with multiple humans in a dynamic, 3-D environment presents a significant challenge. The recent availability of commercial color-depth cameras allow for the creation of a system that makes use of the depth dimension, thus enabling a robot to observe its environment and perceive in the 3-D space. Here we present a system for 3-D multiple human perception in real time from a moving robot equipped with a color-depth camera and a consumer-grade computer. Our approach reduces computation time to achieve real-time performance through a unique combination of new ideas and established techniques. We remove the ground and ceiling planes from the 3-D point cloud input to separate candidate point clusters. We introduce the novel information concept, depth of interest, which we use to identify candidates for detection, and that avoids the computationally expensive scanning-window methods of other approaches. We utilize a cascade of detectors to distinguish humans from objects, in which we make intelligent reuse of intermediary features in successive detectors to improve computation. Because of the high computational cost of some methods, we represent our candidate tracking algorithm with a decision directed acyclic graph, which allows us to use the most computationally intense techniques only where necessary. We detail the successful implementation of our novel approach on a mobile robot and examine its performance in scenarios with real-world challenges, including occlusion, robot motion, nonupright humans, humans leaving and reentering the field of view (i.e., the reidentification challenge), human-object and human-human interaction. We conclude with the observation that the incorporation of the depth information, together with the use of modern techniques in new ways, we are able to create an accurate system for real-time 3-D perception of humans by a mobile robot.

Expanding contraceptive options for PMTCT clients: a mixed methods implementation study in Cape Town, South Africa

PubMed Central

2014-01-01

Background Clients of prevention of mother-to-child transmission (PMTCT) services in South Africa who use contraception following childbirth rely primarily on short-acting methods like condoms, pills, and injectables, even when they desire no future pregnancies. Evidence is needed on strategies for expanding contraceptive options for postpartum PMTCT clients to include long-acting and permanent methods. Methods We examined the process of expanding contraceptive options in five health centers in Cape Town providing services to HIV-positive women. Maternal/child health service providers received training and coaching to strengthen contraceptive counseling for postpartum women, including PMTCT clients. Training and supplies were introduced to strengthen intrauterine device (IUD) services, and referral mechanisms for female sterilization were reinforced. We conducted interviews with separate samples of postpartum PMTCT clients (265 pre-intervention and 266 post-intervention) to assess knowledge and behaviors regarding postpartum contraception. The process of implementing the intervention was evaluated through systematic documentation and interpretation using an intervention tracking tool. In-depth interviews with providers who participated in study-sponsored training were conducted to assess their attitudes toward and experiences with promoting voluntary contraceptive services to HIV-positive clients. Results Following the intervention, 6% of interviewed PMTCT clients had the desired knowledge about the IUD and 23% had the desired knowledge about female sterilization. At both pre- and post-intervention, 7% of clients were sterilized and IUD use was negligible; by comparison, 75% of clients used injectables. Intervention tracking and in-depth interviews with providers revealed intervention shortcomings and health system constraints explaining the failure to produce intended effects. Conclusions The intervention failed to improve PMTCT clients’ knowledge about the IUD and sterilization or to increase use of those methods. To address the family planning needs of postpartum PMTCT clients in a way that is consistent with their fertility desires, services must expand the range of contraceptive options to include long-acting and permanent methods. In turn, to ensure consistent access to high quality family planning services that are effectively linked to HIV services, attention must also be focused on resolving underlying health system constraints weakening health service delivery more generally. PMID:24410922

A depth enhancement strategy for kinect depth image

NASA Astrophysics Data System (ADS)

Quan, Wei; Li, Hua; Han, Cheng; Xue, Yaohong; Zhang, Chao; Hu, Hanping; Jiang, Zhengang

2018-03-01

Kinect is a motion sensing input device which is widely used in computer vision and other related fields. However, there are many inaccurate depth data in Kinect depth images even Kinect v2. In this paper, an algorithm is proposed to enhance Kinect v2 depth images. According to the principle of its depth measuring, the foreground and the background are considered separately. As to the background, the holes are filled according to the depth data in the neighborhood. And as to the foreground, a filling algorithm, based on the color image concerning about both space and color information, is proposed. An adaptive joint bilateral filtering method is used to reduce noise. Experimental results show that the processed depth images have clean background and clear edges. The results are better than ones of traditional Strategies. It can be applied in 3D reconstruction fields to pretreat depth image in real time and obtain accurate results.

Compensating for geographic variation in detection probability with water depth improves abundance estimates of coastal marine megafauna.

PubMed

Hagihara, Rie; Jones, Rhondda E; Sobtzick, Susan; Cleguer, Christophe; Garrigue, Claire; Marsh, Helene

2018-01-01

The probability of an aquatic animal being available for detection is typically <1. Accounting for covariates that reduce the probability of detection is important for obtaining robust estimates of the population abundance and determining its status and trends. The dugong (Dugong dugon) is a bottom-feeding marine mammal and a seagrass community specialist. We hypothesized that the probability of a dugong being available for detection is dependent on water depth and that dugongs spend more time underwater in deep-water seagrass habitats than in shallow-water seagrass habitats. We tested this hypothesis by quantifying the depth use of 28 wild dugongs fitted with GPS satellite transmitters and time-depth recorders (TDRs) at three sites with distinct seagrass depth distributions: 1) open waters supporting extensive seagrass meadows to 40 m deep (Torres Strait, 6 dugongs, 2015); 2) a protected bay (average water depth 6.8 m) with extensive shallow seagrass beds (Moreton Bay, 13 dugongs, 2011 and 2012); and 3) a mixture of lagoon, coral and seagrass habitats to 60 m deep (New Caledonia, 9 dugongs, 2013). The fitted instruments were used to measure the times the dugongs spent in the experimentally determined detection zones under various environmental conditions. The estimated probability of detection was applied to aerial survey data previously collected at each location. In general, dugongs were least available for detection in Torres Strait, and the population estimates increased 6-7 fold using depth-specific availability correction factors compared with earlier estimates that assumed homogeneous detection probability across water depth and location. Detection probabilities were higher in Moreton Bay and New Caledonia than Torres Strait because the water transparency in these two locations was much greater than in Torres Strait and the effect of correcting for depth-specific detection probability much less. The methodology has application to visual survey of coastal megafauna including surveys using Unmanned Aerial Vehicles.

Comparative analysis of respiratory motion tracking using Microsoft Kinect v2 sensor.

PubMed

Silverstein, Evan; Snyder, Michael

2018-05-01

To present and evaluate a straightforward implementation of a marker-less, respiratory motion-tracking process utilizing Kinect v2 camera as a gating tool during 4DCT or during radiotherapy treatments. Utilizing the depth sensor on the Kinect as well as author written C# code, respiratory motion of a subject was tracked by recording depth values obtained at user selected points on the subject, with each point representing one pixel on the depth image. As a patient breathes, specific anatomical points on the chest/abdomen will move slightly within the depth image across pixels. By tracking how depth values change for a specific pixel, instead of how the anatomical point moves throughout the image, a respiratory trace can be obtained based on changing depth values of the selected pixel. Tracking these values was implemented via marker-less setup. Varian's RPM system and the Anzai belt system were used in tandem with the Kinect to compare respiratory traces obtained by each using two different subjects. Analysis of the depth information from the Kinect for purposes of phase- and amplitude-based binning correlated well with the RPM and Anzai systems. Interquartile Range (IQR) values were obtained comparing times correlated with specific amplitude and phase percentages against each product. The IQR time spans indicated the Kinect would measure specific percentage values within 0.077 s for Subject 1 and 0.164 s for Subject 2 when compared to values obtained with RPM or Anzai. For 4DCT scans, these times correlate to less than 1 mm of couch movement and would create an offset of 1/2 an acquired slice. By tracking depth values of user selected pixels within the depth image, rather than tracking specific anatomical locations, respiratory motion can be tracked and visualized utilizing the Kinect with results comparable to that of the Varian RPM and Anzai belt. © 2018 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

Snow depth on Arctic and Antarctic sea ice derived from autonomous (Snow Buoy) measurements

NASA Astrophysics Data System (ADS)

Nicolaus, Marcel; Arndt, Stefanie; Hendricks, Stefan; Heygster, Georg; Huntemann, Marcus; Katlein, Christian; Langevin, Danielle; Rossmann, Leonard; Schwegmann, Sandra

2016-04-01

The snow cover on sea ice received more and more attention in recent sea ice studies and model simulations, because its physical properties dominate many sea ice and upper ocean processes. In particular; the temporal and spatial distribution of snow depth is of crucial importance for the energy and mass budgets of sea ice, as well as for the interaction with the atmosphere and the oceanic freshwater budget. Snow depth is also a crucial parameter for sea ice thickness retrieval algorithms from satellite altimetry data. Recent time series of Arctic sea ice volume only use monthly snow depth climatology, which cannot take into account annual changes of the snow depth and its properties. For Antarctic sea ice, no such climatology is available. With a few exceptions, snow depth on sea ice is determined from manual in-situ measurements with very limited coverage of space and time. Hence the need for more consistent observational data sets of snow depth on sea ice is frequently highlighted. Here, we present time series measurements of snow depths on Antarctic and Arctic sea ice, recorded by an innovative and affordable platform. This Snow Buoy is optimized to autonomously monitor the evolution of snow depth on sea ice and will allow new insights into its seasonality. In addition, the instruments report air temperature and atmospheric pressure directly into different international networks, e.g. the Global Telecommunication System (GTS) and the International Arctic Buoy Programme (IABP). We introduce the Snow Buoy concept together with technical specifications and results on data quality, reliability, and performance of the units. We highlight the findings from four buoys, which simultaneously drifted through the Weddell Sea for more than 1.5 years, revealing unique information on characteristic regional and seasonal differences. Finally, results from seven snow buoys co-deployed on Arctic sea ice throughout the winter season 2015/16 suggest the great importance of local effects, weather events, and potential influences of dynamic sea ice processes on snow accumulation.

Fixed Route Comprehensive Operational Analysis, 1994 Operating Year. Fourth Installment Route 3: Mill Ridge/Mill Plain Analysis

DOT National Transportation Integrated Search

1995-05-01

In October, of 1992, the Housatonic Area Regional Transit (HART) District published a planning study providing an in-depth analysis of its fixed route bus transit service. This comprehensive operational analysis (COA) was the first detailed analysis ...

Elementary School Counselors' Collaboration with Community Mental Health Providers

ERIC Educational Resources Information Center

Moran, Kristen; Bodenhorn, Nancy

2015-01-01

Perceptions and experiences of elementary school counselors' collaborative efforts with community mental health providers are examined through this exploratory phenomenological study. Ten participants engaged in two in-depth interviews. Collaboration was considered an effective way to increase services to students and their families. Six themes…

Student-Athlete Wellbeing and Persistence: An In-Depth Look at Student-Athlete Perceptions

ERIC Educational Resources Information Center

Kamusoko, Sibongile D.; Pemberton, Cynthia Lee A.

2012-01-01

This study investigated student-athlete perceptions of wellbeing, delimited to satisfaction regarding Athletic Department Policies and Practices, Educational Characteristics, Institutional Facilities and Services, and intent to academically persist. The study employed quantitative and qualitative data queries. This paper reports emergent findings…

Fixed Route Comprehensive Operational Analysis, 1994 Operating Year. First Installment, Route 1: Medical Center/Golden Hill Analysis

DOT National Transportation Integrated Search

1994-07-01

In October, of 1992, the Housatonic Area Regional Transit (HART) District published a planning study providing an in-depth analysis of its fixed route bus transit service. This comprehensive operational analysis (COA) was the first detailed analysis ...

Fixed Route Comprehensive Operational Analysis, 1994 Operating Year. Third Installment, Route 6: Lake Avenue/Danbury Fair Mall Analysis

DOT National Transportation Integrated Search

1995-02-01

In October, of 1992, the Housatonic Area Regional Transit (HART) District published a planning study providing an in-depth analysis of its fixed route bus transit service. This comprehensive operational analysis (COA) was the first detailed analysis ...

Living with uncertainty and hope: A qualitative study exploring parents' experiences of living with childhood multiple sclerosis.

PubMed

Hinton, Denise; Kirk, Susan

2017-06-01

Background There is growing recognition that multiple sclerosis is a possible, albeit uncommon, diagnosis in childhood. However, very little is known about the experiences of families living with childhood multiple sclerosis and this is the first study to explore this in depth. Objective Our objective was to explore the experiences of parents of children with multiple sclerosis. Methods Qualitative in-depth interviews with 31 parents using a grounded theory approach were conducted. Parents were sampled and recruited via health service and voluntary sector organisations in the United Kingdom. Results Parents' accounts of life with childhood multiple sclerosis were dominated by feelings of uncertainty associated with four sources; diagnostic uncertainty, daily uncertainty, interaction uncertainty and future uncertainty. Parents attempted to manage these uncertainties using specific strategies, which could in turn create further uncertainties about their child's illness. However, over time, ongoing uncertainty appeared to give parents hope for their child's future with multiple sclerosis. Conclusion Illness-related uncertainties appear to play a role in generating hope among parents of a child with multiple sclerosis. However, this may lead parents to avoid sources of information and support that threatens their fragile optimism. Professionals need to be sensitive to the role hope plays in supporting parental coping with childhood multiple sclerosis.

Indirect Tire Monitoring System - Machine Learning Approach

NASA Astrophysics Data System (ADS)

Svensson, O.; Thelin, S.; Byttner, S.; Fan, Y.

2017-10-01

The heavy vehicle industry has today no requirement to provide a tire pressure monitoring system by law. This has created issues surrounding unknown tire pressure and thread depth during active service. There is also no standardization for these kind of systems which means that different manufacturers and third party solutions work after their own principles and it can be hard to know what works for a given vehicle type. The objective is to create an indirect tire monitoring system that can generalize a method that detect both incorrect tire pressure and thread depth for different type of vehicles within a fleet without the need for additional physical sensors or vehicle specific parameters. The existing sensors that are connected communicate through CAN and are interpreted by the Drivec Bridge hardware that exist in the fleet. By using supervised machine learning a classifier was created for each axle where the main focus was the front axle which had the most issues. The classifier will classify the vehicles tires condition and will be implemented in Drivecs cloud service where it will receive its data. The resulting classifier is a random forest implemented in Python. The result from the front axle with a data set consisting of 9767 samples of buses with correct tire condition and 1909 samples of buses with incorrect tire condition it has an accuracy of 90.54% (0.96%). The data sets are created from 34 unique measurements from buses between January and May 2017. This classifier has been exported and is used inside a Node.js module created for Drivecs cloud service which is the result of the whole implementation. The developed solution is called Indirect Tire Monitoring System (ITMS) and is seen as a process. This process will predict bad classes in the cloud which will lead to warnings. The warnings are defined as incidents. They contain only the information needed and the bandwidth of the incidents are also controlled so incidents are created within an acceptable range over a period of time. These incidents will be notified through the cloud for the operator to analyze for upcoming maintenance decisions.

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

PubMed Central

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

2017-01-01

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

An evaluation of a family planning mobile job aid for community health workers in Tanzania.

PubMed

Braun, Rebecca; Lasway, Christine; Agarwal, Smisha; L'Engle, Kelly; Layer, Erica; Silas, Lucy; Mwakibete, Anna; Kudrati, Mustafa

2016-07-01

The global rapid growth in mobile technology provides unique opportunities to support community health workers (CHWs) in providing family planning (FP) services. FHI 360, Pathfinder International and D-tree International developed an evidence-based mobile job aid to support CHW counseling, screening, service provision and referrals, with mobile forms for client and service data, and text-message reporting and reminders. The purpose of this study is to evaluate the acceptability and potential benefits to service quality from the perspective of CHWs and their clients. The mobile job aid was piloted in Dar es Salaam, Tanzania. Data collection tools included a demographic survey of all 25 CHWs trained to use the mobile job aid, in-depth interviews with 20 of the CHWs after 3 months and a survey of 176 clients who received FP services from a CHW using the mobile job aid after 6 months. Both CHWs and their clients reported that the mobile job aid was a highly acceptable FP support tool. CHWs perceived benefits to service quality, including timelier and more convenient care; better quality of information; increased method choice; and improved privacy, confidentiality and trust with clients. Most clients discussed multiple FP methods with CHWs; only 1 in 10 clients reported discussion of all 9 methods. This research suggests that mobile phones can be effective tools to support CHWs with FP counseling, screening and referrals, data collection and reporting, and communication. Challenges remain to support informed contraceptive choice. Future research should focus on implementation, including scale-up and sustainability. Mobile job aids can uniquely enhance FP service provision at the community level through adherence to standard protocols, real-time feedback and technical assistance, and provision of confidential care. This study can inform future efforts to support and expand the role of CHWs in increasing FP access and informed contraceptive choice. Copyright © 2016 Elsevier Inc. All rights reserved.

Rapid operation assessment of voluntary HIV counselling and testing services in three cities in China, 2009.

PubMed

Ma, W; Ye, S; Xiao, Y; Jin, C; Li, Y; Zhao, L; Cai, Y; Liu, B; Detels, R

2013-12-01

To assess the operation of voluntary counselling and testing (VCT) services forhuman immunodeficiency virus (HIV) in three cities in China. A cross-sectional study using mixed methods, including focus group discussions,in-depth interviews, field assessment, archive checking and structured questionnaire interviews, was conducted to assess different aspects of VCT services. Surveys were undertaken in six counties of three China Global Fund AIDS Program (Round Five) cities, including 11 VCT clinics, 38 counsellors, 83 clients and 332 individuals at risk for HIV infection. All counsellors were trained and approved for providing counselling. As there were adequate numbers of clinics and counsellors, VCT services ran smoothly. Clients were generally satisfied with VCT services and considered service operation to be adequate. Problems with the VCT programme included fewer VCT services in general hospitals, lack of a referral mechanism, and long delays between testing and receipt of results. The operation of VCT services in the three cities was generally adequate, but referral services were poor. More attention needs to be paid to HIV testing and counselling in general hospitals, and referral networks need to be strengthened.

Acceptance of Swedish e-health services.

PubMed

Jung, Mary-Louise; Loria, Karla

2010-11-16

To investigate older people's acceptance of e-health services, in order to identify determinants of, and barriers to, their intention to use e-health. Based on one of the best-established models of technology acceptance, Technology Acceptance Model (TAM), in-depth exploratory interviews with twelve individuals over 45 years of age and of varying backgrounds are conducted. This investigation could find support for the importance of usefulness and perceived ease of use of the e-health service offered as the main determinants of people's intention to use the service. Additional factors critical to the acceptance of e-health are identified, such as the importance of the compatibility of the services with citizens' needs and trust in the service provider. Most interviewees expressed positive attitudes towards using e-health and find these services useful, convenient, and easy to use. E-health services are perceived as a good complement to traditional health care service delivery, even among older people. These people, however, need to become aware of the e-health alternatives that are offered to them and the benefits they provide.

Acceptance of Swedish e-health services

PubMed Central

Jung, Mary-Louise; Loria, Karla

2010-01-01

Objective: To investigate older people’s acceptance of e-health services, in order to identify determinants of, and barriers to, their intention to use e-health. Method: Based on one of the best-established models of technology acceptance, Technology Acceptance Model (TAM), in-depth exploratory interviews with twelve individuals over 45 years of age and of varying backgrounds are conducted. Results: This investigation could find support for the importance of usefulness and perceived ease of use of the e-health service offered as the main determinants of people’s intention to use the service. Additional factors critical to the acceptance of e-health are identified, such as the importance of the compatibility of the services with citizens’ needs and trust in the service provider. Most interviewees expressed positive attitudes towards using e-health and find these services useful, convenient, and easy to use. Conclusion: E-health services are perceived as a good complement to traditional health care service delivery, even among older people. These people, however, need to become aware of the e-health alternatives that are offered to them and the benefits they provide. PMID:21289860

Caregiver involvement in behavioural health services in the context of child welfare service referrals: a qualitative study.

PubMed

Jolles, Mónica Pérez; Flick, Jodon Anne Jodi; Wells, Rebecca; Chuang, Emmeline

2017-05-01

Human service agencies serve a growing number of adults with behavioral health needs. Despite these agencies' key role in identifying need and facilitating services, many individuals do not receive care or end services prematurely. Few studies have explored the experiences of families referred to behavioral health services by such agencies or the extent to which families' perceptions of service need align with those of treatment providers and frontline workers. This study presents findings from a qualitative study of caregivers involved with child welfare agencies who were referred to behavioral health services. Researchers reviewed agencies' case records and conducted in-depth interviews with 16 caregivers, 9 child welfare caseworkers, and 12 behavioral health treatment counselors. Findings suggest that when deciding to engage in services, caregivers weigh not only their individual and family behavioral health needs but also potential agency intervention, including loss of child custody. Many professionals reported that involvement with a child welfare agency hindered the caregiver's disclosure of behavioral health care needs. Implications for managers and practitioners are discussed.

Caregiver involvement in behavioural health services in the context of child welfare service referrals: a qualitative study

PubMed Central

Jolles, Mónica Pérez; Flick, Jodon Anne (Jodi); Wells, Rebecca; Chuang, Emmeline

2016-01-01

Human service agencies serve a growing number of adults with behavioral health needs. Despite these agencies’ key role in identifying need and facilitating services, many individuals do not receive care or end services prematurely. Few studies have explored the experiences of families referred to behavioral health services by such agencies or the extent to which families’ perceptions of service need align with those of treatment providers and frontline workers. This study presents findings from a qualitative study of caregivers involved with child welfare agencies who were referred to behavioral health services. Researchers reviewed agencies’ case records and conducted in-depth interviews with 16 caregivers, 9 child welfare caseworkers, and 12 behavioral health treatment counselors. Findings suggest that when deciding to engage in services, caregivers weigh not only their individual and family behavioral health needs but also potential agency intervention, including loss of child custody. Many professionals reported that involvement with a child welfare agency hindered the caregiver's disclosure of behavioral health care needs. Implications for managers and practitioners are discussed. PMID:28706461

Commissioning for health improvement following the 2012 health and social care reforms in England: what has changed?

PubMed

Gadsby, E W; Peckham, S; Coleman, A; Bramwell, D; Perkins, N; Jenkins, L M

2017-02-17

The wide-ranging program of reforms brought about by the Health and Social Care Act (2012) in England fundamentally changed the operation of the public health system, moving responsibility for the commissioning and delivery of services from the National Health Service to locally elected councils and a new national public health agency. This paper explores the ways in which the reforms have altered public health commissioning. We conducted multi-methods research over 33 months, incorporating national surveys of Directors of Public Health and local council elected members at two time-points, and in-depth case studies in five purposively selected geographical areas. Public health commissioning responsibilities have changed and become more fragmented, being split amongst a range of different organisations, most of which were newly created in 2013. There is much change in the way public health commissioning is done, in who is doing it, and in what is commissioned, since the reforms. There is wider consultation on decisions in the local council setting than in the NHS, and elected members now have a strong influence on public health prioritisation. There is more (and different) scrutiny being applied to public health contracts, and most councils have embarked on wide-ranging changes to the health improvement services they commission. Public health money is being used in different ways as councils are adapting to increasing financial constraint. Our findings suggest that, while some of the intended opportunities to improve population health and create a more joined-up system with clearer leadership have been achieved, fragmentation, dispersed decision-making and uncertainties regarding funding remain significant challenges. There have been profound changes in commissioning processes, with consequences for what health improvement services are ultimately commissioned. Time (and further research) will tell if any of these changes lead to improved population health outcomes and reduced health inequalities, but many of the opportunities brought about by the reforms are threatened by the continued flux in the system.

"These things are dangerous": Understanding induced abortion trajectories in urban Zambia.

PubMed

Coast, Ernestina; Murray, Susan F

2016-03-01

Unsafe abortion is a significant but preventable cause of global maternal mortality and morbidity. Zambia has among the most liberal abortion laws in sub-Saharan Africa, however this alone does not guarantee access to safe abortion, and 30% of maternal mortality is attributable to unsafe procedures. Too little is known about the pathways women take to reach abortion services in such resource-poor settings, or what informs care-seeking behaviours, barriers and delays. In-depth qualitative interviews were conducted in 2013 with 112 women who accessed abortion-related care in a Lusaka tertiary government hospital at some point in their pathway. The sample included women seeking safe abortion and also those receiving hospital care following unsafe abortion. We identified a typology of three care-seeking trajectories that ended in the use of hospital services: clinical abortion induced in hospital; clinical abortion initiated elsewhere, with post-abortion care in hospital; and non-clinical abortion initiated elsewhere, with post-abortion care in hospital. Framework analyses of 70 transcripts showed that trajectories to a termination of an unwanted pregnancy can be complex and iterative. Individuals may navigate private and public formal healthcare systems and consult unqualified providers, often trying multiple strategies. We found four major influences on which trajectory a woman followed, as well as the complexity and timing of her trajectory: i) the advice of trusted others ii) perceptions of risk iii) delays in care-seeking and receipt of services and iv) economic cost. Even though abortion is legal in Zambia, girls and women still take significant risks to terminate unwanted pregnancies. Levels of awareness about the legality of abortion and its provision remain low even in urban Zambia, especially among adolescents. Unofficial payments required by some providers can be a major barrier to safe care. Timely access to safe abortion services depends on chance rather than informed exercise of entitlement. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Changing forms of HIV-related stigma along the HIV care and treatment continuum in sub-Saharan Africa: a temporal analysis.

PubMed

Bonnington, O; Wamoyi, J; Ddaaki, W; Bukenya, D; Ondenge, K; Skovdal, M; Renju, J; Moshabela, M; Wringe, A

2017-07-01

Stigma remains pervasive for people living with HIV (PLHIV) in sub-Saharan Africa, undermining care engagement. Using everyday , biographical and epochal temporalities, we explored the manifestation of stigma at different stages of the HIV care continuum in seven health and demographic surveillance sites in Eastern and Southern Africa. Between 2015 and 2016, we conducted qualitative in-depth interviews with 264 PLHIV, 54 health providers and 48 family members of people who had died from HIV. Topic guides explored experiences of HIV testing, care and treatment services. Data were analysed thematically, aided by NVivo 10. In everyday time across these communities, stigma was evident in the presence of gossiping and the relative absence of supportive interpersonal discourse, which fuelled judicious disclosure. This was especially disruptive at testing, counselling and early antiretroviral therapy adherence stages of care. Biographical time framed everyday stigma events, highlighting the dilemma of disclosure in relation to sexual relationship norms, as well as the interfacing of age and healthcare continuum points. Epochal patriarchal relations gave a structural context to everyday and biographical stigma dynamics. Historical shifts to social acceptance of PLHIV within these communities, while positive, were complicated by stigma in everyday life and in respect of biographical goals like having a family. Moreover, low community-level resistance to HIV-related stigma jeopardised stigma reduction strategies. Despite improvements to HIV care services, stigma remains pervasive across the HIV care continuum in these sites. Context-specific interventions are needed to address stigma and discrimination of PLHIV within the community and in health services, and greater reflection is required to ensure policies aiming to expand HIV treatment do not exacerbate stigma and result in negative HIV outcomes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Time-domain reflectance diffuse optical tomography with Mellin-Laplace transform for experimental detection and depth localization of a single absorbing inclusion

PubMed Central

Puszka, Agathe; Hervé, Lionel; Planat-Chrétien, Anne; Koenig, Anne; Derouard, Jacques; Dinten, Jean-Marc

2013-01-01

We show how to apply the Mellin-Laplace transform to process time-resolved reflectance measurements for diffuse optical tomography. We illustrate this method on simulated signals incorporating the main sources of experimental noise and suggest how to fine-tune the method in order to detect the deepest absorbing inclusions and optimize their localization in depth, depending on the dynamic range of the measurement. To finish, we apply this method to measurements acquired with a setup including a femtosecond laser, photomultipliers and a time-correlated single photon counting board. Simulations and experiments are illustrated for a probe featuring the interfiber distance of 1.5 cm and show the potential of time-resolved techniques for imaging absorption contrast in depth with this geometry. PMID:23577292

Lithium diffusion in polyether ether ketone and polyimide stimulated by in situ electron irradiation and studied by the neutron depth profiling method

NASA Astrophysics Data System (ADS)

Vacik, J.; Hnatowicz, V.; Attar, F. M. D.; Mathakari, N. L.; Dahiwale, S. S.; Dhole, S. D.; Bhoraskar, V. N.

2014-10-01

Diffusion of lithium from a LiCl aqueous solution into polyether ether ketone (PEEK) and polyimide (PI) assisted by in situ irradiation with 6.5 MeV electrons was studied by the neutron depth profiling method. The number of the Li atoms was found to be roughly proportional to the diffusion time. Regardless of the diffusion time, the measured depth profiles in PEEK exhibit a nearly exponential form, indicating achievement of a steady-state phase of a diffusion-reaction process specified in the text. The form of the profiles in PI is more complex and it depends strongly on the diffusion time. For the longer diffusion time, the profile consists of near-surface bell-shaped part due to Fickian-like diffusion and deeper exponential part.

The effect of S-wave arrival times on the accuracy of hypocenter estimation

USGS Publications Warehouse

Gomberg, J.S.; Shedlock, K.M.; Roecker, S.W.

1990-01-01

We have examined the theoretical basis behind some of the widely accepted "rules of thumb' for obtaining accurate hypocenter estimates that pertain to the use of S phases and illustrate, in a variety of ways, why and when these "rules' are applicable. Most methods used to determine earthquake hypocenters are based on iterative, linearized, least-squares algorithms. We examine the influence of S-phase arrival time data on such algorithms by using the program HYPOINVERSE with synthetic datasets. We conclude that a correctly timed S phase recorded within about 1.4 focal depth's distance from the epicenter can be a powerful constraint on focal depth. Furthermore, we demonstrate that even a single incorrectly timed S phase can result in depth estimates and associated measures of uncertainty that are significantly incorrect. -from Authors

Dental and periodontal complications of lip and tongue piercing: prevalence and influencing factors.

PubMed

Plessas, A; Pepelassi, E

2012-03-01

The aim of this study was to compare the prevalence of lip and tongue piercing complications and explore the effect of ornament time wear period, habits, ornament morphology and periodontal biotype on the development of complications. One hundred and ten subjects with 110 lip and 51 tongue piercings were assessed for abnormal toothwear and/or tooth chipping/cracking (dental defects), gingival recession, clinical attachment loss and probing depth of teeth adjacent to the pierced site. Piercing habits (biting, rolling, stroking, sucking) were recorded. Wear time and habits significantly affected the prevalence of dental defects and gingival recession. Pierced site significantly affected dental defects prevalence, with greater prevalence for tongue than lip piercing. Wear time significantly affected attachment loss and probing depth. Attachment loss and probing depth did not significantly differ between tongue and lip piercings. Gingival recession was significantly associated with ornament height closure and stem length of tongue ornaments. Periodontal biotype was not significantly associated with gingival recession, attachment loss and probing depth. Dental defects prevalence is greater for tongue than lip piercing. Gingival recession is similar for tongue and lip piercing. Longer wear time of tongue and lip piercing is associated with greater prevalence of dental defects and gingival recession, as well as greater attachment loss and probing depth of teeth adjacent to pierced sites. Ornament morphology affects gingival recession prevalence. © 2012 Australian Dental Association.

Long-Duration Spaceflight Increases Depth Ambiguity of Reversible Perspective Figures.

PubMed

Clément, Gilles; Allaway, Heather C M; Demel, Michael; Golemis, Adrianos; Kindrat, Alexandra N; Melinyshyn, Alexander N; Merali, Tahir; Thirsk, Robert

2015-01-01

The objective of this study was to investigate depth perception in astronauts during and after spaceflight by studying their sensitivity to reversible perspective figures in which two-dimensional images could elicit two possible depth representations. Other ambiguous figures that did not give rise to a perception of illusory depth were used as controls. Six astronauts and 14 subjects were tested in the laboratory during three sessions for evaluating the variability of their responses in normal gravity. The six astronauts were then tested during four sessions while on board the International Space Station for 5-6 months. They were finally tested immediately after return to Earth and up to one week later. The reaction time decreased throughout the sessions, thus indicating a learning effect. However, the time to first percept reversal and the number of reversals were not different in orbit and after the flight compared to before the flight. On Earth, when watching depth-ambiguous perspective figures, all subjects reported seeing one three-dimensional interpretation more often than the other, i.e. a ratio of about 70-30%. In weightlessness this asymmetry gradually disappeared and after 3 months in orbit both interpretations were seen for the same duration. These results indicate that the perception of "illusory" depth is altered in astronauts during spaceflight. This increased depth ambiguity is attributed to the lack of the gravitational reference and the eye-ground elevation for interpreting perspective depth cues.

The LIFEspan model of transitional rehabilitative care for youth with disabilities: healthcare professionals' perspectives on service delivery.

PubMed

Hamdani, Yani; Proulx, Meghann; Kingsnorth, Shauna; Lindsay, Sally; Maxwell, Joanne; Colantonio, Angela; Macarthur, Colin; Bayley, Mark

2014-01-01

LIFEspan is a service delivery model of continuous coordinated care developed and implemented by a cross-organization partnership between a pediatric and an adult rehabilitation hospital. Previous work explored enablers and barriers to establishing the partnership service. This paper examines healthcare professionals' (HCPs') experiences of 'real world' service delivery aimed at supporting transitional rehabilitative care for youth with disabilities. This qualitative study - part of an ongoing mixed method longitudinal study - elicited HCPs' perspectives on their experiences of LIFEspan service delivery through in-depth interviews. Data were categorized into themes of service delivery activities, then interpreted from the lens of a service integration/coordination framework. Five main service delivery themes were identified: 1) addressing youth's transition readiness and capacities; 2) shifting responsibility for healthcare management from parents to youth; 3) determining services based on organizational resources; 4) linking between pediatric and adult rehabilitation services; and, 5) linking with multi-sector services. LIFEspan contributed to service delivery activities that coordinated care for youth and families and integrated inter-hospital services. However, gaps in service integration with primary care, education, social, and community services limited coordinated care to the rehabilitation sector. Recommendations are made to enhance service delivery using a systems/sector-based approach.

A user evaluation of a local air ambulance service in North Wales.

PubMed

Gruffudd, Gwilym Siôn

2008-01-01

The purpose of this paper is to examine the current state and utilisation of user evaluation consultation adopted by Wales Air Ambulance (WAA) within the policy context. It is intended to provide a baseline for further evaluative research in the field and to highlight existing practices and resources. Gaps in strategic planning and service delivery are identified, with local recommendations proposed. Semi-structured, in-depth face-to-face interviews were conducted with ten participants drawn from a convenient sample representative of stakeholders including practitioners, fundraisers and operational staff. These groups represent primary actors involved in the delivery of services and policy implementation and also secondary actors involved in the delivery as users. Documentary analysis of WAA dispatch policy and protocols combined with secondary quantitative data of key performance indicators was undertaken. In total, 80 per cent of the sample stated their satisfaction with WAA dispatch policy with no perceived need or benefit to further development of policy or local agreements. About 70 per cent of participants had received direct comments that were 100 per cent positive from primary users/patients. All organisations shared the same concerns regarding lack of appropriate present communication. The research design was driven by practicalities of time-scale and resources. Owing to these constraints, plus the legal and ethical requirements relating to the involvement of patients in research, primary users were not included in this study. Areas for future research are identified. Recommendations being implemented by WAA include further engagement with primary users of the service in order to enhance standards. This paper reports the first empirical research conducted with WAA and users of the service.

Perceptions on diabetes care provision among health providers in rural Tanzania: a qualitative study

PubMed Central

Geubbels, Eveline; Klatser, Paul; Dieleman, Marjolein

2017-01-01

Abstract Diabetes prevalence in Tanzania was estimated at 9.1% in 2012 among adults aged 24–65 years — higher than the HIV prevalence in the general population at that time. Health systems in lower- and middle-income countries are not designed for chronic health care, yet the rising burden of non-communicable diseases such as diabetes demands chronic care services. To inform policies on diabetes care, we conducted a study on the health services in place to diagnose, treat and care for diabetes patients in rural Tanzania. The study was an exploratory and descriptive study involving qualitative methods (in-depth interviews, observations and document reviews) and was conducted in a rural district in Tanzania. Fifteen health providers in four health facilities at different levels of the health care system were interviewed. The health care organization elements of the Innovative Care for Chronic Conditions (ICCC) framework were used to guide assessment of the diabetes services in the district. We found that diabetes care in this district was centralized at the referral and district facilities, with unreliable supply of necessary commodities for diabetes care and health providers who had some knowledge of what was expected of them but felt ill-prepared for diabetes care. Facility and district level guidance was lacking and the continuity of care was broken within and between facilities. The HMIS could not produce reliable data on diabetes. Support for self-management to patients and their families was weak at all levels. In conclusion, the rural district we studied did not provide diabetes care close to the patients. Guidance on diabetes service provision and human resource management need strengthening and policies related to task-shifting need adjustment to improve quality of service provision for diabetes patients in rural settings. PMID:27935802

A qualitative study of community pharmacists' opinions on the provision of osteoporosis disease state management services in Malaysia.

PubMed

Nik, Jah; Lai, Pauline Siew Mei; Ng, Chirk Jenn; Emmerton, Lynne

2016-08-30

Osteoporosis has significant impact on healthcare costs and quality of life. Amongst the models for collaborative disease state management services published internationally, there is sparse evidence regarding the role of community pharmacists in the provision of osteoporosis care. Hence, the aim of our study was to explore community pharmacists' opinions (including the barriers and facilitators) and scope of osteoporosis disease state management services by community pharmacists in Malaysia, informing a vision for developing these services. Semi-structured individual interviews and focus groups discussions were conducted with community pharmacists from October 2013 to July 2014. Three trained researchers interviewed the participants. Interviews were recorded and transcribed verbatim. Data were analyzed thematically using an interpretative description approach. Nineteen community pharmacists with 1-23 years of experience were recruited (in depth interviews: n = 9; focus group discussions: n = 10). These participants reflected on their experience with osteoporosis-related enquiries, which included medication counseling, bone density screening and referral of at-risk patients. Key barriers were the lack of numerous factors: public awareness of osteoporosis, accurate osteoporosis screening tools for community pharmacists, pharmacists' knowledge on osteoporosis disease and medications, time to counsel patients about bone health, collaboration between pharmacists and doctors, and support from the government and professional body. The pharmacists wanted more continuing education on osteoporosis, osteoporosis awareness campaigns, a simple, unbiased osteoporosis education material, and inter-professional collaboration practices with doctors, and pharmacists' reimbursement for osteoporosis care. The involvement of community pharmacists in the provision of osteoporosis disease state management was minimal. Only ad-hoc counseling on osteoporosis prevention was performed by community pharmacists. Development and trial of collaborative osteoporosis disease state management services in community pharmacy could be facilitated by training, support and remuneration.

The use of waveform shapes to automatically determine earthquake focal depth

USGS Publications Warehouse

Sipkin, S.A.

2000-01-01

Earthquake focal depth is an important parameter for rapidly determining probable damage caused by a large earthquake. In addition, it is significant both for discriminating between natural events and explosions and for discriminating between tsunamigenic and nontsunamigenic earthquakes. For the purpose of notifying emergency management and disaster relief organizations as well as issuing tsunami warnings, potential time delays in determining source parameters are particularly detrimental. We present a method for determining earthquake focal depth that is well suited for implementation in an automated system that utilizes the wealth of broadband teleseismic data that is now available in real time from the global seismograph networks. This method uses waveform shapes to determine focal depth and is demonstrated to be valid for events with magnitudes as low as approximately 5.5.

The effect of frozen soil on snowmelt runoff at Sleepers River, Vermont

USGS Publications Warehouse

Shanley, J.B.; Chalmers, A.

1999-01-01

Soil frost depth has been monitored at the Sleepers River Research Watershed in northeastern Vermont since 1984. Soil frost develops every winter, particularly in open fields, but its depth varies from year to year in inverse relation to snow depth. During the 15 years of record at a benchmark mid-elevation open site, the annual maximum frost depth varied from 70 to 390 mm. We empirically tested the hypothesis that frozen soil prevents infiltration and recharge, thereby causing an increased runoff ratio (streamflow/(rain + snowmelt)) during the snowmelt hydrograph rise and a decreased runoff ratio during snowmelt recession. The hypothesis was not supported at the 111 km2 W-5 catchment; there was no significant correlation of the runoff ratio with the seasonal maximum frost depth for either the pre-peak or post-peak period. In an analysis of four events, however, the presence of frost promoted a large and somewhat quicker response to rainfall relative to the no-frost condition, although snow cover caused a much greater time-to-peak regardless of frost status. For six years of flow and frost depth measured at the 59 ha agricultural basin W-2, the hypothesis appeared to be supported. The enhancement of runoff due to soil frost is evident on small plots and in extreme events, such as rain on frozen snow-free soil. In the northeastern USA and eastern Canada, the effect is often masked in larger catchments by several confounding factors, including storage of meltwater in the snowpack, variability in snowmelt timing due to elevational and aspect differences, interspersed forested land where frost may be absent, and the timing of soil thawing relative to the runoff peak.Soil frost depth has been monitored at the Sleepers River Research Watershed in northeastern Vermont since 1984. Soil frost develops every winter, particularly in open fields, but its depth varies greatly from year to year in inverse relation to snow depth. During the 15 years of record at a benchmark mid-elevation open site, the annual maximum frost depth varied from 70 to 390 mm. We empirically tested the hypothesis that frozen soil prevents infiltration and recharge, thereby causing an increased runoff ratio (streamflow/(rain + snowmelt)) during the snowmelt hydrograph rise and a decreased runoff ratio during snowmelt recession. The hypothesis was not supported at the 111 km2 W-5 catchment; there was no significant correlation of the runoff ratio with the seasonal maximum frost depth for either the pre-peak or post-peak period. In an analysis of four events, however, the presence of frost promoted a large and somewhat quicker response to rainfall relative to the no-frost condition, although snow cover caused a much greater time-to-peak regardless of frost status. For six years of flow and frost depth measured at the 59 ha agricultural basin W-2, the hypothesis appeared to be supported. The enhancement of runoff due to soil frost is evident on small plots and in extreme events, such as rain of frozen snow-free soil. In the northeastern USA and eastern Canada, the effect is often masked in larger catchments by several confounding factors, including storage of meltwater in the snowpack, variability in snowmelt timing due to elevational and aspect differences, interspersed forested land where frost may be absent, and the timing of soil thawing relative to the runoff peak.

Depth of Etch Comparison Between Self-limiting and Traditional Etchant Systems

DTIC Science & Technology

2016-06-18

two different etchants (Ultradent’s Opal Etch 35%, a self-limiting phosphoric acid, or 34% Tooth Conditioning Gel by Dentsply) at varied time... Opal versus Dentsply and there was also a significant difference between etch time. There is no significant difference between the interaction of...etch material and etch time. Conclusion: The depth of etch of Opal etchant was consistently less than Dentsply etchant but continued to etch and

Promoting Adolescent Girls' Well-Being in Pakistan: a Mixed-Methods Study of Change Over Time, Feasibility, and Acceptability, of the COMPASS Program.

PubMed

Asghar, Khudejha; Mayevskaya, Yana; Sommer, Marni; Razzaque, Ayesha; Laird, Betsy; Khan, Yasmin; Qureshi, Shamsa; Falb, Kathryn; Stark, Lindsay

2018-04-10

Promoting resilience among displaced adolescent girls in northern Pakistan may buffer against developmental risks such as violence exposure and associated longer-term consequences for physical and mental well-being. However, girls' access to such programming may be limited by social norms restricting movement. A mixed-method evaluation examined change over time, feasibility, and acceptability of the COMPASS program in three districts of Khyber-Pakhtunkhwa province through a single-group within-participant pretest-posttest of adolescent girls aged 12-19 enrolled in the intervention (n = 78), and qualitative in-depth interviews with girls following posttest completion (n = 15). Primary outcomes included improvements in movement, safety, and comfort discussing life skills topics with caregivers, operationalized quantitatively as number of places visited in the previous month, number of spaces that girls felt safe visiting, and comfort discussing puberty, education, working outside the home, and marriage, respectively. Secondary outcomes included psychosocial well-being, gendered rites of passage, social support networks, perceptions of support for survivors of violence, and knowledge of services. Quantitative pretest-posttest findings included significant improvements in movement, psychosocial well-being, and some improvements in social support, knowledge of services, and gendered rites of passage; findings on safety and comfort discussing life skills topics were not significant. Qualitative findings illuminated themes related to definitions of safety and freedom of movement, perceptions and acceptability of program content, perceptions of social support, and perceptions of blame and support and knowledge of services in response to violence. Taken together, findings illustrate positive impacts of life skills programming, and the need for societal changes on gender norms to improve girls' safety in public spaces and access to resources.

The practice of commissioning healthcare from a private provider: learning from an in-depth case study

PubMed Central

2013-01-01

Background The direction of health service policy in England is for more diversification in the design, commissioning and provision of health care services. The case study which is the subject of this paper was selected specifically because of the partnering with a private sector organisation to manage whole system redesign of primary care and to support the commissioning of services for people with long term conditions at risk of unplanned hospital admissions and associated service provision activities. The case study forms part of a larger Department of Health funded project on the practice of commissioning which aims to find the best means of achieving a balance between monitoring and control on the one hand, and flexibility and innovation on the other, and to find out what modes of commissioning are most effective in different circumstances and for different services. Methods A single case study method was adopted to explore multiple perspectives of the complexities and uniqueness of a public-private partnership referred to as the “Livewell project”. 10 single depth interviews were carried out with key informants across the GP practices, the PCT and the private provider involved in the initiative. Results The main themes arising from single depth interviews with the case study participants include a particular understanding about the concept of commissioning in the context of primary care, ambitions for primary care redesign, the importance of key roles and strong relationships, issues around the adoption and spread of innovation, and the impact of the current changes to commissioning arrangements. The findings identified a close and high trust relationship between GPs (the commissioners) and the private commissioning support and provider firm. The antecedents to the contract for the project being signed indicated the importance of leveraging external contacts and influence (resource dependency theory). Conclusions The study has surfaced issues around innovation adoption in the healthcare context. The case identifies ‘negotiated order’, managerial performance of providers and disciplinary control as three media of power used in combination by commissioners. The case lends support for stewardship and resource dependency governance theories as explanations of the underpinning conditions for effective commissioning in certain circumstances within a quasi marketised healthcare system. PMID:23735082

Why I eat at night: A qualitative exploration of the development, maintenance and consequences of Night Eating Syndrome.

PubMed

Shillito, James A; Lea, James; Tierney, Stephanie; Cleator, Jacqueline; Tai, Sara; Wilding, John P H

2018-06-01

Night Eating Syndrome (NES), as a diagnosis, presents as a combination of disordered eating, sleep and mood. Patients identified as having both NES and obesity demonstrate poorer outcomes in terms of weight loss compared to those with NES only. However, research focusing on psychological factors associated with NES remains relatively underdeveloped. This study aimed to explore the relationship between NES and the experience of emotion from the perspective of patients accessing a weight management service. Ten adults who met diagnostic criteria for moderate or full NES took part in a semi-structured interview. Data were analysed using a constructivist approach to grounded theory. A core concept to emerge from the analysis was termed 'emotional hunger'; reflecting an urge or need to satiate a set of underlying unmet emotional needs. It was underpinned by the following interrelated themes: (1) Cultivating a dependency on food; (2) Relying on food to regulate emotions; (3) Understanding the significance of night-time; (4) Acknowledging the consequences of night eating. This study provides an in-depth understanding of the relationship between NES and the experience of emotion from the perspective of patients attending a weight management service. Results have potential to inform future service development, particularly around the adoption of a more holistic approach to night eating behaviours. Copyright © 2018 Elsevier Ltd. All rights reserved.

What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients?

PubMed

Stiell, Ian G; Brown, Siobhan P; Nichol, Graham; Cheskes, Sheldon; Vaillancourt, Christian; Callaway, Clifton W; Morrison, Laurie J; Christenson, James; Aufderheide, Tom P; Davis, Daniel P; Free, Cliff; Hostler, Dave; Stouffer, John A; Idris, Ahamed H

2014-11-25

The 2010 American Heart Association guidelines suggested an increase in cardiopulmonary resuscitation compression depth with a target >50 mm and no upper limit. This target is based on limited evidence, and we sought to determine the optimal compression depth range. We studied emergency medical services-treated out-of-hospital cardiac arrest patients from the Resuscitation Outcomes Consortium Prehospital Resuscitation Impedance Valve and Early Versus Delayed Analysis clinical trial and the Epistry-Cardiac Arrest database. We calculated adjusted odds ratios for survival to hospital discharge, 1-day survival, and any return of circulation. We included 9136 adult patients from 9 US and Canadian cities with a mean age of 67.5 years, mean compression depth of 41.9 mm, and a return of circulation of 31.3%, 1-day survival of 22.8%, and survival to hospital discharge of 7.3%. For survival to discharge, the adjusted odds ratios were 1.04 (95% CI, 1.00-1.08) for each 5-mm increment in compression depth, 1.45 (95% CI, 1.20-1.76) for cases within 2005 depth range (>38 mm), and 1.05 (95% CI, 1.03-1.08) for percentage of minutes in depth range (10% change). Covariate-adjusted spline curves revealed that the maximum survival is at a depth of 45.6 mm (15-mm interval with highest survival between 40.3 and 55.3 mm) with no differences between men and women. This large study of out-of-hospital cardiac arrest patients demonstrated that increased cardiopulmonary resuscitation compression depth is strongly associated with better survival. Our adjusted analyses, however, found that maximum survival was in the depth interval of 40.3 to 55.3 mm (peak, 45.6 mm), suggesting that the 2010 American Heart Association cardiopulmonary resuscitation guideline target may be too high. http://www.clinicaltrials.gov. Unique identifier: NCT00394706. © 2014 American Heart Association, Inc.

Neurometric assessment of intraoperative anesthetic

DOEpatents

Kangas, Lars J.; Keller, Paul E.

1998-01-01

The present invention is a method and apparatus for collecting EEG data, reducing the EEG data into coefficients, and correlating those coefficients with a depth of unconsciousness or anesthetic depth, and which obtains a bounded first derivative of anesthetic depth to indicate trends. The present invention provides a developed artificial neural network based method capable of continuously analyzing EEG data to discriminate between awake and anesthetized states in an individual and continuously monitoring anesthetic depth trends in real-time. The present invention enables an anesthesiologist to respond immediately to changes in anesthetic depth of the patient during surgery and to administer the correct amount of anesthetic.

Growth response of speckled alder and willow to depth of flooding

Treesearch

M. Dean Knighton

1981-01-01

Growth and survival of speckled alder and willow were determined for two growing seasons with continuous flooding at different depths. Growth was at least four times greater when the water table was below the root crown than when it was 15 cm above. Mortality increased with flooding depth and as greatest for alder.

SU-E-T-16: A Comparison of Expected Dwell Times and Dose Variations for NAMD Patients Treated with An Episcleral Brachytherapy Device

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

Hamilton, R; Patel, P; Balaggan, K

2015-06-15

Purpose: To evaluate the variations in dwell times and doses expected when using an episcleral brachytherapy device for treatment of neovascular agerelated macular degeneration (n-AMD) based on accurate imaging modalities Methods: Data from 40 eyes from 40 subjects with known n- AMD acquired through the Distance of Choroid Study (DOCS) conducted at Moorfields Eye Hospital was used to determine the target depth; the distance from the outer scleral surface of the eye, through the choroid, to the apex of the choroidal neovascularization (CNV). Each subject underwent, in triplicate, enhanced-depth Spectral Domain Optical Coherence Tomography (SD-OCT), Swept Source Optical Coherence Tomography,more » (SS-OCT) and Ocular Ultrasound (O-US). These data are the most comprehensive and accurate measurements of the dimensions of the CNV and adjacent layers of the eye for this cohort of patients. During treatment of n-AMD, patients receive a dose of 24Gy to the apex at the target depth. Using the percentage depth dose for a Sr-90 episcleral brachytherapy device, dwell times and doses to the apex were computed to determine the expected variations. Results: The mean target depth and the 95% confidence interval (CI) determined by combining O-US with SD-OCT were 1326 (956,1696)µm and with SS-OCT were 1332 (970,1693)µm. The calculated corresponding mean dwell times and 95% (CI) were 334 (223,445)s and 335 (226,445)s for SD-OCT and SS-OCT determined depths, respectively. The corresponding mean apex dose and 95% (CI) were 24 (35.9,18.0)Gy (SD-OCT) and 24 (35.6,18.1)Gy (SS-OCT). Conclusion: For episcleral brachytherapy treatment of n-AMD, using a patient population average target depth for treatment planning is inadequate, resulting in dose variations of a factor of approximately two over the 95% CI and larger variations for a nontrivial segment of the population. Each patient should have individualized imaging studies to determine the target depth for use in the dwell time calculation. Study was sponsored by Salutaris Medical Devices, Ltd., a subsidiary of Salutaris Medical Devices, Inc. Hamilton and Marsteller are founders of Salutaris Medical Devices, Inc. Drew, McGovern and Vitali are minor equity holders in Salutaris Medical Devices, Inc.« less

Z-depth integration: a new technique for manipulating z-depth properties in composited scenes

NASA Astrophysics Data System (ADS)

Steckel, Kayla; Whittinghill, David

2014-02-01

This paper presents a new technique in the production pipeline of asset creation for virtual environments called Z-Depth Integration (ZeDI). ZeDI is intended to reduce the time required to place elements at the appropriate z-depth within a scene. Though ZeDI is intended for use primarily in two-dimensional scene composition, depth-dependent "flat" animated objects are often critical elements of augmented and virtual reality applications (AR/VR). ZeDI is derived from "deep image compositing", a capacity implemented within the OpenEXR file format. In order to trick the human eye into perceiving overlapping scene elements as being in front of or behind one another, the developer must manually manipulate which pixels of an element are visible in relation to other objects embedded within the environment's image sequence. ZeDI improves on this process by providing a means for interacting with procedurally extracted z-depth data from a virtual environment scene. By streamlining the process of defining objects' depth characteristics, it is expected that the time and energy required for developers to create compelling AR/VR scenes will be reduced. In the proof of concept presented in this manuscript, ZeDI is implemented for pre-rendered virtual scene construction via an AfterEffects software plug-in.

Depth Effects on the Decomposition Dynamics of Plant-derived C at Diverse Sites

NASA Astrophysics Data System (ADS)

Gregorich, E.; Ellert, B.; Janzen, H.; Beare, M.; Helgason, B. L.; Curtin, D.

2017-12-01

Decay of plant residues is tied to many ecosystem functions and affects atmospheric CO2, plant-available nutrients, microbial diversity, soil organic matter quality, among others. The rate of decay, in turn, is governed by soil type and management, location in the soil profile, and environmental variables, some of which may be changing in coming decades. Our objective in this study was to elucidate the decomposition dynamics of plant-derived C and N at different soil depths. To characterize the importance of these variables across a broad scale, we established a long-term study at two sites in Canada and one site in New Zealand. At each site, labelled barley straw (13C = 10.2 atom%,C = 37.9%; N = 0.95%; C:N = 40) was installed at 3 depths (5-10, 20-25 and 40-45 cm). Soil temperature was logged at each depth. Samples were collected at different times over 5-6 years after application of the residues. Results showed that substantial decay occurred at all depths within a relatively short time (< 1 year). Decay was greatest at the warmest site and depth affected the concentration of viable microbes. However, depth had no effect on residue decay after about 5 years.

Computer tablet-based health technology for strengthening maternal and child tracking in Bihar.

PubMed

Negandhi, Preeti; Chauhan, Monika; Das, Ankan Mukherjee; Sharma, Jyoti; Neogi, Sutapa; Sethy, Ghanashyam

2016-01-01

UNICEF along with the State Government of Bihar launched a computer tablet-based Mother and Child Tracking System (MCTS) in 2014, to capture real-time data online and to minimize the challenges faced with the conventional MCTS. The article reports the process of implementation of tablet-based MCTS in Bihar. In-depth interviews with medical officers, program managers, data managers, auxiliary nurse midwives (ANMs), and a monitoring and evaluation specialist were conducted in October 2015 to understand the process of implementation, challenges and possibility for sustainability, and scale-up of the innovation. MCTS innovation was introduced initially in one Primary Health Centre each in Gaya and Purnia districts. The device, supported with Android MCTS software and connected to a dummy server, was given to ANMs. ANMs were trained in its application. The innovation allows real-time data entry, instant uploading, and generation of day-to-day work plans for easy tracking of beneficiaries for providing in-time health-care services. The nonlinking of the dummy server to the national MCTS portal has not lessened the burden of data entry operators, who continue to enter data into the national portal as before. The innovation has been successfully implemented to meet its objective of tracking the beneficiaries. The national database should be linked to the dummy server or visible impact. The model is sustainable if the challenges can be met. Mobile technology offers a tremendous opportunity to strengthen the capacity of frontline workers and clinicians and increase the quality, completeness, and timeliness of delivery of critical health services.

Responses to and Resources for Intimate Partner Violence: Qualitative Findings from Women, Men, and Service Providers in Rural Kenya

PubMed Central

Odero, Merab; Hatcher, Abigail M; Bryant, Chenoia; Onono, Maricianah; Romito, Patrizia; Bukusi, Elizabeth A.; Turan, Janet M.

2014-01-01

Intimate partner violence (IPV) is reported by one in five women globally, but the prevalence is much higher in East Africa. Though some formal and informal resources do exist for women experiencing IPV, data suggest that disclosure, help seeking, and subsequent utilization of these resources are often hindered by socio-cultural, economic, and institutional factors. This paper explores actions taken by victims, available support services, and barriers to utilization of available IPV resources by pregnant women in rural Nyanza, Kenya. Qualitative data were collected through 9 focus group discussions and 20 in-depth interviews with pregnant women, partners or male relatives of pregnant women, and service providers. Data were managed in NVivo 8 using a descriptive analytical approach that harnessed thematic content coding and in-depth grounded analysis. We found that while formal resources for IPV were scarce, women utilized many informal resources (family, pastors, local leaders) as well as the health facility. In rare occasions, women escalated their response to formal services (police, judiciary). The community was sometimes responsive to women experiencing IPV, but often viewed it as a “normal” part of local culture. Further barriers to women accessing services included logistical challenges and providers who were under-trained or uncommitted to responding to IPV appropriately. Moreover, the very sanctions meant to address violence (such as fines or jail) were often inhibiting for women who depended on their partners for financial resources. The results suggest that future IPV interventions should address community views around IPV and build upon locally available resources – including the health clinic - to address violence among women of child-bearing age. PMID:24255067

Responses to and resources for intimate partner violence: qualitative findings from women, men, and service providers in rural Kenya.

PubMed

Odero, Merab; Hatcher, Abigail M; Bryant, Chenoia; Onono, Maricianah; Romito, Patrizia; Bukusi, Elizabeth A; Turan, Janet M

2014-03-01

Intimate partner violence (IPV) is reported by one in three women globally, but the prevalence is much higher in East Africa. Though some formal and informal resources do exist for women experiencing IPV, data suggest that disclosure, help seeking, and subsequent utilization of these resources are often hindered by sociocultural, economic, and institutional factors. This article explores actions taken by victims, available support services, and barriers to the utilization of available IPV resources by pregnant women in rural Nyanza, Kenya. Qualitative data were collected through nine focus group discussions and 20 in-depth interviews with pregnant women, partners or male relatives of pregnant women, and service providers. Data were managed in NVivo 8 using a descriptive analytical approach that harnessed thematic content coding and in-depth grounded analysis. We found that while formal resources for IPV were scarce, women utilized many informal resources (family, pastors, local leaders) as well as the health facility. In rare occasions, women escalated their response to formal services (police, judiciary). The community was sometimes responsive to women experiencing IPV but often viewed it as a "normal" part of local culture. Further barriers to women accessing services included logistical challenges and providers who were undertrained or uncommitted to responding to IPV appropriately. Moreover, the very sanctions meant to address violence (such as fines or jail) were often inhibiting for women who depended on their partners for financial resources. The results suggest that future IPV interventions should address community views around IPV and build upon locally available resources-including the health clinic-to address violence among women of childbearing age.

Lidar Ratios for Dust Aerosols Derived From Retrievals of CALIPSO Visible Extinction Profiles Constrained by Optical Depths from MODIS-Aqua and CALIPSO/CloudSat Ocean Surface Reflectance Measurements

NASA Technical Reports Server (NTRS)

Young, Stuart A.; Josset, Damien B.; Vaughan, Mark A.

2010-01-01

CALIPSO's (Cloud Aerosol Lidar Infrared Pathfinder Satellite Observations) analysis algorithms generally require the use of tabulated values of the lidar ratio in order to retrieve aerosol extinction and optical depth from measured profiles of attenuated backscatter. However, for any given time or location, the lidar ratio for a given aerosol type can differ from the tabulated value. To gain some insight as to the extent of the variability, we here calculate the lidar ratio for dust aerosols using aerosol optical depth constraints from two sources. Daytime measurements are constrained using Level 2, Collection 5, 550-nm aerosol optical depth measurements made over the ocean by the MODIS (Moderate Resolution Imaging Spectroradiometer) on board the Aqua satellite, which flies in formation with CALIPSO. We also retrieve lidar ratios from night-time profiles constrained by aerosol column optical depths obtained by analysis of CALIPSO and CloudSat backscatter signals from the ocean surface.

Depth of cure, flexural properties and volumetric shrinkage of low and high viscosity bulk-fill giomers and resin composites.

PubMed

Tsujimoto, Akimasa; Barkmeier, Wayne W; Takamizawa, Toshiki; Latta, Mark A; Miyazaki, Masashi

2017-03-31

The purpose of this study was to investigate the depth of cure, flexural properties and volumetric shrinkage of low and high viscosity bulk-fill giomers and resin composites. Depth of cure and flexural properties were determined according to ISO 4049, and volumetric shrinkage was measured using a dilatometer. The depths of cure of giomers were significantly lower than those of resin composites, regardless of photo polymerization times. No difference in flexural strength and modulus was found among either high or low viscosity bulk fill materials. Volumetric shrinkage of low and high viscosity bulk-fill resin composites was significantly less than low and high viscosity giomers. Depth of cure of both low and high viscosity bulk-fill materials is time dependent. Flexural strength and modulus of high viscosity or low viscosity bulk-fill giomer or resin composite materials are not different for their respective category. Resin composites exhibited less polymerization shrinkage than giomers.

Effective Inclusive Schools: Designing Successful Schoolwide Programs

ERIC Educational Resources Information Center

Hehir, Thomas; Katzman, Lauren I.

2012-01-01

This book presents lessons learned from in-depth case studies of some of our most effective inclusive public schools. The authors conclusively demonstrate that schools can educate students with mild and severe disabilities in general education classrooms by providing special education services that link to and bolster general education…

Creating deep soil core monoliths: Beyond the solum

USDA-ARS?s Scientific Manuscript database

Soil monoliths serve as useful teaching aids in the study of the Earth’s critical zone where rock, soil, water, air, and organisms interact. Typical monolith preparation has so far been confined to the 1 to 2-m depth of the solum. Critical ecosystem services provided by soils include materials from ...

Rural Indiana Profile: Alcohol, Tobacco & Other Drugs.

ERIC Educational Resources Information Center

Drug Strategies, Washington, DC.

This report examines alcohol, tobacco, and other drug use in rural parts of Indiana, as well as public and private initiatives to reduce these problems. The report is based on epidemiological, health, and criminal justice indicators; focus groups; and in-depth interviews with local officials, researchers, service providers, and civic leaders.…

Bibliography of Intelligence Literature. A Critical and Annotated Bibliography of Open-Source Literature.

DTIC Science & Technology

1985-01-01

outlooks in a continuing, important battlefield. HAREL, Isser. The House on Garibaldi Street: The First Full Account of the Capture of Adolf Eichmann ...Israeli Service, MOSSAD, describes in detailed fashion the long-range, in-depth planning and operation for the Eichmann capture by Israeli agents in

ANALYSIS OF "IN-DEPTH" SCHOOLS CONDUCTED BY AREA EXTENSION AGENTS.

ERIC Educational Resources Information Center

MCCORMICK, ROBERT W.

FIVE EDUCATIONAL PROGRAMS WERE CONDUCTED DURING THE FALL AND WINTER OF 1965-66 AT AREA EXTENSION CENTERS ESTABLISHED BY THE OHIO COOPERATIVE EXTENSION SERVICE IN JANUARY 1965. AIMING MAINLY AT THE COMMERCIAL AGRICULTURAL INDUSTRY, SPECIALIZED EXTENSION AGENTS FOCUSED ON EDUCATIONAL PROBLEMS OF AGRICULTURAL PRODUCTION AND OF SUCH AGRIBUSINESS…

Understanding Nursing Home Worker Conceptualizations about Good Care

ERIC Educational Resources Information Center

Chung, Gawon

2013-01-01

This study explored how direct care workers in nursing homes conceptualize good care and how their conceptualizations are influenced by external factors surrounding their work environment and the relational dynamics between them and residents. Study participants were drawn from a local service employees' union, and in-depth interviews were…

Voices from behind Bars: A Working Alliance?

ERIC Educational Resources Information Center

Gonzalez, Mariaimee Muniz

2012-01-01

Prisons have become a primary location for mental health services, yet little research has been done to investigate the clinical relationships experienced by a growing population of female inmates. This qualitative study was based upon intersectional theory and explored the experiences of 12 female inmates through in-depth interviews about…

Guide for Planning a Learning Expedition.

ERIC Educational Resources Information Center

Campbell, Meg, Ed.; Liebowitz, Martin, Ed.; Mednick, Amy, Ed.; Rugen, Leah, Ed.

This guide aims to help teachers plan, reflect on, and revise learning expeditions. Growing out of the metaphor of an Outward Bound wilderness expedition, learning expeditions are long-term, in-depth investigations of a topic that engage students in the world through authentic projects, fieldwork, and service. The work centers on critical…

Strengthening Adoption Practice, Listening to Adoptive Families

ERIC Educational Resources Information Center

Atkinson, Anne; Gonet, Patricia

2007-01-01

In-depth interviews with 500 adoptive families who received postadoption services through Virginia's Adoptive Family Preservation (AFP) program paint a richly detailed picture of the challenges adoptive families face and what they need to sustain adoption for many years after finalization. Findings document the need for support in a variety of…

Program Review/Evaluation Policy and Procedures.

ERIC Educational Resources Information Center

Colorado Northwestern Community Coll., Rangely.

At Colorado Northwestern Community College (CNCC), all educational programs, as well as student services and support functions, are formally reviewed/evaluated in depth at least once every five years. This nine-part outline, providing a step-by-step description of the program review process at CNCC, includes the following sections: (1) the value…

Quality Enhancement: An Overview. Program Services Papers.

ERIC Educational Resources Information Center

North Carolina Partnership for Children, Raleigh.

Leading a series of in-depth technical assistance papers on improving the quality in early care and education programs, this brochure is designed to help local communities consider the most effective strategies in designing and implementing programs that improve child care quality. A quality enhancement approach is taken whereby communities begin…

77 FR 37411 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-21

.... Administrators. Design Survey Data Collection (Approved March 7, 2012) Design Survey: Discussion State-Level 30 1... Youth Services Bureau (FYSB) and the Office of Planning, Research, and Evaluation (OPRE), Administration... Impact and In-depth Implementation Study (IS); 2. The Design and Implementation Study (DIS); and 3. The...

78 FR 36779 - Agency Information Collection Activities: Proposed Collection; Comment Request Re: Information...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-19

... providers through qualitative research methods such as focus groups, in-depth interviews, and/or qualitative... qualitative research methods will also contribute to the FDIC's understanding of how consumers, including... of an array of financial services and products. Qualitative type research does not seek to measure or...

A Surprisingly Radical Problem

ERIC Educational Resources Information Center

Ledford, Sarah D.; Garner, Mary L.; Teachey, Angela L.

2012-01-01

Sometimes, in the teaching and learning of mathematics, open-ended problems posed by teachers or students can lead to a fuller understanding of mathematical concepts--a depth of understanding that no one could have anticipated. Interesting solutions and ideas emerged unexpectedly when the authors asked prospective and in-service teachers an "old"…

Advances in Librarianship; Vol. 5.

ERIC Educational Resources Information Center

Voigt, Melvin J.

Major themes in library science for 1975 are discussed in depth in a collection of nine writings by ten prominent library figures from the United States, Spain, and France. The articles are titled: (1) international information systems; (2) national planning for library and information services; (3) statistics that describe libraries and library…

32 CFR 636.33 - Vehicle safety inspection criteria.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 4 2011-07-01 2011-07-01 false Vehicle safety inspection criteria. 636.33 Section 636.33 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW...) Tires—every vehicle will be equipped with serviceable rubber tires which will have a tread depth of at...

32 CFR 636.33 - Vehicle safety inspection criteria.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Vehicle safety inspection criteria. 636.33 Section 636.33 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW...) Tires—every vehicle will be equipped with serviceable rubber tires which will have a tread depth of at...

Dynamic Leadership, Character Education Form New FCS Class

ERIC Educational Resources Information Center

Watkins, Carol Ann

2007-01-01

In this article, the author describes the leadership class that she created for the family and consumer sciences (FCS) department. The class, "Family & Consumer Sciences Issues & Applications," focused on family and community action for improved quality of life. It included in-depth laboratory experiences, service learning activities, and the…

Schools.

PubMed

Rose, India D; Friedman, Daniela B

2017-04-01

Sexual and gender minority (SGM) youth are at disproportionate risk for HIV. Schools play an integral role in educating young people about sexual health in addition to providing sexual health services. This qualitative study examined SGM youths' perception of school sexual health education and services. A total of 42 self-identified African American SGM males participated in focus groups or in an in-depth interview. Qualitative findings revealed that schools are missing the opportunity to educate SGM youth about sexual health. Youth participants noted several barriers to accessing sexual health education and services at schools including limited, targeted health information and school nurses not being knowledgeable of health issues that impact SGM youth. Participants noted that school sexual health services are not adequately marketed to students and sometimes do not include testing for HIV and other sexually transmitted diseases. Suggestions for future research and implications for school nurses and sexual health services are discussed.

Designing insurance to promote use of childhood obesity prevention services.

PubMed

Rask, Kimberly J; Gazmararian, Julie A; Kohler, Susan S; Hawley, Jonathan N; Bogard, Jenny; Brown, Victoria A

2013-01-01

Childhood obesity is a recognized public health crisis. This paper reviews the lessons learned from a voluntary initiative to expand insurance coverage for childhood obesity prevention and treatment services in the United States. In-depth telephone interviews were conducted with key informants from 16 participating health plans and employers in 2010-11. Key informants reported difficulty ensuring that both providers and families were aware of the available services. Participating health plans and employers are beginning new tactics including removing enrollment requirements, piloting enhanced outreach to selected physician practices, and educating providers on effective care coordination and use of obesity-specific billing codes through professional organizations. The voluntary initiative successfully increased private health insurance coverage for obesity services, but the interviews described variability in implementation with both best practices and barriers identified. Increasing utilization of obesity-related health services in the long term will require both family- and provider-focused interventions in partnership with improved health insurance coverage.

Perceptions of clients on awareness and the geographical location of a South African university sexual health clinic

PubMed Central

2017-01-01

Background The Campus Health Service at Stellenbosch University has a sub-division, a sexual health clinic, which provides sexual health services. The clients of the sexual health clinic consist of staff members and students. Aim This article reports on the perceptions of clients that relate to awareness and the geographical location of the clinic. Setting The Campus Health Service at Stellenbosch University’s main campus. Method A descriptive qualitative approach was applied utilising in-depth interviews. A sample of n = 15 was drawn through purposive sampling and data saturation was achieved with the sample. Results The following themes emerged from the data: location of the clinic, awareness of sexual health services and marketing and advertising. Conclusion The findings of the study revealed that accessibility of the clinic is influenced by the geographical location of the clinic and that marketing and awareness of services require attention. PMID:29041801